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La télésanté en pharmacie concerne deux formes de prise en charge des patients à distance par vidéotransmission, la téléconsultation et certains actes de télésoin, autorisés durant l'état d'urgence sanitaire. Pour proposer ces services, les pharmaciens d'officine doivent respecter des obligations juridiques et déontologiques liées à l'utilisation des nouvelles technologies de l'information et de la communication. Telehealth in pharmacy concerns two forms of remote patient management by videotransmission, teleconsultation and certain telecare procedures, authorized during the state of health emergency. To offer these services, dispensing pharmacists must comply with legal and ethical obligations related to the use of new information and communication technologies. [ABSTRACT FROM AUTHOR]

Abstract Background Chronic obstructive pulmonary disease is a major burden on healthcare systems worldwide. Tele-monitoring has recently been used for management of chronic obstructive pulmonary disease patients. Objectives We analyzed the effect of tele-monitoring on chronic obstructive pulmonary disease patients and performed subgroup analysis by patient severity and intervention type. Design Systematic review. Data source Electronic databases including Ovid-Medline, Ovid-Embase, and the Cochrane Library. Review methods We conducted a meta-analysis of randomized controlled trials published up to April 2017. Three databases were searched, two investigators independently extracted data and assessed study quality using risk of bias. Results Out of 1,185 studies, 27articles were identified to be relevant for this study. The included studies were divided by intervention: 15studies used tele-monitoring only, 4studies used integrated tele-monitoring (pure control), and 8studies used integrated tele-monitoring (not pure control). We also divided the studies by patient severity: 16studies included severely ill patients, 8studies included moderately ill patients, and 3studies did not discuss the severity of the patients' illness. Meta-analysis showed that tele-monitoring reduced the emergency room visits (risk ratio 0.63, 95% confidence interval 0.55-0.72) and hospitalizations (risk ratio 0.88, 95% confidence interval 0.80–0.97). The subgroup analysis of patient severity showed that tele-monitoring more effectively reduced emergency room visits in patients with severe vs. moderate disease (risk ratio 0.48, 95% confidence interval 0.31–0.74; risk ratio 1.28, 95% confidence interval 0.61–2.69, retrospectively) and hospitalizations (risk ratio 0.92, 95% confidence interval 0.82–1.02; risk ratio 1.24, 95% confidence interval 0.57–2.70, retrospectively). The mental health quality of life score (mean difference 3.06, 95% confidence interval 2.15–3.98) showed more improved quality of life than the physical health quality of life score (mean difference -0.11, 95% confidence interval -0.83–0.61). Conclusions Tele-monitoring reduced rates of emergency room visits and hospitalizations and improved the mental health quality of life score. Integrated tele-monitoring including the delivery of coping skills or education by online methods including pulmonary rehabilitation is recommended to produce significant improvement. This application of integrated tele-monitoring (the delivery of education, exercise etc. in addition to tele-monitoring) is more useful for patients with (very) severe chronic obstructive pulmonary disease than those with moderate disease. Tele-monitoring might be a useful application of information and communication technologies, if the intervention includes the appropriate intervention components for eligible patients. Further studies such as large size randomized controlled trials with sub-group by patient severity and intervention type is needed to confirm these finding. [ABSTRACT FROM AUTHOR]

Photoplethysmogram (PPG) is becoming one of the most important techniques for assessing several vascular parameters, but the area of digitized PPG signal compression still remains largely unexplored. This paper presents an efficient PPG compression algorithm, and is developed on the basis of five major sequential steps: noise elimination through Butterworth low-pass filter, down-sampling, inter-sample difference computation, grouping and American Standard Code for Information Interchange (ASCII) character encoding of reduced dataset. The compressed file is then either uploaded to a Hypertext Preprocessor (PHP)-based web-application or transmitted to doctor’s mobile phone in the form of short message service (SMS) depending upon the availability and feasibility of services. Efficiency of the compression algorithm is measured in terms of compression ratio and the performance of the reconstruction protocol is tested through a variety of numerical assessments such as the cross correlation coefficient and percent root mean square difference. As per the gold standard subjective measure, the mean-opinion-score of the reconstructed signal is found to be ‘very good’. Finally, heart rate is also calculated with no more than 1.68% error from the compressed data without actually reconstructing the signal. [ABSTRACT FROM AUTHOR]

Although recent advancements in technology have led to major transformations in healthcare services, the use of tele-monitoring in patient care is yet an emerging occurrence. This study examines factors that affect the adoption of video based remote treatment of senior patients in a tele-glaucoma project in a large hospital in Greece. Several themes emerge from the study encapsulating technical, usability, process, institutional, ethics and privacy, clinicians’ behaviour and patients’ demography related factors. The findings of the study showed that while the benefits of tele-monitoring service adoption were of foremost importance for doctors, usability and connectivity for enabling remote services was critical for its success. [ABSTRACT FROM AUTHOR]

Abstract: A problem in the clinical assessment of running speech in Parkinson's disease (PD) is to track underlying deficits in a number of speech components including respiration, phonation, articulation and prosody, each of which disturbs the speech intelligibility. A set of 13 features, including the cepstral separation difference and Mel-frequency cepstral coefficients were computed to represent deficits in each individual speech component. These features were then used in training a support vector machine (SVM) using n-fold cross validation. The dataset used for method development and evaluation consisted of 240 running speech samples recorded from 60 PD patients and 20 healthy controls. These speech samples were clinically rated using the Unified Parkinson's Disease Rating Scale Motor Examination of Speech (UPDRS-S). The classification accuracy of SVM was 85% in 3 levels of UPDRS-S scale and 92% in 2 levels with the average area under the ROC (receiver operating characteristic) curves of around 91%. The strong classification ability of selected features and the SVM model supports suitability of this scheme to monitor speech symptoms in PD. [Copyright &y& Elsevier]

Highlights: [•] A tele-monitoring system for gait rehabilitation is proposed. [•] An IMU and a shoe-type ground reaction force sensor are applied to measure gait data. [•] The measured/estimated data are transmitted via the Internet. [•] Foot trajectories, walking distance, length of stride, etc., are monitored. [•] A user-friendly graphic interface is provided at multiple locations. [Copyright &y& Elsevier]

Abstract: The development of a new physiological multi-parameter remote monitoring system is based on the B/S model. The system consists of a server monitoring center, Internet network and PC-based multi-parameter monitors. Using the B/S model, the clients can browse web pages via the server monitoring center and download and install ActiveX controls. The physiological multi-parameters are collected, displayed and remotely transmitted. The experimental results show that the system is stable, reliable and operates in real time. The system is suitable for use in physiological multi-parameter remote monitoring for family and community healthcare. [ABSTRACT FROM AUTHOR]

This paper presents a novel dual-band wearable antenna using Rectangular Parasitic Elements (RPEs) and Defected Ground Structure (DGS) methods in telemedicine applications. The dual-band ranges covered by this antenna are in 890–960 MHz and 1710–1885 MHz which are used in Global System for Mobile communications (GSM) applications. Wearable and flexible material that is used as the substrate is a standard rubber with dielectric constant ε r = 3, thickness = 1.57 mm, and tan (δ) = 0.0095. The dimensions of the proposed wearable antenna are 70 × 85 × 1.64 mm3 or 0.0007 λ g 3 at 900 MHz. The measured maximum gain is achieved at 900 MHz and 1800 MHz, which are equal to 7.46 dB and 8.13 dB, respectively. A good agreement between simulation and experimental results are obtained by a fabricated prototype of the antenna. Therefore, the results represent this antenna is a promising candidate in biomedical technology such as tele-monitoring at the GSM bands. [ABSTRACT FROM AUTHOR]