Browsing by Author "Doarn, Charles R"
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- ItemAcquisition and evaluation of radiography images by digital camera.(2005-04-28) Cone, Stephen W; Carucci, Laura R; Yu, Jinxing; Rafiq, Azhar; Doarn, Charles R; Merrell, Ronald CTo determine applicability of low cost digital imaging for different radiographic modalities used in consultations from remote areas of the Ecuadorian rainforest with limited resources both medical and financial Low cost digital imaging consisting of hand held digital cameras was used for image capture at a remote location Diagnostic radiographic images were captured in Ecuador by digital camera and transmitted to a password protected File Transfer Protocol FTP server at VCU Medical Center in Richmond Virginia using standard Internet connectivity with standard security After capture and subsequent transfer of images via low bandwidth Internet connections attending radiologists in the United States compared diagnoses to those from Ecuador to evaluate quality of image transfer Corroborative diagnoses were obtained with the digital camera images for greater than 90 of the plain film and computed tomography studies Ultrasound U S studies demonstrated only 56 corroboration Images of radiographs captured utilizing commercially available digital cameras can provide quality sufficient for expert consultation for many plain film studies for remote underserved areas without access to advanced modalities
- ItemThe age of discovery--what next?(2011-04-19) Doarn, Charles R; Merrell, Ronald C
- ItemThe American Telemedicine Association's thirteenth annual international meeting and exposition.(2008-03-25) Merrell, Ronald C; Doarn, Charles R
- ItemAre you a telemedicine evangelist?(2006-06-26) Doarn, Charles R; Merrell, Ronald C
- ItemAre you connected?(2008-06-26) Doarn, Charles R; Merrell, Ronald C
- ItemBarriers to wider adoption of mobile telerobotic surgery: engineering, clinical and business challenges.(2008-04-08) Moses, Gerald R; Doarn, Charles RA portable robotic telesurgery network could remove the geographic disparity of surgical care and provide expert surgical support for first responders to traumatic injury This is particularly relevant to battlefield medicine where surgical intervention is currently not available to the most perilous fighting circumstances Similar utility applies to the peacetime healthcare mission The authors identify the potential advantage to healthcare from a mobile robotic telesurgery system and specify barriers to the employability and acceptance of such a system The proposed research roadmap will describe a portable telesurgery system that represe government industrial recognition and reward for excellent care provided by quality surgeons The provision of expert surgical care improves the outcomes of surgical intervention by reducing errors For example during the common procedure of laparoscopic cholecystectomy distributed telesurgical care could normalize surgical performance and limit major variance of surgeon outliers such as reducing common bile duct injury to the very low rate seen with operation by proficient surgeons
- ItemThe Bislett Effect and Telemedicine.(0000-00-00) Doarn, Charles R; Merrell, Ronald C
- ItemThe business side of telemedicine.(2014-11-11) Doarn, Charles R; Merrell, Ronald C
- ItemCase report of remote anesthetic monitoring using telemedicine.(2004-01-26) Cone, Stephen W; Gehr, Lynne; Hummel, Russell; Rafiq, Azhar; Doarn, Charles R; Merrell, Ronald CWe report a case supporting the use of telecommunications technology from a remote location to monitor anesthetic events Vital signs data and video were transmitted from surgery conducted in the remote Amazonian rainforests of Ecuador to Richmond VA This application of telemedicine technologies makes available expert advice from remote locations during surgical procedures
- ItemChallenges and barriers to development of telemedicine programs.(2005-03-07) Doarn, Charles RThe collection of data is a vital step in assuring that a system works a method is correct and the process is adequate As data is collected databases are created These databases could be nothing more than a box or it could be in a computer based indexed database Over the past 200 years technology has played an increasingly larger role in health care delivery With the advent of telecommunications capabilities and information systems medicine has embraced these two disciplines resulting in a new tool telemedicine This new tool is undergoing rigorous peer review and scientific challenge This has lead to a plethora of data which indicates telemedicine is an excellent tool for medicine
- ItemChanging of the guard.(2005-09-09) Doarn, Charles R; Merrell, Ronald C
- ItemClinical Examination Component of Telemedicine, Telehealth, mHealth, and Connected Health Medical Practices.(0000-00-00) Weinstein, Ronald S; Krupinski, Elizabeth A; Doarn, Charles RTelemedicine and telehealth are the practices of medicine at a distance Performing the equivalent of a complete clinical examination by telemedicine would be unusual However components of a more traditional clinical examination are part of the telemedicine workup for specific conditions Telemedicine clinical examinations are facilitated and enhanced through the integration of a class of medical devices referred to as telemedicine peripherals eg electronic stethoscopes tele ophthalmoscopes video otoscopes and so forth Direct to consumer telehealth is a rapidly expanding segment of the health care service industry
- ItemDigital video capture and synchronous consultation in open surgery.(2004-03-16) Rafiq, Azhar; Moore, James A; Zhao, Xiaoming; Doarn, Charles R; Merrell, Ronald CTo achieve real time or simultaneous surgical consultation and education to students in distant locations we report the successful integration of robotics video teleconferencing and intranet transmission using currently available hardware and Internet capabilities
- ItemDisasters--how can telemedicine help?(2005-10-27) Merrell, Ronald C; Doarn, Charles R
- ItemDisease management in telemedicine and e-health.(2014-07-25) Merrell, Ronald C; Doarn, Charles R
- ItemDistance learning and telemedicine.(2014-06-04) Merrell, Ronald C; Doarn, Charles R
- ItemThe empirical foundations of telemedicine interventions for chronic disease management.(2014-09-04) Bashshur, Rashid L; Shannon, Gary W; Smith, Brian R; Alverson, Dale C; Antoniotti, Nina; Barsan, William G; Bashshur, Noura; Brown, Edward M; Coye, Molly J; Doarn, Charles R; Ferguson, Stewart; Grigsby, Jim; Krupinski, Elizabeth A; Kvedar, Joseph C; Linkous, Jonathan; Merrell, Ronald C; Nesbitt, Thomas; Poropatich, Ronald; Rheuban, Karen S; Sanders, Jay H; Watson, Andrew R; Weinstein, Ronald S; Yellowlees, PeterThe telemedicine intervention in chronic disease management promises to involve patients in their own care provides continuous monitoring by their healthcare providers identifies early symptoms and responds promptly to exacerbations in their illnesses This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases congestive heart failure stroke and chronic obstructive pulmonary disease By design the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence associated morbidity mortality and cost Furthermore these three diseases are amenable to timely interventions and secondary prevention through telemonitoring The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations albeit with a few exceptions Generally the benefits include reductions in use of service hospital admissions re admissions length of hospital stay and emergency department visits typically declined It is important that there often were reductions in mortality Few studies reported neutral or mixed findings
- ItemEvolution of telemedicine in Russia: the influence of the space program on modern telemedicine programs.(2003-04-18) Doarn, Charles R; Lavrentyev, Vladimir A; Orlov, Oleg I; Nicogossian, Arnauld E; Grigoriev, Anatoly I; Ferguson, Earl W; Merrell, Ronald CTelemedicine education and application throughout Russia has its roots in Russia s space program The concepts of telemedicine have evolved during the course of 40 years of space exploration This paper reviews the evolution of telemedicine and the achievements of the Soviet Russian Space Program
- ItemFederal efforts to define and advance telehealth--a work in progress.(2014-05-07) Doarn, Charles R; Pruitt, Sherilyn; Jacobs, Jessica; Harris, Yael; Bott, David M; Riley, William; Lamer, Christopher; Oliver, Anthony LThe integration of telecommunications and information systems in healthcare is not new or novel indeed it is the current practice of medicine and has been an integral part of medicine in remote locations for several decades The U S Government has made a significant investment measured in hundreds of millions of dollars and therefore has a strong presence in the integration of telehealth telemedicine in healthcare However the terminologies and definitions in the lexicon vary across agencies and departments of the U S Government The objective of our survey was to identify and evaluate the definitions of telehealth telemedicine across the U S Government to provide a better understanding of what each agency or department means when it uses these terms
- ItemThe future of remote health services: summary of an expert panel discussion.(2007-07-02) Haselkorn, Ateret; Coye, Molly J; Doarn, Charles RHealth Technology Center HealthTech a nonprofit research and education organization that develops objective technology forecasts hosted an expert panel discussion aimed at delineating the future of remote health services RHS RHS is defined as involving patient care interactions that are geographically disparate and enabled by telecommunications information technology and sensor technology Key players involved are physicians and nonphysician clinicians sick or healthy individuals and their friends or family An expert panel gathered October 2006 in San Francisco CA to respond to the forecasts generated by HealthTech regarding the expected impact of RHS on health care in the next 2 to 5 years and beyond The panel consisted of a carefully selected group of experts representing diverse viewpoints and included clinicians providers engineers lawyers consumer representatives policy makers developers representatives of large employers academics and workforce experts The interaction of the interdisciplinary expert panel produced a number of key implications pertaining to the delivery of RHS and its influence on the healthcare industry Drivers and barriers to the diffusion of RHS were delineated and the full potential value of the technology to patients health delivery systems and health plans was analyzed in depth The expert panel provided a plethora of information predicting the future course of RHS and its impact on health delivery While the complete report and set of forecasts that stems from this research are proprietary this paper offers a summary of that meeting