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On July 21st 2009, France became the first European country to adopt telemedicine legislation. A Decree, No. 2010-1229 published in 2010, specified the need for telemedicine activities to be legally contracted with the Agence régionale de santé (ARS), the regional level of French Ministry of Health. In this paper, the contract management in ARS Rhône-Alpes for telemedicine activities is stated, along...
L’utilisation des nouveaux anticoagulants oraux (NACO) ou anticoagulants oraux directs (AOD), selon la nouvelle appellation, justifie un accompagnement des prescripteurs en raison des risques de mésusage liés à la perception d’une relative simplicité d’utilisation, qui n’est en fait qu’apparente, cette classe thérapeutique exposant à des accidents constatés déjà en France et dans d’autre pays. Les...
Stroke patients should be managed in a stroke unit incorporating a team that includes, at a minimum, nursing, medical, physiotherapy, occupational therapy and speech therapy staff with specialist training in stroke. In remote and rural areas, specialist medical input may not always be available. Western Isles Health Board covers a population of approximately 26,000 with an average of 36 stroke patients...
Innovation is well at work when it reaches strong, on-going and diversified community support along with rigorous evaluations. PACE 2000, a foundation, favouring relationships between generations, created the “Virtual Village”, connecting via videoconferencing, generations or groups of individuals who usually do not meet. It has evolved from social and cross-cultural “tele-encounters” starting in...
Medical assistance for detainees is often hampered by logistic and procedural limitations. Telemedicine may represent the solution by which such limitations can be overcome. We therefore report an update on an experience of remote telemedicine support by pre-hospital electrocardiograms and remote tele-consultation with a cardiologist implemented in a group of Italian penitentiaries.Eleven State penitentiaries...
Diabetes, which has been jeopardizing human health over the past few years, can be vanquished by improving glycemic control. This paper reports the findings of the pilot study, which employed InDiaTel, a remote monitoring system for diabetic patients. This concept was supported by the Department of Science and Technology (Government of India), and the results were validated by the MedZon Diabetes...
Au Québec, des services de télémédecine sont implantés pour assurer un accès plus équitable aux soins et services de santé pour la population, notamment dans les zones rurales. Toutefois, le défi qu’affronte la télémédecine est de réussir à intégrer le système de soins. Actuellement, une grande partie des projets peine à dépasser l’étape de projet pilote. L’une des explications de cette situation...
Implementation of TeleStroke Units is one way to organize acute stroke care in underserved, mostly rural, areas. The Telemedical Project for Integrative Stroke Care (TEMPiS) is a TeleStroke Unit network in Bavaria, Germany. We aimed to determine quality of acute stroke care in TEMPiS TeleStroke Units.All TEMPiS TeleStroke Units report quality data to the Bavarian Stroke Registry. Predefined national...
Cette étude vise à évaluer le rôle du thérapeute dans la remédiation cognitive assistée par ordinateur (RCAO) auprès des personnes souffrant de troubles de l’humeur.Nous avons réalisé une étude prospective, contrôlée et randomisée en deux groupes auprès de 34 patients ayant vécu des épisodes dépressifs récurrents, dont un épisode aigu dans les 6 mois précédant l’étude. Les 34 patients ont bénéficié...
L’électro-encéphalogramme (EEG) est un examen qui permet l’enregistrement de l’activité cérébrale et reste incontournable pour les diagnostics et pronostics des comas, le suivi des épilepsies et de la maturation du système nerveux central. Actuellement, la pénurie nationale de médecins neurophysiologistes ne permet plus l’accès aux soins pour tous. Il existe actuellement des solutions de transmission...
Telemedicine has several applications regarding different medical specialties or clinical situations. However, telemedicine as a potential tool during epidemics is not as well considered.In this paper, the application of telemedicine is conceptualised using five possible evidence-based epidemic situations.The first situation corresponds to asymptomatic individuals, mainly home-based, living in an...
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