A Smartphone-based System to Improve Adherence in Scoliosis Therapy

i-com ◽  
2016 ◽  
Vol 15 (3) ◽  
Author(s):  
Susanne Dannehl ◽  
Diana Seiboth ◽  
Laura Doria ◽  
Michael Minge ◽  
Katharina Lorenz ◽  
...  

AbstractThis project developed and evaluated a smartphone-based feedback system to improve adherence in long-term therapy of scoliotic curves occurring in pubertal growth spurt. A scoliosis means a physical deformity in spine, which can be treated with wearing a thoraco-lumbar orthosis (brace). The therapy is promising if the medical device is worn at least 16 hours a day for several years. To support the adolescent patients reaching their therapy goals, the barriers and resources for a successful bracing treatment were explored in several interviews and workshops with scoliosis patients. In scoliosis therapy, patients usually experience therapeutic success at the beginning of the treatment, whereas after six months the progress normally stagnates and motivation for long-term therapy decreases. In this article we describe the user-centered design of a quiz function as a health education tool within the aforementioned smartphone-based feedback system to improve adherence in long-term therapy of scoliotic curves.

1997 ◽  
Vol 17 (03) ◽  
pp. 161-162
Author(s):  
Thomas Hyers

SummaryProblems with unfractionated heparin as an antithrombotic have led to the development of new therapeutic agents. Of these, low molecular weight heparin shows great promise and has led to out-patient therapy of DVT/PE in selected patients. Oral anticoagulants remain the choice for long-term therapy. More cost-effective ways to give oral anticoagulants are needed.


2007 ◽  
Vol 40 (05) ◽  
Author(s):  
M Kungel ◽  
A Engelhardt ◽  
T Spevakné-Göröcs ◽  
M Ebrecht ◽  
C Werner ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 204201882110011
Author(s):  
Sarah Montenez ◽  
Stéphane Moniotte ◽  
Annie Robert ◽  
Lieven Desmet ◽  
Philippe A. Lysy

Background: Amiodarone treatment is effective against various types of arrhythmias but is associated with adverse effects affecting, among other organs, thyroid function. Amiodarone-induced thyroid dysfunction was not thoroughly evaluated in children as it was in adults, yet this affection may lead to irreversible neurodevelopmental complications. Our study aimed to define the incidence and risk factors of amiodarone-induced thyroid dysfunction in children. Methods: The study was designed as an observational study with a retrospective clinical series of 152 children treated by amiodarone in the Pediatric Cardiology Unit of our center from 1990 to 2019. All patients were divided into three groups according to their thyroid status: euthyroid, AIH (amiodarone-induced hypothyroidism) or AIT (amiodarone-induced thyrotoxicosis). Patients from these three groups were compared in terms of key clinical and therapeutic features. Results: Amiodarone-induced thyroid dysfunction was present in 23% of patients. AIT (5.3%) was three times less common than AIH (17.7%), and its occurrence increased with older age ( p < 0.05), treatment dosage ( p < 0.05), treatment duration ( p < 0.05) and the number of loading doses administered ( p < 0.05). There were no distinctive clinical features between euthyroid and AIH groups. A multivariable prediction model of AIT was built, with a yield of 66.7% as positive predictive value and 96.7% as negative predictive value. Conclusion: We observed that one in five children developed amiodarone-induced thyroid dysfunction. Special attention is required for older children with a high dosage and long-term therapy and who received a large number of loading doses, since these children are at risk to develop AIT, which is more delicate to manage than AIH.


2001 ◽  
Vol 2 (2) ◽  
pp. 98
Author(s):  
S. Kalogeropoulos ◽  
C. Petrogiannopoulos ◽  
A. Zaharof ◽  
G. Kalogeropoulos ◽  
D. Dandakis ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document