Health app policy: international comparison of nine countries' approaches.

An abundant and growing supply of digital health applications (apps) exists in the commercial tech-sector, which can be bewildering for clinicians, patients, and payers. A growing challenge for the health care system is therefore to facilitate the identification of safe and effective apps for health care practitioners and patients to generate the most health benefit as well as guide payer coverage decisions. Nearly all developed countries are attempting to define policy frameworks to improve decision-making, patient care, and health outcomes in this context.

Cardiac autonomic dysfunction in West syndrome.

Background: West syndrome is an age-dependent epileptic encephalopathy. Autonomic changes are increasingly being recognized in patients with epilepsy: cardiac autonomic function is mediated by sympathetic and parasympathetic efferent activity to the heart and can provide information on the functional state of the autonomic nervous system. The goal of the study is to evaluate the effect of an early epileptic encephalopathy on the autonomic nervous system by measuring heart rate variability.

Time-frequency heart rate variability characteristics of young adults during physical, mental and combined stress in laboratory environment.

The goal of this study was to evaluate the changes in heart rate variability (HRV) parameters due to a specific physical, mental or combined load. More specifically, the difference in effect between mental load and physical activity is studied. In addition, the effect of the combined physical and mental demand on the HRV parameters was examined and compared with the changes during the single task.

Autonomic effects of refractory epilepsy on heart rate variability in children: influence of intermittent vagus nerve stimulation.

Aim: Vagus nerve stimulation (VNS) is a therapeutic option for individuals with refractory epilepsy. Individuals with refractory epilepsy are prone to dysfunction of the autonomic nervous system. Reduced heart rate variability is a marker of dysfunction of the autonomic nervous system.

Nonlinear heart rate dynamics: circadian profile and influence of age and gender.

Heart rate variability (HRV) is used as a marker of autonomic modulation of heart rate. Nonlinear HRV parameters providing information about the scaling behaviour or the complexity of the cardiac system were included. In addition, the chaotic behaviour was quantified by means of the recently developed numerical noise titration technique.

Instantaneous changes in heart rate regulation due to mental load in simulated office work.

The cardiac regulation effects of a mental task added to regular office work are described. More insight into the time evolution during the different tasks is created by using time-frequency analysis (TFA). Continuous wavelet transformation was applied to create time series of instantaneous power and frequency in specified frequency bands (LF 0.

Heart rate variability during REM and non-REM sleep in preterm neonates with and without abnormal cardiorespiratory events.

Aim: Analyse heart rate variability (HRV) of preterm neonates undergoing a polysomnography in relation to the occurrence of abnormal cardiorespiratory events on one hand and the type of sleep states on the other hand.

Methods: To quantify nonlinear HRV, the numerical noise titration technique is used, adapted to neonatal heart rate data. HRV is calculated for 30 preterm neonates with mean post-conceptional age of 36.

Complexity of cardiovascular regulation in small animals.

Oscillations of heart rate and blood pressure are related to the activity of the underlying control mechanism. They have been investigated mostly with linear methods in the time and frequency domains. Also, in recent years, many different nonlinear analysis methods have been applied for the evaluation of cardiovascular variability.