31 research outputs found

    Clinical outcomes resulting from telemedicine interventions: a systematic review

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    BACKGROUND: The use of telemedicine is growing, but its efficacy for achieving comparable or improved clinical outcomes has not been established in many medical specialties. The objective of this systematic review was to evaluate the efficacy of telemedicine interventions for health outcomes in two classes of application: home-based and office/hospital-based. METHODS: Data sources for the study included deports of studies from the MEDLINE, EMBASE, CINAHL, and HealthSTAR databases; searching of bibliographies of review and other articles; and consultation of printed resources as well as investigators in the field. We included studies that were relevant to at least one of the two classes of telemedicine and addressed the assessment of efficacy for clinical outcomes with data of reported results. We excluded studies where the service did not historically require face-to-face encounters (e.g., radiology or pathology diagnosis). All included articles were abstracted and graded for quality and direction of the evidence. RESULTS: A total of 25 articles met inclusion criteria and were assessed. The strongest evidence for the efficacy of telemedicine in clinical outcomes comes from home-based telemedicine in the areas of chronic disease management, hypertension, and AIDS. The value of home glucose monitoring in diabetes mellitus is conflicting. There is also reasonable evidence that telemedicine is comparable to face-to-face care in emergency medicine and is beneficial in surgical and neonatal intensive care units as well as patient transfer in neurosurgery. CONCLUSIONS: Despite the widespread use of telemedicine in virtually all major areas of health care, evidence concerning the benefits of its use exists in only a small number of them. Further randomized controlled trials must be done to determine where its use is most effective

    Search for displaced photons produced in exotic decays of the Higgs boson using 13 TeV pp collisions with the ATLAS detector

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    A search is performed for delayed and nonpointing photons originating from the displaced decay of a neutral long-lived particle (LLP). The analysis uses the full run 2 dataset of proton-proton collisions delivered by the LHC at a center-of-mass energy of √ s = 13     TeV between 2015 and 2018 and recorded by the ATLAS detector, corresponding to an integrated luminosity of 139     fb − 1 . The capabilities of the ATLAS electromagnetic calorimeter are exploited to precisely measure the arrival times and trajectories of photons. The results are interpreted in a scenario where the LLPs are pair produced in exotic decays of the 125 GeV Higgs boson, and each LLP subsequently decays into a photon and a particle that escapes direct detection, giving rise to missing transverse momentum. No significant excess is observed above the expectation due to Standard Model background processes. The results are used to set upper limits on the branching ratio of the exotic decay of the Higgs boson. A model-independent limit is also set on the production of photons with large values of displacement and time delay
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