Publications by authors named "Walter Swoboda"

The "Deutsche Medizinische Wochenschrift" (DMW) is one of the oldest and most respected medical journals in Germany. Since its foundation in 1875, it has played a central role in the dissemination of medical research and practice. Its significance for geriatrics is far-reaching.

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Article Synopsis
  • The study examines a sensor-based eHealth treatment for pediatric obsessive-compulsive disorder (OCD), highlighting its potential to provide therapy in home settings and collect data on patients' emotional and physical states.
  • It involved 20 adolescents undergoing 14 video sessions of cognitive-behavioral therapy (CBT), using various sensors to track eye movements, heart rate, and behavior patterns during treatment.
  • Results showed high participant satisfaction with this approach, improved therapeutic relationships, and a reduction in OCD symptoms, alongside a discussion of important factors for implementing sensor-supported therapy for young patients.
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Background: The use of mobile tools in nursing care is indispensable. Given the importance of nurses' acceptance of these tools in delivering effective care, this issue requires greater attention.

Objective: This study aims to design the Mobile Health Tool Acceptance Scale for Nurses based on the Expectation-Confirmation Theory and to evaluate it psychometrically.

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Many mHelath applications have been developed, and the Mobile App Rating Scale (MARS) is a common tool for assessing them. This study aims to provide mean values for MARS scores found in recent literature. We systematically searched for literature in which MARS was used and analyzed them.

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Given the conference's focus on innovative healthcare solutions, our investigation into robotic assistance systems highlights crucial advancements in early motor rehabilitation, aligning closely with emerging healthcare priorities. In combination with conventional therapy, the assistance systems offer new possible therapy programs. They can be used to mobilize and move patients as early as possible.

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  • The introduction highlights the importance of the operating room (OR) in hospitals for patient treatment, noting that the COVID-19 pandemic led to significant operational restrictions that could have long-term negative effects on OR performance.
  • The methods involved a detailed analysis of perioperative processing times at the University Hospital Ulm, comparing data from the second quarters of 2019 to 2022, and included statistical testing to validate the findings.
  • Results showed a 31% decrease in surgeries in 2020 and persistent delays in key OR processes beyond 2020, indicating lingering impacts of the pandemic on surgical efficiency, with average operation times and anaesthesia durations remaining elevated.
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Background: In recent years, the fast-paced adoption of digital health (DH) technologies has transformed health care delivery. However, this rapid evolution has also led to challenges such as uncoordinated development and information silos, impeding effective health care integration. Recognizing these challenges, nations have developed digital health strategies (DHSs), aligning with their national health priorities and guidance from global frameworks.

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Background: One measure national governments took to react to the acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) pandemic was mobile applications (apps). This study aims to provide a high-level overview of published reviews of mobile apps used in association with coronavirus disease 19 (COVID-19), examine factors that contributed to the success of these apps, and provide data for further research into this topic.

Methods: We conducted a systematic review of reviews (also referred to as an umbrella review) and searched two databases, Medline and Embase, for peer-reviewed reviews of COVID-19 mobile apps that were written in English and published between January 1st 2020 and April 25th 2022.

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A comprehensive geriatric assessment (CGA) encompasses medical, psychosocial, and functional aspects that facilitate comprehensive treatment planning and therapy for older adults. It goes beyond a simple screening and typically includes evaluating functionality, mobility, cognition, and emotions, with additional dimensions being relevant based on specific goals. In essence, CGA is suitable for recognizing and evaluating the complexity of frailty and devising suitable interventions.

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Background: Disease prevention and health promotion in and for old age have become increasingly more important. Nevertheless, more (national) research and implementation in practice is needed, as the international comparison shows.

Objective: To develop guiding principles for research and practice on prevention and health promotion in and for old age.

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Background: Technology can support healthy aging and empower older adults to live independently. However, technology adoption by older adults, particularly assistive technology (AT), is limited and little is known about the types of AT used among older adults. This study explored the use of key information and communication technologies (ICT) and AT among community-dwelling adults aged ≥ 65.

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Cardiovascular disease is one of the leading causes of death worldwide. Scarce resources and rising costs are pushing healthcare systems to their limits. There is an urgency to develop, optimize and evaluate technologies that provide more effective care for patients.

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Researchers frequently face ethical and privacy challenges on health applications. Ethics is a branch of moral philosophy and deals with the "right" and "good" actions of humans, which often leads to dilemmas. Reasons for this are social and societal dependencies of the respective norms.

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A quantitative approach in the form of an online questionnaire was used to identify challenges and desires related to the Care Records Transmission Process and Care Transition Records (CTR). The questionnaire was sent to nurses, nursing assistants, and trainees working in ambulatory, acute inpatient, or long-term care settings. The survey revealed that creating CTRs is time-consuming, and the lack of standardization of CTRs makes the process even more cumbersome.

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Article Synopsis
  • Geriatric co-management enhances care for older adults but faces challenges due to limited resources, which the SURGE-Ahead project aims to address through digital solutions and AI support.
  • The project will develop a user-friendly digital application that provides evidence-based recommendations and AI-driven continuity of care suggestions, following a structured research framework.
  • Data will be collected from multiple surgical departments to train AI, evaluate user needs, and improve the application, with usability testing to ensure it meets the needs of medical professionals in real-world settings.
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Objective: The purpose of this study is to provide an overview of apps to help control the spread of Covid-19 in Germany and rate them according to standardized instruments.

Materials And Methods: The Apple App Store and Google Play Store were systematically searched to identify apps dealing with Covid-19 in Germany. The German Mobile App Rating Scale (MARS-G) was used to independently assess app quality by 2 trained reviewers.

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Smart mobile devices such as smartphones or tablets have become an important factor for collecting data in complex health scenarios (e.g., psychological studies, medical trials), and are more and more replacing traditional pen-and-paper instruments.

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Robotic assistance systems offer new therapeutic perspectives for patient mobilization. This work aims to investigate the chances and risks of robotic assistance systems in early neurological rehabilitation. Nine professionals working in physiotherapy and nursing were interviewed on their opinion on robotic assistance systems.

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The Institute DigiHealth of the University of Applied Sciences Neu-Ulm is planning ELSI guidelines and legal policies on data protection and making ethics requests for the CARE REGIO project, founded by the Bavarian State Ministry for Health and Care. CARE REGIO's joint project aims at reforming the care system with digital solutions.

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Mobile Health (mHealth) applications have seen strong growth in recent years, but they are often not systematically evaluated. A Delphi survey was conducted to identify key elements for the evaluation of mHealth applications. Sixteen experts participated in the study, and the study yielded a list of 79 key elements with expert consensus.

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Background: The use of assistive technologies (ATs) to support older people has been fueled by the demographic change and technological progress in many countries. These devices are designed to assist seniors, enable independent living at home or in residential facilities, and improve quality of life by addressing age-related difficulties.

Objective: We aimed to evaluate the effectiveness of ATs on relevant outcomes with a focus on frail older adults.

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Even though the "user characteristics" (UC) can influence "acceptance" and "the continuance intention to use" of information systems such as electronic medical records (EMR), the effect of UC has not been adequately evaluated in post-adoption models. This study seeks to examine the effect of UC on post-usage of EMR using the expectation confirmation model (ECM). A total of 450 questionnaires was collected by a survey to extend ECM by integrating UC using structural equation modeling (SEM).

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Heterogeneity is a hallmark of glioblastoma (GBM), the most common malignant brain tumor, and a key reason for the poor survival rate of patients. However, establishing a clinically applicable, cost-efficient tool to measure and quantify heterogeneity is challenging. We present a novel method in an ongoing study utilizing two convolutional neuronal networks (CNN).

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Digital technologies have the potential to improve the quality of nursing care. CARE REGIO is a Bavarian joint research project for digital transformation and technology in nursing care. The project goals are supporting the nursing staff, saving time, improving the quality of care as well as increasing the quality of life and safety of those in need of care.

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Healthcare systems are challenged by increasing costs. Digital technology can help to combat this trend. Evaluation of these technologies is uncommon or incomplete.

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