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At least 847 records · Page 47Linked to original sources
PubMed1999

Joint Photographic Experts Group compression of intraoral radiographs for image transmission on the World Wide Web.

OBJECTIVE: The purpose of this study was to evaluate the subjective quality of Joint Photographic Experts Group (JPEG) compressed images of intraoral radiographs with file sizes of 30 kilobytes or less, which can be transmitted quickly on the World Wide Web. STUDY DESIGN: Conventional intraoral radiographs were digitized at sampling rates of 100, 200, 300, 400, and 600 dots per inch through use of a flatbed scanner and saved in JPEG format in 11 compression degrees. Fifty-five combinations of sampling rate and compression degree were evaluated by means of a visual analog scale. Sampling rate and compression degree combinations whose quality was inferior to that of an average image were excluded. The quality of the remaining combinations was subsequently evaluated through assessment of 8 anatomical features in each image. RESULTS: Forty of the 55 combinations provided a file size less than 30 kilobytes. Thirty combinations obtained VAS scores of 0 or higher on the standardized VAS. As a result, 16 combinations of sampling and compression conditions were selected for the second part of the study. Only one combination of sampling rate and compression degree was found to provide sufficient image quality for all 8 anatomical features. CONCLUSIONS: Under the file size limit of the study design, the full-sized compressed image of an intraoral radiograph did not always provide sufficient quality. This problem will be reduced by improvements in telecommunications infrastructure, which will permit faster transfer of files of larger size.

Algorithms↗
PubMed1998

Health care providers riding the information superhighway.

Telehealth is the practice of providing health care services to people who are distant from the provider by the use of telecommunications and information technology. These services include client care, consultations, education, and research. Concerns include financial cost, reimbursement, liability, licensure, and confidentiality. Research to document treatment cost-effectiveness and efficacy is ongoing.

Community Health Nursing↗
PubMed1998

Is there a doctor in the house? Integrating medical education and home health care.

This article describes how one rural home health agency collaborated with a school of medicine to integrate medical education into the daily operations of the agency. Noteworthy aspects of this project include integration of home care concepts at all levels of the medical school curriculum, use of an advanced practice nurse to coordinate the program, collaboration between the home health agency and the schools of medicine and nursing, and reliance on telecommunication technology to minimize the barriers related to transportation to and scheduling of physician visits.

Clinical Competence↗
PubMed2004

Sleep under exposure to high-frequency electromagnetic fields.

The controversy about potential health hazards associated with the exposure to electromagnetic fields (EMF) has been recently stimulated by the increasing use of mobile telecommunication devices. Attention has focused here on non-thermal effects of low-level high-frequency radiation, which does not lead to a heating of tissue. Scientific literature on the effects of high-frequency EMFs on sleep is reviewed. The epidemiological studies provide no evidence that sleep disturbances are a relevant complaint under exposure to such fields. Recent sleep laboratory studies have revealed a number of slight effects. Despite their heterogeneity, there seems to be some consistency regarding a slight sleep-promoting effect and an increase of the alpha power of the sleep EEG induced by high-frequency EMFs. However, for both the epidemiological and sleep laboratory studies, the database concerning sleep is up to now very limited. At the present level of knowledge, no final conclusions can be drawn from the available data concerning potential health hazards. Although there seem to be some biological effects, these do not provide evidence for any adverse health consequences. However, further research is needed for a better understanding of the interaction between EMFs and the sleep process.

Cell Membrane↗
PubMed1998

Genetic, carcinogenic and teratogenic effects of radiofrequency fields.

This paper reviews the literature data on the genetic toxicology of radiofrequency (RF) radiation. Whereas in the past most studies were devoted to microwave ovens and radar equipment, it is now mobile telecommunication that attracts most attention. Therefore we focus on mobile telephone frequencies where possible. According to a great majority of the papers, radiofrequency fields, and mobile telephone frequencies in particular, are not genotoxic: they do not induce genetic effects in vitro and in vivo, at least under non-thermal exposure conditions, and do not seem to be teratogenic or to induce cancer. Yet, some investigations gave rather alarming results that should be confirmed and completed by further experiments. Among them the investigation of synergistic effects and of possible mechanisms of action should be emphasised.

Abnormalities, Drug-Induced↗
PubMed2001

Balloon-borne near-infrared diode laser spectroscopy for in situ measurements of atmospheric CH4 and H2O.

Absorption spectroscopy with near-infrared telecommunication laser diodes is a very convenient technique to measure in situ methane and water vapor in both the troposphere and the lower stratosphere (LS) and thereby to address many topics in the science of the atmosphere. This technique offers a high temporal resolution that ranges from 10 ms to 1 s, a precision error in the concentration retrieval of within a few percents and a dynamic range for the measurements of four orders of magnitude. A balloon-borne near-infrared diode laser spectrometer is described that provides simultaneous in situ methane (in the 1.65-microm region) and water vapor (in the 1.39-microm region) measurements at 1 s intervals. Tropospheric and stratospheric vertical concentration profiles of methane and water vapor are reported.

Atmosphere↗
PubMed2001

The final report of the project 'AMINE' the Asia Pacific Medical Information Network using with ETS-V.

Volunteer groups led by the Tokai University School of Medicine and the Telemedicine Society of Japan (a Non-Governmental Organization) worked from 1992 to 1996 to successfully develop a medical network spanning the Asia Pacific region using the ETS-V Satellite. The effort was part of the Partners project, sponsored by the Ministry of Posts and Telecommunications (MPT) and the National Space Development Agency of Japan. From 25 ground stations, links to the telemedical network were installed at medical institutions at no cost. The stations included five in Papua New Guinea, five in Thailand, four in Cambodia, four in Fiji, one in China, and six in Japan. Designed exclusively for medical applications, the network was operated free of charge for users at these sites. While the 16-kHz FM-based (Frequency Modulation-based) network limited applications to the transmission of color still images and audio and packet networking, the project still achieved impressive results. The network allowed liberal and independent use of international communications, local communications, teleconferences, and teleconsultations, without requiring a hub station.

Asia↗
PubMed2001

The Ministry of Public Health telemedicine network of Thailand.

The concept of telemedicine is rather new in Thailand and initially, the introduction of telemedicine into the country was hampered by technological limitations. The problem was further aggravated by the inadequacy of telecommunications infrastructures in the rural areas. However, recent rapid advances in info-communications technology, together with the launch of Thailand's first communication satellite, THAICOM I in December 1993, have made it possible for health care to be delivered to remote areas of the country via telemedicine. This paper documents the experience of implementing Thailand's nationwide Telemedicine Network by the Ministry of Public Health (MOPH), beginning with a pilot project in 1994 to the current system, launched in January 1998, that links the Information Technology Office of the MOPH and 19 hospitals with health facilities all over the country via satellite and computer networks.

Communication↗
PubMed2003

Personal relationships with an intelligent interactive telephone health behavior advisor system: a multimethod study using surveys and ethnographic interviews.

The burgeoning of consumer health informatics and virtual health care can help people improve their health. However, little is known about individuals' reactions to such systems. We conducted an evaluation of the telephone-linked care (TLC) system, a computer-based telecommunications system, that functions as an at home monitor, educator, and counselor for patients with chronic health conditions. Our multimethod assessment of individuals' reactions to using TLC included both quantitative and qualitative methods. Ethnographic in-depth open-ended interviews indicated more subtle and surprising reactions to TLC than the overall positive responses from surveys: individuals formed personal relationships with this technology. This relationship formation suggests that TLC designers may have been successful in their attempts to emulate a conversation with a human being. Our study adds to evidence that technology can serve as a projective device for peoples' values and psychological issues. Both designers and users project values and goals onto computer-based technologies and take on different identities through it. Different groups of users, therefore, may see the same technology differently. People also form relationships with technologies, as they did with TLC. These findings, as well as implications for system design and health outcomes, need to be explored in additional studies.

Adult↗
PubMedDate not supplied

Medical emergency aid through telematics: design, implementation guidelines and analysis of user requirements for the MERMAID project.

MERMAID is an EU financed telemedicine project with global reach and 24-h, multilingual capability. It aspires to provide a model for the provision of health care services based on the electronic transmission of medical information, via ISDN based videoconferencing. This model will not be limited to medical diagnostics but it will encompass all cases where the actual delivery of health care services involves a patient who is not located where the provider is. Its implementation requires the commissioning of an expensive telecommunications infrastructure and the exploration of a number of solutions. In fact, all categories of telemedical applications (audio and video conferencing, multimedia communications, flat file and image transfer with low, medium and high bandwidth data requirements) are considered while the full range of network choices (digital land lines, cellular/wireless, satellite and broadband) are being tested in terms of cost/performance tradeoffs that are inherent to them and the developmental stage each of these options occupies in their in its life cycle. Finally, out that MERMAID utilises advanced land based line transmission technologies to aid the remote patient by making available the specialist care that is best suited in the particular case.

Computers↗
PubMed2004

Improvement of radiotherapy facilities in developing countries: a three-tier system with a teleradiotherapy network.

Incidence of cancer has been projected to rise worldwide by around 50% in the next 20 years, most of which will be in developing countries. To face this unprecedented global health problem, it is essential to plan effective health-care strategies. Radiotherapy-a main component of the multidisciplinary therapeutic approach for cancer-involves a huge capital investment that can pose difficulties for developing countries. Limited resources should therefore be used effectively to meet the projected requirements and to find ways to offer quality-assured radiotherapy to patients. Taking advantage of the global explosion of telecommunication technology, we present a proposal for creation of an integrated three-tier radiotherapy service, which consists of primary, secondary, and tertiary radiotherapy centres in developing countries-coordinated through a teleradiotherapy network. Such a network could be cost effective, help to bridge the gap, and give all patients access to the state-of-the-art technology in radiotherapy.

Cancer Care Facilities↗
PubMed2006

Telestroke: effective networking.

Although stroke units and systemic thrombolysis are effective, use of these two treatment methods is restricted because of a widespread lack of expertise. New telecommunication technologies can help to overcome the lack of emergency-provider support in neurologically underserved areas. The status of "telestroke" as the application of telemedicine for acute stroke is presently passing from feasibility to routine use. Teleneurological examination is reliable and systemic thrombolysis can be extended with telemedical consultation. Telestroke, however, offers even more potential in overall acute stroke management. On the one hand, it provides rapid access to specialised interventions through initiation of interhospital transfers, and on the other hand, it might lead to major improvements in basic on-site stroke therapy.

Computer Communication Networks↗
PubMed1998

On-line resources for otolaryngologists.

Advances in telecommunications technology in the last decade have fostered the development of computer networks that allow access to vast amounts of information and services. The most prominent is the Internet (Glowniak, 1995). Medical information is increasingly available on such computer networks. The purpose of the present article is to provide an update to previously published otolaryngology sites (Johns, 1996; Burton and Johns, 1996) available on the World Wide Web, and to provide the otolaryngologist with details of resources that are accessible via the Internet. However, the reader should also be aware that the uniform resource locator (URL) addresses of Web sites can change without warning.

Humans↗
PubMed2006

Do mobile 'phones have a detrimental impact on auditory function?

Mobile telephones are now an integral part of modern telecommunications. The widespread use of mobile telephones has given rise to concern about the potential influences of electromagnetic fields (EMFs) on human health. The effects of EMFs on human beings are under investigation. Anatomically, the ear is in close proximity to the mobile telephone during use. The effect of mobile phones on auditory function has rarely been studied. The aim of this review is to determine if there is evidence that mobile phones have a detrimental effect on auditory function.

Animals↗
PubMedDate not supplied

Proceedings for the 5th Asia-Pacific Conference on Disaster Medicine: creating an agenda for action.

Disaster medicine has come to the forefront and has become the focus of interest not only in the medical community, but also in the eyes of the public. The 5th APCDM was convened in Vancouver, Canada, 27-30 September 2000. It brought together over 300 delegates from 32 countries to share their experiences and thoughts regarding disaster events and how to effectively manage them. The conference was devoted to the task of establishing priorities and creating an Agenda for Action. From the discussions, key actions required were defined: COMMUNICATIONS: (1) Identify existing regional telehealth groups and gather lessons to be learned from them; (2) Form a telehealth advisory group to work with regional groups to compile telehealth initiatives, identify international protocols in telehealth already in existence, and solicit feedback before setting international standards; and (3) Increase corporate partnerships in the fields of telehealth and telecommunications, and invite corporations to send delegates to future APCDM meetings. This should be an initiative of the APCDM, the World Association of Disaster and Emergency Medicine (WADEM), or the European Society of Emergency Medicine. EDUCATION AND RESEARCH: (1) Formalize education in disaster medicine and management. The World Health Organization and WADEM should take a leadership role; (2) WADEM is requested to hold a conference with a focus on qualitative research; (3) WHO is requested to continue the provision of international research teams, but to advocate for the development of national disaster research infrastructure; (4) Make research findings and reports available on web sites of such organizations as WHO and PAHO; (5) Develop the translation of research for community utilization. The WHO and PAHO are organizations that are requested to consider this action; and (6) WADEM/APCDM are requested to focus future conferences on applied research. INFORMATION AND DATA: (1) Create an "Information and Data Clearinghouse on Disaster Management" to collect, collate, and disseminate information; (2) Collect data using standardized tools, such as CAR or Hazmat indices; (3) Analyze incentives and disincentives for disaster readiness and establish mechanisms for addressing the obstacles to preparedness; and (4) WADEM is requested to develop a web site providing a resource list of interdisciplinary institutions and response activities, organized by country, topic, and research interests. Links to other pertinent web sites should be provided. INTERDISCIPLINARY DEVELOPMENT: (1) Focus on the interdisciplinary nature of disaster response through more conferences encompassing grassroots efforts and through WADEM publications; (2) Develop and apply a standardized template of Needs Assessment for use by multidisciplinary teams. Team Needs Assessment is essential to determine the following: (a) Local response and international assistance required; (b) Appropriate command system; and (c) Psychosocial impact and support necessary. PSYCHOSOCIAL ASPECTS: (1) Incorporate relief for caregivers into action plans. This should include prime family members who also are caregivers; and (2) Implement measures that give survivors control over the recovery process. RESPONSE MANAGEMENT: (1) Define relationships and roles between governments, military and security personnel, non-governmental organizations (NGOs), and civic groups. Use an international legal framework and liability to reinforce accountability of disaster responders; (2) Establish a more sophisticated use of the media during disasters; (3) Establish standards in key areas. WADEM is requested to write "White Papers" on standards for the following areas: (a) management, (b) health/public health, (c) education/training, (d) psychosocial, and (e) disaster plans; (4) Establish task forces to anticipate and resolve issues around evolving and emerging disasters (e.g., chemical and biological terrorism, landmines, emerging infectious diseases). WADEM was again identified as the vehicle for promoting this action. The responsibility of the next meeting of the Asia-Pacific Conference on Disaster Medicine will be to measure progress made in these areas by assessing how well these collective decisions have been implemented.

Databases, Factual↗
PubMed2000

Flame hydrolysis deposition of glass on silicon for the integration of optical and microfluidic devices

Flame hydrolysis deposition (FHD) of glasses has previously found applications in the telecommunications industry. This paper shows how the technology can be used to deposit silica with different refractive indices and thereby produce low-loss planar waveguides for use in analytical applications. We also show that the glasses can be patterned using a new reactive ion etch and sealed using a modification of anodic bonding, such that the resulting microstructures can be readily incorporated within a lithographically defined "chip", integrating both optical and fluidic circuitry on the same device. In the example described in this paper, waveguides, analytical microtiter chambers and fluidic capillary channels, with the necessary high aspect ratio features (and with depths up to 40 microm) were all produced in glass, using the appropriate deposition and etching technologies. The performance of the chip was assessed in the framework of a low-volume fluorescence assay, using waveguides to address miniaturized microtiter chambers with volumes of 230 and 570 pL. Devices featuring different optical detection configurations, including both in-line and orthogonal waveguide geometries, were fabricated. In the optimal configuration, the experimental detection limit was determined as ca. 20 pM (equivalent to 10 zmol) of a cyanine fluorophore, Cy5. The applicability of the device as a biochip platform was further illustrated by analytical measurements on fluorescently labeled oligodeoxynucleotides.

Journal Article↗
PubMed1984

Cost effectiveness of on-line searching of chemical information: an industrial viewpoint.

Cost comparisons and the cost effectiveness of on-line searching of information are reviewed. Topics discussed include on-line vs. manual searching, charge-out of search costs, efficacy of on-line searching, on-line vs. batch computer searching, vendor system comparisons, networking, searcher productivity, telecommunications, role of the intermediary, search transmission rates and on-line charges, editing of recorded searches, and increasing cost of on-line searching of chemical information.

Chemical Phenomena↗
PubMed1985

Toxicology information systems: a historical perspective.

Toxicology information systems have evolved swiftly from early, library-based bibliographic tools to advanced packages utilizing sophisticated computer and telecommunication technologies. These systems have evolved concurrently with the rapid expansion of the science of toxicology itself. Bibliographic files such as TOXLINE represent first attempts to handle the toxicology literature through on-line retrieval. Subsequent approaches applied the use of computers to provide literature-derived data, as in TDB or RTECS, or to capture data directly in the laboratory. Societal concerns about hazardous substances, manifested in legislation and regulations, have been responsible for the creation of many computerized systems. Advanced, integrated information management systems are being explored as a method of accessing a large number of independently maintained toxicology databases. Changes in information technologies such as the trend toward microcomputers and novel high-density storage devices will affect the future of toxicology information systems as will impending developments in toxicology itself related to biotechnology, analytical methodology, and alternatives to whole animal testing.

History, 20th Century↗