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International Journal of Telemedicine and Applications

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https://www.readbyqxmd.com/read/29849606/managing-emergencies-in-rural-north-queensland-the-feasibility-of-teletraining
#1
Tarsh Pandit, Robin A Ray, Sabe Sabesan
Introduction: Historically, the use of videoconference technologies in emergency medicine training has been limited. Whilst there are anecdotal reports of the use of teletraining for emergency medicine by rural doctors in Australia, minimal evidence exists in the literature. This paper aimed to explore the use of teletraining in the context of managing emergency presentations in rural hospitals. Methods: Using a qualitative approach, a mixture of junior and senior doctors were invited to participate in semistructured interviews...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29785181/on-using-a-mobile-application-to-support-teledermatology-a-case-study-in-an-underprivileged-area-in-colombia
#2
Juan Pablo Sáenz, Mónica Paola Novoa, Darío Correal, Bell Raj Eapen
Background: The use of mobile applications in dermatology to support remote diagnosis is gaining acceptance, particularly in rural areas, where dermatology services are commonly managed by healthcare personnel with no specialty training. Moreover, ontologies-sets of concepts that represent knowledge in a given domain-are increasingly being used to support medical diagnosis. A specific case is ONTODerm: an ontology to aid dermatological diagnosis. However, there is little information on the combined use of mobile applications and ontologies as support solutions in dermatology...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29713341/use-of-telemedicine-in-addiction-treatment-current-practices-and-organizational-implementation-characteristics
#3
Todd Molfenter, Roger Brown, Andrew O'Neill, Ed Kopetsky, Alexander Toy
Telemedicine applications offer innovative approaches for treating and reducing the effects of substance use disorders (SUDs). This analysis assessed the interest in and use of 11 telemedicine applications in a sample of 363 SUD organizations in the United States of America. Fifty percent of the organizations expressed high rates of interest in seven of the telemedicine applications, demonstrating the appeal of telemedicine within this field. The top three self-reported telemedicine applications being used were (1) computerized screening/assessments (44...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29666639/what-kind-of-information-and-communication-technologies-do-patients-with-type-2-diabetes-mellitus-prefer-an-ecuadorian-cross-sectional-study
#4
Iván Chérrez-Ojeda, Emanuel Vanegas, Erick Calero, Karin Plaza, Jose A Cano, Juan Carlos Calderon, Jorge Valdano, Jorge Oswaldo Gutierrez, Jose Guevara
Purpose: The purpose of this study is to assess the frequency of use of information and communication technologies and patterns of preference among Ecuadorian patients with diabetes. Methods: We conducted an anonymous cross-sectional survey on type 2 diabetes mellitus. A chi-square test for association and adjusted regression analyses were performed. Results: 248 patients were enrolled, with a mean sample age of 57.7 years. SMS was the most used ICT (66...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29610570/characterizing-the-use-of-telepsychiatry-for-patients-with-opioid-use-disorder-and-cooccurring-mental-health-disorders-in-ontario-canada
#5
Brittanie LaBelle, Alexandra M Franklyn, Vicky Pkh Nguyen, Kathleen E Anderson, Joseph K Eibl, David C Marsh
Rural patients with opioid use disorder (OUD) face a variety of barriers when accessing opioid agonist therapy (OAT) and psychiatric services, due to the limited supply of physicians and the vast geographic area. The telemedicine allows for contact between patients and their physician-regardless of physical distance. Objective . We characterize the usage of telemedicine to deliver psychiatric services to patients with OUD in Ontario, as well as traits of treatment-seeking patients with opioid dependence and concurrent psychiatric disorders...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29463979/patients-and-healthcare-personnel-s-experiences-of-health-coaching-with-online-self-management-in-the-renewing-health-project
#6
Inger Lindberg, Birgitta Lindberg, Siv Söderberg
Background: Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health. Objective: To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care. Method: A pragmatic randomised controlled trial was conducted. Patients in the intervention group measured and reported medical parameters such as blood pressure, blood glucose, prothrombin complex (PK) values, and 2-channel ECG...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29250111/ruling-out-brain-ct-contraindications-prior-to-intravenous-thrombolysis-diagnostic-equivalence-between-a-primary-interpretation-workstation-and-a-mobile-tablet-computer
#7
Antonio J Salazar, Nicolás Useche, Manuel Granja, Aníbal J Morillo, Sonia Bermúdez
Objective: The aim of this study was to evaluate the equivalence of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer, in a telestroke service. Materials and Methods: The ethics committee of our institution approved this retrospective study. A factorial design with 1452 interpretations was used. The assessed variables were the type of stroke classification, the presence of contraindications to the tPA administration, the presence of a hyperdense intracranial artery sign (HMCA), and the Alberta Stroke Program Early CT Score (ASPECTS) score...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29225620/the-internet-use-for-health-information-seeking-among-ghanaian-university-students-a-cross-sectional-study
#8
Benedict Osei Asibey, Seth Agyemang, Augustina Boakye Dankwah
The aim of the study was to investigate university students' use of the Internet for health purpose in the Ghanaian context. The study employed a quantitative cross-sectional design. A total of 650 out of 740 students selected from 3 different universities participated, giving a response rate of 87.7% (650/740). Data were obtained using questionnaires and frequency and percentages were used to analyze data. The results show that university students are active users of the Internet as 78.3% (509/650) used Internet daily and 67...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29138632/the-e-generation-the-technological-usage-and-experiences-of-medical-students-from-a-developing-country
#9
Priyasdarshani Galappatthy, Wasundara S Wathurapatha, Priyanga Ranasinghe, Maheshi D M S Wijayabandara, Dinuka S Warapitiya, Krishantha Weerasuriya
Background: The medical community is increasingly using Portable Electronic Devices (PEDs). We evaluated usage of PEDs and medical apps among medical students from Sri Lanka. Methods: This descriptive cross-sectional study was conducted at Faculty of Medicine, University of Colombo. Medical students from 2nd to 5th year were invited for the study. A self-administered questionnaire was used to collect details of PEDs availability, accessibility, and usage, perceived advantages/barriers of PEDs, and availability, accessibility, and usage of medical apps...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29081795/videoconferencing-for-health-care-provision-for-older-adults-in-care-homes-a-review-of-the-research-evidence
#10
REVIEW
Louise Newbould, Gail Mountain, Mark S Hawley, Steven Ariss
A scoping review was conducted to map the research evidence on the use of videoconferencing for remote health care provision for older adults in care homes. The review aimed to identify the nature and extent of the existing evidence base. Databases used were Embase, Medline, Web of Science, and Cochrane Library Reviews. The review identified 26 articles for inclusion, of which 14 were case studies, making the most used study design. Papers described videoconferencing as being used for assessment, management of health care, clinical support, and diagnosis, with eight of the papers reporting the use of videoconferencing for more than one clinical purpose...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28638406/an-html5-based-pure-website-solution-for-rapidly-viewing-and-processing-large-scale-3d-medical-volume-reconstruction-on-mobile-internet
#11
Liang Qiao, Xin Chen, Ye Zhang, Jingna Zhang, Yi Wu, Ying Li, Xuemei Mo, Wei Chen, Bing Xie, Mingguo Qiu
This study aimed to propose a pure web-based solution to serve users to access large-scale 3D medical volume anywhere with good user experience and complete details. A novel solution of the Master-Slave interaction mode was proposed, which absorbed advantages of remote volume rendering and surface rendering. On server side, we designed a message-responding mechanism to listen to interactive requests from clients (Slave model) and to guide Master volume rendering. On client side, we used HTML5 to normalize user-interactive behaviors on Slave model and enhance the accuracy of behavior request and user-friendly experience...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28386274/do-face-to-face-training-and-telephonic-reminder-improve-dry-powder-inhaler-technique-in-patients-with-copd
#12
Ramesh Sharma Poudel, Shakti Shrestha, Pawan Bhatta, Rano Mal Piryani
Introduction. Current modes of instruction on inhaler technique are inadequate. We aimed to evaluate the value of face-to-face training and telephonic reminder (FFTTR) for improving Rotahaler technique in experienced patients with COPD. Materials and Methods. A single group pre-/postinterventional study was conducted at Chitwan Medical College Teaching Hospital, Nepal. We assessed the Rotahaler technique of thirty consecutive patients using Rotahaler device for more than one year. Patients with incorrect technique (n = 20) were instructed and trained by a pharmacist...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28373881/clinical-decision-support-systems-for-comorbidity-architecture-algorithms-and-applications
#13
Aihua Fan, Di Lin, Yu Tang
In this paper, we present the design of a clinical decision support system (CDSS) for monitoring comorbid conditions. Specifically, we address the architecture of a CDSS by characterizing it from three layers and discuss the algorithms in each layer. Also we address the applications of CDSSs in a few real scenarios and analyze the accuracy of a CDSS in consideration of the potential conflicts when using multiple clinical practice guidelines concurrently. Finally, we compare the system performance in our design with that in the other design schemes...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28293258/research-on-optimization-of-pooling-system-and-its-application-in-drug-supply-chain-based-on-big-data-analysis
#14
DengFeng Wu, Hongyi Mao
Reform of drug procurement is being extensively implemented and expanded in China, especially in today's big data environment. However, the pattern of supply mode innovation lags behind procurement improvement. Problems in financial strain and supply break frequently occur, which affect the stability of drug supply. Drug Pooling System is proposed and applied in a few pilot cities to resolve these problems. From the perspective of supply chain, this study analyzes the process of setting important parameters and sets out the tasks of involved parties in a pooling system according to the issues identified in the pilot run...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28280506/a-way-to-understand-inpatients-based-on-the-electronic-medical-records-in-the-big-data-environment
#15
Hongyi Mao, Yang Sun
In recent decades, information technology in healthcare, such as Electronic Medical Record (EMR) system, is potential to improve service quality and cost efficiency of the hospital. The continuous use of EMR systems has generated a great amount of data. However, hospitals tend to use these data to report their operational efficiency rather than to understand their patients. Base on a dataset of inpatients' medical records from a Chinese general public hospital, this study applies a configuration analysis from a managerial perspective and explains inpatients management in a different way...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28167961/real-time-fall-risk-assessment-using-functional-reach-test
#16
Brian Williams, Brandon Allen, Zhen Hu, Hanna True, Jin Cho, Austin Harris, Nancy Fell, Mina Sartipi
Falls are common and dangerous for survivors of stroke at all stages of recovery. The widespread need to assess fall risk in real time for individuals after stroke has generated emerging requests for a reliable, inexpensive, quantifiable, and remote clinical measure/tool. In order to meet these requests, we explore the Functional Reach Test (FRT) for real-time fall risk assessment and implement the FRT function in mStroke, a real-time and automatic mobile health system for poststroke recovery and rehabilitation...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28115932/how-environmental-uncertainty-moderates-the-effect-of-relative-advantage-and-perceived-credibility-on-the-adoption-of-mobile-health-services-by-chinese-organizations-in-the-big-data-era
#17
REVIEW
Xing Chen, Xing Zhang
Despite the importance of adoption of mobile health services by an organization on the diffusion of mobile technology in the big data era, it has received minimal attention in literature. This study investigates how relative advantage and perceived credibility affect an organization's adoption of mobile health services, as well as how environmental uncertainty changes the relationship of relative advantage and perceived credibility with adoption. A research model that integrates relative advantage, perceived credibility, environmental uncertainty, and an organization's intention to use mobile health service is developed...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/28070186/qualitative-assessment-of-the-feasibility-usability-and-acceptability-of-a-mobile-client-data-app-for-community-based-maternal-neonatal-and-child-care-in-rural-ghana
#18
Jessica D Rothstein, Larissa Jennings, Anitha Moorthy, Fan Yang, Lisa Gee, Karen Romano, David Hutchful, Alain B Labrique, Amnesty E LeFevre
Mobile phone applications may enhance the delivery of critical health services and the accuracy of health service data. Yet, the opinions and experiences of frontline health workers on using mobile apps to track pregnant and recently delivered women are underreported. This evaluation qualitatively assessed the feasibility, usability, and acceptability of a mobile Client Data App for maternal, neonatal, and child client data management by community health nurses (CHNs) in rural Ghana. The mobile app enabled CHNs to enter, summarize, and query client data...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27974888/an-iterative-mixed-usability-approach-applied-to-the-telekit-system-from-the-danish-telecare-north-trial
#19
Pernille Heyckendorff Lilholt, Clara Schaarup, Ole Kristian Hejlesen
Objective. The aim of the present study is to evaluate the usability of the telehealth system, coined Telekit, by using an iterative, mixed usability approach. Materials and Methods. Ten double experts participated in two heuristic evaluations (HE1, HE2), and 11 COPD patients attended two think-aloud tests. The double experts identified usability violations and classified them into Jakob Nielsen's heuristics. These violations were then translated into measurable values on a scale of 0 to 4 indicating degree of severity...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27777584/noninferiority-and-equivalence-evaluation-of-clinical-performance-among-computed-radiography-film-and-digitized-film-for-telemammography-services
#20
Antonio J Salazar, Javier A Romero, Oscar A Bernal, Angela P Moreno, Sofía C Velasco, Xavier A Díaz
Objective. The aim of this study was to evaluate and compare the clinical performance of different alternatives to implement low-cost screening telemammography. We compared computed radiography, film printed images, and digitized films produced with a specialized film digitizer and a digital camera. Material and Methods. The ethics committee of our institution approved this study. We assessed the equivalence of the clinical performance of observers for cancer detection. The factorial design included 70 screening patients, four technological alternatives, and cases interpreted by seven radiologists, for a total of 1,960 observations...
2016: International Journal of Telemedicine and Applications
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