The remote diagnosis of malaria using telemedicine or e-mailed images.

We determined the ability of blinded remote expert microscopy to identify malaria parasites through transmission of malaria smear images via telemedicine and as e-mail attachments. Protocols for malaria smear transmission included: (1) transmission of sender-selected televised smears at various band...

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Publicado en:Military Medicine Vol. 171; no. 12; pp. 1167 - 1172
Autores principales: Murray CK, Mody RM, Dooley DP, Hospenthal DR, Horvath LL, Moran KD, Muntz RW, Murray, Clinton K, Mody, Rupal M, Dooley, David P, Hospenthal, Duane R, Horvath, Lynn L, Moran, Kimberly A, Muntz, Ronald W
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2006
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The remote diagnosis of malaria using telemedicine or e-mailed images.
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          Murray CK
          Mody RM
          Dooley DP
          Hospenthal DR
          Horvath LL
          Moran KD
          Muntz RW
          Murray, Clinton K
          Mody, Rupal M
          Dooley, David P
          Hospenthal, Duane R
          Horvath, Lynn L
          Moran, Kimberly A
          Muntz, Ronald W
        affil: Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA
      sug:
        subj:
          Email
          Malaria Pathology
          Microscopy Methods
          Military Medicine Methods
          Remote Consultation
          Confidence Intervals
          Descriptive Statistics
          Image Interpretation, Computer Assisted
          Immunity
          Independent Variable
          Logistic Regression
          Military Personnel
          Pilot Studies
          Protozoa
          Statistical Significance
          Texas
          United States
          Human
      ab: We determined the ability of blinded remote expert microscopy to identify malaria parasites through transmission of malaria smear images via telemedicine and as e-mail attachments. Protocols for malaria smear transmission included: (1) transmission of sender-selected televised smears at various bandwidths (Bw), (2) transmission of remote reader-directed televised smears at various Bw, and (3) transmission of digital photomicrographs as e-mail attachments. Twenty (14%) of 147 sender-selected, and 13 (6%) of 221 reader-directed, images were deemed unreadable by slide readers. The presence or absence of malaria was correctly identified in 98% of the remaining images. Sixty-four (34%) of 190 digital microphotographs were deemed unreadable, while the presence or absence of malaria was correctly identified in 100% of the remaining images. Correct speciation ranged from 45% to 83% across various transmission methods and Bw. The use of telemedicine and e-mail technology shows promise for the remote diagnosis of malaria.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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