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  1. Article ; Online: Digital health technologies in enhancing patient and caregiver engagement in heart failure management: Opportunities and challenges.

    Albulushi, Arif / Al Kindi, Dawoud I / Moawwad, Nader / Kamel, Adel M / Khan, Asif / Moustafa, Mohamed A / Al Kalbani, Ahmed

    International journal of cardiology

    2024  Volume 408, Page(s) 132116

    Abstract: The management of heart failure has undergone significant evolution, advancing from the initial utilization of digitalis and diuretics to the contemporary practice of personalized medicine and sophisticated device therapy. Despite these advancements, the ...

    Abstract The management of heart failure has undergone significant evolution, advancing from the initial utilization of digitalis and diuretics to the contemporary practice of personalized medicine and sophisticated device therapy. Despite these advancements, the persistent challenge of high hospitalization and readmission rates underscores an urgent need for innovative solutions. This manuscript explores how the integration of digital health technologies into interventional cardiology marks a paradigm shift in the management of heart failure. These technologies are no longer mere adjuncts but have become foundational to a modern approach, providing tools for continuous monitoring, patient education, and improved outcomes post-intervention. Through an examination of current trends, this perspective article highlights the transformative impact of wearable technologies, telehealth platforms, and advanced analytical tools in reshaping patient engagement and enabling proactive care strategies. Case studies illustrate the practical advantages, including enhanced medication adherence, early detection of heart failure signs, and a reduction in healthcare facility burdens. Central to this new digital health landscape is the Information Technology Management (ITM) system, a framework poised to revolutionize patient and caregiver engagement and pave the way for the future of interventional cardiology. This manuscript delineates the ITM system's innovative architecture and its consequential role in refining current and prospective cardiological interventions.
    Language English
    Publishing date 2024-05-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2024.132116
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    Zs.A 1673: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: The outcomes of bilateral bone conduction hearing devices (BCHD) implantation in the treatment of hearing loss: A systematic review.

    Heath, Ella / Dawoud, Moustafa Mohamed / Stavrakas, Marios / Ray, Jaydip

    Cochlear implants international

    2021  Volume 23, Issue 2, Page(s) 95–108

    Abstract: Objectives: Bone Conduction Hearing Devices (BCHDs) are a means of improving hearing ability in those that do not receive full benefit from conventional hearing aids. In 2016, the NHS started commissioning bilateral BCHDs. This review aims to evaluate ... ...

    Abstract Objectives: Bone Conduction Hearing Devices (BCHDs) are a means of improving hearing ability in those that do not receive full benefit from conventional hearing aids. In 2016, the NHS started commissioning bilateral BCHDs. This review aims to evaluate the current literature and identify areas for further research.
    Methods: This review was conducted in line with the PRISMA guidelines and registered on the PROSPERO database (registration CRD42020191956). MEDLINE, CINAHL and The Cochrane Library were systematically searched. The full text of relevant titles and abstracts was then reviewed before data extraction was undertaken. Risk of bias was assessed using the ROBINS-1 tool.
    Results: Searches identified 125 studies. After removing duplicates, 28 full texts were screened. 14 studies were included in the final review. Amongst the audiological outcomes, greater improvements for bilateral compared to unilateral BCHDs were seen in hearing thresholds, understanding speech in quiet, localization, and restoration of binaural hearing. Thus, supporting the addition of a second implant. For speech in noise however, bilateral BCHDs were less effective when the noise was presented from one side. Increases in measures of Quality of Life, including the Glasgow Benefit Index, were seen across all included studies. No studies included complication rates.
    Conclusion: Overall, bilateral BCHDs offer benefits to the recipient's audiological capabilities and QoL. However, more research is required on the complications and the cost of bilateral BCHDs. Further to this, future research should aim to use uniform tests to measure outcomes.
    MeSH term(s) Bone Conduction ; Cochlear Implantation ; Deafness ; Hearing Aids ; Hearing Loss ; Hearing Loss, Bilateral ; Humans ; Quality of Life ; Speech Perception
    Language English
    Publishing date 2021-12-01
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2079515-4
    ISSN 1754-7628 ; 1467-0100
    ISSN (online) 1754-7628
    ISSN 1467-0100
    DOI 10.1080/14670100.2021.2001926
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    Zs.A 7034: Show issues Location:
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  3. Article ; Online: First United Kingdom experience of the novel Osia active transcutaneous piezoelectric bone conduction implant.

    Lau, Kimberley / Scotta, Gianluca / Wright, Kay / Proctor, Vicki / Greenwood, Larissa / Dawoud, Moustafa / Ray, Jaydip

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2020  Volume 277, Issue 11, Page(s) 2995–3002

    Abstract: Purpose: Bone conduction hearing devices are widely used and indicated in cases of conductive, mixed or single-sided deafness where the conventional hearing aids are not indicated or tolerated. This prospective study aims to investigate the surgical and ...

    Abstract Purpose: Bone conduction hearing devices are widely used and indicated in cases of conductive, mixed or single-sided deafness where the conventional hearing aids are not indicated or tolerated. This prospective study aims to investigate the surgical and hearing outcomes of a novel active piezoelectric transcutaneous bone conduction device (t-BCD).
    Methods: Prospective data were collected from the first 10 patients who underwent implantation with the t-BCD Osia (Cochlear, Australia) (between Dec 2018 and March 2019) in a tertiary referral centre. The main outcome measures include: surgical outcome, free field speech testing with speech recognition thresholds, audiological gain and patient-reported outcomes including the 'Glasgow Benefit Inventory' (GBI) and the 'Client Oriented Scale of Improvement (COSI).
    Results: The mean length of surgery was 70.6 min (range 50-87, SD = 9.5). Mean skin thickness measured was 5.6 mm (range 4-8, SD = 1.1). There were two post-operative wound infections which settled conservatively. One required revision surgery to thin skin. The average gain in hearing with the implant was + 39.4 dB. Pre-implantation mean unaided SRT was 38.1 dB (SD = 7.8) and the post-implantation mean-aided SRT was 22.7 dB (SD = 4.6) (p = 0.000078). There was improvement in COSI domains. The mean Glasgow disability score dropped from 52% pre-implantation to 20% post-implantation (p = 0.001).
    Conclusions: This new active t-BCHD provides excellent audiological gain and improvement in speech recognition. Patient-reported outcomes have also been very positive. The surgery was straightforward with no major surgical complications reported. Further studies will be required to examine long-term outcomes in larger number of patients.
    MeSH term(s) Australia ; Bone Conduction ; Hearing Aids ; Hearing Loss, Conductive/surgery ; Humans ; Prospective Studies ; Speech Perception ; Treatment Outcome ; United Kingdom
    Language English
    Publishing date 2020-05-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-020-06022-7
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    Ul II Zs.50: Show issues Location:
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