Effect of Repeated Reading on Reading Fluency for Adults with Specific Learning Disabilities.

The current study implemented an alternating-treatments design with Standard Celeration Charting. The applied experiment occurred via telecommunication and assessed the effectiveness of repeated reading (RR) on reading fluency for two adults with specific learning disabilities using high-level and low-level reading passages. Participants reread each passage until they met a predetermined fluency criterion. We measured participants reading fluency using correct words per 1 min (CWPM) and assessed for retention at 1 week, 2 weeks, and 1 month. Both participants reached their fluency aims and maintained their progress postintervention. • RR can improve reading fluency for children and adults with reading deficits. • RR practice sessions require minutes to implement, which offers great flexibility for scheduling. • Telecommunication represents an effective modality for implementing RR procedures for adults with reading disabilities. • Participants in the study retained their fluency gains post-intervention, supporting that time spent on RR may represent a good investment for clinicians.

Veterinary telemedicine practicability: Analyzing Russian pet owners' feedback.

Background and Aim: Previous research points to a growth rate of 17% for veterinary telemedicine. This study aimed to analyze pet owners' attitudes, feasibility, and socioeconomic impacts of introducing this growth technique to a particular demographic. Materials and Methods: Five hundred population-representative respondents were utilized in the study. The ages ranged from 18 to 68 years. At the Russian State Agrarian University's veterinary hospital, respondents (pet owners) made contact (either in person or remotely). The survey inquired about participants' personal information, their pets, and veterinary telemedicine. Russia uses the ruble, issued by the Bank of Russia, as its currency. The required sample size of 385 for this study was determined using the Q test to ensure feasibility. Results: 79.2% of the participants had a positive outlook on telemedicine. Every fifth applicant turned down telemedicine, opting instead for personal vet appointments. 53.8% of respondents with prices under $14 were willing to pay for the service, whereas 17.8% (89 people) outright rejected it, and 93.8% of the paid customers belonged to the age group of 18-28. Pet owners with chronically ill animals merit special consideration. Conclusion: Pet owners are generally open to veterinary telemedicine, but it remains underutilized. The study reveals directions for optimizing veterinary telemedicine and enhancing client and patient satisfaction. Despite limitations (less access to respondents/telemedicine), future approach is to investigate variables and invariable factors affecting this process.

The Need to Adapt the Psychiatric Clinical Assessment to the Digital Age: A Practical Approach.

The use of electronic devices and social media is becoming a ubiquitous part of most people's lives. Although researchers are exploring the sequelae of such use, little attention has been given to the importance of digital media use in routine psychiatric assessments of patients. The nature of technology use is relevant to understanding a patient's lifestyle and activities, the same way that it is important to evaluate the patient's occupation, functioning, and general activities. The authors propose a framework for psychiatric inquiry into digital media use, emphasizing that such inquiry should focus on quality of use, including emotional and behavioral consequences, rather than simply the amount of use.

Awareness, Knowledge, Attitude, and Skills (AKAS) of Telemedicine and Its Use by Primary Healthcare Providers.

Background: This study aimed to determine the rate of telemedicine (TM) use and the levels of awareness, knowledge, attitude, and skills of TM among primary healthcare (PHC) providers. Methods: In a cross-sectional study, 104 PHC providers were subjected to a validated AKAS scale via Survey Monkey. The tool consists of 4 parameters that users can respond to using a 4-point Likert scale to assess their awareness (12 statements), knowledge (11 statements), attitude (11 statements), and skills (13 statements) on TM. Total and percentage mean scores (PMS) were calculated for each parameter. Participants were categorized in each parameter into three categories: low (≤ 49% score), average (50-70% score), and high (≥ 71% score) levels. The association of AKAS levels with personal characteristics and TM use was investigated. The significance was set at p<0.05. Results: One-half of participants (51%) reported current use of TM, and two-thirds (63.5%) reported a high level of AKAS, with a PMS of 72.9±14.7, 95% CI: 70.1-75.7. There were significant associations between the following: years of experience and levels of knowledge (Χ2LT = 6.77, p= 0.009) and skills (Χ2LT = 4.85, p = 0.028), respectively; and total household income and levels of skills (Χ2LT = 6.91, p= 0.009). The rate of TM use was significantly associated with awareness levels (Χ2LT = 6.14, p = 0.013). Lack of training ranked as the first barrier (45.5%), followed by connection problems and tools' unavailability (35.1% each). The participants recommended providing TM training (41.1%) and stabilization of connection and networking signals (30.1%). Conclusion: Despite their high level of TM awareness, the rate of TM use by PHC providers is less than satisfactory. Establishing standardized TM training and supporting the network signals are recommended. A large-scale study on the impact of TM integration with PHC services is necessary.

Validity and reliability of a teledentistry survey among dental practitioners in Saudi Arabia.

Background: The perception of teledentistry use among dental practitioners in various contexts was assessed using the Teledentistry Survey (the TDS-24). However, this survey's psychometric analyses have not yet been analysed. This present study aims to examine the validity and reliability of the TDS-24 in a sample of dental practitioners in Saudi Arabia. Methods: A self-administered questionnaire, including sociodemographic characteristics and the TDS, was distributed as a cross-sectional survey to 800 current dental practitioners in Saudi Arabia recruited via convenience and snowball sampling. The construct validity and reliability of the TDS were assessed using exploratory factor analysis (EFA) and Cronbach's alpha. Results: The EFA of the survey yielded 20 items supporting a four-factor structure as follows: factor I (10 items), factor II (four items), factor III (three items) and factor IV (three items). The overall Cronbach's alpha was 0.85, while it was 0.86 for the first factor, 0.70 for the second factor, 0.52 for the third factor and 0.57 for the fourth factor. Conclusions: The TDS-20, after excluding four items, revealed four factors with adequate psychometric properties, making it a valid and reliable tool in assessing teledentistry perceptions among dental practitioners in this study sample.

Sensory, Affective, and Social Experiences with Haptic Devices in Intramural Care Practice.

Previous work has shown that technology can facilitate the communication of emotions, social touch, and social presence through haptic devices, meaning devices that provide a haptic stimulation. However, for special user groups living in long-term care facilities, such as people with dementia, the applications of these haptic devices are not apparent. The aim of this study is to understand how haptic devices can be used in intramural care facilities in times of social isolation, focusing on haptic devices that utilize haptic sensation. Five haptic devices were tested at three care facilities. Insights from this study highlight the potential of haptic devices to enhance sensory, affective, and social experiences during video calling between residents and their relatives. Moreover, the importance of the tactile sensation and form factor of haptic devices in the care context is addressed, along with insights on how to create the appropriate atmosphere during video calling.

Association of COVID-19 Visitor Limitations and Goals of Care Discussions in the Intensive Care Unit.

INTRODUCTION: The COVID-19 pandemic led to visitor restrictions in many hospitals. Since care in the surgical intensive care unit (SICU) often engages visitors as surrogate decision-makers, we investigated whether there was an association between COVID-19-related visitor restrictions, goals of care discussions (GOCD), and patient outcomes in SICU patients. METHODS: We conducted a retrospective review of trauma and emergency general surgery (EGS) patients admitted to a rural tertiary SICU between July 2019 and April 2021, dividing patients into those admitted during COVID-19 visitor restrictions and those admitted at other times. Using univariate and multivariate logistic regression analyses, we compared the primary outcome, incidence of GOCD, and incidence of prolonged hospital (> 14 d) and intensive care unit length of stay (LOS, > 7 d) between the two groups. RESULTS: One hundred seventy nine of 368 study patients (48.6%) presented during restricted visitation. The proportion of GOCD was 38.0% and 36.5% in the restricted and nonrestricted visitation cohorts, respectively (P = 0.769). GOCD timing and outcomes were similar in both groups. The use of telecommunication increased during restricted visitation, as did the proportion of trauma patients admitted to the SICU. On multivariable logistic regression, age and patient category were independent predictors of GOCD. On outcomes analysis, visitor restriction was associated with prolonged hospital LOS for EGS patients (odds ratio 2.44, 95% confidence interval 1.01-5.91, P value 0.048). CONCLUSIONS: Restricted visitation was not associated with changes in frequency or outcome of GOCD, but was associated with prolonged hospital LOS among EGS patients who had SICU admissions. Further investigation of patient/surrogate satisfaction with virtual GOCD in the SICU setting is needed.

Telemedicine in OMFS: a literature review of its potential and future prospects.

In the backdrop of telemedicine's rise, this review explores its integration into oral and maxillofacial surgery (OMFS), especially given the healthcare access challenges faced by nearly 20% of the rural population in the United States of America. The study underscores the potential of telemedicine to address disparities in access to OMFS care, particularly in rural areas, by improving patient care, reducing travel needs, and fostering collaborative diagnosis and treatment. The findings advocate for broader adoption of telemedicine in OMFS, contingent upon supportive policy and infrastructure changes.

How safe and effective are paediatric virtual fracture clinics? A systematic review.

Introduction: Virtual fracture clinics (VFC) involve a consultant-led multidisciplinary team meeting where cases are reviewed before a telephone consultation with the patient. VFCs have the advantages of reducing waiting times, outpatient appointments and time off school compared to face-to-face (F2F) fracture clinics. There has been a surge in VFC use since the COVID-19 pandemic but there are still concerns over safety in the paediatric population. Fractures make up a large burden of paediatric injuries, therefore research is required on the safety and efficacy of paediatric VFCs. This systematic review will look at the safety and effectiveness of paediatric VFCs, as well as determine the cost-effectiveness and parent preferences. Methods: As per the PRISMA guidelines two independent reviewers searched the following databases: Medline, Embase and Web of Science. Studies were included if children under 18 years old presented to A&E with a suspected or confirmed simple un-displaced fracture and were referred to a VFC. The primary outcomes assessed were effectiveness and safety, with the secondary outcomes of cost-effectiveness and parent satisfaction. Results: Six studies met the inclusion criteria for this systematic review. There was a high rate of direct discharge from the VFC leading to reduced outpatient appointments. All patients were seen within 72 h of presentation. There were limited incidences of missed fractures and the rates of re-presentation were similar to that of F2F orthopaedic clinics. There were significant cost savings for the hospitals and high parent satisfaction. Discussion: VFCs have shown to be safe and effective at managing most stable, low operative risk paediatric fractures. Safety must be ensured with a telephone helpline and an open return to fracture clinic policy. More research is needed into specific paediatric fracture types to be managed in the VFC. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/#searchadvanced, identifier: CRD42023423795.

An efficient approach for enhancement of gold and silver bioleaching from spent telecommunication printed circuit boards using cyanogenic bacteria: Prevention of biofilm formation.

Environmentally friendly bioleaching of gold and silver from electronic waste using cyanogenic bacteria has emerged as a promising approach. In the process of cyanide bioleaching, cyanide ions produced by cyanogenic bacteria form complexes (such as AuCN and AgCN) with metals in the waste structure and lead to their dissolution. The recovery rate of these valuable elements during bioleaching is influenced by extracellular polymeric substances (EPS). For the first time, this study presents an investigation into the role of EPS from Pseudomonas atacamensis in the bioleaching of gold and silver from spent telecommunication printed circuit boards (STPCBs). The experimental results demonstrate that, after 6 days of bioleaching, gold and silver recoveries reached 22% and 36.2%, respectively. Complementary analyses employing FE-SEM and attachment tests shed light on the interactions between EPS, bacterial attachment to particle surfaces, and biofilm development stages during gold and silver bioleaching. Notably, the most significant bacterial attachment occurred on the fourth day of bioleaching. Zeta potential tests conducted on bacteria and EPS provided insights into the potential absorption of soluble cations such as Au+ and Ag+ by EPS. Furthermore, 250 mg/L polyvinylpyrrolidone (PVP) effectively removed EPS from the particle surfaces, improving gold and silver recovery rates, reaching 26% and 43.2%, respectively. These findings highlight the importance of understanding the role of EPS in bioleaching processes and offer insights into enhancing gold and silver recovery from electronic waste.

A Mindset for Communication for End of Life Care.

This communication model attempts to reconcile the unknowingness of death, with a deeper inner knowingness that supports End of Life patients in an empowered way, through a mindset that models both oneness and presence with the death and dying experience. Through 23 years of experienced EOL care, I feel it seems necessary to rethink the very one-dimensional idea of dying and to create a space for a multidimensional experience. This model of communication and perspective-taking, offers my patients an opportunity for a secure connection to their own inner resources of knowing how to die. As our bodies are each equipped in our own unique way to do it perfectly, as the return of self, from the experience of being. This communication model also includes perspectives and narratives that attempt to make communication and care in the EOL experience more effortless and intuitive for the provider. Further, the model explains and illustrates why perspectives matter, as they impact connection in the relationship of the provider to the patient and includes a multidimensional perspective to question our own perceptions of death as providers. This model also includes the theory of balance and harmony. As it relates to the relativity of the experience of self, through the connection of communication and perspectives, as the exchange of information that occurs in the relationship between providers and patients. This information as a model represents a new awareness approach in the field of EOL care. It's based on 23 years of EOL experience and is supported through research and a fundamental theory of our reality, which intuitively and logically approaches relativity in our human connection to our patients as providers.

Regulatory-systemic approach in Aspergillus niger for bioleaching improvement by controlling precipitation.

In the context of e-waste recycling by fungal bioleaching, nickel and cobalt precipitate as toxic metals by oxalic acid, whereas organic acids, such as citric, act as a high-performance chelating agent in dissolving these metals. Oxalic acid elimination requires an excess and uneconomical carbon source concentration in culture media. To resolve this issue, a novel and straightforward systems metabolic engineering method was devised to switch metabolic flux from oxalic acid to citric acid. In this technique, the genome-scale metabolic model of Aspergillus niger was applied to predicting flux variability and key reactions through the calculation of multiple optimal solutions for cellular regulation. Accordingly, BRENDA regulators and a novel molecular docking-oriented approach were defined a regulatory medium for this end. Then, ligands were evaluated in fungal culture to assess their impact on organic acid production for bioleaching of copper and nickel from waste telecommunication printed circuit boards. The protein structure of oxaloacetate hydrolase was modeled based on homology modeling for molecular docking. Metformin, glutathione, and sodium fluoride were found to be effective as inhibitors of oxalic acid production, enabling the production of 8100 ppm citric acid by controlling cellular metabolism. Indirect bioleaching demonstrated that nickel did not precipitate, and the bioleaching efficiency of copper and nickel increased from 40% and 24% to 61% and 100%, respectively. Bioleaching efficiency was evaluated qualitatively by FE-SEM, EDX, mapping, and XRD analysis. KEY POINTS: • A regulatory-systemic procedure for controlling cellular metabolism was introduced • Metformin inhibited oxalic acid, leading to 8100 ppm citric acid production • Bioleaching of copper and nickel in TPCBs improved by 21% and 76.

Breakthrough in Silicon Photonics Technology in Telecommunications, Biosensing, and Gas Sensing.

Silicon photonics has been an area of active research and development. Researchers have been working on enhancing the integration density and intricacy of silicon photonic circuits. This involves the development of advanced fabrication techniques and novel designs to enable more functionalities on a single chip, leading to higher performance and more efficient systems. In this review, we aim to provide a brief overview of the recent advancements in silicon photonic devices employed for telecommunication and sensing (biosensing and gas sensing) applications.

Fiber-Optic Telecommunication Network Wells Monitoring by Phase-Sensitive Optical Time-Domain Reflectometer with Disturbance Recognition.

The paper presents the application of a phase-sensitive optical time-domain reflectometer (phi-OTDR) in the field of urban infrastructure monitoring. In particular, the branched structure of the urban network of telecommunication wells. The encountered tasks and difficulties are described. The possibilities of usage are substantiated, and the numerical values of the event quality classification algorithms applied to experimental data are calculated using machine learning methods. Among the considered methods, the best results were shown by convolutional neural networks, with a probability of correct classification as high as 98.55%.

A Rebalancing of Financial Valuations and Expectations Moving Forward in the Telehealth Sector as the United States Moves Toward a Post-COVID-19 Reality.

The telehealth sector of health care delivery experienced significant growth at the start of the pandemic as web-based care quickly became essential for the ongoing safety of patients and health care providers, such as clinicians and other health care professionals. After vaccines were introduced, however, telehealth companies lost value as the need for web-based care appeared to lessen. Presently, both existing telehealth companies and new entrants to the space are seeking ways to innovate, gain investor and customer buy-in, and overcome competitors. New companies are hoping to be seen not as pandemic-era substitutes, but instead as reinforcements to in-person care, valuable in their own right thanks to the convenience and technological advancements they bring. This struggle to reframe the value proposition, or perceived benefit, of telehealth is reflected in fluctuating stock prices and dropping valuations. This viewpoint summarizes the market volatility seen in the telehealth sector since the start of the COVID-19 pandemic and suggests potential opportunities for growth in the space. This is accomplished through a qualitative secondary research approach, leveraging contemporary sources, financial references such as Yahoo! Finance, and peer-reviewed literature to support predictions for the future market. We found that, in 2020, the size of the US telehealth market rose to US $17.9 billion and is estimated to reach US $140.7 billion by 2030. Additionally, digital health venture funding nearly doubled in 2020 over the prior 2 years with total funding rising to US $14.1 billion. However, these factors produced an oversaturated market in which the volume of supply was higher than demand, resulting in a sharp drop in valuations for some as vaccination rates climbed in 2021. In the face of this rebalancing, or return to normal following excessively high or unsustainable valuations, we suggest a possible path forward for telehealth companies in the postpandemic era. Suppliers' current role in the telehealth space-whether health care industry incumbents, that is, traditional health care delivery systems and companies, or "telehealth-first" challengers-are especially relevant to the specific growth strategies they should pursue. Furthermore, consideration of the areas of medicine and characteristics that best lend themselves to web-based care may lead to a greater chance for long-term success in a postpandemic health care delivery system. In the future, we believe investors should expect a bullish market, that is, one characterized by growing share prices. Success is likely to occur in part through changing the actual models of care, as opposed to moving traditional care to a web-based format. The oversaturated market will likely condense into select established telehealth giants who were able to adapt to the changing landscape. While investors may be reasonably hesitant regarding individual telehealth companies, the industry can expect slowed but continued growth.

Customer retention and churn prediction in the telecommunication industry: a case study on a Danish university.

In this study, we explore the possible factors affecting churn in the Danish telecommunication industry and how those factors connect with retention strategies. The Danish telecommunication industry is experiencing a saturated market regarding the number of customers, but the number of service providers has increased significantly in recent years. Due to the high costs of acquiring new customers, the telecommunication industry put great emphasis on retaining customers in such an intensely competitive industry. We employ five machine learning algorithms: random forest, AdaBoost, logistic regression, extreme gradient boosting classifier, and decision tree classifier on four datasets from two geographical regions, Denmark and the USA. The first three datasets are from online repositories, and the last one contains responses from 311 students from Aalborg University collected through a survey. We identify key features extracted by the best-performing algorithms based on five performance measures. Based on that, we aggregate all the features that appear important for each dataset. The results demonstrate that customers' preferences are not aligned. Among the prominent drivers, we find that service quality, customer satisfaction, offering subscription plan upgrades, and network coverage are unique to the Danish student population. Telecommunication companies need to integrate the sociohistoric milieu of the Nordic countries to tailor their retention policies to different consumer cultures. Supplementary Information: The online version contains supplementary material available at 10.1007/s42452-023-05389-6.

Ecofriendly recovery of copper from spent telecommunication printed circuit boards using an indigenous cyanogenic bacterium.

In recent years, electronic waste (e-waste) production has increased due to the population's growth and high consumption. As a result of the high concentration of heavy elements in these wastes, their disposal has posed many environmental problems. On the other hand, due to the non-renewability of mineral resources and the presence of valuable elements such as Cu and Au in electronic waste, these wastes are considered secondary minerals for recovering valuable elements. Among electronic waste, recovery of metals from spent telecommunication printed circuit boards (STPCBs) is significant, which has not been addressed despite their high production worldwide. This study isolated an indigenous cyanogenic bacterium from alfalfa field soil. The 16S rRNA gene sequencing results showed that the best strain has 99.8% phylogenetic affinity with Pseudomonas atacamenisis M7DI(T) with the accession number SSBS01000008 with 1459 nucleotides. The effect of the culture medium, initial pH, glycine concentration, and methionine on the cyanide production of the best strain was investigated. The results showed that the best strain could produce 12.3 ppm cyanide in NB medium with an initial pH of 7 and a concentration of glycine and methionine of 7.5 g/L and 7.5 g/L, respectively. The one-step bioleaching method was performed, which led to the recovery of 98.2% of Cu from STPCBs powder after 5 days. Finally, XRD, FTIR, and FE-SEM analyses were performed to investigate the structure of the STPCBs powder before and after the bioleaching process, confirming the high Cu recovery.

First experimental results of the cosmic time synchronizer for a wireless, precise, and perpetual time synchronization system.

In 2022, the idea of the cosmic time synchronizer (CTS) was proposed for a precise wireless synchronization of local clocks (<100 ns). Because CTS does not require critical timing information traffic among CTS sensors, the technique can be considered robust against jamming and spoofing. In this work, a small-scale CTS sensor network has been developed and tested for the first time. Good time synchronization performances were obtained for a short-haul configuration (30-35 ns (SD, 1 σ), over 50-60 m). Based on the results of this work, CTS could be potentially conceived as a 'self-adjusting' system, offering high level continuous (perpetual) performances, to be considered either as a backup chain for GPS disciplined oscillators (GPS DO), a standalone standard for frequency and time interval measurements, or as a tool for the dissemination of reference time scales to final users, with improved characteristics in terms of robustness and reliability.

Role of Telemedicine and Digital Technology in Public Health in India: A Narrative Review.

There are still many areas of India without proper medical facilities. In such a setting, technology can play a facilitating role, particularly in reaching out to remote locations and offering a greater standard of care at a lower cost. The method of treating and diagnosing patients remotely through communication networks is known as telemedicine. When more patients get access to telemedicine, payers take more notice of how much less expensive it is than traditional medicine, and doctors are aware of its benefits. Telemedicine is a more beneficial technology that can expand access to preventive treatment and may lead to long-term health. Telemedicine has the potential to greatly affect public health. This paper reviews the current state of the art of telemedicine in India. Nearly 50 years ago, telemedicine was shrugged off as a complicated, expensive, and inefficient technology. Because of how quickly the information technology and telecommunications disciplines are advancing, telemedicine is today a viable, dependable, and useful technique. Practitioners and medical experts from a variety of fields have experienced success with telemedicine. The COVID-19 pandemic highlighted the need for strong primary healthcare networks for a more effective public health response during health emergencies and exposed the fragmentation of healthcare delivery systems. Although primary care is the first point of contact between the general public and the healthcare system, it has not recently grown much focus or funding. Even in the post-COVID-19 environment, telemedicine offers the potential to get through enduring barriers to primary care in India, such as a shortage of qualified medical professionals, issues with access, and the cost of in-person care. Telemedicine has the power to speed up the delivery of universal health coverage while strengthening primary care. There is a widening gap between people and those who offer basic health services as the population in India has grown, and the average lifespan has increased. Telemedicine helps with palliative care, early identification, a better cure, prevention, and rehabilitation in the treatment of cancer. Due to a shortage of primary care delivery networks and referral units, secondary and tertiary care facilities' health systems are overworked. To successfully use telemedicine, proper planning and operating processes are required. Thus, the development and implementation of telemedicine will improve patient care and India's primary healthcare system in the future. Finally, telemedicine's cost-effectiveness will likely be its most significant outcome.

Augmented Reality in Real-time Telemedicine and Telementoring: Scoping Review.

BACKGROUND: Over the last decade, augmented reality (AR) has emerged in health care as a tool for visualizing data and enhancing simulation learning. AR, which has largely been explored for communication and collaboration in nonhealth contexts, could play a role in shaping future remote medical services and training. This review summarized existing studies implementing AR in real-time telemedicine and telementoring to create a foundation for health care providers and technology developers to understand future opportunities in remote care and education. OBJECTIVE: This review described devices and platforms that use AR for real-time telemedicine and telementoring, the tasks for which AR was implemented, and the ways in which these implementations were evaluated to identify gaps in research that provide opportunities for further study. METHODS: We searched PubMed, Scopus, Embase, and MEDLINE to identify English-language studies published between January 1, 2012, and October 18, 2022, implementing AR technology in a real-time interaction related to telemedicine or telementoring. The search terms were "augmented reality" OR "AR" AND "remote" OR "telemedicine" OR "telehealth" OR "telementoring." Systematic reviews, meta-analyses, and discussion-based articles were excluded from analysis. RESULTS: A total of 39 articles met the inclusion criteria and were categorized into themes of patient evaluation, medical intervention, and education. In total, 20 devices and platforms using AR were identified, with common features being the ability for remote users to annotate, display graphics, and display their hands or tools in the local user's view. Common themes across the studies included consultation and procedural education, with surgery, emergency, and hospital medicine being the most represented specialties. Outcomes were most often measured using feedback surveys and interviews. The most common objective measures were time to task completion and performance. Long-term outcome and resource cost measurements were rare. Across the studies, user feedback was consistently positive for perceived efficacy, feasibility, and acceptability. Comparative trials demonstrated that AR-assisted conditions had noninferior reliability and performance and did not consistently extend procedure times compared with in-person controls. CONCLUSIONS: Studies implementing AR in telemedicine and telementoring demonstrated the technology's ability to enhance access to information and facilitate guidance in multiple health care settings. However, AR's role as an alternative to current telecommunication platforms or even in-person interactions remains to be validated, with many disciplines and provider-to-nonprovider uses still lacking robust investigation. Additional studies comparing existing methods may offer more insight into this intersection, but the early stage of technical development and the lack of standardized tools and adoption have hindered the conduct of larger longitudinal and randomized controlled trials. Overall, AR has the potential to complement and advance the capabilities of remote medical care and learning, creating unique opportunities for innovator, provider, and patient involvement.