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[PMID]:29251978
[Au] Autor:Moore BA; Buono FD; Printz DMB; Lloyd DP; Fiellin DA; Cutter CJ; Schottenfeld RS; Barry DT
[Ad] Endereço:Department of Psychiatry, Yale University School of Medicine.
[Ti] Título:Customized recommendations and reminder text messages for automated, computer-based treatment during methadone.
[So] Source:Exp Clin Psychopharmacol;25(6):485-495, 2017 12.
[Is] ISSN:1936-2293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Recovery Line is an automated, computer-based intervention based on cognitive behavioral therapy (CBT) designed to provide real-time assistance by phone for patients in methadone maintenance. Preliminary efficacy findings were promising, however, as with other computer-based systems for substance use disorder, patient system use was less than recommended. Development and evaluation of system functions to increase patient engagement and use is needed. Thus, we conducted two randomized trials to evaluate system functions designed to increase patient use of the Recovery Line among methadone-maintained patients with continued illicit drug use. In Trial 1 (n = 60), patients received customized, system use recommendations or no recommendations on each Recovery Line call. Ratings of system usability were higher for customized recommendations (CR), but number of calls and total call time did not differ by condition. Trial 2 evaluated characteristics of reminder messages (message frame and reminder latency). Participants (N = 67) received gain- and loss-frame reminder messages, and were randomly assigned to immediate, short, or long term message latency. Although message framing had no effect, gender interacted with latency condition such that females did not differ by message latency, while males had significantly greater total contact time in the short latency conditions. Number of calls differed by condition over time such that the shorter latencies led to greater calls initially, but dissipated over time. Overall the study indicates that computer-based self-management systems can be adapted to increase patient engagement and use. (PsycINFO Database Record
[Mh] Termos MeSH primário: Analgésicos Opioides/uso terapêutico
Metadona/uso terapêutico
Tratamento de Substituição de Opiáceos
Transtornos Relacionados ao Uso de Opioides/terapia
Mensagem de Texto/utilização
Terapia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Transtornos Relacionados ao Uso de Opioides/psicologia
Tempo de Reação
Sistemas de Alerta
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Nm] Nome de substância:
0 (Analgesics, Opioid); UC6VBE7V1Z (Methadone)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180224
[Lr] Data última revisão:
180224
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1037/pha0000149


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[PMID]:27776269
[Au] Autor:Lévesque A; Campbell AN; Pavlicova M; Hu MC; Walker R; McClure EA; Ghitza UE; Bailey G; Stitzer M; Nunes EV
[Ad] Endereço:Department of Psychiatry, Mount Sinai West Hospital, New York, NY, United States. Electronic address: alevesque@chpnet.org.
[Ti] Título:Coping strategies as a mediator of internet-delivered psychosocial treatment: Secondary analysis from a NIDA CTN multisite effectiveness trial.
[So] Source:Addict Behav;65:74-80, 2017 Feb.
[Is] ISSN:1873-6327
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Coping strategies are a predictor of abstinence among patients with substance use disorders. However, little is known regarding the role of coping strategies in the effectiveness of the Community Reinforcement Approach (CRA). Using data from a 12week randomized control trial assessing the effectiveness of the Therapeutic Education System (TES), an internet-delivered version of the CRA combined with contingency management, we tested the role of coping strategies as a mediator of treatment effectiveness. METHODS: 507 participants entering 10 outpatient addiction treatment programs received either treatment-as-usual (TAU), a counselor-delivered treatment (Arm 1), or reduced TAU plus TES wherein 2h of TAU per week were replaced by TES (Arm 2). Abstinence from drugs and alcohol was evaluated using urine toxicology and self-report. Coping strategies were measured using the Coping Strategies Scale-Brief Version. Mediation analyses were done following Baron and Kenny's and path analysis approaches. RESULTS: The average baseline coping strategies scores were not significantly different between the two treatment arms. Overall, TES intervention was significantly associated with higher coping strategies scores when accounting for baseline scores (F =8.3, p=0.004). Additionally, higher coping strategies scores at week 12 were associated with an increased likelihood of abstinence during the last 4weeks of the treatment, while accounting for treatment assignment and baseline abstinence. The effect of TES intervention on abstinence was no longer significant after controlling for coping strategies scores at week 12. CONCLUSION: Our results support the importance of coping skills as a partial mediator of the effectiveness of an internet-version of the CRA combined with contingency management.
[Mh] Termos MeSH primário: Adaptação Psicológica
Terapia Comportamental/métodos
Internet
Transtornos Relacionados ao Uso de Substâncias/psicologia
Transtornos Relacionados ao Uso de Substâncias/terapia
Terapia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Reforço (Psicologia)
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29324808
[Au] Autor:Yu Y; Lv Y; Yao B; Duan L; Zhang X; Xie L; Chang C
[Ad] Endereço:Institute of Sports Medicine, Peking University Third Hospital, Beijing, China.
[Ti] Título:A novel prescription pedometer-assisted walking intervention and weight management for Chinese occupational population.
[So] Source:PLoS One;13(1):e0190848, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: Information technology has been previously used for the research and practice of health promotion. Appropriate and effective health promotion methods used by professional groups remain to be investigated. This study aimed to assess the feasibility and effectiveness of a weight management program among the Chinese occupational population using and a novel information technology exercise prescription. STUDY DESIGN AND PARTICIPANTS: A 3-month open, self-monitored intervention trial, involving individualized pedometer-assisted exercise prescription and a one-time targeted dietary guidance prior to exercise was conducted on the Chinese occupational population aged 18-65 years in China from 2015 to 2016. Data were collected from March 2015 to May 2016 and analyzed from June 2016 to August 2016. Participants were also asked to synchronize exercise data of the pedometer to the Internet-based Health System Center daily (at least weekly), by connecting to the personal computer (PC) using a USB cable or via Bluetooth. RESULTS: Eligible participants included 802 Chinese occupational persons, and 718 of them followed exercise interventions with 89.5% (718/802) adherence to the exercise programs. Of them, 688 participants completed the program with 85.8% (688/802) adherence to the exercise program and their data were analyzed. Weight decreased by 2.2% among all overweight/obese participants, with 1.8% reduction in waist circumference and 3.3% reduction in body fat percentage (p< 0.001). Weight and body fat percentage in normal-weight individuals decreased by 0.7% and 2.5%, respectively (p < 0.01). A weight gain of 1.0% was observed in all underweight participants (p< 0.05), and 68.2% (208/305) of overweight/obese participants experienced weight loss, with an average reduction of 3.5%, with 20.2% (42/208) of them achieving weight loss ≥5%. Blood pressure and fasting serum glucose decreased significantly in both the overweight/obese and the normal-weight individuals (p < 0.05). The incidence of hypertension was significantly lower and lifestyle behavior significantly improved (p < 0.05). CONCLUSION: The prescription pedometer-assisted walking intervention can effectively improve exercise adherence and manage weight. This approach was also effective in controlling the risk factors of weight-related chronic diseases. TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR) ChiCTR-OOh-16010229.
[Mh] Termos MeSH primário: Actigrafia/instrumentação
Terapia por Exercício/instrumentação
Sobrepeso/terapia
Terapia Assistida por Computador/instrumentação
Caminhada
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
China
Estudos de Viabilidade
Feminino
Seres Humanos
Hiperglicemia/complicações
Hiperglicemia/fisiopatologia
Hiperglicemia/terapia
Hiperlipidemias/complicações
Hiperlipidemias/fisiopatologia
Hiperlipidemias/terapia
Hipertensão/complicações
Hipertensão/fisiopatologia
Hipertensão/terapia
Internet
Masculino
Meia-Idade
Sobrepeso/complicações
Sobrepeso/fisiopatologia
Cooperação do Paciente
Prescrições
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190848


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[PMID]:28463718
[Au] Autor:Garrido G; Penadés R; Barrios M; Aragay N; Ramos I; Vallès V; Faixa C; Vendrell JM
[Ad] Endereço:Department of Mental Health, Consorci Sanitari de Terrassa (CST), Martí Díez 5, 08224 Terrassa, Barcelona, Spain; Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain; Institut d'Investigacions Biomèdiques Agustí Pi i Sunyer (IDIBAPS), Barcelona, Spain; Cent
[Ti] Título:Computer-assisted cognitive remediation therapy in schizophrenia: Durability of the effects and cost-utility analysis.
[So] Source:Psychiatry Res;254:198-204, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:The durability of computer-assisted cognitive remediation (CACR) therapy over time and the cost-effectiveness of treatment remains unclear. The aim of the current study is to investigate the effectiveness of CACR and to examine the use and cost of acute psychiatric admissions before and after of CACR. Sixty-seven participants were initially recruited. For the follow-up study a total of 33 participants were enrolled, 20 to the CACR condition group and 13 to the active control condition group. All participants were assessed at baseline, post-therapy and 12 months post-therapy on neuropsychology, QoL and self-esteem measurements. The use and cost of acute psychiatric admissions were collected retrospectively at four assessment points: baseline, 12 months post-therapy, 24 months post-therapy, and 36 months post-therapy. The results indicated that treatment effectiveness persisted in the CACR group one year post-therapy on neuropsychological and well-being outcomes. The CACR group showed a clear decrease in the use of acute psychiatric admissions at 12, 24 and 36 months post-therapy, which lowered the global costs the acute psychiatric admissions at 12, 24 and 36 months post-therapy. The CACR is durable over at least a 12-month period, and CACR may be helping to reduce health care costs for schizophrenia patients.
[Mh] Termos MeSH primário: Remediação Cognitiva/métodos
Terapia Cognitiva/métodos
Análise Custo-Benefício/métodos
Esquizofrenia/terapia
Terapia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adulto
Remediação Cognitiva/economia
Terapia Cognitiva/economia
Feminino
Seguimentos
Hospitalização/economia
Seres Humanos
Masculino
Testes Neuropsicológicos
Estudos Retrospectivos
Esquizofrenia/economia
Método Simples-Cego
Terapia Assistida por Computador/economia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


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[PMID]:29205225
[Au] Autor:Czaplicki A; Kuniszyk-Józkowiak W; Jaszczuk J; Jarocka M; Walawski J
[Ad] Endereço:Józef Pilsudski University of Physical Education, Faculty of Physical Education and Sport, Department of Biomechanics and Computer Science, Biala Podlaska, Poland.
[Ti] Título:Using the discrete wavelet transform in assessing the effectiveness of rehabilitation in patients after ACL reconstruction.
[So] Source:Acta Bioeng Biomech;19(3):139-146, 2017.
[Is] ISSN:1509-409X
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of the current study was to assess the effectiveness of rehabilitation in patients after anterior cruciate ligament reconstruction (ACLR) using a wavelet analysis of the torque-time curve patterns of the extensors of the affected knee. The analysis aimed at the quantitative evaluation of irregularities in these torque-time patterns. METHODS: The study involved a group of 22 men who had had ACL reconstruction. The torque-time characteristics were recorded 3, 6 and 12 months after the surgery by an isokinetic dynamometer. They were then examined using the orthogonal Daubechies 4 (Db 4) and biorthogonal Bior 3.1 wavelets. RESULTS: A statistical analysis of the results revealed significant differences in values of the high-frequency energy stored in the details of the signal from the dynamometer between the first and last measurements, both for the Db 4 ( p ≤ 0.023) and Bior 3.1 ( p ≤ 0.01) wavelets. These differences were found in 73% of patients whose curve patterns were analysed using the Db 4 wavelet and in 82% of patients in the case of the Bior 3.1 wavelet. CONCLUSIONS: The wavelet transform proved to be an effective research tool in the qualitative evaluation of irregularities occurring in the curve patterns of the torque generated by the extensors of the ACL reconstructed knee. The findings of the study suggest that time-frequency analyses of these characteristics can be of practical importance, as they help assess the state of the patient's knee joint and his progress in rehabilitation after ACLR.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/diagnóstico
Lesões do Ligamento Cruzado Anterior/terapia
Reconstrução do Ligamento Cruzado Anterior/reabilitação
Diagnóstico por Computador/métodos
Teste de Esforço/métodos
Análise de Ondaletas
[Mh] Termos MeSH secundário: Adulto
Algoritmos
Lesões do Ligamento Cruzado Anterior/fisiopatologia
Seres Humanos
Articulação do Joelho/fisiopatologia
Masculino
Contração Muscular
Força Muscular
Músculo Esquelético/fisiopatologia
Avaliação de Resultados (Cuidados de Saúde)/métodos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Processamento de Sinais Assistido por Computador
Terapia Assistida por Computador/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


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[PMID]:29319939
[Au] Autor:Food and Drug Administration, HHS.
[Ti] Título:Medical Devices; Neurological Devices; Classification of the Computerized Behavioral Therapy Device for Psychiatric Disorders. Final order.
[So] Source:Fed Regist;82(247):61166-8, 2017 Dec 27.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Food and Drug Administration (FDA or we) is classifying the computerized behavioral therapy device for psychiatric disorders into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the codified language for the computerized behavioral therapy device for psychiatric disorders' classification. We are taking this action because we have determined that classifying the device into class II (special controls) will provide a reasonable assurance of safety and effectiveness of the device. We believe this action will also enhance patients' access to beneficial innovative devices, in part by reducing regulatory burdens.
[Mh] Termos MeSH primário: Terapia Comportamental/classificação
Terapia Comportamental/instrumentação
Segurança de Equipamentos/classificação
Software/classificação
Terapia Assistida por Computador/classificação
Terapia Assistida por Computador/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Transtornos Mentais/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180122
[Lr] Data última revisão:
180122
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE


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[PMID]:28455631
[Au] Autor:Suntharos P; Setser RM; Bradley-Skelton S; Prieto LR
[Ad] Endereço:Department of Pediatric Cardiology, Cleveland Clinic Children's, 9500 Euclid Avenue, Desk M-41, Cleveland, OH, 44195, USA. sunthap@ccf.org.
[Ti] Título:Real-time three dimensional CT and MRI to guide interventions for congenital heart disease and acquired pulmonary vein stenosis.
[So] Source:Int J Cardiovasc Imaging;33(10):1619-1626, 2017 Oct.
[Is] ISSN:1875-8312
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To validate the feasibility and spatial accuracy of pre-procedural 3D images to 3D rotational fluoroscopy registration to guide interventional procedures in patients with congenital heart disease and acquired pulmonary vein stenosis. Cardiac interventions in patients with congenital and structural heart disease require complex catheter manipulation. Current technology allows registration of the anatomy obtained from 3D CT and/or MRI to be overlaid onto fluoroscopy. Thirty patients scheduled for interventional procedures from 12/2012 to 8/2015 were prospectively recruited. A C-arm CT using a biplane C-arm system (Artis zee, VC14H, Siemens Healthcare) was acquired to enable 3D3D registration with pre-procedural images. Following successful image fusion, the anatomic landmarks marked in pre-procedural images were overlaid on live fluoroscopy. The accuracy of image registration was determined by measuring the distance between overlay markers and a reference point in the image. The clinical utility of the registration was evaluated as either "High", "Medium" or "None". Seventeen patients with congenital heart disease and 13 with acquired pulmonary vein stenosis were enrolled. Accuracy and benefit of registration were not evaluated in two patients due to suboptimal images. The distance between the marker and the actual anatomical location was 0-2 mm in 18 (64%), 2-4 mm in 3 (11%) and >4 mm in 7 (25%) patients. 3D3D registration was highly beneficial in 18 (64%), intermediate in 3 (11%), and not beneficial in 7 (25%) patients. 3D3D registration can facilitate complex congenital and structural interventions. It may reduce procedure time, radiation and contrast dose.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/métodos
Angiografia por Tomografia Computadorizada/métodos
Procedimentos Endovasculares/métodos
Cardiopatias Congênitas/terapia
Imagem Tridimensional/métodos
Imagem por Ressonância Magnética Intervencionista/métodos
Imagem Multimodal/métodos
Interpretação de Imagem Radiográfica Assistida por Computador/métodos
Radiografia Intervencionista/métodos
Estenose de Veia Pulmonar/terapia
Terapia Assistida por Computador/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Pontos de Referência Anatômicos
Criança
Estudos de Viabilidade
Feminino
Cardiopatias Congênitas/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Valor Preditivo dos Testes
Reprodutibilidade dos Testes
Estenose de Veia Pulmonar/diagnóstico por imagem
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1007/s10554-017-1151-x


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[PMID]:28870923
[Au] Autor:Wikstrom J; Isacsson U; Johansson B; Lennernäs BO
[Ad] Endereço:Department of Surgical Sciences, Section of Radiology, Uppsala University, Uppsala, Sweden.
[Ti] Título:Magnetic Resonance Compatibility of a Transponder Aimed for Radiotherapy Positioning - A Phantom Study.
[So] Source:Anticancer Res;37(9):4993-4996, 2017 09.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: Electromagnetic Positioning Systems (EMP) is a new position-ing technique in four-dimensional radiotherapy. Patients with implanted transponders may be referred for magnetic resonance imaging (MRI) making it important to establish the MR safety. MATERIALS AND METHODS: Oranges were prepared with transponders and imaged on a 3T MR scanner with different sequences. Computed tomography (CT) was performed as comparison. MR artifacts were assessed. An estimation of the maximum transponder de-flection force and heating was made. RESULTS: The mean measured displacement of transponders was 0.1 mm (range=0.03-0.3 mm). Artifacts were observed adjacent to transponders using all sequences. The deflection force on the transponder in the gantry was less than 38 mN. No heating was observed. CONCLUSION: The absence of any substantial movement, the weak measured deflection force and absence of observed heating speaks for the safe use of MR imaging with transponder 3T. Local artefacts makes evaluation impossible adjacent to transponders.
[Mh] Termos MeSH primário: Citrus sinensis
Imagem por Ressonância Magnética/métodos
Imagens de Fantasmas
Neoplasias da Próstata/radioterapia
Planejamento da Radioterapia Assistida por Computador/métodos
Terapia Assistida por Computador/instrumentação
[Mh] Termos MeSH secundário: Fenômenos Eletromagnéticos
Seres Humanos
Masculino
Movimento
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE


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[PMID]:28870786
[Au] Autor:Kok HP; Korshuize-van Straten L; Bakker A; de Kroon-Oldenhof R; Geijsen ED; Stalpers LJA; Crezee J
[Ad] Endereço:Department of Radiation Oncology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: H.P.Kok@amc.uva.nl.
[Ti] Título:Online Adaptive Hyperthermia Treatment Planning During Locoregional Heating to Suppress Treatment-Limiting Hot Spots.
[So] Source:Int J Radiat Oncol Biol Phys;99(4):1039-1047, 2017 Nov 15.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adequate tumor temperatures during hyperthermia are essential for good clinical response, but excessive heating of normal tissue should be avoided. This makes locoregional heating using phased array systems technically challenging. Online application of hyperthermia treatment planning could help to improve the heating quality. The aim of this study was to evaluate the clinical benefit of online treatment planning during treatment of pelvic tumors heated with the AMC-8 locoregional hyperthermia system. METHODS: For online adaptive hyperthermia treatment planning, a graphical user interface was developed. Electric fields were calculated in a preprocessing step using our in-house-developed finite-difference-based treatment planning system. This allows instant calculation of the temperature distribution for user-selected phase-amplitude settings during treatment and projection onto the patient's computed tomographic scan for online visualization. Online treatment planning was used for 14 treatment sessions in 8 patients to reduce the patients' reports of hot spots while maintaining the same level of tumor heating. The predicted decrease in hot spot temperature should be at least 0.5°C, and the tumor temperature should decrease less than 0.2°C. These predictions were compared with clinical data: patient feedback about the hot spot and temperature measurements in the tumor region. RESULTS: In total, 17 hot spot reports occurred during the 14 sessions, and the alternative settings predicted the hot spot temperature to decrease by at least 0.5°C, which was confirmed by the disappearance of all 17 hot spot reports. At the same time, the average tumor temperature was predicted to change on average -0.01°C (range, -0.19°C to 0.34°C). The measured tumor temperature change was on average only -0.02°C (range, -0.26°C to 0.31°C). In only 2 cases the temperature decrease was slightly larger than 0.2°C, but at most it was 0.26°C. CONCLUSIONS: Online application of hyperthermia treatment planning is reliable and very useful to reduce hot spots without affecting tumor temperatures.
[Mh] Termos MeSH primário: Temperatura Alta
Hipertermia Induzida/métodos
Melanoma/terapia
Neoplasias Pélvicas/terapia
Planejamento da Radioterapia Assistida por Computador/métodos
Terapia Assistida por Computador/métodos
Neoplasias da Bexiga Urinária/terapia
Neoplasias do Colo do Útero/terapia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Hipertermia Induzida/efeitos adversos
Hipertermia Induzida/instrumentação
Melanoma/diagnóstico por imagem
Melanoma/tratamento farmacológico
Melanoma/radioterapia
Neoplasias Pélvicas/diagnóstico por imagem
Neoplasias Pélvicas/tratamento farmacológico
Neoplasias Pélvicas/radioterapia
Neoplasias da Bexiga Urinária/diagnóstico por imagem
Neoplasias da Bexiga Urinária/tratamento farmacológico
Neoplasias da Bexiga Urinária/radioterapia
Neoplasias do Colo do Útero/diagnóstico por imagem
Neoplasias do Colo do Útero/tratamento farmacológico
Neoplasias do Colo do Útero/radioterapia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE


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[PMID]:28853146
[Au] Autor:Kuster AT; Dalsbø TK; Luong Thanh BY; Agarwal A; Durand-Moreau QV; Kirkehei I
[Ad] Endereço:Department of Environmental Health Science, Occupational Health and Safety, Faculty of Public Health, Khon Kaen University, 123 Moo 16 Mittapap Rd., Khon Kaen, Thailand, 40002.
[Ti] Título:Computer-based versus in-person interventions for preventing and reducing stress in workers.
[So] Source:Cochrane Database Syst Rev;8:CD011899, 2017 08 30.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chronic exposure to stress has been linked to several negative physiological and psychological health outcomes. Among employees, stress and its associated effects can also result in productivity losses and higher healthcare costs. In-person (face-to-face) and computer-based (web- and mobile-based) stress management interventions have been shown to be effective in reducing stress in employees compared to no intervention. However, it is unclear if one form of intervention delivery is more effective than the other. It is conceivable that computer-based interventions are more accessible, convenient, and cost-effective. OBJECTIVES: To compare the effects of computer-based interventions versus in-person interventions for preventing and reducing stress in workers. SEARCH METHODS: We searched CENTRAL, MEDLINE, PubMed, Embase, PsycINFO, NIOSHTIC, NIOSHTIC-2, HSELINE, CISDOC, and two trials registers up to February 2017. SELECTION CRITERIA: We included randomised controlled studies that compared the effectiveness of a computer-based stress management intervention (using any technique) with a face-to-face intervention that had the same content. We included studies that measured stress or burnout as an outcome, and used workers from any occupation as participants. DATA COLLECTION AND ANALYSIS: Three authors independently screened and selected 75 unique studies for full-text review from 3431 unique reports identified from the search. We excluded 73 studies based on full-text assessment. We included two studies. Two review authors independently extracted stress outcome data from the two included studies. We contacted study authors to gather additional data. We used standardised mean differences (SMDs) with 95% confidence intervals (CIs) to report study results. We did not perform meta-analyses due to variability in the primary outcome and considerable statistical heterogeneity. We used the GRADE approach to rate the quality of the evidence. MAIN RESULTS: Two studies met the inclusion criteria, including a total of 159 participants in the included arms of the studies (67 participants completed computer-based interventions; 92 participants completed in-person interventions). Workers were primarily white, Caucasian, middle-aged, and college-educated. Both studies delivered education about stress, its causes, and strategies to reduce stress (e.g. relaxation or mindfulness) via a computer in the computer-based arm, and via small group sessions in the in-person arm. Both studies measured stress using different scales at short-term follow-up only (less than one month). Due to considerable heterogeneity in the results, we could not pool the data, and we analysed the results of the studies separately. The SMD of stress levels in the computer-based intervention group was 0.81 standard deviations higher (95% CI 0.21 to 1.41) than the in-person group in one study, and 0.35 standard deviations lower (95% CI -0.76 to 0.05) than the in-person group in another study. We judged both studies as having a high risk of bias. AUTHORS' CONCLUSIONS: We found very low-quality evidence with conflicting results, when comparing the effectiveness of computer-based stress management interventions with in-person stress management interventions in employees. We could include only two studies with small sample sizes. We have very little confidence in the effect estimates. It is very likely that future studies will change these conclusions.
[Mh] Termos MeSH primário: Doenças Profissionais/terapia
Educação de Pacientes como Assunto/métodos
Estresse Psicológico/terapia
Terapia Assistida por Computador
[Mh] Termos MeSH secundário: Seres Humanos
Doenças Profissionais/etiologia
Doenças Profissionais/prevenção & controle
Ensaios Clínicos Controlados Aleatórios como Assunto
Tamanho da Amostra
Estresse Psicológico/etiologia
Estresse Psicológico/prevenção & controle
Terapia Assistida por Computador/métodos
Terapia Assistida por Computador/estatística & dados numéricos
Local de Trabalho/organização & administração
Local de Trabalho/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD011899.pub2



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