Identification of cognitive factors related to remote work performance using closed circuit TV displays

Operator perceptual cognitive styles as predictors of remote task performance were identified. Remote tasks which require the use of servo controlled master/slave manipulators and closed circuit television for teleoperator repair and maintenance of nuclear fuel recycling systems are examined. A useful procedure for identifying such perceptual styles is described

An IT approach to cardiovascular care based on primary care

We describe a unique telemedicine approach to cardiovascular care, based in primary care, which combines store and forward with real time video. Patients presenting to the family practitioner (GP) with chest pain or symptoms indicative of cardiac disease are assessed within the health centre by exercise test ECG. The report, together with other clinical information is forwarded as an electronic referral to the cardiologist. Suitable candidates for angiography have an initial teleconsultation by video-conferencing, in which not only may the patient, GP and cardiologist discuss the diagnosis and forthcoming procedures in hospital, but also can undertake management of the patient, such as review of medication and life style. Follow-up consultations may be conducted by further tele-clinics. We also show how re-engineering the process has the potential to eliminate 75 of outpatient appointment

Nurses' and community support workers' experience of telehealth: A longitudinal case study

Copyright © 2014 Sharma and Clarke; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.This article has been made available through the Brunel Open Access Publishing Fund.Background - Introduction of telehealth into the healthcare setting has been recognised as a service that might be experienced as disruptive. This paper explores how this disruption is experienced. Methods - In a longitudinal qualitative study, we conducted focus group discussions prior to and semi structured interviews post introduction of a telehealth service in Nottingham, U.K. with the community matrons, congestive heart failure nurses, chronic obstructive pulmonary disease nurses and community support workers that would be involved in order to elicit their preconceptions and reactions to the implementation. Results - Users experienced disruption due to the implementation of telehealth as threatening. Three main factors add to the experience of threat and affect the decision to use the technology: change in clinical routines and increased workload; change in interactions with patients and fundamentals of face-to-face nursing work; and change in skills required with marginalisation of clinical expertise. Conclusion - Since the introduction of telehealth can be experienced as threatening, managers and service providers should aim at minimising the disruption caused by taking the above factors on board. This can be achieved by employing simple yet effective measures such as: providing timely, appropriate and context specific training; provision of adequate technical support; and procedures that allow a balance between the use of telehealth and personal visit by nurses delivering care to their patients

Underwater simulation of a lunar-surface traverse

Underwater simulation of lunar surface travers

Using the AHP to determine the correlation of product issues to profit

Analyzes the correlation between product issues and product profit using the analytic hierarchy process (AHP). Estimation on the effect of profit on product issues by AHP; failure of the AHP to determine the correlation factors; development of procedure for determining correlation factors

Towards an integrated and interoperable platform for telehealth and telecare

Copyright @ 2012 International Journal of Integrated Care (IJIC). This work is licensed under a (http://creativecommons.org/licenses/by/3.0) Creative Commons Attribution 3.0 Unported License.We present experience of implementing and evaluating a platform purpose designed to integrate interoperable telehealth and telecare. We chose the IEEE 11073 standards for all devices and used ZigBee wireless to support many devices concurrently and exploit its mesh networking to extend range around the entire house. We designed the home gateway to be unobtrusive; in project Hydra we used the smart meter and in other projects (Reaction, inCasa) we have developed a purpose designed plugtop ZigBee to GPRS gateway. All use common protocols and are interoperable. Technically the projects have been a success, and we have already implemented a wide range of devices on the common platform (BP, weight, SpO2, glucose, PIR, medication monitor, bed/chair sensor). Immediate feedback from participants has confirmed our goal of simplicity and convenience of use (and thus encourage adherence); and it is interesting that in discussion they then focus on the data rather than the technology. Our current goal is to exploit the potential for combination of physiological and environmental data to determine if change of habits can be detected and how this correlates with change in health. We are using this functionality to manage the frail elderly within project inCasa and we propose to present preliminary findings

Clinical users' perspective on telemonitoring of patients with long term conditions: Understood through concepts of Giddens's structuration theory & consequence of modernity

This is the post-print version of the article - Copyright @ 2010 IOS.This study involves conducting focus group discussions with clinical users (nurses and technicians) prior to the launch of telehealth service in Nottingham, UK, to elicit their initial perceptions about the service. It describes the findings from preliminary phase of otherwise a larger longitudinal study. Using Giddens’s concepts from structuration theory and con-sequence of modernity, we were able to acknowledge trust and sense of security as two very salient aspects that govern adop-tion of new technological innovation. Unattended, these as-pects contribute to arousal of conflict and contradiction within a system. In order for successful telehealth implementa-tions in health care setting, providers of the service, need to focus on ways in which clinical users’ trust can be gained and sense of security can be promoted while using the telehealth service and technology.Funding was obained from MATCH (Multidisciplinary Assessment of Technologies Centre for Healthcare)

Integrated simulation for (sustainable) building design : state-of-the-art illustration

Many buildings are still constructed or remodelled without consideration of energy conserving strategies or other sustainability aspects. To provide substantial improvements in energy consumption and comfort levels, there is a need to treat buildings as complete optimised entities not as the sum of a number of separately optimised components