Journal of Telemedicine and TelecareThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3 4

192 records returned

A Brazilian educational experiment: teleradiology on web TVEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since 2004, educational videoconferences have been held in Brazil for paediatric radiologists in training. The RUTE network has been used, a high-speed national research and education network. Twelve videoconferences were recorded by the Health Channel and transformed into TV programmes, both for conventional broadcast and for access via the Internet. Between October 2007 and December 2009 the Health Channel website registered 2378 hits. Our experience suggests that for successful recording of multipoint videoconferences, four areas are important: (1) a pre-planned script is required, for both physicians and film-makers; (...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Silva, A. B., de Amorim, A. C. Tags: Technology Source Type: journals

Pandemic influenza planning by videoconferenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Collaboration between nations and sectors is crucial to improve regional preparedness against pandemic influenza. In 2008, a Virtual Symposium was organized in the Asia-Pacific region by the Asia-Pacific Economic Cooperation Emerging Infections Network (APEC EINet) to discuss pandemic preparedness. The multipoint videoconference lasted approximately 4.5 hours and was attended by 16 APEC members who shared best practices in public-private partnerships for pandemic influenza preparedness planning. Twelve of the 16 APEC members who participated responded to a post-event survey. The overall experience of the event was rated hi...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Kimball, A. M., Arima, Y., French, H M., Osaki, C. S, Hoff, R., Lee, S.-S., Schafer, L., Nabae, K., Hsun, C., Hishamuddin, P., Nelson, R., Woody, K., Brown, J., Fox, L. Tags: Technology Source Type: journals

Feasibility of telemonitoring for active surveillance of influenza vaccine safety in the primary care setting in the NetherlandsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the feasibility of a commercial home telemonitoring system for monitoring adverse events related to vaccination and influenza-like illness (ILI) signs and outcomes in the primary care setting in the Netherlands. A prospective cohort of people eligible for influenza vaccination was monitored daily between mid-October 2007 and mid-March 2008. Adults from five primary care centres were invited to participate. A total of 245 people participated (response rate 75%). Their mean age was 61 years (SD = 15), 50% were female and 60% had a chronic disease. Most (73%) had no problems with installation of the system and 67%...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Vrijhoef, H. J., Janssen, J. J., Greenberg, M. E Tags: Original articles Source Type: journals

Telehealth in clinical supervision: a comparison of supervision formatsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nine counselling psychology students were enrolled in a 12-week pilot practicum (i.e. a work placement) for either one hour of course credit (six students) or three hours (three students). Group supervision was provided both in-person and by videoconferencing. Each trainee completed a measure evaluating their satisfaction with supervision (Supervisory Satisfaction Questionnaire, SSQ) and the supervisory relationship (Supervisory Working Alliance Inventory – Trainee Version, SWAI-T). The student's self-efficacy was also tracked during the semester (Counselling Self-Estimate Inventory, COSE). Trainees rated their satis...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Reese, R. J, Aldarondo, F., Anderson, C. R, Lee, S.-J., Miller, T. W, Burton, D. Tags: Original articles Source Type: journals

Interactive emergency communication involving persons in crisisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We studied the dialogue between telephone operators at medical emergency communication centres in Norway and parents of children later diagnosed with sudden infant death syndrome. The aim was to understand how the parents experienced the communication with the telephone operators. The qualitative method involved semi-structured interviews. We interviewed six respondents from urban areas and five from rural areas. An important finding was that all the parents were satisfied with the resuscitation instructions they received. It was also perceived as important that the emergency operators expressed empathy and care. We believ...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Nordby, H., Nohr, O. Tags: Original articles Source Type: journals

A comparison of in-person home care, home care with telephone contact and home care with telemonitoring for disease managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We compared the effects of evidence-based disease management guidelines delivered to patients with heart failure and diabetes using three different modalities: in-person visits alone (Control), in-person visits and a telephone intervention (Telephone), and in-person visits and telemonitoring (Telemonitoring). Patients were randomized to the three groups. There were 112 patients in the Control group, 93 in the Telephone group and 98 in the Telemonitoring group. During the first 60 days, 10% of the Control group were rehospitalized, 17% of the Telephone group and 16% of the Telemonitoring group. Having heart failure and rece...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Bowles, K. H, Holland, D. E, Horowitz, D. A Tags: Original articles Source Type: journals

Application of camera phones in telehaematologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We investigated the use of camera phones for telehaematology. First, the minimum requirements for the camera phones to be used in telehaematology were investigated. A single image containing white cells, red cells and platelets was sent from a camera phone to 33 different camera phones. Nine of the camera phones were found to be unsuitable for telehaematology due to low display resolution or no zoom function of the image. Then we examined the agreement between a haematologist using a suitable camera phone for remote diagnosis and the blood film report made in the usual way. Blood samples were collected from nine patients w...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: McLean, R., Jury, C., Bazeos, A., Lewis, S M. Tags: Original articles Source Type: journals

Technologically-assisted behaviour change: a systematic review of studies of novel technologies for the management of chronic illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A systematic review was conducted to investigate the use of technology in achieving behaviour change in chronic illness. The areas reviewed were: (1) methods employed to adapt traditional therapy from a face-to-face medium to a computer-assisted platform; (2) targets of behaviour change; and (3) level of human (e.g. therapist) involvement. The initial literature search produced 2032 articles. A total of 45 articles reporting 33 separate interventions met the inclusion/exclusion criteria and were reviewed in detail. The majority of interventions reported a theoretical basis, with many arising from a cognitive-behavioural fr...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Rosser, B. A, Vowles, K. E, Keogh, E., Eccleston, C., Mountain, G. A Tags: Systematic review Source Type: journals

Integration of diagnostic and communication technologiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Three key areas in diagnostics will drive the convergence of diagnostic and communication technologies: point-of-care testing, micro-electromechanical systems and biomarker discovery. In addition, the communications revolution means that increasing numbers of people will be able to send data from their home to their doctor using the Internet. Also, the widespread availability of broadband opens up the possibly of realtime videoconferencing with clinicians. It is already possible for patients at home to monitor simple variables, such as heart rate and blood pressure, and send their results using communication technologies t...
Source: Journal of Telemedicine and Telecare - October 8, 2009 Category: Information Technology Authors: Malik, N. N Tags: Focus Source Type: journals

National representative body for e-health in PakistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Khoja, S., Durrani, H., Faheem, Z. A. Tags: Correspondence Source Type: journals

A telehealth nursing intervention reduces hospitalizations in children with complex health conditionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The U Special Kids Program (USK) at the University of Minnesota provides care coordination and case management services by telephone to children with special health-care needs. We measured the effect of the USK programme on hospital resource utilization using a retrospective record review. Information on hospitalizations was collected for children enrolled in the programme for at least two years and validated for accuracy against inpatient claims data. Hospitalizations were classified as planned, unplanned or due to lack of home care. A total of 43 children enrolled in the USK programme between July 1996 and December 2006 ...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Cady, R., Finkelstein, S., Kelly, A. Tags: Original articles Source Type: journals

Telehealth applications in speech-language pathology: a modified narrative reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a modified narrative review of the literature on telehealth applications used in speech-language pathology assessment and treatment. The following databases and information resources were used: MEDLINE, CINAHL, PSYCInfo, ERIC, Digital Dissertations, CSA Social Services Abstracts, CSA Sociological Abstracts, On-line ASHA publications and personal contacts. Sixty-two full-text documents were located. Twenty-eight provided sufficient detail to be reviewed using a checklist adapted from the Scottish Intercollegiate Guideline Network (SIGN) recommendations for level of evidence rankings and quality assessment ratin...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Reynolds, A. L., Vick, J. L., Haak, N. J. Tags: Original articles Source Type: journals

Compliance and technical feasibility of long-term health monitoring with wearable and ambient technologiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We developed a system consisting of both wearable and ambient technologies designed to monitor personal wellbeing for several months during daily life. The variables monitored included bodyweight, blood pressure, heart-rate variability and air temperature. Two different user groups were studied: there were 17 working-age subjects participating in a vocational rehabilitation programme and 19 elderly people living in an assisted living facility. The working-age subjects collected data for a total of 1406 days; the average participation period was 83 days (range 43–99). The elderly subjects collected data for a total of...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Merilahti, J., Parkka, J., Antila, K., Paavilainen, P., Mattila, E., Malm, E.-J., Saarinen, A., Korhonen, I. Tags: Original articles Source Type: journals

Home-based exercise rehabilitation with telemedicine following cardiac surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We evaluated the feasibility of a home-based rehabilitation programme, which was designed to resemble an in-hospital rehabilitation programme. Patients who underwent cardiac surgery (EuroSCORE 0–10) followed a one-month home rehabilitation programme supervised by a nurse-tutor and a physiotherapist. Physiotherapy was performed at home with calisthenic exercises and bicycle-ergometer tests. Patients transmitted the recorded ECGs by telephone to a service centre. They also performed a 6-minute walking test and filled in a satisfaction questionnaire at the end of the programme. A total of 47 patients were enrolled in th...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Scalvini, S., Zanelli, E., Comini, L., Tomba, M. D., Troise, G., Giordano, A. Tags: Original articles Source Type: journals

The attitudes of multiprofessional teams to telehealth adoption in northern Finland health centresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A telehealth network was established between seven health centres, the local university and the university hospital in the Oulu Arc Subregion in a rural area of northern Finland. During the period 2004–2007, the videophone network was used for different types of teleconsultation (orthopaedics, psychiatry, diabetes, rehabilitation), continuing education and various patient care and administrative meetings. Qualitative research with observation and interviews with 30 professionals (physicians, nurses, psychiatric nurses, physiotherapists) was carried out in early 2007 to find out health-care professionals' attitudes to...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Vuononvirta, T., Timonen, M., Keinanen-Kiukaanniemi, S., Timonen, O., Ylitalo, K., Kanste, O., Taanila, A. Tags: Original articles Source Type: journals

Telepsychiatry appointments in a continuing care setting: kept, cancelled and no-showsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We reviewed the appointment data for a psychiatry service in California that provided consultations and also therapy through telepsychiatry. Over an 18-month period, there were 7523 telepsychiatry appointments and 115,148 conventional (face-to-face) appointments. A higher proportion of the telepsychiatry appointments was kept (92% telepsychiatry vs. 87% non-telepsychiatry). Also, telepsychiatry appointments were significantly less likely to be cancelled by patients (3.5% vs. 4.8%) and significantly less likely to be no-shows (4.2% vs. 7.8%). These findings were similar in three of the four counties where the service was de...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Leigh, H., Cruz, H., Mallios, R. Tags: Original articles Source Type: journals

Feasibility of blood pressure telemonitoring in patients with poor blood pressure controlEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the feasibility of using home blood pressure (BP) telemonitoring devices for managing patients with poor BP control. We enrolled 591 subjects with a diagnosis of hypertension. Patients were randomized to usual care (n = 147) or to the intervention arm (n = 441). Those in the intervention arm were issued with a home BP telemonitoring device. The device transmitted BP readings automatically via the home telephone line. Technical alerts were generated if patients did not transmit their BP readings according to the protocol. During the first six months, 693 technical alerts were generated by 267 patients. About hal...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: McCant, F., McKoy, G., Grubber, J., Olsen, M. K, Oddone, E., Powers, B., Bosworth, H. B Tags: Original articles Source Type: journals

Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parents of preterm-born infants need support after returning to their homes with their baby. We studied the experience of certified paediatric nurses (CPNs) with the use of videoconferencing between the neonatal intensive care unit and the families' home. Families were given a home videoconferencing unit, which allowed them to contact staff at the neonatal unit, day and night. Over a period of 12 months, ten families used the videoconferencing equipment. Families made a median of 4 telemedicine calls each (range 2–30). Narrative interviews were performed with 10 CPNs after the study ended. Qualitative thematic conten...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Lindberg, B., Axelsson, K., Ohrling, K. Tags: Original articles Source Type: journals

Implementation of a broadband video consultation service for children with posture and movement disordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We evaluated the implementation of a video consultation service in a regional community of paediatric physiotherapists. Twenty-two paediatric therapists in primary care settings and a rehabilitation centre participated in this study. The implementation comprised three phases: introduction, learning and consultation. Evaluation of the implementation focused on the participants' satisfaction with regard to the implementation procedure, the education received, the technical helpdesk support and the usage of the application once put into practice. The introduction phase was very short (only two sessions) but the learning phase...
Source: Journal of Telemedicine and Telecare - August 30, 2009 Category: Information Technology Authors: Visser, J. J., Bloo, J. K., Grobbe, F. A, Vollenbroek-Hutten, M. M. Tags: Original articles Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Millar, H. Tags: Book review Source Type: journals

Complex bioethics consultation in rural hospitals: using telemedicine to bring academic bioethicists into outlying communitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bioethics consultations are necessary to ensure excellent patient care and all US hospitals are required to provide access to bioethics consultants for cases raising ethical or moral dilemmas. However, there is a paucity of trained clinical ethicists. While assistance from trained bioethicists may be obtained via telephone or email, such methods of contact do not allow a bioethicist to engage fully with all members of the health-care team, the patient and family members. In two recent cases, rural hospitals contacted our centre for assistance with complex ethics cases. We provided a clinical ethics consultation via videoco...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Kon, A. A, Rich, B., Sadorra, C., Marcin, J. P Tags: Case report Source Type: journals

Impact of a telemedicine system on acute stroke care in a community hospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In January 2007, a telestroke system was established between a community hospital lacking a neurologist on call and a stroke centre 70 km away. The telestroke system allowed urgent remote evaluation of the patient by a specialized neurologist, supervised thrombolytic treatment or a decision for urgent transfer to the stroke centre. During the first year of operation of the telestroke system, we studied all acute ischaemic stroke patients admitted to the community hospital and compared the results with the previous year. Approximately the same number of acute stroke patients were admitted to the community hospital in each y...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Pedragosa, A., Alvarez-Sabin, J., Molina, C. A, Sanclemente, C., Martin, M C., Alonso, F., Ribo, M. Tags: Original articles Source Type: journals

Need for tele follow-up - a study at a public sector quaternary referral hospital in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The All India Institute of Medical Sciences (AIIMS) is the apex super-specialty, quaternary referral hospital of India. Its outpatient departments (OPDs) handle over 2.5 million patients every year, a large proportion of whom travel up to 2500 km for treatment because specialist facilities are not available in their regions. We conducted a descriptive study of 58 AIIMS faculty staff members, using a self-administered questionnaire followed by interviews with selected faculty members. During the year 2006, a total of 2,566,492 patients attended the various OPDs at the AIIMS, of whom 1,427,466 (56%) were old patients, i.e. t...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Pathni, R. K, Satpathy, S., Kailash, S. Tags: Original articles Source Type: journals

User's perceptions of remote trauma telesonographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We established a pilot tele-ultrasound system between a rural referring hospital and a tertiary care trauma centre to facilitate telementoring during acute trauma resuscitations. Over a 12-month period, 23 tele-ultrasound examinations were completed. The clinical protocol examined both the Focused Assessment with Sonography for Trauma (FAST) and the Extended FAST (EFAST) for pneumothoraxes. Twenty of the examinations were conducted during acute trauma resuscitations and three during live patient simulations. FAST examinations were completed in all 23 cases and EFAST examinations in 17 cases. There were 18 clinical users, o...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Al-Kadi, A., Dyer, D., Ball, C. G, McBeth, P. B, Hall, R., Lan, S., Gauthier, C., Boyd, J., Cusden, J., Turner, C., Hamilton, D. R, Kirkpatrick, A. W Tags: Original articles Source Type: journals

Impact of electronic messaging on the patient-physician interactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients are interested in secure electronic communication with their health-care providers, but physicians have been slow to adopt the technique into their practice. We have therefore reviewed the literature on secure patient messaging. Relevant studies were identified by Medline search which produced 1065 publications. Of these, 71 relevant articles were read independently by two reviewers. Currently available messaging systems allow for asynchronous communication, physician reimbursement and automated supporting functions such as triaging of patient messages and integration of messaging into medical records. The review ...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Wallwiener, M., Wallwiener, C. W., Kansy, J. K., Seeger, H., Rajab, T. K. Tags: Original articles Source Type: journals

The effect of telemedicine on outcome and quality of life in pregnant women with diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We evaluated the effect of a telemedicine system on maternal and fetal outcome in women with diabetes. A total of 276 pregnant women were enrolled in the study. Women were sequentially assigned to a telemedicine or a control group. There were 88 women with gestational diabetes in the telemedicine group and 115 in the control group; there were 17 women with type 1 diabetes in the telemedicine group and 15 in the control group. Women in telemedicine groups were asked to submit their blood glucose data every week, and had a medical examination at the diabetes clinic once a month. Women in the control groups had a medical exam...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Dalfra, M. G., Nicolucci, A., Lapolla, A., on behalf of the TISG Tags: Original articles Source Type: journals

Assessment of communication and swallowing post-laryngectomy: a telerehabilitation trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ten laryngectomy patients were assessed using a purpose-designed, multimedia videoconferencing system incorporating a freestanding, self-focusing camera. Swallowing, stoma and communication status were assessed simultaneously by a remote clinician and face-to-face, by a second clinician at the patient's site. The remote trial took place over a distance of approximately 1700 km using a commercial 3G phone network. A satisfaction questionnaire was also completed. There was excellent agreement between the two assessing clinicians. Image quality obtained via the freestanding camera was rated as lower than direct observation, b...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Ward, E., Crombie, J., Trickey, M., Hill, A., Theodoros, D., Russell, T. Tags: Original articles Source Type: journals

Predicting need for intervention in individuals with congestive heart failure using a home-based telecare systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We have studied how well the need for a medical intervention can be predicted by a telecare monitoring system. During a study period of about 18 months, 45 elderly individuals with congestive heart failure used a home health monitor to enter daily information pertaining to their symptoms and health status. A total of 8576 alerts were generated by the monitoring system, although in most cases, patient and service provider interaction was not required. When system alerts were considered to be serious, or if symptoms persisted, the patient was contacted. A total of 171 key medical events (6 deaths; 28 hospital admissions; 59 ...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Biddiss, E., Brownsell, S., Hawley, M. S Tags: Original articles Source Type: journals

A comparative study of teledermatoscopy and face-to-face examination of pigmented skin lesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined the agreement between diagnoses of pigmented skin lesions based on an in-person (face-to-face) dermatological examination and diagnoses based on the study of medical records and images transferred through the web (teledermatoscopy). Two experienced dermatologists examined and diagnosed 64 pigmented skin lesions, which had been surgically excised and undergone histopathology examination. Two years later, the same cases were studied and diagnosed once again by the same dermatologists via the web. There was 72% agreement between the in-person diagnoses and the biopsy results (the gold standard), and 66% agreement ...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Ishioka, P., Tenorio, J. M, Lopes, P. R., Yamada, S., Michalany, N. S, Amaral, M. B, Pisa, I. T, Hirata, S. H, Almeida, F. A Tags: Original articles Source Type: journals

Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We explored the benefit of video communication in home rehabilitation after shoulder joint replacement and compared it to referral for physiotherapy in the conventional way. A total of 22 patients were included in the study. The intervention group (n = 10) had training at home under the supervision of a physiotherapist at the hospital using videoconferencing. The control group (n = 12) had physiotherapy training in a conventional way in their home town. All patients had the same postoperative, three-phase-programme for two months. The outcome measures were a Visual Analogue Scale (VAS) for pain, range of motion (ROM), shou...
Source: Journal of Telemedicine and Telecare - July 8, 2009 Category: Information Technology Authors: Eriksson, L., Lindstrom, B., Gard, G., Lysholm, J. Tags: Original articles Source Type: journals

Family-focused therapy via videoconferencingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 30-year-old veteran with a diagnosis of schizoaffective disorder and his mother were referred for family-focused therapy (FFT), an empirically-supported, manual-based treatment. The veteran had had multiple hospitalizations and experienced chronic auditory hallucinations for self-harm. Minor modifications to FFT were made for implementation via videoconferencing (at a bandwidth of 384 kbit/s). This may have enhanced the treatment by making the process of communication and problem-solving more explicit. The course of FFT was successfully completed, and the veteran and family showed a high level of satisfaction with care a...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Dausch, B. M, Miklowitz, D. J, Nagamoto, H. T, Adler, L. E, Shore, J. H Tags: Case reports Source Type: journals

Case report: an example of international telemedicine successEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An 8-month old girl presented to the Angkor Hospital for Children in Siem Riep, Cambodia with fevers, bilateral eye discharge and an extensive body rash. The rash consisted of large, fluid-filled bullae and significant desquamation. The patient was admitted to the hospital and given intravenous cloxacillin for presumed bullous impetigo. Despite treatment with antibiotics, the skin lesions did not improve and the fevers continued. Telemedicine consultations were initiated by email between Angkor Hospital for Children and paediatric specialists in the USA. Several diagnoses were entertained throughout the subsequent collabor...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Froehlich, W., Seitaboth, S., Chanpheaktra, N., Pugatch, D. Tags: Case reports Source Type: journals

Preliminary results from a telemedicine referral network for early diagnosis of sleep apnoea in sleep laboratoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a feasibility study to find out whether a simple preliminary examination using telemedicine for diagnosis was sufficient to identify sleep-related breathing disorders (SRBD). Night-time pulse oximetry recordings were made in normal home surroundings on patients suffering from sleep apnoea/SRBD by doctors with a range of non-specialist backgrounds. The readings were transmitted to the relevant sleep laboratory, examined and the results returned to the referring doctor. From 80 patients (aged 29 to 60 years), 58 complained about characteristic symptoms (snoring, daytime sleepiness); 33 of these patients showed a...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Boehning, N., Blau, A., Kujumdshieva, B., Staubitz, A., Boehning, W. Tags: Original articles Source Type: journals

Validation of home telehealth for pressure ulcer assessment: a study in patients with spinal cord injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The reliability and validity of assessments and diagnoses made via home telehealth was measured in 42 patients with spinal cord injury. Two telehealth modalities were investigated: telephone-only contact and videoconferencing. The results were compared with a reference (gold-standard) method, the in-person assessment and diagnosis of skin integrity and pressure ulcers. The agreement on the presence of a pressure ulcer was excellent for both telephone and videoconferencing approaches (92% for telephone, 97% for videoconferencing). The diagnoses of the stage of pressure ulcer (on an ordinal scale of 0–4) made via telep...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Hill, M. L, Cronkite, R. C, Ota, D. T, Yao, E. C, Kiratli, B J. Tags: Original articles Source Type: journals

A comparison of telesonography with standard ultrasound care in a rural Dominican clinicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We compared telesonography to usual patient care in a rural clinic in the Dominican Republic. A total of 108 low-income Dominican and Haitian patients volunteered to participate. The patients were randomly assigned to either telesonography or control groups. Patients in the telesonography group were scanned and sonographic images and Request for Interpretation (RFI) forms were sent by email to six volunteer radiologists in the USA. Completed RFI forms were transmitted back to the clinic at the radiologists' earliest convenience. Patients in the control group received an ordinary ultrasound referral, which required travel t...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Sutherland, J. E., Sutphin, H D., Rawlins, F., Redican, K., Burton, J. Tags: Original articles Source Type: journals

Telehospice: reasons for slow adoption in home hospice careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We investigated why hospice nurses were slow to adopt videophones to care for their patients. We used the unified theory of acceptance and use of technology (UTAUT) model and the organizational readiness for change (ORC) assessment via interviews and focus groups with hospice staff. Twenty-five hospice employees participated. Eighteen (72%) were in clinical positions and seven were in non-clinical positions (28%). Thirty-nine percent of respondents reported no videophone training, despite the fact that every employee had received training. Only four staff members actually used a videophone with patients. The respondents ov...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Whitten, P., Holtz, B., Meyer, E., Nazione, S. Tags: Original articles Source Type: journals

A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An evaluation was undertaken on the effectiveness and efficiency of care coordination as a means of delivering health services to Australian veterans with a diagnosis of congestive heart failure. The veterans participated in a randomized controlled trial of care coordination that was supported by the Department of Veterans' Affairs (DVA). Of 490 veterans who were recruited, 409 were surveyed at baseline (214 in the intervention group and 195 controls). At follow-up, 288 were surveyed (155 intervention and 133 controls). Information on cost of care and quality of life (QOL) was collected before the commencement of coordinat...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Wootton, R., Gramotnev, H., Hailey, D. Tags: Original articles Source Type: journals

A systematic review of the use of telehealth in Asian countriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a systematic review of the literature on telehealth in Asia. The Medline database was searched, together with three specialist journals, for peer-reviewed articles published in the ten years to June 2007 which were related to any telehealth application involving one or more Asian country. Out of the 1504 abstracts retrieved, 109 articles were selected by two independent reviewers for the final review. The number of published articles on telehealth in Asia increased during the review period. The largest number of studies were conducted in Japan (37%). Most telehealth applications were based on the store-and-for...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Durrani, H., Khoja, S. Tags: Original articles Source Type: journals

Informed consent for videoconsultations in CanadaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We performed a qualitative study of the practice of informed consent for videoconsultation in Canada. Fourteen cases were examined: the 13 provinces and territories, and the Federal jurisdiction representing aboriginal groups. Twenty-seven interviews were conducted with key informants (14 telehealth experts, 13 legal experts). The telehealth experts were people with direct experience of telehealth practice. The majority of the telehealth experts agreed that videoconsultations had not been integrated into the health-care system. An interesting finding of the study was that the integration status of videoconsultations was no...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Chouinard, I., Scott, R. E Tags: Original articles Source Type: journals

A retrospective study of adult telephone triage calls in a US call centreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a retrospective study of symptom assessment calls for adult patients at a US call centre, Ask Mayo Clinic. A total of 27,979 symptom assessment calls were received from July 2006 to June 2007. Calls concerning female patients predominated in all age groups and accounted for 71% of calls, but decreased significantly with increasing age. The average duration of an adult call was 10 min, and the duration increased with increasing age of the adult patient. The greatest frequency (8%) of calls were related to symptoms of abdominal pain, followed in frequency by skin problems (6%), pregnancy-related issues (6%), col...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: North, F., Varkey, P. Tags: Original articles Source Type: journals

Information architecture of a telecare systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An information architecture is a high-level, conceptual design for a system which describes the fundamental requirements and principles of a system, and details its essential elements and characteristics. I conducted a comprehensive review of published literature on telecare, including government reports and case study papers. This enabled a complete picture to be constructed of telecare system components. The components can be divided into four separate categories: human components, ICT components, telecare operational units and supportive elements. The system requirements cover functional, non-functional and informationa...
Source: Journal of Telemedicine and Telecare - May 26, 2009 Category: Information Technology Authors: Collinge, W. H, Liu, K. Tags: Focus Source Type: journals

An interactive distance education model based on motivation for alcohol abuse preventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined group dynamics involving contests, games and theatrical performances for alcohol learning. To reinforce the information transmitted by telemedicine, 20 group sessions were held in São Paulo, one per week, each lasting one hour. The were 20 students directly involved and about 250 in the audience. The students drew up short theatre scenes, with basic information on the topic. The audience were then challenged to respond whether the subject of the scene was a myth or a truth about alcohol or alcoholism. The creation of a theatrical game required the involvement of student-actors to build the characters and...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Pereira, C. A, Wen, C. L. Tags: ABSTRACTS Source Type: journals

Public health education for young students aided by technologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Brazil is a large country with a population of nearly 200 million people. There are difficulties in providing public health education. To ensure its effectiveness, health education should begin during adolescence, to encourage young people to adopt healthy habits. A web-based tele-education platform was developed. Thirty students from a public high school in the rural city of Tatui took part in a pilot trial. Six teachers coordinated the student's activities. After face-to-face training, the students participated in tele-education, using a ‘cybertutor’ (an educational environment based on the website) and discu...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Macea, D. D, Rondon, S., Chaar, L. J, Wen, C. L Tags: ABSTRACTS Source Type: journals

A Brazilian study of the sustainability of telemedicine centresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We have investigated the factors which make telemedicine centres sustainable. A pilot study was carried out at two university telemedicine centres in Brazil: the Faculty of Odontology and the Faculty of Medicine at the University of São Paulo. Both centres were supported by long-term government grants. One centre delivered clinical telemedicine services in audiology and odontology, and the other centre delivered clinical services in dermatology, surgery, cardiology, medicine and second-opinions for primary care. A semi-structured interview script was drawn up and after consensus among four referees, interviews were ...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Gundim, R. S., Wen, C. L. Tags: ABSTRACTS Source Type: journals

The Swansea electronic referrals projectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A system was developed to allow general practitioners in Swansea to send urgent cancer referrals electronically to consultants at the South West Wales Cancer Centre. Five practices from the Swansea area took part in a pilot trial. Information was extracted from the system to evaluate the e-referral activity of the first six months, during which a total of 99 referrals were submitted electronically; most (81%) were processed within one hour. Evaluation interviews were conducted with staff at the general practices, who were asked to rate the system on a 10-point Likert scale (1 = completely dissatisfied to 10 = completely sa...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Scott, K. Tags: PAPERS Source Type: journals

Measurement of physical quantities in upper-limb tele-rehabilitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A total of 50 patients (affected by traumatic brain injury, stroke or multiple sclerosis) were treated for one month using a rehabilitation protocol. Rehabilitation could be monitored using a Portable Unit (PU) which could be installed in a patient's home allowing the measurement of kinetic and kinematic variables during exercise. In a preliminary analysis, the variables related to four rehabilitation exercises were examined for two patients at baseline and at the end of the one-month treatment. The exercises involved movement of checkers, a pencil, a jar and a key. The results suggest that, even if the overall duration of...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Rogante, M., Bernabeu, M., Hermens, H. J, Huijgen, B., Ilsbroukx, S., Macellari, V., Magni, R., Magnino, F., Scattareggia, S., Spitali, M. C, Vollenbroek-Hutten, M., Zampolini, M., Giacomozzi, C. Tags: PAPERS Source Type: journals

Pilot study of a virtual diabetes clinic: satisfaction and usabilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We developed a virtual clinic to assist patients who use insulin pumps in the management of their diabetes. The virtual clinic offered access to information, communication with health professionals and interaction with peers. Seventeen patients were recruited from three hospital clinics. Participants completed questionnaires before and after using the clinic for a six-month period. Usage was initially high but then declined. In the first two months 1691 page-views were recorded, but in the final two months only 355 page-views were registered. Users found participation reassuring. They rated peer interaction as the most des...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Powell, J., Jennings, A., Armstrong, N., Sturt, J., Dale, J. Tags: PAPERS Source Type: journals

A portable dental image viewer using a mobile network to provide a tele-dental serviceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We tested three imaging devices for suitability in emergency dental situations for telemedicine. The three devices were a special-purpose oral camera, a digital single lens reflex (DSLR) camera, and the built-in camera of a mobile phone. A total of 20 subjects volunteered to take part in the study. We simulated five different conditions which could affect the quality of the image and measured image transmission times across two widely available mobile networks (a CDMA-based 3G network and a Wireless Broadband Network, WiBRO). The DSLR produced the best quality images, although it was a relatively large device and not easy ...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Park, W., Kim, D.-K., Kim, J.-C., Kim, K.-D., Yoo, S. K Tags: PAPERS Source Type: journals

Telemedicine in neurosurgery - teleradiology connections in the Republic of CroatiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 1998, a teleradiology system was established in Croatia. It connects 34 CT, MRI and DSA scanners in 29 hospitals with a referral centre in the neurosurgery department in Zagreb. In the first three years of its use, the network saved more than 400,000 km of patient transportation (i.e. without a teleconsultation, all of the patients would have had to be transported to the nearest referral neurosurgical unit). During the first seven years, an archive with 25,366 expert opinions was collected. A total of 7103 (28%) expert opinions were provided for the distant regional hospitals. The most common diagnoses for patients from...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Mrak, G., Paladino, J., Dzubur, A., Desnica, A. Tags: PAPERS Source Type: journals

Awareness and attitudes to telemedicine among doctors and patients in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We collected information about awareness and attitudes to telemedicine from 143 doctors at 14 different hospitals in India, and from 121 patients who had come to New Delhi for treatment from other parts of India. Most doctors felt that telemedicine was important and their opinions were similar in all age groups. Only three of the 14 hospitals had not implemented telemedicine. A total of 86 doctors had used telemedicine. One hundred of the 121 patients were not aware of telemedicine. However, when the concept was explained, most patients had a positive attitude towards telemedicine. The majority of patients who had previous...
Source: Journal of Telemedicine and Telecare - April 13, 2009 Category: Information Technology Authors: Meher, S. K, Tyagi, R. S, Chaudhry, T. Tags: PAPERS Source Type: journals