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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/30212280/telelactation-via-mobile-app-perspectives-of-rural-mothers-their-care-providers-and-lactation-consultants
#1
Jill Demirci, Virginia Kotzias, Debra L Bogen, Kristin N Ray, Lori Uscher-Pines
BACKGROUND: Rural-urban disparities exist in breastfeeding rates and availability of lactation support. Direct-to-consumer (DTC) telelactation that uses two-way video through personal devices has the potential to increase access to international board-certified lactation consultants (IBCLCs) in rural settings that lack them. This study describes the feasibility and acceptability of DTC telelactation for rural mothers. METHODS: We conducted semi-structured interviews among various stakeholders involved in a study exploring the impact of telelactation through mobile phone app in rural Pennsylvania...
September 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30207927/development-and-evaluation-of-a-user-centered-mobile-telestroke-platform
#2
Sherita N Chapman Smith, Pamela C Brown, Kaitlynne H Waits, Jason S Wong, Muhammad S Bhatti, Qaiser Toqeer, Jamie V Ricks, Michelle L Stockner, Tsion Habtamu, Joshnamaithili Seelam, Rashon C Britt, Jacob M Giovia, Baaba K Blankson, Poanna Bennam, Mirinda A Gormley, Juan Lu, Joseph P Ornato
BACKGROUND: Reperfusion is the most effective acute treatment for ischemic stroke within a narrow therapeutic time window. Ambulance-based telestroke is a novel way to improve stroke diagnosis and timeliness of treatment. This study aims to (1) assess the usability of our ambulance-based telestroke platform and (2) identify strengths and limitations of the system from the user's perspective. MATERIALS AND METHODS: An ambulance was equipped with a mobile telemedicine system to perform remote stroke assessments...
September 12, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30207893/leprosy-diagnosed-via-teledermatology-in-a-u-s-urban-academic-health-center-highlights-potential-benefits-and-a-pitfall-of-existing-telemedicine-services
#3
Lauren Watchmaker, Jacqueline Watchmaker, Dianne DeLeon, Robert Stavert
PURPOSE: Teledermatology has emerged as an important tool to extend the reach of dermatologists. As utilization of teledermatology services increases, careful attention should be given to the design of the system for consulting dermatologists. METHODOLOGY: In this case study, we report how access to a patient's entire medical history in a teledermatology consultation was vital for an accurate diagnosis. RESULTS: This case emphasizes the importance of full access to patients' medical records for improving diagnostic accuracy...
September 12, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192211/healthcare-service-utilization-under-a-new-virtual-primary-care-delivery-model
#4
Lauren Cheung, Tiffany I Leung, Victoria Y Ding, Jonathan X Wang, Justin Norden, Manisha Desai, Robert A Harrington, Sumbul Desai
BACKGROUND: Telemedicine holds great promise for changing healthcare delivery. While telemedicine has been used significantly in the direct-to-consumer setting, the use of telemedicine in a preventive primary care setting is not well studied. INTRODUCTION: ClickWell Care (CWC) is the first known implementation of a technology-enabled primary care model. We wanted to quantify healthcare utilization of primary care by patient characteristics and modality of care delivery...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192210/innovative-application-of-a-home-based-and-remote-sensing-cardiac-rehabilitation-protocol-in-chinese-patients-after-percutaneous-coronary-intervention
#5
Jiaying Fang, Bin Huang, Duanmin Xu, Jilin Li, William W Au
BACKGROUND: Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabilitation (HBCTR) is an alternative to hospital-based or center-based cardiac rehabilitation, and is an innovative approach to enhance recovery, but the approach is seldom used in China. Our preliminary survey in Shantou, China, indicated that most CHD patients showed a positive attitude toward the HBCTR technology...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192209/patient-engagement-and-cost-savings-achieved-by-automated-telemonitoring-systems-designed-to-prevent-and-identify-surgical-site-infections-after-joint-replacement
#6
Alexander T Yahanda, Nikolas E Marino, John Barron, Angela Concepcion, Theresa St John, Keyin Lu, Christopher Chermside-Scabbo, Bola Aladegbami, Will Ross, John Clohisy, John P Kirby
BACKGROUND: We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks. METHODS: Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192206/implementation-strategies-for-telestroke-a-qualitative-study-of-telestroke-networks-in-north-carolina
#7
Christopher M Shea, Kea Turner, Amir Alishahi Tabriz, Steve North
BACKGROUND: Telestroke services allow under-resourced hospitals to gain access to stroke specialists to improve the timeliness and quality of stroke care. However, limited research is available on how telestroke networks are developed, implemented, and sustained. Understanding the process of telestroke network implementation is critical for developing implementation guidance and for evaluating determinants of implementation effectiveness. OBJECTIVE: This study examines the adoption decision process and strategies employed during telestroke network development, implementation, and sustainability...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192203/use-of-physician-guided-patient-self-examination-to-diagnose-appendicitis-a-telemedicine-case-report
#8
Sapir Nachum, Michael E Stern, Peter W Greenwald, Rahul Sharma
BACKGROUND: Direct-to-consumer (DTC) telemedicine platforms have been increasingly implemented by large hospital systems. This care delivery mechanism shares similarities with bedside medical care, but also differs in key attributes such as the inability to perform a "hands-on" physical examination. METHODS: We present a case of DTC telehealth evaluation that resulted in the diagnosis of acute appendicitis. The case of one female patient presenting to our urgent care mobile application and subsequently to the emergency department (ED) is discussed...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192202/big-data-based-m-health-application-to-prevent-health-hazards-a-design-science-framework
#9
Ibraheem Alharbi, Bader Alyoubi, Md Rakibul Hoque, Najah Almazmomi
BACKGROUND: Every year about three million Muslims visit the Holy City of Makkah in Saudi Arabia to perform the Hajj. Because of the large number of people present during this period, pilgrims can be subjected to many health hazards. An adequate system to minimize these health hazards is needed to support the pilgrims who attend the Hajj. This study justifies the need for developing a large data-based m-Health application to identify the health hazards encountered during the Hajj. MATERIALS AND METHODS: In developing a big data-based m-Health application, this study follows the framework suggested by Hevner...
September 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30192207/evaluation-of-a-telehealth-counseling-program-for-expatriates
#10
Hwa Yeon Park, Ju Young Kim, Hye Yeon Koo, Jinah Han, Ji Hye Jun, Wonjae Lee, Ki Young Na, Hyang Yuol Lee, Yuliya Pak, Seunghee Jang, Sergey Kim, Chulkyu Jeong, Taewook Nam
BACKGROUND: Health problems for expatriates are common due to their vulnerability to local infectious diseases, psychosocial problems, and chronic diseases, but many problems go largely unmet in this unique population. INTRODUCTION: Telehealth counseling was developed and tested for Korean expatriates. We explored the current status of using telehealth counseling systems and showed its feasibility and acceptability in three countries. MATERIALS AND METHODS: This retrospective study was based on the "Development and demonstration of telehealth counseling program for overseas Koreans" project funded by the Korea Health Industry Development Institute...
September 6, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30142032/key-factors-for-the-success-of-self-administered-treatments-of-poststroke-aphasia-using-technologies
#11
Joël Macoir, Monica Lavoie, Sonia Routhier, Nathalie Bier
BACKGROUND: Use of technology in language rehabilitation has grown significantly in recent years, and there is increasing evidence of its effectiveness in the treatment of poststroke aphasia. Technology has the potential to foster intensity and repetition by enabling people with aphasia to improve their skills without the constant presence of the clinician. The main objective of this article is to review and illustrate key factors for the success of self-administered treatments of poststroke aphasia using technologies...
August 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30142029/model-for-medical-student-introductory-telemedicine-education
#12
Clayton Walker, Harriet Echternacht, Patrick D Brophy
BACKGROUND: Several medical specialty organizations and the American Telemedicine Association have developed specialty-specific guidelines and tips for optimal telemedicine use. Formal introductory education for medical students appears to lag behind these other developments. INTRODUCTION: Leaders at the University of Iowa Hospitals and Clinics recognized that students would benefit from an introductory educational program pertinent across all specialties to prepare them for future telemedicine use...
August 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30136901/social-robots-for-people-with-aging-and-dementia-a-systematic-review-of-literature
#13
Susel Góngora Alonso, Sofiane Hamrioui, Isabel de la Torre Díez, Eduardo Motta Cruz, Miguel López-Coronado, Manuel Franco
BACKGROUND: Social robots are currently a form of assistive technology for the elderly, healthy, or with cognitive impairment, helping to maintain their independence and improve their well-being. OBJECTIVE: The main aim of this article is to present a review of the existing research in the literature, referring to the use of social robots for people with dementia and/or aging. METHODS: Academic databases that were used to perform the searches are IEEE Xplore, PubMed, Science Direct, and Google Scholar, taking into account as date of publication the last 10 years, from 2007 to the present...
August 23, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30136898/telemedicine-in-neurological-disorders-opportunities-and-challenges
#14
Martina Chirra, Luca Marsili, Linsdey Wattley, Leonard L Sokol, Elizabeth Keeling, Simona Maule, Gabriele Sobrero, Carlo Alberto Artusi, Alberto Romagnolo, Maurizio Zibetti, Leonardo Lopiano, Alberto J Espay, Ahmed Z Obeidat, Aristide Merola
INTRODUCTION: Telemedicine represents an emerging model for the assessment and management of various neurological disorders. METHODS: We sought to discuss opportunities and challenges for the integration of telemedicine in the management of common and uncommon neurological disorders by reviewing and appraising studies that evaluate telemedicine as a means to facilitate the access to care, deliver highly specialized visits, diagnostic consultations, rehabilitation, and remote monitoring of neurological disorders...
August 23, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30129886/real-time-emergency-department-electronic-notifications-regarding-high-risk-patients-a-systematic-review
#15
Hannah J Kimmel, Yanick N Brice, Thomas A Trikalinos, Indra Neil Sarkar, Megan L Ranney
BACKGROUND: To systematically review evidence on the feasibility and efficacy of real-time electronic notifications about patients at high risk of emergency department (ED) recidivism. METHODS: Eight electronic databases were searched for empirical studies of real-time ED-based electronic tools, identifying adult patients at high risk of frequent utilization. Study selection and data extraction were performed independently by two reviewers. Qualitative data synthesis and assessment of strength of evidence were conducted through consensus discussion...
August 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30129884/integrated-telehealth-and-telecare-for-monitoring-frail-elderly-with-chronic-disease
#16
Hulya Gokalp, Joost de Folter, Vivek Verma, Joanna Fursse, Russell Jones, Malcolm Clarke
OBJECTIVE: To investigate the potential of an integrated care system that acquires vital clinical signs and habits data to support independent living for elderly people with chronic disease. MATERIALS AND METHODS: We developed an IEEE 11073 standards-based telemonitoring platform for monitoring vital signs and activity data of elderly living alone in their home. The platform has important features for monitoring the elderly: unobtrusive, simple, elderly-friendly, plug and play interoperable, and self-integration of sensors...
August 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30129880/methodology-for-evaluating-models-of-telemental-health-delivery-against-population-and-healthcare-system-needs-application-to-telemental-healthcare-for-rural-native-veterans
#17
Jay H Shore, Cynthia W Goss, Nancy K Dailey, Byron D Bair
BACKGROUND: Rural American Indian and Alaska Native (AI/AN) Veterans face exceptional barriers to receiving quality mental healthcare. We aimed to identify models of in-person and telemental health service delivery with promise for adaptation and wide dissemination to rural AI/AN Veterans. METHODS: Our method for matching specific populations with models of care includes (1) selecting frameworks that represent the healthcare organization's goals, (2) identifying relevant service delivery models for the target population(s), (3) assessing models against the selected frameworks, and (4) summarizing findings across models...
August 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30124394/clinical-effectiveness-of-telemedicine-in-diabetes-mellitus-a-meta-analysis-of-42-randomized-controlled-trials
#18
Huidi Tchero, Pauline Kangambega, Christine Briatte, Solenne Brunet-Houdard, Gerald-Reparate Retali, Emmanuel Rusch
BACKGROUND: Telemedicine is instrumental in improving diabetes patient care, as well as providing significant cost benefits. This meta-analysis was conducted to compare the effectiveness of telemedicine intervention with usual care in diabetes patients. METHODS: Randomized controlled trials (RCTs) reporting a change in HbA1c after usual care and telemedicine intervention were retrieved from electronic databases. RESULTS: Data on 6,170 participants (mean age 13...
August 20, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30118402/travel-cost-savings-and-practicality-for-low-vision-telerehabilitation
#19
Carolyn Ihrig
INTRODUCTION: Veterans with low vision who live in rural communities have limited access to low-vision rehabilitation services, unless they are able to travel several miles to a specialty low-vision clinic. A low-vision optometry telerehabilitation evaluation is a thorough assessment of patient's functional vision. Following each low-vision optometry telerehabilitation evaluation is a low-vision telerehabilitation initial assessment with a blind rehabilitation therapist. Our objective was to estimate the acceptance and practicality of low-vision telerehabilitation and investigate the travel cost and time savings...
August 17, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30106664/social-support-seeking-on-social-media-among-chinese-gay-men-living-with-hiv-aids-the-role-of-perceived-threat
#20
Liang Chen, Yu Guo, Jingyuan Shi
BACKGROUND: Due to a double stigma against HIV/AIDS and homosexuality, gay men living with HIV/AIDS (GMLHA) have used social media to exchange social support. The current study aims to examine the influence of perceived threat on seeking social support on social media among Chinese GMLHA. METHODS: First, Weibo posts from 133 GMLHA were content analyzed to identify the perceived severity of HIV infection and perceived severity of stigma, as well as their social support seeking on Weibo...
August 14, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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