Publications by authors named "J Lopez-Alcalde"

Background: Mobile health (mHealth) refers to using mobile communication devices such as smartphones to support health, health care, and public health. mHealth interventions have their own nature and characteristics that distinguish them from traditional health care interventions, including drug interventions. Thus, randomized controlled trials (RCTs) of mHealth interventions present specific methodological challenges.

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The objective of this meta-epidemiological study was to develop a rating that captures participants' motivation at the study level in digital health intervention (DHI) randomised controlled trials (RCTs). The rating was used to investigate whether participants' motivation is associated with the effect estimates in DHI RCTs for cancer patients. The development of the rating was based on a bottom-up approach involving the collection of information that captures participants' baseline motivation in empirical studies from the Smartphone-RCCT Database.

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Background: The risk of Trypanosoma cruzi reactivation is poorly understood. Previous studies evaluating the risk of reactivation report imprecise findings, and recommendations for monitoring and management from clinical guidelines rely on consensus opinion.

Objectives: We conducted a systematic review and meta-analysis to estimate the cumulative T.

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Article Synopsis
  • The study investigates the CD4/CD8 ratio as a possible marker for mortality risk in people living with HIV, highlighting its potential significance compared to CD4 counts alone.
  • A systematic review and meta-analysis were conducted, analyzing data from 20 studies, revealing that a low CD4/CD8 ratio (below 0.5) correlates with a significantly higher mortality risk.
  • While the analysis couldn't confirm a clear trend regarding CD8+ T-cell counts, it suggests that high counts may negatively affect long-term outcomes, emphasizing the need for standardized measurement protocols in future research.*
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