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[JDerm] Teledermatology Within Correctional Settings in the United States: A Narrative Review of the Literature

JMIR Publications sent this email to their subscribers on May 27, 2023.

3 0 JMIR Dermatology
JMIR Publications

Content Update Alert, Friday 26th May 2023

Recently Published

Teledermatology Within Correctional Settings in the United States: A Narrative Review of the Literature

Samir Kamat, Aneesh Agarwal, Timothy Klufas, Saahil Patel, Jun Lu
Source: Freepik; Copyright: Freepik; URL: https://www.freepik.com/free-photo/sick-man-having-video-call-with-doctor_13761669.htm#query=telehealth&position=26&from_view=search&track=sph; License: Licensed by JMIR.
JMIR Dermatol 2023 (May 26); 6(1):e47115
HTML (open access): https://derma.jmir.org/2023/1/e47115
PDF (free): https://derma.jmir.org/2023/1/e47115/PDF


Evolution of a Project to Improve Inpatient-to-Outpatient Dermatology Care Transitions: Mixed Methods Evaluation

Samantha M R Kling, Maria A Aleshin, Erika A Saliba-Gustafsson, Donn W Garvert, Cati G Brown-Johnson, Alexis Amano, Bernice Y Kwong, Ana Calugar, Jonathan G Shaw, Justin M Ko, Marcy Winget
Source: freepik; Copyright: freepik; URL: https://www.freepik.com/free-photo/medium-shot-female-doctor-patient_33417222.htm#query=doctor%20consultation&position=12&from_view=search&track=ais; License: Licensed by JMIR.
JMIR Dermatol 2023 (May 25); 6(1):e43389
HTML (open access): https://derma.jmir.org/2023/1/e43389
PDF (free): https://derma.jmir.org/2023/1/e43389/PDF
Background: In-hospital dermatological care has shifted from dedicated dermatology wards to consultation services, and some consulted patients may require postdischarge follow-up in outpatient dermatology. Safe and timely care transitions from inpatient-to-outpatient specialty care are critical for patient health, but communication around these transitions can be disjointed, and workflows can be complex.
Objective: In this 3-phase quality improvement effort, we developed and evaluated an intervention that leveraged an electronic health record (EHR) feature, known as SmartPhrase, to enable a new workflow to improve transitions from inpatient care to outpatient dermatology...
read more

Store-and-Forward Teledermatology for Assessing Skin Cancer in 2023: Literature Review

Leah Kirsten Jones, Amanda Oakley
Store-and-forward teledermatology at Waikato Hospital. Source: Image created by the authors; Copyright: The Authors; URL: http://derma.jmir.org/2023/1/e43395/; License: Creative Commons Attribution (CC-BY).
JMIR Dermatol 2023 (May 17); 6(1):e43395
HTML (open access): https://derma.jmir.org/2023/1/e43395
PDF (free): https://derma.jmir.org/2023/1/e43395/PDF
Background: The role of teledermatology for skin lesion assessment has been a recent development, particularly, since the COVID-19 pandemic has impacted the ability to assess patients in person. The growing number of studies relating to this area reflects the evolving interest.
Objective: This literature review aims to analyze the available research on store-and-forward teledermatology for skin lesion assessment...
read more

Consensus Guidelines for Teledermatology: Scoping Review

Mollie R Cummins, Triton Ong, Julia Ivanova, Janelle F Barrera, Hattie Wilczewski, Hiral Soni, Brandon M Welch, Brian E Bunnell
Source: Freepik; Copyright: Drazen Zigic; URL: https://www.freepik.com/free-photo/closeup-woman-greeting-her-doctor-while-using-smart-phone-having-video-call-focus-is-female-doctor-touchscreen_26144009.htm; License: Licensed by JMIR.
JMIR Dermatol 2023 (May 15); 6(1):e46121
HTML (open access): https://derma.jmir.org/2023/1/e46121
PDF (free): https://derma.jmir.org/2023/1/e46121/PDF
Background: Consensus guidelines and recommendations play an important role in fostering quality, safety, and best practices, as they represent an expert interpretation of the biomedical literature and its application to practice. However, it is unclear whether the recent collective experience of implementing telemedicine and the concurrent growth in the evidence base for teledermatology have resulted in more robust guidance.
Objective: The objective of this review was to describe the extent and nature of currently available guidance, defined as consensus guidelines and recommendations available for telemedicine in dermatology, with guidance defined as consensus or evidence-based guidelines, protocols, or recommendations...
read more

Dermatology Journals’ Editorial Boards Require Improved Gender Equity: JMIR Dermatology’s Future Directions

Sarah Minion, Julianne Kiene, Robert Dellavalle
Source: Freepik; Copyright: Freepik; URL: https://www.freepik.com/free-photo/blocks-with-gender-symbols-seesaw_6658029.htm#query=gender%20equality&position=10&from_view=search&track=robertav1_2_sidr; License: Licensed by JMIR.
JMIR Dermatol 2023 (May 05); 6(1):e43256
HTML (open access): https://derma.jmir.org/2023/1/e43256
PDF (free): https://derma.jmir.org/2023/1/e43256/PDF
Gender disparities exist across all facets of academic medicine including within the editorial boards of dermatology journals. Only 22% of these editorial boards comprised women, even though 51% of full-time, faculty dermatologists are female. When inviting academic dermatologists to our editorial board at JMIR Dermatology, we invited 50% women to represent the gender distribution of academic dermatologists; however, we have not sufficiently reached gender equity among accepted editorial board members. We will continue to strive toward the goal of gender equity on our editorial board and invite other dermatology journals to do the same.


Latest Announcements

View All
Call for Papers: Theme Issue: International Society of Teledermatology (ISTD) World Congress 2023
Teledermatology has been increasingly gaining recognition as a means of delivering dermatological care at a distance, thereby expanding access to specialized care for patients in remote and underserved areas. This theme issue will provide a platform for researchers and practitioners to present their work on the latest advancements and best practices in the field.JMIR Dermatology—the official journal of the International Society of Teledermatology (ISTD)—and the journal’s guest editors welcome submissions to a special theme issue to coincide with the 10th ISTD World Congress held at the 23rd World Congress of Dermatology on July 4 to 7, 2023, in Singapore. This theme issue will allow attendees of the ISTD World Congress to share their work with a wider audience by disseminating their work in a well-respected, peer-reviewed, open-access journal. We invite original submissions of high-quality work on the discussion and sharing of knowledge, experimental work, and scientific and technical results related to...
read more

JMIR Dermatology has passed the Scientific Quality Review by NLM for PMC
JMIR Publications is pleased to announce that JMIR Dermatology (Editor-in-Chief Dr. Robert Dellavalle) has passed the Scientific Quality Review by the US National Library of Medicine (NLM) for PubMed Central (PMC). This decision reflects the scientific and editorial quality of the journal. All articles published from 2021 onward will be found on PMC and PubMed after their technical evaluation. Launched in 2018, JMIR Dermatology is a general dermatology journal that focuses on all topics related to diseases of the skin, hair, and nails, with special emphasis on technologies for information exchange, education, and clinical care.

Call for Papers for a New Theme Issue (2022): Celebrating Cochrane Skin: 25 Years of Evidence-Based Dermatology
JMIR Dermatology editor in chief Robert Dellavalle, MSPH, MD, PhD, and the editorial board welcome submissions to a special theme issue celebrating the 25th anniversary milestone of the Cochrane Skin Group and reflecting on the achievements and impact of the work of Cochrane Skin authors. Since its inception, Cochrane Skin has published over 125 systematic reviews on a broad range of interventions and conditions, many of which are cited in internationally recognized guidelines.This JMIR Dermatology theme issue calls for research letters or viewpoints highlighting the findings and influence of high-impact Cochrane Skin reviews. Authors can summarize findings from their Cochrane reviews (see JDerm’s Cochrane Corner for examples) or provide a broader commentary on the impact of the review on the field.JMIR Publications will not charge any article processing fees for these submissions.All articles submitted to this theme issue will be shared and published rapidly through the following mechanisms:JMIR Preprints are...
read more

Latest Submissions Open to Peer Review

View All
A clinical comparative study of an intelligent IoT-based HFNC device to provide respiratory support for patients with acute respiratory failure:a multi-center prospective controlled study
Yixiang Zhang, Yinfeng Wang, Qingquan Chen, Jiajing Zhuang, Huaxian Zheng, Haibin Lu, Chunfa Zhang, Jinzhen Ding, Liyong Shi, Xiaoping Lin, Weijing Wu, Xiaoyang Chen
Date Submitted: May 22, 2023
Open Peer Review Period: May 21, 2023 - Jul 16, 2023
Background: The prevalence of respiratory diseases has increased significantly, resulting in a rise in the use of high-flow nasal cannula (HFNC) therapy. However, certain limitations still exist in the clinical practice of HFNC therapy, such as prolonged equipment training and limited healthcare resources, which can lead to unforeseen emergencies. Fortunately, with the advent of Internet of Things (IoT) technology, great potential has emerged for developing novel solutions for medical equipment management to overcome these challenges. By integrating technology, information, and services, the IoT-based HFNC equipment and remote management platform can provide real-time patient monitoring, timely adjustments, and early warnings for respiratory failure, leading to improved clinical outcomes and economic benefits. Therefore, our study explored the use of these innovative technologies in enhancing clinical effectiveness and resource use.
Methods: In this study, we developed a remote management platform for respiratory equipment using the latest Internet of Things (IoT) and big data analysis technologies. Data on patients treated with high-flow nasal cannulas (HFNCs) were collected from 12 medical institutions in Fujian Province from December 2020 to December 2022. Patients were randomly allocated to either the ordinary HFNC group or the intelligent HFNC group. Basic patient information, medical history, laboratory indicators, total hospitalization costs and duration, comfort level, dryness score, and cough disorder scores were all recorded. The two groups were compared using the t tests and chi-square tests, and a P value of less than .05 was considered statistically significant. Advanced statistical methods were employed to ensure that the data were accurately analyzed and that the results were valid and reliable. Overall, we applied the latest scientific approaches and technologies to ensure the highest-quality data and analysis.
Results: A total of 619 patients were enrolled in this study, with no statistically significant differences between the ordinary HFNC group and the intelligent HFNC group in terms of general information. However, the use of intelligent HFNCs was associated with a significantly reduced hospitalization cost and duration compared to the ordinary HFNC group. Furthermore, patients using intelligent HFNCs reported consistently lower levels of dryness and rated higher in terms of comfort compared to those using ordinary HFNCs. There were no statistically significant differences in blood oxygen level, complications, clinical outcome, impaired coughing, dyspnea, or assisted respiratory muscle mobilization between the two groups. Overall, our findings suggested that the use of intelligent HFNCs may be a promising and effective solution for the management of respiratory diseases, with potential benefits for both patients and healthcare systems.
Conclusions: We successfully developed a remote management platform for respiratory equipment using Internet of Things (IoT) technology and big data analysis, with the intelligent high-flow nasal cannula (HFNC) as the core. Our findings indicated that patients who received treatment with the intelligent HFNC experienced improved comfort, shorter hospital stays, and reduced hospitalization costs compared to those who received traditional HFNC treatment. This platform not only provided precise oxygen therapy to patients with respiratory failure, but also supported physicians in analyzing conditions, enacting parameter settings, and issuing early sickness warnings. Consequently, the integration of IoT technology with intelligent HFNCs holds great potential in terms of cost and resource management and may present advantages compared to traditional HFNC methods.
add me as a reviewer

Evaluation of Arabic Web-Based Resources on Oral Lichen Planus
Azzam Almeshrafi, Arwa Alhamad, Arwa Alhamad, Arwa Alhamad, Arwa Alhamad, Hamoud AlKuraidees, Lubna AlNasser
Date Submitted: May 21, 2023
Open Peer Review Period: May 21, 2023 - Jul 16, 2023
Background: -
Objective: To explore and assess the quality of the Web-Based Health Information (WBHI) available and accessible to the public on Oral Lichen Planus (OLP) in the Arabic language.
Methods: The Arabic translation of the term OLP and its derivatives were searched in three general search platforms and the first few hundred results of each platform were reviewed for inclusion. We excluded content related to cutaneous LP, content not readily accessible to the public (e.g., requiring subscription fees, directed to healthcare providers), and content not created by healthcare providers or organizations (i.e., community forums, blogs, and social media). We assessed the quality of the Arabic WBHI with three standardized and validated tools: DISCERN, JAMA benchmarks, and Health on the Net (HON).
Results: Out of 911 resources of WBHI reviewed for eligibility, 49 were included in this study. Most WBHI resources were provided by commercial affiliations (57.1%), followed by not-for-profit affiliations (38.8%). WBHI on OLP are mostly presented with visual aids (i.e., images) (66%). Less than one-quarter of the WBHI resources (22.4%) met all four JAMA benchmarks, indicating full accountability of the WBHI’s providers. The DISCERN scores were highest for explicitly providing the aims of the WBHI resource while the lowest scores were noted for providing the effect of OLP (or OLP treatment) on the quality of life. HON scores showed the almost one-third of WBHI sources had scores above 70%, indicating higher reliability and credibility of the source, while one-fifth of the sources scored below 50%.
Conclusions: There are considerable variations in the quality of WBHI on OLP in Arabic, with majority of WBHI resources showing unfavorable scores on the quality assessment tools. Improved reporting of authors, updates, and references of WBHI will improve the quality and reliability of these OLP resources; and potentially, their utility and benefit to the public seeking WBHI on OLP in Arabic.
add me as a reviewer

The Toronto Tele-Retinal Screening Program for the Elderly in Long-Term Care: A Pilot Project
Michelle Lim, Tina Felfeli, Winnie Mangubat, Hamid Moghimi, Michael Grinton, Michael H. Brent
Date Submitted: May 21, 2023
Open Peer Review Period: May 20, 2023 - Jul 15, 2023
Background: Mobility challenges, transportation, and finances may serve as barriers to diabetic retinopathy (DR) screening in the growing elderly population in Ontario. Screening of patients in their own nursing homes using teleophthalmology may improve accessibility to DR screening.
Objective: To report the feasibility, results, and patient satisfaction of a pilot expansion of the Toronto Tele-Retinal Screening Program in an elderly long-term care home.
Methods: A pilot project was initiated with a cohort of elderly patients with Type II diabetes mellitus (DM) in long-term care who were referred to the Toronto Tele-Retinal Screening Program for DR screening between April 1, 2022 and July 1, 2022.
Results: A total of 28 patients were screened for DR. Half (14/28) of patients suffered from a fall within the last year and 35% (10/28) were fully dependent for mobility. Overall, 14.3% (4/28) of patients could not be successfully imaged. Of the patients imaged, 8.3% (2/24) were advised to arrange an urgent follow-up. Pathologies identified included uncontrolled glaucoma (4.1%, 1/24), non-proliferative DR (NPDR) (8.3%, 2/24), wet age-related macular degeneration (AMD) (8.3%, 2/24), and dry AMD (37.5%, 9/24). A total of 20.8% (5/24) patients could not undergo tabletop imaging due to mobility issues. Screening of 60% (3/5) of these patients were successful with the handheld camera. Overall, 90% (17/19) of patients rated their subjective screening experience as either “brilliant” or “really good.”
Conclusions: This pilot project demonstrated that the implementation of the Toronto Tele-Retinal Screening Program into elderly long-term care homes may mitigate common barriers to eye screening with a good subjective patient experience.
add me as a reviewer

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3 0 JMIR Dermatology JMIR Publications Content Update Alert, Friday 26th May 2023 RECENTLY PUBLISHED TELEDERMATOLOGY WITHIN CORRECTIONAL SETTINGS IN THE UNITED STATES: A NARRATIVE REVIEW OF THE LITERATURE Samir Kamat, Aneesh Agarwal, Timothy Klufas, Saahil Patel, Jun Lu Source: Freepik; Copyright: Freepik; URL: License: Licensed by JMIR. JMIR Dermatol 2023 (May 26); 6(1):e47115 HTML (open access): PDF (free): Facebook Twitter EVOLUTION OF A PROJECT TO IMPROVE INPATIENT-TO-OUTPATIENT DERMATOLOGY CARE TRANSITIONS: MIXED METHODS EVALUATION Samantha M R Kling, Maria A Aleshin, Erika A Saliba-Gustafsson, Donn W Garvert, Cati G Brown-Johnson, Alexis Amano, Bernice Y Kwong, Ana Calugar, Jonathan G Shaw, Justin M Ko, Marcy Winget Source: freepik; Copyright: freepik; URL: License: Licensed by JMIR. JMIR Dermatol 2023 (May 25); 6(1):e43389 HTML (open access): PDF (free): Background: In-hospital dermatological care has shifted from dedicated dermatology wards to consultation services, and some consulted patients may require postdischarge follow-up in outpatient dermatology. Safe and timely care transitions from inpatient-to-outpatient specialty care are critical for patient health, but communication around these transitions can be disjointed, and workflows can be complex. Objective: In this 3-phase quality improvement effort, we developed and evaluated an intervention that leveraged an electronic health record (EHR) feature, known as SmartPhrase, to enable a new workflow to improve transitions from inpatient care to outpatient dermatology... read more Facebook Twitter STORE-AND-FORWARD TELEDERMATOLOGY FOR ASSESSING SKIN CANCER IN 2023: LITERATURE REVIEW Leah Kirsten Jones, Amanda Oakley Store-and-forward teledermatology at Waikato Hospital. Source: Image created by the authors; Copyright: The Authors; URL: JMIR Dermatol 2023 (May 17); 6(1):e43395 HTML (open access): PDF (free): Background: The role of teledermatology for skin lesion assessment has been a recent development, particularly, since the COVID-19 pandemic has impacted the ability to assess patients in person. The growing number of studies relating to this area reflects the evolving interest. Objective: This literature review aims to analyze the available research on store-and-forward teledermatology for skin lesion assessment... read more Facebook Twitter CONSENSUS GUIDELINES FOR TELEDERMATOLOGY: SCOPING REVIEW Mollie R Cummins, Triton Ong, Julia Ivanova, Janelle F Barrera, Hattie Wilczewski, Hiral Soni, Brandon M Welch, Brian E Bunnell Source: Freepik; Copyright: Drazen Zigic; URL: License: Licensed by JMIR. JMIR Dermatol 2023 (May 15); 6(1):e46121 HTML (open access): PDF (free): Background: Consensus guidelines and recommendations play an important role in fostering quality, safety, and best practices, as they represent an expert interpretation of the biomedical literature and its application to practice. However, it is unclear whether the recent collective experience of implementing telemedicine and the concurrent growth in the evidence base for teledermatology have resulted in more robust guidance. Objective: The objective of this review was to describe the extent and nature of currently available guidance, defined as consensus guidelines and recommendations available for telemedicine in dermatology, with guidance defined as consensus or evidence-based guidelines, protocols, or recommendations... read more Facebook Twitter DERMATOLOGY JOURNALS’ EDITORIAL BOARDS REQUIRE IMPROVED GENDER EQUITY: JMIR DERMATOLOGY’S FUTURE DIRECTIONS Sarah Minion, Julianne Kiene, Robert Dellavalle Source: Freepik; Copyright: Freepik; URL: License: Licensed by JMIR. JMIR Dermatol 2023 (May 05); 6(1):e43256 HTML (open access): PDF (free): Gender disparities exist across all facets of academic medicine including within the editorial boards of dermatology journals. Only 22% of these editorial boards comprised women, even though 51% of full-time, faculty dermatologists are female. When inviting academic dermatologists to our editorial board at JMIR Dermatology, we invited 50% women to represent the gender distribution of academic dermatologists; however, we have not sufficiently reached gender equity among accepted editorial board members. We will continue to strive toward the goal of gender equity on our editorial board and invite other dermatology journals to do the same. Facebook Twitter LATEST ANNOUNCEMENTS View All Call for Papers: Theme Issue: International Society of Teledermatology (ISTD) World Congress 2023 Teledermatology has been increasingly gaining recognition as a means of delivering dermatological care at a distance, thereby expanding access to specialized care for patients in remote and underserved areas. This theme issue will provide a platform for researchers and practitioners to present their work on the latest advancements and best practices in the field.JMIR Dermatology—the official journal of the International Society of Teledermatology (ISTD)—and the journal’s guest editors welcome submissions to a special theme issue to coincide with the 10th ISTD World Congress held at the 23rd World Congress of Dermatology on July 4 to 7, 2023, in Singapore. This theme issue will allow attendees of the ISTD World Congress to share their work with a wider audience by disseminating their work in a well-respected, peer-reviewed, open-access journal. We invite original submissions of high-quality work on the discussion and sharing of knowledge, experimental work, and scientific and technical results related to... read more Facebook Twitter JMIR Dermatology has passed the Scientific Quality Review by NLM for PMC JMIR Publications is pleased to announce that JMIR Dermatology (Editor-in-Chief Dr. Robert Dellavalle) has passed the Scientific Quality Review by the US National Library of Medicine (NLM) for PubMed Central (PMC). This decision reflects the scientific and editorial quality of the journal. All articles published from 2021 onward will be found on PMC and PubMed after their technical evaluation. Launched in 2018, JMIR Dermatology is a general dermatology journal that focuses on all topics related to diseases of the skin, hair, and nails, with special emphasis on technologies for information exchange, education, and clinical care. Facebook Twitter Call for Papers for a New Theme Issue (2022): Celebrating Cochrane Skin: 25 Years of Evidence-Based Dermatology JMIR Dermatology editor in chief Robert Dellavalle, MSPH, MD, PhD, and the editorial board welcome submissions to a special theme issue celebrating the 25th anniversary milestone of the Cochrane Skin Group and reflecting on the achievements and impact of the work of Cochrane Skin authors. Since its inception, Cochrane Skin has published over 125 systematic reviews on a broad range of interventions and conditions, many of which are cited in internationally recognized guidelines.This JMIR Dermatology theme issue calls for research letters or viewpoints highlighting the findings and influence of high-impact Cochrane Skin reviews. Authors can summarize findings from their Cochrane reviews (see JDerm’s Cochrane Corner for examples) or provide a broader commentary on the impact of the review on the field.JMIR Publications will not charge any article processing fees for these submissions.All articles submitted to this theme issue will be shared and published rapidly through the following mechanisms:JMIR Preprints are... read more Facebook Twitter LATEST SUBMISSIONS OPEN TO PEER REVIEW View All A clinical comparative study of an intelligent IoT-based HFNC device to provide respiratory support for patients with acute respiratory failure:a multi-center prospective controlled study Yixiang Zhang, Yinfeng Wang, Qingquan Chen, Jiajing Zhuang, Huaxian Zheng, Haibin Lu, Chunfa Zhang, Jinzhen Ding, Liyong Shi, Xiaoping Lin, Weijing Wu, Xiaoyang Chen Date Submitted: May 22, 2023 Open Peer Review Period: May 21, 2023 - Jul 16, 2023 Background: The prevalence of respiratory diseases has increased significantly, resulting in a rise in the use of high-flow nasal cannula (HFNC) therapy. However, certain limitations still exist in the clinical practice of HFNC therapy, such as prolonged equipment training and limited healthcare resources, which can lead to unforeseen emergencies. Fortunately, with the advent of Internet of Things (IoT) technology, great potential has emerged for developing novel solutions for medical equipment management to overcome these challenges. By integrating technology, information, and services, the IoT-based HFNC equipment and remote management platform can provide real-time patient monitoring, timely adjustments, and early warnings for respiratory failure, leading to improved clinical outcomes and economic benefits. Therefore, our study explored the use of these innovative technologies in enhancing clinical effectiveness and resource use. Methods: In this study, we developed a remote management platform for respiratory equipment using the latest Internet of Things (IoT) and big data analysis technologies. Data on patients treated with high-flow nasal cannulas (HFNCs) were collected from 12 medical institutions in Fujian Province from December 2020 to December 2022. Patients were randomly allocated to either the ordinary HFNC group or the intelligent HFNC group. Basic patient information, medical history, laboratory indicators, total hospitalization costs and duration, comfort level, dryness score, and cough disorder scores were all recorded. The two groups were compared using the t tests and chi-square tests, and a P value of less than .05 was considered statistically significant. Advanced statistical methods were employed to ensure that the data were accurately analyzed and that the results were valid and reliable. Overall, we applied the latest scientific approaches and technologies to ensure the highest-quality data and analysis. Results: A total of 619 patients were enrolled in this study, with no statistically significant differences between the ordinary HFNC group and the intelligent HFNC group in terms of general information. However, the use of intelligent HFNCs was associated with a significantly reduced hospitalization cost and duration compared to the ordinary HFNC group. Furthermore, patients using intelligent HFNCs reported consistently lower levels of dryness and rated higher in terms of comfort compared to those using ordinary HFNCs. There were no statistically significant differences in blood oxygen level, complications, clinical outcome, impaired coughing, dyspnea, or assisted respiratory muscle mobilization between the two groups. Overall, our findings suggested that the use of intelligent HFNCs may be a promising and effective solution for the management of respiratory diseases, with potential benefits for both patients and healthcare systems. Conclusions: We successfully developed a remote management platform for respiratory equipment using Internet of Things (IoT) technology and big data analysis, with the intelligent high-flow nasal cannula (HFNC) as the core. Our findings indicated that patients who received treatment with the intelligent HFNC experienced improved comfort, shorter hospital stays, and reduced hospitalization costs compared to those who received traditional HFNC treatment. This platform not only provided precise oxygen therapy to patients with respiratory failure, but also supported physicians in analyzing conditions, enacting parameter settings, and issuing early sickness warnings. Consequently, the integration of IoT technology with intelligent HFNCs holds great potential in terms of cost and resource management and may present advantages compared to traditional HFNC methods. add me as a reviewer Facebook Twitter Evaluation of Arabic Web-Based Resources on Oral Lichen Planus Azzam Almeshrafi, Arwa Alhamad, Arwa Alhamad, Arwa Alhamad, Arwa Alhamad, Hamoud AlKuraidees, Lubna AlNasser Date Submitted: May 21, 2023 Open Peer Review Period: May 21, 2023 - Jul 16, 2023 Background: - Objective: To explore and assess the quality of the Web-Based Health Information (WBHI) available and accessible to the public on Oral Lichen Planus (OLP) in the Arabic language. Methods: The Arabic translation of the term OLP and its derivatives were searched in three general search platforms and the first few hundred results of each platform were reviewed for inclusion. We excluded content related to cutaneous LP, content not readily accessible to the public (e.g., requiring subscription fees, directed to healthcare providers), and content not created by healthcare providers or organizations (i.e., community forums, blogs, and social media). We assessed the quality of the Arabic WBHI with three standardized and validated tools: DISCERN, JAMA benchmarks, and Health on the Net (HON). Results: Out of 911 resources of WBHI reviewed for eligibility, 49 were included in this study. Most WBHI resources were provided by commercial affiliations (57.1%), followed by not-for-profit affiliations (38.8%). WBHI on OLP are mostly presented with visual aids (i.e., images) (66%). Less than one-quarter of the WBHI resources (22.4%) met all four JAMA benchmarks, indicating full accountability of the WBHI’s providers. The DISCERN scores were highest for explicitly providing the aims of the WBHI resource while the lowest scores were noted for providing the effect of OLP (or OLP treatment) on the quality of life. HON scores showed the almost one-third of WBHI sources had scores above 70%, indicating higher reliability and credibility of the source, while one-fifth of the sources scored below 50%. Conclusions: There are considerable variations in the quality of WBHI on OLP in Arabic, with majority of WBHI resources showing unfavorable scores on the quality assessment tools. Improved reporting of authors, updates, and references of WBHI will improve the quality and reliability of these OLP resources; and potentially, their utility and benefit to the public seeking WBHI on OLP in Arabic. add me as a reviewer Facebook Twitter The Toronto Tele-Retinal Screening Program for the Elderly in Long-Term Care: A Pilot Project Michelle Lim, Tina Felfeli, Winnie Mangubat, Hamid Moghimi, Michael Grinton, Michael H. Brent Date Submitted: May 21, 2023 Open Peer Review Period: May 20, 2023 - Jul 15, 2023 Background: Mobility challenges, transportation, and finances may serve as barriers to diabetic retinopathy (DR) screening in the growing elderly population in Ontario. Screening of patients in their own nursing homes using teleophthalmology may improve accessibility to DR screening. Objective: To report the feasibility, results, and patient satisfaction of a pilot expansion of the Toronto Tele-Retinal Screening Program in an elderly long-term care home. Methods: A pilot project was initiated with a cohort of elderly patients with Type II diabetes mellitus (DM) in long-term care who were referred to the Toronto Tele-Retinal Screening Program for DR screening between April 1, 2022 and July 1, 2022. Results: A total of 28 patients were screened for DR. Half (14/28) of patients suffered from a fall within the last year and 35% (10/28) were fully dependent for mobility. Overall, 14.3% (4/28) of patients could not be successfully imaged. Of the patients imaged, 8.3% (2/24) were advised to arrange an urgent follow-up. Pathologies identified included uncontrolled glaucoma (4.1%, 1/24), non-proliferative DR (NPDR) (8.3%, 2/24), wet age-related macular degeneration (AMD) (8.3%, 2/24), and dry AMD (37.5%, 9/24). A total of 20.8% (5/24) patients could not undergo tabletop imaging due to mobility issues. Screening of 60% (3/5) of these patients were successful with the handheld camera. Overall, 90% (17/19) of patients rated their subjective screening experience as either “brilliant” or “really good.” Conclusions: This pilot project demonstrated that the implementation of the Toronto Tele-Retinal Screening Program into elderly long-term care homes may mitigate common barriers to eye screening with a good subjective patient experience. add me as a reviewer Facebook Twitter Your username is and your email address is [email protected]. 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