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Remote video-based outcome measures of patients with Parkinson’s disease after deep brain stimulation using smartphones: a pilot study

Xinmeng Xu, Zhitong Zeng, Yijia Qi, Kang Ren, Chencheng Zhang, Bomin Sun, and Dianyou Li

examined. To provide better postoperative healthcare for patients with PD who received DBS surgery and to allow surgeons improved tracking of surgical outcomes, we used smartphones to perform virtual assessments. Methods Recruitment The Center for Functional Neurosurgery at Ruijin Hospital, Shanghai, has performed more than 1000 PD-related DBS surgeries over the past 20 years. Before surgery, demographic information and motor and nonmotor assessment scores were collected in the database for clinical reference and research purposes. Patients, doctors, and

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Navigating the calvaria with mobile mixed reality–based neurosurgical planning: how feasible are smartphone applications as a craniotomy guide?

Ihsan Dogan, Halit Anil Eray, Onur Ozgural, Ozan Tekneci, Savas Hasimoglu, Macit Terzi, Emre Bahir Mete, Yusuf Cem Kuzukiran, Hasan Elmas, Ozgur Orhan, Bilal Abbasoglu, Eyup Bayatli, Murat Zaimoglu, and Sukru Caglar

surgeon’s orientation and familiarity. 3 , 5 Virtually simulated models are educational and instructive products that can be practiced and trained on, and they can be displayed on surgical monitors, wearable devices, and smartphones and formed as tangible real-life objects. 5 – 7 However, decisions made with rigorous and detailed evaluations may lead to unpredictable outcomes in practice; therefore, choosing the appropriate surgical route for the targeted brain area is as critical as determining the bone window to be opened. There are studies that have investigated

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Data-driven phenotyping of preoperative functional decline patterns in patients undergoing lumbar decompression and lumbar fusion using smartphone accelerometry

Hasan S. Ahmad, Shikha Singh, Kenneth Jiao, Gregory W. Basil, Andrew I. Yang, Michael Y. Wang, William C. Welch, and Jang W. Yoon

physicians to understand when pain and functional decline warrant treatment and also prevents accurate quantification of postoperative functional improvement, a key objective for patients undergoing spine surgery. 16 The lack of fidelity in PROM-based assessment of preoperative functional decline emphasizes the need for measurement modalities that can quantify patient ability and disability in a more accurate and timely manner. Electronic devices that are capable of monitoring physical activity levels with relative ease, such as smartphones and smartwatches, address

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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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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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Development of an iPhone application for sideline concussion testing

Guillaume A. Curaudeau, Nikhil Sharma, and Richard A. Rovin

paper SCAT2 survey is inconvenient to use on the sideline (especially when the weather turns foul), and dissemination of test data is more difficult. A digital format, particularly a smart-phone application, breaches these barriers. In this paper, we report our experience with the development of an iPhone app for concussion testing. Methods The app development team included a neurosurgeon (R.A.R.) to provide the medically relevant content, a graphic artist (G.A.C.) to design the user interface, and a computer programmer (N.S.) to translate the vision into the

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The use of telemedicine in the management of acute stroke

Mark N. Rubin and Bart M. Demaerschalk

Furthermore, it has been demonstrated that high-quality telestroke consultations can be performed with mobile computers 3 and smartphones, 1 , 9 , 18 enhancing the portability of the service. There remain only two published randomized controlled trials of telestroke versus telephone methods of consultation for consideration of thrombolysis of acute ischemic stroke as of late 2013. The first trial, published in 2008, randomized 222 patients (111 for each study arm) with acute ischemic stroke to either telephone-only or telestroke-guided evaluation. The primary outcome

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Gauging the feasibility of cost-sharing and medical student interest groups to reduce interview costs

Bryan A. Lieber, Taylor A. Wilson, Randy S. Bell, William W. Ashley Jr., Daniel L. Barrow, and Stacey Quintero Wolfe

and is relatively isolated to smartphone-based coordination. Although Gmail is the most popularly used email address among students of interview age, typically institutional email addresses are used on the Electronic Residency Application Service (ERAS), thus complicating Google groups. A significant percentage of those who had interviewed preferred an anonymous, email identification–only, internet chat room. Ideally, each program could create an optional private chat room between interviewees for a given interview date. Alternatively, one large chat room for all

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Augmented reality and physical hybrid model simulation for preoperative planning of metopic craniosynostosis surgery

Giselle Coelho, Nicollas Nunes Rabelo, Eduardo Vieira, Kid Mendes, Gustavo Zagatto, Ricardo Santos de Oliveira, Cassio Eduardo Raposo-Amaral, Maurício Yoshida, Matheus Rodrigues de Souza, Caroline Ferreira Fagundes, Manoel Jacobsen Teixeira, and Eberval Gadelha Figueiredo

creating and developing a new AR model that can be used as a cellphone app ( Video 1 ). VIDEO 1. AR simulator for preoperative surgical planning. Copyright Nicollas Nunes Rabelo, University of São Paulo. Used with permission. Click here to view. The production of a 3D model for AR for tablets or smartphones is usually based on the requirement to design objects that can be used with a variety of devices with different processing capabilities. In the case of medical uses, for example, for which there is often a demand to present real models of patients, we used software

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Job satisfaction, engagement, and burnout in the population of orthopedic surgeon and neurosurgeon trainees in mainland China

Jinli Yu, Fei Zou, and Yirui Sun

approved by the Chinese Clinical Trial Registry (ChiCTR1800014762). Between June 2017 and October 2018, under the support of the East Institution of China Academy of Information and Communications Technology, the official orthopedics continuing education platform AllinMD ( www.allinmd.cn ), and the national neurosurgical continuing education platform “Neurosurgery News” ( www.medtion.com ), an online survey was conducted via both smartphone applications and website visitation. Orthopedic and neurosurgical trainees working in tertiary (level III) and regional (level II