LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 23

Search options

  1. Article ; Online: ECG-based data-driven solutions for diagnosis and prognosis of cardiovascular diseases: A systematic review.

    Moreno-Sánchez, Pedro A / García-Isla, Guadalupe / Corino, Valentina D A / Vehkaoja, Antti / Brukamp, Kirsten / van Gils, Mark / Mainardi, Luca

    Computers in biology and medicine

    2024  Volume 172, Page(s) 108235

    Abstract: Cardiovascular diseases (CVD) are a leading cause of death globally, and result in significant morbidity and reduced quality of life. The electrocardiogram (ECG) plays a crucial role in CVD diagnosis, prognosis, and prevention; however, different ... ...

    Abstract Cardiovascular diseases (CVD) are a leading cause of death globally, and result in significant morbidity and reduced quality of life. The electrocardiogram (ECG) plays a crucial role in CVD diagnosis, prognosis, and prevention; however, different challenges still remain, such as an increasing unmet demand for skilled cardiologists capable of accurately interpreting ECG. This leads to higher workload and potential diagnostic inaccuracies. Data-driven approaches, such as machine learning (ML) and deep learning (DL) have emerged to improve existing computer-assisted solutions and enhance physicians' ECG interpretation of the complex mechanisms underlying CVD. However, many ML and DL models used to detect ECG-based CVD suffer from a lack of explainability, bias, as well as ethical, legal, and societal implications (ELSI). Despite the critical importance of these Trustworthy Artificial Intelligence (AI) aspects, there is a lack of comprehensive literature reviews that examine the current trends in ECG-based solutions for CVD diagnosis or prognosis that use ML and DL models and address the Trustworthy AI requirements. This review aims to bridge this knowledge gap by providing a systematic review to undertake a holistic analysis across multiple dimensions of these data-driven models such as type of CVD addressed, dataset characteristics, data input modalities, ML and DL algorithms (with a focus on DL), and aspects of Trustworthy AI like explainability, bias and ethical considerations. Additionally, within the analyzed dimensions, various challenges are identified. To these, we provide concrete recommendations, equipping other researchers with valuable insights to understand the current state of the field comprehensively.
    MeSH term(s) Humans ; Cardiovascular Diseases/diagnosis ; Artificial Intelligence ; Quality of Life ; Electrocardiography ; Machine Learning
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 127557-4
    ISSN 1879-0534 ; 0010-4825
    ISSN (online) 1879-0534
    ISSN 0010-4825
    DOI 10.1016/j.compbiomed.2024.108235
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Neurological consultations via telemedicine for specialized outpatient palliative care (SOPC) at home and in hospice (TANNE project): study protocol for a randomized controlled trial.

    Gatter, Shirin / Brukamp, Kirsten / Adolf, Daniela / Zerth, Jürgen / Lorenzl, Stefan / Weck, Christiane

    BMC palliative care

    2022  Volume 21, Issue 1, Page(s) 218

    Abstract: Background: Neurological diseases cause numerous challenges in palliative care. Telemedicine may improve the access to specialized expertise in neurology for patients, their relatives, and palliative care physicians. The TANNE study offers ... ...

    Abstract Background: Neurological diseases cause numerous challenges in palliative care. Telemedicine may improve the access to specialized expertise in neurology for patients, their relatives, and palliative care physicians. The TANNE study offers teleconsultations by a hospital-based neuropalliative center for specialized outpatient palliative care (SOPC) and hospices. A prospective, partially randomized, controlled trial aims at generating evidence for clinical improvements, quality of life, and cost efficiency.
    Methods: SOPC and hospice teams in Bavaria, Germany, are partially randomized to one of two study arms, namely a treatment group with teleconsultations by specialists for neurology and palliative medicine or to a control group with interventions after a 12-months delay. Individual and population-based measures are assessed with a mixed-methods design in order to evaluate the medical effects, the potential for implementation in standard care, and health economic aspects. The primary outcome consists of the mean change difference between groups in the Integrated Palliative Care Outcome Scale (IPOS), which physicians assess before and after treatment of a neurological event. Besides, several secondary outcomes are investigated, including quality of life, which is measured with the revised McGill Quality of Life Questionnaire (McGill QOL-R) as well as items regarding general and health-related quality of life. Further secondary outcomes include the concrete progress of the neurological signs and symptoms; the subjective change in well-being since the start of the treatment of the neurological diseases from the perspectives of patients, their relatives, as well as medical and nursing professionals; as well as patient, professional, and caregiver satisfaction with the teleconsultations. Moreover, a health economic evaluation compares group differences regarding hospital visits and emergency calls with utilization measurements.
    Discussion: The TANNE trial provides a comprehensive and complex evaluation design for teleconsultations in neuropalliative care. Ethical considerations need to take the patients' vulnerability into account. The project promises to substantially broaden the width of health care services and to improve the quality of life for deserving patients.
    Trial registration: German Clinical Trials Register ( www.germanctr.de [July 17, 2022], DRKS ID: DRKS00027436. Registered February 10th, 2022, retrospectively registered. https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00027436 [July 17, 2022].
    Language English
    Publishing date 2022-12-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091556-1
    ISSN 1472-684X ; 1472-684X
    ISSN (online) 1472-684X
    ISSN 1472-684X
    DOI 10.1186/s12904-022-01088-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article: Forschung an Neurotechnologien für erworbene Hirnschädigungen: Empirische Belege für die sozialen und ethischen Implikationen in der Pflegesituation. Research Regarding Neurotechnologies: For Acquired Brain Injuries: Empirical Evidence for the Social and Ethical Implications in the Nursing Setting

    Tirschmann, Felix / Brukamp, Kirsten

    Pflege & Gesellschaft

    2019  Volume 24, Issue 3, Page(s) 218

    Language German
    Document type Article
    ZDB-ID 1409776-x
    ISSN 1430-9653
    Database Current Contents Medicine

    More links

    Kategorien

  4. Article: Forschung an Neurotechnologien für erworbene Hirnschädigungen : empirische Belege für die sozialen und ethischen Implikationen in der Pflegesituation

    Tirschmann, Felix / Brukamp, Kirsten

    Pflege & Gesellschaft : Zeitschrift für Pflegewissenschaft

    2019  Volume 24, Issue 3, Page(s) 218–236

    Keywords Gehirnschädigung ; Technologie ; Ethik
    Language German
    Document type Article
    ZDB-ID 1409776-x
    ISSN 1430-9653
    ISSN 1430-9653
    Database bibnet.org

    Kategorien

  5. Article ; Online: Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review.

    Servaty, Ricarda / Kersten, Annalena / Brukamp, Kirsten / Möhler, Ralph / Mueller, Martin

    BMJ open

    2020  Volume 10, Issue 9, Page(s) e038650

    Abstract: Background: Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative ... ...

    Abstract Background: Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative review is to identify barriers to and facilitators of the implementation of robotic systems in nursing.
    Methods: Articles published from 2002 to 2019 reporting on projects to implement robotic devices in nursing care were searched on Medline (via PubMed), CINAHL and databases on funded research projects (Community Research and Development Information Services and Technische Informationsbibliothek) and in journals for robotic research in November 2017 and July 2019 for an update. No restrictions regarding study designs were imposed. All included articles underwent quality assessments with design-specific critical appraisal tools. Barriers to and facilitators of implementation were classified using the Context and Implementation of Complex Interventions framework.
    Results: After removing all duplicates, the search revealed 11 204 studies, of which 17 met the inclusion criteria and were included in the synthesis. The majority of the studies dealt with the implementation of robots designed to support individuals, either living at home or in nursing homes (n=11). The studies were conducted in Europe, the USA and New Zealand and were carried out in nursing homes, individual living environments, hospital units and laboratories. The quality of reporting and quality of evidence were low in most studies. The most frequently reported barriers were in socioeconomic and ethical domains and were within the implementation outcomes domain. The most frequently reported facilitators were related to the sociocultural context, implementation process and implementation strategies.
    Discussion: This review identified barriers to and facilitators of the implementation of robotic devices in nursing within different dimensions. The results serve as a basis for the development of suitable implementation strategies to reduce potential barriers and promote the integration of elements to facilitate implementation.
    Prospero registration number: CRD42018073486.
    MeSH term(s) Europe ; Humans ; New Zealand ; Nursing Homes ; Robotic Surgical Procedures
    Keywords covid19
    Language English
    Publishing date 2020-09-21
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-038650
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Implementation of robotic devices in nursing care. Barriers and facilitators

    Martin Mueller / Ricarda Servaty / Annalena Kersten / Kirsten Brukamp / Ralph Möhler

    BMJ Open, Vol 10, Iss

    an integrative review

    2020  Volume 9

    Keywords Medicine ; R
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  7. Article: Robotische Assistenz bei amyotropher Lateralsklerose (ALS) : Selbstständigkeit erhalten mit technischer Unterstützung

    Kiemel, Diana / Brukamp, Kirsten

    Pflegezeitschrift : Fachzeitschrift für stationäre und ambulante Pflege

    2018  Volume 71, Issue 4, Page(s) 56–58

    Keywords Roboter
    Language German
    Document type Article
    ZDB-ID 1178530-5
    ISSN 0945-1129
    ISSN 0945-1129
    Database bibnet.org

    Kategorien

  8. Book: Technisierte Medizin, dehumanisierte Medizin?

    Brukamp, Kirsten

    ethische, rechtliche und soziale Aspekte neuer Medizintechnologien

    (MedizinTechnikEthik ; Bd. 1)

    2011  

    Author's details Kirsten Brukamp ... [et al.] (Hrsg.)
    Series title MedizinTechnikEthik ; Bd. 1
    MeSH term(s) Biomedical Technology
    Language German ; English
    Size 116 p. :, ill. ;
    Publisher Kassel University Press
    Publishing place Kassel
    Document type Book
    Note German, with two articles in English.
    ISBN 9783862191628 ; 3862191621
    Database Catalogue of the US National Library of Medicine (NLM)

    More links

    Kategorien

  9. Article: Robotische Assistenz bei ALS : Selbstständigkeit erhalten mit technischer Unterstützung

    Kiemel, Diana / Brukamp, Kirsten

    Heilberufe

    2018  Volume 70, Issue 7-8, Page(s) 50–51

    Abstract: Die amyotrophe Lateralsklerose (ALS) verursacht eine hochgradige Pflegebedürftigkeit. Robotische Assistenzsysteme können die Selbstständigkeit von Betroffenen durch die Übernahme von Minimal- oder Komforthandlungen unterstützen. Das Projekt ROBINA zielt ... ...

    Abstract Die amyotrophe Lateralsklerose (ALS) verursacht eine hochgradige Pflegebedürftigkeit. Robotische Assistenzsysteme können die Selbstständigkeit von Betroffenen durch die Übernahme von Minimal- oder Komforthandlungen unterstützen. Das Projekt ROBINA zielt dabei auf die Entlastung in der Pflegesituation durch einen Roboterarm.
    Language German
    Document type Article
    ZDB-ID 541233-x
    ISSN 1867-1535 ; 0017-9604
    ISSN (online) 1867-1535
    ISSN 0017-9604
    Database bibnet.org

    More links

    Kategorien

  10. Conference proceedings: Telemedizin für die Palliativversorgung: Herausforderungen und Lösungsstrategien hinsichtlich Evidenzbasierung

    Brukamp, Kirsten / Weck, Christiane / Zerth, Jürgen / Jaensch, Peter / Maier, Christian / Lorenzl, Stefan

    2021  , Page(s) 21ebmSYM–4–01

    Event/congress 22. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin; Who cares? – EbM und Transformation im Gesundheitswesen; sine loco [digital]; Deutsches Netzwerk Evidenzbasierte Medizin e.V.; 2021
    Keywords Medizin, Gesundheit
    Publishing date 2021-02-23
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/21ebm128
    Database German Medical Science

    More links

    Kategorien

To top