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Using digital technology to support wellbeing and independence among people living with incurable cancers: a systematic review.

PurposeThe purpose of this systematic review is to summarise and evaluate the feasibility, acceptability, and potential efficacy of using digital technology to deliver physical activity and/or nutrition interventions to promote wellbeing and independence among adults with advanced or incurable cancer.MethodsSystematic structured searches for any experimental study exploring physical activity and/or nutrition intervention delivery with digital technology were conducted in PsycINFO, MEDLINE, EMBASE, CINAHL, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials. A

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… Digital health technologies may include smartphone applications, wearable devices (e.g. Fitbit and Apple watches), web-based tools and programmes, smart home devices (e.g. virtual assistants and motion sensors), and telehealth and video-conferencing software. … Keum J et al (2021) Usefulness of smartphone apps for improving nutritional status of pancreatic cancer patients: randomized controlled trial. JMIR Mhealth Uhealth 9(8):e21088 34. …

Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations.

BACKGROUND: Excessive alcohol use contributes significantly to physical and psychological illness, injury and death, and a wide array of social harm in all age groups. A proven strategy for reducing excessive alcohol consumption levels is to offer a brief conversation-based intervention in primary care settings, but more recent technological innovations have enabled people to interact directly via computer, mobile device or smartphone with digital interventions designed to address problem alcohol consumption. OBJECTIVES: To assess the effectiveness and cost-effectiveness of digital interventi…

Влияние телереабилитационных платформ на качество жизни людей с множественной склерозом: систематический обзор рандомизированных клинических испытаний.

ВВЕДЕНИЕ: Многофакторная демиелинизация (МД) — это хроническое нейродегенеративное заболевание, которое сопровождается высокими затратами, прогрессирующей дисфункцией и снижением качества жизни (КЖ). Телереабилитация (ТР), поддерживаемая новыми технологиями, появляется как альтернатива или дополнение к индивидуальной реабилитации, потенциально снижая социально-экономическое воздействие и улучшая КЖ. ЦЕЛЬ: Цель данного исследования заключалась в оценке влияния ТР на КЖ людей с МД по сравнению с индивидуальной реабилитацией или отсутствием вмешательства. МЕТОДЫ И МАТЕРИАЛЫ: Проведена системати

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… Disease duration: 20.1 ± 13.0 years | IG: App CG: Printed sheet with exercise recommendations 12 weeks TR METHOD EBPI smartphone app SUPERVISION Neurologist | HAQUAMS MSWS-12 Godin Leisure Time Exercise Questionnaire App accelerometry (steps/min, diary METs and % of moderate physical activity) 2MWT 6MWT … Feasibility of a smartphone app to enhance physical activity in progressive MS: A pilot randomized controlled pilot trial over three months. PeerJ. 2020;8:e9439. doi: 10.7717/peerj.9303. 38. Tarakci E., Tarakci D., Hajebrahimi F., Budak M. …

Feasibility of patient-reported outcomes collection in clinical routine at a radiotherapy department.

Background and purposeRoutine collection of patient-reported outcome measures (PROMs) may provide valuable real-world data on quality of life (QoL) and treatment tolerability, complementing clinical outcomes. This study evaluated the feasibility of launching a semi-automated, department-wide PROM collection program at a large tertiary radiotherapy centre.Patients and methodsPatients ≥ 18 years referred for radiotherapy were invited to participate. Exclusion criteria were inability to provide informed consent, severe cognitive conditions, or language barriers. PROMs were collected using a web-b

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… PROMs could be completed on the smartphone, a tablet or computer. Baseline questionnaires were completed before start of treatment. If a patient had not completed the baseline PROM by the time of treatment initiation, reminders were given to fill it out as soon as possible. … The remaining patients were either unable to complete the baseline questionnaire despite consenting, due to illness, technical difficulties (no smartphone, tablet or computer), change of heart, or other reasons. …

Integrating Quality of Life in the Care Pathway of Cancer Patients Undergoing Immunotherapy Treatment: Descriptive, Cross-sectional Survey of an Online Patient Community's Experiences and Expectations.

BackgroundNew cancer treatments, such as immune checkpoint inhibitors (ICIs), can improve survival and health-related quality of life (HRQoL) in patients with cancer. Although long-term monitoring of HRQoL has been shown to improve survival, integration of HRQoL into everyday practice remains poorly documented.ObjectiveThis study describes experiences and expectations of patients treated with ICIs regarding a discussion of HRQoL with health care professionals (HCPs) in cancer management.MethodsThis cross-sectional study was conducted in an online patient community (Carenity) in France. Patient

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… Finally, technological advances now allow monitoring of HRQoL at home through a telemedicine approach using electronic patient-reported outcomes available on applications for smartphones or computers [ 25 , 40 - 42 ]. … A pilot study of a smartphone-based monitoring intervention on head and neck cancer patients undergoing concurrent chemo-radiotherapy. Int J Med Inform. 2019 Sep;129:404–412. doi: 10.1016/j.ijmedinf.2019.06.004.S1386-5056(18)30622-1 42. LeBlanc TW, Abernethy AP. …

Understanding Medication Adherence in Patients With Primary Osteoporosis in China: A Qualitative Study Guided by the Integrated Theory of Health Behavior Change.

AIM: To qualitatively analyse determinants of medication adherence in Chinese patients with PO using the Integrated Theory of Health Behavior Change (ITHBC). DESIGN: The study was conducted as a qualitative study using. The data is systematically analysed using thematic analysis method. We followed the COREQ Checklist to ensure rigour in our study. METHODS: This qualitative descriptive study, guided by the ITHBC, was conducted at a national medical center in China (November 2023-June 2024). Sixteen patients with PO were purposively sampled until data saturation. Semi-structured interviews we

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… The three‐compartment smart dispenser… visualizes dosing schedules, syncs with family members' smartphones, and generates weekly adherence reports…. (P5) My husband bought me a smart reminder robot that reminds me when it's time to take my medicine. … (P8) My medication dashboard includes: Google Calendar alerts… Smartphone reminders… Medication journal…. …

Долгосрочная приемлемость цифрового когнитивного мониторинга MSRector среди людей, страдающих множественным склерозом.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Мониторинг когнитивного эффекта при множественном склерозе (МС) имеет решающее значение. Традиционное когнитивное тестирование является ресурсоемким и нечувствительным к тонкостям изменений. Цифровые тесты могут удовлетворить эту потребность; однако их долгосрочная удобство использования остается неизученным. ЦЕЛИ: Определение долгосрочной приемлемости и осуществимости цифровых когнитивных мер в РС. МЕТОДЫ: Участники с повторным или вторичным прогрессивным НР были зачислены в будущем. MSRector — сетевой тест для оценки скорости обработки, внимания и рабочей памяти 6-mont

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… A recent review on smartphone-based cognitive monitoring in MS found that although the reported acceptability of these tests was generally high, there were significant attrition rates in longitudinal testing. 14 Despite the increasing number of computerised cognitive tests available, 4 no studies … She is currently a co-principal investigator on a co-sponsored observational study with Roche, evaluating a Roche-developed smartphone app, Floodlight-MS. She has received speaker’s honoraria and travel support from Novartis, Roche, Biogen and Merck. …

Wearable sensor-based performance status assessment in cancer: A pilot multicenter study from the Alliance for Clinical Trials in Oncology (A19_Pilot2).

Clinical performance status is designed to be a measure of overall health, reflecting a patient's physiological reserve and ability to tolerate various forms of therapy. Currently, it is measured by a combination of subjective clinician assessment and patient-reported exercise tolerance in the context of daily living activities. In this study, we assess the feasibility of combining objective data sources and patient-generated health data (PGHD) to improve the accuracy of performance status assessment during routine cancer care. Patients undergoing routine chemotherapy for solid tumors, routine

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… Harnessing consumer smartphone and wearable sensors for clinical cancer research . npj Digital Med . 2020 ; 3 : 140 . doi: 10.1038/s41746-020-00351-x 33134557 PMC7591557 11 Bennett AV , Reeve BB , Basch EM , Mitchell SA , Meeneghan M , Battaglini CL , et al . … Accuracy of smartphone applications and wearable devices for tracking physical activity data . JAMA . 2015 ; 313 : 625 – 626 . doi: 10.1001/jama.2014.17841 25668268 13 Stover A , Irwin DE , Chen RC , Chera BS , Mayer DK , Muss HB , et al . …

Exercise barriers and facilitators during hematopoietic stem cell transplantation: a qualitative study.

ObjectiveAlthough exercise is beneficial in patients undergoing hematopoietic stem cell transplantation (HSCT), motivating patients to exercise is challenging. We aimed to understand exercise barriers and facilitators during HSCT treatment while participating in a daily unsupervised exercise programme.ParticipantsPatients scheduled to have HSCT.Study design6 participants were included in this descriptive qualitative study during HSCT treatment while participating in an exercise programme to identify perceived barriers and facilitators of the exercise. An average of three semi-structured interv

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… All interviews were recorded using a smartphone outside the immune curtain after obtaining consent, and the smartphone was placed as close to participants as possible in order to improve the quality of the recording. …

Exploring the characteristics of conversational agents in chronic disease management interventions: A scoping review.

ObjectiveWith the increasing global burden of chronic diseases, there is the potential for conversational agents (CAs) to assist people in actively managing their conditions. This paper reviews different types of CAs used for chronic condition management, delving into their characteristics and the chosen study designs. This paper also discusses the potential of these CAs to enhance the health and well-being of people with chronic conditions.MethodsA search was performed in February 2023 on PubMed, ACM Digital Library, Scopus, and IEEE Xplore. Studies were included if they focused on chronic di

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… A smartphone-based health care chatbot to promote self-management of chronic pain (SELMA): pilot randomized controlled trial. JMIR MHealth UHealth 2020; 8: e15806. 50. Kowatsch T, Schachner T, Harperink S, et al. … Acceptability of an embodied conversational agent for type 2 diabetes self-management education and support via a smartphone app: mixed methods study. JMIR MHealth UHealth 2020; 8: e17038. 56. Gong E, Baptista S, Russell A, et al. …

Technological Resources for Physical Rehabilitation in Cancer Patients Undergoing Chemotherapy: A Scoping Review.

Background/Objectives: Cancer patients undergoing chemotherapy often face challenges that reduce their physical function and quality of life. Technological resources offer innovative solutions for physical rehabilitation, but the extent of their application in this context remains unclear. This scoping review aims to explore and map the various technological tools used to support physical rehabilitation in cancer patients during chemotherapy, focusing on their potential to improve outcomes and enhance patient care. Methods: A scoping review was conducted following the Joanna Briggs Institute (

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… app | 43 NSCLC patients | Smartphone app | To track exercise capacity and provide distress management | Exercise program with remote monitoring | 6MWT, PG-SGA, HADS | Improved exercise capacity, reduced distress S17 [ 46 ] | Villaron 2018 (France) | Randomized pilot study | Assess step-tracking and … Similarly, apps like GO-EXCAP (S13) and other smartphone-based applications (S16) facilitated exercise capacity tracking while offering psychological support to patients. …

Объединение сенсорной способности верхних конечностей, повседневного стационарного поведения и воздействия нейрореабилитации на лиц с множественным склерозом и инсультом: исследование смешанного дизайна.

КОЛИЧЕСТВО И НАБЛЮДЕНИЕ ЗА Сенсорным состоянием лиц с неврологическими заболеваниями посредством износа в повседневной жизни свидетельствуют о том, что такой подход является многообещающим. На сегодняшний день воздействие объемов физической активности на подходы с фиксированной эпохой ограничивает возможность проведения кинематического анализа повседневного использования верхних конечностей. МЕТОДЫ: Используя сигналы ускорения и угловой скорости от датчиков запястья, мы собрали данные о здоровых регуляторах (n = 12), а также о лицах с множественным склерозом (n = 17) или инсультом (n = 14) в т

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… For motor speed, the maximum upper limb tapping frequency of each arm was measured using a smartphone application, which recorded the tapping rate over 10s) [ 26 ]. … Reaction times were gathered using the participant’s better functioning upper limb (free choice of participants) over 10 trials in response to a visual stimulus using a smartphone application [ 24 ]. …

Digital Life Coaching During Stem Cell Transplantation: Development and Usability Study.

BACKGROUND: For patients with multiple myeloma receiving high-dose chemotherapy followed by autologous stem cell transplantation (SCT), acute life disruptions and symptom burden may lead to worsened quality of life (QOL) and increased emotional distress. Digital life coaching (DLC), whereby trained coaches deliver personalized well-being-related support via phone calls and SMS text messaging, has been shown to improve QOL among SCT survivors. However, DLC has not been investigated during the acute peri-SCT period, which is generally characterized by symptomatic exacerbations and 2-week hospita

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… English proficiency and mobile phone ownership were required for study participation; however, neither smartphone ownership nor mobile app installation were needed. There were no restrictions on time frames for pre-SCT stem cell collection or on agents used for stem cell mobilization. … Feasibility of a smartphone-based health coaching intervention for patient self-management of nutrition in the post-chemotherapy setting. …

Кинесиофобия у больных строкой, множественный склероз и болезнь Паркинсонаса

Фон: Строке (S), множественный склероз (MS), болезнь Паркинсона (PD) являются хроническими неврологическими заболеваниями, которые являются коллангом для общественного здравоохранения и представляют собой реальную социальную проблему. Физическая активность (ПА) улучшает функциональные характеристики, снижает различные симптомы в ПД и MS, уменьшает неврологические расстройства инсульта у пациентов и дает им шанс на независимость. One Среди основных препятствий на пути успешной реабилитации - пассивность пациентов. Причина может заключаться в психологических аспектах, в частности в боязни передв

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… Telemedicine, which, through a smartphone app, is able to coordinate the process of physical activity while being supervised by a physician or physiotherapist, can be a helpful tool in this effort [ 47 ]. … Desired features of smartphone applications promoting physical activity. Telemed. J. E-Health. 2011;17:801–803. doi: 10.1089/tmj.2011.0055. …

Protocol of the optimal study: Optimization of polypharmacy in geriatric oncology - A randomized controlled trial.

BackgroundPolypharmacy is very common in older cancer patients and these patients are particularly vulnerable to drug-drug interactions and adverse drug reactions because they often receive chemotherapy and symptom-relieving agents.MethodsThe primary aim of the randomized, controlled Optimization of Polypharmacy in Geriatric Oncology (OPTIMAL) trial is to test whether an advisory letter with the results of a comprehensive medication review conducted with the Fit fOR The Aged (FORTA) list to the caring physician in rehabilitation clinics improves the quality of life (QoL) of older cancer patien

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… Moreover, there is a smartphone app specifically designed for the FORTA list, which allows the healthcare providers to apply it more efficiently. The app is free of charge and is quickly used. … As the FORTA list and smartphone app are free of charge, only the time the physician spends to do the medication review is a cost issue. …

Longitudinal Collection of Patient-Reported Outcomes and Activity Data during CAR-T Therapy: Feasibility, Acceptability, and Data Visualization.

Background: Clinicians must closely monitor patients for toxicities after chimeric antigen receptor T-cell therapy (CAR-T). Patient-reported outcomes (PROs) (e.g., toxicities, quality of life) and activity data (e.g., steps, sleep) may complement clinicians’ observations. This study tested the feasibility and acceptability of collecting PROs and activity data from patients with hematologic malignancies during CAR-T and explored preliminary data patterns. Methods: Participants wore a Fitbit tracker and completed PROs at several timepoints through 90-days post-infusion. Feasibility was assessed

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… For example, a pilot study used wearables to collect activity data and smartphones to collect PROs from ten patients with advanced gynecologic malignancies receiving palliative chemotherapy [ 20 ]. … Brief culturally informed smartphone interventions decrease breast cancer symptom burden among Latina breast cancer survivors. Psychooncology. 2020;29:195–203. doi: 10.1002/pon.5281. 30. …

Современные методы диагностики медицинских паразитов и артроподов

Обычные методы, такие, как микроскопия, используются для диагностики паразитических заболеваний и медицинских заболеваний, связанных с артроподами, на протяжении многих лет. Некоторые методы считаются золотыми. Однако их ограниченная чувствительность, специфичность и точность, а также потребность в дорогостоящих реагентах и высококвалифицированных технических специалистах являются критическими проблемами. В этой связи постоянно разрабатываются новые инструменты для уменьшения числа проблем. Недавно three Возникли самые современные методы: штрих-кодирование ДНК, геометрические морфометры и иску

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… Recently, smartphone-based optofluidic lab-on-a-chip was developed to detect malaria from blood [ 74 ]. Moreover, metagenomic analysis is a new promising tool to identify genus and species of parasites, such as Cryptosporidium spp., Plasmodium spp., and Toxoplasma spp. … Smartphone-based optofluidic lab-on-a-chip for detecting pathogens from blood J. Lab. Autom. 2014 19 35 41 10.1177/2211068213498241 23966208 75. Franssen F. Janse I. Janssen D. Caccio S.M. Vatta P. van der Giessen J. van Passel M. …

Интернет-упражнения и содействие физической активности лиц с множественным склерозом: выборочное контролируемое испытание.

Мы провели оценку воздействия 12-недельной программы поощрения физической активности на основе Интернета для лиц с множественным склерозом. Мы провели многоцентральное, случайное исследование, контролируемое списками ожидания. Группа по оказанию помощи (ГГ) получила 12-недельную программу, за которой последовало 12 недель с обычной заботой. Контрольная группа (КГ) получала только обычную медицинскую помощь. Основными компонентами 12-недельной программы были: 1) специальная программа занятий на дому, 2) средства электронного обучения, 3) телефонные и видеозаписи с терапевтом, 4) предоставление

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… possession (Android or IOS), (8) ability to operate a smartphone (especially to install mobile applications), (9) ability to read, write and comprehend as well as communicate electronically. … The tailored home-based exercise prescription was provided with an app for study participants, available as a smartphone and web application (Zentrum für Telemedizin Bad Kissingen GmbH, Bad Kissingen, Germany). …

Digital therapeutics from bench to bedside.

As a new therapeutic technique based on digital technology, the commercialization and clinical application of digital therapeutics (DTx) are increasing, and the demand for expansion to new clinical fields is remarkably high. However, the use of DTx as a general medical component is still ambiguous, and this ambiguity may be owing to a lack of consensus on a definition, in addition to insufficiencies in research and development, clinical trials, standardization of regulatory frameworks, and technological maturity. In this study, we conduct an in-depth investigation and analysis of definitions,

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… Most of the DTx developed thus far are provided in the form of smartphone or web-based applications, and there are differences in core technology elements according to the type of indication and target end-user type (Supplementary Table 4 ). … The search string used was as follows: (Digital therapeutics OR DTx) AND (FDA OR SaMD OR MDD OR MDR) AND (Digital health OR Healthcare) AND (Smartphone OR Application). …

Carcinomas arising in multilocular thymic cysts of the neck: a clinicopathological study of three cases.

BACKGROUND: The high prevalence rate of malaria due to the proliferation of drug-resistant strains of Plasmodium falciparum could mitigate the realization of sustainable development goals in Nigeria, necessitating research on the discovery of novel chemotherapies against resistant strains of the parasite. However, Solanum anomalum with ethnopharmacological claims could foster this breakthrough, prompting an investigation on the antiplasmodial and hepatoprotective activities of the plant's fruit, semi-purification and characterization of its constituents, as well as in silico studies on its com

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… PROutine: a feasibility study assessing surveillance of electronic patient reported outcomes and adherence via smartphone app in advanced cancer. … PROutine: a feasibility study assessing surveillance of electronic patient reported outcomes and adherence via smartphone app in advanced cancer. …