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View article: Integrating Large Language Models into Obstetric EHRs: The MedGPT Use Case in Portugal
Integrating Large Language Models into Obstetric EHRs: The MedGPT Use Case in Portugal Open
ObsCare, an obstetric electronic health record system used in 20 Portuguese hospitals, has enabled the collection of longitudinal maternal health data. Within the MedGPT project, we aim to integrate fine-tuned large language models into Ob…
View article: Expert Perspectives on Next Generation Health Guidelines: How to Integrate RWE in EBM
Expert Perspectives on Next Generation Health Guidelines: How to Integrate RWE in EBM Open
Integrating real-world evidence (RWE) into evidence-based medicine (EBM) enhances healthcare decision-making. RWE provides insights into the real-world effectiveness and safety of therapies and health technologies, filling gaps that clinic…
View article: Remote Monitoring 4 Elderly: Testing Plan for a Smart Health Monitoring Ecosystem
Remote Monitoring 4 Elderly: Testing Plan for a Smart Health Monitoring Ecosystem Open
The RM4Health project aims to develop an intelligent ecosystem for remote health monitoring of elderly individuals, particularly those residing in nursing homes or living alone. This system integrates wearable devices to continuously track…
View article: Digital monitoring and electronic patient-reported outcomes collection following atrial fibrillation ablation
Digital monitoring and electronic patient-reported outcomes collection following atrial fibrillation ablation Open
Systematic electronic PROM collection after AF ablation is feasible in clinical practice. Structured digital-blended integrated care guarantees continuity of AF management and supports earlier detection and treatment of recurrences.
View article: The role of cardiovascular response as a predictor of neurologic disability in children with brain injury – a pilot study
The role of cardiovascular response as a predictor of neurologic disability in children with brain injury – a pilot study Open
This study suggests that elevated early SBP and HRV indices-particularly LF power measured 12 h after PICU admission-may serve as independent, non-invasive predictors of long-term neurological outcomes in children with severe ABI. These fi…
View article: Prediction of atrial fibrillation recurrence after ablation: the impact of machine learning and recurrence during the blanking period
Prediction of atrial fibrillation recurrence after ablation: the impact of machine learning and recurrence during the blanking period Open
Introduction Pulmonary vein isolation is superior to antiarrhythmic drugs for rhythm control in patients with atrial fibrillation (AF). Nevertheless, recurrences within the first year are still significant. Several clinical risk scores wer…
View article: Software as a Medical Device (SaMD) in Digestive Healthcare: Regulatory Challenges and Ethical Implications
Software as a Medical Device (SaMD) in Digestive Healthcare: Regulatory Challenges and Ethical Implications Open
The growing integration of software in healthcare, particularly the rise of standalone software as a medical device (SaMD), is transforming digestive medicine, a field heavily reliant on medical imaging for both diagnosis and therapeutic i…
View article: Understanding beliefs about inhaled medication in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies
Understanding beliefs about inhaled medication in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies Open
Background. Identifying factors influencing adherence, such as patients' beliefs about medication, is essential for effective asthma management. This study aims to assess and gain insight into the beliefs of patients with asthma regarding …
View article: Feasibility and Acceptability of Pediatric Smartphone Lung Auscultation by Parents: Cross-Sectional Study
Feasibility and Acceptability of Pediatric Smartphone Lung Auscultation by Parents: Cross-Sectional Study Open
Background The use of a smartphone built-in microphone for auscultation is a feasible alternative to the use of a stethoscope, when applied by physicians. Objective This cross-sectional study aims to assess the feasibility of this technolo…
View article: Poor Rhinitis and Asthma Control Is Associated With Decreased Health-Related Quality of Life and Utilities: A MASK-air Study
Poor Rhinitis and Asthma Control Is Associated With Decreased Health-Related Quality of Life and Utilities: A MASK-air Study Open
Poor AR or asthma control are associated with reduced quality of life. The estimates obtained from mobile health data may provide valuable insights for health technology assessment studies.
View article: Multidisciplinary Development and Initial Validation of a Clinical Knowledge Base on Chronic Respiratory Diseases for mHealth Decision Support Systems
Multidisciplinary Development and Initial Validation of a Clinical Knowledge Base on Chronic Respiratory Diseases for mHealth Decision Support Systems Open
Most mobile health (mHealth) decision support systems currently available for chronic obstructive respiratory diseases (CORDs) are not supported by clinical evidence or lack clinical validation. The development of the knowledge base that w…
View article: From MASK-air and SILAM to CATALYSE (Climate Action To Advance HeaLthY Societies in Europe)
From MASK-air and SILAM to CATALYSE (Climate Action To Advance HeaLthY Societies in Europe) Open
Plant species vary under different climatic conditions and the distribution of pollen in the air. Trends in pollen distribution can be used to assess the impact of climate change on public health. In 2015, the Mobile Airways Sentinel netwo…
View article: Symptoms of anxiety and depression in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies
Symptoms of anxiety and depression in patients with persistent asthma: a cross-sectional analysis of the INSPIRERS studies Open
Objectives Anxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and…
View article: Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self‐report and physician assessment
Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self‐report and physician assessment Open
Background Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setti…
View article: Multidisciplinary Development and Initial Validation of a Clinical Knowledge Base on Chronic Respiratory Diseases for mHealth Decision Support Systems (Preprint)
Multidisciplinary Development and Initial Validation of a Clinical Knowledge Base on Chronic Respiratory Diseases for mHealth Decision Support Systems (Preprint) Open
UNSTRUCTURED Most mobile health (mHealth) decision support systems currently available for chronic obstructive respiratory diseases (CORDs) are not supported by clinical evidence or lack clinical validation. The development of the knowled…
View article: Development and Validation of a Digital Image Processing-Based Pill Detection Tool for an Oral Medication Self-Monitoring System
Development and Validation of a Digital Image Processing-Based Pill Detection Tool for an Oral Medication Self-Monitoring System Open
Long-term adherence to medication is of critical importance for the successful management of chronic diseases. Objective tools to track oral medication adherence are either lacking, expensive, difficult to access, or require additional equ…
View article: Development and Validation of a Digital Image Processing-Based Pill Detection Tool for an Oral Medication Self-Monitoring System
Development and Validation of a Digital Image Processing-Based Pill Detection Tool for an Oral Medication Self-Monitoring System Open
Objective tools to track medication adherence are lacking. A tool to monitor pill intake that can be implemented in mHealth apps without the need for additional devices was developed. We propose a pill intake detection tool that uses digit…
View article: Use of the Smartphone Camera to Monitor Adherence to Inhaled Therapy
Use of the Smartphone Camera to Monitor Adherence to Inhaled Therapy Open
Adherence to inhaled controller medications is crucial for patients with chronic respiratory illnesses to achieve favorable clinical outcomes. Selfmanagement measures have been shown to enhance health outcomes, decrease unnecessary interve…
View article: Development and validation of combined symptom‐medication scores for allergic rhinitis*
Development and validation of combined symptom‐medication scores for allergic rhinitis* Open
Background Validated combined symptom‐medication scores (CSMSs) are needed to investigate the effects of allergic rhinitis treatments. This study aimed to use real‐life data from the MASK‐air ® app to generate and validate hypothesis‐ and …
View article: Lung Auscultation Using the Smartphone—Feasibility Study in Real-World Clinical Practice
Lung Auscultation Using the Smartphone—Feasibility Study in Real-World Clinical Practice Open
Conventional lung auscultation is essential in the management of respiratory diseases. However, detecting adventitious sounds outside medical facilities remains challenging. We assessed the feasibility of lung auscultation using the smartp…