مجال
التميز
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تميز دراسي وبحثي
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البحوث المنشورة
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البحث (1):
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عنوان البحث:
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Web-Based Remote Monitoring Systems for
Self-Managing Type 2 Diabetes: A Systematic Review
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رابط إلى البحث:
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Click here
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تاريخ النشر:
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01/04/2015
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موجز عن البحث:
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This systematic review aims to evaluate
evidence for viability and impact of Web-based telemonitoring for managing
type 2 diabetes mellitus. A review protocol included searching Medline,
EMBASE, CINAHL, AMED, the Cochrane Library, and PubMed using the following
terms: telemonitoring, type 2 diabetes mellitus, self-management, and
web-based Internet solutions. The technology used, trial design, quality of
life measures, and the glycated hemoglobin (HbA1c) levels were extracted.
This review identified 426 publications; of these, 19 met preset inclusion
criteria. Ten quasi-experimental research designs were found, of which seven
were pre–posttest studies, two were cohort studies, and one was an
interrupted time-series study; in addition, there were nine randomized
controlled trials. Web-based remote monitoring from home to hospital is a
viable approach for healthcare delivery and enhances patients’ quality of
life. Six of these studies were conducted in South Korea, five in the United
States, three in the United Kingdom, two in Taiwan, and one each in Spain,
Poland, and India. The duration of the studies varied from 4 weeks to 18
months, and the participants were all adults. Fifteen studies showed positive
improvement in HbA1c levels. One study showed high acceptance of the
technology among participants. It remains challenging to identify clear
evidence of effectiveness in the rapidly changing area of remote monitoring
in diabetes care. Both the technology and its implementations are complex.
The optimal design of a telemedicine system is still uncertain, and the value
of the real-time blood glucose transmissions is still controversial.
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المؤتمرات العلمية:
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المؤتمر (1):
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عنوان المؤتمر:
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NI Connected Health Ecosystem meeting
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تاريخ الإنعقاد:
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02/10/2014
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مكان
الإنعقاد:
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Belfast – Northern Ireland
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طبيعة المشاركة:
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Oral presentation
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عنوان المشاركة:
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Web-Based Remote Monitoring Systems for
Self-Managing Type 2 Diabetes: A Systematic Review
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ملخص المشاركة:
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The aim of our systematic review is: to
evaluate evidence for feasibility and impact of telemedicine and web-based
telemonitoring for managing Type 2 Diabetes Mellitus. We used MEDLINE,
EMBASE, CINAHL, AMED, Cochrane and PubMed to conduct our search using the
terms: telemonitoring for type-II diabetes mellitus self-management using
web-based Internet solutions. The
technology used, trial design, quality of life and the Glycated haemoglobin
(HbA1c) outcome measures used were extracted for systemic reviews and
meta-analyses, randomised controlled trials and cohort studies. Our search
identified 426 publications; 19 only publications met our search criteria.
Ten quasi-experiments out of which seven are pre-post test studies, two are
cohort studies and one is interrupted time-series study and nine randomised
controlled trials (RCT). Electronic transfer of glucose results from home to
hospital appears to be more feasible for healthcare delivery. Six of these
studies were conducted in USA, six in South Korea, three in the United
Kingdom, two in Taiwan and one in each of Spain, Poland and India. The
duration of the studies varied from four weeks to eighteen months and the
participants were all adults. Fifteen studies showed positive improvement in
HbA1c levels. One study showed high acceptance of the technology among
participants. In the end, it remains challenging to identify evidence in the
rapidly changing area of remote monitoring in diabetes care. Both the
technology and its typology are complex. The optimal design of a telemedicine
system is still uncertain and the impact of the real-time blood glucose
transmissions is still controversial.
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المؤتمر (2):
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عنوان المؤتمر:
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20th
HISI Annual Conference & Scientific Symposium
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تاريخ الإنعقاد:
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25/11/2015
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مكان
الإنعقاد:
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Dublin, Republic of Ireland
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طبيعة المشاركة:
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Paper presentation
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عنوان المشاركة:
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The Journey towards Successful Research in a
Diabetes Clinic: Expectations vs. Reality
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ملخص المشاركة:
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In theory, conducting robust clinical
research is a matter of developing a strong proposal with ethical governance
and following through the complete research cycle. However, the reality of
design and conducting research is a complicated process involving many
opportunities and obstacles that challenge the researcher from start to
finish. In this paper we reflect on our experience of conducting our study
and how these were responded to and influenced the research. A brief overview
of our study’s design and location is provided followed by a pragmatic
discussion of the challenges as they arose. An understanding emerged of the
critical need to nurture a mutual understanding and strong collaboration
between the research team, clinical team and the patient as a key facilitator
in completing a research trial.
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المؤتمر (3):
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عنوان المؤتمر:
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20th
HISI Annual Conference & Scientific Symposium
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تاريخ الإنعقاد:
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26/11/2015
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مكان
الإنعقاد:
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Dublin, Republic of Ireland
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طبيعة المشاركة:
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Paper presentation
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عنوان المشاركة:
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Self-management of diabetes mellitus with remote
monitoring: A retrospective review of 214 cases
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ملخص المشاركة:
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Background: To meet the
increasing need for services, remote monitoring of people with diabetes has
been introduced using computerised home-based data acquisition. It has been suggested that remote
monitoring can enhance self-management of the disease.
Purpose: To investigate
the efficacy of a remote monitoring system to achieve optimal self-management
of diabetes.
Methods: Medical
records of 214 patients using a remote monitoring solution to help patients
self-manage diabetes were retrieved, from seven diabetes clinics within a
single Health & Social Care trust. With ethical permission, data was
gathered retrospectively from October 2011 to July 2015. Data on HbA1c, blood
glucose, blood pressure and body mass index were obtained from the patient’s
medical record, before and after using the remote monitoring solution.
Results: The average
age of users was 61 years: 60% of the sample were male. The average time
living with diabetes was 14 years; the mean duration with remote
telemonitoring (to self-manage their diabetes) was 147 days. HbA1c levels
improved significantly after telemonitoring. A greater reduction in HbA1c was
seen with female users compared to males 2.37% and 0.87%, respectively.
Conclusion: Remote
telemonitoring provided the opportunity to collect comprehensive data,
allowing patients to be remotely supported to self-manage diabetic control at
home, while showing significant improvement in their HbA1c and better overall
management of their diabetes.
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