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International Journal of Telemedicine and Applications

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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