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Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association

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https://read.qxmd.com/read/30785860/virtual-reality-assisted-pain-anxiety-and-anger-management-in-the-emergency-department
#1
Neal Sikka, Liqi Shu, Brandon Ritchie, Richard L Amdur, Ali Pourmand
STUDY OBJECTIVE: Pain management in emergency department (ED) patients is challenging. Although both pharmacological and nonpharmacological therapies exist, they are often suboptimal. Immersive virtual reality (VR) uses distraction and possible other methods to reduce perceptions of pain. The purpose of the study is to evaluate the usability and acceptability of VR applications in ED patients by assessing patient-reported changes in pain, anger, and anxiety levels. METHODS: This is a prospective cohort study at a single academic urban tertiary care center among ED patients with a pain score ≥3 on a numeric rating scale (0-10 integers) for any reason...
February 20, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30785857/investigating-the-need-for-point-of-care-robots-to-support-teleconsultation
#2
Hyeongsuk Lee, Jeongeun Kim, Sukwha Kim, Hyoun-Joong Kong, Hyeongju Ryu
BACKGROUND: Development of a point-of-care (POC) consultation system based on telepresence robots is needed to enable effective decision-making by medical staff at care sites. INTRODUCTION: This study aimed to identify essential features and functional requirements of teleconsultation robot systems and predict potential administrative and clinical issues. MATERIALS AND METHODS: Surveys were conducted with 90 health care professionals and additional focus group interviews with 4 physicians and 5 nurses...
February 20, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30785855/the-feasibility-of-group-therapeutic-singing-telehealth-for-persons-with-parkinson-s-disease-in-rural-iowa
#3
Elizabeth L Stegemöller, Kasandra Diaz, Judith Craig, David Brown
INTRODUCTION: Group therapeutic singing (GTS) may be an effective treatment for voice and respiratory impairments in persons with Parkinson's disease (PD). However, it remains unknown if GTS can be effectively delivered through telemedicine. METHODS: Participants with PD from rural areas were recruited to complete a prerecorded GTS program, once a week for 8 weeks. Voice and respiratory outcome measures were collected 1 week before and 1 week after intervention...
February 20, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30785853/an-exploration-of-useful-telemedicine-based-resources-for-clinical-research
#4
Brian E Bunnell, Gina Sprague, Suparna Qanungo, Michelle Nichols, Kathryn Magruder, Steven Lauzon, Jihad S Obeid, Leslie A Lenert, Brandon M Welch
BACKGROUND: Clinical trials are key to ensuring high-quality, effective, and safe health care interventions, but there are many barriers to their successful and timely implementation. Difficulties with participant recruitment and enrollment are largely affected by difficulties with obtaining informed consent. Teleconsent is a telemedicine- based approach to obtaining informed consent and offers a unique solution to limitations of traditional consent approaches. METHODS: We conducted a survey among 134 clinical trial researchers in academic/university-, industry-, and clinically based settings...
February 20, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30767711/-silab-for-africa-an-innovative-information-system-supporting-the-veterinary-african-laboratories
#5
Patrizia Colangeli, Ercole Del Negro, Umberto Molini, Sara Malizia, Massimo Scacchia
To support African veterinary laboratory services, the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise puts in place an operational system called "SILAB for Africa" (SILABFA); this is a web application used by a laboratory information management system to support laboratory diagnostic activities and to meet the needs of various African countries. SILABFA was designed to collect and manage all necessary information on samples, tests, and test results. The system involves the entry of sample data on arrival, the tracking of samples through the various sections of the laboratory, and the collection of test results...
February 15, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30762494/teleneurology-network-to-improve-access-to-neurologists-for-patients-in-rural-areas-a-real-world-experience
#6
Eyad Almallouhi, Sami Al Kasab, Jillian B Harvey, Kit N Simpson, Nancy Turner, Ellen Debenham, Christine A Holmstedt
BACKGROUND: The need for neurologists has been steadily increasing over the past few years. The implementation of teleneurology networks could serve as a potential solution to this need. METHODS: A retrospective review of the Medical University of South Carolina (MUSC) Teleneurology records for all consults performed between August 2014 and July 2018 was conducted. Collected data included number of consults, baseline characteristics, final diagnosis, and number of providers and hospitals over the study period...
February 14, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30762493/antibiotic-prescribing-practices-is-there-a-difference-between-patients-seen-by-telemedicine-versus-those-seen-in-person
#7
Peter Yao, Sunday Clark, Kriti Gogia, Baria Hafeez, Hanson Hsu, Peter Greenwald
BACKGROUND: Direct-to-consumer telemedicine is becoming part of mainstream medicine, but questions exist regarding the quality of care provided. We assessed antibiotic stewardship, one measure of quality, by comparing antibiotic prescription rates for acute respiratory infections (ARIs) between patients seen by telemedicine and patients seen in-person in two urban emergency departments (EDs). METHODS: In two urban EDs where low-acuity patients in the ED have the option of being seen by telemedicine rather than in-person, we analyzed telemedicine and in-person visits of patients ≥18 years who received ARI diagnoses between July 2016 and September 2017...
February 14, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30758260/is-the-internet-different-from-traditional-mass-media-in-promoting-patient-compliance-with-mature-treatments
#8
Xinyi Lu, Runtong Zhang, Wen Wu, Xiaopu Shang, Lily Sun, Xiaomin Zhu
BACKGROUND: Through mass media, some patients tend to seek mature treatment-related health information whereas some prefer information related to emerging treatments, which may influence patient compliance, specifically, following the medical diagnoses and treatment regimens. Given that traditional mass media (TMM) and the internet (INT) may promote the publication of different treatment-related information, this study aims to identify the difference between TMM and the INT in influencing patient compliance with mature treatments (PCMTs)...
February 13, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30758256/the-accuracy-of-large-vessel-occlusion-recognition-scales-in-telestroke-setting
#9
Mohammad Anadani, Eyad Almallouhi, Amy E Wahlquist, Ellen Debenham, Christine A Holmstedt
INTRODUCTION: A significant proportion of acute ischemic stroke (AIS) patients who are evaluated through telestroke consultation are transferred to thrombectomy-capable stroke centers (TSCs) for concern of large vessel occlusion (LVO). Patient triage selection is commonly based on the clinical suspicion of LVO, which lacks specificity and could result in unnecessary transfers. In this study, we aimed to assess the accuracy of the most commonly used LVO recognition scales in telestroke setting...
February 13, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30758254/teledermatology-outcomes-in-the-providence-veterans-health-administration
#10
Sylvie E Bertrand, Martin A Weinstock, Shoshana M Landow
BACKGROUND: As technology evolves, so does the integration of technology into health care delivery. Telemedicine, the use of information technology to provide remote health care, aims to improve patient access to quality care across a wide range of barriers. INTRODUCTION: Our objective was to determine whether teleconsultation leverages specialist expertise at one site within the United States' largest integrated health system. We evaluated the Providence Veterans Affairs Medical Center (PVAMC) teledermatology store-and-forward program...
February 13, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30758247/smartphone-application-versus-pedometer-to-promote-physical-activity-in-prostate-cancer-patients
#11
Byung Joo Lee, Yong Hyun Park, Ji Youl Lee, Soo Jin Kim, Yongjun Jang, Jong In Lee
BACKGROUND: Recently, the application of smartphone in medical field has received great attention. INTRODUCTION: The objective of this study was to compare the effectiveness of smartphone-based and conventional pedometer-based exercise monitoring systems in promoting home exercise among prostate cancer patients. METHODS: Prostate cancer patients who have undergone surgery or androgen deprivation therapy were recruited. All participants were provided with physical activity goals based on their activities and were advised to achieve these goals during their home exercise period...
February 13, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30741608/use-of-teledermatology-to-improve-dermatological-access-in-rural-areas
#12
Alberto Coustasse, Raghav Sarkar, Bukola Abodunde, Brandon J Metzger, Chelsea M Slater
INTRODUCTION: Dermatological access in rural regions has been impacted due to an acute, global dermatologist shortage coupled with a striking disparity in dermatologist density between urban and rural areas. As a result, the dermatological arena has been under notable pressure to amplify access. Teledermatology has entailed the use of technology to provide dermatological services to individuals located at a remote distance. The purpose of this literature review was to examine the effect of utilization of teledermatology to determine enhancement of dermatological access to residents of rural areas...
February 11, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30735103/telesurveillance-exploring-the-use-of-mobile-phone-imaging-in-the-follow-up-of-orthopedic-patients-with-hand-trauma
#13
Christopher Fenelon, Evelyn P Murphy, John G Galbraith, Michael E O'Sullivan
BACKGROUND: Intra-articular phalangeal fractures involving the proximal interphalangeal joint (PIPJ) are notoriously difficult injuries to treat and often require regular follow-up to assess progress, guide treatment, and determine outcomes. Some patients often have to travel long distances for follow-up care. The aim of our study was to assess the clinical outcomes of intra-articular fractures of the PIPJ through use of clinical pictures sent through a mobile phone. METHODS: A retrospective study was conducted of a consecutive group of patients treated with a static external fixator (Micro Hoffman-2 Stryker® ) between 2006 and 2016 for an intra-articular fracture of the PIPJ...
February 8, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30735100/telehealth-decreases-rural-emergency-department-wait-times-for-behavioral-health-patients-in-a-group-of-critical-access-hospitals
#14
Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
BACKGROUND: Telehealth has been proposed as an important care delivery strategy to increase access to behavioral health care, especially in rural and medically-underserved settings where mental health care provider shortage areas predominate, to speed access to behavioral health care, and reduce health disparities. INTRODUCTION: This study was conducted to determine the effects of telehealth-based care delivery on clinical, temporal, and cost outcomes for behavioral health patients in rural emergency departments (EDs) of four Midwestern critical access hospitals (CAHs)...
February 8, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30730263/implementation-and-utility-of-an-automated-text-messaging-system-to-facilitate-symptom-self-monitoring-and-identify-risk-for-post-traumatic-stress-disorder-and-depression-in-trauma-center-patients
#15
Brian E Bunnell, Tatiana M Davidson, Jennifer R Winkelmann, Jessica L Maples-Keller, Leigh E Ridings, Jennifer Dahne, Samir M Fakhry, Kenneth J Ruggiero
Background and Introduction: Comprehensive monitoring and follow-up after traumatic injury is important for psychological recovery. However, scalable services to facilitate this are limited. Automated text message-based symptom self-monitoring (SSM) may be a feasible approach. This study examined its implementation and utility in identifying patients at risk for mental health difficulties after traumatic injury. MATERIALS AND METHODS: Five hundred two patients admitted to a Level I trauma center between June 20, 2016 and July 31, 2017 were offered enrollment in a text message-based SSM service...
February 7, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30724717/development-and-assessment-of-a-mobile-health-application-for-monitoring-the-linkage-among-treatment-factors-of-type-1-diabetes-mellitus
#16
Ericles Andrei Bellei, Daiana Biduski, Hugo Roberto Kurtz Lisboa, Ana Carolina Bertoletti De Marchi
BACKGROUND: In the daily routine of type 1 diabetes mellitus (T1DM), the patients deal with many data and consider many variables to perform actions, decisions, and regimen adjustments. There is a need to apply filtering techniques to extract relevant information and provide appropriate data visualization methods to assist in clinical tasks and decision making. OBJECTIVE: To present Soins DM, a mobile health tool, for monitoring the linkage among treatment factors of T1DM with an interactive data visualization approach...
February 6, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30707656/facilitators-and-barriers-for-implementing-an-internet-clinic-for-the-treatment-of-pressure-injuries
#17
Saagar Walia, Dalton Wolfe, David Keast, Chester Ho, Karen Ethans, Scott Worley, Colleen O'Connell, Denise Hill
BACKGROUND: Pressure injuries (PIs) represent a frequent, often preventable, secondary complication of spinal cord injury (SCI) with serious consequences to health, societal participation, and quality of life. Specialized knowledge and service delivery related to treatment and prevention are typically located within major health centers. INTRODUCTION: For persons with SCI living at home, it can be challenging to access specialized PI care. A telehealth approach could help mitigate this challenge...
February 1, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30707651/rubrum-coelis-the-contribution-of-real-time-telementoring-in-acute-trauma-scenarios-a-randomized-controlled-trial
#18
Itamar Netzer, Andrew W Kirkpatrick, Mor Nissan, Jessica L McKee, Paul McBeth, Alex Dobron, Elon Glassberg
BACKGROUND: Most deaths in military trauma occur soon after wounding, and demand immediate on scene interventions. Although hemorrhage predominates as the cause of potentially preventable death, airway obstruction and tension pneumothorax are also frequent. First responders caring for casualties in operational settings often have limited clinical experience. INTRODUCTION: We hypothesized that communications technologies allowing for real-time communications with a senior medically experienced provider might assist in the efficacy of first responding to catastrophic trauma...
February 1, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30694730/a-mixed-methods-study-of-users-journey-mapping-experience-and-acceptance-of-telehealthcare-technology-in-taiwan
#19
Ou Tsung-Yin, Hung Chih-Young, Lin Che-Wei
BACKGROUND: The integration of telehealthcare technologies into geriatric care has clear advantages, but poses challenges for key stakeholders, including the telehealthcare service industry, smart device developers, marketers and, of course, users. The purpose of this study was to gain insight into user experience and acceptance of telehealthcare technology in Taiwan. MATERIALS AND METHODS: Taking an integrated mixed-methods approach, 51 participants-33 women (64...
January 29, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://read.qxmd.com/read/30681398/implementing-a-home-based-telehealth-group-adherence-intervention-with-adolescent-transplant-recipients
#20
Sarah L Kelly, Elizabeth A Steinberg, Amanda Suplee, Naadira C Upshaw, Kristen R Campbell, John F Thomas, Cindy L Buchanan
INTRODUCTION: To improve access to care and engage adolescent transplant recipients for adherence-promoting interventions, innovative solutions utilizing technology are needed. MATERIALS AND METHODS: This study describes the implementation of a five-session group intervention targeting medication adherence in adolescent transplant recipients through home-based telemedicine. RESULTS: Seven videoconferencing groups were conducted with a total of 33 participants living a median of 57 miles away from their transplant medical center...
January 25, 2019: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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