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1.
Adv Exp Med Biol ; 1232: 375-381, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31893434

RESUMO

The value of optical redox imaging (ORI) of cells/tissues based on the intrinsic fluorescences of NADH (nicotinamide adenine dinucleotide) and oxidized flavoproteins (containing flavin adenine dinucleotide, i.e., FAD) has been demonstrated for potential biomedical applications including diagnosis, prognosis, and determining treatment response. However, the Chance redox scanner (a 3D cryogenic tissue imager) is limited by spatial resolution (~50 µm), and tissue ORI using fluorescence microscopy (single or multi-photon) is limited by the light penetration depth. Furthermore, viable or snap-frozen tissues are usually required. In this project, we aimed to study whether ORI may be achieved for unstained fixed tissue using a state-of-the-art modern Serial Two-Photon (STP) Tomography scanner that can rapidly acquire multi-plane images at micron resolution. Tissue specimens of mouse muscle, liver, and tumor xenografts were harvested and fixed in 4% paraformaldehyde (PFA) for 24 h. Tissue blocks were scanned by STP Tomography under room temperature to acquire the autofluorescence signals (NADH channel: excitation 750 nm, blue emission filter; FAD channel: excitation 860 nm, green emission filter). We observed remarkable signals with significant intra-tissue heterogeneity in images of NADH, FAD and redox ratio (FAD/(NADH+FAD)), which are worthy of further investigation for extracting biological information.


Assuntos
Tecnologia Biomédica , NAD , Imagem Óptica , Animais , Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/métodos , Estudos de Viabilidade , Flavina-Adenina Dinucleotídeo , Xenoenxertos/diagnóstico por imagem , Camundongos , Oxirredução , Fótons
2.
Neonatal Netw ; 38(2): 69-79, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31470369

RESUMO

PURPOSE: The transition from the NICU to home is a complicated, challenging process for mothers of infants dependent on lifesaving medical technology, such as feeding tubes, supplemental oxygen, tracheostomies, and mechanical ventilation. The study purpose was to explore how these mothers perceive their transition experiences just prior to and during the first three months after initial NICU discharge. DESIGN: A qualitative, descriptive, longitudinal design was employed. SAMPLE: Nineteen mothers of infants dependent on lifesaving technology were recruited from a large Midwest NICU. MAIN OUTCOME VARIABLE: Description of mothers' transition experience. RESULTS: Three themes were identified pretransition: negative emotions, positive cognitive-behavioral efforts, and preparation for life at home. Two posttransition themes were negative and positive transition experiences. Throughout the transition, the mothers expressed heightened anxiety, fear, and stress about life-threatening situations that did not abate over time despite the discharge education received.


Assuntos
Serviços de Assistência Domiciliar/organização & administração , Cuidados para Prolongar a Vida , Mães/psicologia , Alta do Paciente , Adulto , Tecnologia Biomédica/instrumentação , Feminino , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Cuidados para Prolongar a Vida/métodos , Cuidados para Prolongar a Vida/organização & administração , Cuidados para Prolongar a Vida/psicologia , Estudos Longitudinais , Papel do Profissional de Enfermagem , Pesquisa Qualitativa , Percepção Social , Cuidado Transicional/organização & administração
3.
Urology ; 133: 57-66, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31374289

RESUMO

OBJECTIVE: To understand kidney stone patients' experiences with increasing fluid intake, common barriers to adherence, and technology-mediated intervention techniques that may improve adherence in this population. Increasing fluid intake to produce at least 2.5 L of urine daily is a well-established preventive strategy to reduce the risk of kidney stones. Unfortunately, adherence with this well-known and inexpensive recommendation is commonly below 50%. MATERIALS AND METHODS: Patients with a history of kidney stones were recruited to participate in semistructured focus groups about their experiences with increasing fluid intake. Inductive content analysis was used to extract themes from focus group transcripts. RESULTS: Themes from discussions with 19 patients described current fluid intake strategies, barriers to increasing fluid intake, and desirable features in a digital tool for promoting fluid intake. Common barriers to increasing fluid intake included work habits, travel, leisure activities, forgetting to drink, limited access to water, and not feeling thirsty. Patients had tried to increase fluid intake using strategies such as carrying a water bottle, identifying contextual cues for drinking, self-monitoring fluid intake, and seeking social support. Patients expressed interest in wearing sensors to improve fluid intake if the sensor was aesthetically pleasing, had guaranteed benefit and was able to connect to existing devices. The most acceptable location to wear a sensor was as a wristband or bracelet. CONCLUSION: The use of automated and semiautomated tracking technology in combination with evidence-based behavior change techniques should be explored in efforts to improve adherence to fluid intake recommendations.


Assuntos
Ingestão de Líquidos , Comportamentos Relacionados com a Saúde , Cálculos Renais/prevenção & controle , Cooperação do Paciente , Adolescente , Adulto , Idoso , Tecnologia Biomédica/instrumentação , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Smartphone , Dispositivos Eletrônicos Vestíveis , Adulto Jovem
4.
IEEE Trans Biomed Circuits Syst ; 13(4): 619-630, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31107660

RESUMO

The paper presents a novel transmitter architecture for short-range asynchronous wireless communication, applicable to simultaneous multi-user wireless acquisition of biological signals. The analog signal, provided from an analog biosensor, is transformed to time information using an Integral Pulse Frequency Modulator (IPFM) as a Time-Encoding Machine. The IPFM generates a time-encoded unipolar pulse train, maintaining the linear dependence of the output pulse distance on analog input voltage. The system enables continuous acquisition of the signals from multiple sensors in which each transmitter has unique feedback loop delay used for multi-user coding. IPFM pulses trigger the Impulse Radio Ultra-Wideband pulse generator directly, providing two ultra-wideband (UWB) pulses per each IPFM pulse. Due to the lack of internal clock signal and microprocessor-free multi-user coding, the circuitry satisfies the requirements of multi-user coding energy efficiency and size reduction, which are crucial demands in biomedical applications. The proposed Time-Encoded UWB (TE-UWB) transmitter is implemented in 0.18 [Formula: see text] CMOS technology. Measurement results of the IPFM transfer function for input voltage ranging from 0.15 to 1.5 V are presented, providing the dependence of the IPFM pulse time distance on analog input voltage and power consumption dependence on the input voltage level. For continuous monitoring operation, total power consumption of the transmitter circuitry for the maximum input voltage is 10.8 [Formula: see text], while for the lowest input voltage it increases to 40.48 [Formula: see text]. The circuit occupies 0.14 [Formula: see text].


Assuntos
Tecnologia Biomédica/instrumentação , Processamento de Sinais Assistido por Computador , Tecnologia sem Fio/instrumentação , Simulação por Computador , Transistores Eletrônicos , Análise de Ondaletas
5.
Maturitas ; 125: 17-19, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31133211

RESUMO

Our objective was to bridge the gap between gerontechnology developers and hospitalized frail elderly people, in order to promote open gerontechnology innovation in hospitals. We designed a hospital-based living lab that provides reflexive "idea incubator workshops" that gather both the users and the developers of technology, supplemented with an "experimental hospital room" for the testing of devices by older inpatients. The ALLEGRO living lab was delivered in 2018 at the Geriatric Department of Angers University Hospital, France. The workshops and experimental hospital room should help frail older inpatients to participate in the co-design and co-development of new technologies to improve hospital care and promote successful aging.


Assuntos
Atividades Cotidianas , Envelhecimento , Tecnologia Biomédica/métodos , Idoso Fragilizado , Geriatria/métodos , Idoso , Idoso de 80 Anos ou mais , Tecnologia Biomédica/instrumentação , Cuidadores , Difusão de Inovações , Arquitetura de Instituições de Saúde , França , Avaliação Geriátrica , Geriatria/instrumentação , Metas , Serviços de Saúde para Idosos , Hospitais , Humanos , Pacientes Internados , Tecnologia
7.
Chem Asian J ; 14(14): 2348-2356, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-30908887

RESUMO

Inspired by transient devices, transient self-destroying micromotors that are propelled by metal-water/acid reactions and autonomously disappear after completing their tasks have emerged as promising tools for diverse applications. Such transient machines require careful selection of the metal matrix and well-designed architectures for effective propulsion and customized functionality. In particular, recent advances in transient micromotors based on the active metals Zn, Fe, and Mg are introduced here. First, the fundamental design principles of transient micromotors are discussed. Then, their recent progress in environmental and biomedical applications is highlighted.


Assuntos
Tecnologia Biomédica , Monitoramento Ambiental , Ferro/química , Magnésio/química , Técnicas Analíticas Microfluídicas , Zinco/química , Tecnologia Biomédica/instrumentação , Monitoramento Ambiental/instrumentação , Técnicas Analíticas Microfluídicas/instrumentação , Tamanho da Partícula , Propriedades de Superfície
8.
Neonatology ; 115(4): 363-370, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30909270

RESUMO

OBJECTIVE: To examine the impact of medical complexity among very preterm infants on health care resource use, family, and neurodevelopmental outcomes at 18 months' corrected age. METHODS: This observational cohort study of Canadian infants born < 29 weeks' gestational age in 2009-2011 compared infants with and those without medical complexity defined as discharged home with assistive medical technology. Health care resource use and family outcomes were collected. Children were assessed for cerebral palsy, deafness, blindness, and developmental delay at 18 months. Logistic regression analysis was performed for group comparisons. RESULTS: Overall, 466/2,337 infants (20%) needed assistive medical technology at home including oxygen (79%), gavage feeding (21%), gastrostomy or ileostomy (20%), CPAP (5%), and tracheostomy (3%). Children with medical complexity were more likely to be re-hospitalized (OR 3.6, 95% CI 3.0-4.5) and to require ≥2 outpatient services (OR 4.4, 95% CI 3.5-5.6). Employment of both parents at 18 months was also less frequent in those with medical complexity compared to those without medical complexity (52 vs. 60%, p < 0.01). Thirty percent of children with medical complexity had significant neurodevelopmental impairment compared to 13% of those without medical complexity (p < 0.01). Lower gestational age, lower birth weight, bronchopulmonary dysplasia, sepsis, and surgical necrotizing enterocolitis were associated with a risk of medical complexity. CONCLUSION: Medical complexity is common following very preterm birth and has a significant impact on health care use as well as family employment and is more often associated with neurodevelopmental disabilities. Efforts should be deployed to facilitate care coordination upon hospital discharge and to support families of preterm children with medical complexity.


Assuntos
Tecnologia Biomédica/instrumentação , Serviços de Saúde da Criança/normas , Deficiências do Desenvolvimento/terapia , Doenças do Prematuro/terapia , Readmissão do Paciente/estatística & dados numéricos , Assistência Ambulatorial , Canadá , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/mortalidade , Avaliação da Deficiência , Emprego , Equipamentos e Provisões , Família , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/diagnóstico , Doenças do Prematuro/mortalidade , Recém-Nascido de muito Baixo Peso , Modelos Logísticos , Masculino , Análise Multivariada , Estudos Retrospectivos
9.
Chem Asian J ; 14(14): 2325-2335, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-30843328

RESUMO

There are many efficient biological motors in Nature that perform complex functions by converting chemical energy into mechanical motion. Inspired by this, the development of their synthetic counterparts has aroused tremendous research interest in the past decade. Among these man-made motor systems, the fuel-free (or light, magnet, ultrasound, or electric field driven) motors are advantageous in terms of controllability, lifespan, and biocompatibility concerning bioapplications, when compared with their chemically powered counterparts. Therefore, this review will highlight the latest biomedical applications in the versatile field of externally propelled micro-/nanomotors, as well as elucidating their driving mechanisms. A perspective into the future of the micro-/nanomotors field and a discussion of the challenges we need to face along the road towards practical clinical translation of external-field-propelled micro-/nanomotors will be provided.


Assuntos
Tecnologia Biomédica , Técnicas Analíticas Microfluídicas , Nanotecnologia , Tecnologia Biomédica/instrumentação , Técnicas Analíticas Microfluídicas/instrumentação , Nanotecnologia/instrumentação , Tamanho da Partícula , Propriedades de Superfície
10.
Psychol Assess ; 31(3): 277-284, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30802113

RESUMO

Advancements in ambulatory biobehavioral technologies, for example, using portable psychophysiology, geolocation, facial, and speech analysis, have shown promise for a wide variety of applications. Their applications to biomedical sciences have led to dramatic improvements in some domains of assessment and practice. As yet, these technologies have not advanced beyond "proof of concept" for improving psychological assessment. More important, much of the current work in this space is being done outside of psychological science, and in many cases, outside of science altogether. This article introduces the special section on advancing biobehavioral technologies for psychological science. We provide a background on the potential role ambulatory biobehavioral technologies can play in improving feasibility, tolerability, reliability, and "individual-level" predictive accuracy for a broad range of psychological phenomena. We then provide a brief overview of the ambulatory biobehavioral literature, highlighting particular challenges and potential solutions for evaluating psychometrics of these measures. This special section is meant to stimulate interest and resources from the psychological assessment community to lend their unique talents and skills to advance this multidisciplinary endeavor. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Tecnologia Biomédica/métodos , Monitorização Ambulatorial/métodos , Psicometria/métodos , Tecnologia Biomédica/instrumentação , Humanos , Monitorização Ambulatorial/instrumentação , Estudo de Prova de Conceito , Psicometria/instrumentação
11.
Sensors (Basel) ; 19(2)2019 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-30658434

RESUMO

Wearable potentiometric sensors have received considerable attention owing to their great potential in a wide range of physiological and clinical applications, particularly involving ion detection in sweat. Despite the significant progress in the manner that potentiometric sensors are integrated in wearable devices, in terms of materials and fabrication approaches, there is yet plenty of room for improvement in the strategy adopted for the sample collection. Essentially, this involves a fluidic sampling cell for continuous sweat analysis during sport performance or sweat accumulation via iontophoresis induction for one-spot measurements in medical settings. Even though the majority of the reported papers from the last five years describe on-body tests of wearable potentiometric sensors while the individual is practicing a physical activity, the medical utilization of these devices has been demonstrated on very few occasions and only in the context of cystic fibrosis diagnosis. In this sense, it may be important to explore the implementation of wearable potentiometric sensors into the analysis of other biofluids, such as saliva, tears and urine, as herein discussed. While the fabrication and uses of wearable potentiometric sensors vary widely, there are many common issues related to the analytical characterization of such devices that must be consciously addressed, especially in terms of sensor calibration and the validation of on-body measurements. After the assessment of key wearable potentiometric sensors reported over the last five years, with particular attention paid to those for medical applications, the present review offers tentative guidance regarding the characterization of analytical performance as well as analytical and clinical validations, thereby aiming at generating debate in the scientific community to allow for the establishment of well-conceived protocols.


Assuntos
Tecnologia Biomédica/instrumentação , Técnicas Biossensoriais/instrumentação , Potenciometria/instrumentação , Dispositivos Eletrônicos Vestíveis , Eletroquímica , Humanos , Iontoforese
12.
J Diabetes Sci Technol ; 12(6): 1231-1238, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30376739

RESUMO

Digital health is capturing the attention of the healthcare community. This paradigm whereby healthcare meets the internet uses sensors that communicate wirelessly along with software residing on smartphones to deliver data, information, treatment recommendations, and in some cases control over an effector device. As artificial intelligence becomes more widely used, this approach to creating individualized treatment plans will increase the opportunities for patients, even if they are in remote settings, to communicate with and learn from healthcare professionals. Simple design is needed to promote use of these tools, especially for the purpose of increased adherence to treatment. Widespread adoption by the healthcare industry will require better outcomes data, which will most likely be in the form of safety and effectiveness results from robust randomized controlled trials, as well as evidence of privacy and security. Such data will be needed to convince investors to direct resources into and regulators to clear new digital health tools. Diabetes Technology Society and William Sansum Diabetes Center launched the Digital Diabetes Congress in 2017 because of great interest in determining the potential benefits, metrics of success, and appropriate components of mobile applications for diabetes. The second annual meeting in this series took place on May 22-23, 2018 in San Francisco. This report contains summaries of the meeting's 4 plenary lectures and 10 sessions. This meeting report presents a summary of how 55 panelists, speakers, and moderators, who are leaders in healthcare technology, see the current and future landscape of digital health tools applied to diabetes.


Assuntos
Tecnologia Biomédica , Diabetes Mellitus/terapia , Aplicativos Móveis , Software , Telemedicina , Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/métodos , Tecnologia Biomédica/tendências , Computadores/legislação & jurisprudência , Computadores/normas , Confidencialidade , Congressos como Assunto , Diabetes Mellitus/sangue , Diabetes Mellitus/tratamento farmacológico , História do Século XXI , Humanos , Aplicativos Móveis/legislação & jurisprudência , Aplicativos Móveis/tendências , Privacidade , São Francisco , Smartphone/legislação & jurisprudência , Smartphone/normas , Smartphone/tendências , Software/legislação & jurisprudência , Software/provisão & distribução , Software/tendências , Telemedicina/instrumentação , Telemedicina/métodos , Telemedicina/tendências
13.
Conf Proc IEEE Eng Med Biol Soc ; 2018: 1755-1758, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-30440735

RESUMO

Historically, Classic Extended Physiological Proprioception (EPP) as an upper-limb prosthesis control topology has been outperforming functionally all other topologies of the past. A novel Biomechatronic EPP controller has been designed to overcome shortcomings of the classic EPP control topology, and has been hypothesized to be functionally equivalent to the classic EPP topology. Using the dSpace realtime hardware platform and other mechanical and electronic components, the following were developed in the lab: (a) A Biomechatronic EPP controller, (b) a classic EPP controller, (c) an "unconnected" controller and (d) an EMG controller. All four topologies were tested in the lab using the target experiments methodology. Initial results of one subject show that performance of (a) is superior or comparable to (b) and superior to (c) and (d).


Assuntos
Membros Artificiais , Robótica , Membros Artificiais/normas , Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/normas , Humanos , Propriocepção , Robótica/instrumentação , Robótica/normas
15.
J Med Syst ; 42(12): 239, 2018 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-30328518

RESUMO

To support the next generation of healthcare innovators - whether they be engineers, designers, clinicians, or business experts by training - education in the emerging field of medical innovation should be made easily and widely accessible to undergraduate students, graduate students, and young professionals, early in their careers. Currently, medical innovation curricula are taught through semester-long courses or year-long fellowships at a handful of universities, reaching only a limited demographic of participants. This study describes the structure and preliminary outcomes of a 1-2 week "extended hackathon" course that seeks to make medical innovation education and training more accessible and easily adoptable for academic medical centers. Eight extended hackathons were hosted in five international locations reaching 245 participants: Beijing (June 2015 and August 2016), Hong Kong (June 2016, 2017, and 2018), Curitiba (July 2016), Stanford (October 2017), and São Paulo (May 2018). Pre- and post-hackathon surveys asking respondents to self-assess their knowledge in ten categories of medical innovation were administered to quantify the perceived degree of learning. Participants hailed from a diverse range of educational backgrounds, domains of expertise, and academic institutions. On average, respondents (n = 161) saw a greater than twofold increase (114.1%, P < 0.001) from their pre- to post-hackathon scores. In this study, the extended hackathon is presented as a novel educational model to teach undergraduate and graduate students a foundational skillset for medical innovation. Participants reported gaining significant knowledge across all ten categories assessed. To more robustly assess the educational value of extended hackathons, a standardized assessment for medical innovation knowledge needs to be developed, and a larger sample size of participants surveyed.


Assuntos
Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/métodos , Invenções , Pesquisa/educação , Centros Médicos Acadêmicos , Comportamento Cooperativo , Currículo , Humanos , Aprendizagem , Competência Profissional
16.
ACS Appl Mater Interfaces ; 10(38): 31965-31976, 2018 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-30180547

RESUMO

Precise microscale arrangement of biomolecules and cells is essential for tissue engineering, microarray development, diagnostic sensors, and fundamental research in the biosciences. Biofunctional polymer brushes have attracted broad interest in these applications. However, patterning approaches to creating microstructured biointerfaces based on polymer brushes often involve tedious, expensive, and complicated procedures that are specifically designed for model substrates. We report a substrate-independent, facile, and scalable technique with which to prepare micropatterned biofunctional brushes with the ability to generate binary chemical patterns. Employing chemical vapor deposition (CVD) polymerization, a functionalized polymer coating decorated with 2-bromoisobutyryl groups that act as atom-transfer radical polymerization (ATRP) initiators was prepared and subsequently modified using UV light. The exposure of 2-bromoisobutyryl groups to UV light with wavelengths between 187 and 254 nm resulted in selective debromination, effectively eliminating the initiation of ATRP. In addition, when coatings incorporating both 2-bromoisobutyryl and primary amine groups were irradiated with UV light, the amines retained their functionality after UV treatment and could be conjugated to activated esters, facilitating binary chemical patterns. In contrast, polymer brushes were selectively grown from areas protected from UV treatment, as confirmed by atomic force microscopy, time-of-flight secondary ion mass spectrometry, and imaging ellipsometry. Furthermore, spatial control over biomolecular adhesion was achieved in three ways: (1) patterned nonfouling brushes resulted in nonspecific protein adsorption to areas not covered with polymer brushes; (2) patterned brushes decorated with active binding sides gave rise to specific protein immobilization on areas presenting polymer brushes; (3) and primary amines were co-patterned along with clickable polymer brushes bearing pendant alkyne groups, leading to bifunctional reactivity. Because this novel technique is independent of the original substrate's physicochemical properties, it can be extended to technologically relevant substrates such as polystyrene, polydimethylsiloxane, polyvinyl chloride, and steel. With further work, the photolytic deactivation of CVD-based initiator coatings promises to advance the utility of patterned biofunctional polymer brushes across a spectrum of biomedical applications.


Assuntos
Tecnologia Biomédica/métodos , Polímeros/química , Adsorção , Tecnologia Biomédica/instrumentação , Microscopia de Força Atômica , Polimerização , Propriedades de Superfície
18.
Med Sci (Paris) ; 34(6-7): 587-589, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30067202

RESUMO

Over the past few years, numerous medical digital initiatives have blossomed, displaying tangible signs of efficacy in improving, for example, medication adherence or lifestyle. Such patient-centered solutions free themselves, at least conceptually, from the silos between the major players in healthcare (pharmaceutical industry, health authorities, hospitals, payers). The lack of a global rethinking of patient care has resulted in structural fragility. This could provide fertile ground for the arrival of players from the digital world, called "pure players", who could radically rethink and disrupt business models by proposing personalized digital solutions based on patients' needs. Thus, in the management of chronic disease, such as cardiovascular disease or type 2 diabetes, "pure players" could bring about a paradigm shift via a commitment to achieve results which are driven by real-world outcome assessment rather than being means-driven.


Assuntos
Tecnologia Biomédica , Assistência à Saúde , Informática Médica , Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/organização & administração , Tecnologia Biomédica/normas , Tecnologia Biomédica/tendências , Computadores , Assistência à Saúde/métodos , Assistência à Saúde/organização & administração , Assistência à Saúde/normas , Assistência à Saúde/tendências , Registros Eletrônicos de Saúde/organização & administração , Registros Eletrônicos de Saúde/normas , Hospitais , Humanos , Informática Médica/organização & administração , Informática Médica/normas , Informática Médica/tendências , Serviço Hospitalar de Registros Médicos/organização & administração , Serviço Hospitalar de Registros Médicos/normas
19.
Curr Opin Endocrinol Diabetes Obes ; 25(5): 310-314, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30063553

RESUMO

PURPOSE OF REVIEW: The integration of wearable devices and mobile health (mHealth) technology to facilitate behavior change has the potential to transform the efficacy of interventions and implementation programs for weight maintenance. The purpose of this review was to provide a comprehensive analysis of the overall utility of wearable devices for assessing and promoting weight maintenance in research and clinical settings. RECENT FINDINGS: Recent intervention trials using wearable devices have been successful in increasing physical activity and decreasing or maintaining body weight, but complex study designs involving multiple behavioral strategies make it difficult to assess whether wearable devices can independently influence weight status. The daily feedback that wearable devices and mHealth technology provide may assist in motivating higher levels of physical activity achievement. However, the integration of wearable devices into the healthcare setting and implementation of mHealth programs still need to be tested. SUMMARY: Recent studies add concrete implications for providers and researchers to better assess and promote physical activity in healthcare settings by identifying how wearable devices can be advantageous for physical activity and health promotion.


Assuntos
Pesquisa Biomédica , Manutenção do Peso Corporal/fisiologia , Exercício/fisiologia , Telemedicina , Dispositivos Eletrônicos Vestíveis , Pesquisa Biomédica/instrumentação , Pesquisa Biomédica/métodos , Pesquisa Biomédica/tendências , Tecnologia Biomédica/instrumentação , Tecnologia Biomédica/métodos , Tecnologia Biomédica/tendências , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Humanos , Telemedicina/instrumentação , Telemedicina/métodos , Dispositivos Eletrônicos Vestíveis/tendências , Perda de Peso/fisiologia
20.
Int J Med Robot ; 14(6): e1941, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29971897

RESUMO

BACKGROUND: The development of technology in robotic surgery is typically presented from a technical perspective. This study considers the user perspective as an input to the development of technology by exploring potential solutions within and beyond the field of robotic surgery. METHODS: Advanced technological solution concepts were selected based on a technology review and an ethnographic study. Using a future workshop method, these were rated and discussed by a group of surgeons from three perspectives: enhancing operation outcome, user experience and learning in the operating theatre. RESULTS: Diverse technologies were considered to offer potential for supporting the surgeons' work. User experience and learning could be improved especially via solutions novel to robotic surgery. Robotic surgery technologies currently under development were mainly considered to support a good operation outcome. Suitability for practical work was elaborated upon, and related concerns were identified. CONCLUSIONS: The results can support development of robotic surgery to enhance surgeons' work.


Assuntos
Tecnologia Biomédica/tendências , Laparoscopia/tendências , Procedimentos Cirúrgicos Robóticos/tendências , Cirurgiões , Adulto , Atitude do Pessoal de Saúde , Tecnologia Biomédica/instrumentação , Feminino , Humanos , Satisfação no Emprego , Curva de Aprendizado , Masculino , Pessoa de Meia-Idade , Interface Usuário-Computador
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