Arduino-based Digital Advanced Audiometer

The ear is an organ that is able to detect or recognize sound and also has a lot to play in the balance and position of the body. The ears are organs that are very vulnerable to noise. There are two common causes of hearing loss, namely decreased hearing conduction (hearing loss) and nerve hearing (sensorineural hearing loss). To prevent deafness, hearing control is necessary. Generally to test hearing function is done regularly by the ENT doctor at the hospital. This if done many times is deemed ineffective because it is time consuming and requires relatively expensive costs, therefore an early diagnosis of portable hearing loss is designed that is expected to be able to test independently independently over and over again. This tool is equipped with SD Card data storage, where the results of the data can be consulted by a doctor for further diagnosis. This tool uses an arduino uno R3 control, the frequency generator uses IC XR2206. The highest error is at the frequency of 8000 Hz which is 0.52%, but overall all systems on the device are functioning properly and the error is still within tolerance of 10%. From the results of these data, this tool can be recommended for early diagnosis of hearing function

Telerehabilitation Clinical and Vocational Applications for Assistive Technology: Research, Opportunities, and Challenges

Rehabilitation service providers in rural or underserved areas are often challenged in meeting the needs of their complex patients due to limited resources in their geographical area. Recruitment and retention of the rural clinical workforce are beset by the ongoing problems associated with limited continuing education opportunities, professional isolation, and the challenges inherent in coordinating rural community healthcare. People with disabilities who live in rural communities also face challenges accessing healthcare. Traveling long distances to a specialty clinic for necessary expertise may be troublesome due to inadequate or unavailable transportation, disability specific limitations, and financial limitations. Distance and lack of access are just two threats to quality of care that now being addressed by the use of videoconferencing, information exchange, and other telecommunication technologies that facilitate telerehabilitation. This white paper illustrates and summarizes clinical and vocational applications of telerehabilitation. We provide definitions related to the fields of telemedicine, telehealth, and telerehabilitation, and consider the impetus for telerehabilitation. We review the telerehabilitation literature for assistive technology applications; pressure ulcer prevention; virtual reality applications; speech-language pathology applications; seating and wheeled mobility applications; vocational rehabilitation applications; and cost effectiveness. We then discuss external telerehabilitation influencers, such as the positions of professional organizations. Finally, we summarize clinical and policy issues in a limited context appropriate to the scope of this paper. Keywords: Telerehabilitation, Telehealth, Telemedicine, Telepractic

The role of telehealth technology in the remediation of pediatric feeding disorders

Teletherapy, the use of video conferencing technology to deliver therapy services, has the potential to provide ongoing services to children that might not otherwise be able to receive traditional intervention that it essential for them to thrive. Among children who are diagnosed with developmental disorders, as well as those who are typically developing, feeding related concerns are highly prevalent. The current report discusses the nature of feeding disorders in children across the continuum of development and diagnoses, synthesizes the current literature of feeding and non-feeding related intervention programs for children in various settings, and discusses their value for future clinical use and research.Communication Sciences and Disorder

Considerations For Implementing a Telerehabilitation Treatment Program For Individuals With Chronic Aphasia

The purpose of this research project is to identify the considerations that speech-language pathologists (SLPs) need to review before beginning to use telerehabilitation services to treat patients with chronic aphasia. This research will specifically target therapy treatments for patients with chronic aphasia and the technology adaptations and adjustments necessary for this population. This research project includes a systematic literature review as well as an in-service presentation. As telerehabilitation will continue to develop and grow, practicing SLPs need to have a foundational understanding of what teletherapy is, the patients suitable for services, and the benefits it has the potential to provide. This research project serves to provide SLPs with the foundational information necessary when beginning to learn about telerehabilitation services

Telerehabilitation: State-of-the-Art from an Informatics Perspective

Abstract to follow --please check bac

An Educational Audiology Model for Mississippi: Telepractice for Direct Service Provision

Hearing loss among school-aged children is becoming increasingly prevalent (CDC, 2019). Having hearing loss in a classroom setting can negatively affect a child’s language development, academic achievement, and social communication. Educational audiology plays a vital role in the academic success of children with hearing loss by providing a full range of audiology services to students, as part of a multidisciplinary team, to facilitate listening, learning, and communication access. By performing specialized assessments, monitoring personal hearing instruments, recommending, fitting, and managing hearing assistive technology, providing support services, and advocating on behalf of students with hearing loss, educational audiologists help to bridge the academic gap between students with hearing loss and their peers. In Mississippi, however, educational audiology services are severely lacking, with only two known working educational audiologists in the state who cannot feasibly provide services to every child with hearing loss in Mississippi schools. To meet the increasing need, this pilot study establishes an educational audiology model in which both telehealth and direct educational audiology service provision are delivered to one school district within the state. As technology advances, audiologists have successfully delivered services to students remotely (Steuerwald et al., 2018, Lancaster et al., 2008, Govender & Mars, 2017), saving both parties time and resources while effectively providing necessary care to students with hearing loss. The author intends to identify a new model for educational audiology service provision which will work to serve a greater number of students with hearing loss in the state

Plastic Mannequin-Based Robotic Telepresence for Remote Clinical Ward Rounding

Mobile robotic telepresence is a potential solution to addressing the problem of access to quality healthcare delivery in rural areas. Despite the availability of this system in its different forms, the capital and operating costs are unffordable for people living in rural areas, particularly in emerging economies. In this paper, the authors reduced the cost of mobile robotic telepresence solution for remote ward rounding using plastic mannequin and solar photovoltaic technology. An IP camera was fixed in each of the eye sockets of the plastic mannequin. These cameras are connected to a mini-computer embedded in the plastic mannequin. A Wi-Fi module establishes an Internet connection between remote physicians and rural healthcare facilities. In addition, most of these communities are not even connected to the power grid. Therefore, the system is powered by a solar photovoltaic energy source to provide a cheap and reliable power system. Another unique feature of this solution is that it gives the patient a better impression of the physical presence of a physician. This development will increase the adoption of robotic telepresense for remote clinical ward rounding in developing countrie

Best Practices for Building Interprofessional Telehealth: Report of a Conference

The Arizona Biomedical Research Centre (ABRC) has funded a series of workshops and conferences since 2016 to build the capacity of local, tribal, and state agencies, healthcare delivery organizations, and non-governmental organizations to engage in meaningful research related to health disparities. With the COVID-19 pandemic, the use of telehealth has dramatically increased, particularly in nursing, occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP). The purpose of this paper is to summarize the presentations and discussion from the conference titled “Telerehabilitation and Telepractice: An Interprofessional Conference to Build Connections and Best Practices,” held remotely on March 4-5, 2021. Terminology and concepts from the conference were debated, modified, and refined, based on an interprofessional audience. Presenters at the conference, all leaders in their field, discussed the current status of telehealth in their professions, including best practices, challenges, future trends, and research needs

Telemedicine and Telementoring in Rhinology, Otology, and Laryngology: A Scoping Review

Objective: Telemedicine and telementoring have had a significant boost across all medical and surgical specialties over the last decade and especially during the COVID-19 pandemic. The aim of this scoping review is to synthesize the current use of telemedicine and telementoring in otorhinolaryngology and head and neck surgery. Data Sources: PubMed and Cochrane Library. Review Methods: A scoping review search was conducted, which identified 469 articles. Following full-text screening by 2 researchers, 173 articles were eligible for inclusion and further categorized via relevant subdomains. Conclusions: Virtual encounters and telementoring are the 2 main applications of telemedicine in otolaryngology. These applications can be classified into 7 subdomains. Different ear, nose, and throat subspecialties utilized certain telemedicine applications more than others; for example, almost all articles on patient engagement tools are rhinology based. Overall, telemedicine is feasible, showing similar concordance when compared with traditional methods; it is also cost-effective, with high patient and provider satisfaction. Implications for Practice: Telemedicine in otorhinolaryngology has been widely employed during the COVID-19 pandemic and has a huge potential, especially with regard to its distributing quality care to rural areas. However, it is important to note that with current exponential use, it is equally crucial to ensure security and privacy and integrate HIPAA-compliant systems (Health Insurance Portability and Accountability Act) in the big data era. It is expected that many more applications developed during the pandemic are here to stay and will be refined in years to come