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https://www.readbyqxmd.com/read/29153219/-deployment-of-telemedicine-context-and-challenges
#1
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/29130951/prehospital-computed-tomography-angiography-in-acute-stroke-management
#2
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/29111887/use-of-short-message-service-and-smartphone-applications-in-the-management-of-surgical-patients-a-systematic-review
#3
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/29109051/ajo-centennial-evolving-concepts-in-the-management-of-retinopathy-of-prematurity
#4
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/29060707/transmission-delay-performance-in-telemedicine-a-case-study
#5
Gang Wang, Shan Lin, Margaret Mullen-Fortino, Oleg Sokolsky, Insup Lee
Given the prevalence of chronic health conditions, such as diabetes, obesity, epilepsy, and cardiovascular diseases, telemedicine technologies are increasingly adopted to help patients better manage their care and treat these diseases at home. These emerging telemedicine systems have been deployed and tested in a number of different health programs and hospitals. However, due to the lack of dedicated and reliable networking infrastructure, achieving real-time data collection is very challenging task. In this paper, we conduct a comprehensive analysis on the delay issues presented during the use of a store and forward telemonitoring system for congestive heart failure patients in urban Philadelphia...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29055613/which-transfers-can-we-avoid-multi-state-analysis-of-factors-associated-with-discharge-home-without-procedure-after-ed-to-ed-transfer-for-traumatic-injury
#6
Laura N Medford-Davis, Daniel N Holena, David Karp, Michael J Kallan, M Kit Delgado
OBJECTIVE: Among injured patients transferred from one emergency department (ED) to another, we determined factors associated with being discharged from the second ED without procedures, or admission or observation. METHODS: We analyzed all patients with injury diagnosis codes transferred between two EDs in the 2011 Healthcare Utilization Project State Emergency Department and State Inpatient Databases for 6 states. Multivariable hierarchical logistic regression evaluated the association between patient (demographics and clinical characteristics) and hospital factors, and discharge from the second ED without coded procedures...
October 11, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29028420/the-effect-of-telemedicine-on-resource-utilization-and-hospital-disposition-in-critically-ill-pediatric-transport-patients
#7
Kimberly Fugok, Nicholas B Slamon
PURPOSE: Pediatric transport teams rely on communication to report patient data to medical command officers, who create care plans and determine disposition. Common destinations are the emergency department (ED), pediatric intensive care unit (PICU), or regular inpatient care area (RIPCA). Telephone report does not result in complete understanding of the patient's condition. Further workup in the ED is often required. Telemedicine allows the patient to be directly seen; parents to be interviewed; and laboratory studies, radiographs, and vital signs to be reviewed...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28994720/augmented-reality-as-a-telemedicine-platform-for-remote-procedural-training
#8
Shiyao Wang, Michael Parsons, Jordan Stone-McLean, Peter Rogers, Sarah Boyd, Kristopher Hoover, Oscar Meruvia-Pastor, Minglun Gong, Andrew Smith
Traditionally, rural areas in many countries are limited by a lack of access to health care due to the inherent challenges associated with recruitment and retention of healthcare professionals. Telemedicine, which uses communication technology to deliver medical services over distance, is an economical and potentially effective way to address this problem. In this research, we develop a new telepresence application using an Augmented Reality (AR) system. We explore the use of the Microsoft HoloLens to facilitate and enhance remote medical training...
October 10, 2017: Sensors
https://www.readbyqxmd.com/read/28970745/case-management-for-patients-with-complex-multimorbidity-development-and-validation-of-a-coordinated-intervention-between-primary-and-hospital-care
#9
Salvador Tortajada, María Soledad Giménez-Campos, Julia Villar-López, Raquel Faubel-Cava, Lucas Donat-Castelló, Bernardo Valdivieso-Martínez, Elisa Soriano-Melchor, Amparo Bahamontes-Mulió, Juan M García-Gómez
In the past few years, healthcare systems have been facing a growing demand related to the high prevalence of chronic diseases. Case management programs have emerged as an integrated care approach for the management of chronic disease. Nevertheless, there is little scientific evidence on the impact of using a case management program for patients with complex multimorbidity regarding hospital resource utilisation. We evaluated an integrated case management intervention set up by community-based care at outpatient clinics with nurse case managers from a telemedicine unit...
June 20, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28925418/mhealth-application-areas-and-technology-combinations-a-comparison-of-literature-from-high-and-low-middle-income-countries
#10
Haitham Abaza, Michael Marschollek
BACKGROUND: With the continuous and enormous spread of mobile technologies, mHealth has evolved as a new subfield of eHealth. While eHealth is broadly focused on information and communication technologies, mHealth seeks to explore more into mobile devices and wireless communication. Since mobile phone penetration has exceeded other infrastructure in low and middle-income countries (LMICs), mHealth is seen as a promising component to provide pervasive and patient-centered care. OBJECTIVES: The aim of our research work for this paper is to examine the mHealth literature to identify application areas, target diseases, and mHealth service and technology types that are most appropriate for LMICs...
August 8, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28923056/physicians-perceptions-on-the-impact-of-telemedicine-on-recruitment-and-retention-in-underserved-areas-a-descriptive-study-in-senegal
#11
Birama Apho Ly, Ivy Lynn Bourgeault, Ronald Labonté, Mbayang Ndiaye Niang
BACKGROUND: Similar to many places, physicians in Senegal are unevenly distributed. Telemedicine is considered a potential solution to this problem. This study investigated the perceptions of Senegal's physicians of the impact of telemedicine on their recruitment to and retention in underserved areas. METHODS: We conducted individual interviews with a random sample of 60 physicians in Senegal, including 30 physicians working in public hospitals and 30 physicians working in district health centres between January and June 2014, as part of a mixed methods study...
September 18, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28922271/the-impact-of-telemedicine-on-pediatric-critical-care-triage
#12
Jillian B Harvey, Brooke E Yeager, Christina Cramer, David Wheeler, S David McSwain
OBJECTIVE: To examine the relationship between pediatric critical care telemedicine consultation to rural emergency departments and triage decisions. We compare the triage location and provider rating of the accuracy of remote assessment for a cohort of patients who receive critical care telemedicine consultations and a similar group of patients receiving telephone consultations. DESIGN: Retrospective evaluation of consultations occurring between April 2012 and March 2016...
September 15, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28919703/quality-and-learning-curve-of-handheld-versus-stand-alone-non-mydriatic-cameras
#13
Mariya Gosheva, Christian Klameth, Lars Norrenberg, Lucien Clin, Johannes Dietter, Wadood Haq, Iliya V Ivanov, Focke Ziemssen, Martin A Leitritz
PURPOSE: Nowadays, complex digital imaging systems allow detailed retinal imaging without dilating patients' pupils. These so-called non-mydriatic cameras have advantages in common circumstances (eg, for screening or emergency purposes) but present limitations in terms of image quality and field of view. We compare the usefulness of two non-mydriatic camera systems (ie, a handheld versus a stand-alone device) for fundus imaging. The primary outcome was image quality. The secondary outcomes were learning effects and quality grade-influencing factors...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28910212/feasibility-of-paramedic-performed-prehospital-lung-ultrasound-in-medical-patients-with-respiratory-distress
#14
Torben K Becker, Christian Martin-Gill, Clifton W Callaway, Francis X Guyette, Christopher Schott
OBJECTIVE: Prehospital ultrasound is not yet widely implemented. Most studies report on convenience samples and trauma patients, often by prehospital physicians or critical care clinicians. We assessed the feasibility of paramedic performed prehospital lung ultrasound in medical patients with respiratory distress. METHODS: Paramedics at 2 ambulance stations in the city of Pittsburgh, Pennsylvania, USA underwent a 2-hour training session in prehospital lung ultrasound using the SonoSite iViz, a handheld ultrasound device...
September 14, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28900664/-prehospital-care-for-stroke-patients
#15
REVIEW
C H Nolte, H J Audebert
The effectiveness of thrombolysis or mechanical recanalization for acute stroke is higher, the sooner these therapies are started. Therefore, acute stroke patients need to be evaluated by qualified staff for these therapies as soon as possible. Lay persons need to identify the typical symptoms of stroke as an emergency and act accordingly by calling the emergency medical system (EMS). The EMS team reassesses the symptoms and prompts cerebral imaging. Cerebral imaging is performed ideally in hospitals with a stroke unit where subsequent (stroke) treatments occur...
November 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/28885940/collaborative-systems-biology-projects-for-the-military-medical-community
#16
Jeffrey J Zalatoris, Julia B Scheerer, Frank J Lebeda
INTRODUCTION: This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology activities, resources, and collaborations across all USAMRMC subordinate laboratories. METHODS: The Systems Biology Collaboration Center at USAMRMC issued a survey regarding systems biology research projects to the eight U...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885427/safety-of-medical-abortion-provided-through-telemedicine-compared-with-in-person
#17
COMPARATIVE STUDY
Daniel Grossman, Kate Grindlay
OBJECTIVE: To compare the proportion of medical abortions with a clinically significant adverse event among telemedicine and in-person patients at a clinic system in Iowa during the first 7 years of the service. METHODS: We conducted a retrospective cohort study. We analyzed data on clinically significant adverse events (hospital admission, surgery, blood transfusion, emergency department treatment, and death) for all medical abortions performed by telemedicine or in person at a clinic system in Iowa between July 1, 2008, and June 30, 2015...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28871514/a-scoping-review-of-economic-evaluations-alongside-randomised-controlled-trials-of-home-monitoring-in-chronic-disease-management
#18
REVIEW
Kristian Kidholm, Mie Borch Dahl Kristensen
Many countries have considered telemedicine and home monitoring of patients as a solution to the demographic challenges that health-care systems face. However, reviews of economic evaluations of telemedicine have identified methodological problems in many studies as they do not comply with guidelines. The aim of this study was to examine economic evaluations alongside randomised controlled trials of home monitoring in chronic disease management and hereby to explore the resources included in the programme costs, the types of health-care utilisation that change as a result of home monitoring and discuss the value of economic evaluation alongside randomised controlled trials of home monitoring on the basis of the studies identified...
September 4, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28854054/e-health-in-palliative-care-review-of-literature-google-play-and-app-store
#19
Sara Pinto, Sílvia Caldeira, José Carlos Martins
AIM: To analyse the use of e-Health technologies and mobile apps in palliative care (PC). METHODS: Search on PubMed, using 'telemedicine', 'ehealth', 'mobile health', 'telecare', 'health information systems' and 'palliative care'. Original Portuguese, Spanish, French and English papers were included. Google Play and App Store (iOS) were searched for mobile apps using 'palliative care', 'medical apps' and 'symptom management'. RESULTS: Twenty-five papers and forty mobile apps were analysed...
August 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28837980/-chances-and-risks-of-telemedicine-in-orthopaedics-and-trauma-surgery
#20
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
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