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Telemedicine is a multipurpose tool that allows medical professionals to use technology as a means to evaluate, diagnose, and treat patients remotely. This paper focuses on the challenges that developing telemedicine programs face, specifically discussing target population, user experience, and physician adoption. Various users of telemedicine share their experiences overcoming

Telemedicine is a multipurpose tool that allows medical professionals to use technology as a means to evaluate, diagnose, and treat patients remotely. This paper focuses on the challenges that developing telemedicine programs face, specifically discussing target population, user experience, and physician adoption. Various users of telemedicine share their experiences overcoming such challenges with the greater goal of this paper being to facilitate the growth of telemedicine programs.
ContributorsPalakodaty, Shivani Venkatasri (Author) / Liss, Julie (Thesis director) / Berisha, Visar (Committee member) / School of International Letters and Cultures (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Previous studies have found that the detection of near-threshold stimuli is decreased immediately before movement and throughout movement production. This has been suggested to occur through the use of the internal forward model processing an efferent copy of the motor command and creating a prediction that is used to cancel

Previous studies have found that the detection of near-threshold stimuli is decreased immediately before movement and throughout movement production. This has been suggested to occur through the use of the internal forward model processing an efferent copy of the motor command and creating a prediction that is used to cancel out the resulting sensory feedback. Currently, there are no published accounts of the perception of tactile signals for motor tasks and contexts related to the lips during both speech planning and production. In this study, we measured the responsiveness of the somatosensory system during speech planning using light electrical stimulation below the lower lip by comparing perception during mixed speaking and silent reading conditions. Participants were asked to judge whether a constant near-threshold electrical stimulation (subject-specific intensity, 85% detected at rest) was present during different time points relative to an initial visual cue. In the speaking condition, participants overtly produced target words shown on a computer monitor. In the reading condition, participants read the same target words silently to themselves without any movement or sound. We found that detection of the stimulus was attenuated during speaking conditions while remaining at a constant level close to the perceptual threshold throughout the silent reading condition. Perceptual modulation was most intense during speech production and showed some attenuation just prior to speech production during the planning period of speech. This demonstrates that there is a significant decrease in the responsiveness of the somatosensory system during speech production as well as milliseconds before speech is even produced which has implications for speech disorders such as stuttering and schizophrenia with pronounced deficits in the somatosensory system.
ContributorsMcguffin, Brianna Jean (Author) / Daliri, Ayoub (Thesis director) / Liss, Julie (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Previous research has shown that a loud acoustic stimulus can trigger an individual's prepared movement plan. This movement response is referred to as a startle-evoked movement (SEM). SEM has been observed in the stroke survivor population where results have shown that SEM enhances single joint movements that are usually performed

Previous research has shown that a loud acoustic stimulus can trigger an individual's prepared movement plan. This movement response is referred to as a startle-evoked movement (SEM). SEM has been observed in the stroke survivor population where results have shown that SEM enhances single joint movements that are usually performed with difficulty. While the presence of SEM in the stroke survivor population advances scientific understanding of movement capabilities following a stroke, published studies using the SEM phenomenon only examined one joint. The ability of SEM to generate multi-jointed movements is understudied and consequently limits SEM as a potential therapy tool. In order to apply SEM as a therapy tool however, the biomechanics of the arm in multi-jointed movement planning and execution must be better understood. Thus, the objective of our study was to evaluate if SEM could elicit multi-joint reaching movements that were accurate in an unrestrained, two-dimensional workspace. Data was collected from ten subjects with no previous neck, arm, or brain injury. Each subject performed a reaching task to five Targets that were equally spaced in a semi-circle to create a two-dimensional workspace. The subject reached to each Target following a sequence of two non-startling acoustic stimuli cues: "Get Ready" and "Go". A loud acoustic stimuli was randomly substituted for the "Go" cue. We hypothesized that SEM is accessible and accurate for unrestricted multi-jointed reaching tasks in a functional workspace and is therefore independent of movement direction. Our results found that SEM is possible in all five Target directions. The probability of evoking SEM and the movement kinematics (i.e. total movement time, linear deviation, average velocity) to each Target are not statistically different. Thus, we conclude that SEM is possible in a functional workspace and is not dependent on where arm stability is maximized. Moreover, coordinated preparation and storage of a multi-jointed movement is indeed possible.
ContributorsOssanna, Meilin Ryan (Author) / Honeycutt, Claire (Thesis director) / Schaefer, Sydney (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Description

Since the beginning of the COVID-19 pandemic, telemedicine usage in America has experienced extreme peaks as a method of maintaining social distancing for medical staff and patients. While there have been numerous significant positive effects from increasing this practice, there are also significant risks to be explored. Patients and physicians

Since the beginning of the COVID-19 pandemic, telemedicine usage in America has experienced extreme peaks as a method of maintaining social distancing for medical staff and patients. While there have been numerous significant positive effects from increasing this practice, there are also significant risks to be explored. Patients and physicians have been navigating new technology, new protocols, and new dynamics at a high rate. Doctors using telemedicine are required to rely more heavily on their judgment with less data than usual to support their hypotheses. This results in a wide variety of potential complications that can be detrimental to patients and physicians alike. Though negative outcomes are not nearly the majority, it is clear that for telemedicine to function at its fullest capacity, the limitations of its technology must be defined and communicated. A survey was distributed to physicians currently practicing telemedicine to understand more about the usage increase in telemedicine and the incidence rates of telemedicine-related complications. The results showed that although the impact of telemedicine has been largely positive, there certainly are risks that must be considered and prepared for. Thus, it is the responsibility of healthcare systems to ensure that their policies are current and appropriate in proportion to their usage of telemedicine to better protect and prepare patients and doctors for this new frontier of medicine.

ContributorsRogers, Hannah (Author) / Lynch, John (Thesis director) / Grimaldi, Lisa (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2022-05
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Description
Despite the benefits of prehabilitation before surgery, many patients do not participate in these programs. Research has shown that prehab reduces the duration of hospital stays, thus the cost of hospitalization, and improves the recovery process from surgery. This paper aims to determine why prehab is not as common as

Despite the benefits of prehabilitation before surgery, many patients do not participate in these programs. Research has shown that prehab reduces the duration of hospital stays, thus the cost of hospitalization, and improves the recovery process from surgery. This paper aims to determine why prehab is not as common as rehab by evaluating its accessibility issues related to the amount of information accessible to patients, and the cost and insurance policies related to prehab. Telemedicine is also presented as a possible solution to the accessibility issues, and viewed as an alternative that can increase the number of prehab participants. Literature review and analysis of clinic websites indicates that information availability and cost presents accessibility issues to prehab. Although cost and information availability of prehab presents an accessibility problem, and telemedicine has the potential to increase the number of participants in prehab, it is found that many people still might not consider prehab as an option.
Studying prehab is interesting and it presents a unique case study of the benefits of preventative medicine. Preventative medicine is often not promoted because of the difficulty of measuring the benefits. But in the case of prehab, both the physical benefits and cost-savings are easily measurable. This paper presents an interesting and clear case study about the effectiveness of preventative medicine, and contributes important data in favor of shifting greater resources and attention to preventative medicine.
ContributorsKamucu, Damla (Author) / Brian, Jennifer (Thesis director) / Stecher, Chad (Committee member) / School of Life Sciences (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Extension for Community Healthcare Outcomes (ECHO) is a telemedicine knowledge sharing hub for clinicians, managers, administrators, and other health-care providers that integrates physical and behavioral health in underserved areas. The importance of behavioral health integration is that it allows providers to target complex conditions. For example, the top ten causes

Extension for Community Healthcare Outcomes (ECHO) is a telemedicine knowledge sharing hub for clinicians, managers, administrators, and other health-care providers that integrates physical and behavioral health in underserved areas. The importance of behavioral health integration is that it allows providers to target complex conditions. For example, the top ten causes of morbidity and mortality in the US have modifiable behavioral factors and unhealthy lifestyles (Mokdad et al., 2004). This health care has the potential to increase quality healthcare and accessibility to health while decreasing health care costs. ECHO participants gain better patient care skills, professional development, sharing new knowledge, and an opportunity to develop a community of learning. Despite the potential benefits, participation in ASU ECHO has been declining. This study assesses the barriers and facilitators to participation. The results suggest that the biggest barrier for participants is time and a facilitator for this is calendar technology like outlook.
ContributorsAbdelhabib, Tabark B (Author) / Martin, Matthew (Thesis director) / Manson, Lesley (Committee member) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description

This study investigates the impact of the COVID-19 pandemic on telemedicine-prescribed controlled substances by discussing the opinions of pharmacists holding an Arizona pharmacy license. To accommodate the rapid changes during the COVID-19 pandemic, the federal government adapted pharmacy laws to better support the healthcare community. The use of remote healthcare

This study investigates the impact of the COVID-19 pandemic on telemedicine-prescribed controlled substances by discussing the opinions of pharmacists holding an Arizona pharmacy license. To accommodate the rapid changes during the COVID-19 pandemic, the federal government adapted pharmacy laws to better support the healthcare community. The use of remote healthcare services such as telemedicine visits and online pharmacy services dramatically increased during the pandemic, so regulators waived tele-health restrictions like the Ryan Haight Act. This study involved structured interviews with 3 participants. The interviews revealed a positive outlook on the future of telehealth and the possibilities of modernizing healthcare and pharmacy. The study suggests that the waiving of the Ryan Haight Act was perceived somewhat positively by pharmacists, although they still had concerns regarding abandoning parts of the Act from a patient safety standpoint. The study concludes that certain pharmacy and telemedicine regulations are outdated given the positive and negative outcomes of these laws during the global pandemic. While this study offers insights on bringing various healthcare and law arguments together, the small sample size results in limited scope. The study still provides points of discussion to offer recommendations for implementation of the Ryan Haight Act and other similar tele-health and online-pharmacy regulations.

ContributorsNawara, Jihan (Author) / Martin, Thomas (Thesis director) / Maienschein, Jane (Committee member) / Ellison, Karin (Committee member) / Barrett, The Honors College (Contributor) / Department of Finance (Contributor) / Dean, W.P. Carey School of Business (Contributor) / School of Life Sciences (Contributor)
Created2023-05