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International Journal of Telemedicine and Applications

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https://www.readbyqxmd.com/read/27777584/noninferiority-and-equivalence-evaluation-of-clinical-performance-among-computed-radiography-film-and-digitized-film-for-telemammography-services
#1
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
https://www.readbyqxmd.com/read/27688752/the-self-perception-and-usage-of-medical-apps-amongst-medical-students-in-the-united-states-a-cross-sectional-survey
#2
Cara Quant, Lisa Altieri, Juan Torres, Noah Craft
Background. Mobile medical software applications (apps) are used for clinical decision-making at the point of care. Objectives. To determine (1) the usage, reliability, and popularity of mobile medical apps and (2) medical students' perceptions of app usage effect on the quality of patient-provider interaction in healthcare settings. Methods. An anonymous web-based survey was distributed to medical students. Frequency of use, type of app used, and perceptions of reliability were assessed via univariate analysis...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27660637/continuing-medical-education-via-telemedicine-and-sustainable-improvements-to-health
#3
Fuhmei Wang
Background. This research aims to investigate the quantitative relationship between telemedicine and online continuing medical education (CME) and to find the optimal CME lectures to be delivered via telemedicine to improve the population's health status. Objective. This study examines the following: (1) What factors foster learning processes in CME via telemedicine? (2) What is the possible role of online CME in health improvement? And (3) How optimal learning processes can be integrated with various health services? Methods...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27528868/economic-modeling-of-heart-failure-telehealth-programs-when-do-they-become-cost-saving
#4
Sheena Xin Liu, Rui Xiang, Charles Lagor, Nan Liu, Kathleen Sullivan
Telehealth programs for congestive heart failure have been shown to be clinically effective. This study assesses clinical and economic consequences of providing telehealth programs for CHF patients. A Markov model was developed and presented in the context of a home-based telehealth program on CHF. Incremental life expectancy, hospital admissions, and total healthcare costs were examined at periods ranging up to five years. One-way and two-way sensitivity analyses were also conducted on clinical performance parameters...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27433161/evaluation-of-a-scalable-information-analytics-system-for-enhanced-situational-awareness-in-mass-casualty-events
#5
Aura Ganz, James M Schafer, Zhuorui Yang, Jun Yi, Graydon Lord, Gregory Ciottone
We investigate the utility of DIORAMA-II system which provides enhanced situational awareness within a disaster scene by using real-time visual analytics tools and a collaboration platform between the incident commander and the emergency responders. Our trials were conducted in different geographical areas (feature-rich and featureless regions) and in different lighting conditions (daytime and nighttime). DIORAMA-II obtained considerable time gain in efficiency compared to conventional paper based systems. DIORAMA-II time gain was reflected in reduction of both average triage time per patient (up to 34...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27190507/software-assisted-depth-analysis-of-optic-nerve-stereoscopic-images-in-telemedicine
#6
Tian Xia, Shriji N Patel, Ben C Szirth, Anton M Kolomeyer, Albert S Khouri
Background. Software guided optic nerve assessment can assist in process automation and reduce interobserver disagreement. We tested depth analysis software (DAS) in assessing optic nerve cup-to-disc ratio (VCD) from stereoscopic optic nerve images (SONI) of normal eyes. Methods. In a prospective study, simultaneous SONI from normal subjects were collected during telemedicine screenings using a Kowa 3Wx nonmydriatic simultaneous stereoscopic retinal camera (Tokyo, Japan). VCD was determined from SONI pairs and proprietary pixel DAS (Kowa Inc...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27190506/a-multiple-classifier-framework-for-parkinson-s-disease-detection-based-on-various-vocal-tests
#7
Mahnaz Behroozi, Ashkan Sami
Recently, speech pattern analysis applications in building predictive telediagnosis and telemonitoring models for diagnosing Parkinson's disease (PD) have attracted many researchers. For this purpose, several datasets of voice samples exist; the UCI dataset named "Parkinson Speech Dataset with Multiple Types of Sound Recordings" has a variety of vocal tests, which include sustained vowels, words, numbers, and short sentences compiled from a set of speaking exercises for healthy and people with Parkinson's disease (PWP)...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/27034661/towards-mhealth-systems-for-support-of-psychotherapeutic-practice-a-qualitative-study-of-researcher-clinician-collaboration-in-system-design-and-evaluation
#8
Karin Halje, Toomas Timpka, Joakim Ekberg, Magnus Bång, Anders Fröberg, Henrik Eriksson
We examined clinicians' and researchers' experiences from participation in collaborative research on the introduction of Internet and mobile information systems (mHealth systems) in psychotherapeutic routines. The study used grounded theory methodology and was set in a collaboration that aimed to develop and evaluate mHealth support of psychotherapy provided to young people. Soundness of the central objects developed in the design phase (the collaboration contract, the trial protocol, and the system technology) was a necessary foundation for successful collaborative mHealth research; neglect of unanticipated organizational influences during the trial phase was a factor in collaboration failure...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26941793/effect-of-reinforcement-of-oral-health-education-message-through-short-messaging-service-in-mobile-phones-a-quasi-experimental-trial
#9
Harish C Jadhav, Arun S Dodamani, G N Karibasappa, Rahul G Naik, Mahesh R Khairnar, Manjiri A Deshmukh, Prashanth Vishwakarma
Objective. This paper aims to assess the effectiveness of reinforcement of oral health education message through short messaging service (SMS) in mobile phones. Material and Methods. 400 subjects from two colleges (200 from each college) belonging to 18-20 years age group possessing mobile phones were randomly selected and baseline examination of oral hygiene and gingival status was carried out using Oral Hygiene Index (OHI) and Gingival Index (GI). Oral health education was provided to all the subjects. Oral health education message was reinforced through short messaging service (SMS) in mobile phones for the subjects belonging to the intervention group...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26884757/tablet-pc-enabled-body-sensor-system-for-rural-telehealth-applications
#10
Nitha V Panicker, A Sukesh Kumar
Telehealth systems benefit from the rapid growth of mobile communication technology for measuring physiological signals. Development and validation of a tablet PC enabled noninvasive body sensor system for rural telehealth application are discussed in this paper. This system includes real time continuous collection of physiological parameters (blood pressure, pulse rate, and temperature) and fall detection of a patient with the help of a body sensor unit and wireless transmission of the acquired information to a tablet PC handled by the medical staff in a Primary Health Center (PHC)...
2016: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26788055/a-real-time-health-monitoring-system-for-remote-cardiac-patients-using-smartphone-and-wearable-sensors
#11
Priyanka Kakria, N K Tripathi, Peerapong Kitipawang
Online telemedicine systems are useful due to the possibility of timely and efficient healthcare services. These systems are based on advanced wireless and wearable sensor technologies. The rapid growth in technology has remarkably enhanced the scope of remote health monitoring systems. In this paper, a real-time heart monitoring system is developed considering the cost, ease of application, accuracy, and data security. The system is conceptualized to provide an interface between the doctor and the patients for two-way communication...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26770193/application-of-fractional-wave-packet-transform-for-robust-watermarking-of-mammograms
#12
Pushpa Mala Siddaraju, Devappa Jayadevappa, Kaliyamoorthy Ezhilarasan
Exchanging of medical data requires efficient authentication and protection of medical data that can be illegally modified. Watermarking plays an important role in protecting, sharing, and securing medical data. In this work, a robust nonblind medical image watermarking scheme is proposed. The process involves two steps: the embedding and the extraction phase. During the embedding phase, l-level FRWPT is performed on the host image and the watermark is embedded into the modified reference image. In the second phase, inverse FRWPT is performed on the watermarked image to extract the watermark from the watermarked image...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26640483/feasibility-of-telerehabilitation-implementation-as-a-novel-experience-in-rehabilitation-academic-centers-and-affiliated-clinics-in-tehran-assessment-of-rehabilitation-professionals-attitudes
#13
Sara Movahedazarhouligh, Roshanak Vameghi, Nikta Hatamizadeh, Enayatollah Bakhshi, Seyed Muhammad Moosavy Khatat
Introduction. This study aimed to assess rehabilitation professionals' attitude toward implementation and application of telerehabilitation technology as a novel study in rehabilitation academic centers and affiliated clinics in Tehran. Methods. It was a descriptive cross-sectional study. To collect data, a researcher-designed questionnaire was developed. 141 rehabilitation experts participated in the study. Results. A majority of faculty members (78%) and clinicians (89.7%) either were in "definite agreement" or "somewhat agreed" with implementation and application of this technology, which demonstrates an overall positive attitude...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26557848/willingness-to-adopt-telemedicine-in-major-iraqi-hospitals-a-pilot-study
#14
Mohd Khanapi Abd Ghani, Mustafa Musa Jaber
The Iraqi healthcare services are struggling to regain their lost momentum. Many physicians and nurses left Iraq because of the current situation in the country. Despite plans of calling back the skilled health workforce, they are still worried by the disadvantages of their return. Hence, technology plays a central role in taking advantage of their profession through the use of telemedicine. Studying the factors that affect the implementation of telemedicine is necessary. Telemedicine covers network services, policy makers, and patient understanding...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/26265913/impact-of-a-virtual-clinic-in-a-paediatric-cardiology-network-on-northeast-brazil
#15
Juliana Sousa Soares de Araújo, Adalberto Vieira Dias Filho, Renata Grigório Silva Gomes, Cláudio Teixeira Regis, Klecida Nunes Rodrigues, Nicoly Negreiros Siqueira, Fernanda Cruz de Lira Albuquerque, Felipe Alves Mourato, Sandra da Silva Mattos
Introduction. Congenital heart diseases (CHD) affect approximately 1% of live births and is an important cause of neonatal morbidity and mortality. Despite that, there is a shortage of paediatric cardiologists in Brazil, mainly in the northern and northeastern regions. In this context, the implementation of virtual outpatient clinics with the aid of different telemedicine resources may help in the care of children with heart defects. Methods. Patients under 18 years of age treated in virtual outpatient clinics between January 2013 and May 2014 were selected...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/25810717/teleultrasound-historical-perspective-and-clinical-application
#16
REVIEW
Adilson Cunha Ferreira, Edward O'Mahony, Antonio Hélio Oliani, Edward Araujo Júnior, Fabricio da Silva Costa
The health care of patients in rural or isolated areas is challenged by the scarcity of local resources, limited patient access to doctors and hospitals, and the lack of specialized professionals. This has led to a new concept in telemedicine: teleultrasonography (or teleultrasound), which permits ultrasonographic diagnoses to be performed remotely. Telemedicine and teleultrasonography are effective in providing diagnostic imaging services to these populations and reduce health care costs by decreasing the number and duration of hospitalizations and reducing unnecessary surgical procedures...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/25784933/development-of-a-wearable-sensor-based-fall-detection-system
#17
Falin Wu, Hengyang Zhao, Yan Zhao, Haibo Zhong
Fall detection is a major challenge in the public healthcare domain, especially for the elderly as the decline of their physical fitness, and timely and reliable surveillance is necessary to mitigate the negative effects of falls. This paper develops a novel fall detection system based on a wearable device. The system monitors the movements of human body, recognizes a fall from normal daily activities by an effective quaternion algorithm, and automatically sends request for help to the caregivers with the patient's location...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/25699079/nurses-experience-of-using-an-application-to-support-new-parents-after-early-discharge-an-intervention-study
#18
Dorthe Boe Danbjørg, Lis Wagner, Bjarne Rønde Kristensen, Jane Clemensen
Background. A development towards earlier postnatal discharge presents a challenge to find new ways to provide information and support to families. A possibility is the use of telemedicine. Objective. To explore how using an app in nursing practice affects the nurses' ability to offer support and information to postnatal mothers who are discharged early and their families. Design. Participatory design. An app with a chat, a knowledgebase, and automated messages was tried out between hospital and parents at home...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/25691900/improving-perinatal-care-in-the-rural-regions-worldwide-by-wireless-enabled-antepartum-fetal-monitoring-a-demonstration-project
#19
Roberto Tapia-Conyer, Shelley Lyford, Rodrigo Saucedo, Michael Casale, Hector Gallardo, Karen Becerra, Jonathan Mack, Ricardo Mujica, Daniel Estrada, Antonio Sanchez, Ramon Sabido, Carlos Meier, Joseph Smith
Background. Fetal and neonatal morbidity and mortality are significant problems in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge. The Gary and Mary West Health Institute and the Instituto Carlos Slim de la Salud conducted a demonstration project of wirelessly enabled antepartum maternal-fetal monitoring in the state of Yucatán, Mexico, to assess whether there were any fundamental barriers preventing deployment and use. Methods. Following informed consent, high-risk pregnant women at 27-29 weeks of gestation at the Chemax primary clinic participated in remote maternal-fetal monitoring...
2015: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/25574165/feasibility-and-acceptability-of-utilizing-a-smartphone-based-application-to-monitor-outpatient-discharge-instruction-compliance-in-cardiac-disease-patients-around-discharge-from-hospitalization
#20
Aimee M Layton, James Whitworth, James Peacock, Matthew N Bartels, Patricia A Jellen, Byron M Thomashow
The purpose of this study was to determine the feasibility and acceptability of utilizing a smartphone based application to monitor compliance in patients with cardiac disease around discharge. For 60 days after discharge, patients' medication compliance, physical activity, follow-up care, symptoms, and reading of education material were monitored daily with the application. 16 patients were enrolled in the study (12 males, 4 females, age 55 ± 18 years) during their hospital stay. Five participants were rehospitalized during the study and did not use the application once discharged...
2014: International Journal of Telemedicine and Applications
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