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https://www.readbyqxmd.com/read/29029687/a-qualitative-study-of-copd-patients-experience-of-a-telemedicine-intervention
#1
Lene Nissen, Tove Lindhardt
BACKGROUND: Clinically stable patients with chronic obstructive pulmonary disease (COPD) are often followed at regular intervals regardless of the needs. Our aim was to investigate the patient perspective on receiving telemedicine with weekly submission of readings and regular video consultations (Net-COPD) as an alternative to visits in the respiratory outpatient clinic and investigating the role of telemedicine in management of severe COPD. DESIGN: Descriptive design and the method is qualitative based on semistructured interviews...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29028413/initial-assessment-treatment-and-follow-up-of-minor-pediatric-burn-wounds-in-four-patients-remotely-a-preliminary-communication
#2
Marek A Paul, Parisa Kamali, Ahmed M S Ibrahim, Caroline Medin, Bernard T Lee, Samuel J Lin
BACKGROUND: Close, multidisciplinary collaboration with burn experts is the essential strategy to achieve the best functional and esthetic outcomes in burn wound treatment. Management of minor burn injuries, where no specialized care is available, might be challenging. One concept to achieve a fast and timely result is the application of telemedicine. The objective of this study was to assess and develop a simple telemedicine protocol, which can be applied globally. MATERIAL AND METHODS: We present a pilot study based on a pediatric population of four patients with minor burns...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28994634/the-eu-project-united4health-results-and-experiences-from-automatic-health-status-assessment-in-a-norwegian-telemedicine-trial-system
#3
Martin Gerdes, Frode Gallefoss, Rune Werner Fensli
Introduction Patients with chronic obstructive pulmonary disease require help in daily life situations to increase their individual perception of security, especially under worsened medical conditions. Unnecessary hospital (re-)admissions and home visits by doctors or nurses shall be avoided. This study evaluates the results from a two-year telemedicine field trial for automatic health status assessment based on remote monitoring and analysis of a long time series of vital signs data from patients at home over periods of weeks or months...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28988636/-maternal-anxiety-related-to-how-the-pediatrician-provided-prenatal-information-about-preterm-birth
#4
C Dekens, C Fontaine, E Carpentier, L Barcat, J Gondry, P Tourneux
INTRODUCTION: Women hospitalized for preterm labor require clear information about prematurity. This study assessed whether or not specific written information about prematurity delivered at admission to the unit combined with an oral explanation from a pediatrician would decrease women's anxiety compared to an oral explanation alone. MATERIAL AND METHODS: This was a prospective, single-center observational study. Women were included in the high-risk pregnancies department and distributed into two groups: receiving "only oral" information for a prenatal clinical consultation with a senior pediatrician or receiving "combined" oral information+a booklet about prematurity given to the women at admission...
October 4, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28982614/video-urodynamic-study-in-female-adults-with-air-filled-catheters-a-health-care-training-video
#5
Veerle Decalf, Inge Ragolle, Achilles Ploumidis, Piet Hoebeke, Karel Everaert, Anne-Françoise Spinoit
OBJECTIVE: To take the first step toward standardization of UDS with air-filled catheters, we present a video documenting a procedure for performing video UDS with air-filled catheters in female adults. According to The International Consultation on Incontinence (ICS), the aim of urodynamic studies (UDS) in clinical practice is to evaluate a patient's lower urinary tract function with at least 1 complete and representative filling-voiding-post-voiding cycle by testing with relevant pressures and flowmetry...
October 2017: Urology
https://www.readbyqxmd.com/read/28979529/free-open-access-med-ical-edu-cation-for-critical-care-practitioners
#6
EDITORIAL
Olusegun Olusanya, James Day, Justin Kirk-Bayley, Tamas Szakmany
Free Open Access Med(ical edu)cation refers to an online community of knowledge relating to medicine. Originating from practitioners in emergency medicine, it has since spread to critical care, internal medicine, prehospital medicine, paediatrics, and allied health professionals and continues to grow at an advanced rate. Weblogs ('blog' for short), emails, social media (in particular Twitter), recorded audio material ((podcasts), and video material are all produced on a daily basis and contribute to the continual professional development of trainees and consultants worldwide...
February 2017: J Intensive Care Soc
https://www.readbyqxmd.com/read/28967235/addressing-rural-and-remote-access-disparities-for-patients-with-inflammatory-arthritis-through-video-conferencing-and-innovative-inter-professional-care-models
#7
Regina Taylor-Gjevre, Bindu Nair, Brenna Bath, Udoka Okpalauwaekwe, Meenu Sharma, Erika Penz, Catherine Trask, Samuel Alan Stewart
OBJECTIVE: The aim of the present study was to evaluate whether rheumatoid arthritis (RA) patients followed longitudinally using video-conferencing and inter-professional care support have comparable disease control to those followed in traditional in-person rheumatology clinics. METHODS: This was a randomized controlled trial for 85 RA patients allocated to either traditional in-person rheumatology follow-up or video-conferenced follow-up with urban-based rheumatologists and rural in-person physical therapist examiners...
October 2, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28958687/-clinical-analysis-before-surgery-in-facial-and-neck-rejuvenation
#8
M Rouif, P Bogaert
The first step to determine a medical or surgical intervention is the clinical exam. The clinical exam is the paramount step to provide a treatment plan that can be modified and individualized accounting the patient preferences. During the consultation for facial rejuvenation, attention should be paid to understand the patient's motivation and expectations. A thorough understanding of the anatomy and the natural history of ageing will facilitate the analysis of the face. Not only the degree of ptosis but also the degree of volume loss will need to be assessed, as well as the influence of the facial muscles, the skin quality, and the different causes of rythids...
September 25, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28924412/adding-access-to-a-video-magnifier-to-standard-vision-rehabilitation-initial-results-on-reading-performance-and-well-being-from-a-prospective-randomized-study
#9
Mary Lou Jackson, Kimberly A Schoessow, Alexandra Selivanova, Jennifer Wallis
PURPOSE: Both optical and electronic magnification are available to patients with low vision. Electronic video magnifiers are more expensive than optical magnifiers, but they offer additional benefits, including variable magnification and contrast. This study aimed to evaluate the effect of access to a video magnifier (VM) added to standard comprehensive vision rehabilitation (VR). METHODS: In this prospective study, 37 subjects with central field loss were randomized to receive standard VR (VR group, 18 subjects) or standard VR plus VM (VM group, 19 subjects)...
2017: Digital Journal of Ophthalmology: DJO
https://www.readbyqxmd.com/read/28915815/designing-an-implementation-intervention-with-the-behaviour-change-wheel-for-health-provider-smoking-cessation-care-for-australian-indigenous-pregnant-women
#10
Gillian S Gould, Yael Bar-Zeev, Michelle Bovill, Lou Atkins, Maree Gruppetta, Marilyn J Clarke, Billie Bonevski
BACKGROUND: Indigenous smoking rates are up to 80% among pregnant women: prevalence among pregnant Australian Indigenous women was 45% in 2014, contributing significantly to the health gap for Indigenous Australians. We aimed to develop an implementation intervention to improve smoking cessation care (SCC) for pregnant Indigenous smokers, an outcome to be achieved by training health providers at Aboriginal Medical Services (AMS) in a culturally competent approach, developed collaboratively with AMS...
September 15, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28901709/exploring-subjectivity-in-competency-based-assessment-judgements-of-assessors
#11
Rachel Bacon, Kay Holmes, Claire Palermo
AIM: The aim of this research was to measure variations in assessors' judgements of a student dietitian's performance and to explore the influence of group discussion on their judgements. METHODS: The assessments of a student's performance, as observed from a video recording of an authentic nutrition consultation, were measured pre- and post-group discussion by 26 experienced assessors using a mixed-methods questionnaire. The instrument included a validated 7-point visual analogue scale (VAS) rating (1 = novice; 7 = competent), a qualitative global description of performance and an assessor's confidence rating (1 = not at all confident; 10 = extremely confident)...
September 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28875783/nurses-lead-the-way-with-webcam-consultations
#12
Lynne Pearce
More than a decade ago, Airedale NHS Foundation Trust in West Yorkshire began using a video link to deliver consultations to prisoners at a high-security jail. It meant prisoners no longer had to be escorted to the outpatient department.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28871562/teledermatology-a-review-and-update
#13
REVIEW
Jonathan J Lee, Joseph C English
Telemedicine is slowly transforming the way in which healthcare is delivered and has the potential to improve access to subspecialty expertise, reduce healthcare costs, and improve the overall quality of care. While many subspecialty fields within medicine today have either experimented with or begun to implement telemedicine platforms to enable remote consultation and care, dermatology is particularly suited for this care system as skin disorders are uniquely visible to the human eye. Through teledermatology, diagnostic images of skin disorders with accompanying clinical histories can be remotely reviewed by teledermatologists by any number of modalities, such as photographic clinical images or live video teleconferencing...
September 4, 2017: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/28870442/mimicking-non-verbal-emotional-expressions-and-empathy-development-in-simulated-consultations-an-experimental-feasibility-study
#14
Yuefang Zhou, Martin H Fischer
OBJECTIVE: To explore the feasibility of applying an experimental design to study the relationship between non-verbal emotions and empathy development in simulated consultations. METHOD: In video-recorded simulated consultations, twenty clinicians were randomly allocated to either an experimental group (instructed to mimic non-verbal emotions of a simulated patient, SP) or a control group (no such instruction). Baseline empathy scores were obtained before consultation, relational empathy was rated by SP after consultation...
August 30, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28869057/the-social-utility-of-clinical-exome-sequencing
#15
Stefan Timmermans, Tanya Stivers
OBJECTIVE: Examine the presentation of clinical and social implications of exome sequencing findings during patient-geneticist interactions. METHODS: Video-recordings of 34 returns of exome sequencing results with findings in an academic genetics clinic were examined using an inductive thematic analysis to distinguish categories of consequences. We then operationalized these categories for structured observation coding of parent or geneticist/genetic counselor-initiated mention of consequences, complemented with semi-structured interviews with 16 families...
August 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28868993/stakeholder-involvement-throughout-health-technology-assessment-an-example-from-palliative-care
#16
Louise Brereton, Philip Wahlster, Kati Mozygemba, Kristin Bakke Lysdahl, Jake Burns, Stephanie Polus, Marcia Tummers, Pietro Refolo, Dario Sacchini, Wojciech Leppert, James Chilcott, Christine Ingleton, Clare Gardiner, Elizabeth Goyder
OBJECTIVES: Internationally, funders require stakeholder involvement throughout health technology assessment (HTA). We report successes, challenges, and lessons learned from extensive stakeholder involvement throughout a palliative care case study that demonstrates new concepts and methods for HTA. METHODS: A 5-step "INTEGRATE-HTA Model" developed within the INTEGRATE-HTA project guided the case study. Using convenience or purposive sampling or directly / indirectly identifying and approaching individuals / groups, stakeholders participated in qualitative research or consultation meetings...
September 4, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28837980/-chances-and-risks-of-telemedicine-in-orthopaedics-and-trauma-surgery
#17
Martin Holderried, Madeleine Schlipf, Ansgar Höper, Reinhard Meier, Ulrich Stöckle, Tobias Maximilian Kraus
Background The use of information technology (IT) in health care has continuously increased. This includes software solutions for digitalisation, data storage and innovative approaches in diagnostics. The facilitation of the access to specific information, even by the patient, has changed daily clinical work. Patients inform themselves about symptoms, diagnostic methods and treatment options. This urge for information and the wish for the best treatment is summarised in the expression "patient empowerment"...
August 24, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28830408/the-ktx360%C3%A2-study-a-multicenter-multisectoral-multimodal-telemedicine-based-follow-up-care-model-to-improve-care-and-reduce-health-care-costs-after-kidney-transplantation-in-children-and-adults
#18
L Pape, M de Zwaan, U Tegtbur, F Feldhaus, J K Wolff, L Schiffer, C Lerch, N Hellrung, V Kliem, G Lonnemann, H D Nolting, M Schiffer
BACKGROUND: Follow-up care after kidney transplantation is performed in transplant centers as well as in local nephrologist's practices in Germany. However, organized integrated care of these different sectors of the German health care system is missing. This organizational deficit as well as non-adherence of kidney recipients and longterm cardiovascular complications are major reasons for an impaired patient and graft survival. METHODS: The KTx360° study is supported by a grant from the Federal Joint Committee of the Federal Republic of Germany...
August 23, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28806903/service-provider-perceptions-of-transitioning-from-audio-to-video-capability-in-a-telehealth-system-a-qualitative-evaluation
#19
Robyn Clay-Williams, Melissa Baysari, Natalie Taylor, Dianne Zalitis, Andrew Georgiou, Maureen Robinson, Jeffrey Braithwaite, Johanna Westbrook
BACKGROUND: Telephone consultation and triage services are increasingly being used to deliver health advice. Availability of high speed internet services in remote areas allows healthcare providers to move from telephone to video telehealth services. Current approaches for assessing video services have limitations. This study aimed to identify the challenges for service providers associated with transitioning from audio to video technology. METHODS: Using a mixed-method, qualitative approach, we observed training of service providers who were required to switch from telephone to video, and conducted pre- and post-training interviews with 15 service providers and their trainers on the challenges associated with transitioning to video...
August 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28780527/assessment-of-orientation-practices-for-ethics-consultation-at-harvard-medical-school-affiliated-hospitals
#20
Danish Zaidi, Jennifer C Kesselheim
BACKGROUND: Few studies have been conducted to assess the quality of orientation practices for ethics advisory committees that conduct ethics consultation. This survey study focused on several Harvard teaching hospitals, exploring orientation quality and committee members' self-evaluation in the American Society of Bioethics and Humanities (ASBH) ethics consultation competencies. METHODS: We conducted a survey study that involved 116 members and 16 chairs of ethics advisory committees, respectively (52% and 62...
August 5, 2017: Journal of Medical Ethics
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