ISfTeH Working Groups

Within the frame of the ISfTeH, Working Groups play a major role. They are conducted by members for members.

A “Working Groups” committee has been installed to oversee the work of the Groups:
Frank Lievens, Chair
Regina Ungerer
Yunkap Kwankam
Adolfo Sparenberg
Frederic Lievens

Following Working Groups have currently been recognized :

  • Students
  • Tele-Nursing
  • Chronic Diseases Management
  • Collaborative Care Team in Open Source
  • Education
  • eHealth Economics
  • Francophonie
  • Iberian and Iberian-American
  • Medical- and Bio-Informatics
  • Tele-Audiology
  • Tele-Cardiology
  • Tele-Dentistry
  • Tele-Dermatology
  • Tele-Urlogy
  • Women (WoW)

You can access the available information about each of the above Working Groups on their specific webpages by clicking on the links in the sidebar. 

 

ISfTeH WORKING GROUPS MEMBERSHIP APPLICATION

If you wish to participate actively in the works of some of the ISfTeH Working Groups
please apply as follows :

° You have to be direct (Individual, Nurse or Student) or affiliate ISfTeH member.
   Affiliate members are recognized and contributing members/partners in a National,
   Association, Institutional or Corporation and will have to submit copy of a membership
   certificate from one of these groups.
° You will have to apply for WG membership via the online application, hereunder.  .
   In order to reach that document, please login on the Home Page of the ISfTeH website,
   using your Username and Password.
   Affiliate members have to receive the Username/Password from their Society/Association.
   (If your Society/Association is not in order with its membership fee, the login access will be
   blocked and you will not be able to participate in the WG activities
° Within the frame of the ISfTeH, Working Groups play a major role.
   They are conducted by members for members.
   Therefore, if at any time, direct or affiliate membership is stopped, the WG membership
   will also be ceased automatically.
Looking forward to welcoming you soon as participant in  one (or more) of the current
Working Groups.

Collaborative Care Team in Open Source

  • Etienne SALIEZ - .(JavaScript must be enabled to view this email address)
  • Thomas KAROPKA - .(JavaScript must be enabled to view this email address)
  • Monika HUBLER - .(JavaScript must be enabled to view this email address)
  • Sanjog SIGDEL
  • Hans de RAAD
  • Members and Contacts

    • List of Members and some contributors
    • New partners are invited to join: Rather than developing applications in isolation, consider to participate in a community sharing experience and Open Source modules.

Mission Statement

  • Medical collaborations:

    • Support of collaboration between the care providers in charge of a common patient, across Internet.
    • A problem solving approach: maintenance of an up to date overview of the patient "Problem List", with links to the secondary details explaining why a problem has been identified and which actions haven been started. Telemedicine as an iterative care process from "What is known up to now" and "What to do next".
    • Initial focus on the most common requirements in most care situations. To be incremented step by step to more specific features in function of particular diseases and medical specialties.
    • Education by means of contextual training: on the occasion of the encountered problems provide explanations and references to more fundamental knowledge.
    • The possibility to extract anonymous data for statistical studies.
  • Informatics collaborations:

    • Sharing technical know-how about softwares and telecommunications, including all source code and documentation, i.e. an "Open Source" approach.
    • Facilitation of the reuse of software components, in the public domain.
    • Distributed developments across an international Open Source community.
    • Role Based Access Control based on the care team, known and accepted by the patient.
    • Coordination of professional support services at regional level.

What to do

How to achieve it

Current projects

  • Operational IPATH network

    • Telemedicine platform providing medical advices on images, operational in developing countries since 2002. Isolated health centers send pathology images and get second opinion from pathology experts across the Internet.
  • IMMM, Interactive Medical Mind Maps

    • Better understanding between patient Care Team members, in front of a common graph showing the relations between Observations, Health Issues and Actions.
  • MEDFLOSS

    • Database of medical software components, available as Open Source in the public domain. Promotion of sharing Open Source components and integration.
  • PBTL, Problem Based Tele-Learning in Open Source:

    • Tele-training for junior doctors, medical students, nurses, etc... under supervision of a coach. Making health education available and affordable in remote regions.
  • Open Source support services

    • How to manage the support services, which are necessary in order to maintain the system operational and sutainable.
  • .....

Call for participation in the Open Source Working Group

  • Challenges:
    • There are many issues to be discussed about the current project. Your questions and suggestions about other issues are also very welcome, particularly about your requirements and solutions which could potentially be shared with other Open Source partners.
  • Participation in the working group:
    • Unfortunately, the Med-e-Tel conference, one of our usual annual meeting places with an "Open Source Village", will not  take place this year (2018). But there are various other meeting opportunities at other ISfTeH events or events organized by ISfTeH members and partners. And if you travel to Brussels, contact us for a personal meeting and discussion opportunity!
    • Being a 'tele'medicine association, we will obviously also focus on interactive video discussions and webinars.
    • Send us your contact details, your topics of interest and how you would like to contribute to the activities of the Open Source Working group, at the medical or informatics side.
  • Support:
    • Join the ISfTeH as a member, and actively contribute to the Open Source Working Group. For more information about membership of this Open Source Working Group, go here.
    • Donations to the ISfTeH Open Source Working Group are welcome (donations go via the ISfTeH non-profit association).
  • Contact: Etienne Saliez and Thomas Karopka.

(Version 4 Jan 2018)

Education

  • Saroj Mishra - .(JavaScript must be enabled to view this email address)
  • Valery Stolyar - .(JavaScript must be enabled to view this email address)

The Education Working Group had a very successful session at Med-e-Tel 2014 (www.medetel.eu), chaired by Prof. Saroj Mishra. The session was called in response to requests by Prof. Mishra and other member societies for the ISfTeH to provide telemedicine education. During the session the differences between education – leading to a formal academic qualification, training – leading to the acquisition of skills, and raising the awareness of health professionals and the general community, were discussed.
It was determined that what was being requested is a combination of education, training and awareness. It was acknowledged that training, as opposed to education, would in most instances be country and even region specific depending on the hardware and infrastructure in use. The content of the basic Introduction to Telemedicine course developed for the ISfTeH in 2007 was discussed and it was agreed that this would serve as the foundation for further discussion. Prof. Mishra undertook to start reviewing changes required to the course.

Coordinators of the Education Working Group are Prof. Saroj Mishra (Chair) and Prof. Valery Stolyar (Co-Chair). Anyone who is interested in joining th Working Group can contact Saroj Mishra at skmishra_1956@yahoo.com and/or Valery Stolyar at stolyar_vl@pfur.ru

eHealth Economics

  • Masatsugu TSUJI - .(JavaScript must be enabled to view this email address)
  • Piotr SKARZYNSKI
  • Megan OLSON
  • Dina ZIADLOU
  • Mouhamadou Moustapha DIOP

Objectives:

The eHealth Economics Working Group consists of members of the International Society for Telemedicine & eHealth who are interested in research, promotion, or implementation of eHealth from an economics point of view.

eHealth/telemedicine are the application of ICT (information and communication technology) to medicine, which enables medical professionals such as doctors or nurses to examine, consult and monitor remote patients or senior people at home without face-to-face basis.

eHealth economics aims to analyzes eHealth/telemedicine by using economics, which includes theoretical as well as empirical studies, legal issues such as license or credentials to practice eHealth and telemedicine, and policy such as deregulation and reimbursement from medical insurance for further diffusion of eHealth and telemedicine.

In order to activate this academic as well as policy research and discussion, it is indispensable to share ideas, opinions, contemporary information on cutting-edge technologies, and policies of different countries among members in order to promote eHealth and telemedicine. In other words, this group is an essential platform for members who intend to vitalize and enhance further utilization of eHealth and telemedicine. By sharing information and in-depth discussions, members of this group will be able to contribute to the promotion of eHealth and telemedicine.

Students

  • Adolfo Sparenberg - .(JavaScript must be enabled to view this email address)
  • Thais Russomano - .(JavaScript must be enabled to view this email address)
  • Jehona Krasniqi - .(JavaScript must be enabled to view this email address)

Members:

Log on to the website and see list of ISfTeH student members at www.isfteh.org/members.

Virtual Education Presentations

Tele-Nursing

  • Konstantinos Antypas - .(JavaScript must be enabled to view this email address)
  • Pirkko Kouri (ISfTeH Board of Directors Liaison to the TWG) - .(JavaScript must be enabled to view this email address)
  • Claudia Bartz - .(JavaScript must be enabled to view this email address)

Vision:
Nurses extending their reach through technology and improving the quality of healthcare delivery worldwide.

Mission:
Provide a forum for exchange of knowledge and experiences of nurses and others who are working with or supporting nurses using eHealth applications.

Objectives:
• Technology:
   - Advocate for increased use and evaluation of telehealth services by nurses.
   - Stimulate innovative ideas and promote initiatives for further development of eHealth.
• Business:
   - Support interdisciplinary telehealth collaboration for improved healthcare delivery and outcomes.
• Professional:
   - Advance nurses’ knowledge and skills in telehealth through dissemination of research findings,
     education programmes, and practice guidelines.
   - Advocate ethical use of telehealth services.

Members:
Log on to the website and see the list of ISfTeH Nurse members at www.isfteh.org/members

Collaborations:
American Telemedicine Association Telehealth Nursing Special Interest Group
International Council of Nurses Telenursing Network
• South African Telemedicine Association Telehealth Nursing Special Interest Group

Virtual Education Presentations

 

Virtual Nursing Education Session (9 April 2018):

  • Intervention Research in Nursing: Where we are now and why we need it (Clarissa Rodrigues, PhD)
  • Tele-Assistance Strategies to Support Institutionalized Elderly (Patricia Dias, MSc)

Watch the video from webinar

 

Virtual Nursing Education Session (22 May 2017):

Evidence-based Practice of Tele-ICU implementation

Watch the video from webinar (the session starts at Minute 53)

 

Virtual Nursing Education Session (4 November 2016):

Watch the video from webinar

 

Med-e-Tel 2016 (8 April 2016)

Watch the video from webinar

Virtual Nursing Education Session (20 January 2016)

CBTms2015 "Telehealth for Universal Health Coverage," 20th ISfTeH International Conference, Rio de Janeiro Brazil (28-30 October 2015):

ICN Conference 2015 (20 June 2015):

Med-e-Tel (24 April 2015):

Virtual Nursing Education Session (20 November 2014):

Virtual Nursing Education Session (23 July 2014):

Virtual Nursing Education Session (11 April 2013):

Virtual Nursing Education Session (15 November 2012):

Virtual Nursing Education Session (18 July 2012):

Virtual Nursing Education Session (18 April 2012):

Virtual Nursing Education Sessions (18 January 2012)

 

eHealth Strategies

 

eHealth Strategy of the Finnish Nurses Association 2015-2020

http://www.nurses.fi/nursing_and_nurse_education_in_f/ehealth-strategy-of-the-finnish-/

Tele-Dentistry

  • Márcia Maria Pereira Rendeiro - .(JavaScript must be enabled to view this email address)
  • Caren Serra Bavaresco - .(JavaScript must be enabled to view this email address)
  • Mary Caroline Skelton Macedo

Virtual Education Presentations

Webinar dd. 15th December, 2017:

Number of Registrations: 55 

Number of Attendees: 33

Presentations by

° Dr. Ana Estela Haddad : “Brazilian Special Interest Group of Teledentistry of the University Telemedicine Network – RUTE”

° Dr. Deise Garrido : “Dentistry eLearning Course for Special Needs Patients”

This webinar was fully recorded (slides + speech content)

 

To find out more about WG, please read the attached file by Márcia Maria Pereira Rendeiro of UERJ Brazil.

Junior Doctors

  • Marco Capizzi, .(JavaScript must be enabled to view this email address)

Aim

The ISfTeH Junior Doctors Working Group aims to spread eHealth knowledge between Junior Doctors and involve them in Telemedicine and eHealth related initiatives. Junior doctors represent a generation of doctors already involved in clinical practice and particularly able to use new technologies and to imagine new ways of practicing medicine. For this reason they can be considered a key component towards a successful implementation of new technologies in health assistance and education, being a bridge between the worlds of students and senior doctors.

Collaborations

In the autumn of 2012 ISfTeH and its Med-e-Tel conference signed a memorandum of understanding with EJD (European Junior Doctors) in order to create a framework of cooperation with the European Junior Doctors association involved in the development of medical profession and education.

Tele-Opthalmology

  • Yogesan Kanagasingam - .(JavaScript must be enabled to view this email address)

International Tele-Opthalmology Working Group (ITOWG)

Due to considerable demand from around the globe for tele-ophthalmology, we are in the process of establishing a Working Group for Tele-ophthalmology under ISfTeH. ITOWG and its activities will promote the use of telemedicine in fields related to ophthalmology and optometry. It will support and advice the use of Tele-ophthalmology among new professionals, and also contributing to its development, producing innovation, knowledge, techniques, results and impacts.

We expect ophthalmologists, optometrists, eye care providers, nurses, researchers and industry to be member of this WG and contribute their expertise to the group. We will have a blog for this WG and expect to have regular web-conference sessions talking about various tele-ophthalmology projects from around the world. We are also interested to establish a project database from around the world which will have access to our members only.

This WG is coordinated by Prof Yogesan from Australia who is also a former Board Member of the ISfTeH.

 

Prof. Yogesan Kanagasingam nominated for prestigious award

Prof. Yogesan Kanagasingam, coordinator of the ISfTeH Tele-Opthalmology Working Group, has been nominated as one of the finalist for Australian of the Year 2015, in honour of his work in Telemedicine and Ophtalmology. For more information, see: http://csironewsblog.com/2014/11/13/the-eyes-have-it-is-this-our-next-australian-of-the-year

 

Women (WoW)

  • Véronique-Ines Thouvenot - .(JavaScript must be enabled to view this email address)
  • Anna Schmaus-Klughammer - .(JavaScript must be enabled to view this email address)
  • Lenka Lhotska - .(JavaScript must be enabled to view this email address)
  • Claudia Bartz
  • Monika Hubler
  • Pirkko Kouri
  • Lady Murrugarra
  • Adesola Odole
  • Mette Maria Skjoeth
  • Eleonora Muntaola Thornberg
  • Olivia Velez

The Working Group on Women organises the Women Special Sessions at Medetel since 2013, with the support of Klughammer (http://www.klughammer.com), and the Women Observatory for eHealth of the Foundation Millennia2025 (http://www.m2025-weobservatory.org). An initial study conducted on Women and eHealth in 2010 - 2012 (http://www.m2025-weobservatory.org/wehealth.html), helped to shape the programmes at Medetel, with a focus on Education, Research, Collaborations and Dissemination (http://www.m2025-weobservatory.org/events.html). Two Special Issues of the Journal of the International Society of Telemedicine and eHealth (JISfTeH, http://journals.ukzn.ac.za/index.php/JISfTeH/) on "Women in eHealth", 2015 and 2017 are published, with articles authored by women (http://www.m2025-weobservatory.org/welibrary.html) . The next Special Issue is planned in April 2019.

Please visit: wow.isfteh.org

Medical & Bio-Informatics

  • Abdel-Badeeh Salem - .(JavaScript must be enabled to view this email address)
  • Ram Prakash
  • David Olatayo Olayiwola
  • Dina Ziadlou

This new ISfTeH Working Group has been created under the coordination of
Prof. Abdel-Badeeh Salem, Professor of Computer Science
Head of BioMedical Informatics and Knowledge Engineering Research Lab,
Faculty of Computer and Information sciences
Ain Shams University, Abbasia, Cairo, Egypt
Individual member of the ISfTeH

Announcements – December 2017

 

International Workshop Knowledge Engineering in Medical and Bio- Informatics, KEMBI

In the frame of International Conference on Communication, Management and Information Technology, ICCMIT'18

Madrid, Spain on 2-4 April, 2018

Knowledge engineering (KE) deals with the development of intelligent information systems in which knowledge and reasoning play pivotal role. KEMBI will bring researchers, developers, practitioners, and users to present their latest research, results, and ideas in all areas of knowledge engineering, machine learning and artificial intelligence in  life and health sciences.KEMBI will provide a forum for the exchange of ideas between physicians and computer scientists, and knowledge engineers to address the important issues in those areas. Papers related to methodologies, techniques and applications in bio-medical informatics and  smart e-Health systems  are especially solicited.

Topics of interest include (but are not limited to) the following:

  • Health Care Information Systems
  • Computational Intelligence in life sciences                        
  • Machine Learning in Big Biomedical Data Analytics
  • Knowledge Engineering in Health Sciences
  • Clinical Information Systems
  • Medical Image Processing and Techniques
  • Medical Intelligent Systems for different medical tasks
  • Medical Expert Systems
  • Bioinformatics and Biostatistics
  • Telemedicine Software, Portals, Devices and Telehealth
  • Web-based and Remote Medicine
  • Data Mining and Knowledge Discovery in Medicine
  • Machine Learning-based Medical Systems
  • Artificial Intelligence Techniques in Health Sciences
  • Medical Databanks, Databases, and Knowledge Bases
  • Neurocomputing in Medicine
  • Ontology and Medical Information Science
  • Bioethics and Health informatics

Chairs and Organizer Prof. Dr. Abdel-Badeeh M. Salem, Prof. of Computer Science, Faculty of Computer and Information Sciences, Head of Artificial Intelligence  and Knowledge Engineering Research Labs, Ain Sham Univ, Egypt

Coordinator of Medical and Bio-Informatics Working Group, ISfTeH, Switzerland

Contact: abmsalem@yahoo.com, absalem@cis.asu.edu.eg

 

Announcements – June 2013
 

1) Bio-informatics, Medical Informatics and e-Health, BiMi&eH
The workshop will be held in the frame of the Sixth International Conference on Intelligent Computing and Information Systems, ICICIS’13
14-16 December, 2013 - Cairo, Egypt
The Conference is organized by the Faculty of Computer and Information Sciences, Ain Shams University, Cairo         

2) Tutorial on Elements and Methods of Artificial Intelligence in BioMedical Informatics, July 7th - Desio, Italy
in the frame of e-Government &e-Health,eGeH’13
July 7–10, 2013 - Desio, Italy
Polo Tecnologico Universitario Desio / Desio Technological University Center
Villa Tittoni- Traversi, Via Lampugnani 66, Desio/Monza e Brianza (Italy)

3) EMMIT 2013, Euro-Mediterranean Medical Informatics and Telemedicine, 9th International Meeting e-Health and Telemedicine in Mediterranean Countries
October 21-23, 2013 - Nador, Morocco
Tutorial on Knowledge Engineering in Medicine and Health Care
 

Further information about the Journal of Bio-Medical Informatics and eHealth can be found at:
http://www.warse.org/ijbmieh.html
http://www.warse.org/ijbmieh-editorial-board.html

Chronic Disease Management

  • Gianfranco Mochi - .(JavaScript must be enabled to view this email address)
  • Morteza Ghareh Gozlou
  • Nixon Tiberio Garcia Mendez
  • Taiwo Ojo
  • Maxwell Dzokoto
  • Dina Ziadlou

The so called “Chronic Disease Management” approach wants to achieve two clear goals: a better life for chronic patients and a better use of healthcare resources. That can be done by implementing a sound organisation and standardised procedures, as well as taking advantage of the more and more rapidly developing ICT applications. This ISfTeH Working Group aims to promote the cooperation among professionals, companies and institutions with different viewpoints, approaches, expertise and cultures in the field of Chronic Disease Management.

Vision
The shift towards new models of homecare can generate a better quality of life for the patients and a
more sustainable use of the available resources.

Mission Statement
Employing ethics, technology and multidisciplinary expertise to achieve measurable outcomes on chronic
patients’ wellness and healthcare cost containment.

Main goals

  • Finding a consensus about terminology and fields of application.
  • Focusing on the real needs and expectations of patients and payers.
  • Promoting the model shift among healthcare providers, institutions and the society.
  • Drawing dynamic models suitable for different cultures and organizations.
  • Boosting and supporting multinational/multispecialty projects and experiences.
  • Developing tools and procedures aimed to measure the projects’ outcomes.
  • Suggesting operational guidelines for different pathologies.
  • Recommending standards for data protection, collection, transmission and storage, as well as for medical devices and software applications.
  • Building an interactive web-site aimed to receive and spread consistent information, including databases focused on:

               · professionals, companies, sponsors/funders potentially interested in partnerships,
               · hardware/software/ICT providers,
               · published studies about Chronic Disease Management,
               · achieved clinical and economical outcomes,
               · in-progress projects and experiences in different countries.

To join the workgroup or for more information, please contact Dr Gianfranco Mochi at gmochi@telecare-europe.com

Iberian and Iberian-American Working Group

  • Luis Gonçalves - .(JavaScript must be enabled to view this email address)
  • Lady Murrugarra - .(JavaScript must be enabled to view this email address)
  • Marcial Garcia Rojo - .(JavaScript must be enabled to view this email address)
  • Marisela Cigliuti
  • Nando Campanella

Languages: English, Spanish and Portuguese
Objectives:
1 – Collaborating with scientific societies, universities and health organizations to promote the use of telemedicine and e-health.
2 – Promoting both the pregaduate education and continuing education of professional in e-health in the native language of each territory in the ibero-american countries.
3 – Disseminations of the ibero-american telemedicine experiences in all the world.

Recommended references (in ibero-american languages):
- Jornal Brasileiro de Telessaúde - http://www.e-publicacoes.uerj.br/index.php/jbtelessaude/index
- Revista Informática y Salud (I+S) - http://www.seis.es/Revista.html
- Livro e-saúde – you must reserve it in tipografia@ubi.pt. In the next days the ebook edition will available.

Next activities:
- Curso Introduccion a la Informatica en Salud y Telemedicina (Panamá)
- III Forum Telesalut@ SITT, Barcelona

We kindly appeal to everybody to collaborate and send inputs to the Iberian and Iberian-American working group (ISfTeH)

Social Media

  • Harris Lygidakis - .(JavaScript must be enabled to view this email address)
  • Raquel Gomez Bravo - .(JavaScript must be enabled to view this email address)
  • Phanish Chandra

Vision
The aim of the ISfTeH #SoMe Working Group is to encourage Healthcare Professionals (HCPs) to use Social Media meaningfully for the improvement of healthcare services and health.

Mission
Our mission is to provide support and means for HCPs that  facilitate the employment of Social Media in the everyday practice, the medical education and in various special interest projects, including those related to Public Health and chronic disease management, in partnership with patients, policy makers, the administration and the industry.

 

Webinars

 

Session # 1 : 25th February 2015

An Introduction to Facebook for Health Professionals

Facebook is an underused and often misunderstood tool for health professionals. In different occasions, we had the opportunity to discuss with colleagues a broad array of issues related to its use:

  • it seems difficult to configure the security and privacy settings and there is low awareness of them;
  • there is no guarantee that the befriended person is really who you think he/she is;
  • the communication is carried out in a non-private (non HIPAA-compliant) environment where advertisement is ubiquitous;
  • people are unrestrained to say anything they want (aka the bad-mouthing scare and the bragging effect);
  • many workplaces still lack policies and others just block the access shortsightedly;
  • befriending patients and protecting their privacy causes anxiety and discomfiture;
  • there is dearth of time and the ROI is still questionable to many.

Some of these issues reveal a generic skepticism vis-à-vis the entire Social Media universe, and not only towards Facebook. As health professionals however, we are ethically and legally obliged to stay up-to-date with the most recent evidence and advances of our discipline. From the same standpoint, we also need to stay on guard for any changes that affect society, as they may influence our decisions ultimately; the Family Doctors who adopt the bio-psychosocial model in their practice should understand this. Hence, if our patients are on Social Media or will use whatever will be the next big thing in communication, we should adopt an exploratory and diligent attitude and potentially (but not unconditionally) employ the new tool.

Facebook (and by extension Social Media) should not be considered as a mere technological means, but should be seen through the prism of our professionalism and social responsibility. We need to consider it as a professional and strategic tool and as such, it is of utmost importance to study its manual and code of conduct very carefully before using it (or to paraphrase John C. Dvorak, a license should be necessary). Wouldn’t we do the same with our newly acquired EKG device?
Raquel Gomez Bravo and Harris Lygidakis, alongside the support of the International Society for Telemedicine and eHealth (ISfTeH), piloted an introductory webinar on Facebook with the objective to raise awareness and help our colleagues. If you weren't able to join it, you can now view the recording and learn the basics to kick off your journey on Facebook: http://www.anymeeting.com/009-942-028/E156D6858949

 

Reports

 

"#Med-e-Tel : The Twitter Hashtag"

Read

UPCH EN FORO INTERNACIONAL SOBRE SALUD ELECTRÓNICA, TELEMEDICINA Y TICs EN LUXEMBURGO

La utilización de procesos y comunicaciones electrónicas en la práctica médica ha supuesto una revolución muy positiva de los sistemas sanitarios, no sólo de Europa, sino de diversas partes del mundo. Es en ese sentido que el “INTERNATIONAL eHEALTH, TELEMEDICINE AND HEALTH ICT FORUM For Education, Networking and Business 2014” desarrollado del 8 al 12 de abril en el Gran Ducado de Luxemburgo presentó las experiencias elaboradas en diversos países. Fueron 197 trabajos y resúmenes de 52 países, que fueron presentados en el Med-e-Tel 2014.

Lady Murrugarra Velarde, Coordinadora de e-Prevención en América Latina y el Caribe y Coordinador de Telesalud del Instituto de Medicina Tropical Alexander von Humboldt (IMT-AvH) de la UPCH, fue la única representante peruana en este evento Internacional y compartió los resultados de los cursos online que se vienen realizando hace varios años en el Perú, gracias al apoyo económico de las entidades financieras extranjeras para la formación del personal de salud de la Región Andina y el Caribe sin costo alguno.

Uno de estos proyectos de los 5 seleccionados a nivel mundial titulado “e-Prevención” es aquel que busca asegurar la potenciación de las capacidades del personal de enfermería usando  las TICs y los servicios de telemedicina en las comunidades  de la Región Andina y el  Caribe, el cual se trabaja junto instituciones como la Organización Panamericana de la Salud (OPS), Conectando Enfermería, Fundación Millennia 2025 y el IMT-AvH de la UPCH.

Lady, también participó como miembro de IET Women's Network en el panel sobre “The women observatory for e-health”,  cuyo objetivo fue  identificar, crear oportunidades de colaboración entre profesionales de la salud y agentes industriales, además los asistentes recibieron información sobre nuevos progresos tecnológicos en el ámbito sanitario a nivel mundial destinados a mejorar la atención que reciben los pacientes.

Para ver este artículo en línea, haga clic aquí.

Tele-Audiology

  • Piotr H. Skarżyński - .(JavaScript must be enabled to view this email address)
  • Maciej Ludwikowski - .(JavaScript must be enabled to view this email address)
  • Henryk Skarżyński - .(JavaScript must be enabled to view this email address)

Overall goals of the Working Group

  • The coordination and scientific and clinical development of the National Network of Teleaudiology.
  • Hearing implants’ telefitting is a clue component of postoperative patients’ health-care, by providing the optimum auditory nerve electrical stimulation parameters.
  • By providing state-of- the-art telemedicine solutions, it enables reduced medical costs for otolaryngology, the ability to conduct remote consultations, conferences, treatments and rehabilitation without the need for specialists or patients to travel all over the country.
  • Support for physicians and other specialists from smaller medical centers, creating the opportunity to experts assistance in Africa, Asia, Australia, North America, South America.
  • Improved qualifications of less experienced medical staff watching the work of the experts: organizing Windows Approach Workshop.
  • Hearing screening around the world. Screening was performed using the Platform of Sensory Organs Examination; on the basis of the audiometric procedure of measuring the hearing threshold.
  • Actively participates in didactic activity on the Speech Therapy and Audiology specialization run at Maria Curie-Skłodowska University, as well as takes care of specialists undergoing the trainings.

TELEFITTING

One of the major technological breakthroughs in the telemedicine development by Institute of Physiology and Hearing Pathology, took place in 2007. This huge step forward was the creation of a telefitting pilot study. Over the years, the Institute has developed and deployed to clinical practice system that will enable the creation of a network of cooperation abroad centers and throughout the country - the National Network of Teleaudiology in 2009.

To obtain the best hearing benefits after cochlear implantation, the speech processor must be optimally fitted. The majority of patients have been implanted and are unable to receive correct implant fitting. They have to undertake a long trip to the cochlear implant clinic, and this incurs high cost, time, and travel weariness. To overcome this problem, ‘telefitting’ has been proposed.

Remote fitting of the cochlear implant system

Four PC computers are used for the remote fitting method: two on the patient’s side and two on the specialist’s side. On both sides, internet cameras, microphones, and loudspeakers are used to provide communication between the patient and the specialist. One of the computers on patient’s side is equipped with clinical interfaces to provide communication with the speech processor and the implant.

The patient’s speech processor is connected to the clinical interface on computer at the distant polyclinic. The fitting specialist, working on computer in the International Center of Hearing of Speech, using a remote desktop application, takes control of patient computer  via an internet connection. It is now possible to start fitting the software and to perform any actions necessary for measurements and fittings. The communication between the specialists and the patient is secured by the use of an audio-video connection over the Internet. On the patient’s site there are also support specialists — speech therapists, etc., providing help for the patient in the process of communication with the specialists. Commercially available software is used for the remote desktop and audio-video system.

After the session, the support specialist disconnects the processor from the interface and gives the patient a new processor with the programs.

Teleservice of speech processors and hearing aids

• Telemetric measurements to check the internal part of the system

• Objective measurements: electrically elicited compound action potentials

• Programming electrical stimulation parameters into the patient’s speech processor

• Activation of the speech processor in ‘live’ mode

• Consultation about ways to use new settings in the speech processor:

- Remote objective measurements (ECAP, ESR, Telemetry)
- Remote psychophysical measurements (amplitude growth function, threshold detection)

 

TELERAHABILITATION

Hearing implants’ fitting is a clue component of postoperative patients’ health-care, by providing the optimum auditory nerve electrical stimulation parameters. Often, the need for a regular visits in the Institute involved a long and time-consuming, two-direction journey. As the majority of our patients are children, they were usually exhausted by the trip. This situation influenced negatively patient’s performance during hearing test evaluations, which were of reduced reliability. Such situation translated sometimes into suboptimal hearing implant fit. Additionally, the whole family had to incur high travel expenses, which were a significant burden in many cases.

In 2004, the Home Rehabilitation Clinic was established. Its primary aim was to improve the rehabilitation effectiveness in children with hearing impairments. Additionally, the founders wanted to reduce the high medical and educational expenses of the treatment process. At first, special materials dedicated to parents were prepared, which enabled better understanding of the individual work with a child in home. The next stage in the development of the Home Rehabilitation Clinic was setting up of a program aimed at both patients (including children and their parents) and specialists from all over the country (teachers and educators and students). The clue of the program was to utilize the knowledge, experience and achievements of the multidisciplinary Institute’s team, to develop effective national therapy programs. These ideas are realized to this day through the cooperation of the Center for Observation and Management - Program Coordinator with Regional Centers - Program Implementers via the Internet connection network.

Successful development of the Home Rehabilitation Clinic proved the effectiveness of teleconsultations, relerehabilitation and teleeducation combination. The substantial contribution of various specialists to the program, allowed for joining educational influences with running supervision of the therapy course, including an insight and direct commentary on the observed patient, parent or guardian. In conclusion, the Home Rehabilitation Clinic program is highly accessible and provide different types of consultations according to individual patient’s and parents’ needs.

Creation of the brand-new methods of cochlear implant telefitting system and the use of the Internet in the telerehabilitation process, was possible thanks to intense research, in particular the development of:

  • cochlear implant teleffiting procedure using Internet connection
  • methods enabling carrying out a series of psychophysical and objective measurements necessary to make a diagnosis
  • effective schedules of hearing and speech rehabilitation
  • testing and selecting the necessary hardware and software for use in telerehabilitation procedures
  • reliable tools used for monitoring the satisfaction of patients and professionals involved in the method

 

NATIONAL NETWORK OF TELEAUDIOLOGY

The process of diagnosis, rehabilitation and post-intervention care over patients with hearing impairment, frequently equipped with various kinds of hearing prostheses, usually requires an experienced, multidisciplinary team to undertake repeated sessions with the patient in the clinic. Its entails often long travels to medical center, associated with costs and time-consuming. To reduce patients’ burdens, the Word Hearing Center’s team introduced in 2009 the National Network of Teleaudiology (NNT). The establishment of the National Teleaudiology Network has been in close collaboration with a number of clinical centers in the country. This cooperation deals with both clinical work and new research activities implemented within the Network. Scientific partnerships also include clinical-research centers and medical companies with whom telemedicine research has been done in the past: Spain, Germany, Greece, Switzerland and Austria.

Aims of the National Teleaudiology Network

Versatile care for patients after cochlear implant, audiotory brainstain implant, middle ear implant, bone conductive implant  and also modern hearing aid using a programme of the complex and comprehensive health care and matched to the individual needs of every patients.
Coordination of the hearing rehabilitation process that is necessary for development of sound perception and interpretation abilities, and, through systematic training, making speech communication with other people possible
Realization of social, educational, and professional development programmes based on knowledge and experience of the multidisciplinary team of specialists in the Institute of Physiology and Pathology of Hearing
Spread of knowledge about cochlear implants and the rehabilitation process of implanted patients.

Technological facilities in National Teleaudiology Network

Multipoint Control Unit RMX2000 video conferencing system, which is a central unit that enables the audio-visual connection of two or more centers together
23 telemedicine offices based on HDX8006 video conferencing bridges, LCD panels and Internet-enabled computers equipped with clinical diagnostic interfaces, impedance audiometers and the necessary software. Video conferencing bridges enable high-quality video and audio streaming, tailored to the capabilities of the Internet connection. Clinical diagnostic interfaces are used to connect hearing implant systems to a computer, and, consequently, to access these systems by an expert via the Internet
Modern Telemedicine Studio OTX300, which is the center of the National Teleaudiology Network, and allows for convenient simultaneous connection with many centers and conducting various teleconsultations at the same time

Each component of the system is connected by a fast Internet that provides high quality of video conferencing and trouble-free remote desktop applications functioning.

At present, the National Teleaudiology Network uses state-of-the-art software and videoconferencing equipment, together with unique testing, measurement and selection procedures for electrical stimulation fitting. It enables the cooperation of specialists from many fields: clinical engineers, physicians, speech therapists, psychologists, to provide the best postoperative care to patients, including hearing implants users. Such a solution is extremely convenient for patients, who save a huge amount of money, nerves and time, visiting the medical centers located nearby their home.

Medical centers collaborate with NNT

Aim of the National Network of Teleaudiology is providing a wide range of telehealth applications like telefitting, telediagnostics, telerehabilita­tion, or teleeducation. It consists of 21 cooperating cent­ers in Poland and 4 abroad in the Ukraine (Odessa and Lutsk), Belarus (Brest) and Kyrgyzstan (Bishkek). The cent­er of the network is the International Center of Hearing and Speech in Kajetany, from where experienced specialists provide telecare for patients in cooperating polyclinics. Over the years, NNT was repeatedly proven in exceptional situations when, for example, a hearing prosthesis/processor of implant was damaged, and when it was necessary to change its parameters

 

TELEDIAGNOSTIC

First type testing a patient and then transferring the results via emailing or the Internet to a professional that will look at the results or teleconsultation.  Teleconference equipment provides audio and video connection while remote desktop application allows to take the control over the distant computer and perform all necessary measurements.

Second type testing a patient in real-time as if the patient is sitting in front of you. Audiologists are used to testing patients remotely because testing a patient in a sound booth while the audiologist sits outside the booth is virtually the same as testing a patient over the Internet. The window is not a real glass window but a teleconference window. The only real difference is that the physical distance changed.

Tele-ABR

Audiology centers which starts to introduce the objective methods like ABR and otoacustic emission (OAE) as a part of diagnostic procedures for comprehensive hearing evaluation, encounter some problems with the testing procedures. Specific characteristic of the electrophysiological brain stem response ABR, requires fallowing very strict procedures concerning stimulation and acquisition parameters which can have negative impact on the quality of registered parameters and test outcome. In such situation very important is the experts advise which can help in finding the right way to solve the problems. This was the main reason of introducing objective methods of hearing assessment and advanced methodology in telerehabilitation in to 3 clinics abroad – in Ukraine, Belarus and Kyrgyzstan newly added to the National Network of Audiology.

Before starting the examinations local technicians completed comprehensive training courses. They were instructed on the correct patient preparation for testing, abrasions of the skin, electrode sticking, clip attaching, and launching of the appropriate software. Support documentation was prepared. After the test, the  results are collected and sent to a specialist in Poland to determine the result. This technology assists clinicians by making it easier for them to consult with other more experienced audiologists.

Telemedical diagnostic-rehabilitation systems Health

TeleZdrowie is a biggest portal offering the harvest of telemedical diagnostic-rehabilitation systems Health. This portal was drawn up in the cooperation of the Cathedral of Multimedia Systems of the Gdańsk technical university and the Institute of Physiology and Pathology of the Hearing. The following systems are available:

"I CAN HEAR"  - The system "I CAN HEAR..." is a multimedia computer programme.
The role of the "I CAN HEAR..." system is mainly to test the hearing mainly in children and youth. The tests uses automatic questionnaire analysis, audiometric tone test procedure and testing speech intelligibility in noise. To carry out the tests, you will need, in addition to a PC, audiometric headphones and a calibrator. The calibrator is a small electronic device and comes together with a set of headphones. 
“ I CAN SPEAK” - The Universal System for Testing and Rehabilitation of Speech is a multimedia website devoted to the problems of articulation. It is designed to improve the effectiveness and availability of diagnostic and rehabilitation methods used in phoniatry and speech therapy. Speech - the ability to receive and produce language messages - is how humans communicate using sound. The perception of utterances involves the process of hearing and language analysis which leads to the discovery of content. The production of speech begins in the brain when thoughts are formed and processed into signals that control the mechanical motion of articulators. The process activates other organs that are part of speech production: lungs, larynx, and articulators above the larynx (tongue, soft palate, mandible, lips) that make up the articulatory channel (tract).
“I CAN SEE” - System of the eye test \ "I can see... \" is multimedia computer programs. System \ "I can see... \" is intended the eye test of both adults, and children and teenagers. Eye test is based on the automatic analysis of the questionnaire form, the test of the colourful vision, the test of hidden squint and the test of diversifying the contrast.

 

HEARING SCREENING

Nowadays, audiology and otolaryngology, which are included in preventive medicine, now have many possibilities to assist patients with hearing impairment. However, in order to make full use of these opportunities, hearing disorders or damage should be detected in the early stages.  Telemedicine makes possible to monitor many groups, especially children. It gives also the possibility to conduct mass population examinations in this age group as an instrument of national health policy and decrease the costs of healthcare system.

One of the priority activities of the Teleaudiology Working Group is a screening program for children of all ages in collaboration with numerous national centers. We developed methods, procedures and devices for carrying out them. Chairmen are the coordinators of many programs.

Platform for Sense Organs Screening

In 2008 was developed by the Institute of Physiology and Hearing Pathology in cooperation with the Institute of Sensory organs new multimedia tool used in screening – Platform for Sense Organs Screening.

The platform is built around an internet network solution, interfacing a central computer system and a series of portable computers (remote client devices) equipped with audiometric headphones and a response-button interface. The platform allows the user to conduct the following tests:

Audiometric testing: This feature allows the user to perform air conduction audiometric testing for each ear separately, in a tone frequency range from 250 to 8000 Hz and for hearing threshold levels not exceeding 80 dB HL.
Speech screening: The speech test is carried out to obtain reliable information on: (i) the quality of verbal behavior of the child and (ii) the degree of speech development (or of any potential delays) and any pathological linguistic phenomena occurring in the speech of the child.
Audiological survey: This module allows the user to conduct a general survey regarding the hearing, sight, and speech of a patient. The surveys were developed by specialists based on years of experience in specific areas and they provide reliable information on the tested person.
Test module DDT: This is a dichotic listening test. During the test, pairs of sounds are presented to each ear and the task of the tested subjects is to repeat what they heard in one or both ears.
Test module FPT: This is a frequency patterns test. The test items are sequences of three tone bursts that are presented to one or both ears. In each of the sequences two tone bursts are of the same frequency, while the third tone is of a different frequency. There are just two different frequencies used in this test: one is a high-frequency sound and the other a low-frequency sound frequency patterns test.
Test module DPT: This is a duration patterns test. Test consist of sequences of three tones, one of which differs from the other two in the sequences by being either longer or shorter.
Test module GIN: This test allows assessment of the potential of perception of gaps in noise. During the test, the noise is presented with constantly emerging gaps of varying lengths.

System of Integrated Communication Operations „SZOK”®

Every large-scale project involving children or adults, is a great opportunity for early detection of congenital or acquired defects. In response to social needs related to the early detection of birth defects and acquired by detection and prevention, the Institute of Physiology and Hearing Pathology was involved in the implementation of the project, which was named System of Integrated Communication Operations „SZOK”®.

The project's innovation is the use of a system to assist patients with remote diagnosis and to transfer the results of their research to the health services sector. Use of a system to assist patients with remote diagnosis and to transfer audiological screening results to the Institute of Physiology and Pathology of Hearing in Kajetany. Integrating patient data into the "SZOK" ® system, will allow for quick service and thus shorten patient waiting times for visits to IFPS or other specialized facilities and as a comprehensive patient medical base. It is a unique solution in the field of telemedicine and e-health.

Schema of hearing screening protocol

First procedure is videootoscopy. This test is the most accurate visual method examine structure of the outer ear. Examination to check for and diagnose changes in the outer and middle ear between such as earwax, acute or chronic otitis media (with effusion), changes in the fungal infection and tympanic membrane. Examination of the eardrum and ear canal is essential in all ear and hearing health assessments. Digital still images and videos will be recorded during testing child at school and transmitted to the Institute Physiology and Pathology of Hearing for assessment by specialists. Live video consultations  have been incorporated into a telehealth service and a reduction in waiting times for specialist services has been shown. This procedures is normally performed by audiologist or otolaryngologist only and provides valuable information. It is a procedures that can be carried out by primary care providers in a telehealth setting after appropriate training.

Afterwards, protocol including Pure Tone Audiometry (PTA) using Platform for Sense Organs Screening. This device is fundamental for inexpensive and universal screening in large population of children. The threshold for air conduction in the frequency range of 500 Hz to 8000 Hz were determined. Result greater than 20 dB at any frequencies indicate possible hearing loss. Moreover, via a network connection, an audiometer was controlled remotely by an audiologist. Results of studies on children have been reported.

Mobile Hearing Center

The Institute of Physiology and Pathology of Hearing  have a own truck that they are currently using for running a rural hearing health study – called Mobile Hearing Center. Inside, the truck functions as a regular audiology clinic, only on a much smaller scale. The larger of the two booths has a typical audiology setup with Video Otoscopy, They're able to conduct assessment the external and middle ear. The smaller booth is strictly used for testing adults. It may appear to be a small space; however, it is relatively spacious inside for the patient. Currently, we conduct only hearing screening, but in the future, they hope to have internet on the truck, so when they encounter a situation, (e.g., with video otoscopy), they could evaluate the patient remotely. In that case, it would be a combining of two delivery types. Right now, it is a completely contained mobile audiology clinic, delivering the same level of service as you would expect in a brick and mortar clinic, except that they are able to bring hearing care services to the local community.

 

TELEEDUCATION

Educational activities

Educational and training activities of the Institute of Physiology and Pathology of Hearing are addressed to students and different groups of specialists in the fields of hearing, voice, speech and communication disorders, dysfunctions of breathing, balance and recurring infections of the upper airways. These activities are being conducted in collaboration with Polish and foreign research and academic units. Some of the didactic activities are addressed also to patients and their families.

Beneficiaries of the Institute’s educational activities include not only Polish specialists but also, increasingly, specialists from abroad: Europe, Asia, South and North America and Africa.

Educational program bases on the modern methods and forms of education. Courses are conducted both as the stationary studies and as the distance learning (e-learning). The Institute has two high-technology teleconferencing studios that are used for all types of educational activities. An important factor contributing to the high efficacy of the educational process is a modern didactic base of the Institute that includes 7 conference rooms with 800 places, the only in Poland – 2 multimedia studios of telemedicine and a spacious exhibition area. All rooms are furnished with modern audiovisual equipment and systems for transmission of sound and picture between conference rooms and to the internet.

A unique function is the possibility of transmitting the 3D picture from the surgery room to conference rooms. Surgery room has also an audiovisual connection with the state of the art surgical laboratory, enabling course participants to observe the maneuvers of the instructor demonstrating surgical techniques while performing the same procedures on temporal bones.

Window Approach Workshop

Window Approach Workshop –is a specialized, international training workshops on the field of otorrhaging of implantable devices, in the method of partial treatment of deafness by means of cochlear implants.

This extremely popular training series is addressed to oto-surgeons and audiologists from all over the world who want to broaden their knowledge and skills in the field of hearing aids. Particular attention is paid to the use of hearing aids in the treatment of partial deafness according to the method developed and disseminated by Prof. Henryk Skarżyński - the precursor and creator of Partial Deafness Treatment (PDT).

The Window Approach Workshop (WAW) has been organized since 2007 by the Institute of Sensory organs and the World Hearing Center of the Institute of Physiology and Pathology of Hearing in Kajetany. Up to now, the twentieth edition of the WAW workshop has included 2029 oth- ers from 40 countries (Austria, Azerbaijan, Belgium, Belarus, Czech Republic, Denmark, Democratic Republic of Congo, Egypt, France, Greece, Iraq, Cameroon, Kenya, Hungary, Italy, Turkey, Romania, Turkey, Ukraine).

The most important issue learned and practiced during the workshop is implantation of the cochlear implant electrode in a minimally invasive way through the rounded auger window, which allows for the maintenance of hearing remains and intact anatomical structures. This method was developed and developed by Prof. Henryk Skarżyński at the Institute of Physiology and Pathology of Hearing.

An exceptional element of WAW workshops, particularly attractive for surgeons, is the demonstration operations conducted by Prof. Henryk Skarżyński and IFPS Department of Otolaryngology Surgery. Such demonstration operations are a very important part of surgeon training. They enable the observation of the work of an experienced operator, the organization of the entire surgical team and the equipment of the operating room. Many of these observed, proven solutions are later deployed in operating rooms around the world.

The program of the Window Approach Workshop includes:

• Lectures presented by the specialists from the Institute of Physiology and Pathology of Hearing,

• Demonstration surgeries transmitted from the operating theater to the lecture room, with presentation of each case and discussion,

• Hands - on training in the laboratory on fresh temporal bone specimens.

LION Global Otology – Neurotology Live Surgical Broadcast

The LION project, launched in 2006, is dedicated to using the latest teleconferencing technologies for the continuing training of otolaryngologists around the world. Within LION there is a permanent interactive world-wide training network that provides direct access to the knowledge and experience of international otology and neurologist experts to every doctor who has a computer and access to the internet. The key component of this program is annual video conferencing with oto-surgeons representing leading centers around the world.

 

Program of Hearing Screening for First Grade Pupils in Primary Schools in Mazowsze Region in years 2017/2018 and 2019/2020 including the use of telemedicine tools

Telemedicine allows to monitor many groups, especially children. It gives also the possibility to conduct mass population examinations in this age group as an instrument of national health policy and decrease the costs of healthcare system.

The effect of Institute’s work and negotiations conducted during the presidency has been the adoption of the EU Council Conclusions on Early detection and Treatment of Communication Disorders in Children, including the Use of e-Health Tools and Innovative Solutions. It has been adopted by Ministers of health of all EU member countries at the EPSCO meeting in Brussels. It has been a keynote event concluding the activities implements during Poland’s EU Council Presidency with regard to ensuring the equal opportunities for children with communication disorders, in integral part of the priority in the field of public health. Therefore, one of the priority activities of the Institute of Physiology and Pathology of Hearing in Kajetany is a hearing screening program for school-age children

Hearing  is one of the senses provided proper development of cognitive and social processes. It also directly influences for intellectual development. In addition, the sense of hearing is fundamental for speech and language abilities. Disorders of hearing in children aged 5 - 7 years most often are caused by infections of the upper airways, birth defects or environmental factors such as noise. Often, hearing impairments are not detected by parents or caregivers. What is important, early medical intervention in a child with hearing disorders regardless of their etiology means faster improvement of its auditory pathway functions and thus better communication with the environment as well as reduction of costs for the patient and for the healthcare system. Therefore, school-entry hearing screening is especially important.

On 1 August 2017, the Institute has started new hearing screening programs, this time involving the entire Mazowsze region. It will be the first in the world region where hearing screening encompasses the whole population of children beginning school education. Screening will be organized under 37 projects under the framework of the Program of Hearing Screening for First Grade Pupils in Primary Schools in Mazowsze Region in years 2017/2018 and 2019/2020. The coordinators of this program are members of Tele-Audiology Working Group:  Prof. Henryk Skarżyński M.D., Ph.D.; Ass. Prof Piotr H. Skarzynski MD PhD MSc and Maciej Ludwikowski MSc MBA.

Hearing screening protocol used in mentioned program includes videootoscopy and pure tone audiometry. Moreover, specialist from the Institute of Physiology and Pathology of Hearing in Kajetany will be conduct training for medical personnel from medical center situated of Mazowsze Region.

First procedure is videootoscopy. This test is the most accurate visual method examine structure of the outer ear. Examination to check for and diagnose changes in the outer and middle ear between such as earwax, acute or chronic otitis media (with effusion), changes in the fungal infection and tympanic membrane. Examination of the eardrum and ear canal is essential in all ear and hearing health assessments. Digital still images and videos will be recorded during testing child at school and transmitted to the Institute Physiology and Pathology of Hearing for assessment by specialists. Live video consultations  have been incorporated into a telehealth service and a reduction in waiting times for specialist services has been shown. This procedures is normally performed by audiologist or otolaryngologist only and provides valuable information. It is a procedures that can be carried out by primary care providers in a telehealth setting after appropriate training.

Afterwards, protocol including Pure Tone Audiometry (PTA) using Platform for Sense Organs Screening. This device is fundamental for inexpensive and universal screening in large population of children. The threshold for air conduction in the frequency range of 500 Hz to 8000 Hz were determined. Result greater than 20 dB at any frequencies indicate possible hearing loss. Moreover, via a network connection, an audiometer was controlled remotely by an audiologist. Results of studies on children have been reported.

The results of the audiometric tests were supplemented by the results of the questionnaire completed by the parents. This questionnaire including question concerning data on the potential causes of the child’s hearing problems, medical history, possible presence of tinnitus, and any presence of learning difficulties.

In addition, all results were performed using SZOK system.  Use of a system to assist patients with remote diagnosis and to transfer audiological screening results to the Institute of Physiology and Pathology of Hearing in Kajetany. Integrating patient data into the "SZOK" ® system, will allow for quick service and thus shorten patient waiting times for visits to IFPS or other specialized facilities and as a comprehensive patient medical base. It is a unique solution in the field of telemedicine and e-health.

At the same time with audiometric examination, we are going to conduct training for medical staff, led by experts and medical specialists: laryngologist, phoniatrics and audiologist, speech therapist.

Aim of training for medical personnel is improving the skills and competencies for early detection of hearing impairment among young patients. They will be the basis for the implementation of the hearing screening system in the years to come, even after completion of this program.

Educational program bases on the modern methods and forms of education. Courses are conducted both as the stationary studies and as the distance learning (e-learning). The Institute has two high-technology teleconferencing studios that are used for all types of educational activities. An important factor contributing to the high efficacy of the educational process is a modern didactic base of the Institute that includes 7 conference rooms with 800 places, the only in Poland – 2 multimedia studios of telemedicine and a spacious exhibition area. All rooms are furnished with modern audiovisual equipment and systems for transmission of sound and picture between conference rooms and to the internet.

Implementing universal hearing screening in school age children is a long and complicated process. Important issue is spread knowledge of necessary and significance of hearing screening. It is possible to use a telemedicine model to assess the hearing status of children and to provide a long-distance expert assistance. The latter is very important for rural areas without specialized medical services.

Tele-Dermatology

  • Byron Barksdale - .(JavaScript must be enabled to view this email address)
  • Niall Campbell

Our mission

To provide the best available personalized teledermatology healthcare services to individuals, their families, their healthcare providers and the communities we serve.

Our vision

To promote skin wellness as well as the prevention and treatment of skin disease through personalized healthcare services.

Our values

  1. Working group members believe in honoring the dignity, values and culture of the individuals we serve.
  2. We believe in comprehensive integrated teledermatology healthcare services to meet the goals and needs of individuals and healthcare providers we serve.
  3. We believe that many skin diseases are preventable and the early detection of disease, esp. malignant melanoma, is important.
  4. We believe our employees should be well trained, enthusiastic, engaged, aligned, competent, and trustworthy in order for us to be successful.
  5. We believe in working with individuals and their healthcare providers to develop innovative approaches to skin wellness and to implement evidence-based prevention and treatment of skin disease utilizing, in part, teledermatology.
  6. We believe it is our responsibility to provide high quality, safe, effective and efficient healthcare.
  7. We believe in fair pricing of our professional and technical services to continue to grow, develop and improve upon the best, easily accessible, cost-effective teledermatology healthcare services.

Initial goals of the teledermatology working group

  1. List and give definitions pertinent to teledermatology
  2. Develop a prototype teledermatology consent form
  3. Networking among members of the working group and others
  4. Develop “best practice” teledermatology guidelines:
  • Patient confidentiality and privacy
  • Informed consent
  • Technical standards for live and asynchronous imaging
  • Technical standards for communication connectivity
  • Procedure to obtain teledermatology consultation
  • Use NCCN (http://www.nccn.org) treatment protocols if indicated
  • Use CAP (http://www.cap.org) synoptic datapoints for melanoma

Webinars Report 2017

Program of Webinars in 2017: a series of multiseat webconferencing sessions organized and presented by three ISfTeH Working Groups - Students, Nurses and Social Media

Impact of Telemedicine on Infectious Diseases and Bacterial Resistance (Session Report)

ISfTeH Webinars Program – 2017

Session Report : Impact of Telemedicine on Infectious Diseases and Bacterial Resistance

ISfTeH Webinars Program - 2016. Session Report: Webinar Ebola in Town - Lessons Learned

“Rural health initiatives to strengthen health systems”

IFMSA Webconferencing Session (20 February 2016).

"Rural health initiatives to strengthen health systems" - watch the video from Anymeeting webinar

Health 2.0 at IFMSA PreGeneral Assembly – March Meeting 2014 and at Med-e-Tel Conference

History Webconferencing Sessions at Med-e-Tel - MEDGATE Students Award

History Webconferencing Sessions

History

Webconferencing Sessions - 10 Years!

The ISfTeH Students Working Group has very good reasons for celebrating the 2017 edition of Med-e-Tel. This time, on Friday, April 07th, five selected students remotely attended the “10th ISfTeH Students Webconferencing Session - MedGate Award”. Through this outstanding initiative, during 10 years, 50 students have had a chance of remotely presenting and bringing to the international community the results of so many kinds of eHealth projects and researches, conducted in several countries from all continents. The ISfTeH webinar sessions comes with the perspective of accelerating the eHealth teaching∕learning process internationally. The active participation of students in Telemedicine and e-Health activities promoted by the ISfTeH is considered a key element for a successful implementation of eHealth projects around the world. Every year, after a pre-selection, 5 students have an opportunity to present the results of their telemedicine and e-health activities through a multiseat webconferencing platform, counting on the participation of up to 200 attendees from all around the world. All ISfTeH Student Members are invited to submit a presentation for the ISfTeH Students Webconferencing  Session! The objective is to promote a round of dynamic discussions and full interactivity, giving emphasis to the participation of students from all countries, including those living in  regions with limited technological facilities (low bandwidth Internet). In this year, Tanjir Soron from Bangladesh won the MedGate Award through a presentation titled: Telepsychiatry - From a Dream to Reality in Bangladesh. As a result of his quite interesting presentation, a trophy and a special prize of USD1500 will be granted by MedGate to Tanjir Soron. Also, as part of the Opening Ceremony of Med-e-Tel 2017, Jonathan Teoh (Melbourne, Australia) received the 2016 Students’ MedGate Award.

To encourage the worldwide participation of “Students”, the ISfTeH has decided to:

- Offer a free of charge meeting registration for all 5 selected abstracts (for remote presentation);

- Offer an award for the best presentation: a flat rate prize of U$1.500,00 (one thousand and five hundred U$ Dollars). This award, granted by  (Switzerland), aims to partly support the costs of long distance airline tickets of the winner student, to attend the next Med-e-Tel meeting.

- Publish the abstracts of the 5 selected presentations on the Med-e-Tel website and in the Journal of the International Society for Telemedicine (ISfTeH).

- Publish the Papers of accepted abstracts in the JISfTeH. In adition,  PowerPoint presentations will also be published on the Med-e-Tel website after the event.

Med-e-Tel 2018 - Save the date!
April 11-13th, 2018 - LuxExpo, Luxembourg
https://www.medetel.eu

 

 

- 2017 WINNER -

STUDENT: Tanjir Soron, from Bangladesh

Title: Telepsychiatry - From a Dream to Reality in Bangladesh
Mental Health Service, SynesisIT, Bangladesh, MSc Global eHealth, University of Edinburgh, UK

Link to the Abstract:  will be soon

Contact: tanjirsoron@yahoo.com

Link to the Full Presentation: will be soon

Link to the list of 5 presentations (2017): https://www.medetel.eu/index.php?rub=educational_program&page=program#Fri

 

 

- PREVIOUS YEARS -

2016.

Winner: Cost effectiveness analysis of implementing teledentistry for rural paediatric patients in Victoria, Australia

Jonathan Teoh

University of Melbourne, 37/86 Burnley St., Richmond 3121, Australia
Tel:  +61 419357808
Link to the Abstract
Link to Full Presentation
Contact: jrkteoh@gmail.com
Link to the list of 5 presentations (2016)

2015.

Winner: Systematic literature review on telemedicine solutions implemented for management of patients with heart failure
Shadi Azam
Unit for Thrombosis Research, Department of Public Health, University of Southern Denmark
Link to the Abstract: http://www.medetel.lu/index.php?rub=educational_program&page=program_2015#Fri
Link to Full Presentation (ppt slides show - pdf version): http://www.medetel.lu/download/2015/parallel_sessions/presentation/day3/Telemedicine_solutions_for_management.pdf
Contact: shaza13@student.sdu.dk
Link to the list of 5 presentations (2015): http://www.medetel.eu/index.php?rub=educational_program&page=program_2015#Fri

2014.
Winner: Use of Teleradiology in Distance Education in Brazil, Latin America
Renan Maciel
Radiology Department of UFF (Federal Fluminense University), Brazil
Link Abstract: http://www.medetel.eu/download/2014/parallel_sessions/abstract/day3/Use_of_Teleradiology.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2014#Fri

2013.
Winner: Telepharmacy - Pharmaceutical Care - An Assistance Project
Renata Mondini
Telemedicine Laboratory, Microgravity Centre, PUCRS, Brazil
Link Abstract: http://www.medetel.eu/download/2013/parallel_sessions/abstract/day3/Telepharmacy.pdf
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2013#Fri

2012.
Winner: Validation of Physiological Data Transmission System
Raphael Ferreira
Toth Technology, Brazil
Link Abstract: http://www.medetel.eu/download/2012/parallel_sessions/abstract/day3/Validation.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2012#Fri

2011.
Winner: Willingness to Attend Home Based Exercises Supervised Over the Internet
Karolina Krawczak
Student's Scientific Club "TeleZdrowie", Department of Sport and Physical Education, Medical University of Warsaw
Chair and Department of Orthopaedics and Traumatology of Locomotor System, Centre of Excellence "TeleOrto", Medical University of Warsaw
Department of Sport and Physical Education, Medical University of Warsaw
Polish Telemedicine Society, Poland
Link Abstract: http://www.medetel.eu/download/2011/parallel_sessions/abstract/day3/Willingness.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2011#Fri

2010.
Winner: YouTube Clips for Remotely Mentored Hip Osteoarthritis Telerehabilitation. Preliminary study
A. Kostrubala
Chair and Department of Orthopaedics and Traumatology of Locomotor System, Center of Excellence "TeleOrto", Medical University of Warsaw, Poland
Link Abstract: http://www.medetel.eu/download/2010/parallel_sessions/abstract/day3/YouTube_Clips.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2010#Fri

2009.
Winner: Establishment of a Multicentric Telecardiology Project in Rio Grande Do Sul State/Brazil: A Report about Academical Participation
R. Timm
e-Health Centre of the Institute of Cardiology RS, Brazil
Link Abstract: http://www.medetel.eu/download/2009/parallel_sessions/abstract/day3/establishment_of_multicentric_telecardiology.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2009#Fri

2008.
Winner: A Successful Telemedicine Experience in the Brazilian Amazon Region
R. B. Cardoso
[1]Microgravity Centre, FENG, PUCRS, Brazil; [2]Nucleo de Pesquisa em Cultura Indigena, PUCRS, Brazil; [3]School of Medicine, PUCRS, Brazil
Link Abstract: http://www.medetel.eu/download/2008/parallel_sessions/abstract/day3/a_successful_telemedicine_experience.doc
Link to the list of 5 presentations:
http://www.medetel.eu/index.php?rub=educational_program&page=program_2008#Fri

Tele-Urology

  • Emmanuel Abara, MD FRCSC FACS FICS MSc.CH - .(JavaScript must be enabled to view this email address)

Our Vision: To provide the best and possible personalized teleurology health and educational services to individuals, their families, their health care professionals and the communities we serve.

Our Mission: To promote the practice of teleurology for the purpose of prevention and management of urological ailments, using available technology to improve access to quality and appropriate person-centred care.

Our Values:

  1. We believe in honouring the dignity, values and cultures of the individuals we serve.
  2. We believe in collaborative comprehensive teleurology health care to meet the needs of individuals, health care providers, health organizations and communities.
  3. We believe that through effective education, preventive and early disease detective measures better quality of life is achievable.
  4. We believe that we, our employees, colleagues, partners, learners should be enthusiastic, well-trained, competent and trustworthy in order for us to be successful.
  5. We believe in working with individuals and their healthcare providers to apply and develop innovative ways and techniques to improve access to quality urologic care in time and space.
  6. We believe it is our responsibility to promote and provide the best quality, appropriate, safe, effective and efficient urologic care within the context and limits of available technology and resources.
  7. We believe in fair pricing of our professional and technical services to continue to grow, develop, and improve upon the best, easily accessible, cost-effective teleurology health care services.
  8. We believe in continuing quality improvement, good safety and risk management strategies in all avenues of care we shall provide.
  9. We believe in long term, life time learning and reflective practice for the full benefit of the individuals and the communities we serve.
  10. We believe in transparency, being socially responsible and accountable with cultural sensitivity and respectfulness.

Our Goals include:

  1. Enumerate and give definitions pertinent to teleurology
  2. Develop a prototype teleurology consent Form and other relevant working documents
  3. Establish effective networking among members of the working group and others
  4. Develop "best practice" teleurology guidelines

Issues and standards:

  1. Patient confidentiality and privacy
  2. Informed consent
  3. Technical standards for live and asynchronous imaging
  4. Technical standards for communication connectivity
  5. Procedure to obtain teleurology consultation
  6. Review protocols and practices from different telemedicine and eHealth networks around the world
  7. Grow the practice of teleurology

Potential growth stimulators:

  1. Grow networks and keep records of practitioners of teleurology success stories and challenges
  2. Research and development
  3. Building network of partners and stakeholders: industry, health organizations, urological associations, national Health care systems and collaterals, etc.
  4. Professional development programs and sharing of information, best practice

Tele-Cardiology

  • Dr. Alexandru MISCHIE
  • Dr. Ion PETROVAI
  • Dr. Adolfo SPARENBERG
  • Nina SESTO
  • Fadi JAMAL

Please visit the special Tele-Cardiology Working Group page under :

                                                      https://telecardiologywg.isfteh.org 

Francophonie

  • Philippe De Lorme
  • André Petitet

The task of this Working Group will be to reinforce the position of the global Francophone area within the ISfTeH and development of collaboration networks in favour of Francophone countries/regions, national and international institutions, companies and partnerships.

Various ISfTeH members and external partners are currently being consulted and approached in view of setting up an action plan, incl.:

  • Francophone University Association (AUF)
  • International Association of Francophone Mayors (AIMF)
  • International SOS
  • Castres-Mazamet Technopole - eHealth Summer University
  • Agir pour la Télémédecine
  • French Telecom Regulations Authority (ARCEP)
  • Network of Francophone Telecom Regulators (FRATEL)
  • French Ministry for the Economy and Finance

INDONESIA TO STRENGTHEN CITIZENSHIP THROUGH INFORMATION AND COMMUNICATION TECHNOLOGIES ON HEALTH