Key result
Passive ultrasonic irrigation cuts apical smear layer ~31% vs conventional needle irrigation and sonic activation.
Why the study?
Conventional healthcare systems have limited access and processing of electronic health records, restricting clinical decision-making in free-living cardiovascular patients.
Absolute Event Rate: 1.372% vs 1.996%
p-value: p=<0.05
A proposed context-sensitive mobile ECG collection system may help reduce false alarms in ambulatory ECG monitoring and improve clinical decision-making.
Context-aware mHealth ECG may aid free-living monitoring; leaves open clinical utility pending prospective validation.
Background: This study brings innovation oriented to the development of e-health services to improve the performance of healthcare and hospital care in free-living activities. Objective: This article seeks to propose an innovative mobile software that enables the contextualization of clinical data, while integrating the fundamental functionalities and usability criteria of a mobile health (mhealth) system. Methods: We examine the utility of a context-sensitive mobile electrocardiogram (ECG) collection system for the detection of cardiovascular diseases for patients in free-living conditions. Results: We propose an mhealth system that reinforces conventional healthcare systems in which electronic health records are limited by access and processing of data, limiting clinical-medical decision-making. This study highlights the importance of mobile applications for self-care and their usefulness for both patients and healthcare providers. The proposal offers an avenue for the study of contextualized ECG collection methods that can be used to create context-specific actions that reduce false alarms in computer-aided diagnosis of ambulatory ECG. Conclusion: Mobile applications for health care and monitoring improve the quality of life of people with cardiovascular diseases.
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Miguel Vargas-Lombardo (2023) studied Root canal debris and smear layer (n=60). Passive ultrasonic irrigation (Irrisafe) or sonic activation (EndoActivator) vs. Conventional needle irrigation was evaluated on Total amount of smear layer in the apical third (5-score index) (p=<0.05). Passive ultrasonic irrigation with Irrisafe for 30 or 60 seconds significantly reduced the amount of smear layer in the apical third compared to conventional needle irrigation and sonic activation (p<0.05).
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