1
|
Abstract
We retrospectively reviewed the follow-up and outcomes of 50 store-and-forward teledermatology patients, and compared the findings with those from a control group of 50 patients who had been seen in person. Patient records were examined for a six-month period following the initial referral to a dermatologist. Variables examined included medical records from the referral, evidence of actions taken (e.g. biopsy), evidence of follow-up visits, and what (if any) clinical outcomes were noted. There were few differences between the teledermatology and in-person groups. The main difference was whether there was any report in the record that the referring clinician took some action based on the consultation with the specialist: there were more reports of action being taken in the teledermatology group than in the in-person group. Reports of outcomes were found in only 6% and 8% of the records of the teledermatology and in-person groups, respectively. The challenges of assessing outcomes in teledermatology for rural patients include patient loss to follow-up, lack of information in the patient records and low rates of patient return to the referring clinician for follow-up.
Collapse
|
2
|
NC-14 * SPEECH MAPS GENERATED BY nTMS AND CORRELATION WITH DIRECT INTRAOPERATIVE ELECTRICAL STIMULATION. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou263.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
3
|
Clinical Outcomes and Patterns of Failure in Pineoblastoma: A 30-Year Single Institution Experience. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
4
|
|
5
|
|
6
|
Gradually enlarging plaque on hand. Geriatrics (Basel) 2009; 64:30. [PMID: 20726385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
|
7
|
Persistent facial eruption. Geriatrics (Basel) 2009; 64:30. [PMID: 20722246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
|
8
|
Cardiac structure and function in humans: a new cardiovascular physiology laboratory. ADVANCES IN PHYSIOLOGY EDUCATION 2009; 33:221-229. [PMID: 19745049 PMCID: PMC3747785 DOI: 10.1152/advan.00032.2009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
As the traditional cardiovascular control laboratory has disappeared from the first-year medical school curriculum, we have recognized the need to develop another "hands-on" experience as a vehicle for wide-ranging discussions of cardiovascular control mechanisms. Using an echocardiograph, an automatic blood pressure cuff, and a reclining bicycle, we developed protocols to illustrate the changes in cardiac and vascular function that occur with changes in posture, venous return, and graded exercise. We use medical student volunteers and a professional echocardiographer to generate and acquire data, respectively. In small-group sessions, we developed an interactive approach to discuss the data and to make a large number of calculations from a limited number of measurements. The sequence of cardiac events and cardiac structure in vivo were illustrated with the volunteers lying down, standing, and then with their legs raised passively above the heart to increase venous return. Volunteers were then asked to peddle the bicycle to achieve steady-state heart rates of 110 and 150 beats/min. Data were collected in all these states, and calculations were performed and used as the basis of a small-group discussion to illustrate physiological principles. Information related to a surprisingly large number of cardiovascular control mechanisms was derived, and its relevance to cardiovascular dysfunction was explored. This communication describes our experience in developing a new cardiovascular control laboratory to reinforce didactic material presented in lectures and small-group sessions.
Collapse
|
9
|
Slightly sore, dark lesion on thigh. Geriatrics (Basel) 2009; 64:30. [PMID: 20722314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
|
10
|
Histological regression of epidermal atypia after sequential topical 5-fluorouracil and tretinoin in early photodamage of the face. J DERMATOL TREAT 2009. [DOI: 10.3109/09546639709160531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
Effects of a potent synthetic melanotropin, Nle4-D-Phe7-α-MSH (Melanotan-I) on tanning: a dose-ranging study. J DERMATOL TREAT 2009. [DOI: 10.3109/09546639909056014] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
|
12
|
A sequential combination of topical tretinoin and a potent topical corticosteroid improves photodamaged facial skin. J DERMATOL TREAT 2009. [DOI: 10.3109/09546639609086865] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
13
|
Eruption on upper extremities. Geriatrics (Basel) 2009; 64:30. [PMID: 19586088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
|
14
|
Blistering eruption of hands. Geriatrics (Basel) 2009; 64:30. [PMID: 19572765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
|
15
|
Asymptomatic eruption. Geriatrics (Basel) 2009; 64:27. [PMID: 19435392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
16
|
Blistering eruption on lower extremities. Geriatrics (Basel) 2009; 64:27. [PMID: 19351221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
17
|
Case: intensely pruritic eruption of extremities and buttocks: consider disease that produce vesicles. Geriatrics (Basel) 2009; 64:27. [PMID: 19256584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
18
|
Recurrent, pruritic blisters on lower extremities. Geriatrics (Basel) 2009; 64:24. [PMID: 19256579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
19
|
Slowly enlarging, pigmented lesion on temple. Geriatrics (Basel) 2008; 63:27. [PMID: 19061276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
20
|
Case: small bump at edge of scar where lesion removed. Geriatrics (Basel) 2008; 63:27. [PMID: 18998765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
|
21
|
Intermittently painful lesion in mouth. Geriatrics (Basel) 2008; 63:26. [PMID: 18828654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
22
|
Case: Nail lesions with a uniform pigmented band. Geriatrics (Basel) 2008; 63:30. [PMID: 18763849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
23
|
Case: asymptomatic lesions on eyelids. Geriatrics (Basel) 2008; 63:31. [PMID: 18672954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
24
|
Rapidly enlarging lesion on the wrist. Consider skin conditions that result in large, crusted nodule. Geriatrics (Basel) 2008; 63:31. [PMID: 18593211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
25
|
Case: Asymptomatic, slowly enlarging facial lesion. Geriatrics (Basel) 2008; 63:31. [PMID: 18512999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
26
|
Ulcerated papule on vertex of the scalp. Geriatrics (Basel) 2008; 63:33. [PMID: 18447410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
27
|
Phase 1 Study of Topical Perillyl Alcohol Cream for Chemoprevention of Skin Cancer. Nutr Cancer 2008; 60:325-30. [DOI: 10.1080/01635580701840391] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
28
|
Asymptomatic eruption of the face of a 68-year-old woman. Geriatrics (Basel) 2008; 63:31. [PMID: 18376899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
29
|
Chronic rash on the neck. Geriatrics (Basel) 2008; 63:39. [PMID: 18312027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
30
|
Intractable generalized pruritus in an 82-year-old. Geriatrics (Basel) 2008; 63:39. [PMID: 18312022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
|
31
|
Pruritic eruption on the leg: follows excision of a benign lesion. Geriatrics (Basel) 2008; 63:31. [PMID: 18257618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
|
32
|
Bumps on the legs. Geriatrics (Basel) 2007; 62:29. [PMID: 18069883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
|
33
|
Endoscopic Resection of Colloid Cysts: Indications, Technique, and Results during a 13-Year Period. ACTA ACUST UNITED AC 2007; 50:313-7. [DOI: 10.1055/s-2007-993215] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
34
|
Itchy eruption on the legs. Geriatrics (Basel) 2007; 62:31. [PMID: 17999568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
|
35
|
Blistering eruption involving most of the body. Geriatrics (Basel) 2007; 62:29. [PMID: 17922566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
|
36
|
Painful lesion on the ear. Geriatrics (Basel) 2007; 62:30. [PMID: 17824724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023] Open
|
37
|
Painful ulceration on the ankle of an 82-year-old. Geriatrics (Basel) 2007; 62:27. [PMID: 17668962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023] Open
|
38
|
Derm DDX: Ulceration of left ankle and swelling of both legs. Geriatrics (Basel) 2007; 62:32. [PMID: 17620020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023] Open
|
39
|
Itchy lesion on the forehead. Geriatrics (Basel) 2007; 62:29. [PMID: 17547481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
|
40
|
Increased Eumelanin Expression and Tanning is Induced by a Superpotent Melanotropin [Nle4-d-Phe7]-α-MSH in Humans¶. Photochem Photobiol 2007. [DOI: 10.1562/0031-8655(2000)0720526ieeati2.0.co2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
41
|
Pruritic eruption on breast 4 months postmastectomy. Geriatrics (Basel) 2007; 62:30. [PMID: 17489645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
|
42
|
Asymptomatic pigmented lesion on left ear. Geriatrics (Basel) 2007; 62:26. [PMID: 17408316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
|
43
|
Skin ulceration on a burn scar. Geriatrics (Basel) 2007; 62:35. [PMID: 17346096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
|
44
|
Solitary ulceration on anterior left leg. Geriatrics (Basel) 2007; 62:25. [PMID: 17291139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023] Open
|
45
|
Long history of itchy red-brown papules. Geriatrics (Basel) 2007; 62:18. [PMID: 17223717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023] Open
|
46
|
Yellowish-white papules on forehead. Geriatrics (Basel) 2006; 61:30. [PMID: 17184140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023] Open
|
47
|
Persistent, scaly facial erythema with erosions. Hydrocortisone and shampooing offer no relief. Geriatrics (Basel) 2006; 61:10. [PMID: 17112308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
|
48
|
Patient reports six-month history of minimally pruritic purple dots on legs. Non-blanching macules developed over six months. Geriatrics (Basel) 2006; 61:22. [PMID: 17034269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
|
49
|
Facial erythema with scale involving nose, lip folds. Daily shampooing does not relieve patient, who has history of Parkinson's disease. Geriatrics (Basel) 2006; 61:13. [PMID: 16989542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
|
50
|
Flat, asymmetrical pigmented patch on back: patient reports substantial sun exposure. Geriatrics (Basel) 2006; 61:14. [PMID: 16901192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
|