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https://www.readbyqxmd.com/read/29783049/thermopuncture-for-the-diagnosis-monitoring-and-treatment-of-patients-with-type-2-diabetes
#1
Valery Muzhikov, Elena Vershinina, Ruslan Muzhikov, Kirill Nikitin
BACKGROUND: Type 2 diabetes (T2D) is a socially significant disease that affects millions of patients. There were an estimated 366 million people with this disease in 2011, and, according to the forecast, approximately 552 million will be affected by this disease in 2030. It is well known that the primary diagnosis and treatment of a patient with this disease are quite expensive. What should be done to make it possible for a patient to monitor his own state and provide treatment in his own home using telemedicine? To solve this problem, an alternative concept for the diagnosis, monitoring, and treatment at the basis of traditional Chinese medicine (TCM) combined with mathematical methods of data processing has been used...
May 18, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29781596/conservative-treatment-of-rotator-cuff-tear-in-older-patients-a-role-for-the-cycloergometer-a-randomized-study
#2
Bernardo Gialanella, Laura Comini, Marta Gaiani, Adriana Olivares, Simonetta Scalvini
BACKGROUND: To date, there are no published data on the use of devices in the management of rotator cuff tear (RCT). AIM: To evaluate the effect of supervised arm cycloergometer training on pain during activities and shoulder functionality in patients with symptomatic full-thickness RCT. DESIGN: This is a prospective randomized controlled pilot study. SETTING: Outpatients of our Rehabilitation Unit. POPULATION: In this pilot study, 40 elderly outpatients (>70 years) with RCT were randomized to two groups: Cycloergometer (CYC) vs...
May 18, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29779715/evaluating-satisfaction-of-patients-with-stutter-regarding-the-tele-speech-therapy-method-and-infrastructure
#3
Maryam Eslami Jahromi, Leila Ahmadian
OBJECTIVE: Investigating the required infrastructure for the implementation of telemedicine and the satisfaction of target groups improves the acceptance of this technology and facilitates the delivery of healthcare services. The aim of this study was to assess the satisfaction of patients with stutter concerning the therapeutic method and the infrastructure used to receive tele-speech therapy services. METHODS: This descriptive-analytical study was conducted on all patients with stutter aged between 14 and 39 years at Jahrom Social Welfare Bureau (n = 30)...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29778584/evaluating-the-capacity-of-california-s-publicly-funded-universities-to-provide-medication-abortion
#4
Sarah Raifman, Patricia Anderson, Shelly Kaller, Diane Tober, Daniel Grossman
OBJECTIVE: To explore the capacity of the University of California (UC) and California State University (CSU) student health centers to provide medication abortion (MA), to identify gaps in resources required to implement proposed Senate Bill 320, which would mandate the provision of MA on UC and CSU campuses, and to explore California student health center staff perspectives on the benefits and challenges of providing MA. STUDY DESIGN: UC and CSU student health center (SHC) staff participated in a self-administered online survey; we conducted in-depth data collection including site visits and conference calls at a subset of campuses...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29777451/telemedicine-based-system-for-quality-management-and-peer-review-in-radiology
#5
Sergey Morozov, Ekaterina Guseva, Natalya Ledikhova, Anton Vladzymyrskyy, Dmitry Safronov
OBJECTIVES: Quality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the "scoring" approach and makes the quality control more accessible and objective. METHODS: A concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images...
May 18, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29777072/telemedicine-are-we-nearly-there-yet
#6
(no author information available yet)
When it comes to the use of telemedicine in clinical care, the veterinary world has lagged behind the human care sector. But now, discovers Matthew Limb , vets are catching up.
May 19, 2018: Veterinary Record
https://www.readbyqxmd.com/read/29770076/the-use-of-technology-to-improve-health-care-to-saskatchewan-s-first-nations-communities
#7
I Khan, N Ndubuka, K Stewart, V McKinney, I Mendez
Background: Saskatchewan is a province of over one million people and over 13% are Indigenous peoples, many of whom live on reserve lands. Despite continued efforts, access to health care remains a significant challenge for these Indigenous people, especially those in the North. Objective: To address this challenge, Saskatchewan's health care providers have been incorporating the use of technology for various health services. This paper describes various ways technology has been used in First Nations communities in Saskatchewan...
June 1, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29766913/telemedicine-and-neurosciences
#8
Krishnan Ganapathy
It is well documented that there is an acute shortage of neurologists and neurosurgeons in India and globally. Despite all efforts, it will be impossible to make available neurospecialists in all suburban and rural areas. Simultaneously, there has been an exponential increase in the growth and development of Information and Communication Technology (ICT). Plummeting costs and unbelievable sophistication in the availability of user-friendly mobile video conferencing devices is making distance meaningless. Geography has become History! Worldwide, the ultraconservative health care industry, in particular, the medical community, has been uniformly slow to adopt and embrace the use of ICT to extend their clinical reach...
May 2018: Neurology India
https://www.readbyqxmd.com/read/29759287/comprehensive-preoperative-assessment-and-global-optimization
#9
REVIEW
Neil N Shah, Thomas R Vetter
To successfully deliver greater perioperative value-based care and to effectively contribute to sustained and meaningful perioperative population health management, the scope of existing preoperative management and its associated services and care provider skills must be expanded. New models of preoperative management are needed, which rely extensively on continuously evolving evidence-based best practice, as well as telemedicine and telehealth, including mobile technologies and connectivity. Along with conventional comorbidity optimization, prehabilitation can effectively promote enhanced postoperative recovery...
June 2018: Anesthesiology Clinics
https://www.readbyqxmd.com/read/29759085/telepathology-consultation-for-frozen-section-diagnosis-in-china
#10
Yingxin Huang, Yan Lei, Qi Wang, Dazhou Li, Lili Ma, Lili Guo, Minshan Tang, Guanglong Liu, Qianwen Yan, Lan Shen, Guihui Tong, Zhiliang Jing, Yan Zhang, Yongjian Deng
BACKGROUND: Telepathology (TP) provides remote pathology services for primary diagnosis practices, including intraoperative consultation of surgical pathology; it has not been widely implemented in China. In this study, the results of an implementation were reported, which lasted for two and a half years, and demonstrated the experience of the diagnosis of the intraoperative frozen sections by using TP consultation platform of Southern Medical University and Guangzhou Huayin Medical Laboratory Center (SMU-HUAYIN TP) in China...
May 14, 2018: Diagnostic Pathology
https://www.readbyqxmd.com/read/29756527/when-will-telemedicine-appear-in-the-icu
#11
Mark V Avdalovic, James P Marcin
As our population ages and the demand for high-level intensive care unit (ICU) services increase, the ICU physician supply continues to lag. In addition, hospitals, physician groups, and patients are demanding rapid access for the highest level of expertise in the care of critically ill patients. Telemedicine in the ICU combined with remote patient monitoring has been increasingly touted as a model of care to increase efficiencies and quality of care. Telemedicine in the ICU provides the potential to connect critically ill patients to sophisticated specialty care on a 24/7 basis, even for those hospitalized in rural locations where access to timely specialty consultations are uncommon...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29754649/telemedicine-cardiovascular-risk-reduction-in-veterans-the-cities-trial
#12
Hayden B Bosworth, Maren K Olsen, Felicia McCant, Karen M Stechuchak, Susanne Danus, Matthew J Crowley, Karen M Goldstein, Leah L Zullig, Eugene Z Oddone
BACKGROUND: Comprehensive programs addressing tailored patient self-management and pharmacotherapy may reduce barriers to cardiovascular disease (CVD) risk reduction. METHODS: This is a 2-arm (clinical pharmacist specialist-delivered, telehealth intervention and education control) randomized controlled trial including Veterans with poorly controlled hypertension and/or hypercholesterolemia. Primary outcome was Framingham CVD risk score at 6 and 12 months, with systolic blood pressure; diastolic blood pressure; total cholesterol; low-density lipoprotein; high-density lipoprotein; body mass index; and, for those with diabetes, HbA1c as secondary outcomes...
May 2018: American Heart Journal
https://www.readbyqxmd.com/read/29754561/an-economic-cost-analysis-of-an-expanding-multi-state-behavioural-telehealth-intervention
#13
Siobhan K Yilmaz, Brady P Horn, Chris Fore, Caroline A Bonham
Introduction In this paper the economic costs associated with a growing, multi-state telepsychiatry intervention serving rural American Indian/Alaska Native populations were compared to costs of travelling to provide/receive in-person treatment. Methods Telepsychiatry costs were calculated using administrative, information-technology, equipment and technology components, and were compared to travel cost models. Both a patient travel and a psychiatrist travel model were estimated utilising ArcGIS software and unit costs gathered from literature and government sources...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29752254/cognitive-assessment-of-patients-with-alzheimer-s-disease-by-telemedicine-pilot-study
#14
Anna Carotenuto, Raffaele Rea, Enea Traini, Giovanna Ricci, Angiola Maria Fasanaro, Francesco Amenta
BACKGROUND: Approximately 46.8 million people are living with dementia worldwide and their number will grow in the next years. Any potential treatment should be administered as early as possible because it is important to provide an early cognitive assessment and to regularly monitor the mental function of patients. Information and communication technologies can be helpful to reach and follow patients without displacing them, but there may be doubts about the reliability of cognitive tests performed by telemedicine...
May 11, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29751152/the-use-of-telemedicine-for-penicillin-allergy-skin-testing
#15
Mary L Staicu, Anne Marie Holly, Kelly M Conn, Allison Ramsey
BACKGROUND: Penicillin skin testing (PST) is increasingly utilized as a tool to evaluate penicillin allergy in patients with a reported history. The limited availability of allergists, however, may be an impeding factor. OBJECTIVE: We sought to assess the clinical utility of telemedicine to facilitate PST. METHODS: Penicillin allergic inpatients receiving systemic antibiotics were prospectively identified between April and August 2017. Qualifying patients underwent PST performed by a trained Allergy/Immunology physician assistant (PA)...
May 8, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29750922/legal-aspects-of-sleep-medicine-in-the-21-st-century
#16
REVIEW
Saiprakash B Venkateshiah, Romy Hoque, Nancy A Collop
Multiple manifestations of sleep disorders may interact with the law making it important to increase awareness of such interactions among clinicians. Patients with excessive sleepiness may have civil (and in some states criminal) liability if they fall asleep while driving and cause a motor vehicle accident. Employers may be held vicariously liable due to the actions of sleepy employees. Hence awareness of causes of excessive sleepiness such as sleep deprivation and OSA is increasing among trucking, railroad, and other safety sensitive occupations...
May 8, 2018: Chest
https://www.readbyqxmd.com/read/29748905/diabetes-care-in-the-digital-era-a-synoptic-overview
#17
REVIEW
Farhad Fatehi, Anish Menon, Dominique Bird
PURPOSE OF REVIEW: Diabetes care is undergoing a remarkable transformation by the advancements in information and communications technology (ICT). The aim of this review is to provide a general overview of various ICT-based interventions for diabetes care, challenges of their adoption, and consider future directions. RECENT FINDINGS: A number of systematic reviews have examined studies on various aspects of telemedicine and eHealth for diabetes care, but they are generally focused on one specific type of technology application for diabetes care...
May 10, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29746210/specialist-perspectives-on-ontario-provincial-electronic-consultation-services
#18
Erin Keely, Rob Williams, Gilad Epstein, Amir Afkham, Clare Liddy
BACKGROUND: Wait times to access specialist care remain a huge frustration for patients and providers. In Ontario, two electronic consultation (eConsult) services provide prompt, secure access to specialist advice: The Champlain Building Access to Specialists through eConsultation (BASE™) eConsult-managed service, and the Ontario Telemedicine Network (OTN). INTRODUCTION: To gain a broader understanding of specialists' perspectives providing eConsult services, we surveyed all specialists actively participating in either platform...
May 10, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29744763/accuracy-of-ultra-wide-field-fundus-ophthalmoscopy-assisted-deep-learning-a-machine-learning-technology-for-detecting-age-related-macular-degeneration
#19
Shinji Matsuba, Hitoshi Tabuchi, Hideharu Ohsugi, Hiroki Enno, Naofumi Ishitobi, Hiroki Masumoto, Yoshiaki Kiuchi
PURPOSE: To predict exudative age-related macular degeneration (AMD), we combined a deep convolutional neural network (DCNN), a machine-learning algorithm, with Optos, an ultra-wide-field fundus imaging system. METHODS: First, to evaluate the diagnostic accuracy of DCNN, 364 photographic images (AMD: 137) were amplified and the area under the curve (AUC), sensitivity and specificity were examined. Furthermore, in order to compare the diagnostic abilities between DCNN and six ophthalmologists, we prepared yield 84 sheets comprising 50% of normal and wet-AMD data each, and calculated the correct answer rate, specificity, sensitivity, and response times...
May 9, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29743030/keys-to-success-of-a-community-of-clinical-practice-in-primary-care-a-qualitative-evaluation-of-the-ecopih-project
#20
David Lacasta Tintorer, Josep Maria Manresa Domínguez, Enriqueta Pujol-Rivera, Souhel Flayeh Beneyto, Xavier Mundet Tuduri, Francesc Saigí-Rubió
BACKGROUND: The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals' views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use...
May 9, 2018: BMC Family Practice
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