Publications by authors named "Jose Antonio Rivas-Gonzalez"

Background: Functional impairment is one of the most decisive prognostic factors in patients with complex chronic diseases. A more significant functional impairment indicates that the disease is progressing, which requires implementing diagnostic and therapeutic actions that stop the exacerbation of the disease.

Objective: This study aimed to predict alterations in the clinical condition of patients with complex chronic diseases by predicting the Barthel Index (BI), to assess their clinical and functional status using an artificial intelligence model and data collected through an internet of things mobility device.

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Background: Due to an increase in life expectancy, the prevalence of chronic diseases is also on the rise. Clinical practice guidelines (CPGs) provide recommendations for suitable interventions regarding different chronic diseases, but a deficiency in the implementation of these CPGs has been identified. The PITeS-TiiSS (Telemedicine and eHealth Innovation Platform: Information Communications Technology for Research and Information Challenges in Health Services) tool, a personalized ontology-based clinical decision support system (CDSS), aims to reduce variability, prevent errors, and consider interactions between different CPG recommendations, among other benefits.

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This is a 7-years single institution study on low-cost cardiac three-dimensional (3D) printing based on the use of free open-source programs and affordable printers and materials. The process of 3D printing is based on several steps (image acquisition, segmentation, mesh optimization, slicing, and three-dimensional printing). The necessary technology and the processes to set up an affordable three-dimensional printing laboratory are hereby described in detail.

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Article Synopsis
  • This phase 1 clinical trial (NCT03738488) aims to evaluate the effectiveness of using 3D models for surgical planning in cases of renal cell carcinoma (RCC) with venous tumor thrombus extension (VTE), compared to traditional CT images.
  • A specific protocol was established for converting CT images into accurate, reproducible, and cost-effective 3D printed models, utilizing software like ITK-snap and VirSSPA for segmentation.
  • After testing with ten different models, four were finalized that accurately represented the anatomy, maintained structural integrity during surgery simulations, and were produced with a standardized, affordable printing process, with average design and printing costs of about €33.4 and 38.5 hours
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