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1.
Cell Rep Med ; 4(9): 101192, 2023 09 19.
Artículo en Inglés | MEDLINE | ID: mdl-37729869

RESUMEN

Endometriosis is a common chronic pain condition with no known cure and limited treatment options. Digital technologies, ranging from smartphone apps to wearable sensors, have shown potential toward facilitating chronic pain assessment and management; however, to date, many of these tools have not been specifically deployed or evaluated in patients with endometriosis-associated pain. Informed by previous studies in related chronic pain conditions, we discuss how digital technologies may be used in endometriosis to facilitate objective, continuous, and holistic symptom tracking. We postulate that these pervasive and increasingly affordable technologies present promising opportunities toward developing decision-support tools assisting healthcare professionals and empowering patients with endometriosis to make better-informed choices about symptom management.


Asunto(s)
Dolor Crónico , Endometriosis , Femenino , Humanos , Endometriosis/diagnóstico , Tecnología Digital , Personal de Salud
2.
Sensors (Basel) ; 23(3)2023 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-36772109

RESUMEN

Actigraphy may provide new insights into clinical outcomes and symptom management of patients through passive, continuous data collection. We used the GENEActiv smartwatch to passively collect actigraphy, wrist temperature, and ambient light data from 27 participants after stroke or probable brain transient ischemic attack (TIA) over 42 periods of device wear. We computed 323 features using established algorithms and proposed 25 novel features to characterize sleep and temperature. We investigated statistical associations between the extracted features and clinical outcomes evaluated using clinically validated questionnaires to gain insight into post-stroke recovery. We subsequently fitted logistic regression models to replicate clinical diagnosis (stroke or TIA) and disability due to stroke. The model generalization performance was assessed using a leave-one-subject-out cross validation method with the selected feature subsets, reporting the area under the curve (AUC). We found that several novel features were strongly correlated (|r|>0.3) with stroke symptoms and mental health measures. Using selected novel features, we obtained an AUC of 0.766 to estimate diagnosis and an AUC of 0.749 to estimate whether disability due to stroke was present. Collectively, these findings suggest that features extracted from the temperature smartwatch sensor may reveal additional clinically useful information over and above existing actigraphy-based features.


Asunto(s)
Ataque Isquémico Transitorio , Accidente Cerebrovascular , Dispositivos Electrónicos Vestibles , Humanos , Muñeca , Ataque Isquémico Transitorio/diagnóstico , Temperatura , Accidente Cerebrovascular/diagnóstico , Sueño , Actigrafía
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