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PP26 Facial Palsy Therapy: Can Novel ‘Smart Spectacles’ Help People Smile?
- Ala Szczepura, Amir Khan, Nikki Holliday, Charles Nduka, Catriona Neville, Karen Johnson, Hema Mistry, Samuel Oxford
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- Journal:
- International Journal of Technology Assessment in Health Care / Volume 34 / Issue S1 / 2018
- Published online by Cambridge University Press:
- 03 January 2019, p. 76
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- Article
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Introduction:
In the United Kingdom (UK), 23,000 people annually are diagnosed with facial palsy (acute onset facial paralysis). For nearly one third this will result in a permanent disability, including in some the inability to smile. In addition to initial pharmacological therapy, guidelines recommend tailored facial exercise (TFE) therapy repeated every day. However, not all patients are currently able to access such specialist physical therapy. ‘Smart specs’ (using miniaturized sensors in the frames to measure facial movement) are currently being developed. Linked to a smartphone, these could allow people to practice TFEs discreetly, provide immediate feedback, and supply data on outcomes to the patient and their clinician.
Methods:Modelling of introduction of Facial Remote Activity Monitoring Eyewear (FRAME) into treatment pathways for patients with facial palsy. This included: (i) review on effectiveness of TFE therapy; (ii) national surveys (medical staff, facial therapy specialists and patients) to gather data on access to TFE therapy; (iii) Delphi Exercise to identify consensus on key outcome measures; and, (iv) economic modelling to estimate cost-effectiveness and determine a range of acceptable costs for the technology. In parallel, research to examine target markets to inform product development, and production of integral commercialization plan.
Results:Searches short-listed ten studies to add to the three included in the 2011 Cochrane review. Surveys indicate approximately thirteen percent of eligible UK patients access personalized TFE therapy. Estimated annual expenditure on hospital treatments for facial palsy patients is currently >GBP 80 million (>USD 106 million) compared with <GBP 0.5 million (<USD 0.66 million) on TFE therapy. Patients with permanent defects can suffer a loss of up to two quality-adjusted life years (QALYs).
Conclusions:Findings from this study, particularly in relation to costs and benefits, will inform the design of a subsequent randomized controlled trial. A novel wearable technology could make a major difference to people's lives, as well as generating potential efficiencies for healthcare.
Chapter 9 - Case Studies
- from Section III
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- By Virginia Murray, Gordon McBean, Mihir Bhatt, Sergey Borsch, Tae Sung Cheong, Wadid Fawzy Erian, Silvia Llosa, Farrokh Nadim, Mario Nunez, Ravsal Oyun, Avelino G. Suarez, John Hay, Mai Trong Nhuan, Jose Moreno, Peter Berry, Harriet Caldin, Diarmid Campbell-Lendrum, Catriona Carmichael, Anita Cooper, Cherif Diop, Justin Ginnetti, Delphine Grynzspan, Clare Heaviside, Jeremy Hess, James Kossin, Paul Kovacs, Sari Kovats, Irene Kreis, Reza Lahidji, Joanne Linnerooth-Bayer, Felipe Lucio, Simon Mason, Sabrina McCormick, Reinhard Mechler, Bettina Menne, Soojeong Myeong, Arona Ngari, Neville Nicholls, Ursula Oswald Spring, Pascal Peduzzi, Rosa Perez, Caroline Rodgers, Hannah Rowlatt, Sohel Saikat, Sonia Seneviratne, Addis Taye, Richard Thornton, Sotiris Vardoulakis, Koko Warner, Irina Zodrow
- Edited by Christopher B. Field, Vicente Barros, Thomas F. Stocker, Qin Dahe
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- Book:
- Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation
- Published online:
- 05 August 2012
- Print publication:
- 28 May 2012, pp 487-542
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Summary
Executive Summary
Case studies contribute more focused analyses which, in the context of human loss and damage, demonstrate the effectiveness of response strategies and prevention measures and identify lessons about success in disaster risk reduction and climate change adaptation. The case studies were chosen to complement and be consistent with the information in the preceding chapters, and to demonstrate aspects of the key messages in the Summary for Policymakers and the Hyogo Framework for Action Priorities.
The case studies were grouped to examine types of extreme events, vulnerable regions, and methodological approaches. For the extreme event examples, the first two case studies pertain to events of extreme temperature with moisture deficiencies in Europe and Australia and their impacts including on health. These are followed by case studies on drought in Syria and dzud, cold-dry conditions in Mongolia. Tropical cyclones in Bangladesh, Myanmar, and Mesoamerica, and then floods in Mozambique are discussed in the context of community actions. The last of the extreme events case studies is about disastrous epidemic disease, using the case of cholera in Zimbabwe, as the example.
The case studies chosen to reflect vulnerable regions demonstrate how a changing climate provides significant concerns for people, societies, and their infrastructure. These are: Mumbai as an example of a coastal megacity; the Republic of the Marshall Islands, as an example of small island developing states with special challenges for adaptation; and Canada's northern regions as an example of cold climate vulnerabilities focusing on infrastructures.