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Letter to the Editor. Expanding the scope of mHealth in spine surgery: beyond smartphones

Yuudai Kobayashi, Tadatsugu Morimoto, Tomohito Yoshihara, Takaomi Kobayashi, and Masaaki Mawatari

TO THE EDITOR: We were intrigued by the article by Greenberg et al., 1 which presents a comprehensive review of the technology, analytical considerations, and applications of mobile health (mHealth) tools for evaluating patients undergoing spine surgery ( Greenberg JK, Javeed S, Zhang JK, et al. Current and future applications of mobile health technology for evaluating spine surgery patients: a review. J Neurosurg Spine . 2023;38[5]:617-626 ). Their paper highlights the importance of smartphones as a commonly available form of mHealth technology that can

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Expanding the treatment window for ischemic stroke through the application of novel system-based technology

Mohammad El-Ghanem, Fawaz Al-Mufti, Venkatraman Thulasi, Inder Paul Singh, and Chirag Gandhi

treatment and the shortage of cerebrovascular specialist has led to many attempts to modify how our health care system approaches stroke care. Many of these pursuits have been spurred by modern advancements in technology and communication systems. Examples include the implementation of telestroke, educating emergency medical services (EMS) personnel in localizing lesions using screening tools, and the advent of mobile stroke units (MSUs), mobile embolectomy teams, and smartphone applications that can be used by both physicians and patients to aid stroke care. Methods

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Image-guided endoscopic surgery for spontaneous supratentorial intracerebral hematoma

Guo-chen Sun, Xiao-lei Chen, Yuan-zheng Hou, Xin-guang Yu, Xiao-dong Ma, Gang Liu, Lei Liu, Jia-shu Zhang, Hao Tang, Ru-Yuan Zhu, Ding-Biao Zhou, and Bai-nan Xu

. We report here a simple, fast, and economical positioning and surgical procedure for endoscopic evacuation of intracerebral hematomas. The method is based on virtual reality using a hospital's picture archiving and communication system (PACS) and augmented reality using the a smartphone and the Sina neurosurgical assist Android smartphone app, which assists surgeons in precisely placing the obturator and introducing the sheath to the desired target. Methods Patient Population Twenty-five patients with a mean (± SD) age of 65.4 ± 11.1 years were included in the

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Remote patient monitoring following full endoscopic spine surgery: feasibility and patient satisfaction

Tobias Prasse, Natalie Yap, Sananthan Sivakanthan, James Pan, John Ogunlade, Jan Bredow, Peer Eysel, Richard G. Ellenbogen, and Christoph P. Hofstetter

patient health status has been used for numerous medical conditions such as diabetes, hypertension, infectious diseases, and many more. 10 – 12 Of those who own a smartphone, 62% reported using some form of an app-based health tracker to manage various health factors and to share health information with others via the internet. 13 , 14 In spine surgery, several studies have introduced smartphone apps for patient education, scheduling, and appointment reminders, as well as for the collection of feedback and patient-reported outcome (PROM) questionnaires. 15 , 16

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Current and future applications of mobile health technology for evaluating spine surgery patients: a review

Jacob K. Greenberg, Saad Javeed, Justin K. Zhang, Braeden Benedict, Madelyn R. Frumkin, Ziqi Xu, Jingwen Zhang, Thomas L. Rodebaugh, Chenyang Lu, Jay F. Piccirillo, Michael Steinmetz, Zoher Ghogawala, Mohamad Bydon, and Wilson Z. Ray

M obile health (mHealth) technology has permeated nearly every aspect of society. It is estimated that there are currently approximately 4 billion smartphone users, representing nearly half the world’s population. 1 In the United States, smartphone users represent approximately 85% of the population. With this expansive growth, mHealth technology has assumed an increasingly important role in healthcare. Innovations in the use of mHealth technology in medicine have included mobile sensors and algorithms for monitoring heart rate, falls, skin cancers, and

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The health economic effects of an imaging technology–based telemedicine system for rural neuro-emergency patient care

Hirotaka Sato, Manabu Kinoshita, Yuji Tani, Teruo Kimura, Toshiya Osanai, Hiroaki Osanai, and Katsuhiko Ogasawara

neurological conditions to distant advanced medical institutions. However, patients with only minor medical problems are discharged the day after transfer, thus posing unnecessary burdens on medical personnel and the infrastructure of advanced medical institutions. Our institution, one of the advanced academic hospitals in Hokkaido covering 800,000 inhabitants, started to adopt an imaging technology–based telemedicine system to address the issue mentioned above. The system consists of a smartphone application called “Join” (Allm, Inc.; FDA Listing Number: D245938, Medical

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Responsiveness of the self-measured 6-minute walking test and the Timed Up and Go test in patients with degenerative lumbar disorders

Nicolai Maldaner, Marketa Sosnova, Anna M. Zeitlberger, Michal Ziga, Oliver P. Gautschi, Luca Regli, Oliver Bozinov, Astrid Weyerbrock, and Martin N. Stienen

various areas like walking ability, balance, and various activities of daily life. 3 However, PROMs may be subject to multiple potential inaccuracies and do not reflect a direct and objective measurement of functional impairment. 1 , 4 , 5 Several objective functional tests have thus recently been developed to complement the standardized assessment of patients with DLDs. 6 The Timed Up and Go (TUG) test and the 6-minute walking test (6WT) are two of the currently best-explored smartphone-app–based instruments to evaluate objective functional impairment in patients

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Responsiveness of the self-measured 6-minute walking test and the Timed Up and Go test in patients with degenerative lumbar disorders

Nicolai Maldaner, Marketa Sosnova, Anna M. Zeitlberger, Michal Ziga, Oliver P. Gautschi, Luca Regli, Oliver Bozinov, Astrid Weyerbrock, and Martin N. Stienen

various areas like walking ability, balance, and various activities of daily life. 3 However, PROMs may be subject to multiple potential inaccuracies and do not reflect a direct and objective measurement of functional impairment. 1 , 4 , 5 Several objective functional tests have thus recently been developed to complement the standardized assessment of patients with DLDs. 6 The Timed Up and Go (TUG) test and the 6-minute walking test (6WT) are two of the currently best-explored smartphone-app–based instruments to evaluate objective functional impairment in patients

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App-assisted external ventricular drain insertion

Behzad Eftekhar

insertion is based on fixed anatomical landmarks and does not take individual variation into consideration. A patient-tailored approach based on the use of augmented-reality techniques can address this shortcoming. Smartphones are popular and have potential for intra-operative use in association with augmented-reality mobile device applications (apps). Although there are available apps that could be used for EVD placement, the need for certain features and the potential for further applications by other devices like augmented-reality glasses (e.g., Google Glass) led to

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Technology preferences among caregivers of children with hydrocephalus

Clinical article

Robert P. Naftel, Nicole A. Safiano, Michael I. Falola, Chevis N. Shannon, John C. Wellons III, and James M. Johnston Jr.

, Internet, and Social Media Personal Use The majority of caregivers owned computers, digital music players, and smartphones. Most (94.6%) used computers, and 86.7% had a computer at home. More caregivers had access to an iPod or digital music player (70.3%) than a smartphone (56.9%). The majority (91.7%) of caregivers surveyed used the Internet (e-caregivers), and 90.3% of e-caregivers had access at home. Most e-caregivers (62.8%) used the Internet 7 days a week, and 83.0% used the Internet most days of the week (4 or more days). E-caregivers indicated that they most