RÉSUMÉ
Tele-healthcare is need of the hour to bridge the vast healthcare gap in developing country like India. Being the second most populous country, quality healthcare facility is not easily accessible in the rural outskirts of India. In this research work the proposed system has acquired ECG, heart rate, SpO2 and body temperature data for better diagnosis and prognosis. The proposed system has been tested on the different patients belonging to different age groups and the result obtained on the health monitoring dashboard is found to be satisfactory. It also provides enhanced accessibility as multiple healthcare professionals can collaborate on the patient's data. This paper concludes with real time audio/ video connectivity, scope of interest of which is very effective and applicable in healthcare world.
RÉSUMÉ
Background@#The circumstances surrounding the current COVID-19 pandemic has necessitated the employment of telemedicine for administering care to patients and families. There is difficulty of seeking medical help among those with chronic and recurrent illness like asthma. The authors conducted a metanalysis to determine whether telemedicine for asthma management is effective@*Objective@#This study aimed to systematically review the effectiveness of telemedicine consultation among asthmatic adults and children in terms of: a) asthma control, b) quality of life, c) cost effectiveness, d) lung function and e) exacerbations.@*Methods@#A comprehensive search of randomized controlled trials was performed using the MEDLINE (PubMed), EMBASE, The Cochrane Library, Google Scholar, clinical trial registries (e.g., clinicaltrials.gov, clinicaltrialregister.eu) and relevant websites. The authors were interested in studies that measured these outcomes: asthma control, quality of life, cost effectiveness, lung function and exacerbations. Three reviewers identified studies for inclusion in this meta-analysis. They extracted data then used fixed effect and random effect modelling.@*Results@#The authors identified 15 RCTs with total of 3,015 enrolled patients. A variety of telemedicine interventions were incorporated: telephone and Internet-based models of care. Most control used was the conventional face-to-face. Meta-analysis did not show a clinically important improvement in patients’ asthma control and lung function, there was no significant reduction in the number of hospital admission and visits to the emergency department over 12 months and not significantly cost effective. However, there was a significant improvement in the quality of life (95% CI [0.05, 0.29], p = 0.006).@*Conclusion@#Although nothing beats the advantage of physically seeing patients face-to-face, this study just supports the knowledge that telemedicine offers promising alternative to promote good communication between patients and caregivers, resulting in adherence to asthma management, which leads to better asthma control, improvement of patients’ quality of life, lung function, better cost-effectiveness and decrease in ER visits and exacerbation.
Sujet(s)
Télémédecine , AsthmeRÉSUMÉ
Background: Telemedicine practice is a rapidly evolving aspect of medicine in developed countries, though resource-limited countries like Nigeria are yet to embrace it fully. Moreover, the COVID-19 pandemic has limited patients' visits to hospitals in addition to the social distancing measures deployed by the government. In addition, with the challenges of a limited number of doctors, among other difficulties, it has become important that a radical approach to patient care and treatment should be explored. Methods: A comprehensive literature review of original articles was done using an internet search. Words such as Telemedicine, COVID-19, Pandemic, Requirements, History, Benefits, and Challenges were searched on Google scholar, EMBASE, PubMed, Medline, Web MD, and Scopusto check for various articles published or any probable link. The references of the relevant articles were searched. Results: The practice of telemedicine has evolved over the years. Also, the global telemedicine market has grown exponentially and is expected to grow even further in the next five years. Unfortunately, this exciting narrative is not obtainable in developing countries like Nigeria. Indeed, some healthcare providers in Nigeria need to prepare for this new technological advancement, and consequently, they struggle to evolve their practice to adopt this new technology. Furthermore, there is disinterest from most of the end users, particularly the patients. Conclusion: Modifications must involve telemedicine services with a view of getting ready and well-organized in the event of any future pandemic such as COVID-19, in addition to harnessing the benefits of this service in the future.
Sujet(s)
Humains , Mâle , Femelle , Télémédecine , Établissements, main d'oeuvre et services de soins de santé , COVID-19RÉSUMÉ
Este artigo apresenta uma revisão da literatura sobre as aplicações da tecnologia da informação em nefrologia. Caracterizamos as aplicações em bancos de dados, as iniciativas mais voltadas ao ensino e alguns exemplos de sistemas de apoio à decisão. Por fim, apresentamos as experiências de Telemedicina em nefrologia nitidamente voltadas ao suporte prestado à assistência dialítica à distância. Enfatizamos que a telesaúde pode ajudar na criação de um modelo assistencial descentralizado, voltado à prevenção, centrado na atenção básica como forma de combater a epidemia mundial de Doença Renal Crônica (DRC).
This article presents a literature review on the applications of information technology in nephrology. We characterize the applications in databases, most initiatives focused on education and some examples of decision support systems. Finally, we present the experiences of Telemedicine in Nephrology clearly geared to the support provided to assist dialysis distance. We emphasize that telehealth can help in creating a decentralized health care model, focused on prevention, focusing on primary care as a way to combat the worldwide epidemic of Chronic Kidney Disease (CKD).