97 results match your criteria: "Neu-Ulm University of Applied Sciences.[Affiliation]"

Article Synopsis
  • Geriatric comanagement for older surgical patients can enhance recovery, but successful discharge planning is crucial for ongoing care.
  • The SURGE-Ahead project is focused on creating an AI-supported clinical decision support system (CDSS) to improve geriatric care in surgical settings.
  • A qualitative study conducted via interviews with healthcare professionals revealed key challenges in geriatric patient care and attitudes towards an AI-CDSS, highlighting the potential benefits and ethical concerns of using AI in these processes.
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Enhancement of Family-Centred Care Is Associated with a Reduction in Postmenstrual Age at Discharge in Preterm Infants.

Children (Basel)

October 2024

Division of Neonatology and Pediatric Intensive Care Medicine, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Eythstr. 24, D-89075 Ulm, Germany.

Background/objectives: Long hospitalisation has been recognized as an independent risk factor for poor neurodevelopmental outcomes of preterm infants. Systematic training and early inclusion of parents in their preterm infant's care is a strategy to shorten the length of hospital stay. We implemented an enhanced stepwise family-centred care program and assessed its effects on postmenstrual age (PMA) at discharge and parental satisfaction.

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Assessing the Digital Advancement of Public Health Systems Using Indicators Published in Gray Literature: Narrative Review.

JMIR Public Health Surveill

November 2024

Leibniz ScienceCampus Digital Public Health Bremen, Bremen, Germany.

Background: Revealing the full potential of digital public health (DiPH) systems requires a wide-ranging tool to assess their maturity and readiness for emerging technologies. Although a variety of indices exist to assess digital health systems, questions arise about the inclusion of indicators of information and communications technology maturity and readiness, digital (health) literacy, and interest in DiPH tools by the society and workforce, as well as the maturity of the legal framework and the readiness of digitalized health systems. Existing tools frequently target one of these domains while overlooking the others.

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Introduction: Challenging behaviour (CB) is a common issue among children with autism spectrum disorder or intellectual and developmental disability. Mental health applications are low-threshold cost-effective tools to address the lack of resources for caregivers. This pre-post study evaluated the feasibility and preliminary effectiveness of the smartphone app using algorithm-based behaviour analysis to identify causes of CB and provide individualized practical guidance to manage and prevent CB.

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Article Synopsis
  • The rapid growth of medical apps has changed how health care is delivered, allowing easy access to personalized health data for patients and providers, but effectiveness and safety concerns have emerged, challenging the reliance on randomized controlled trials (RCTs) for evaluation and regulation.
  • This study explores alternative evaluation methods beyond RCTs for medical apps by analyzing insights from a focus group of public health experts and assessing current regulations in Italy, Germany, Canada, and Australia.
  • Findings highlight the limitations of RCTs in evaluating digital health interventions and suggest that there are potentially more effective approaches for ensuring the quality and safety of medical apps.
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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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Background: Among the numerous factors contributing to health care providers' engagement with mobile apps, including user characteristics (eg, dexterity, anatomy, and attitude) and mobile features (eg, screen and button size), usability and quality of apps have been introduced as the most influential factors.

Objective: This study aims to investigate the usability and quality of the Head Computed Tomography Scan Appropriateness Criteria (HAC) mobile app for physicians' computed tomography scan ordering.

Methods: Our study design was primarily based on methodological triangulation by using mixed methods research involving quantitative and qualitative think-aloud usability testing, quantitative analysis of the Mobile Apps Rating Scale (MARS) for quality assessment, and debriefing across 3 phases.

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Utilizing digital tools, particularly mobile technologies, is viewed as a critical strategy to improve the efficient use of healthcare services. Quasi-experimental research was carried out with residents to investigate the impact of mobile-based feedback (MBF) on residents' laboratory test ordering behavior.

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Machine Learning (ML) has evolved beyond being a specialized technique exclusively used by computer scientists. Besides the general ease of use, automated pipelines allow for training sophisticated ML models with minimal knowledge of computer science. In recent years, Automated ML (AutoML) frameworks have become serious competitors for specialized ML models and have even been able to outperform the latter for specific tasks.

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mHealth apps can especially benefit older adults with chronic conditions, but their usage rates remain often low. This study examines how older adults' self-perceived technical skills and confidence affect their use of a mHealth app. It was conducted in southern Germany and included older adults (65 years and older) with and without age-related chronic conditions.

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This study explores the critical success factors and barriers to mHealth implementation in South Africa and Tanzania. Through an unstructured literature review and semi-structured interviews with eight mHealth experts, the study uncovers common challenges, including lack of alignment with user needs, inadequate government support, and sustainability issues. Critical success factors identified include user-friendly design and adaptable tools offered at low or no cost.

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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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Orofacial Myofunctional Disorder (OMD) is believed to affect approximately 30-50% of all children. The various causes of OMD often revolve around an incorrect resting position of the tongue and cause symptoms such as difficulty in speech and swallowing. While these symptoms can persist and lead to jaw deformities, such as overjet and open bite, manual therapy has been shown to be effective, especially in children.

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Prostate cancer is a dominant health concern calling for advanced diagnostic tools. Utilizing digital pathology and artificial intelligence, this study explores the potential of 11 deep neural network architectures for automated Gleason grading in prostate carcinoma focusing on comparing traditional and recent architectures. A standardized image classification pipeline, based on the AUCMEDI framework, facilitated robust evaluation using an in-house dataset consisting of 34,264 annotated tissue tiles.

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Background: Assistive technologies (ATs) have the potential to promote the quality of life and independent living of older adults and, further, to relieve the burden of formal and informal caregivers and relatives. Technological developments over the last decades have led to a boost of available ATs. However, evidence on the benefits and satisfaction with ATs in real-world applications remains scarce.

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Article Synopsis
  • Post-operative delirium (POD) affects 14-56% of older patients, prompting the need to identify those at risk, leading to this study focused on creating a machine learning model for POD prediction.
  • The model was based on data from 878 patients aged 70 and above, using 15 key features such as comorbidities, cognitive assessments, and operational metrics to train logistic regression and support vector machine algorithms.
  • The linear support vector machine model showed promising performance with an ROC area under the curve of 0.82 in training and 0.81 in testing, indicating its potential for clinical use in preventing POD.
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Background: The Red Cross and Red Crescent Movement (RCRC) utilizes specialized Emergency Response Units (ERUs) for international disaster response. However, data collection and reporting within ERUs have been time-consuming and paper-based. The Red Cross Red Crescent Health Information System (RCHIS) was developed to improve clinical documentation and reporting, ensuring accuracy and ease of use while increasing compliance with reporting standards.

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The recent advisory issued by the United States Food and Drug Administration, cautioning against the routine administration of probiotics in preterm neonates, has sparked a lively debate within the scientific community. This commentary presents a perspective from members of the Special Interest Group on Gut Microbiota and Modifications within the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and other authors who contributed to the ESPGHAN position paper on probiotics for preterm infants, as well as representatives from the European Foundation for the Care of Newborn Infants. We advocate for a more nuanced and supportive approach to the use of certain probiotics in this vulnerable population, balancing the demonstrated benefits and risks.

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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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(1) Background: The aim of the present paper was to study fetal and infant creatine (Cr) supply to improve nutrition and neuroprotection in term and especially in preterm infants. The primary outcomes were the placental Cr flux at the end of pregnancy and the time course of human milk (HM) Cr. (2) Methods: The estimation of placental Cr flux was based on umbilical arterial and venous cord blood Cr in 10 term infants after elective caesarian section.

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Methodological challenges in systematic reviews of mHealth interventions: Survey and consensus-based recommendations.

Int J Med Inform

April 2024

Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland; Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD, United States; Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Objective: Mobile Health (mHealth) refers to using mobile devices to support health. This study aimed to identify specific methodological challenges in systematic reviews (SRs) of mHealth interventions and to develop guidance for addressing selected challenges.

Study Design And Setting: Two-phase participatory research project.

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What would it take to improve the uptake and utilisation of mHealth applications among older Australians? A qualitative study.

Aust Health Rev

February 2024

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.

Article Synopsis
  • Health-related mobile apps (mHealth) are useful for self-management and treatment support, but there's limited understanding of how older adults (50+) view them in Australia.
  • A qualitative study with 21 participants revealed that a trusting doctor-patient relationship and strong health self-efficacy can encourage older adults to use these apps, while concerns about IT security and how their data is interpreted may deter them.
  • For improved adoption and safety of mHealth apps, it's essential to enhance their quality, involve users in the development process, and gather more empirical evidence on their effectiveness.
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