Browsing by Author "Loane, M"
Now showing 1 - 5 of 5
Results Per Page
Sort Options
- ItemThe effect of videoconferencing on the depth perception of observers.(2001-05-07) Wootton, R; Collins, M; Loughridge, J; Loane, MThe ability of the human eye to perceive depth was measured using a specially designed instrument Visual acuity and both monocular and binocular stereoacuity were measured when viewing the instrument directly and via a videoconferencing link Ten subjects with an average age of 32 5 years range 24 50 took part in the study The group mean visual acuity using both eyes under normal test conditions was 0 04 logMAR Snellen 6 5 compared with 0 18 logMAR Snellen 6 10 for the video link The mean stereoacuity using both eyes was 37 SD 18 under normal test conditions When a videoconferencing link was used the mean stereoacuity fell to 1218 SD 1203 using one eye and to 1651 SD 1419 using both eyes The ability to perceive depth remotely via a video link was significantly decreased compared with normal test conditions
- ItemA follow-up study of remote trauma teleconsultations.(2001-03-26) Tachakra, S; Loane, M; Uche, C UWe conducted a follow up study of patients who had attended a nurse led minor accident and treatment service MATS and who had participated in a teleconsultation Over three and a half years 31 510 patients had attended the MATS unit and 1854 patients 5 9 of these had participated in a teleconsultation Of the 1854 telemedicine patients 1199 had been referred to hospital or clinic and 1153 had actually attended Retrospective examination of the relevant hospital records showed that in 25 cases 2 the original telediagnosis was considered incorrect at face to face review and that treatment was either begun or changed in 264 cases 23 All patients including those discharged home after the teleconsultation were sent a questionnaire about any changes to their injury Of the 655 patients discharged home a questionnaire response was obtained from 598 91 Following discharge 43 of these patients had sought help from another health care provider the majority from their general practitioner Of the 46 patients referred to hospital who did not keep their follow up appointments questionnaire results were obtained from 35 76 Nine of these patients had sought help from another health care provider the majority from their general practitioner but there had been no change in diagnosis or treatment Our findings suggest that teleconsultations are an effective means of delivering minor injuries care
- ItemA review of guidelines and standards for telemedicine.(2002-04-25) Loane, M; Wootton, RWe conducted a review to establish the range and scope of current telemedicine guidelines and standards Published guidelines were identified by searching the Medline and Telemedicine Information Exchange TIE databases and by performing a Google search using the term telemedicine guidelines Three types of guidelines were identified namely clinical operational and technical Clinical guidelines included those for teleradiology telepsychiatry home telenursing minor injuries telemedicine surgical telemedicine teledermatology and telepathology Operational guidelines included those for email communication Internet access and videoconferencing Technical guidelines included those from the American Telemedicine Association and the US Office for the Advancement of Telehealth The main standards relevant to telemedicine include those of the International Telecommunication Union and the DICOM standard The scarcity of guidelines and standards suggests that telemedicine is not yet near to routine use If an international telemedicine organization were to take responsibility for defining guidelines under the direction of clinicians with appropriate telemedicine experience this might speed up their development
- ItemTelemedicine and clinical genetics: establishing a successful service.(2001-12-18) Gattas, M R; MacMillan, J C; Meinecke, I; Loane, M; Wootton, RThere is a surprising lack of published experience on the use of videoconferencing in clinical genetics Patients were randomly allocated to either a telegenetic cases or face to face control conventional clinic The telegenetic consultation was done by videoconferencing using ISDN lines at 384 kbit s Evaluation by the doctor and counsellor took place immediately after each appointment The patient was asked to evaluate the appointment by telephone questionnaire about four weeks after the event Forty two patients were invited to participate and 33 79 returned their consent forms Four patients declined to participate and were seen in ordinary face to face clinics Preliminary results showed that the assessment of the telegenetics consultations by doctors counsellors and patients was very favourable and they responded positively when asked if they would be happy to use telemedicine in the future For use in selected consultations videoconferencing does appear to fulfil a useful role in clinical genetics
- ItemTransfer of telemedical support to Cornwall from a national telemedicine network during a solar eclipse.(2000-05-25) Wootton, R; McKelvey, A; McNicholl, B; Loane, M; Hore, D; Howarth, P; Tachakra, S; Rocke, L; Martin, J; Pagé, G; Ferguson, J; Chambers, D; Hassan, HDuring late 1998 and early 1999 planning officers in Cornwall predicted a huge increase in summer visitors to the county to observe the August solar eclipse There was the possibility that a mass gathering in Cornwall could overload existing arrangements for handling accident and emergency patients We therefore set up a telemedicine system to support the county s minor injury units MIUs from hospitals throughout the UK Six main hospital accident and emergency departments outside Cornwall with existing links to their own MIUs were twinned with 10 of the 11 MIUs in Cornwall before the expected date of the gathering The network was live for nine days starting four days before the eclipse and 2045 patients were seen in the 10 MIUs There were 93 telemedicine calls from the 10 MIUs involving 91 patients Overall 4 6 of the patients required a telemedicine consultation Fifty seven calls were made during working hours Thirty four patients were referred for further management of whom 18 were referred on the same day The transfer of telemedical support to a national network was successful