Purpose. The study aims to describe a novel method of utilization of the eyeSmart EMR (electronic medical record) app. It describes the demographic distribution, clinical presentation, query requested by the vision technician, and management advised to the patients by using &#x201C;eyeSmart EMR&#x201D; app from the vision centers located across a three-tier eye care network in India. Methods. This is a retrospective review of all patients who required a tele-ophthalmology consultation from January 2017 to August 2018. The demographic, clinical details, and the impact of teleophthalmology using eyeSmart app, in the vision centers of a three-tier eye care network, was analyzed in detail. Results. A total of 15,001 tele-ophthalmology consults were included which is from January 2017 to August 2018. The mean age was 38&#x2009;&#x00B1;&#x2009;19 years and male to female ratio was 1&#x2009;:&#x2009;2. Video calls were performed for 6191 (41.27&#x0025;) consults and the impact was measured. Additional clinical information was received in 65.61&#x0025; consults through video call. Medical management was advised in 47.07&#x0025; of patients and 30.30&#x0025; were referred to higher centers for medical intervention and 0.59&#x0025; were referred for surgical intervention, 16.23&#x0025; were prescribed glasses. No intervention required for 0.69&#x0025; of cases. Hence nil intervention was advised. Conclusion. The combination of using tablet and video calls with the help of eyeSmart EMR app is a novel method in teleophthalmology. It helps in connecting the patients at rural areas and the ophthalmologists in higher centers. The use of technology plays a vital role in the appropriate medical management of the patient.

Anthony Vipin Das

Shravani Mididoddi

Priyanka Kammari

Navya Deepthi Davara

Abhinav Loomba

Rohit Khanna

Mukesh Taneja

App-Based Tele Ophthalmology: A Novel Method of Rural Eye Care Delivery Connecting Tertiary Eye Care Center and Vision Centers in India

Purpose. In relation to this research, only a few studies have been carried out around the world. However, in Saudi Arabia, there have been no investigations into this subject. In this sense, the objective of this study was to investigate the physicians&#x2019; attitudes towards the use of social media for professional purposes in Saudi Arabia. Methods. A cross-sectional study was conducted among 235 physicians from different regions of Saudi Arabia. The data were collected by means of a survey. The survey questionnaire was distributed using the WhatsApp application. Descriptive statistics were used to analyze the results. Results. The most common social media used by the respondents was Facebook, and the majority of the participants agreed that social media improved their knowledge and skills. However, most of the participants did not interact with patients using these tools, did not feel comfortable conducting an online consultation, and believed that social media affected the choice of the healthcare provider. Similarly, 30.6&#x0025; of the respondents opined that it is not appropriate to search online information about patients, and 44.3&#x0025; of them considered that patients would not trust the medical advice if a physician obtained the information from a website. Conclusion. The results showed that the majority of the respondents considered that social media improved the knowledge and abilities of physicians. In addition, the respondents reflected that there were ethical issues that must be taken into account when using social media and more than half of them did not interact with their patients employing these tools. The outcomes of this research will help to develop programs directed at the physicians in Saudi Arabia to enhance their knowledge, professional skills, medicine practice, patient-doctor interaction, and handle the risks involved in the use of social media.

Turki Alanzi

Susan Al-Yami

Physicians&#x2019; Attitude towards The Use of Social Media for Professional Purposes in Saudi Arabia

Investigations in preventive and occupational medicine are often based on the acquisition of data in the customer&#x2019;s daily routine. This requires convenient measurement solutions including physiological, psychological, physical, and sometimes emotional parameters. In this paper, the introduction of a decentralized multi-sensor-fusion approach for a preventive health-management system is described. The aim is the provision of a flexible mobile data-collection platform, which can be used in many different health-care related applications. Different heterogeneous data sources can be integrated and measured data are prepared and transferred to a superordinated data-science-oriented cloud-solution. The presented novel approach focuses on the integration and fusion of different mobile data sources on a mobile data collection system (mDCS). This includes directly coupled wireless sensor devices, indirectly coupled devices offering the datasets via vendor-specific cloud solutions (as e.g., Fitbit, San Francisco, USA and Nokia, Espoo, Finland) and questionnaires to acquire subjective and objective parameters. The mDCS functions as a user-specific interface adapter and data concentrator decentralized from a data-science-oriented processing cloud. A low-level data fusion in the mDCS includes the synchronization of the data sources, the individual selection of required data sets and the execution of pre-processing procedures. Thus, the mDCS increases the availability of the processing cloud and in consequence also of the higher level data-fusion procedures. The developed system can be easily adapted to changing health-care applications by using different sensor combinations. The complex processing for data analysis can be supported and intervention measures can be provided.

Sebastian Neubert

Andr&#x00E9; Gei&#x00DF;ler

Thomas Roddelkopf

Regina Stoll

Karl-Heinz Sandmann

Julius Neumann

Kerstin Thurow

Multi-Sensor-Fusion Approach for a Data-Science-Oriented Preventive Health Management System: Concept and Development of a Decentralized Data Collection Approach for Heterogeneous Data Sources

Background. Stroke is a leading cause of disability and requires continued care after hospital discharge. Mobile-based interventions are suitable to reduce the cost of stroke rehabilitation and facilitate self-management among stroke survivors. However, before attempting to use mobile-based home exercise program, it is crucial to recognize the readiness of stroke survivors and their caregivers to opt for such interventions. Objective. To assess the acceptability and attitude towards a mobile-based home exercise program among stroke survivors and their primary caregivers. Methods. A cross-sectional study was conducted among 102 participants to understand their attitude and acceptability towards mobile-based home exercise program. A validated 10-item questionnaire was adapted for the study. The questions which assessed the attitude were rated on a three-point Likert scale, with three denoting agree and one denoting disagree. The acceptability was assessed by their willingness to opt for a mobile-based home program services. A Chi-square analysis and cross-tabulation were performed to test differences between caregivers and patients. A logistic regression was performed to determine the effects of age, gender, and mobile phone on acceptability. Results. Ninety-two percent of caregivers and 90&#x25; of patients showed willingness to opt for mobile-based intervention. Majority of the participants showed a positive attitude towards this mode of treatment. There was no difference in the attitude noted among caregivers and patients (p&#x3e;0.05) towards mobile-based intervention. Conclusion. The stroke survivors and caregivers welcomed the concept of mobile-based home exercise program even in a low-resource settings, but further studies to understand treatment and cost-effectiveness of this technology among the stroke survivors would lead to better implementation.

Amreen Mahmood

Vevita Blaizy

Aparajita Verma

Joel Stephen Sequeira

Dola Saha

Selvam Ramachandran

N. Manikandan

Bhaskaran Unnikrishnan

John M. Solomon

Acceptability and Attitude towards a Mobile-Based Home Exercise Program among Stroke Survivors and Caregivers: A Cross-Sectional Study

Purpose. This study describes the development of an attachment for a smart tablet to stream live video information of an eye examination through the slit lamp. Methods. A tablet attachment was developed that enables the live streaming of video from the slit lamp from the rural vision centers of the LVPEI network. A video streaming solution like Skype Lite was used to transmit the same. The eyeSmart app was utilized for the documentation of the clinical information of the patients. Results. A tablet attachment of eyeSmart Cyclops was developed and piloted in 3 vision centers of the LVPEI network. Conclusion. The use of real-time video transmission illustrates a novel teleophthalmology solution in low resource settings to screen rural populations. The ability to transmit live video enables gathering more information than static images.

Sandeep Vempati

NavyaDeepthi Davara

M. Shravani

Use of a Tablet Attachment in Teleophthalmology for Real-Time Video Transmission from Rural Vision Centers in a Three-Tier Eye Care Network in India: eyeSmart Cyclops

It is a well-known statistic that the percentage of our older adult population will globally surpass the other age groups. A majority of the elderly would still prefer to keep an active life style. In support of this life style, various monitoring systems are being designed and deployed to have a seamless integration with the daily living activities of the older adults while preserving various levels of their privacy. Motion tracking is one of these health monitoring systems. When properly designed, deployed, integrated, and analyzed, they can be used to assist in determining some onsets of anomalies in the health of elderly at various levels of their Movements and Activities of Daily Living (MADL). This paper explores how the framework of the PageRank algorithm can be extended for monitoring the global movement patterns of older adults at their place of residence. Through utilization of an existing dataset, the paper shows how the movement patterns between various rooms can be represented as a directed graph with weighted edges. To demonstrate how PageRank can be utilized, a base graph representing a normal pattern can be defined as what can be used for further anomaly detection (e.g., at some instances of observation the measured movement pattern deviates from what is previously defined as a normal pattern). It is shown how the PageRank algorithm can detect simulated change in the pattern of motion when compared with the base-line normal pattern. This feature can offer a practical approach for detecting anomalies in movement patterns associated with older adults in their own place of residence and in support of aging in place paradigm.

Shahram Payandeh

Eddie Chiu

Application of Modified PageRank Algorithm for Anomaly Detection in Movements of Older Adults

Hongyi Mao

Yang Sun

Corrigendum to &#x201c;A Way to Understand Inpatients Based on the Electronic Medical Records in the Big Data Environment&#x201d;

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International Journal of Telemedicine and Applications focuses on the applications of medical practice and care at a distance and their supporting technologies such as, computing, communications, and networking technologies.

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International Journal of Telemedicine and Applications - Table of contents 2019

International Journal of Telemedicine and Applications | Hindawi

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International Journal of Telemedicine and Applications focuses on the applications of medical practice and care at a distance and their supporting technologies such as, computing, communications, and networking technologies.

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International Journal of Telemedicine and Applications

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