Blue ears: a clue to diagnosis of alkaptonuria identified via telemedicine consultation

2022 ◽  
Author(s):  
Arcadi Altemir ◽  
Javier Bara ◽  
Núria Setó‐Torrent ◽  
Montse Salleras‐Redonnet ◽  
Montserrat Morales
Keyword(s):  
Telemedicine Consultation

scholarly journals The Effect of Telemedicine Consultation on Outcomes in Patients with Intracerebral Hemorrhage

2020 ◽  
Vol 8 (4) ◽  
pp. 391-395
Author(s):  
A. M. Alasheyev ◽  
A. A. Smolkin ◽  
E. V. Prazdnichkova ◽  
A. A. Belkin
Keyword(s):  
Intracerebral Hemorrhage ◽  
Hemorrhagic Stroke ◽  
Intracerebral Hematoma ◽  
Highly Qualified ◽  
Conflicts Of Interests ◽  
Percentage Points ◽  
Telemedicine Consultation ◽  
Qualified Personnel ◽  
The Difference ◽  
Vascular Center

RELEVANCE. Telemedicine solves the problem of the availability of highly qualified personnel at the decision-making stage in the management of patients with intracerebral hemorrhage. AIM OF STuDY We set out to evaluate the effect of teleconsultation on outcomes in patients with intracerebral hemorrhage 30 days after the event.MATERIAL AND METHODS. A prospective, open, nonrandomized clinical trial in two parallel groups. The first group included adult patients up to 80 years of age with a hemorrhagic stroke from 4 to 36 points according to NIHSS due to unilateral supratentorial intracerebral hematoma of non-aneurysmal genesis, who were examined by a neurosurgeon and resuscitator of the Regional Vascular Center in a ward. The second group included similar patients, but they received telemedicine consultation of the above specialists. The primary endpoint of the study was mortality 30 days after the onset of the stroke. The hypothesis of non-superiority was tested where the 95% confidence interval (CI) for the difference in mortality between the groups should not go over 15 percentage points.RESULTS. A total of 140 patients (70 in each group) with intracerebral hematomas were studied. Mortality in the bedside group was 14.3% (CI 7.1%; 24.7%), and in the remote group it was 25.7% (16.0%; 37.6%), p=0.091. However, there was no evidence of superiority, since the difference between the groups in mortality was 11.4 with CI from –0.07 to 24.5 percentage points, which was beyond the predefined limit.CONCLUSIONS. At the current level of development of medicine and information technology, telemedicine cannot fully replace the traditional (bedside) consultation of an expert level of neurosurgeon and neuroresuscitator in patients with intracerebral hematomas.Authors declare lack of the conflicts of interests.

scholarly journals ЛОГІКА МІЖДИСЦИПЛІНАРНОГО ПІДХОДУ ДО СВОЄЧАСНОЇ ДІАГНОСТИКИ ТА ЛІКУВАННЯ КРОВОТЕЧ В АКУШЕРСТВІ ТА ГІНЕКОЛОГІЇ : ПОБУДОВА ЗАДАЧНОЇ ОНТОЛОГІЇ

2015 ◽  
Author(s):  
O. V. Golyanovskyy ◽  
N. A. Sіnіenko ◽  
O. M. Verner
Keyword(s):  
Medical Knowledge ◽  
Obstetrics And Gynecology ◽  
Treat Ment ◽  
Telemedicine Consultation ◽  
Ontological Model

Resume. The questions of the ordering of knowledge in solving problems of diagnosis and treat ment of bleeding in obstetrics and gynecology, the problem of constructing ontological models of medical knowledge for bleeding. There is justified the transformation of modern ideas in the ontological model direction. Through the use of standar di zed rules and corresponding models proposed unified platfor m telemedicine consultation feedback.

Emergency Video Telemedicine Consultation for Newborn Resuscitations

2016 ◽  
Vol 91 (12) ◽  
pp. 1735-1743 ◽  
Author(s):  
Jennifer L. Fang ◽  
Christopher A. Collura ◽  
Robert V. Johnson ◽  
Garth F. Asay ◽  
William A. Carey ◽  
...  
Keyword(s):  
Telemedicine Consultation

Cost-effectiveness of Access to Critical Cerebral Emergency Support Services (ACCESS): a neuro-emergent telemedicine consultation program

2018 ◽  
Vol 21 (4) ◽  
pp. 398-405 ◽  
Author(s):  
Justin Whetten ◽  
David N. van der Goes ◽  
Huy Tran ◽  
Maurice Moffett ◽  
Colin Semper ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Support Services ◽  
Telemedicine Consultation

Nutrition Telemedicine Consultation for Rural Elders

1999 ◽  
Vol 18 (1) ◽  
pp. 47-55 ◽  
Author(s):  
Nancy Stiles ◽  
Maria Boosalis ◽  
Kim Thompson ◽  
Daniel Stinnett ◽  
Mary Kay Rayens
Keyword(s):  
Telemedicine Consultation ◽  
Rural Elders

Development of a Telemedicine and Distance Learning Network in Rural Eastern North Carolina

1995 ◽  
Vol 1 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Charles Kesler ◽  
David Balch
Keyword(s):  
North Carolina ◽  
Cost Effective ◽  
Telemedicine Service ◽  
School Of Medicine ◽  
Telemedicine Consultation ◽  
Network Costs ◽  
Set Up ◽  
Education Network ◽  
The Cost ◽  
Eastern North Carolina

A telemedicine service was established between the East Carolina University (ECU) School of Medicine in Greenville and the Central Prison in Raleigh, about 160 km away. Based on the first two years' experience of providing a prison telemedicine service, a medical education network was set up, linking the School of Medicine to health institutions in Ahoskie, approximately 160 km away, and Jacksonville, approximately 145 km away. At about the same time, a telemedicine network was installed linking the ECU to two rural hospitals, the Roanoke-Chowan Hospital in Ahoskie, and the Martin General Hospital in Williamston, both approximately 75 km away. Although it was a demonstration project, the prison telemedicine service was thought to be cost-effective. The cost of transporting a patient from prison for medical care was estimated to be $700. In comparison, a telemedicine consultation cost about $70, excluding the equipment and network costs. During the first 33 months of operation there were over 400 telemedicine consultations carried out in eastern North Carolina. The majority were dermatology consultations, with neurology and gastroenterology being next most frequent.

Article Commentary: Rural Pediatric Surgery

2015 ◽  
Vol 81 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Don K. Nakayama
Keyword(s):  
Pediatric Surgery ◽  
Local Community ◽  
Surgical Care ◽  
Older Children ◽  
Surgical Disease ◽  
Appropriate Treatment ◽  
Telemedicine Consultation ◽  
Surgical Conditions ◽  
Training And Support ◽  
Community Facilities

Published outcome studies support regionalization of pediatric surgery, in which all children suspected of having surgical disease are transferred to a specialty center. Transfer to specialty centers, however, is an expensive approach to quality, both in direct costs of hospitalization and the expense incurred by families. A related question is the role of well-trained rural surgeons in an adequately resourced facility in the surgical care of infants and children. Local community facilities provide measurably equivalent results for straightforward emergencies in older children such as appendicitis. With education, training, and support such as telemedicine consultation, rural surgeons and hospitals may be able to care for many more children such as single-system trauma and other cases for which they have training such as pyloric stenosis. They can recognize surgical disease at earlier stages and initiate appropriate treatment before transfer so that patients are in better shape for surgery when they arrive for definitive care. Rural and community facilities would be linked in a pediatric surgery system that covers the spectrum of pediatric surgical conditions for a geographical region.

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