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Journal of Telemedicine and Telecare

Turhan Kahraman, Sema Savci, Asiye Tuba Ozdogar, Zumrut Gedik, Egemen Idiman
INTRODUCTION: Motor imagery training delivered at home via telerehabilitation is a novel rehabilitation concept. The aim was to investigate the effects of telerehabilitation-based motor imaging training (Tele-MIT) on gait, balance and cognitive and psychosocial outcomes in people with multiple sclerosis (pwMS). METHODS: This randomized, controlled pilot trial included pwMS and healthy individuals. pwMS were randomly divided into two groups, intervention and control...
February 11, 2019: Journal of Telemedicine and Telecare
Krishna Nalleballe, Rohan Sharma, Sukanthi Kovvuru, Aliza Brown, Sen Sheng, Sukumar Gundapaneni, Saritha Ranabothu, Poornachand Veerapaneni, Renee Joiner, Nidhi Kapoor, William Culp, Sanjeeva Onteddu
OBJECTIVE: The purpose of this study was to determine reasons for not giving intravenous tissue plasminogen activator to eligible patients with acute ischemic stroke in a telestroke network. METHODS: We performed a retrospective analysis of prospectively collected data of patients who were seen as a telestroke consultation during 2015 and 2016 with the Arkansas Stroke Assistance through Virtual Emergency Support programme for possible acute ischemic stroke. RESULTS: Total consultations seen were 809 in 2015 and 744 in 2016, out of which 238 patients in 2015 and 247 patients in 2016 received intravenous tissue plasminogen activator...
February 10, 2019: Journal of Telemedicine and Telecare
Christopher Tran, Douglas Archibald, Susan Humphrey-Murto, Clare Liddy, Erin Keely
INTRODUCTION: Poor communication between health professionals can compromise patient safety, yet specialists rarely receive feedback on their written communication. Although worldwide implementation of electronic consultation (eConsult) services is rising rapidly, little is known about the features of effective communication when specialists provide online advice to primary care providers (PCP). To inform efforts to ensure and maintain high-quality communication via eConsult, we aim to identify features of high-quality eConsult advice to incorporate into an assessment tool that can provide specialists with feedback on their correspondence...
February 4, 2019: Journal of Telemedicine and Telecare
Lisa B Cohen, Tracey H Taveira, Wen-Chih Wu, Paul A Pirraglia
INTRODUCTION: The aim of this study was to determine whether a pharmacist-led telehealth disease management program is superior to usual care of nurse-led telehealth in improving diabetes medication adherence, haemoglobin A1C (A1C), and depression scores in patients with concomitant diabetes and depression. METHODS: Patients with diabetes and depression were randomized to pharmacist-led or nurse-led telehealth. Veterans with type 1 or type 2 diabetes, an A1C ≥ 7...
January 28, 2019: Journal of Telemedicine and Telecare
Carmela Zuniga, Daniel Grossman, Sara Harrell, Kelly Blanchard, Kate Grindlay
INTRODUCTION: In the USA, the requirement that individuals obtain a prescription for hormonal contraception is a significant barrier for women who lack the time, finances, insurance coverage or means of transportation to visit a provider. The emergence of telemedicine services has removed some of these barriers by providing women with the opportunity to conveniently obtain birth control prescriptions through their computer or smartphone. METHODS: In this article, we compare the prescribing processes and policies of online platforms that prescribe hormonal contraceptives to women in the USA, and use the recommendations of the 2016 US medical eligibility criteria for contraceptive use to evaluate whether online prescribers are providing evidence-based care...
January 21, 2019: Journal of Telemedicine and Telecare
Pierre Binaisse, Emilie Dehours, Céline Bodéré, Valérie Chevalier, Anaïs Le Fur Bonnabesse
INTRODUCTION: The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France. METHODS: A descriptive study was carried out by retrospectively examining medical records of patients who were assisted by the French maritime TeleMedical Assistance Service (TMAS) from 2012 to 2016. Data were ranked in different categories: socio-demographic data, diagnosis, prescription, and monitoring or treatment prescribed. RESULTS: The TMAS recorded 9122 medical files for all medical emergencies...
January 15, 2019: Journal of Telemedicine and Telecare
Sarina Yaghobian, Robin Ohannessian, Alexandre Mathieu-Fritz, Thierry Moulin
INTRODUCTION: Telemedicine is a remote medical practice using information communication technology (ICT), and has been increasing in France since 2009. With all new forms of medical practice, education and training (ET) is required for quality and safety. To date, implementation of telemedicine ET has not been assessed in France. The objective of this study was to describe the implementation of telemedicine ET and evaluate the knowledge, attitudes and practices (KAP) of deans and associate deans from all medical schools in France...
January 2, 2019: Journal of Telemedicine and Telecare
Hans-Ullrich Voelker, Gerhard Stauch, Annette Strehl, Yasmin Azima, Hans-Konrad Mueller-Hermelink
INTRODUCTION: Static telepathology (TP) was used to support a hospital in Tanzania that cannot employ a resident pathologist but has a basic laboratory. Histological slides were prepared by the local technical staff and digital images were uploaded into an Internet-based system; consultant pathologists in Germany could give their opinion. The aim of the study was to examine the diagnostic validity of this project without local pathologists. METHODS: The set-up period for special training of local technical assistants was 10 weeks...
December 30, 2018: Journal of Telemedicine and Telecare
Kori S Zachrison, Krislyn M Boggs, Emily M Hayden, Janice A Espinola, Carlos A Camargo
OBJECTIVE: Telemedicine has the potential to improve the delivery of emergency medical care: however, the extent of its adoption in United States (US) emergency departments is not known. Our objective was to characterise the prevalence of telemedicine use among all US emergency departments, describe clinical applications for which it is most commonly used, and identify emergency department characteristics associated with its use. METHODS: As part of the National Emergency Department Inventory-USA survey, we queried all 5375 US emergency departments open in 2016...
December 17, 2018: Journal of Telemedicine and Telecare
Ah-Ram Sul, Da-Hyun Lyu, Dong-Ah Park
AIMS: The purpose of this research was to investigate the effectiveness of telemonitoring for chronic obstructive pulmonary disease. METHODS: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and CINAHL up to September 2018. We selected randomised controlled trials comparing telemonitoring and control groups for chronic obstructive pulmonary disease management. Two reviewers independently examined articles based on eligibility, extracted data and evaluated the risk of bias...
December 12, 2018: Journal of Telemedicine and Telecare
Juan I Muñoz-Bonet, José L López-Prats, Eva M Flor-Macián, Teresa Cantavella, Laura Bonet, Amparo Domínguez, Juan Brines
INTRODUCTION: Medical care for ventilator-dependent children must avoid hospital confinement, which is detrimental to the patient, their family and Paediatric Intensive Care Unit. Our objective was to assess the role of telemedicine in facilitating early and permanent discharge of such patients to home care. METHODS: This was a prospective clinical study (2007-2017) in tracheotomised ventilator-dependent children. We used a Big Data Telemedicine home system (Medlinecare 2...
December 11, 2018: Journal of Telemedicine and Telecare
Nicole Coles, Barkha P Patel, Ping Li, Kristina Cordeiro, Alissa Steinberg, Ana Zdravkovic, Jill K Hamilton
INTRODUCTION: Implementation of telemedicine has been shown to improve health outcomes, such as body mass index (BMI). However, it is unclear whether telemedicine is useful alongside traditional weight-management programmes for adolescents with complex obesity. The objective was to evaluate implementation of the Ontario Telemedicine Network (OTN), a videoconferencing programme, as an adjunctive tool to face-to-face counselling within the setting of an established interdisciplinary obesity treatment programme...
December 10, 2018: Journal of Telemedicine and Telecare
Gyorgy Papai, Gabor Csato, Ildiko Racz, Gabor Szabo, Tamas Barany, Agnes Racz, Miklos Szokol, Balazs Sarman, Istvan F Edes, Daniel Czuriga, Rudolf Kolozsvari, Istvan Edes
INTRODUCTION: The transtelephonic electrocardiogram has been shown to have a great value in the management of out-of-hospital chest pain emergencies. In our previous study it not only improved the pre-hospital medical therapy and time to intervention, but also the in-hospital mortality in ST-segment elevation myocardial infarction. It was hypothesised that the higher in-hospital survival rate could be due to improved transtelephonic electrocardiogram-based pre-hospital management (electrocardiogram interpretation and teleconsultation) and consequently, better coronary perfusion of patients at the time of hospital admission...
December 10, 2018: Journal of Telemedicine and Telecare
Uthara Nair, Nigel R Armfield, Mark D Chatfield, Sisira Edirippulige
Introduction Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services to sufferers of MD is unknown, therefore, this review aimed to assess the available evidence. Methods We conducted a search of The Cochrane Library, PubMed/MEDLINE, PsycINFO, and EMBASE for relevant randomised controlled trials published between 2000 and 2018; we then conducted a systematic review and meta-analysis...
December 2018: Journal of Telemedicine and Telecare
Maike Neuhaus, Danette Langbecker, Liam J Caffery, Monica Taylor, Lisa Garner, Gayle Williams, Anthony C Smith, Graeme A Macdonald
Introduction Prevalence of hepatitis C virus (HCV) is substantially higher among prisoners than the general population. In Australia until recently, only a small proportion of prisoners with HCV received antiviral therapy. The direct-acting antivirals (DAAs) for HCV are highly effective, with a low burden of side effects. Since 2016, DAAs are available to all Australians with HCV. However, currently in Australia, they can only be prescribed by or in consultation with experienced prescribers. This study evaluated a telementoring service to upskill doctors and nurse practitioners working in correctional facilities...
December 2018: Journal of Telemedicine and Telecare
Liam J Caffery, Natalie K Bradford, Anthony C Smith, Danette Langbecker
Introduction The aim of this study was to explore how telehealth facilitates or impedes the provision of culturally appropriate healthcare to Indigenous Australians from the perspective of staff at an Aboriginal Community Controlled Health Service (ACCHS). Methods An exploratory qualitative study was performed. Semi-structured interviews were conducted with nine ACCHS staff. Interview transcripts were analysed using thematic analysis. Results One central theme and three sub-themes were identified. The central theme of Care provided in a supportive environment describes how telehealth enabled specialist consultations to be conducted in the safe environment of an ACCHS instead of a mainstream health service...
December 2018: Journal of Telemedicine and Telecare
Sisira Edirippulige, Peter Brooks, Colin Carati, Victoria A Wade, Anthony C Smith, Sumudu Wickramasinghe, Nigel R Armfield
Information and communications technology has become central to the way in which health services are provided. Technology-enabled services in healthcare are often described as eHealth, or more recently, digital health. Practitioners may require new knowledge, skills and competencies to make best use of eHealth, and while universities may be a logical place to provide such education and training, a study in 2012 found that the workforce was not being adequately educated to achieve competence to work with eHealth...
December 2018: Journal of Telemedicine and Telecare
Belinda Coldebella, Nigel R Armfield, Matthew Bambling, Julie Hansen, Sisira Edirippulige
Introduction Bariatric weight loss surgery is one of the most effective treatments for severe obesity. Research shows that the availability of healthcare services pre and post bariatric surgery improves behavioural change and weight loss outcomes. The aim of this systematic review is to assess the evidence relating to the use of telemedicine for providing health services to bariatric surgery patients. Methods A search was conducted using PubMed, EMBASE, CINAHL, PsycNET and SCOPUS. Original research relating to telemedicine for bariatric surgery patients published in peer-reviewed journals were included...
December 2018: Journal of Telemedicine and Telecare
Buddhika Senanayake, Sumudu I Wickramasinghe, Lars Eriksson, Anthony C Smith, Sisira Edirippulige
Introduction The access healthcare services to inmates within correctional settings has generally been low and problematic due to specific nature of the prison setting. Telemedicine has been used as an alternative delivery mode. This study aimed to collate the current evidence related to the use of telemedicine to deliver health services within correctional settings. Methods A comprehensive search of seven databases - PubMed, Embase, CINAHL, Informit, Cochrane Central Register of Controlled Trials, PsycINFO and Scopus, for peer-reviewed publications was conducted in April, 2018...
December 2018: Journal of Telemedicine and Telecare
Tayebeh Baniasadi, Sharareh R Niakan Kalhori, Seyed Mohammad Ayyoubzadeh, Somayyeh Zakerabasali, Marjan Pourmohamadkhan
Mobile health encompasses remote and wireless applications to provide health services. Despite the advantages of applying mobile-based monitoring systems, there are challenges and limitations; understanding the challenges may assist in identifying available solutions and optimising decision-making to apply mHealth technologies more practically. This study aimed to investigate the main challenges related to mHealth-based systems for health monitoring purposes. This review was carried out through investigation of English evidence from four databases, including Scopus, PubMed, Embase, and Web of Science, using a defined search strategy from 2013 to 2017...
December 2018: Journal of Telemedicine and Telecare
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