Browsing by Issue Date, starting with "2023-02-15"
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- Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self-report and physician assessmentPublication . Amaral, Rita; Jácome, CristinaPrevious 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 setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment. This study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0-100). A total of 193 patients (72% female; median [P25-P75] age 28 [19-41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0-71]%; 1 month: 18 [0-48]%) than patient self-report (80 [60-95]) and physician assessment (82 [51-94]) (p < 0.001). A negligible non-significant correlation was found between the app and subjective measurements (ρ 0.118-0.156, p > 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001). Adherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.
- A data mining tool for untargeted biomarkers analysis: Grapes ripening applicationPublication . Machado, Sandia; Barreiros, Luisa; Graça, António R.; Páscoa, Ricardo N.M.J.; Segundo, Marcela A.; Lopes, João A.In metabolomics, data generated by untargeted approaches can be very complex due to the typically extensive number of features in raw data (with and without chemical relevance), dependence on raw data preprocessing methods, and lack of selective data mining tools to appropriately interpret these data. Extraction of meaningful information from these data is still a significant challenge in metabolomics. Moreover, currently available tools may overprocess the data, eliminating useful information. This work aims at proposing a data mining tool capable of dealing with metabolomics data, specifically liquid chromatography-mass spectrometry (LC-MS) to enhance the extraction of meaningful chemical information. The algorithm construction intended to be as general as possible in highlighting chemically relevant features, discarding non-informative signals specially background features. The proposed algorithm was applied to an LC-MS data set generated from the analysis of grapes collected over a developmental period encompassing a 4-month period. The algorithm outcome is a short list of features from metabolites that are worth to be further investigated, for example by HRMS fragmentation for subsequent identification. The performance of the algorithm in estimating potentially interesting features was compared with the commercial MZmine software. For this case study, the MZmine output yielded a final set of 37 features (out of 1543 initially identified) with noise features while the proposed algorithm identified 99 systematic features without noise. Also, the algorithm required 2 times less user-defined parameters when compared to MZmine. Globally, the proposed algorithm demonstrated a higher ability to pin-point features that may be associated with grapes developmental and maturation processes requiring minimal parameters definition, thus preventing user uncertainty and the compromise of experimental information.