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ORCAV: MEDICAL IMAGING SERVICE FOR RURAL AREAS IN INDONESIA ORCAV：为印度尼西亚农村地区提供医学成像服务
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.013
Elbo Pangestu, Hari Setiaji, Irving V. Paputungan, Dr. Muhammad Nur Imansyah
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引用次数: 0
EVALUATING THE IMPACT OF SIMULATOR-BASED NEUROSURGICAL RESIDENT TRAINING ON WRIST TREMOR USING A SMARTWATCH 使用智能手表评估基于模拟器的神经外科住院医师培训对手腕震颤的影响
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.010
Laurenz Berger , Lorenzo Civilla , Philippe Dodier , Karl Rössler , Francesco Moscato
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引用次数: 0
ANALYTICAL VALIDATION OF WITHINGS DIGITAL HEALTH TECHNOLOGIES FOR USE IN DECENTRALIZED CLINICAL TRIALS 对用于分散临床试验的 Withings 数字医疗技术进行分析验证
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.006
Andrew Kaseman MS , Jasmin Imsirovic PhD , Ariel V. Dowling PhD , Job Godino PhD , Ryan Moran MD, MPH
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引用次数: 0
ENHANCING CHEMOTHERAPY RESILIENCE IN VETERANS: MONITORING DIGITAL BIOMARKERS OF FRAILTY WITH WEARABLE SENSORS TO ASSESS CHEMOTHERAPY TOXICITY 增强退伍军人的化疗适应能力：利用可穿戴传感器监测虚弱的数字生物标志物，以评估化疗毒性
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.012
Gozde Cay , Yvonne H. Sada , Md Moin Uddin Atique , Naima Rodriguez , Mohammad Dehghan Rouzi , Shehjar Sadhu , Sudha Yarlagadda , Bijan Najafi
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引用次数: 0
ACCURACY OF A NEW WIRELESS HEART RATE MONITORING SYSTEM IN THE NEONATAL INTENSIVE CARE UNIT 新生儿重症监护室使用新型无线心率监测系统的准确性
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.015
Eva Senechal , Daniel Radeschi , Emily Jeanne , Shasha Lv , Wissam Shalish , Robert E. Kearney , Guilherme Sant’Anna
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引用次数: 0
ANALYTICAL VALIDATION AND FEASIBILITY ASSESSMENT OF A SMART BLOOD PRESSURE MONITOR FOR USE IN DECENTRALIZED CLINICAL TRIALS 用于分散式临床试验的智能血压计的分析验证和可行性评估
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.009
Jasmin Imsirovic , Maíra Tristão Parra , David Wing , Katerina Placek , Ariel V. Dowling , Ryan Moran , Matthew Allison , Job Godino
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引用次数: 0
ANALYTICAL VALIDATION OF PEDIATRIC DIGITAL HEALTH TECHNOLOGIES FOR USE IN DECENTRALIZED CLINICAL TRIALS 对用于分散临床试验的儿科数字医疗技术进行分析验证
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.019
Katerina PlacekD , David Wing , Jasmin ImsirovicD , Maira Tristao Parra , Michael Higgins , Ryan Moran , Job Godino , Shoibal Datta , Ariel V. Dowling
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引用次数: 0
IMPLEMENTATION OF CONTINUOUS RESPIRATORY MONITORING DURING POST-ANESTHESIA RECOVERY IN A CLINICAL TRIAL 在一项临床试验中，在麻醉后恢复期间实施持续呼吸监测
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.008
Jasmin Imsirovic , Ariel V. Dowling , Andrew Kaseman , Marta Karas , Max Tolkoff , Danielle Sullivan , Mateusz Piksa , Rebecca Wu
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引用次数: 0
Evaluation of an adaptive, rule-based dosing algorithm to maintain therapeutic anticoagulation during atrial fibrillation ablation 评估基于规则的自适应剂量算法，以在心房颤动消融过程中维持治疗性抗凝血功能
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.001
Matthew M. Kalscheur MD, FHRS , Matthew R. Martini MD , Marcus Mahnke BS , Fauzia Osman MPH , Daniel S. Modaff MD , Blake E. Fleeman MD , Ryan T. Kipp MD, FHRS , Jennifer M. Wright MD, FHRS , Joshua E. Medow MD, PhD

Background

Cerebral thromboembolism during atrial fibrillation (AF) ablation is an infrequent (0.17%) complication in part owing to strict adherence to intraprocedural anticoagulation. Failure to maintain therapeutic anticoagulation can lead to an increase in events, including silent cerebral ischemia.

Objective

To evaluate a computerized, clinical decision support system (CDSS) to dose intraprocedural anticoagulation and determine if it leads to improved intraprocedural anticoagulation outcomes during AF ablation.

Methods

The Digital Intern dosing algorithm is an adaptive, rule-based CDSS for heparin dosing. The initial dose is calculated from the patient’s weight, baseline activated clotting time (ACT), and outpatient anticoagulant. Subsequent recommendations adapt based on individual patient ACT changes. Outcomes from 50 cases prior to algorithm introduction were compared to 139 cases using the algorithm.

Results

Procedures using the dosing algorithm reached goal ACT (over 300 seconds) faster (17.6 ± 11.1 minutes vs 33.3 ± 23.6 minutes pre-algorithm, P < .001). ACTs fell below goal while in the LA (odds ratio 0.20 [0.10–0.39], P < .001) and rose above 400 seconds less frequently (odds ratio 0.21 [0.07–0.59], P = .003). System Usability Scale scores were excellent (96 ± 5, n = 7, score >80.3 excellent). Preprocedure anticoagulant, weight, baseline ACT, age, sex, and renal function were potential predictors of heparin dose to achieve ACT >300 seconds and final infusion rate.

Conclusion

A heparin dosing CDSS based on rules and adaptation to individual patient response improved maintenance of therapeutic ACT during AF ablation and was rated highly by nurses for usability.

背景心房颤动（房颤）消融过程中的脑血栓栓塞是一种不常见（0.17%）的并发症，部分原因是严格遵守术中抗凝治疗。方法 "数字实习生剂量算法 "是一种用于肝素剂量的自适应、基于规则的 CDSS。初始剂量根据患者的体重、基线活化凝血时间（ACT）和门诊抗凝剂计算得出。随后的建议会根据患者个体活化凝血时间（ACT）的变化进行调整。结果使用剂量算法的手术更快达到目标 ACT（300 秒以上）（17.6 ± 11.1 分钟 vs 33.3 ± 23.6 分钟，P < .001）。在LA中，ACT低于目标值（几率比0.20 [0.10-0.39]，P = .001），超过400秒的情况较少（几率比0.21 [0.07-0.59]，P = .003）。系统易用性量表评分为优秀（96 ± 5，n = 7，评分>80.3优秀）。手术前抗凝剂、体重、基线 ACT、年龄、性别和肾功能是达到 300 秒 ACT 的肝素剂量和最终输注率的潜在预测因素。
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引用次数: 0
MODEL OF NAP DETECTION FROM ACTIGRAPHY DATA AND ITS APPLICATION TO A STUDY WITH NARCOLEPSY TYPE 1 AND HEALTHY PARTICIPANTS 从动电图数据中建立午睡检测模型及其在 1 型嗜睡症和健康参与者研究中的应用
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular digital health journal
Pub Date : 2023-12-01 DOI: 10.1016/j.cvdhj.2023.11.018
Rahul Ghosal , Raul Torres , Simerpal Gill , Yelena Pyatkevich , Sarah Bermingham , Derek L. Buhl , Vadim Zipunnikov , Dmitri Volfson
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引用次数: 0
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Cardiovascular digital health journal
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