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https://read.qxmd.com/read/30875377/in-home-and-remote-use-of-robotic-body-surrogates-by-people-with-profound-motor-deficits
#1
Phillip M Grice, Charles C Kemp
By controlling robots comparable to the human body, people with profound motor deficits could potentially perform a variety of physical tasks for themselves, improving their quality of life. The extent to which this is achievable has been unclear due to the lack of suitable interfaces by which to control robotic body surrogates and a dearth of studies involving substantial numbers of people with profound motor deficits. We developed a novel, web-based augmented reality interface that enables people with profound motor deficits to remotely control a PR2 mobile manipulator from Willow Garage, which is a human-scale, wheeled robot with two arms...
2019: PloS One
https://read.qxmd.com/read/30863981/interactive-flying-frustums-iffs-spatially-aware-surgical-data-visualization
#2
Javad Fotouhi, Mathias Unberath, Tianyu Song, Wenhao Gu, Alex Johnson, Greg Osgood, Mehran Armand, Nassir Navab
PURPOSE: As the trend toward minimally invasive and percutaneous interventions continues, the importance of appropriate surgical data visualization becomes more evident. Ineffective interventional data display techniques that yield poor ergonomics that hinder hand-eye coordination, and therefore promote frustration which can compromise on-task performance up to adverse outcome. A very common example of ineffective visualization is monitors attached to the base of mobile C-arm X-ray systems...
March 12, 2019: International Journal of Computer Assisted Radiology and Surgery
https://read.qxmd.com/read/30861265/video-augmented-fluoroscopy-for-distal-interlocking-of-intramedullary-nails-decreased-radiation-exposure-and-surgical-time-in-a-bovine-cadaveric-setting
#3
Simon Weidert, Lejing Wang, Juergen Landes, Philipp Sandner, Eduardo M Suero, Nassir Navab, Christian Kammerlander, Ekkehard Euler, Anna von Der Heide
BACKGROUND: We aimed to assess the feasibility of a video-augmented fluoroscopy (VAF) technique using a camera-augmented mobile C-arm (CamC) for distal interlocking of intramedullary nails. METHODS: Three surgeons performed distal interlocking on seven pairs of cadaveric bovine carpal bones using the VAF system and conventional fluoroscopy. We compared radiation exposure, procedure time and drilling quality between the VAF system and conventional fluoroscopic guidance...
March 12, 2019: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://read.qxmd.com/read/30856250/feasibility-and-acceptance-testing-of-a-mobile-application-providing-psychosocial-support-for-parents-of-children-and-adolescents-with-chronic-pain-results-of-a-nonrandomized-trial
#4
Laura C Seidman, Sarah R Martin, Meredith W Trant, Laura A Payne, Lonnie K Zeltzer, Tara M Cousineau, Elizabeth Donovan
OBJECTIVE: To conduct a single-arm pilot study assessing the feasibility and acceptability of a 30-day parent-focused mindfulness and psychosocial support mobile app intervention for parents of children with chronic pain. METHODS: Thirty parents completed the intervention, which included a mindfulness curriculum, peer support videos, and written psychoeducational content. Twelve healthcare providers also assessed the app and provided feedback. Feasibility was assessed by server-side documented usage on ≥50% of the days in the intervention period and completion of ≥70% of the mindfulness content...
March 11, 2019: Journal of Pediatric Psychology
https://read.qxmd.com/read/30838185/pattern-and-degree-of-radiation-exposure-during-endovascular-surgery-performed-using-a-mobile-c-arm-or-in-a-hybrid-room
#5
Cheng Quan, Sang Su Lee
Purpose: A prospective study was conducted to compare radiation exposure to different parts of an endovascular surgeon's body when using a mobile C-arm with that in a hybrid room. Methods: Exposure during individual procedures performed on 39 patients with a mobile C-arm and 42 patients in a hybrid room, from July 2016 to December 2016, was evaluated. Results: The procedures performed, fluoroscopy time, and dose-area product were not significantly different between groups...
March 2019: Annals of Surgical Treatment and Research
https://read.qxmd.com/read/30815973/effects-of-mobile-phone-application-combined-with-or-without-self-monitoring-of-blood-glucose-on-glycemic-control-in-patients-with-diabetes-a-randomized-controlled-trial
#6
Yuan Yu, Qun Yan, Huizhi Li, Hongmei Li, Lin Wang, Hua Wang, Yiyun Zhang, Lei Xu, Zhaosheng Tang, Xinfeng Yan, Yinghua Chen, Huili He, Jie Chen, Bo Feng
AIMS/INTRODUCTION: There is potential for mobile applications to deliver new self-management interventions for chronic disease especially in diabetes. The aim of this study is to evaluate the effects of mobile phone application (MPA) combined with or without self-monitoring of blood glucose (SMBG) on glycemic control in patients with diabetes. MATERIALS AND METHODS: The study was a 24-week period, four-arm parallel group, non-blinded, randomized trial. 185 patients with mean age of 52 years were randomized to group A(no MPA and no SMBG), group B (SMBG only), group C (MPA only) and group D (both MPA and SMBG were used)...
February 27, 2019: Journal of Diabetes Investigation
https://read.qxmd.com/read/30720791/community-resilience-learning-collaborative-and-research-network-c-learn-study-protocol-with-participatory-planning-for-a-randomized-comparative-effectiveness-trial
#7
Benjamin F Springgate, Armen C Arevian, Ashley Wennerstrom, Arthur J Johnson, David P Eisenman, Olivia K Sugarman, Catherine G Haywood, Edward J Trapido, Cathy D Sherbourne, Ashley Everett, Michael McCreary, Diana Meyers, Sheryl Kataoka, Lingqi Tang, Jennifer Sato, Kenneth B Wells
This manuscript presents the protocol and participatory planning process for implementing the Community Resilience Learning Collaborative and Research Network (C-LEARN) study. C-LEARN is designed to determine how to build a service program and individual client capacity to improve mental health-related quality of life among individuals at risk for depression, with exposure to social risk factors or concerns about environmental hazards in areas of Southern Louisiana at risk for events such as hurricanes and storms...
August 7, 2018: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/30684942/a-modified-endovascular-treatment-protocol-for-iatrogenic-internal-carotid-artery-injuries-following-endoscopic-endonasal-surgery
#8
Yisen Zhang, Zhongbin Tian, Chuzhong Li, Jian Liu, Ying Zhang, Xinjian Yang, Yazhuo Zhang
OBJECTIVEInternal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are catastrophic complications. Alongside the advancements in medical instrumentation and material, there is a need to modify previous treatment modalities and principles.METHODSA retrospective review of 3658 patients who underwent EES performed at the authors' institution between January 2012 and December 2017 was conducted. Ultimately, 20 patients (0.55%) with ICA injury following EES were enrolled for analysis. Data collection included demographic data, preoperative diagnosis, injury setting, repair method, and immediate and follow-up angiographic and clinical outcomes...
January 25, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30683977/-reduction-techniques-for-minimally-invasive-stabilization-of-proximal-humeral-fractures
#9
F J P Beeres, O M Quaile, B C Link, R Babst
OBJECTIVE: The aim of surgical stabilization of proximal humerus fractures is to restore the anatomical relations between the greater and lesser tubercle, to reconstruct the joint and preserve the vascular supply of the fragments. INDICATIONS: Approximately 80% of proximal humeral fractures can be treated conservatively. Surgical treatment is indicated based on the fracture pattern, patient-related factors and the risk of avascular head necrosis. Two-part fractures with a metaphyseal comminution zone and 3/4-part fractures can benefit from near to anatomic reconstruction depending on the patient's demands and bone quality...
January 25, 2019: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/30677233/radiation-dose-and-image-quality-comparison-during-spine-surgery-with-two-different-intraoperative-3d-imaging-navigation-systems
#10
Rami Nachabe, Keith Strauss, Beth Schueler, Mohamad Bydon
Careful protocol selection is required during intraoperative three-dimensional (3D) imaging for spine surgery to manage patient radiation dose and achieve clinical image quality. Radiation dose and image quality of a Medtronic O-arm commonly used during spine surgery, and a Philips hybrid operating room equipped with XperCT C-arm 3D cone-beam CT (hCBCT) are compared. The mobile O-arm (mCBCT) offers three different radiation dose settings (low, standard, and high), for four different patient sizes (small, medium, large, and extra large)...
January 24, 2019: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/30667189/the-acceptability-of-fluoride-varnish-and-fissure-sealant-treatments-in-children-aged-6-9-delivered-in-a-school-setting
#11
S Morgan-Trimmer, B L Chadwick, S Hutchings, C Scoble, C Lisles, C J Drew, S Murphy, T Pickles, K Hood, I G Chestnutt
OBJECTIVE: To assess the acceptability of fluoride varnish and fissure sealant treatments for children. To investigate the acceptability of delivering this treatment in a school setting for children, parents, clinicians and school staff. BASIC RESEARCH DESIGN: Semi-structured interviews (with children, parents, clinicians and school staff) and a questionnaire (for school staff) as part of a two-arm, randomised clinical trial. PARTICIPANTS: Children aged 6-9, their parents, clinical staff and school staff...
January 17, 2019: Community Dental Health
https://read.qxmd.com/read/30662762/intra-operative-imaging-in-trauma-surgery
#12
Holger Keil, Nils Beisemann, Benedict Swartman, Sven Yves Vetter, Paul Alfred Grützner, Jochen Franke
The reconstruction of anatomical joint surfaces, limb alignment and rotational orientation are crucial in the treatment of fractures in terms of preservation of function and range of motion. To assess reduction and implant position intra-operatively, mobile C-arms are mandatory to immediately and continuously control these parameters.Usually, these devices are operated by OR staff or radiology technicians and assessed by the surgeon who is performing the procedure. Moreover, due to special objectives in the intra-operative setting, the situation cannot be compared with standard radiological image acquisition...
October 2018: EFORT Open Reviews
https://read.qxmd.com/read/30646197/comparative-clinical-effectiveness-of-nonsurgical-treatment-methods-in-patients-with-lumbar-spinal-stenosis-a-randomized-clinical-trial
#13
Michael J Schneider, Carlo Ammendolia, Donald R Murphy, Ronald M Glick, Elizabeth Hile, Dana L Tudorascu, Sally C Morton, Clair Smith, Charity G Patterson, Sara R Piva
Importance: Lumbar spinal stenosis (LSS) is the most common reason for spine surgery in older US adults. There is an evidence gap about nonsurgical LSS treatment options. Objective: To explore the comparative clinical effectiveness of 3 nonsurgical interventions for patients with LSS. Design, Setting, and Participants: Three-arm randomized clinical trial of 3 years' duration (November 2013 to June 2016). Analysis began in August 2016. All interventions were delivered during 6 weeks with follow-up at 2 months and 6 months at an outpatient research clinic...
January 4, 2019: JAMA network open
https://read.qxmd.com/read/30628922/dynamic-compression-of-the-subclavian-artery-secondary-to-clavicle-nonunion-a-report-of-2-cases
#14
Jamie A Nicholson, Paul H C Stirling, Jason Strelzow, Christopher M Robinson
CASE: We describe 2 patients with nonunion of the clavicle and dynamic compression of the subclavian artery. In both patients, no structural abnormality of the subclavian vessels was evident at rest; however, with the arm in hyperabduction, arterial occlusion occurred because of the mobility of the fracture and a prominent callus. CONCLUSION: This small case series demonstrates an important and, to our knowledge, unreported clinical complication of clavicle fracture nonunion...
January 9, 2019: JBJS Case Connector
https://read.qxmd.com/read/30628566/the-effect-of-text-message-reminders-to-health-workers-on-quality-of-care-for-malaria-pneumonia-and-diarrhea-in-malawi-a-cluster-randomized-controlled-trial
#15
Laura C Steinhardt, Don Mathanga, Dyson Mwandama, Humphreys Nsona, Dubulao Moyo, Austin Gumbo, Miwako Kobayashi, Ruth Namuyinga, Monica P Shah, Andy Bauleni, Peter Troell, Dejan Zurovac, Alexander K Rowe
The use of mobile technologies in medicine, or mHealth, holds promise to improve health worker (HW) performance, but evidence is mixed. We conducted a cluster-randomized controlled trial to evaluate the effect of text message reminders to HWs in outpatient health facilities (HFs) on quality of care for malaria, pneumonia, and diarrhea in Malawi. After a baseline HF survey (2,360 patients) in January 2015, 105 HFs were randomized to three arms: 1) text messages to HWs on malaria case management; 2) text messages to HWs on malaria, pneumonia, and diarrhea case management (latter two for children < 5 years); and 3) control arm (no messages)...
January 7, 2019: American Journal of Tropical Medicine and Hygiene
https://read.qxmd.com/read/30624399/intraoperative-evaluation-of-cochlear-implant-electrodes-using-mobile-cone-beam-computed-tomography
#16
Norio Yamamoto, Takayuki Okano, Hiroshi Yamazaki, Harukazu Hiraumi, Tatsunori Sakamoto, Juichi Ito, Koichi Omori
OBJECTIVE: To evaluate the electrode status during cochlear implantation (CI) using mobile cone-beam CT (mCBCT). STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral hospital. PATIENTS: Fifty-seven patients (7 bilateral surgeries, 64 ears) who underwent CI and who received intraoperative mCBCT imaging. INTERVENTION: CI and CBCT during surgery. MAIN OUTCOME MEASURE: Electrode location and angular insertion depth determined by intraoperative mCBCT images...
February 2019: Otology & Neurotology
https://read.qxmd.com/read/30612971/assessing-radiation-exposure-to-patients-during-endovascular-treatment-of-chronic-venous-obstruction
#17
Mohammad Esmaeil Barbati, Alexander Gombert, Karina Schleimer, Drosos Kotelis, Cees H A Wittens, Philip Bruners, Houman Jalaie
BACKGROUND: Post-thrombotic obstruction can be adequately treated by percutaneous transluminal angioplasty and stenting. This procedure is rapidly emerging as a minimally invasive alternative to traditional open surgical operations. However, the patient will be exposed to a significant amount of radiation during preoperative planning and operation. The aim of this study was to evaluate the amount of radiation exposure to patients during venous recanalization. METHODS: All patients undergoing endovenous recanalization from February 2016 to February 2018 were included in this study...
January 3, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/30606980/stent-placement-for-benign-portal-vein-stenosis-following-pancreaticoduodenectomy-in-a-hybrid-operating-room
#18
Yutaka Sawai, Takashi Kokudo, Yoshihiro Sakamoto, Hidemasa Takao, Yusuke Kazami, Yujiro Nishioka, Nobuhisa Akamatsu, Junichi Arita, Junichi Kaneko, Kiyoshi Hasegawa
Benign portal vein stenosis is a rare complication following pancreaticoduodenectomy. Because a direct surgical approach to the portal vein is difficult due to severe adhesions following pancreaticoduodenectomy, portal vein stent placement is considered a good treatment option. Herein, we report 3 cases of severe portal vein stenosis following pancreaticoduodenectomy that were treated with portal venous stent placement in a hybrid operating room, combining a conventional operating room with an angiography suite...
January 22, 2019: Bioscience Trends
https://read.qxmd.com/read/30571697/making-prescriptions-talk-to-stroke-and-heart-attack-survivors-to-improve-adherence-results-of-a-randomized-clinical-trial-the-talking-rx-study
#19
Ayeesha Kamran Kamal, Wardah Khalid, Abdul Muqeet, Anum Jamil, Kashfa Farhat, Sehar Rahim Ali Gillani, Maryam Zulfiqar, Mehreen Saif, Aliya Amin Muhammad, Fabiha Zaidi, Mohammad Mustafa, Ambreen Gowani, Shahrukh Sharif, Syedah Saira Bokhari, Javed Tai, Nasir Rahman, Fateh Ali Tipoo Sultan, Saleem Sayani, Salim S Virani
BACKGROUND: We developed and tested the effectiveness of a tailored health information technology driven intervention: "Talking Prescriptions" (Talking Rx) to improve medication adherence in a resource challenged environment. METHODS: We conducted a parallel, randomized, controlled, assessor-blinded trial at the Aga Khan University (AKU), Karachi, Pakistan. Adults with diagnosis of cerebrovascular accident (CVA) or coronary artery disease (CAD) diagnosed least one month before enrollment, on anti-platelets and statins, with access to a mobile phone were enrolled...
2018: PloS One
https://read.qxmd.com/read/30567603/the-effect-of-mobile-phone-text-message-reminders-on-health-workers-adherence-to-case-management-guidelines-for-malaria-and-other-diseases-in-malawi-lessons-from-qualitative-data-from-a-cluster-randomized-trial
#20
Blessings N Kaunda-Khangamwa, Laura C Steinhardt, Alexander K Rowe, Austin Gumbo, Dubulao Moyo, Humphreys Nsona, Peter Troell, Dejan Zurovac, Don Mathanga
BACKGROUND: Mobile health (mHealth), which uses technology such as mobile phones to improve patient health and health care delivery, is increasingly being tested as an intervention to promote health worker (HW) performance. This study assessed the effect of short messaging services (SMS) reminders in a study setting. Following a trial of text-message reminders to HWs to improve case management of malaria and other childhood diseases in southern Malawi that showed little effect, qualitative data was collected to explore the reasons why the intervention was ineffective and describe lessons learned...
December 19, 2018: Malaria Journal
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