Biomedical subjects

Edward Lemaire

Publications and source records attributed to Edward Lemaire.

4 recordsLinked to original sources

PubMed2006

Service delivery trends for a physical rehabilitation outreach program.

PURPOSE: Evaluate clinical service characteristics of a physical rehabilitation outreach clinic. METHOD: A retrospective analysis on service-related factors and patient information (every clinical encounter between 1983 and 2002) was performed on the Terry Fox Mobile Clinic. The Terry Fox Mobile Clinic provided multidisciplinary physical rehabilitation outreach services for adults with disabilities in Eastern and North Eastern Ontario, Canada (on-site visits by rehabilitation specialists). Subjects include 4816 clients with physical disabilities from Eastern and North Eastern Ontario, Canada. Patient data (age, residence, diagnosis, inpatient/outpatient), clinic data (type, location, totals), team data (clinical disciplines), and assistive device utilization over the last 15 years of data were used for analysis. RESULTS: Over 15 years, 4816 clients (1032 clinic days, 1.46 patient-contact ratio) were seen by the outreach team. Single discipline days were the best 'number of clinic days' predictor. Following 1999, the 35-64 age group became predominate (instead of over-65). Most patients lived in their own residence. Stroke, amputations, neck and back pain, and cerebral palsy accounted for 53% of patient diagnoses. Wheelchairs and orthoses were the highest ranked assistive device consultations/prescriptions (total = 6304). Physicians were involved with the majority of patient contacts. Most clinic activity occurred at sites within 100 km driving distance. Sites over 200 km away had the lowest correlation with the number of clinic days. CONCLUSIONS: The 15 years of physical rehabilitation outreach service data is valuable for planning new outreach programs, benchmarking existing services, and telerehabilitation comparisons. Multidisciplinary physical rehabilitation can make a positive contribution to healthcare that extends beyond direct patient contact time.

Adult↗

PubMed2005

Data conferencing in health care.

Data conferencing is a computing technique that helps people to communicate in realtime and to share information with others simultaneously. The T.120 standard provides a base for: (1) multipoint data sharing; (2) interoperability; (3) reliable data transfer; (4) scalability, transparency and independence; (5) platform independence; (6) application independence. A review of the health-care data-conferencing literature identified 25 articles. Ten articles provided detailed information about data-conferencing applications. Of these, eight focused on application sharing, seven on whiteboards, two on chat and one on screen sharing. Articles published before the year 2000 typically focused on the use of NetMeeting and Intel ProShare with low-bandwidth network connections. After 2000, high-speed Internet connections became more popular and Web-based multimedia data conferencing became feasible. While there are undoubted benefits of data conferencing, more research and evaluation are required before the technique is widely implemented in health care.

Computer Communication Networks↗

PubMed2004

A shockwave approach for web-based clinical motion analysis.

Advances in Internet connectivity and personal multimedia computing have created opportunities for integrating simple motion analysis into clinical practice. The Macromedia Shockwave environment provides tools for creating media-rich software that runs within a Web browser. For this project, clinical motion analysis software was created using Shockwave that can load digital video clips of a client's motion, step/shuttle/play through the clip, superimpose a grid over the video image, measure relative joint angles, scale to a linear factor, measure distances, and measure average velocities. After installing the Shockwave and Quicktime video plug-ins, the Motion Analysis Tools-Shockwave program runs directly from a Web page hyperlink. Program testing involved comparing angle measurements, linear distances, stride length, and walking speed among six video clips. The first three clips were of a transtibial prosthesis being carried through the field of view (640 x 480, 320 x 240, 320 x 240 enlarged to 640 x 480). The second set of three clips was of a metal square carried through the field of view. Average root mean square errors were 2.0 degrees for angle measures and 1.2 cm for length measures. Stride length standard deviation was 4.6 cm (mean length = 212.1 cm). Average walking speed standard deviation was 0.015 m/s (mean speed = 1.15 m/s). The test results were consistent with video motion analysis results and within an acceptable range for clinical design-making. This Web-based motion analysis approach provides a useful tool for ubiquitous, quantitative, clinical gait analysis.

Decision Support Techniques↗

PubMed2003

A comparison between three electronic media and in-person learning for continuing education in physical rehabilitation.

We produced continuing education material in physical rehabilitation using a variety of electronic media. We compared four methods of delivering the learning modules: in person with a computer projector, desktop videoconferencing, Web pages and CD-ROM. Health-care workers at eight community hospitals and two nursing homes were asked to participate in the project. A total of 394 questionnaires were received for all modalities: 73 for in-person sessions, 50 for desktop conferencing, 227 for Web pages and 44 for CD-ROM. This represents a 100% response rate from the in-person, desktop conferencing and CD-ROM groups; the response rate for the Web group is unknown, since the questionnaires were completed online. Almost all participants found the modules to be helpful in their work. The CD-ROM group gave significantly higher ratings than the Web page group, although all four learning modalities received high ratings. A combination of all four modalities would be required to provide the best possible learning opportunity.

Education, Distance↗