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https://www.readbyqxmd.com/read/29161181/public-perception-of-telemedicine-and-surgical-telementoring-in-the-pediatric-population-results-of-a-parental-survey
#1
Sophia Abdulhai, Ian C Glenn, Neil L McNinch, Domenic Craner, Edwin Chou, Todd A Ponsky
INTRODUCTION: Telemedicine and surgical telementoring strive to provide equal access to specialized healthcare, regardless of patient location. It also aims to provide providers in remote locations real-time, second opinions from more experienced physicians who are otherwise not readily available. The goal of this study is to gauge the public perception of this technology in the pediatric population. METHODS: Patient families in our pediatric surgery and gastroenterology clinics were asked to complete a seven-question survey after being shown a 1-minute video describing telemedicine and surgical telementoring...
November 21, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29157233/integrating-acute-stroke-telemedicine-consultations-into-specialists-usual-practice-a-qualitative-analysis-comparing-the-experience-of-australia-and-the-united-kingdom
#2
Kathleen L Bagot, Dominique A Cadilhac, Christopher F Bladin, Caroline L Watkins, Michelle Vu, Geoffrey A Donnan, Helen M Dewey, Hedley C A Emsley, D Paul Davies, Elaine Day, Gary A Ford, Christopher I Price, Carl R May, Alison S R McLoughlin, Josephine M E Gibson, Catherine E Lightbody
BACKGROUND: Stroke telemedicine can reduce healthcare inequities by increasing access to specialists. Successful telemedicine networks require specialists adapting clinical practice to provide remote consultations. Variation in experiences of specialists between different countries is unknown. To support future implementation, we compared perceptions of Australian and United Kingdom specialists providing remote acute stroke consultations. METHODS: Specialist participants were identified using purposive sampling from two new services: Australia's Victorian Stroke Telemedicine Program (n = 6; 2010-13) and the United Kingdom's Cumbria and Lancashire telestroke network (n = 5; 2010-2012)...
November 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29154294/creation-of-a-professional-network-to-improve-spina-bifida-care-argentina-case
#3
Gastón Valverde Lyons, Carol Burek, Liliana Campmani, Fernanda De Castro, Beatriz López, Cristian Sager
The purpose of this paper is to render an account of the experience of a group of healthcare providers and to propose innovative solutions for patients with Spina Bifida (SB) in Argentina. Based on our practice, patients reach specialists too late (40% already undergoing chronic kidney disease stage 1). However, several strategies were implemented in order to reverse this trend, among which were: the setting up of a professional network (via emails and Google groups), team training at different locations, videoconferences, and calling the Ministry of Health to action...
November 10, 2017: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/29153221/-pressure-sensors-to-prevent-cardiac-decompensation
#4
Didier Klug
Most cases of hospitalisation for heart failure are preceded by episodes of cardiac decompensation. Preventing these episodes would improve quality of life and reduce mortality and treatment costs. The monitoring of intracardiac pressures, using innovative sensors, coupled with telemedicine, offers interesting perspectives.
November 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29153220/-telemonitoring-by-the-nurse-of-patients-equipped-with-an-implantable-heart-device
#5
Laurence Guédon-Moreau, Valérie Lerouge, Élisabeth Veirman, Françoise Pinelli, Loïc Finat
The nurse is at the heart of the caregiving relationship in the remote monitoring of patients with heart failure equipped with an implantable device. Her direct contact with the patient erases the distance imposed by telemonitoring and her close connection with the cardiologist-arrhythmia specialist ensures the patient follow-up is optimal. After her training in telemedicine, the nurse plays a key role in the telerhythmology activity.
November 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29153219/-deployment-of-telemedicine-context-and-challenges
#6
Pierre Espinoza, Camille Jean, Tu Anh Duong
The last decade has contributed to the emergence of telemedicine. Legislation and regulations, new tools, efficient networks and regional deployments have all played their part in its growth. There are several regional solutions, often experimental. The implementation of telemedicine services nevertheless comes up against obstacles which concern all specialities, including cardiology.
November 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29151384/endoscopic-ear-surgery-in-the-ear-camp-setting-forward-thinking-or-folly
#7
M P A Clark
BACKGROUND: Endoscopic ear surgery is becoming an accepted technique in otological surgery, in the management of chronic otitis media. METHODS: The technique was introduced to the humanitarian care setting of an ear camp in Nepal to consider the appropriateness of the technique in this type of clinical setting. RESULTS: Fifteen cases of myringoplasty were successfully completed. CONCLUSION: The apparent advantages of the endoscopic approach over the traditional microscopic one were the ease of transporting the equipment and the optimal view obtained of the tympanic membrane...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29141082/diagnostic-accuracy-of-pediatric-teledermatology-using-parent-submitted-photographs-a-randomized-clinical-trial
#8
Daniel M O'Connor, Olivia S Jew, Marissa J Perman, Leslie A Castelo-Soccio, Flaura K Winston, Patrick J McMahon
Importance: Advances in smartphone photography (both quality and image transmission) may improve access to care via direct parent-to-clinician telemedicine. However, the accuracy of diagnoses that are reliant on parent-provided photographs has not been formally compared with diagnoses made in person. Objective: To assess whether smartphone photographs of pediatric skin conditions taken by parents are of sufficient quality to permit accurate diagnosis. Design, Setting, and Participants: A prospective study was conducted among 40 patient-parent dyads at a pediatric dermatology clinic at the Children's Hospital of Philadelphia from March 1 to September 30, 2016, to assess concordance between diagnoses made by an independent pediatric dermatologist based on in-person examination and those based on parental photographs...
November 15, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/29137959/moving-from-clinic-to-home-what-the-future-holds-for-ophthalmic-telemedicine
#9
Nancy M Holekamp
PURPOSE: To describe the expanding role of telemedicine in healthcare, the key criteria required for a successful device and program implementation, and the current and future role of home monitoring in ophthalmology. DESIGN: Expert perspective METHODS: Analysis with real-world interpretation of home monitoring technologies including current adoption barriers and expanded future demands based on demographic and market forces. RESULTS: Remote patient monitoring represents a paradigm shift in the way physicians care for patients...
November 11, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29132637/coding-acute-stroke-care-and-telestroke-with-the-international-classification-of-health-interventions-ichi
#10
Robin Ohannessian, Nicola Fortune, Jean-Marie Rodrigues, Thierry Moulin, Laurent Derex, Richard Madden, Anne-Marie Schott
BACKGROUND: and purpose: Acute stroke care is to detect, diagnose, and treat patients in the shortest amount of time. Access to acute stroke care may however be limited in some areas and telemedicine has been thus used to increase its access. Coding acute stroke care as a health intervention had limited attention in the past. METHODS: The International Classification of Health Interventions (ICHI) currently under development was used to identify existing codes relevant for coding acute stroke care interventions, including telestroke...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29130951/prehospital-computed-tomography-angiography-in-acute-stroke-management
#11
Michael Kettner, Stefan Alexander Helwig, Andreas Ragoschke-Schumm, Lenka Schwindling, Safwan Roumia, Isabel Keller, Daniel Martens, Johann Kulikovski, Matthias Manitz, Martin Lesmeister, Silke Walter, Iris Quasar Grunwald, Thomas Schlechtriemen, Wolfgang Reith, Klaus Fassbender
BACKGROUND: An ambulance equipped with a computed tomography (CT) scanner, a point-of-care laboratory, and telemedicine capabilities (mobile stroke unit [MSU]) has been shown to enable the delivery of thrombolysis to stroke patients directly at the emergency site, thereby significantly decreasing time to treatment. However, work-up in an MSU that includes CT angiography (CTA) may also potentially facilitate triage of patients directly to the appropriate target hospital and specialized treatment, according to their individual vascular pathology...
October 31, 2017: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/29128716/smartphone-based-bioanalytical-and-diagnosis-applications-a-review
#12
REVIEW
Suvardhan Kanchi, Myalowenkosi I Sabela, Phumlane Selby Mdluli, Inamuddin, Krishna Bisetty
A smartphone is a facile, handy-analytical device that makes our lives comfortable and stress-free in terms of health care diagnostic assessments. Due to recent advancements in the technology and the introduction of user friendly operating systems and applications, the smartphones have replaced laptops and desktop computers. Taking this fact into account, researchers have designed sensing systems which are more compatible with smartphones. Consequently, these devices are attracting the attention of researchers from fields such as telemedicine, biotechnology, chemical sciences and environmental sciences...
November 6, 2017: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/29123943/telemedicine-enables-broader-access-to-movement-disorders-curricula-for-medical-students
#13
Esther Cubo, Jacques Doumbe, Emiliano López, Guadalupe A Lopez, Emilia Gatto, Gabriel Persi, Mark Guttman
Background: The impact of tele-education for movement disorders on medical students is unknown. The present study had three objectives. First, to create a tele-education program for medical students in regions with limited access to movement disorders curricula. Second, to analyze the feasibility, satisfaction, and improvement of medical knowledge. Third, to assess the main reasons of medical students for attending this course. Methods: In 2016, a program was piloted in a low-middle income (Cameroon) and a middle-high income (Argentina) country...
2017: Tremor and Other Hyperkinetic Movements
https://www.readbyqxmd.com/read/29121636/improving-diagnostic-sensitivity-of-combined-dermoscopy-and-reflectance-confocal-microscopy-imaging-through-double-reader-concordance-evaluation-in-telemedicine-settings-a-retrospective-study-of-1000-equivocal-cases
#14
A M Witkowski, J Łudzik, F Arginelli, S Bassoli, E Benati, A Casari, N De Carvalho, B De Pace, F Farnetani, A Losi, M Manfredini, C Reggiani, J Malvehy, G Pellacani
BACKGROUND: Reflectance confocal microscopy (RCM) is an imaging device that permits non-invasive visualization of cellular morphology and has been shown to improve diagnostic accuracy of dermoscopically equivocal cutaneous lesions. The application of double reader concordance evaluation of dermoscopy-RCM image sets in retrospective settings and its potential application to telemedicine evaluation has not been tested in a large study population. OBJECTIVE: To improve diagnostic sensitivity of RCM image diagnosis using a double reader concordance evaluation approach; to reduce mismanagement of equivocal cutaneous lesions in retrospective consultation and telemedicine settings...
2017: PloS One
https://www.readbyqxmd.com/read/29114895/telemedicine-in-laryngology-remote-evaluation-of-voice-disorders-setup-and-initial-experience
#15
Paul C Bryson, Michael S Benninger, Jason Band, Philip Goetz, Andrew J Bowen
No abstract text is available yet for this article.
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29112484/the-effect-of-telehealth-interventions-on-quality-of-life-of-cancer-patients-a-systematic-review-and-meta-analysis
#16
Jamie L Larson, Adam B Rosen, Fernando A Wilson
INTRODUCTION: In 2016, ∼1.7 million new cases of cancer were diagnosed. Cancer patients can have physical, functional, and psychosocial issues when dealing with cancer treatment. Telehealth has been effectively introduced to help deliver treatment to patients suffering from chronic disease; however, there is little consensus on its effectiveness in administering sociobehavioral cancer treatments. Thus, this study determines the benefits of telehealth-based interventions providing emotional and symptom support in improving quality of life (QOL) among cancer patients...
November 7, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29111887/use-of-short-message-service-and-smartphone-applications-in-the-management-of-surgical-patients-a-systematic-review
#17
Keyin Lu, Nikolas E Marino, David Russell, Aashray Singareddy, Donald Zhang, Angela Hardi, Scott Kaar, Varun Puri
BACKGROUND: Mobile health and telemedicine are rapidly evolving fields used to provide healthcare remotely to patients. For surgical patients, telemedicine can improve patient education and remote monitoring of postoperative symptoms. We performed a systematic review of studies involving the use of short message service (SMS) and mobile application-based interventions in surgical patients to evaluate the advantages and disadvantages of each system, as well as of mobile interventions as a whole...
November 7, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29111001/the-professional-practice-and-training-of-neurology-in-the-asian-and-oceanian-region-a-cross-sectional-survey-by-the-asian-and-oceanian-association-of-neurology-aoan
#18
Artemio Roxas, Man Mohan Mehndiratta, Natan Bornstein, Richard Macdonell, Kheng Seang Lim, Ping-Wing Ng, Shuren Dashzeveg, Hidehiro Mizusawa, Hamed Esmatullah, Shey Lin Wu, Christopher Chen, Mohammad Kurniawan, Joung-Ho Rha, Mohammad Wasay, Niphon Poungvarin, Saman Gunatilake, Nguyen Huy Thang
OBJECTIVE: To survey AOAN member countries regarding their organizational structure, postgraduate neurology training program, and resources for neurological care provision. METHODOLOGY: A cross-sectional survey using a 36-item questionnaire was conducted among country representatives to AOAN from August 2015 to August 2016. RESULTS: A total of 18/20 AOAN member countries participated in the survey. All the countries have organized association with regular meetings, election of officers and neurology training program...
November 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29109051/ajo-centennial-evolving-concepts-in-the-management-of-retinopathy-of-prematurity
#19
Paul Sternberg, Alia K Durrani
PURPOSE: The introduction of anti-vascular endothelial growth factor (VEGF) agents has stimulated considerable reexamination of treatment strategies for the management of retinopathy of prematurity (ROP). Herein we will summarize and review evolving concepts and provide a personal perspective on clinical management today and future directions of treatment. DESIGN: Literature Review METHODS: To synthesize the evolving management concepts for diagnosis and treatment of retinopathy of prematurity and to provide interpretation and perspective on current emerging therapies...
November 3, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29104744/novel-variants-of-a-histogram-shift-based-reversible-watermarking-technique-for-medical-images-to-improve-hiding-capacity
#20
Vishakha Kelkar, Kushal Tuckley, Hitesh Nemade
In telemedicine systems, critical medical data is shared on a public communication channel. This increases the risk of unauthorised access to patient's information. This underlines the importance of secrecy and authentication for the medical data. This paper presents two innovative variations of classical histogram shift methods to increase the hiding capacity. The first technique divides the image into nonoverlapping blocks and embeds the watermark individually using the histogram method. The second method separates the region of interest and embeds the watermark only in the region of noninterest...
2017: Journal of Healthcare Engineering
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