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Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association

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https://www.readbyqxmd.com/read/29470127/telemedicine-physical-examination-utilizing-a-consumer-device-demonstrates-poor-concordance-with-in-person-physical-examination-in-emergency-department-patients-with-sore-throat-a-prospective-blinded-study
#1
Moneeb Akhtar, Paul G Van Heukelom, Azeemuddin Ahmed, Rachel D Tranter, Erinn White, Nathaniel Shekem, David Walz, Catherine Fairfield, J Priyanka Vakkalanka, Nicholas M Mohr
BACKGROUND: Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. MATERIALS AND METHODS: This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29470109/determinants-of-the-intention-of-senegal-s-physicians-to-use-telemedicine-in-their-professional-activities
#2
Birama Apho Ly, Elizabeth Kristjansson, Ronald Labonté, Ivy Lynn Bourgeault
BACKGROUND: In Senegal, physicians are unevenly distributed, leading to unequal access to healthcare in underserved areas. Telemedicine is seen as a potential means to address this problem. INTRODUCTION: Telemedicine's potential to improve access depends, in part, on physicians' intention to use the technology. In Senegal that intention is not well known. This study aimed to determine that intention and the factors that influence it. MATERIALS AND METHODS: We conducted a cross-sectional study between January and February 2015 with a random sample of 168 physicians working in public hospitals and 153 in district health centers in Senegal...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29470105/diabetes-mellitus-m-health-applications-a-systematic-review-of-features-and-fundamentals
#3
Ericles Andrei Bellei, Daiana Biduski, Nathália Pinto Cechetti, Ana Carolina Bertoletti De Marchi
BACKGROUND: The increasing number of diabetes mellitus (DM) m-health applications (apps) reveals a panorama of different approaches to the subject, demonstrating dynamism and heterogeneity. Available applications have various functions, capabilities, and data collection techniques. OBJECTIVE: We systematically reviewed the literature to identify and analyze studies regarding the diversity of applications aimed at DM monitoring and treatment. We aimed to investigate app functionalities, the basis for their design, and how they were tested...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29466097/a-clinical-decision-support-system-for-diabetic-retinopathy-screening-creating-a-clinical-support-application
#4
Pedro Romero-Aroca, Aida Valls-Mateu, Antonio Moreno-Ribas, Ramon Sagarra-Alamo, Josep Basora-Gallisa, Emran Saleh, Marc Baget-Bernaldiz, Domenec Puig
BACKGROUND: The aim of this study was to build a clinical decision support system (CDSS) in diabetic retinopathy (DR), based on type 2 diabetes mellitus (DM) patients. METHOD: We built a CDSS from a sample of 2,323 patients, divided into a training set of 1,212 patients, and a testing set of 1,111 patients. The CDSS is based on a fuzzy random forest, which is a set of fuzzy decision trees. A fuzzy decision tree is a hierarchical data structure that classifies a patient into several classes to some level, depending on the values that the patient presents in the attributes related to the DR risk factors...
February 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29466093/efficacy-of-a-web-based-tailored-intervention-to-reduce-cannabis-use-among-young-people-attending-adult-education-centers-in-quebec
#5
José Côté, Sébastien Tessier, Hélène Gagnon, Nicole April, Geneviève Rouleau, Miguel Chagnon
BACKGROUND: Cannabis use is common among young adults. Web-based interventions are an increasingly popular way to reach this population. The aim of this study was to evaluate the efficacy of a Web-based tailored intervention, developed on theoretical and empirical grounds, to reduce cannabis use among young people by promoting a more positive intention to abstain. METHODS: An experimental design was employed to evaluate the efficacy of the intervention in reducing cannabis use (primary outcome) by bolstering intention (secondary outcome) to abstain from use...
February 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29437546/theories-applied-to-m-health-interventions-for-behavior-change-in-low-and-middle-income-countries-a-systematic-review
#6
Yoon-Min Cho, Seohyun Lee, Sheikh Mohammed Shariful Islam, Sun-Young Kim
BACKGROUND: Recently there has been dramatic increase in the use of mobile technologies for health (m-Health) in both high and low- and middle-income countries (LMICs). However, little is known whether m-Health interventions in LMICs are based on relevant theories critical for effective implementation of such interventions. This review aimed to systematically identify m-Health studies on health behavioral changes in LMICs and to examine how each study applied behavior change theories...
February 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29432073/m-health-policy-readiness-and-enabling-factors-comparisons-of-sub-saharan-africa-and-organization-for-economic-cooperation-and-development-countries
#7
Seohyun Lee, Charles E Begley, Robert Morgan, Wenyaw Chan, Sun-Young Kim
BACKGROUND: As an innovative solution to poor access to care in low- and middle-income countries (LMICs), m-health has gained wide attention in the past decade. INTRODUCTION: Despite enthusiasm from the global health community, LMICs have not demonstrated high uptake of m-health promoting policies or public investment. MATERIALS AND METHODS: To benchmark the current status, this study compared m-health policy readiness scores between sub-Saharan Africa and high-income Organization for Economic Cooperation and Development (OECD) countries using an independent two-sample t test...
February 12, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29420138/a-mixed-methods-study-on-the-barriers-and-facilitators-of-telemedicine-for-newborn-resuscitation
#8
Jennifer L Fang, Gladys B Asiedu, Ann M Harris, Katherine Carroll, Christopher E Colby
BACKGROUND: Teleneonatology may improve the quality of high-risk newborn resuscitations performed by general providers in community settings. Variables that affect teleneonatology utilization have not been identified. INTRODUCTION: The objective of our mixed-methods study was to understand the barriers and facilitators experienced by local care providers who receive teleneonatology services. MATERIALS AND METHODS: In October 2015, an electronic survey was sent to 349 teleneonatology participants at 6 community hospitals to assess user satisfaction, technology usability and acceptability, and impact on patient care...
February 8, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29420125/deep-ecgnet-an-optimal-deep-learning-framework-for-monitoring-mental-stress-using-ultra-short-term-ecg-signals
#9
Bosun Hwang, Jiwoo You, Thomas Vaessen, Inez Myin-Germeys, Cheolsoo Park, Byoung-Tak Zhang
BACKGROUND: Stress recognition using electrocardiogram (ECG) signals requires the intractable long-term heart rate variability (HRV) parameter extraction process. This study proposes a novel deep learning framework to recognize the stressful states, the Deep ECGNet, using ultra short-term raw ECG signals without any feature engineering methods. METHODS: The Deep ECGNet was developed through various experiments and analysis of ECG waveforms. We proposed the optimal recurrent and convolutional neural networks architecture, and also the optimal convolution filter length (related to the P, Q, R, S, and T wave durations of ECG) and pooling length (related to the heart beat period) based on the optimization experiments and analysis on the waveform characteristics of ECG signals...
February 8, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29394155/remote-presence-robotic-technology-reduces-need-for-pediatric-interfacility-transportation-from-an-isolated-northern-community
#10
Tanya Holt, Nazmi Sari, Gregory Hansen, Matthew Bradshaw, Michael Prodanuk, Veronica McKinney, Rachel Johnson, Ivar Mendez
BACKGROUND: Providing acutely ill children in isolated communities access to specialized care is challenging. This study aimed to evaluate remote presence robotic technology (RPRT) for enhancing pediatric remote assessments, expediting initiation of treatment, refining triaging, and reducing the need for transport. METHODS: We conducted a pilot prospective observational study at a primary/urgent care clinic in an isolated northern community. Participants (n = 38) were acutely ill children <17 years presenting to the clinic, whom local healthcare professionals had considered for interfacility transportation (IFT)...
February 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29393769/patterns-and-correlates-of-internet-use-cell-phone-use-and-attitudes-toward-patient-portals-among-a-predominantly-mexican-american-clinic-population
#11
Meredith Trubitt, Ogechika Alozie, Gurjeet Shokar, Silvia Flores, Navkiran K Shokar
OBJECTIVES: The purpose of this study was to describe access and health-related use of the Internet and cell phones, and attitudes toward patient portals among a predominantly Hispanic patient population residing along the U.S.-Mexico border. METHODS: A bilingual cross-sectional survey was conducted in two clinics to describe use and attitudes toward use of Web 2.0 technology for health-related activities. Univariate and multivariable analyses were conducted to identify factors associated with past Web 2...
February 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29377773/patient-targeted-googling-by-new-zealand-mental-health-professionals-a-new-field-of-ethical-consideration-in-the-internet-age
#12
Hiran Thabrew, Adam Sawyer, Christiane Eischenberg
BACKGROUND: Patient-targeted Googling (PTG) describes the searching on the Internet by healthcare professionals for information about patients with or without their knowledge. INTRODUCTION: Little research has been conducted into PTG internationally. PTG can have particular ethical implications within the field of mental health. This study was undertaken to identify the extent of PTG by New Zealand mental healthcare professionals and needs for further guidance regarding this issue...
January 29, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29369743/rate-of-symptomatic-intracerebral-hemorrhage-related-to-intravenous-tpa-administered-over-telestroke-within-4-5-hour-window
#13
Sami Al Kasab, Mohamad Y Orabi, Jillian B Harvey, Nancy Turner, Pat Aysse, Ellen Debenham, Christine A Holmstedt
BACKGROUND: Intravenous tissue plasminogen activator (tPA) remains the cornerstone medical treatment for acute ischemic stroke. The establishment of telestroke technology has allowed patients presenting to hospitals that lack expert stroke care to be evaluated and receive tPA. The safety of tPA administered through telestroke has been evaluated only when tPA is given within the 3-h window of last known normal. The purpose of this study is to evaluate the safety of tPA when administered through telestroke within a 4...
January 25, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29364065/validation-of-electronic-activity-monitor-devices-during-treadmill-walking
#14
Ka Man Tam, Siu Yin Cheung
INTRODUCTION: The purpose of this study was to assess the validity of the step count measurement of commercial electronic activity monitor devices. Two popular models, Fitbit Charge HR and Mi Band 2, were selected for treadmill walking in a single session. MATERIALS AND METHODS: Thirty healthy volunteers walked at five predetermined speeds (0.90, 1.12, 1.33, 1.54, and 1.78 m/s) on a treadmill with both Fitbit Charge HR and Mi Band 2 worn on their dominant hand's wrist...
January 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29360418/a-virtual-environment-based-training-system-for-a-blind-wheelchair-user-through-use-of-three-dimensional-audio-supported-by-electroencephalography
#15
Everton Silva de Souza, Alexandre Cardoso, Edgard Lamounier
People with disabilities encounter many difficulties, especially when a diagnosis of more than one dysfunction is made, as is the case for visually impaired wheelchair users. In fact, this scenario generates a degree of incapacity in terms of the performance of basic activities on the part of the wheelchair user. The treatment of disabled patients is performed in an individualized manner according to their particular clinical aspects. People with visual and motor disabilities are restricted in independent navigation...
January 23, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29356616/teledermatology-in-the-united-states-an-update-in-a-dynamic-era
#16
Kaitlyn M Yim, April W Armstrong, Dennis H Oh, Karen McKoy, Aleksandra Florek
BACKGROUND: Teledermatology is rapidly advancing in the United States. The last comprehensive survey of U.S. teledermatology programs was conducted in 2011. INTRODUCTION: This article provides an update regarding the state of teledermatology programs in the United States. MATERIALS AND METHODS: Active programs were identified and surveyed from November 2014 to January 2017. Findings regarding practice settings, consult volumes, payment methods, and delivery modalities were compared to those from the 2011 survey...
January 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29356611/a-universal-noninvasive-continuous-blood-pressure-measurement-system-for-remote-healthcare-monitoring
#17
Ramtanu Mukherjee, Sanchita Ghosh, Bharat Gupta, Tapas Chakravarty
BACKGROUND: The effectiveness of any remote healthcare monitoring system depends on how much accurate, patient-friendly, versatile, and cost-effective measurement it is delivering. There has always been a huge demand for such a long-term noninvasive remote blood pressure (BP) measurement system, which could be used worldwide in the remote healthcare industry. Thus, noninvasive continuous BP measurement and remote monitoring have become an emerging area in the remote healthcare industry...
January 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29346039/evaluation-of-a-french-regional-telemedicine-network-dedicated-to-neurological-emergencies-a-14-year-study
#18
Elisabeth Medeiros de Bustos, Eric Berthier, Didier Chavot, Benjamin Bouamra, Thierry Moulin
BACKGROUND: Equality in healthcare between urban and rural areas is problematic in France. Telemedicine networks are expected to improve equality in expertise assessment. We aimed to evaluate the use and impact of a regional rural French telemedicine network, dedicated to medical and surgical neurological emergencies, on interhospital patient transfers. METHODS: Eight community hospital emergency departments were remotely connected to the only university hospital in Franche-Comté, France...
January 18, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29346038/smartphone-applications-for-amblyopia-treatment-a-review-of-current-apps-and-professional-involvement
#19
Nabin Paudel
OBJECTIVES: The objective of this study was to review games for amblyopia (lazy eye) that are commercially available in mobile applications (apps) stores and assess the involvement of eye care professionals in their development. MATERIALS AND METHODS: The Google play store and the Apple iTunes store were searched in July 2017 and updated in September 2017 for amblyopia games using the terms amblyopia, lazy eye, amblyopia therapy, lazy eye therapy, lazy eye exercises, amblyopia exercises, lazy eye games, and amblyopia games...
January 18, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29341850/clinical-inertia-in-a-randomized-trial-of-telemedicine-based-chronic-disease-management-lessons-learned
#20
Anna Beth Barton, Daniel E Okorodudu, Hayden B Bosworth, Matthew J Crowley
BACKGROUND: Treatment nonadherence and clinical inertia perpetuate poor cardiovascular disease (CVD) risk factor control. Telemedicine interventions may counter both treatment nonadherence and clinical inertia. INTRODUCTION: We explored why a telemedicine intervention designed to reduce treatment nonadherence and clinical inertia did not improve CVD risk factor control, despite enhancing treatment adherence versus usual care. METHODS: In this analysis of a randomized trial, we studied recipients of the 12-month telemedicine intervention...
January 17, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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