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1.
Salud Publica Mex ; 64: S22-S30, 2022 Jun 13.
Article in English | MEDLINE | ID: mdl-36130392

ABSTRACT

Digital health refers to the use of novel information com-munication technologies in healthcare. The use of these technologies could positively impact public health and health outcomes of populations by generating timely data, and facili-tating the process of data collection, analysis, and knowledge translation. Using selected case studies, we aim to describe the opportunities and barriers in the use of technology applied to health-related research. We focus on three areas: strategies to generate new data using novel data collection methods, strategies to use and analyze existing data, and using digital health for health-related interventions. Exemplars from seven countries are provided to illustrate activity across these areas. Although the use of health-related technologies is increasing, challenges remain to support their adoption and scale-up -especially for under-served populations. Research using digital health approaches should take a user-centered design, actively working with the population of interest to maximize their uptake and effectiveness.


Subject(s)
Delivery of Health Care , Technology , Humans
2.
J Neurooncol ; 132(3): 359-372, 2017 05.
Article in English | MEDLINE | ID: mdl-28293764

ABSTRACT

Glioblastoma (GBM) is the most common malignant brain tumour in adults. Current prognosis with standard treatment is poor. Immunotherapy is a new paradigm in tumour management. Specifically, recent advances in the field of immune checkpoint molecules have led to dramatic results in many cancers. Inhibition of one particular, programmed cell death-1 (PD-1) has recently been shown to be highly effective in melanoma and non-small cell lung cancer. There has also been recent data to suggest potential benefit in GBM. There also appears to be a relationship between immune checkpoint inhibition and hypermutation, in particular with the mismatch repair process. In this review we look at the current knowledge of immune checkpoint inhibitors with a focus on the PD-1 pathway. We will also review the evidence of PD-1 inhibition in GBM and the role of hypermutation in PD-1 inhibition.


Subject(s)
Brain Neoplasms/drug therapy , Brain Neoplasms/immunology , Glioblastoma/drug therapy , Glioblastoma/immunology , Immunotherapy/methods , Animals , Antineoplastic Agents, Immunological/pharmacology , Humans , Phenotype , Tumor Escape/drug effects , Tumor Escape/immunology
3.
J Clin Neurosci ; 16(10): 1348-50, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19577477

ABSTRACT

Migration of ventriculoperitoneal shunt catheters, although infrequent, is well reported. We report the unusual event of a patient who, after having had three shunt revisions over a 15-year period, presented with a per-oral extrusion of her original distal catheter.


Subject(s)
Foreign-Body Migration/etiology , Foreign-Body Migration/surgery , Silicones/adverse effects , Ventriculoperitoneal Shunt/adverse effects , Adult , Female , Humans , Hydrocephalus/surgery , Imaging, Three-Dimensional/methods , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , Tomography, X-Ray Computed
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