scholarly journals Is There an App for That? The Pros and Cons of Diabetes Smartphone Apps and How to Integrate Them Into Clinical Practice

2019 ◽  
Vol 32 (3) ◽  
pp. 231-236 ◽  
Author(s):  
David T. Ahn ◽  
Rachel Stahl
2004 ◽  
Vol 17 (2) ◽  
pp. 193-210 ◽  
Author(s):  
Yvonne L. J. Vissers ◽  
Iris B. J. G. Debats ◽  
Yvette C. Luiking ◽  
Rajiv Jalan ◽  
René R. W. J. van der Hulst ◽  
...  

The amino acid arginine and one of its metabolites NO have gathered broad attention in the last decade. Although arginine is regarded as a conditionally essential amino acid in disease, L-arginine supplementation in severe illness has not found its way into clinical practice. This might be due to the invalid interpretation of results from studies with immune-enhancing diets containing L-arginine amongst other pharmaconutrients. However, not much attention is given to research using L-arginine as a monotherapy and the possibility of the alternative hypothesis: that L-arginine supplementation is beneficial in disease. The present review will discuss data from studies in healthy and diseased animals and patients with monotherapy of L-arginine to come to an objective overview of positive and negative aspects of L-arginine supplementation in disease with special emphasis on sepsis, cancer, liver failure and wound healing.


2021 ◽  
Vol 12 (1) ◽  
pp. 243-255
Author(s):  
Veerasak Sarinnapakorn ◽  
Chaicharn Deerochanawong ◽  
Sathit Niramitmahapanya ◽  
Navaporn Napartivaumnuay ◽  
Thitinan Treesaranuwattana

There are pros and cons of using fasting plasma glucose (FPG) and A1c for the diagnosis and management of diabetes. Still, discordance between FPG and A1c is a common problem in clinical practice, and there are no definite international guidelines for dealing with it. This article explains the causes of these anomalies and the factors that affect the results of tests, and it also recommends some appropriate techniques for investigation and management of cases of discordance between FPG and A1c.


2021 ◽  
Vol 11 (8) ◽  
pp. 1050
Author(s):  
Dmitry B. Zorov ◽  
Nadezda V. Andrianova ◽  
Valentina A. Babenko ◽  
Irina B. Pevzner ◽  
Vasily A. Popkov ◽  
...  

There has been an explosion of interest in the use of uncouplers of oxidative phosphorylation in mitochondria in the treatment of several pathologies, including neurological ones. In this review, we analyzed all the mechanisms associated with mitochondrial uncoupling and the metabolic and signaling cascades triggered by uncouplers. We provide a full set of positive and negative effects that should be taken into account when using uncouplers in experiments and clinical practice.


2012 ◽  
Vol 19 (6) ◽  
pp. 14-17 ◽  
Author(s):  
Sally Moore ◽  
John Anderson ◽  
Susanne Cox

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. A. Andrews ◽  
M. P. Craven ◽  
A. R. Lang ◽  
B. Guo ◽  
R. Morriss ◽  
...  

Abstract Background A variety of smartphone apps and wearables are available both to help patients monitor their health and to support health care professionals (HCPs) in providing clinical care. As part of the RADAR-CNS consortium, we have conducted research into the application of wearables and smartphone apps in the care of people with multiple sclerosis, epilepsy, or depression. Methods We conducted a large online survey study to explore the experiences of HCPs working with patients who have one or more of these conditions. The survey covered smartphone apps and wearables used by clinicians and their patients, and how data from these technologies impacted on the respondents' clinical practice. The survey was conducted between February 2019 and March 2020 via a web-based platform. Detailed statistical analysis was performed on the answers. Results Of 1009 survey responses from HCPs, 1006 were included in the analysis after data cleaning. Smartphone apps are used by more than half of responding HCPs and more than three quarters of their patients use smartphone apps or wearable devices for health-related purposes. HCPs widely believe the data that patients collect using these devices impacts their clinical practice. Subgroup analyses show that views on the impact of this data on different aspects of clinical work varies according to whether respondents use apps themselves, and, to a lesser extent, according to their clinical setting and job role. Conclusions Use of smartphone apps is widespread among HCPs participating in this large European survey and caring for people with epilepsy, multiple sclerosis and depression. The majority of respondents indicate that they treat patients who use wearables and other devices for health-related purposes and that data from these devices has an impact on clinical practice.


Author(s):  
A. M. Hardeman ◽  
P. R. Weeren ◽  
F. M. Serra Bragança ◽  
H. Warmerdam ◽  
H. G. J. Bok

2019 ◽  
Vol 160 (6) ◽  
pp. 939-940
Author(s):  
Meghan N. Wilson

There is increasing discussion worldwide on explicitly including cost as part of the clinical practice guideline development process. While this could enhance our understanding of value-based care and improve resource utilization, there are many practical challenges for cost inclusion. This commentary explores this issue, examining it from multiple angles and giving pros and cons to inclusion in future guidelines.


Sign in / Sign up

Export Citation Format

Share Document