Abstract:
:We evaluated the diagnostic accuracy of teleconsultations for skin diseases common in the army using a smartphone multimedia messaging service (MMS). Images of skin lesions were obtained from 100 army patients using digital cameras built into smartphones. Three remotely located dermatologists received the dermatology images and associated clinical information via the MMS. The teledermatologists' diagnoses were compared with those obtained from face-to-face examinations. The three most common diagnoses made at the dermatology clinics were eczema, viral warts and fungal infections. The mean diagnostic agreement between face-to-face and teledermatology consultations was 71% (SD 2). The mean kappa coefficient was 0.73 (SD 0.06) for the three most common diagnostic categories. The mean values for sensitivity were 78% (SD 0), 88% (SD 21) and 61% (SD 11) for eczema, viral warts and fungal infections, respectively, and the specificity values were above 90% for these skin diseases. Teledermatology consultation using smartphones is simple. Although diagnoses using telemedicine do not perfectly match diagnoses from face-to-face consultations the diagnostic accuracy using smartphones is superior to that of clinicians who are not specialized in dermatology.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Shin H,Kim DH,Ryu HH,Yoon SY,Jo SJdoi
10.1177/1357633X14524151subject
Has Abstractpub_date
2014-03-01 00:00:00pages
70-4issue
2eissn
1357-633Xissn
1758-1109pii
1357633X14524151journal_volume
20pub_type
杂志文章abstract:INTRODUCTION:Telemedicine is the delivery of healthcare from a remote location using integrated computer/communication technology. The current COVID-19 pandemic has led to increased adoption of telemedicine with national orthopaedic governing bodies advocating its use, as evidence suggests that social distancing maybe ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2020-08-06 00:00:00
abstract::We have developed a system for remote three-dimensional reconstruction, which facilitates telediagnosis. The telereconstruction system is based on a computerized tomography (CT) scanner, a workstation connected to the CT scanner, a PC, which can be geographically far away from the workstation, and a computer program t...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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abstract::The aim of this review was to explore and summarise the evidence base for using mobile apps for the management of headache disorders. PubMed, Web of Science, Embase and Scopus were searched for studies reporting the use of mobile health applications (apps) for managing headache disorders. Different combinations of key...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
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更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION:Cardiac rehabilitation improves physical capacity, health-related quality of life, and reduces morbidity and mortality among cardiac patients. Telemonitored exercise-based cardiac rehabilitation may innovate existing programmes and increase participation rates. OBJECTIVE:The purpose of this study was to i...
journal_title:Journal of telemedicine and telecare
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doi:10.1177/1357633X18792808
更新日期:2020-01-01 00:00:00
abstract::A pilot trial of telemedicine in primary care began in the village of Letham in 1998. The service provided conventional consultations with the district nurse, plus teleconsultations with a general practitioner (GP) at the health centre in Forfar, a few km away. In the first year, the videoconferencing link was used by...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2010.100310
更新日期:2010-01-01 00:00:00
abstract::Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17708947
更新日期:2018-08-01 00:00:00
abstract::We evaluated the diagnostic accuracy of slit-lamp photographs interpreted by telemedicine compared to a conventional clinical examination. A convenience sample of 21 patients with anterior segment disease was enrolled at the Lumbini Eye Institute (LEI) in Bhairahawa, Nepal. An ophthalmologist at the LEI examined each ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X14537769
更新日期:2014-07-01 00:00:00
abstract::Email has been used for some years as a low-cost telemedicine medium to provide support for developing countries. However, all operations have been relatively small scale and fairly labour intensive to administer. A scalable, automatic message-routing system was constructed which automates many of the tasks. During a ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322196312
更新日期:2003-01-01 00:00:00
abstract::In a developing country such as India, there is substantial inequality in health care distribution. Telemedicine facilities were established in Madhya Pradesh in 2007-2008. The purpose of this study was to evaluate the infrastructure, equipment, manpower, and functional status of Indian Space and Research Organisation...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15593450
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:This study aimed to (a) review what theories have been applied to the development of digital self-management interventions for people with neurological disorders; (b) examine their effectiveness to improve depression, anxiety, fatigue and self-efficacy; and (c) identify the optimal mode of intervention del...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20955122
更新日期:2020-09-20 00:00:00
abstract::We assessed the cost and benefits of tele-endoscopy clinics in a remote location in Scotland. Before the introduction of a tele-endoscopy service, patients whose symptoms suggested possible cancer of the airways had to travel to the mainland (to Aberdeen) to receive an endoscopy. The costs of staff, capital, disposabl...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2009.090609
更新日期:2010-01-01 00:00:00
abstract::The international telemedicine conference Chinese TeleMed 96 was held in November 1996. This three-way teleconference included delegates in London (where the international telemedicine conference TeleMed 96 was taking place) and medical staff from one Beijing hospital and one Hong Kong medical faculty. In total, over ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981931272
更新日期:1998-01-01 00:00:00
abstract::We evaluated the efficacy of two telehealth applications, delivered by telephone and videophone, for improving outcomes of patients following hospital discharge for an acute exacerbation of heart failure. The outcomes measured were patient self-efficacy, satisfaction with care and knowledge of and compliance with pres...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2008.080701
更新日期:2009-01-01 00:00:00
abstract::Early telemedicine networks employed dedicated telecommunications circuits (e.g. leased digital lines) in which the sender and receiver were connected by a private circuit. More recently, the Internet has become widely available for general use, including telemedicine. The Internet was engineered to permit network pat...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633053499822
更新日期:2005-01-01 00:00:00
abstract::The use of telemedicine brings with it the risk that the human factor--the teleconsultant--will fail to reach the standard of care that the law requires of medical professionals. It also brings the risk that the telemedical equipment or system will fail at a crucial moment. Such risks, of course, are inherent in many ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633981932109
更新日期:1998-01-01 00:00:00
abstract::Videoconferencing to deliver asthma health education to patients or their parents has not been widely used in the USA. We used two 90 min interactive videoconferences to deliver an asthma education programme to a convenience sample of mainly Latino immigrant parents in the Bronx, New York. In these sessions short pres...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304773391585
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Tele-emergency models have been utilized for decades, with growing evidence of their effectiveness. Due to the variety of tele-emergency department (tele-ED) models used in practice, however, it is challenging to build standardized metrics for ongoing evaluation. This study describes two tele-ED programs, ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X19839610
更新日期:2021-01-01 00:00:00
abstract::The clavicle is one of the most commonly fractured bones in the adult population. Management has traditionally been conservative, however more recent research has yielded higher non-union rates associated with non-operative management. This study aims to analyse the proportion of operative and non-operative treatment ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17733503
更新日期:2017-12-01 00:00:00
abstract::We compared two models of assistance (telecardiology versus usual care) for patients discharged after acute coronary syndrome (ACS), in the assessment of angina. Two hundred patients were randomized into two groups at discharge for ACS: Group A to telecardiology and Group B to usual care. Early hospital readmission (i...
journal_title:Journal of telemedicine and telecare
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1258/1357633054461967
更新日期:2005-01-01 00:00:00
abstract::Videoconferencing at a bandwidth of 384 kbit/s was used in open sessions for subjects with alcohol use disorders (AUD). Study participants received eight sessions of group therapy over a four-week period from an accredited addictions counsellor. Outcome assessment included self-report measures, a qualitative interview...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763305774472060
更新日期:2005-01-01 00:00:00
abstract::We designed a telemedicine system that supports collaborative work on video-images from coronary cine-angiograms and cine-ventriculograms. Two workstations were connected by ISDN at 128 kbit/s. Coronary cine-angiogram and cine-ventriculogram video-images were transmitted to an image examination workstation before the ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304323070797
更新日期:2004-01-01 00:00:00
abstract::We reviewed the literature on distance training for the restoration of motor function. Computerized literature searches were performed using the MEDLINE, EMBASE, Cinahl and Cochrane databases. Articles that met the criteria for inclusion were divided into three general areas concerning the type of training in relation...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/135763304773391486
更新日期:2004-01-01 00:00:00
abstract::Introduction: COVID-19 requires methods for screening patients that adhere to physical distancing and other Centers for Disease Control and Prevention guidelines. There is little data on the use of on-demand telehealth to meet this need.Methods: The functional performance of on-demand telehealth as a COVID-19 remote p...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20943339
更新日期:2020-07-23 00:00:00
abstract::We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 381...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2009.001004
更新日期:2010-01-01 00:00:00
abstract::Between June 1995 and June 2000 teleradiology was performed in 1024 neurosurgical cases (945 patients). An analogue image transfer system was used for presentation of computed tomography (CT) and magnetic resonance imaging (MRI) scans from seven referring hospitals in southern Germany. The system used a 19,200 baud mo...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/jtt.2007.060605
更新日期:2008-01-01 00:00:00
abstract::A distance continuing medical education programme was established at the Katholieke Universiteit Leuven in Belgium using multipoint videoconferencing via ISDN lines at 384 kbit/s. The sessions, held in the evening, comprised oral presentations followed by interactive questions and answers, and concluded with a multi-s...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303321327966
更新日期:2003-01-01 00:00:00
abstract::Little is understood about factors that influence speech-language pathologists' (SLPs') acceptance of telepractice. The aim of this study was to investigate SLPs' perceptions and experiences of transitioning to a school-based telepractice service to identify factors that contributed to positive clinician attitudes. In...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15604555
更新日期:2015-12-01 00:00:00
abstract::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 parti...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2009.080911
更新日期:2009-01-01 00:00:00
abstract::Patients with diabetes were enrolled into a telemonitoring programme. They were offered the choice of collecting their health data either by using Near Field Communication (NFC) enabled mobile phones equipped with a dedicated application (App), or by means of a web-browser based user interface (Web). At the end of the...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2012.gth112
更新日期:2012-12-01 00:00:00
abstract::The potential of telemedicine to improve services for patients suffering from coronary heart disease (CHD) was explored. Key issues surrounding the delivery of CHD services in London were identified, such as a shortage of skilled staff, the need for appropriate patient information and problems with waiting times, part...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X010070S120
更新日期:2001-01-01 00:00:00