Prescribable mHealth apps identified from an overview of systematic reviews

AbstractMobile health apps aimed towards patients are an emerging field of mHealth. Their potential for improving self-management of chronic conditions is significant. Here, we propose a concept of “prescribable” mHealth apps, defined as apps that are currently available, proven effective, and preferably stand-alone, i.e., that do not require dedicated central servers and continuous monitoring by medical professionals. Our objectives were to conduct an overview of systematic reviews to identify such apps, assess the evidence of their effectiveness, and to determine the gaps and limitations in mHealth app research. We searched four databases from 2008 onwards and the Journal of Medical Internet Research for systematic reviews of randomized controlled trials (RCTs) of stand-alone health apps. We identified 6 systematic reviews including 23 RCTs evaluating 22 available apps that mostly addressed diabetes, mental health and obesity. Most trials were pilots with small sample size and of short duration. Risk of bias of the included reviews and trials was high. Eleven of the 23 trials showed a meaningful effect on health or surrogate outcomes attributable to apps. In conclusion, we identified only a small number of currently available stand-alone apps that have been evaluated in RCTs. The overall low quality of the evidence of effectiveness greatly limits the prescribability of health apps. mHealth apps need to be evaluated by more robust RCTs that report between-group differences before becoming prescribable. Systematic reviews should incorporate sensitivity analysis of trials with high risk of bias to better summarize the evidence, and should adhere to the relevant reporting guideline.</jats:p

African American Adults’ Experiences with the Health Care System: In Their Own Words

African Americans suffer a disproportionate burden of death and illness from a number of different chronic diseases. Inequalities in health care practices and poor patient and provider communication between African American patients and health care professionals contribute to these disparities. We describe findings from focus groups with 79 urban African Americans in which the participants discussed their interactions with the healthcare system as well as beliefs and opinions of the healthcare system and professionals. Analysis revealed five major themes: (1) historical and contextual foundations; (2) interpersonal experiences with physicians and other health care workers; (3) discrimination; (4) trust, opinions and attitudes, and (5) improving health care experiences. These findings indicate that perceptions of discrimination and racism were prevalent among African Americans in this study, and that the expectation of a negative interaction is a barrier to seeking care. Authors discuss prevention and public health implications of these findings and make recommendations for health care practitioners

Multi-Terabyte EIDE Disk Arrays running Linux RAID5

High-energy physics experiments are currently recording large amounts of data and in a few years will be recording prodigious quantities of data. New methods must be developed to handle this data and make analysis at universities possible. Grid Computing is one method; however, the data must be cached at the various Grid nodes. We examine some storage techniques that exploit recent developments in commodity hardware. Disk arrays using RAID level 5 (RAID-5) include both parity and striping. The striping improves access speed. The parity protects data in the event of a single disk failure, but not in the case of multiple disk failures. We report on tests of dual-processor Linux Software RAID-5 arrays and Hardware RAID-5 arrays using a 12-disk 3ware controller, in conjunction with 250 and 300 GB disks, for use in offline high-energy physics data analysis. The price of IDE disks is now less than $1/GB. These RAID-5 disk arrays can be scaled to sizes affordable to small institutions and used when fast random access at low cost is important.Comment: Talk from the 2004 Computing in High Energy and Nuclear Physics (CHEP04), Interlaken, Switzerland, 27th September - 1st October 2004, 4 pages, LaTeX, uses CHEP2004.cls. ID 47, Poster Session 2, Track

Ground-based measurements of O3, NO2, OClO, and BrO during the 1987 Antarctic ozone depletion event

Near-ultraviolet absorption spectroscopy in the wavelength range from 330 to 370 nm was used to measure O3, NO2, OClO, and BrO at McMurdo Station (78S) during 1987. Visible absorption measurements of O3, NO2, and OClO were also obtained using the wavelength range from about 403 to 453 nm. These data are described and compared to observations obtained in 1986. It is shown that comparisons of observations in the two wavelength ranges provide a sensitive measure of the altitude where the bulk of atmospheric absorption takes place

Radiation-induced nucleic acid synthesis in L cells under energy deprivation

Radiation induced nucleic acid synthesis in energy deprived L cell

Effects of arcing due to spacecraft charging on spacecraft survival

A quantitative assessment of the hazard associated with spacecraft charging and arcing on spacecraft systems is presented. A literature survey on arc discharge thresholds and characteristics was done and gaps in the data and requirements for additional experiments were identified. Calculations of coupling of arc discharges into typical spacecraft systems were made and the susceptibility of typical spacecraft to disruption by arc discharges was investigated. Design guidelines and recommended practices to reduce or eliminate the threat of malfunction and failures due to spacecraft charging/arcing were summarized

Dynamic hysteresis from zigzag domain walls

We investigate dynamic hysteresis in ferromagnetic thin films with zigzag domain walls. We introduce a discrete model describing the motion of a wall in a disordered ferromagnet with in-plane magnetization, driven by an external magnetic field, considering the effects of dipolar interactions and anisotropy. We analyze the effects of external field frequency and temperature on the coercive field by Monte Carlo simulations, and find a good agreement with the experimental data reported in literature for Fe/GaAs films. This implies that dynamic hysteresis in this case can be explained by a single propagating domain wall model without invoking domain nucleation.Comment: 10 pages, 13 figures; minor modifications and two figures adde

‘It’s better than daytime television’: questioning the socio-spatial impacts of massage parlours on residential communities

It has been shown that street sex work is problematic for some communities, but there is less evidence of the effects of brothels. Emerging research also suggests that impact discourses outlined by residential communities and in regulatory policies should be critiqued, because they are often based on minority community voices, and limited tangible evidence is used to masquerade wider moral viewpoints about the place of sex work. Using a study of residents living in close proximity to brothels in Blackpool, this paper argues that impact is socially and spatially fluid. Impact needs to be evaluated in a more nuanced manner, which is considerate of the heterogeneity of (even one type of) sex work, and the community in question. Brothels in Blackpool had a variety of roles in the everyday socio-spatial fabric; thus also questioning the common assumption that sex work only impacts negatively on residential communities