J Telemed Telecare - Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level.

Tópicos

{ case(1353) use(1143) diagnosi(1136) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(1821) servic(1111) care(1106) }
{ assess(1506) score(1403) qualiti(1306) }
{ research(1085) discuss(1038) issu(1018) }
{ medic(1828) order(1363) alert(1069) }
{ first(2504) two(1366) second(1323) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ studi(1119) effect(1106) posit(819) }
{ age(1611) year(1155) adult(843) }
{ use(1733) differ(960) four(931) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ patient(2315) diseas(1263) diabet(1191) }
{ learn(2355) train(1041) set(1003) }
{ care(1570) inform(1187) nurs(1089) }
{ howev(809) still(633) remain(590) }
{ state(1844) use(1261) util(961) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

We studied the diagnoses made by an otologist and general practitioner (GP) from video-otoscopy recordings on children made by a telehealth facilitator. The gold standard was otomicroscopy by an experienced otologist. A total of 140 children (mean age 6.4 years; 44% female) were recruited from a primary health care clinic. Otomicroscopic examination was performed by an otologist. Video-otoscopy recordings were assigned random numbers and stored on a server. Four and eight weeks later, an otologist and a GP independently graded and made a diagnosis from each video recording. The otologist rated the quality of the video-otoscopy recordings as acceptable or better in 87% of cases. A diagnosis could not be made from the video-otoscopy recordings in 18% of ears in which successful onsite otomicroscopy was conducted. There was substantial agreement between diagnoses made from video-otoscopy recordings and those from onsite otomicroscopy (first review: otologist =0.70 and GP =0.68; second review: otologist =0.74 and GP =0.75). There was also substantial inter-rater agreement (=0.74 and 0.74 at the two reviews) and intra-rater agreement (=0.77 and 0.74 for otologist and GP, respectively). A telehealth facilitator, with limited training, can acquire video-otoscopy recordings in children for asynchronous diagnosis. Remote diagnosis was similar to face-to-face diagnosis in inter- and intra-rater variability.

Resumo Limpo

studi diagnos made otologist general practition gp videootoscopi record children made telehealth facilit gold standard otomicroscopi experienc otologist total children mean age year femal recruit primari health care clinic otomicroscop examin perform otologist videootoscopi record assign random number store server four eight week later otologist gp independ grade made diagnosi video record otologist rate qualiti videootoscopi record accept better case diagnosi made videootoscopi record ear success onsit otomicroscopi conduct substanti agreement diagnos made videootoscopi record onsit otomicroscopi first review otologist gp second review otologist gp also substanti interrat agreement two review intrarat agreement otologist gp respect telehealth facilit limit train can acquir videootoscopi record children asynchron diagnosi remot diagnosi similar facetofac diagnosi inter intrarat variabl

Resumos Similares

J Telemed Telecare - Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. ( 0,802570582685895 )
Telemed J E Health - Teledentistry: distant diagnosis of oral disease using e-mails. ( 0,799664446412137 )
J Telemed Telecare - A prospective study of mobile phones for dermatology in a clinical setting. ( 0,786582800646308 )
J Telemed Telecare - Dynamic telecytopathology for on-site preliminary diagnosis of endoscopic ultrasound-guided fine needle aspiration of pancreatic masses. ( 0,775705501208138 )
J Telemed Telecare - Telecytology in East Africa: a feasibility study of forty cases using a static imaging system. ( 0,728797961189985 )
J Telemed Telecare - Feasibility and diagnostic accuracy of Internet-based dynamic telepathology between Uganda and Germany. ( 0,722060748632972 )
J Telemed Telecare - The accuracy of mobile teleradiology in the evaluation of chest X-rays. ( 0,719176076162269 )
Perspect Health Inf Manag - Accuracy of the Charlson index comorbidities derived from a hospital electronic database in a teaching hospital in Saudi Arabia. ( 0,703825412181525 )
J Telemed Telecare - Mobile teledermatology--patient satisfaction, diagnostic and management concordance, and factors affecting patient refusal to participate in Saudi Arabia. ( 0,702004109667179 )
Artif Intell Med - Biomedical visual data analysis to build an intelligent diagnostic decision support system in medical genetics. ( 0,694620501422568 )
J Telemed Telecare - Telemedicine for corneal disease in rural Nepal. ( 0,68786975259793 )
J Telemed Telecare - A preliminary study of the contribution of telemicroscopy to the diagnosis and management of skin tumours in teledermatology. ( 0,686518059160815 )
Appl Clin Inform - Diagnostic performance of electronic syndromic surveillance systems in acute care: a systematic review. ( 0,685640541715275 )
J Telemed Telecare - A pilot trial of tele-ophthalmology for diagnosis of chronic blurred vision. ( 0,685415020169346 )
AMIA Annu Symp Proc - Diagnostic performance of a telemedicine system for ophthalmology: advantages in accuracy and speed compared to standard care. ( 0,683855574545207 )
Perspect Health Inf Manag - Improving and measuring inpatient documentation of medical care within the MS-DRG system: education, monitoring, and normalized case mix index. ( 0,681799541738065 )
J Telemed Telecare - Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy. ( 0,672306114385443 )
Comput Math Methods Med - Deep learning based syndrome diagnosis of chronic gastritis. ( 0,669794951214714 )
Telemed J E Health - Assessment of static telecytological diagnoses' reproducibility in cervical smears prepared by means of liquid-based cytology. ( 0,669059247041147 )
Telemed J E Health - Diagnostic accuracy and image quality using a USB digital eyepiece camera for telecytology-Georgian experience. ( 0,666286973631444 )
Med Decis Making - Continuously rethinking the definition of influenza for surveillance systems: a Dependent Bayesian Expert System. ( 0,666251427991333 )
AMIA Annu Symp Proc - Text Classification towards Detecting Misdiagnosis of an Epilepsy Syndrome in a Pediatric Population. ( 0,663921057577353 )
Telemed J E Health - Help is in your pocket: the potential accuracy of smartphone- and laptop-based remotely guided resuscitative telesonography. ( 0,663228277826832 )
AMIA Annu Symp Proc - Development and Evaluation of Reference Standards for Image-based Telemedicine Diagnosis and Clinical Research Studies in Ophthalmology. ( 0,660201237614898 )
J Telemed Telecare - Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment. ( 0,653444198072484 )
Comput. Biol. Med. - Integration testing through reusing representative unit test cases for high-confidence medical software. ( 0,652489759674275 )
Int J Med Inform - Variations in faculty assessment of NICU flowsheet data: implications for electronic data display. ( 0,648436816897123 )
Appl Clin Inform - An exploratory, population-based, mixed-methods program evaluation of user satisfaction of services provided by a regional extension center (REC). ( 0,647338621476748 )
Int J Comput Assist Radiol Surg - Content-based image-retrieval system in chest computed tomography for a solitary pulmonary nodule: method and preliminary experiments. ( 0,647205384771202 )
Telemed J E Health - Transcultural psychiatry made simple--asynchronous telepsychiatry as an approach to providing culturally relevant care. ( 0,644627673886066 )
J Telemed Telecare - Telecytology for rapid assessment of cytological specimens. ( 0,638966455124005 )
J Med Syst - Decision support algorithm for diagnosis of ADHD using electroencephalograms. ( 0,634934945560451 )
J Telemed Telecare - Use of the mobile phone multimedia messaging service for teledermatology. ( 0,63484395337317 )
Comput Methods Programs Biomed - Application of clustering analyses to the diagnosis of Huntington disease in mice and other diseases with well-defined group boundaries. ( 0,632914191312213 )
Telemed J E Health - Use of telemedicine to diagnose tinea in Kenyan schoolchildren. ( 0,631481402330427 )
Int J Med Inform - WhatsApp Messenger is useful and reproducible in the assessment of tibial plateau fractures: inter- and intra-observer agreement study. ( 0,628187135643211 )
J Med Syst - Prediction of similarities among rheumatic diseases. ( 0,625021604878657 )
Int J Med Inform - Artificial intelligence techniques applied to the development of a decision-support system for diagnosing celiac disease. ( 0,622605643305883 )
Comput Math Methods Med - Differentiating small (=1cm) focal liver lesions as metastases or cysts by means of computed tomography: a case-study to illustrate a fuzzy logic-based method to assess the impact of diagnostic confidence on radiological diagnosis. ( 0,622142632387592 )
J. Med. Internet Res. - An innovative smartphone-based otorhinoendoscope and its application in mobile health and teleotolaryngology. ( 0,621465608283923 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing multiple exposures. ( 0,620759885346147 )
Comput. Biol. Med. - Computational diagnosis and risk evaluation for canine lymphoma. ( 0,617572841705192 )
Comput. Biol. Med. - A Bayesian network decision model for supporting the diagnosis of dementia, Alzheimers disease and mild cognitive impairment. ( 0,616833228314278 )
Telemed J E Health - Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment. ( 0,616652298742487 )
Telemed J E Health - Performance of distant diagnosis of dental caries by teledentistry in juvenile offenders. ( 0,612396115470077 )
Comput Methods Programs Biomed - The O3-Vet project: integration of a standard nomenclature of clinical terms in a veterinary electronic medical record for veterinary hospitals. ( 0,612324752952964 )
Int J Med Inform - Fuzzy cognitive map in differential diagnosis of alterations in urinary elimination: a nursing approach. ( 0,609954834807106 )
Telemed J E Health - A novel tele-eye protocol for ocular disease detection and access to eye care services. ( 0,608226594450714 )
J Am Med Inform Assoc - Use of the International Classification of Diseases, 9th revision, coding in identifying chronic hepatitis B virus infection in health system data: implications for national surveillance. ( 0,607907659517487 )
Artif Intell Med - Modern parameterization and explanation techniques in diagnostic decision support system: a case study in diagnostics of coronary artery disease. ( 0,602346045496571 )
Telemed J E Health - Asynchronous video-otoscopy with a telehealth facilitator. ( 0,601209481996038 )
J Telemed Telecare - Development and evaluation of a PDA-based teleradiology terminal in thyroid nodule diagnosis. ( 0,596988444901413 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,59692954612417 )
J Med Syst - An approach to model Right Iliac Fossa pain using pain-only-parameters for screening acute appendicitis. ( 0,596375729780684 )
Comput. Biol. Med. - Fuzzy-based framework for diagnosis of acid-base disorders. ( 0,596301696215008 )
Telemed J E Health - Willingness of Parkinson's disease patients to participate in research using internet-based technology. ( 0,596232460336302 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,59615799664726 )
BMC Med Inform Decis Mak - Supporting meningitis diagnosis amongst infants and children through the use of fuzzy cognitive mapping. ( 0,595598250279013 )
Healthc (Amst) - Collaboration between a US Academic Institution and International Ministry of Health to develop a culturally appropriate palliative care navigation curriculum. ( 0,591114912475365 )
Methods Inf Med - Long-term impact of physician encoding on detail and number of recorded diagnoses. Support by a speciality specific list of diseases. ( 0,590434375469333 )
Comput Methods Programs Biomed - A model for diagnosis of pulmonary infections in solid-organ transplant recipients. ( 0,587630520065632 )
Comput. Biol. Med. - Automatic differential diagnosis of pancreatic serous and mucinous cystadenomas based on morphological features. ( 0,58714886732636 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,585172469754532 )
Telemed J E Health - Giving voice: Evaluation of an integrated telehealth community care model by parents/guardians of children diagnosed with fetal alcohol spectrum disorder in Manitoba. ( 0,583609102991094 )
Comput. Biol. Med. - Randomized pilot study and qualitative evaluation of a clinical decision support system for brain tumour diagnosis based on SV ?H MRS: evaluation as an additional information procedure for novice radiologists. ( 0,58258733357899 )
Telemed J E Health - Assessing swallowing disorders online: a pilot telerehabilitation study. ( 0,582498259596128 )
Comput Math Methods Med - Computerized neuropsychological assessment in aging: testing efficacy and clinical ecology of different interfaces. ( 0,576867032888039 )
Int J Med Inform - Physicians' potential use and preferences related to health information exchange. ( 0,575118443778858 )
Appl Clin Inform - Interest in health information exchange in ambulatory care: a statewide survey. ( 0,57216207215906 )
Int J Comput Assist Radiol Surg - Toward a clinical lumbar CAD: herniation diagnosis. ( 0,57090617868743 )
Int J Med Inform - Application of a model based on fuzzy logic for evaluating nursing diagnostic accuracy of students. ( 0,569708136175866 )
Telemed J E Health - Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials. ( 0,56922176756887 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,568463197791018 )
J Telemed Telecare - Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011. ( 0,567565342416617 )
Telemed J E Health - Telecytopathology for rapid preliminary diagnosis of ultrasound-guided fine-needle aspiration of thyroid nodules. ( 0,566611336229912 )
J Med Syst - The quantification of the QT-RR interaction in ECG signal using the detrended fluctuationanalysis and ARARX modelling. ( 0,566494917721713 )
Comput Math Methods Med - Privacy-preserving self-helped medical diagnosis scheme based on secure two-party computation in wireless sensor networks. ( 0,562087751823276 )
Int J Comput Assist Radiol Surg - CTPA as the gold standard for the diagnosis of pulmonary embolism. ( 0,560520234887468 )
AMIA Annu Symp Proc - Teleretinal screening for diabetic retinopathy in six Los Angeles urban safety-net clinics: final study results. ( 0,557400624045819 )
Res Synth Methods - Outlier and influence diagnostics for meta-analysis. ( 0,554286068206229 )
Telemed J E Health - Real-time tele-echocardiography: diagnosis and management of a pericardial effusion secondary to pericarditis at an Antarctic research station. ( 0,553857624389107 )
J. Med. Internet Res. - A smartphone client-server teleradiology system for primary diagnosis of acute stroke. ( 0,553492342366859 )
Med Biol Eng Comput - Movement analysis by accelerometry of newborns and infants for the early detection of movement disorders due to infantile cerebral palsy. ( 0,55335183181955 )
Telemed J E Health - Remote diagnosis of congenital heart disease in southern Arizona: comparison between tele-echocardiography and videotapes. ( 0,552288245701833 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,548509404753183 )
J Med Syst - A novel mathematical approach to diagnose premenstrual syndrome. ( 0,548403979224096 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,54650803955824 )
Int J Comput Assist Radiol Surg - Computer-aided simple triage. ( 0,546286589342922 )
Perspect Health Inf Manag - Exploring patient satisfaction before and after electronic health record (EHR) implementation: the Kuwait experience. ( 0,545510014292036 )
Artif Intell Med - Differences in examination characteristics of pigmented skin lesions: results of an eye tracking study. ( 0,545218643591365 )
J Biomed Inform - Classifying obstructive sleep apnea using smartphones. ( 0,544187184017396 )
J Am Med Inform Assoc - Evaluating the state of the art in disorder recognition and normalization of the clinical narrative. ( 0,542334054749182 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,541812155659269 )
Comput Math Methods Med - Ontology-oriented diagnostic system for traditional Chinese medicine based on relation refinement. ( 0,5406125619898 )
Telemed J E Health - Implementation of a regional virtual tumor board: a prospective study evaluating feasibility and provider acceptance. ( 0,538075813292979 )
J Telemed Telecare - Validation of the 3-lead tele-ECG versus the 12-lead tele-ECG and the conventional 12-lead ECG method in older people. ( 0,538001320459575 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing single exposures. ( 0,537384404884403 )
J Med Syst - Implementation and statistical evaluation of a web-based software for bone age assessment. ( 0,536906782220504 )
Health Informatics J - Mobile phone-based clinical guidance for rural health providers in India. ( 0,534573064876106 )
J Am Med Inform Assoc - Using electronic health records to save money. ( 0,533350247675217 )