92 results match your criteria remotely safely


Implementation of a palliative hospital-centered spiritual and psychological telehealth system during COVID-19 pandemic.

J Pain Symptom Manage 2021 May 3. Epub 2021 May 3.

Geriatric Section, Department of Internal Medicine, Faculty of Medicine. Universidad de Chile, Santiago, Chile.

Background: The severity of the COVID-19 pandemic has resulted in limited provision of palliative care and hospital teams have had to rise to the challenge of how to deliver care safely to people with palliative needs. Telehealth interventions have been seen as a useful resource with potential to improve clinical effectiveness.

Objective: To describe the implementation of a spiritual and psychological palliative telehealth system during the pandemic. Read More

View Article and Full-Text PDF

Growsafe: A Chemical Method To Deactivate Cultivated Microorganisms Using Low-Cost Kitchen Supplies.

J Microbiol Biol Educ 2021 31;22(1). Epub 2021 Mar 31.

Department of Biology, Tufts University, Medford, MA 02155.

One limitation to engaging K-12 students and the public with microorganisms is the inability to cultivate and dispose of bacterial and fungal samples safely without expensive equipment or services. This barrier has been amplified with remote learning modalities and laboratory closures driven by safety precautions due to the COVID-19 pandemic. At-home lab kits are being used to bring hands-on experience in microorganism cultivation to students learning remotely, but these kits often fail to take into full consideration the safety aspects or the costs associated with microorganism disposal, limiting which experiments can be performed at home. Read More

View Article and Full-Text PDF

Practice-informed guidance for undertaking remotely delivered mental health research.

Nurse Res 2021 Apr 15. Epub 2021 Apr 15.

research department, Hellesdon Hospital, Norfolk and Suffolk NHS Foundation Trust, Norwich, England.

Background: The assessment and monitoring of health conditions using remote or online delivery is an emerging interest in healthcare systems globally but is not routinely used in mental health research. There is a growing need to offer remotely delivered appointments in mental health research. There is a lack of practical guidance about how nurse researchers can undertake remote research appointments ethically and safely, while maintaining the scientific integrity of the research. Read More

View Article and Full-Text PDF

General Practice in the Time of COVID-19: A Mixed-Methods Service Evaluation of a Primary Care COVID-19 Service.

Int J Environ Res Public Health 2021 03 12;18(6). Epub 2021 Mar 12.

Primary Care and Population Health Department University College, London NW3 2QG, UK.

Primary care coronavirus disease 2019 (COVID-19) clinics were rapidly introduced across the UK to review potentially infectious patients. Evaluation of these services is needed to guide future implementation. This mixed-methods study evaluates patient demographics, clinical presentation, co-morbidities, service usage, and outcomes for the Islington COVID-19 service (London, UK) and from April to May 2020 and thematically analyses survey responses from 29 service clinicians and 41 GP referrers on their service experience. Read More

View Article and Full-Text PDF

The pilot, proof of concept REMOTE-COVID trial: remote monitoring use in suspected cases of COVID-19 (SARS-CoV 2).

BMC Public Health 2021 Apr 1;21(1):638. Epub 2021 Apr 1.

Division of Surgery & Cancer, 10th Floor Queen Elizabeth the Queen Mother Wing (QEQM) St Mary's Campus, London, W2 1NY, UK.

Background: SARS-CoV-2 has ever-increasing attributed deaths. Vital sign trends are routinely used to monitor patients with changes in these parameters preceding an adverse event. Wearable sensors can measure vital signs continuously and remotely, outside of hospital facilities, recognising early clinical deterioration. Read More

View Article and Full-Text PDF

Audiological practice and COVID-19: recommendations that audiological centers can use to maintain the safety and quality of service-expert opinion.

Eur Arch Otorhinolaryngol 2021 Mar 27. Epub 2021 Mar 27.

University Hospital Würzburg, Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.

Purpose: Audiology is an essential service for some patient groups and some interventions. This article sets forth experience-based recommendations for how audiological centers can continue to safely and effectively function during COVID-19.

Methods: The recommendations are the result of panel discussion and are based on the clinical experience of the panelists/authors. Read More

View Article and Full-Text PDF

Exclusion of SARS-CoV-2 from Two Maine Overnight Camps July-August 2020.

Disaster Med Public Health Prep 2021 Mar 25:1-10. Epub 2021 Mar 25.

Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.

Objective: Summer camp can positively affect self-esteem and social skills. Most United States summer camps did not open during 2020 because of concerns about SARS-CoV-2. Our objective is to describe exclusion strategies successfully used by two summer camps in Maine. Read More

View Article and Full-Text PDF

Aging-like metabolic and adrenal changes in microgravity: State of the art in preparation for Mars.

Neurosci Biobehav Rev 2021 Mar 20;126:236-242. Epub 2021 Mar 20.

Third Age Health Inc. Culpeper, VA, USA.

Endocrine and metabolic changes that typically accompany aging on Earth have been consistently observed in space. Support for the role of gravity in aging has mostly come from ground simulation studies in head down bed rest. However, uncertainties remain and have to be resolved in planning for the ambitious enterprise of sending humans to Mars and back. Read More

View Article and Full-Text PDF

Teleproctoring for Neurovascular Procedures: Demonstration of Concept Using Optical See-Through Head-Mounted Display, Interactive Mixed Reality, and Virtual Space Sharing-A Critical Need Highlighted by the COVID-19 Pandemic.

AJNR Am J Neuroradiol 2021 Mar 11. Epub 2021 Mar 11.

From the Department of Interventional Neuroradiology (A.T.R., G.D., S.B.), Rockefeller Neuroscience Institute, West Virginia University School of Medicine, Morgantown, West Virginia.

Background And Purpose: Physician training and onsite proctoring are critical for safely introducing new biomedical devices, a process that has been disrupted by the pandemic. A teleproctoring concept using optical see-through head-mounted displays with a proctor's ability to see and, more important, virtually interact in the operator's visual field is presented.

Materials And Methods: Test conditions were created for simulated proctoring using a bifurcation aneurysm flow model for WEB device deployment. Read More

View Article and Full-Text PDF

Virtual Health Care for Community Management of Patients With COVID-19 in Australia: Observational Cohort Study.

J Med Internet Res 2021 03 9;23(3):e21064. Epub 2021 Mar 9.

Sydney Local Health District, Camperdown, Australia.

Background: Australia has successfully controlled the COVID-19 pandemic. Similar to other high-income countries, Australia has extensively used telehealth services. Virtual health care, including telemedicine in combination with remote patient monitoring, has been implemented in certain settings as part of new models of care that are aimed at managing patients with COVID-19 outside the hospital setting. Read More

View Article and Full-Text PDF

The leap to faculty in the time of COVID19.

J Prof Nurs 2021 Jan-Feb;37(1):34-37. Epub 2020 Nov 26.

Bellarmine University, Lansing School of Health Sciences, Louiville, KY United States of America.

Nurses are essential workers, particularly in a pandemic. Increasingly complex patients and an ever-changing health care environment are a few of the challenges that nursing faculty have to prepare novice nurses for, now more than ever, but it is proving difficult due to the limited number of nursing faculty. In order to continue to prepare nurses for practice, schools of nursing are looking for ways to recruit and retain new faculty. Read More

View Article and Full-Text PDF
November 2020

Telehealth's New Horizon: Providing Smart Hospital-Level Care in the Home.

Telemed J E Health 2021 Mar 3. Epub 2021 Mar 3.

William Perry Center for Hemispheric Defense Studies, National Defense University, Washington, District of Columbia, USA.

During the COVID-19 pandemic, medical providers have expanded telehealth into daily practice, with many medical and behavioral health care visits provided remotely over video or through phone. The telehealth market was already facilitating home health care with increasing levels of sophistication before COVID-19. Among the emerging telehealth practices, telephysical therapy; teleneurology; telemental health; chronic care management of congestive heart failure, chronic obstructive pulmonary disease, diabetes; home hospice; home mechanical ventilation; and home dialysis are some of the most prominent. Read More

View Article and Full-Text PDF

Case Report: Management of an Elderly Patient With Metastatic Radioiodine-Resistant Differentiated Thyroid Cancer in a Rural Community, Remote From Specialist Oncology Services.

Front Endocrinol (Lausanne) 2020 1;11:581014. Epub 2021 Feb 1.

Anchor Unit - Clinic D, Aberdeen Royal Infirmary, Aberdeen, United Kingdom.

This case report describes an elderly patient with radioiodine-resistant differentiated thyroid cancer and additional multiple metastases living in a rural setting, remote from the specialist oncology service. This case is of interest because effective systemic therapies for treatment-resistant cancers, such as lenvatinib, are now available but can potentially cause significant toxicities that require extensive medical management. Here, we discuss how patient care was provided collaboratively by the local community teams integrated with remote specialist oncology services. Read More

View Article and Full-Text PDF
February 2021

Deep neural networks for active wave breaking classification.

Sci Rep 2021 Feb 11;11(1):3604. Epub 2021 Feb 11.

France Energies Marines, 29280, Plouzané, France.

Wave breaking is an important process for energy dissipation in the open ocean and coastal seas. It drives beach morphodynamics, controls air-sea interactions, determines when ship and offshore structure operations can occur safely, and influences on the retrieval of ocean properties from satellites. Still, wave breaking lacks a proper physical understanding mainly due to scarce observational field data. Read More

View Article and Full-Text PDF
February 2021

Integration of aquablation through telemetry: an alternative to onsite proctoring?

World J Urol 2021 Feb 6. Epub 2021 Feb 6.

Division of Urology, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, 1107 2020, Lebanon.

Purpose: To evaluate the feasibility of telementoring for aquablation by comparing the outcomes of onsite versus telemetry proctoring.

Methods: The telemetry device of choice was Proximie, an innovative digital platform that uses live video stream with an augmented reality technology. Our study retrospectively reviewed outcomes from our IRB approved prospective Aquablation database from March 2018 till October 2019. Read More

View Article and Full-Text PDF
February 2021

Technology-assisted methadone take-home dosing for dispensing methadone to persons with opioid use disorder during the Covid-19 pandemic.

J Subst Abuse Treat 2021 02 24;121:108197. Epub 2020 Nov 24.

Johns Hopkins University School of Medicine, 911 North Broadway, Baltimore, MD 21205, United States of America. Electronic address:

Introduction: Covid-19 confers substantial risk for the >400,000 patients who receive methadone for the treatment of opioid use disorder (OUD) and methods for safely dispensing large quantities of methadone to patients are lacking.

Methods: This study evaluated the MedMinder "Jon", an electronic and cellular-enabled pillbox that provides real-time monitoring to remotely manage take-home doses of methadone using a 12-week, within-subject, Phase II (NCT03254043) trial. We transitioned all participants from liquid to tablet methadone one week prior to randomization. Read More

View Article and Full-Text PDF
February 2021

Use of Telepresence Robots in Glaucoma Patient Education.

J Glaucoma 2021 03;30(3):e40-e46

Rutgers New Jersey Medical School, Newark, NJ.

Prcis: Telepresence robots (TR) present the versatility to effectively provide remote educational sessions for patients affected by glaucoma to improve disease knowledge. Given COVID-19's effect on clinical practice, TR can maintain social distancing when educating patients.

Purpose: TR are devices that allow remote users to have a mobile presence anywhere. Read More

View Article and Full-Text PDF

Development of the Home based Virtual Rehabilitation System (HoVRS) to remotely deliver an intense and customized upper extremity training.

J Neuroeng Rehabil 2020 11 23;17(1):155. Epub 2020 Nov 23.

Department of Rehabilitation & Movement Sciences, School of Health Professions, Rutgers Biomedical and Health Sciences, Newark, NJ, USA.

Background: After stroke, sustained hand rehabilitation training is required for continuous improvement and maintenance of distal function.

Methods: In this paper, we present a system designed and implemented in our lab: the Home based Virtual Rehabilitation System (HoVRS). Fifteen subjects with chronic stroke were recruited to test the feasibility of the system as well as to refine the design and training protocol to prepare for a future efficacy study. Read More

View Article and Full-Text PDF
November 2020

Telemedicine-guided forearm emergency decompressive fasciotomy for compartment syndrome.

J Telemed Telecare 2020 Oct 18:1357633X20964359. Epub 2020 Oct 18.

Department of Orthopaedic Surgery, McGill University Health Center, Canada.

Introduction: We highlight the utility of telemedicine and telementoring for the management of orthopaedic emergencies using a case of forearm compartment syndrome following a penetrating trauma in a northern Inuit community in Nunavik, Quebec, Canada.

Methods & Results: As in many cases of compartment syndrome in rural settings, the patient was at a high risk of developing irreversible complications. A prompt diagnosis followed by an emergency decompressive fasciotomy was warranted. Read More

View Article and Full-Text PDF
October 2020

Bioinspired underwater legged robot for seabed exploration with low environmental disturbance.

Sci Robot 2020 05;5(42)

The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.

Robots have the potential to assist and complement humans in the study and exploration of extreme and hostile environments. For example, valuable scientific data have been collected with the aid of propeller-driven autonomous and remotely operated vehicles in underwater operations. However, because of their nature as swimmers, such robots are limited when closer interaction with the environment is required. Read More

View Article and Full-Text PDF

Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice.

J Plast Reconstr Aesthet Surg 2021 02 20;74(2):407-447. Epub 2020 Sep 20.

Consultant Plastic Surgeon, Department of Plastic Surgery, Salisbury District Hospital, UK.

The Covid-19 pandemic has accelerated the widespread adoption of technology-enabled care in the NHS. Moving into phase two of the response, the continuing use of audio-visual technology is expected, where appropriate, to be integral in the provision of safe, quality patient care. A clinical need therefore exists to identify when care can be safely delivered remotely using audio-visual technology and when there is a need for in-person contact. Read More

View Article and Full-Text PDF
February 2021

A Novel Protocol for Very Early Hospital Discharge After STEMI.

Can J Cardiol 2020 11 22;36(11):1826-1829. Epub 2020 Aug 22.

Capital Research Group, Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address:

Although the incidence of ST-elevation myocardial infarction (STEMI) is on the decline, management of patients who present with STEMI continues to require significant health care resources. Earlier hospital discharge in low-risk patients who present with STEMI has been an area of focus in an attempt to reduce health care costs. As a result, discharge within 48-72 hours after successful primary percutaneous coronary intervention has increasingly become routine practice. Read More

View Article and Full-Text PDF
November 2020

Medical Abortion Care During a Pandemic.

Authors:
I Cori Baill

J Patient Exp 2020 Jun 4;7(3):291-292. Epub 2020 Jun 4.

Faculty and Academic Affairs, University of Central Florida College of Medicine, Orlando, FL, USA.

In keeping with federal policy, our state's laws do not permit medical abortion via telemedicine, not even during the coronavirus disease 2019 (COVID-19) outbreak, a decision that endangers the lives of women, clinical staff, nurses, and doctors. It also ties dedicated professionals to the clinic instead of being available to emergency rooms, bedsides, and intensive care units, knowing if their clinic doors close vulnerable women may be driven to desperate acts. Instead of 6 feet we could have been 3000 miles apart. Read More

View Article and Full-Text PDF

Feasibility and safety of urgently initiated maternal telemedicine in response to the spread of COVID-19: A 1-month report.

J Obstet Gynaecol Res 2020 Oct 20;46(10):1967-1971. Epub 2020 Jul 20.

Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Aim: In Hokkaido, Japan, the number of people suffering from coronavirus disease 2019 (COVID-19) is rapidly increased, and by the end of February 2020, there were already 70 confirmed cases of the disease. We investigated the safety of urgently initiated maternal telemedicine in preventing the spread of the coronavirus infection.

Methods: This retrospective, single-institution study examined maternal telemedicine at the department of obstetrics of the Hokkaido University Hospital from March 4 to April 2, 2020. Read More

View Article and Full-Text PDF
October 2020

Management of prostate cancer patients during COVID-19 pandemic.

Prostate Cancer Prostatic Dis 2020 09 20;23(3):398-406. Epub 2020 Jul 20.

Department of Urology, Acibadem Mehmet Ali Aydinlar University Medical Faculty, Istanbul, Turkey.

Prostate cancer patients' management demands prioritization, adjustments, and a tailored approach during the unprecedented SARS-CoV-2 pandemic. Benefit of care from treatment must be carefully weighed against the potential of infection and morbidity from COVID-19. Furthermore, urologists need to be cognizant of their obligation for wise consumption of restricted healthcare resources and protection of the safety of their coworkers. Read More

View Article and Full-Text PDF
September 2020

Feasibility of a 5G-Based Robot-Assisted Remote Ultrasound System for Cardiopulmonary Assessment of Patients With Coronavirus Disease 2019.

Chest 2021 01 9;159(1):270-281. Epub 2020 Jul 9.

Medical aiding team for COVID-19 in Hubei, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China. Electronic address:

Background: Traditional methods for cardiopulmonary assessment of patients with coronavirus disease 2019 (COVID-19) pose risks to both patients and examiners. This necessitates a remote examination of such patients without sacrificing information quality.

Research Question: The goal of this study was to assess the feasibility of a 5G-based robot-assisted remote ultrasound system in examining patients with COVID-19 and to establish an examination protocol for telerobotic ultrasound scanning. Read More

View Article and Full-Text PDF
January 2021

A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study.

JMIR Res Protoc 2020 Jun 26;9(6):e18688. Epub 2020 Jun 26.

Shriners Hospital for Children-Canada, Montreal, QC, Canada.

Background: Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures present in at least two body areas. In addition to these contractures, individuals with AMC can have decreased muscle mass, leading to limitations in activities of daily living. Exercise has the potential to maintain or improve the range of motion and muscle strength. Read More

View Article and Full-Text PDF

Service user and staff acceptance of fetal ultrasound telemedicine.

Digit Health 2020 Jan-Dec;6:2055207620925929. Epub 2020 May 14.

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, University of Northumbria, UK.

Objective: We present qualitative findings from interviews with frontline clinicians and service users of a fetal telemedicine service.

Methods: Semi-structured interviews with clinical stakeholders and service users were conducted, undertaken as part of a service evaluation. Data collection was undertaken by different teams, using interview schedules aligned to independent evaluation aims. Read More

View Article and Full-Text PDF

WOL Ecosystem: Secure Remote Power - State Control of Computer(s) Over the Internet for Telemedicine Purposes and Dementia Patients.

Authors:
George Mantellos

Adv Exp Med Biol 2020 ;1194:67-71

Department of Informatics, Ionian University, Corfu, Greece.

Many times, we have found ourselves in situations where because we cannot physically be in a specific place, at a given time, we struggle to extract information which is saved on any kind of computer but is powered off. Such an example is when someone is abroad and needs to access a specific set of data that are saved on a computer back home. A solution to that problem is the well-known WOL - Wake On Lan - functionality, but that alone is not enough. Read More

View Article and Full-Text PDF
September 2020

Design of a Hyper-Redundant Robot and Teleoperation Using Mixed Reality for Inspection Tasks.

Sensors (Basel) 2020 Apr 12;20(8). Epub 2020 Apr 12.

Centre for Automation and Robotics (UPM-CSIC), José Gutiérrez Abascal, 2, 28006 Madrid, Spain.

Hyper-redundant robots are highly articulated devices that present numerous technical challenges such as their design, control or remote operation. However, they offer superior kinematic skills than traditional robots for multiple applications. This work proposes an original and custom-made design for a discrete and hyper-redundant manipulator. Read More

View Article and Full-Text PDF