Browsing by Author "Armfield, Nigel"
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- ItemInaugural paediatric telehealth colloquium.(2007-05-23) Parsapour, Kourosh; Smith, Anthony C; Armfield, Nigel; Marcin, James P
- ItemPaediatric palliative home care with Internet-based video-phones: lessons learnt.(2004-12-17) Bensink, Mark; Armfield, Nigel; Russell, Trevor G; Irving, Helen; Wootton, RichardWe have designed and tested an Internet based video phone suitable for use in the homes of families in need of paediatric palliative care services The equipment uses an ordinary telephone line and includes a PC Web camera and modem housed in a custom made box In initial field testing six clinical consultations were conducted in a one month trial of the videophone with a family in receipt of palliative care services who were living in the outer suburbs of Brisbane Problems with variability in call quality namely audio and video freezing and audio break up prompted further laboratory testing We completed a programme of over 250 test calls Fixing modem connection parameters to use the V 34 modulation protocol at a set bandwidth of 24 kbit s improved connection stability and the reliability of the video phone In subsequent field testing 47 of 50 calls 94 connected without problems The freezes that did occur were brief with greatly reduced packet loss and had little effect on the ability to communicate unlike the problems arising in the home testing The low bandwidth Internet based video phone we have developed provides a feasible means of doing telemedicine in the home
- ItemWireless telemedicine for the delivery of specialist paediatric services to the bedside.(2005-12-26) Smith, Anthony C; Coulthard, Mark; Clark, Ron; Armfield, Nigel; Taylor, Shauna; Goff, Robyn; Mottarelly, Ian; Youngberry, Karen; Isles, Alan; McCrossin, Robert; Wootton, RichardA mobile interactive online health system was used to conduct virtual ward rounds at a regional hospital which had no specialist paediatrician The system was wireless which allowed telepaediatric services to be delivered direct to the bedside Between December 2004 and May 2005 43 virtual ward rounds were coordinated between specialists based in Brisbane and local staff at the Gladstone Hospital Eighty six consultations were provided for 64 patients The most common conditions included asthma 27 chest infections 12 gastroenteritis 10 and urinary tract infections 10 In the majority of cases there were partial 67 or complete changes 11 in the clinical management of patients Specialist services were offered by a team of 13 clinicians at the Royal Children s Hospital 10 general paediatricians two physiotherapists and one registered nurse Feedback from all consultants involved in the service and local staff in Gladstone was extremely positive In 43 videoconference calls there were three technical problems probably due to an intermittent mains power supply at the regional hospital There appears to be potential for other rural and regional hospitals to adopt this model of service delivery