International Journal of Telemedicine and Applications最新文献_第9页

The Internet Use for Health Information Seeking among Ghanaian University Students: A Cross-Sectional Study. 加纳大学生使用网际网路寻求健康资讯:一项横断面研究。

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-10-31 DOI: 10.1155/2017/1756473

Benedict Osei Asibey, Seth Agyemang, Augustina Boakye Dankwah

{"title":"The Internet Use for Health Information Seeking among Ghanaian University Students: A Cross-Sectional Study.","authors":"Benedict Osei Asibey, Seth Agyemang, Augustina Boakye Dankwah","doi":"10.1155/2017/1756473","DOIUrl":"https://doi.org/10.1155/2017/1756473","url":null,"abstract":"The aim of the study was to investigate university students' use of the Internet for health purpose in the Ghanaian context. The study employed a quantitative cross-sectional design. A total of 650 out of 740 students selected from 3 different universities participated, giving a response rate of 87.7% (650/740). Data were obtained using questionnaires and frequency and percentages were used to analyze data. The results show that university students are active users of the Internet as 78.3% (509/650) used Internet daily and 67.7% (440/650) use Internet for health purposes, for reasons including availability and ease of accessing information, privacy, confidentiality, and affordability. Use of Internet was constrained by unreliable and slow connection, high cost of Internet, and unreliable power supply. Also, 72.4% (315/435) used the online health information obtained as a basis for lifestyle change and only 39.5% (170/430) consulted health professionals after obtaining online information. The study concludes that students use Internet to seek online health support. The use of Internet to communicate with young people in relation to their health must therefore be explored. There is the need to be aware of online safety issues for young adults, including the need to provide information on privacy options.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"1756473"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/1756473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35238570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 80

Clinical Decision Support Systems for Comorbidity: Architecture, Algorithms, and Applications. 合并症的临床决策支持系统:架构、算法和应用。

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-03-08 DOI: 10.1155/2017/1562919

Aihua Fan, Di Lin, Yu Tang

引用次数: 5

Research on Optimization of Pooling System and Its Application in Drug Supply Chain Based on Big Data Analysis. 基于大数据分析的药品供应链统筹优化及应用研究

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-02-15 DOI: 10.1155/2017/1503298

DengFeng Wu, Hongyi Mao

引用次数: 8

An HTML5-Based Pure Website Solution for Rapidly Viewing and Processing Large-Scale 3D Medical Volume Reconstruction on Mobile Internet. 基于html5的移动互联网快速查看和处理大规模三维医疗体重建的纯网站解决方案

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-05-30 DOI: 10.1155/2017/4074137

Liang Qiao, Xin Chen, Ye Zhang, Jingna Zhang, Yi Wu, Ying Li, Xuemei Mo, Wei Chen, Bing Xie, Mingguo Qiu

{"title":"An HTML5-Based Pure Website Solution for Rapidly Viewing and Processing Large-Scale 3D Medical Volume Reconstruction on Mobile Internet.","authors":"Liang Qiao, Xin Chen, Ye Zhang, Jingna Zhang, Yi Wu, Ying Li, Xuemei Mo, Wei Chen, Bing Xie, Mingguo Qiu","doi":"10.1155/2017/4074137","DOIUrl":"https://doi.org/10.1155/2017/4074137","url":null,"abstract":"This study aimed to propose a pure web-based solution to serve users to access large-scale 3D medical volume anywhere with good user experience and complete details. A novel solution of the Master-Slave interaction mode was proposed, which absorbed advantages of remote volume rendering and surface rendering. On server side, we designed a message-responding mechanism to listen to interactive requests from clients (Slave model) and to guide Master volume rendering. On client side, we used HTML5 to normalize user-interactive behaviors on Slave model and enhance the accuracy of behavior request and user-friendly experience. The results showed that more than four independent tasks (each with a data size of 249.4 MB) could be simultaneously carried out with a 100-KBps client bandwidth (extreme test); the first loading time was <12 s, and the response time of each behavior request for final high quality image remained at approximately 1 s, while the peak value of bandwidth was <50-KBps. Meanwhile, the FPS value for each client was ≥40. This solution could serve the users by rapidly accessing the application via one URL hyperlink without special software and hardware requirement in a diversified network environment and could be easily integrated into other telemedical systems seamlessly.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"4074137"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4074137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35108216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

A Way to Understand Inpatients Based on the Electronic Medical Records in the Big Data Environment. 大数据环境下基于电子病案的住院患者了解途径

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-02-09 DOI: 10.1155/2017/9185686

Hongyi Mao, Yang Sun

引用次数: 11

Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer. 排除静脉溶栓前的脑CT禁忌症:初级解释工作站和移动平板电脑的诊断等效性。

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-11-09 DOI: 10.1155/2017/6869145

Antonio J Salazar, Nicolás Useche, Manuel Granja, Aníbal J Morillo, Sonia Bermúdez

{"title":"Ruling Out Brain CT Contraindications prior to Intravenous Thrombolysis: Diagnostic Equivalence between a Primary Interpretation Workstation and a Mobile Tablet Computer.","authors":"Antonio J Salazar, Nicolás Useche, Manuel Granja, Aníbal J Morillo, Sonia Bermúdez","doi":"10.1155/2017/6869145","DOIUrl":"https://doi.org/10.1155/2017/6869145","url":null,"abstract":"Objective: The aim of this study was to evaluate the equivalence of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer, in a telestroke service.Materials and methods: The ethics committee of our institution approved this retrospective study. A factorial design with 1452 interpretations was used. The assessed variables were the type of stroke classification, the presence of contraindications to the tPA administration, the presence of a hyperdense intracranial artery sign (HMCA), and the Alberta Stroke Program Early CT Score (ASPECTS) score. These variables were evaluated to determine the effect that the reading system had on their magnitudes.Results: The achieved distribution of observed lesions using both the reading systems was not statistically different. The differences between the two reading systems to claim equivalence were 1.6% for hemorrhagic lesions, 4.5% for cases without lesion, and 5.2 for overall ischemic lesion. Equivalence was achieved at 2.1% for ASPECTS ≤ 6, 6.5% for the presence of imaging contraindication to the tPA administration, and 7.2% for the presence of HMCA.Conclusion: The diagnostic performance for detecting acute stroke is likely equivalent whether a tablet computer or a diagnostic workstation is used or not.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"6869145"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6869145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35664681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Do Face-to-Face Training and Telephonic Reminder Improve Dry Powder Inhaler Technique in Patients with COPD? 面对面培训和电话提醒能改善COPD患者的干粉吸入器技术吗?

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-03-13 DOI: 10.1155/2017/5091890

Ramesh Sharma Poudel, Shakti Shrestha, Pawan Bhatta, Rano Mal Piryani

{"title":"Do Face-to-Face Training and Telephonic Reminder Improve Dry Powder Inhaler Technique in Patients with COPD?","authors":"Ramesh Sharma Poudel, Shakti Shrestha, Pawan Bhatta, Rano Mal Piryani","doi":"10.1155/2017/5091890","DOIUrl":"https://doi.org/10.1155/2017/5091890","url":null,"abstract":"Introduction. Current modes of instruction on inhaler technique are inadequate. We aimed to evaluate the value of face-to-face training and telephonic reminder (FFTTR) for improving Rotahaler technique in experienced patients with COPD. Materials and Methods. A single group pre-/postinterventional study was conducted at Chitwan Medical College Teaching Hospital, Nepal. We assessed the Rotahaler technique of thirty consecutive patients using Rotahaler device for more than one year. Patients with incorrect technique (n = 20) were instructed and trained by a pharmacist. Telephonic reminder was used to reinstruct patients on the correct technique on weekly basis for two weeks and technique was reassessed after 4 weeks of their first training. Descriptive statistics including Wilcoxon Signed Rank test were applied. Results. The mean age was 66.06 ± 10.6. Of 30 patients, 10 (33.3%) performed Rotahaler technique correctly at baseline and were excluded from FFTTR intervention. FFTTR corrected the technique in 18 (90%) patients and the median (IQR) score increased from 6 (5-6) to 8 (8-8) (p < 0.001). The most incorrect steps were \"breathe out gently but not towards the inhaler mouthpiece\" (16, 80%) and \"hold breath for about 10 seconds\" (18, 90%) at baseline which improved after intervention. Conclusion. FFTTR approach markedly improved Rotahaler technique in patients with COPD.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"5091890"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5091890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34894576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence. 视频会议在养老院老年人保健服务中的应用:研究证据综述。

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-09-10 DOI: 10.1155/2017/5785613

Louise Newbould, Gail Mountain, Mark S Hawley, Steven Ariss

{"title":"Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence.","authors":"Louise Newbould, Gail Mountain, Mark S Hawley, Steven Ariss","doi":"10.1155/2017/5785613","DOIUrl":"https://doi.org/10.1155/2017/5785613","url":null,"abstract":"A scoping review was conducted to map the research evidence on the use of videoconferencing for remote health care provision for older adults in care homes. The review aimed to identify the nature and extent of the existing evidence base. Databases used were Embase, Medline, Web of Science, and Cochrane Library Reviews. The review identified 26 articles for inclusion, of which 14 were case studies, making the most used study design. Papers described videoconferencing as being used for assessment, management of health care, clinical support, and diagnosis, with eight of the papers reporting the use of videoconferencing for more than one clinical purpose. A further eight papers reported the use of videoconferencing for assessment alone. The literature reported the collection of various types of data, with 12 papers describing the use of both qualitative and quantitative data. The outcomes mainly addressed staff satisfaction (n = 9) and resident satisfaction (n = 8). Current evidence supports the feasibility of videoconferencing in care homes. However, research needs to be undertaken to establish the contexts and mechanisms that underpin the successful implementation of videoconferencing in care homes and to define useful measures for success.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"5785613"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5785613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35552951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

The "e-Generation": The Technological Usage and Experiences of Medical Students from a Developing Country. “e世代”:发展中国家医学生的技术使用与经验。

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-08-24 DOI: 10.1155/2017/6928938

Priyasdarshani Galappatthy, Wasundara S Wathurapatha, Priyanga Ranasinghe, Maheshi D M S Wijayabandara, Dinuka S Warapitiya, Krishantha Weerasuriya

{"title":"The \"e-Generation\": The Technological Usage and Experiences of Medical Students from a Developing Country.","authors":"Priyasdarshani Galappatthy, Wasundara S Wathurapatha, Priyanga Ranasinghe, Maheshi D M S Wijayabandara, Dinuka S Warapitiya, Krishantha Weerasuriya","doi":"10.1155/2017/6928938","DOIUrl":"https://doi.org/10.1155/2017/6928938","url":null,"abstract":"Background: The medical community is increasingly using Portable Electronic Devices (PEDs). We evaluated usage of PEDs and medical apps among medical students from Sri Lanka.Methods: This descriptive cross-sectional study was conducted at Faculty of Medicine, University of Colombo. Medical students from 2nd to 5th year were invited for the study. A self-administered questionnaire was used to collect details of PEDs availability, accessibility, and usage, perceived advantages/barriers of PEDs, and availability, accessibility, and usage of medical apps.Results: Sample size was 505 (response rate, 61.8%). Mean age was 23.2 ± 1.3 years and majority were females (60.4%, n = 305). Majority (87.5%, n = 442) of students owned a PED. Nonaffordability was the most common reason for having not owning a PED (46%). Nonaffordability and lack of knowledge were key determinants of the usage of PEDs and medical \"apps.\" Doubts about reliability and lack of knowledge regarding reliable electronic sources of information were other significant barriers.Conclusions: Our results show that a significant majority of students owned a PED, a higher percentage than what is reported elsewhere. Considering barriers identified, it is important for institutions to promote usage of PEDs and medical apps by providing financial support, training, and knowledge to build confidence in technology.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"6928938"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6928938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35610883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Patients' and Healthcare Personnel's Experiences of Health Coaching with Online Self-Management in the Renewing Health Project. 更新健康项目中患者和医护人员在线自我管理健康指导的经验

IF 4.4

International Journal of Telemedicine and Applications Pub Date : 2017-01-01 Epub Date: 2017-12-31 DOI: 10.1155/2017/9306192

Inger Lindberg, Birgitta Lindberg, Siv Söderberg

{"title":"Patients' and Healthcare Personnel's Experiences of Health Coaching with Online Self-Management in the Renewing Health Project.","authors":"Inger Lindberg, Birgitta Lindberg, Siv Söderberg","doi":"10.1155/2017/9306192","DOIUrl":"https://doi.org/10.1155/2017/9306192","url":null,"abstract":"Background: Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health.Objective: To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care.Method: A pragmatic randomised controlled trial was conducted. Patients in the intervention group measured and reported medical parameters such as blood pressure, blood glucose, prothrombin complex (PK) values, and 2-channel ECG. Data were collected through a questionnaire, individual interviews with patients, and focus group discussions with healthcare personnel. The questionnaire was analysed using statistics; texts from interviews and focus groups were analysed using content analysis.Findings: Patients were satisfied and believed that the intervention had enhanced their care and increased accessibility without causing concerns about privacy. Although being positive, patients commented the lack of support and feedback from healthcare personnel. Healthcare personnel regarded the intervention valuable for the patients' abilities to perform self-management healthcare tasks but preferred that patients did so without them supporting the patients.Conclusion: Patients expressed satisfaction and acceptance regarding the use of the application. It seems that healthcare personnel are convinced about the benefits for patients and the potential for the intervention but are not convinced about its benefits for healthcare organisations.","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2017 ","pages":"9306192"},"PeriodicalIF":4.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9306192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35847930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6