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Health Technologies

V Bodolica, M Spraggon
OBJECTIVES: The purpose of this article was twofold. We aimed to both clarify the multidimensional notion of patient empowerment (PE) and conduct a comprehensive survey of PE-related literature in the specific context of the United Arab Emirates (UAE). STUDY DESIGN: The study objectives were achieved by means of a two-phased systematic review of the literature on PE and associated dimensions. METHODS: The first phase consisted in the database search for recent review articles on the construct of PE that were published in the past five years...
March 13, 2019: Public Health
Rebecca L Casarez, Emily Barlow, Sriram M Iyengar, Jair C Soares, Thomas D Meyer
OBJECTIVES: Spouses and partners of individuals with bipolar disorder (BD) experience significant burden. As there are some limitations to standard psychosocial caregiver interventions, mobile health technology (mHealth) may be a way to reduce burden and improve well-being in these caregivers. The purpose of this study was to explore how the well-being of spouses or partners of patients with BD can be improved through mHealth technology. METHODS: Using a qualitative design, we conducted five focus groups and one in-depth individual interview to collect information from participants about what they would expect from such a device...
March 6, 2019: Journal of Affective Disorders
Tatiana Perrino, Ahnalee Brincks, Tae Kyoung Lee, Kiarabet Quintana, Guillermo Prado
INTRODUCTION: The pervasive use of technology has raised concerns about its association with adolescent mental health, including internalizing symptoms. Existing studies have not always had consistent findings. Longitudinal research with diverse subgroups is needed. METHODS: This study examines the relationship between screen-based sedentary (SBS) behaviors and internalizing symptoms among 370 Hispanic adolescents living in Miami, Florida- United States, who were followed for 2 ½ years and assessed at baseline, 6, 18 and 30 months post-baseline between the years 2010 and 2014...
March 13, 2019: Journal of Adolescence
Ingrid Konstanse Ledel Solem, Cecilie Varsi, Hilde Eide, Olöf Birna Kristjansdottir, Jelena Mirkovic, Elin Børøsund, Mette Haaland-Øverby, Karina Heldal, Karlein Mg Schreurs, Lori B Waxenberg, Karen Elizabeth Weiss, Eleshia J Morrison, Lise Solberg Nes
BACKGROUND: A growing body of evidence supports the potential effectiveness of electronic health (eHealth) interventions in managing chronic pain. However, research on the needs and preferences of patients with chronic pain in relation to eHealth interventions is scarce. Eliciting user input in the development of eHealth interventions may be a crucial step toward developing meaningful interventions for patients for potentially improving treatment outcomes. OBJECTIVE: This study aimed to explore the experiences of patients with chronic pain with regard to information and communication technology, understand how an eHealth intervention can support the everyday needs and challenges of patients with chronic pain, and identify possible facilitators and barriers for patients' use of an eHealth pain management intervention...
February 25, 2019: Journal of Medical Internet Research
Phaedra Lougiaki, Magda Tsolaki, Anastasia Pantazaki
Neurovascular dysfunction is a central process in the pathogenesis of the stroke and most neurodegenerative diseases, including Alzheimer's disease. The multi-cell neurovascular unit (NVU) combines the components of the neural, vascular and extracellular matrix (ECM) into an important interface whose proper function is critical to maintaining brain health. Tissue engineering now offers new tools and information to promote understanding of NVU's operation. A promising area for the development of NVU models is their bio-production through 3D bio-printing to produce a multi-layered NVU in which the contribution of the different cell types to neurovascular function and dysfunction can be studied at molecular and cellular levels...
January 2019: Hellenic Journal of Nuclear Medicine
Andreas Ap Solias, Agisilaos Ef Chaldogeridis, Areti V Batzikosta, Magda Tsolaki
INTRODUCTION: While attempting to test the population for Mild and Major Neurocognitive Disorders (M. - M. N.D.) there are tests in conventional and electronic form which are applied. However, a large proportion of elderly avoids being tested as the process itself causes stress and fatigue. The structure of the tests is often irrelevant to the experiences and life of the elderly as it focuses on the standard arraying of the diagnostic criteria. OBJECTIVES: A) the introduction of a culturally oriented screening test based on folk tradition...
January 2019: Hellenic Journal of Nuclear Medicine
Philippe Van Wilder, Magali Pirson, Alain Dupont
PURPOSE: Centrally authorised medicinal products (CAMPs) in the European Union may offer added therapeutic value (ATV) but may be linked to high prices and limited efficiency. Health technology assessment (HTA) and managed entry schemes (MES) may facilitate the reimbursement decision by providing reliable estimates of the medicinal product's value and costs and by controlling the remaining uncertainty, respectively. We investigated the impact of HTA criteria and the initiation of a MES on the reimbursement decision of CAMPs in Belgium...
March 15, 2019: European Journal of Clinical Pharmacology
Diana M Bensyl, Michael E King, Ashley Greiner
Applied epidemiology training occurs throughout an epidemiologist's career, beginning with academic instruction before workforce entry, continuing as professional development while working, and culminating with mentoring the next generation. Epidemiologists need ongoing training on advancements and relevant topics (e.g., informatics, laboratory science, emerging topics) to maintain and improve their skills. Even epidemiologists with advanced skills often want training on methodologic innovations or to practice a skill...
March 16, 2019: American Journal of Epidemiology
Jonathan M Samet, Alistair Woodward
This commentary addresses being an epidemiologist at a time when the field of epidemiology again faces a paradigm shift as the tools for research on human health draw increasingly on emerging technologies-various omics and new methods for collecting individual data at high intensity-and on new methods for carrying out research through administrative and healthcare data bases linked to biobanks. At the same time, epidemiologists in public health practice continue to face the usual array of challenges, but with the threat of global issues as well...
March 16, 2019: American Journal of Epidemiology
Lewis H Kuller
Epidemiology is the study of epidemics. It is a biological science that includes expertise in many disciplines in both social and behavioral sciences. Epidemiology is also a key component of preventive medicine and public health. Unfortunately, over the recent years, academic epidemiology has lost its relationship with preventive medicine as well as much of its focus on "epidemics." The new -omics technologies to both measure risk factors and phenotypes and advances in genomics (host susceptibility) consistent with good epidemiology methods will likely enhance epidemiology research...
March 16, 2019: American Journal of Epidemiology
Kristie Hicks, Stephanie Jilcott Pitts, Suzanne Lazorick, Xiangming Fang, Ann Rafferty
BACKGROUND With the rise in technology use for the adolescent population, screen time may be related to unhealthy eating habits and contribute to adolescent obesity. Since 2007, an adolescent wellness program, Motivating Adolescents to Choose Health (MATCH), has been implemented in select North Carolina middle schools. METHODS Using MATCH study data from fall 2015 in 26 North Carolina middle schools, we examined the cross-sectional associations between screen time, unhealthy beverage and snack consumption, and BMI z-score with linear regression models controlling for physical activity, school, sex, weight category, and race...
March 2019: North Carolina Medical Journal
Steven C Chatfield, Frank M Volpicelli, Nicole M Adler, Kunhee Lucy Kim, Simon A Jones, Fritz Francois, Paresh C Shah, Robert A Press, Leora I Horwitz
BACKGROUND: Reducing costs while increasing or maintaining quality is crucial to delivering high value care. OBJECTIVE: To assess the impact of a hospital value-based management programme on cost and quality. DESIGN: Time series analysis of non-psychiatric, non-rehabilitation, non-newborn patients discharged between 1 September 2011 and 31 December 2017 from a US urban, academic medical centre. INTERVENTION: NYU Langone Health instituted an institution-wide programme in April 2014 to increase value of healthcare, defined as health outcomes achieved per dollar spent...
March 15, 2019: BMJ Quality & Safety
Piyush Baindara
Mycobacterium tuberculosis (Mtb) has coevolved with a human host to evade and exploit the immune system in multiple ways. Mtb is an enormously successful human pathogen that can remain undetected in hosts for decades without causing clinical disease. While tuberculosis (TB) represents a perfect prototype of host-pathogen interaction, it remains a major challenge to develop new therapies to combat mycobacterial infections. Additionally, recent studies emphasize on comorbidity of TB with different non-communicable diseases (NCDs), highlighting the impact of demographic and lifestyle changes on the global burden of TB...
March 12, 2019: Microbial Pathogenesis
Caitlin N Pope, Jessica H Mirman, Despina Stavrinos
PURPOSE: Distracted driving is a growing global epidemic, with adolescent drivers reporting frequent engagement in distracted driving behaviors. Public health initiatives and legislative efforts designed to decrease the prevalence of these unwanted driving behaviors have demonstrated small, but significant reductions in crash risk. Non-compliance is a known problem among drivers of all ages, but may be especially problematic for novice, adolescent drivers. Using a construct from the Health Belief Model, the relations between demographic factors, perceived threat to safety, and peer influences were investigated with adolescents' support for three types of distracted driving legislation regarding: (a) reading or sending text messages/emails while driving; (b) hand-held cell phone use while driving; and (c) using non-driving-related-in-vehicle (NDIV) technology while driving...
February 2019: Journal of Safety Research
Ajay Verma, Surya P Gautam, Kuldeep K Bansal, Neeraj Prabhakar, Jessica M Rosenholm
The ultimate goal of any scientific development is to increase well-being and human health. Novel strategies are required for the achievement of safe and effective therapeutic treatments beyond the conventional ones, and society needs new requirements for new technologies, moving towards clean and green technology development. Green nanotechnology is a branch of green technology that utilizes the concepts of green chemistry and green engineering. It reduces the use of energy and fuel by using less material and renewable inputs wherever possible...
March 14, 2019: Medicines (Basel, Switzerland)
James Chon, Martha S Field, Patrick J Stover
Genomic instability is implicated in the etiology of several deleterious health outcomes including megaloblastic anemia, neural tube defects, and neurodegeneration. Uracil misincorporation and its repair are known to cause genomic instability by inducing DNA strand breaks leading to apoptosis, but there is emerging evidence that uracil incorporation may also result in broader modifications of gene expression, including: changes in transcriptional stalling, strand break-mediated transcriptional upregulation, and direct promoter inhibition...
February 27, 2019: DNA Repair
Mert Doğan, Mertcan Koçak, Özge Onursal Kılınç, Fatma Ayvat, Gülşah Sütçü, Ender Ayvat, Muhammed Kılınç, Özgür Ünver, Sibel Aksu Yıldırım
BACKGROUND: Functional range of motion is defined as the required range of motions for individuals to maintain maximal independence, along with optimal conditions for activities of daily living. Intervention plans for rehabilitation are directed towards the acquisition of anatomical range of motion. However, this isn't always possible based on person's etiology, prognosis, or severity of disease. RESEARCH QUESTION: The aim of this study is to determine functional range of motion during different unilateral, bilateral symmetrical and bimanual asymmetrical tasks of activities of daily living...
February 25, 2019: Gait & Posture
B Winter, M Wendt, C Waldschmidt, M Rozanski, A Kunz, F Geisler, U Grittner, S Kaczmarek, M Ebinger, H J Audebert
BACKGROUND: Time to reperfusion treatment is closely related to outcome in ischemic stroke. Prehospital stroke work-up in CT-equipped mobile stroke units is effective in reducing time to thrombolytic treatment. Current evidence predominantly comes from mobile stroke units staffed with neurologists but telemedicine-guided management may be acceptable for providing neurological expertise in ambulances. With unsatisfactory experiences in third-generation (3G)-based approaches, fourth-generation (4G) networks may provide adequate audio-visual quality but systematic comparisons of technological parameters and decision-making are lacking...
March 15, 2019: International Journal of Stroke: Official Journal of the International Stroke Society
Sanne A Groeneveld, Niels Jongejan, Brenno J S A A F de Winter, Aernoud T L Fiolet
Technological progress in healthcare offers a plethora of opportunities, but they also raise important issues, such as safety. Every year, around 18,000 electronic implants with a therapeutic function, such as pacemakers and implantable cardioverter defibrillators (ICDs), are implanted in patients in the Netherlands. Most of these devices are able to establish a wireless internet connection to share technical and diagnostic information remotely with healthcare providers. If the access to the device is not sufficiently protected, a security risk arises with potential health risks...
March 8, 2019: Nederlands Tijdschrift Voor Geneeskunde
Inanna Reinsperger, Katharina Rosian, Roman Winkler
BACKGROUND: In 2010, the Austrian Ministry of Health (MoH) commissioned the Ludwig Boltzmann Institute for Health Technology Assessment (LBI-HTA) to prepare decision support for the reorientation of the national screening programme for pregnant women and children ("Mutter-Kind-Pass"). This is one of several reports aimed at giving an overview of recommended screening measures. METHODS: By conducting a guideline synopsis, we summarised screening recommendations from guidelines of high methodological quality...
March 12, 2019: Wiener Medizinische Wochenschrift
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