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Journal of Telemedicine and Telecare

Josef N Tofte, Christopher A Anthony, Philip M Polgreen, Joseph A Buckwalter, Lindsey S Caldwell, Timothy P Fowler, Thomas Ebinger, Jessica M Hanley, Spencer B Dowdle, Andrew J Holte, Nicholas C Arpey, Ericka A Lawler
INTRODUCTION: This study explores a novel smartphone application for postoperative care following carpal tunnel release (CTR). We hypothesized that a software-based 'virtual visit' for CTR could be safe, effective and convenient for the patient. METHODS: Our group developed the software application utilized in this study. Interactive steps with video instructions enabled patients to complete dressing and suture removal, capture a wound photo, answer a question about median nerve symptoms and capture a video of finger range of motion...
November 14, 2018: Journal of Telemedicine and Telecare
Mahmoud Sedky Adly, Aya Sedky Adly, Afnan Sedky Adly
INTRODUCTION: To assess effect of orthodontic treatment on anterior or lateral functional shift in mixed dentition stage by telemonitoring mandibular movements in four-dimensions using a novel objective method that can assist in orthodontics and other dental specialties without the need of expensive, bulky or complicated equipment. METHODS: A sample of 60 patients was divided into two groups. Group I included 30 patients with normal occlusion and TMJ functions. Group II included 30 patients that were diagnosed with an abnormal path of closure in antero-posterior or transverse directions due to disharmony between centric occlusion and centric relation...
October 29, 2018: Journal of Telemedicine and Telecare
Prima Moinul, Joshua Barbosa, Jenny Qian, Mei Lin Chen, Mohammad Mohaghegh, Harneel Kaur, Julie Holmes, Heather Radman, Tammy Robinson, Varun Chaudhary
INTRODUCTION: Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up. METHODS: Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario. Optical coherence tomography and fundus photography images were used to visualize the retina remotely...
October 29, 2018: Journal of Telemedicine and Telecare
Krishna Nalleballe, Rohan Sharma, Aliza Brown, Renee Joiner, Nidhi Kapoor, Tiffany Morgan, Tina Benton, Conelia Williamson, William Culp, Curtis Lowery, Sanjeeva Onteddu
BACKGROUND: Studying critical time interval requirements can enhance thrombolytic treatment for stroke patients in telestroke networks. We retrospectively examined 12 concurrent months of targeted time interval information in the South Central US telemedicine programme, Arkansas Stroke Assistance through Virtual Emergency Support (AR SAVES). Hypothesis: We hypothesised that consult data analysis would highlight areas for improvement to shorten overall door to Intra venous (IV) tissue plasminogen activator (tPA) administration time...
October 23, 2018: Journal of Telemedicine and Telecare
Thomas R Schulz, Kudzai Kanhutu, Joseph Sasadeusz, Sally Watkinson, Beverley-Ann Biggs
Introduction One-third of the Australian population lives outside major cities and this group has worse health outcomes. Telehealth is becoming an accepted way to improve patient access to specialist healthcare. Over 200,000 Australian's have hepatitis C virus (HCV) and new treatments are very effective and well tolerated. We aim to demonstrate that HCV treatment utilising telehealth support for care delivery has cure rates similar to onsite care in clinical trials. We also report length of consultation and calculate reductions in travel and carbon output...
October 18, 2018: Journal of Telemedicine and Telecare
Grace E Kim, Olga K Afanasiev, Chris O'Dell, Christopher Sharp, Justin M Ko
Introduction Teledermatology services that function separately from patients' primary electronic health record (EHR) can lead to fragmented care, poor provider communication, privacy concerns and billing challenges. This study addresses these challenges by developing PhotoCareMD, a store-and-forward (SAF) teledermatology consultation workflow built entirely within an existing Epic-based EHR. Methods Thirty-six primary care physicians (PCPs) from eight outpatient clinics submitted 215 electronic consults (eConsults) for 211 patients to a Stanford Health Care dermatologist via PhotoCareMD...
October 9, 2018: Journal of Telemedicine and Telecare
Alessandra G Samelli, Camila M Rabelo, Seisse G Gandolfi Sanches, Ana C Martinho, Carla G Matas
Introduction To assess the performance of a tablet-based tele-audiometry method for automated hearing screening of schoolchildren through a comparison of the results of various hearing screening approaches. Methods A total of 244 children were evaluated. Tablet-based screening results were compared with gold-standard pure-tone audiometry. Acoustic immittance measurements were also conducted. To pass the tablet-based screening, the children were required to respond to at least two out of three sounds for all the frequencies in each ear...
September 30, 2018: Journal of Telemedicine and Telecare
Eric Sink, Kunjan Patel, Jacob Groenendyk, Robert Peters, Avik Som, Ellen Kim, Maggie Xing, Melvin Blanchard, Will Ross
Introduction Owing to its capacity to perform remote assessments, telemedicine is rising as a new force in chronic obstructive pulmonary disease (COPD) management. We conducted an eight month randomised-controlled-trial to study the effect of an automated telemedicine intervention on patients' time-to-hospitalisation. Methods A total of 168 patients with a diagnosis of COPD in the past 24 months were enrolled to receive the intervention at a primary care clinic. The treatment group received daily phone messages from an automated system asking them to report if they were breathing better than, worse than, or the same as the day prior...
September 30, 2018: Journal of Telemedicine and Telecare
Lisa M Valentine, Shannon D Donofry, Minden B Sexton
Introduction Military veterans are at high risk for developing mental health problems. Unfortunately, veterans have relatively low rates of engagement in mental health services compared with non-veterans. In order to address barriers to mental health care services, the Veteran's Health Administration (VHA) has implemented clinical video telehealth (CVT). Although the effectiveness of this technology appears promising, there is limited research evaluating rates of engagement in CVT mental health services or what factors may predict premature attrition from mental health care delivered via this format...
September 27, 2018: Journal of Telemedicine and Telecare
Linda H Eaton, Daniel S Godfrey, Dale J Langford, Tessa Rue, David J Tauben, Ardith Z Doorenbos
Introduction Primary care providers are frequently unprepared to manage chronic pain adequately due in part to insufficient professional training. This study evaluated the effect of a telementoring intervention on knowledge and perceived competence related to chronic pain management. Methods The study design was a cluster randomised controlled trial. Primary care clinics that were part of the University of Washington Medicine Telehealth network were the unit of randomization. Primary care providers comprised the intervention group ( n = 23) and the control group ( n = 18)...
September 27, 2018: Journal of Telemedicine and Telecare
Julia Amkreutz, Rebekka Lenssen, Gernot Marx, Robert Deisz, Albrecht Eisert
Introduction Tele-intensive care unit (tele-ICU) services offer the possibility to provide specialized medical care in remote areas and to improve patient outcomes. The aim of this study was to implement and evaluate an additional telepharmaceutical expert consultation as part of tele-ICU services. Methods This is a prospective observational study conducted in the telemedicine centre of the University Hospital RWTH Aachen, Germany. Between March and July 2015, all tele-ICU patients of one internal and two remote ICUs received telepharmaceutical consultation...
September 25, 2018: Journal of Telemedicine and Telecare
Judith C Lin, Dylan Mclaughlin, Dana Zurawski, Nicole Kennedy, Loay Kabbani
Introduction The objective of this study is to compare the clinical outcomes of patients with varicose veins managed in the telemedicine clinic and traditional clinic. Methods Retrospective analysis of all vein procedures in the institutional Vascular Quality Initiative Varicose Vein Registry (VQI VVR) was performed from January 2015 to August 2017. Patients were divided into two groups: Telemedicine versus Traditional Clinic. Comparison data included patient demographics, past medical history, clinical outcomes, patient-reported outcomes and postoperative complications...
September 20, 2018: Journal of Telemedicine and Telecare
Jamie L Odden, Cheryl L Khanna, Clara M Choo, Bingying Zhao, Saumya M Shah, Gina M Stalboerger, Jeffrey R Bennett, Muriel M Schornack
Introduction This manuscript describes data from an original study, simulating a tele-glaucoma programme in an established clinic practice with an interdisciplinary team. This is a 'real life' trial of a telemedicine approach to see a follow-up patient. The goal is to evaluate the accuracy of such a programme to detect worsening and/or unstable disease. Such a programme is attractive since in-clinic time could be reduced for both the patient and provider. This study evaluates agreement between in-person and remote assessment of glaucoma progression...
September 12, 2018: Journal of Telemedicine and Telecare
Kathleen L Bagot, Natasha Moloczij, Karen Barclay-Moss, Michelle Vu, Christopher F Bladin, Dominique A Cadilhac
Introduction Technology-based innovation requires long-term changes to workforce routines, otherwise practices will not be sustained. The aim of this study was to identify influential factors in the ongoing use of an acute stroke telemedicine programme. Methods A new acute stroke telemedicine programme in a regional hospital receiving 375 patients with stroke or transient ischaemic attack per year was used as an exploratory case study. Semi-structured interviews with acute care and emergency department clinicians ( n = 25) were conducted at two time-points: after a six-month pilot and then after a further 12-month implementation phase...
September 7, 2018: Journal of Telemedicine and Telecare
Zahra Abbaspoor, Anis Amani, Poorandokht Afshari, Sima Jafarirad
Introduction Gestational diabetes is increasing in developed and developing countries. This study aimed to evaluate the effect of SMS messaging on the self-care among pre-diabetic pregnant women. Methods This randomized controlled trial conducted on 100 pre-diabetic pregnant women referred to Ahvaz Health Centers, Iran, Sep to Dec, 2016. Women were randomly assigned into the face to face education group and short message systems in addition to the face to face education group. Self-care variables were compared between the groups...
September 7, 2018: Journal of Telemedicine and Telecare
Santiago Jiménez-Marrero, Sergi Yun, Miguel Cainzos-Achirica, Cristina Enjuanes, Alberto Garay, Nuria Farre, Jose M Verdú, Anna Linas, Pilar Ruiz, Encarnación Hidalgo, Esther Calero, Josep Comín-Colet
Background The efficacy of telemedicine in the management of patients with chronic heart failure and left ventricular ejection fraction ≥40% is poorly understood. The aim of our analysis was to evaluate the efficacy of a telemedicine-based intervention specifically in these patients, as compared to standard of care alone. Methods The Insuficiència Cardiaca Optimització Remota (iCOR) study was a single centre, randomised, controlled trial, designed to evaluate a telemedicine intervention added to an existing hospital/primary care multidisciplinary, integrated programme for chronic heart failure patients...
September 7, 2018: Journal of Telemedicine and Telecare
Kristine S Penza, Martha A Murray, Jane F Myers, Julie Maxson, Joseph W Furst, Jennifer L Pecina
Objective The objective of this research paper is to compare antibiotic treatment, follow-up rates, and types of follow-up encounters among eVisits, phone calls, and in-person encounters for pediatric conjunctivitis. Study design A retrospective chart review of pediatric patients evaluated for conjunctivitis between May 1, 2016 and May 1, 2017, was performed. A total of 101 eVisits, 202 in-person retail clinic visits, and 202 nurse phone calls for conjunctivitis were manually reviewed for outcomes. Exclusion criteria included previous encounter for conjunctivitis in the past 14 days, treatment with an oral antibiotic at the initial encounter, or patient outside Minnesota at the time of encounter...
August 28, 2018: Journal of Telemedicine and Telecare
Yan-Ya Chen, Bing-Sheng Guan, Ze-Kai Li, Qiao-Hong Yang, Tian-Jiao Xu, Han-Bing Li, Qin-Yang Wu
Introduction Telehealth intervention has been proposed as a sustainable and innovative intervention approach to Parkinson's disease (PD) patients, but there are still conflicting results in the literature about its effect. This study aimed to evaluate the efficacy of telehealth intervention for PD patients. Methods PubMed, EMBASE, CENTRAL and China National Knowledge Infrastructure (CNKI) were searched from the inception to June 2018 for randomized controlled trials (RCTs) and cohort studies, without language restrictions...
August 28, 2018: Journal of Telemedicine and Telecare
Olga Santesteban-Echarri, Danijela Piskulic, Rowen K Nyman, Jean Addington
Background Despite its increased use in mental health, both health care provision by telehealth and research are in the early stages. Videoconferencing, a telehealth subfield, has been mainly used for the medication management and delivery of psychological treatments for mood, adjustment and anxiety disorders, and to a lesser extent for psychotic disorders. Objectives The focus of this scoping review is on studies using videoconferencing for intervention for individuals with a diagnosis of schizophrenia-spectrum disorder and those who may be considered to be in the very early stages of psychosis (clinical high risk)...
August 22, 2018: Journal of Telemedicine and Telecare
Sussie Laustsen, Lisa G Oestergaard, Maurits van Tulder, Vibeke E Hjortdal, Annemette K Petersen
Introduction Cardiac rehabilitation improves physical capacity, health-related quality of life, and reduces morbidity and mortality among cardiac patients. Telemonitored exercise-based cardiac rehabilitation may innovate existing programmes and increase participation rates. Objective The purpose of this study was to investigate if telemonitored exercise-based cardiac rehabilitation improves physical capacity, muscle endurance, muscle power, muscle strength and health-related quality of life in cardiac patients...
August 22, 2018: Journal of Telemedicine and Telecare
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