The other side of teledermatology: patient preferences

2007 ◽  
Vol 13 (5) ◽  
pp. 246-250 ◽  
Author(s):  
Mitra Mofid ◽  
Thomas Nesbitt ◽  
Robin Knuttel
Keyword(s):  
Primary Care ◽  
Skin Cancer ◽  
Real Time ◽  
Patient Preferences ◽  
Study Groups ◽  
The Other ◽  
Face To Face ◽  
Primary Care Site ◽  
Excellent Health

We studied patient preferences for a real-time teledermatology consultation or a conventional dermatology consultation. Dermatology patients were given the option of being seen by a dermatologist at their outlying primary care site via telemedicine or of being examined face-to-face by the same dermatologist at the primary care site. The same dermatologist provided the teleconsultations and the conventional consultations. During a 16-month study period, 52 patients were evaluated via telemedicine and 46 patients were seen face-to-face. The demographics for both study groups were similar. Those patients who selected telemedicine were more likely to have seen a dermatologist fewer than twice during the previous year, more likely to self-describe themselves in excellent health and more likely to choose a face-to-face evaluation when presenting with a possible skin cancer or a mole. Patients aged 56 years or less tended to be more likely to be seen via telemedicine, although the association with age was not significant ( P = 0.06). This information may help providers to devise strategies to direct patients to telemedicine if and when it is appropriate.

A randomized trial of virtual visits in a general medicine practice

2009 ◽  
Vol 15 (3) ◽  
pp. 115-117 ◽  
Author(s):  
Ronald F Dixon ◽  
James E Stahl
Keyword(s):  
Primary Care ◽  
General Medicine ◽  
The Other ◽  
Presenting Problems ◽  
Diagnostic Agreement ◽  
Face To Face ◽  
Desktop Videoconferencing ◽  
Care Services ◽  
Primary Care Services ◽  
Virtual Visits

We compared desktop videoconferencing to conventional face-to-face visits for a range of commonly presenting problems in a general practice. A total of 175 patients were recruited. Patients were randomized to one of two arms of the study. In the first arm, the patients completed a visit (virtual or face-to-face) with a physician; they then completed a second visit via the other modality with another physician. In the second arm of the study, subjects had both visits face-to-face; different physicians conducted the two face-to-face consultations. Patients found virtual visits similar to face-to-face visits on most measures, including time spent with the physician, ease of interaction and personal aspects of the interaction. Physicians were also highly satisfied with the virtual visit modality. The diagnostic agreement between physicians was 84% between face-to-face and virtual visits; it was 80% between the two face-to-face visits. The study suggests that both patients and physicians could benefit if virtual visits were used as an alternative method of accessing primary care services.

The Hierophanic Facets of the Seraphic Hymns

Trictrac ◽  
2018 ◽  
Vol 10 ◽  
Author(s):  
Petru Adrian Danciu
Keyword(s):  
Mutual Recognition ◽  
The Other ◽  
Human Being ◽  
Material World ◽  
Face To Face ◽  
The People ◽  
Musical History ◽  
The Face ◽  
The One

Starting from the cry of the seraphim in Isaiahʹ s prophecy, this article aims to follow the rhythm of the sacred harmony, transcending the symbols of the angelic world and of the divine names, to get to the face to face meeting between man and God, just as the seraphim, reflecting their existence, stand face to face. The finality of the sacred harmony is that, during the search for God inside the human being, He reveals Himself, which is the reason for the affirmation of “I Am that I Am.” Through its hypnotic cyclicality, the profane temporality has its own musicality. Its purpose is to incubate the unsuspected potencies of the beings “caught” in the material world. Due to the fact that it belongs to the aeonic time, the divine music will exceed in harmony the mechanical musicality of profane time, dilating and temporarily cancelling it. Isaiah is witness to such revelation offering access to the heavenly concert. He is witness to divine harmonies produced by two divine singers, whose musical history is presented in our article. The seraphim accompanied the chosen people after their exodus from Egypt. The cultic use of the trumpet is related to the characteristics and behaviour of the seraphim. The seraphic music does not belong to the Creator, but its lyrics speak about the presence of the Creator in two realities, a spiritual and a material one. Only the transcendence of the divine names that are sung/cried affirms a unique reality: God. The chant-cry is a divine invocation with a double aim. On the one hand, the angels and the people affirm God’s presence and call His name and, on the other, the Creator affirms His presence through the angels or in man, the one who is His image and His likeness. The divine music does not only create, it is also a means of communion, implementing the relation of man to God and, thus, God’s connection with man. It is a relation in which both filiation and paternity disappear inside the harmony of the mutual recognition produced by music, a reality much older than Adam’s language.

Giving and Promising

2018 ◽  
Author(s):  
Jean-Yves Lacoste ◽  
Oliver O’Donovan
Keyword(s):  
The Other ◽  
Face To Face ◽  
Present Experience ◽  
The World ◽  
The Given

Giving and promise must be thought together. Being-in-the world entails being-with the other, who is both “given” and bearer of a gift promised. But any disclosure may be understood as a gift; it is not anthropomorphic to speak of “self-giving” with a wider reference than person-to-person disclosure. Which implies that no act of giving can exhaust itself in its gift. Present experience never brings closure to self-revealing. Yet giving is crystallized into “the given,” the closure of gift. “The given” is what it is, needing no gift-event to reveal it. But the given, too, is precarious, and can be destabilized when giving brings us face to face with something unfamiliar. Nothing appears without a promise of further appearances, and God himself can never be “given.”

scholarly journals A qualitative exploration of patients’ experiences, needs and expectations regarding online access to their primary care record

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044221
Author(s):  
Brian McMillan ◽  
Gail Davidge ◽  
Lindsey Brown ◽  
Moira Lyons ◽  
Helen Atherton ◽  
...  
Keyword(s):  
Primary Care ◽  
Focus Groups ◽  
Negative Consequences ◽  
Face To Face ◽  
Primary Care Record ◽  
Online Access ◽  
Additional Support ◽  
The Uk ◽  
Records Access ◽  
Qualitative Exploration

ObjectivesPrimary care records have traditionally served the needs and demands of clinicians rather than those of the patient. In England, general practices must promote and offer registered patients online access to their primary care record, and research has shown benefits to both patients and clinicians of doing so. Despite this, we know little about patients’ needs and expectations regarding online access to their record. This study explored what patients and carers want from online access to their electronic primary care health record, their experiences of using it, how they would like to interact with their record and what support they may need.DesignFocus groups and semistructured interviews using purposive sampling to achieve a good sociodemographic spread. Interviews were digitally audiorecorded, transcribed and coded using an established thematic approach.SettingFocus groups and interviews were conducted in community settings in the UK.ParticipantsFifty-four individuals who were either eligible for the National Health Service Health Check, living with more than one long-term condition or caring for someone else.ResultsParticipants views regarding online access were categorised into four main themes: awareness, capabilities, consequences and inevitability. Participants felt online access should be better promoted, and suggested a number of additional functions, such as better integration with other parts of the healthcare system. It was felt that online access could improve quality of care (eg, through increased transparency) but also have potential negative consequences (eg, by replacing face to face contact). A move towards more online records access was considered inevitable, but participants noted a need for additional support and training in using the online record, especially to ensure that health inequalities are not exacerbated.ConclusionsDiscussions with patients and carers about their views of accessing online records have provided useful insights into future directions and potential improvements for this service.

scholarly journals Evaluating Latency in Multiprocessing Embedded Systems for the Smart Grid

Energies ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 3322
Author(s):  
Sara Alonso ◽  
Jesús Lázaro ◽  
Jaime Jiménez ◽  
Unai Bidarte ◽  
Leire Muguira
Keyword(s):  
Operating System ◽  
Smart Grid ◽  
Real Time ◽  
Processing System ◽  
The Other ◽  
Programmable Logic ◽  
Detailed Characterization ◽  
Timing Constraint ◽  
Time Part

Smart grid endpoints need to use two environments within a processing system (PS), one with a Linux-type operating system (OS) using the Arm Cortex-A53 cores for management tasks, and the other with a standalone execution or a real-time OS using the Arm Cortex-R5 cores. The Xen hypervisor and the OpenAMP framework allow this, but they may introduce a delay in the system, and some messages in the smart grid need a latency lower than 3 ms. In this paper, the Linux thread latencies are characterized by the Cyclictest tool. It is shown that when Xen hypervisor is used, this scenario is not suitable for the smart grid as it does not meet the 3 ms timing constraint. Then, standalone execution as the real-time part is evaluated, measuring the delay to handle an interrupt created in programmable logic (PL). The standalone application was run in A53 and R5 cores, with Xen hypervisor and OpenAMP framework. These scenarios all met the 3 ms constraint. The main contribution of the present work is the detailed characterization of each real-time execution, in order to facilitate selecting the most suitable one for each application.

scholarly journals Impact of a Telemedicine Program on the Reduction in the Emission of Atmospheric Pollutants and Journeys by Road

2019 ◽  
Vol 16 (22) ◽  
pp. 4366 ◽  
Author(s):  
Josep Vidal-Alaball ◽  
Jordi Franch-Parella ◽  
Francesc Lopez Seguí ◽  
Francesc Garcia Cuyàs ◽  
Jacobo Mendioroz Peña
Keyword(s):  
Nitric Oxide ◽  
Primary Care ◽  
Environmental Sustainability ◽  
Atmospheric Pollutants ◽  
Fuel Reduction ◽  
Environmental Footprint ◽  
Time Saving ◽  
Face To Face ◽  
Total Travel Time ◽  
Hospital Visits

This retrospective study evaluates the effect of a telemedicine program developed in the central Catalan region in lowering the environmental footprint by reducing the emission of atmospheric pollutants, thanks to a reduction in the number of hospital visits involving journeys by road. Between January 2018 and June 2019, a total of 12,322 referrals were made to telemedicine services in the primary care centers, avoiding a total of 9034 face-to-face visits. In total, the distance saved was 192,682 km, with a total travel time saving of 3779 h and a total fuel reduction of 11,754 L with an associated cost of €15,664. This represents an average reduction of 3248.3 g of carbon dioxide, 4.05 g of carbon monoxide, 4.86 g of nitric oxide and 3.2 g of sulphur dioxide. This study confirms that telemedicine reduces the environmental impact of atmospheric pollutants emitted by vehicles by reducing the number of journeys made for face-to-face visits, and thus contributing to environmental sustainability.

scholarly journals »Point-of-Care« D-Dimer Testing

2010 ◽  
Vol 29 (4) ◽  
pp. 282-287 ◽  
Author(s):  
Jovan Antović
Keyword(s):  
Primary Care ◽  
Venous Thromboembolism ◽  
Emergency Departments ◽  
Laboratory Testing ◽  
Point Of Care ◽  
Turnaround Time ◽  
The Other ◽  
Clinical Conditions ◽  
D Dimer ◽  
Laboratory Assay

»Point-of-Care« D-Dimer TestingD-dimer testing is efficient in the exclusion of venous thromboembolism (VTE). D-dimer laboratory assays are predominantly performed in centralised laboratories in intra-hospital settings although most patients with suspected VTE are presented in primary care. On the other hand decreasing turnaround time for laboratory testing may significantly improve efficacy in emergency departments. Therefore an introduction of a rapid, easy to perform point of care (POC) assay for the identification of D-dimer may offer improvement in diagnostics flow of VTE both in primary care and emergency departments while it could also improve our diagnostic possibilities in some other severe clinical conditions (e.g. disseminated intra-vascular coagulation (DIC) and aortic aneurism (AA)) associated with increased D-dimer. Several POC D-dimer assays have been evaluated and majority of them have met the criteria for rapid and safe exclusion of VTE. In our hands three assays (Stratus, Pathfast and Cardiac) have the laboratory performance profile comparable with our routine D-dimer laboratory assay (Tinaqaunt).

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