R.H. Vandre, V.L. Kudryk, C. Fay, J. Edwards, T. K. Jones
{"title":"US Army teledentistry","authors":"R.H. Vandre, V.L. Kudryk, C. Fay, J. Edwards, T. K. Jones","doi":"10.1109/MTOL.1995.504530","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504530","url":null,"abstract":"Two US Army pilot studies have shown that teledentistry can save patient travel and evacuations. As a result, the Army is beginning a large research project to determine the benefits and the costs involved in using telemedicine equipment to provide remote dental diagnosis and treatment. This study will measure the costs and benefits in the areas of dental consulting, referrals for care, home call, telementoring, dentist laboratory communications, continuing education, and group management. lt is expected that this study will provide sufficient data to construct a business case for the implementation of this technology throughout the entire Army.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128581026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Total quality management, the ISO 9002 protocol and reconditioned diagnostic imaging equipment","authors":"T. Walsh","doi":"10.1109/MTOL.1995.504552","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504552","url":null,"abstract":"This paper examines the ISO 9002 program as it relates to reconditioned diagnostic medical imaging equipment, a commodity with a burgeoning domestic and international market. ISO 9002 certification plays an increasingly important role as customers continue to expand their acquisition of such equipment. The ISO 9002 program provides end-users with the confidence that the equipment will function properly, mitigating risk. The certification and program maintenance process and the interplay between management and labor are explored with emphasis on the ultimate beneficiary of an aggressively implemented program-the patient.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121961114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navy telemedicine initiative","authors":"M. Greenauer","doi":"10.1109/MTOL.1995.504534","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504534","url":null,"abstract":"Discusses the Navy Telemedicine Initiative, an initiative that the Navy has for some 3 years invested in with the Navy Marine Corps Team. The author identifies the telemedicine as an umbrella term to address the areas that one sees on the screen, as well as new and emerging technologies which seem applicable. All of which combines the transportation of digital imaging and clinical data from one point to another or the storage of that data within a facility. The Navy are using video teleconferencing for teleconsultation. Currently they have telemedicine up and running at over 12 different sites around the world at different component. Video teleconferencing is real-time consultation. The Navy have found that there is an opportunity to conserve clinicians' time because all consults do not have to be real-time. They want to examine the store and forward capabilities in teleconsultation, so they are looking at both real-time and store and forward. Teletraining is very important to the Navy. They know that by implementing telemedicine, they are also going to have the backbone or infrastructure in pace which will allow for clinical training, CME and GME training for their staff at all levels. That is going to result in significant savings for the Navy in travel time and costs for training. The author projects that possibly more than 30% of the Navy's travel for training will be reduced by having a telepresence for teletraining. They need telelibrary capability, where they or a clinician can tap in from any place in the world to the resources of any medical library or medical library data base, all the way up to, of course, the National Library of Medicine.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134396580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continuing medical education on the World Wide Web","authors":"P. Fontelo","doi":"10.1109/MTOL.1995.504546","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504546","url":null,"abstract":"The WWW, with its hypermedia capability, has afforded a new medium for delivering text, images, and graphics. It becomes an ideal platform for disseminating CME materials. One advantage of CME information on a WWW server, is its potential for user access on their own time (asynchronous mode). The worldwide distribution of the Internet permits an efficient method of information dispersion, one \"instructor\" (server) for a multitude of potential students. The Uniformed Services University of the Health Sciences (USUHS) Department of Pathology has undertaken a project to provide CME through the World Wide Web. The primary goal of the project is to provide CME to uniformed services physicians especially those in remote sites in the continental United States and overseas. A secondary goal is to serve physicians and allied medical practitioners in the civilian sector. It is also intended to be a training tool for pathologists and other diagnosticians.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"644 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133761550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enabling technologies for telepresence","authors":"E. Tangalos","doi":"10.1109/MTOL.1995.504522","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504522","url":null,"abstract":"Due to the expense of doing business in the present marketplace, telemedicine will not be competitive even in the managed care environment unless it is multifunctional. The Mayo system has demonstrated since its inception that a network of communication services, although dedicated to telemedicine, finds multiple uses in an environment large enough to find applications to meet needs. A variety of management strategies were undertaken to utilize the system most efficiently. Given the great demands upon the utility for direct medical care, education, and administration, an operational structure based on clearly defined guidelines was established to allocate resources fairly, Clinicians are reliant on a sound technical system and cannot practice telemedicine in a vacuum. It is the cross functional nature of the practice and the interdependence on technology and support staff which allows for a telepresence. Telemedicine is not a medical specialty, it is both a method to access health services and a means to deliver medical care.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123436676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low cost three-dimensional ultrasonographic imaging in a military Women's Health Center using the continuous linear acquisition method","authors":"C. Macedonia, T. Patience, A. Maslow, J. Kopelman","doi":"10.1109/MTOL.1995.504548","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504548","url":null,"abstract":"The authors present several three-dimensional sonographic images from a population of obstetric patients in a military medical center. The presentation includes images that demonstrate areas for which our inexpensive three-dimensional sonographic techniques have distinct advantages over traditional two-dimensional means.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127089344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communication technology for telemedicine","authors":"F. Prior","doi":"10.1109/MTOL.1995.504520","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504520","url":null,"abstract":"From the invention of the telephone, medical practitioners have employed electronic communication to facilitate patient care. With the advent of computer networks, communication of clinical information both within and between institutions has entered a new era. One thing is clear from even a cursory examination of the history of electronic communication in medicine, the trend is toward increasing volume and complexity of information and increasing demand for communication bandwidth. State of the art applications such as regional picture archive and communication system (PACS)s, full-motion high quality telemedicine, and telepresence surgery place stringent requirements on the facilitating communication technologies. To provide a basis for understanding these requirements a brief tutorial of the basic concepts of digital communication is presented. To illustrate relative performance and capabilities an integrated teleradiology/telemedicine system utilizing a wide-area asynchronous transfer mode network is described and compared to a more conventional teleradiology application based on T1 rate frame relay service.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127665764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Real time imaging service","authors":"H. Mosser","doi":"10.1109/MTOL.1995.504537","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504537","url":null,"abstract":"Real time imaging service implies online communication of radiological results (i.e. images and reports) to places where this information leads to therapeutic action. Digital acquisition, archiving and communication has replaced the conventional film and film library. This paper presents the clinical experiences of the first filmless radiology department worldwide, based on 3 years routine operation. All imaging equipment is intrinsically digital. Primary diagnosis is performed on digital workstations and peripheral viewing stations provide information display on wards and outpatient clinics. During the first 3 years 1.363.953 images have been acquired resulting in 3,03 Terrabyte of data stored on optical disks. Benefits of real time imaging service primarily are fast and reliable access to image information and reduction of the average patient length of stay in hospital.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128572889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computerized disease vector identification keys","authors":"S. Stockwell, J. Glick","doi":"10.1109/MTOL.1995.504544","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504544","url":null,"abstract":"An illustrated, interactive, computerized key to the mosquito genera of North America is presented. The key assists military preventive medicine personnel in assessing the threat from arthropod-borne disease, allowing them to develop successful, cost-effective, and environmentally safe countermeasures. The software is designed for use by military preventive medicine personnel and demonstrates how information currently available only in printed format can be adapted and improved for use with computer systems. Data and directive files for the key are formatted for use with the DELTA system of programs and the key implements a beta version of INTKEY 4.0.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115837470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical executive information systems","authors":"C. Uchello","doi":"10.1109/MTOL.1995.504541","DOIUrl":"https://doi.org/10.1109/MTOL.1995.504541","url":null,"abstract":"The Navy, as with other military services and private industry, faces the challenge of providing quality health care in an environment of escalating costs and declining resources. Decision Systems Technologies Inc. has developed and implemented the Navy Medical Executive Information System (EIS) for the Naval Medical Information Management Center (NMIMC). The EIS converts data to intelligence to help Navy Medical Department executives make major decisions concerning the allocation and management of health care resources. The EIS is based on a corporate (centralized, integrated, multi-dimensional) database system that uses the mainframe computer at NMIMC for database maintenance and commercially available EIS software to answer queries.","PeriodicalId":102057,"journal":{"name":"Proceedings of the National Forum: Military Telemedicine On-Line Today Research, Practice, and Opportunities","volume":"207 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115545218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}