Browsing by Author "Graham, L E"
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- ItemCould a low-cost audio-visual link be useful in rheumatology?(2000-05-25) Graham, L E; McGimpsey, S; Wright, S; McClean, G; Carser, J; Stevenson, M; Wootton, R; Taggart, A JWe have investigated prospectively the diagnostic accuracy specialist satisfaction and patient specialist rapport of a low cost audio visual link between a junior doctor with a patient and a consultant rheumatologist Using a telephone link and subsequently a video phone link 20 patients with various rheumatological problems were presented by a junior doctor to the consultant rheumatologist for provisional diagnosis All patients were then seen face to face by the consultant when a final diagnosis was made An independent consultant rheumatologist made a gold standard diagnosis Thirty five per cent of diagnoses were made correctly over the telephone and 40 over the video phone there was no significant difference in the diagnostic accuracy between these two methods of communication Rapport over the video phone was universally poor Where it was important clinical signs could not be visualized over the video phone and in more than 85 of cases small joint swellings could not be seen clearly
- ItemThe interdisciplinary management of cerebral haemorrhage using telemedicine--a case report from Nepal.(2001-09-25) Graham, L E; Flynn, P; Cooke, S; Patterson, V
- ItemTelemedicine--the way ahead for medicine in the developing world.(2003-02-05) Graham, L E; Zimmerman, M; Vassallo, D J; Patterson, V; Swinfen, P; Swinfen, R; Wootton, RAn e mail link with the facility to send high resolution digital images is a cheap and uncomplicated telemedicine method The Swinfen Charitable Trust helped establish such a link in Patan Hospital Kathmandu Nepal in March 2000 Over 12 months using this link 42 telemedicine referrals were sent to specialists throughout the world Referrals were 36 respiratory medicine 21 neurology 21 dermatology 14 cardiology 5 nephrology and 3 radiology 28 had digital pictures attached of which 96 were of high enough quality on which specialists were able to comment Thirty nine replies were received The average time for a specialist reply was 2 days and 45 were answered within 24 hours All replies were judged by independent assessors to be helpful or very helpful for diagnosis management and education The assessors decided that in 50 of cases the advice if acted upon would have shortened hospital stay This pilot study has shown that a low cost telemedicine link is technically feasible and can be of significant benefit for diagnosis management and education in a developing world setting
- ItemTeleneuroradiology: a case from Nepal with clinical and educational benefit.(2003-03-25) Graham, L E; Flynn, P; Patterson, V