Curēus
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Responsive neurostimulation (RNS) is rapidly gaining traction as a therapy for medically refractory epilepsy. Depth electrode placement for stimulation of a deep seizure focus may be indicated after the focus has been electrophysiologically localized using depth electroencephalography (depth EEG). We describe a simple technique whereby the bony trajectories created during initial stereotactic placement of depth EEG electrodes are preserved and reused for RNS with depth electrodes. This technique may help to improve targeting and maximize surgical efficiency.
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Rising rates of smartphone ownership highlight opportunities for improved mobile application usage in clinical trials. While current methods call for device provisioning, the "bring your own device" (BYOD) model permits participants to use personal phones allowing for improved patient engagement and lowered operational costs. However, more evidence is needed to demonstrate the BYOD model's feasibility in research settings. ⋯ Results indicate that the BYOD model is feasible in health research settings and improves participant experience, calling for further BYOD model validity assessment. Although group differences in medication adherence decline were insignificant, the greater trend of decline in provisioned device users warrants further investigation to determine if trends reach significance over time. Significantly higher application engagement rates and effect of engagement on medication adherence in the BYOD subgroup similarly imply that greater application engagement may correlate to better medication adherence over time.