Telemedicine as a therapeutic option in sports medicine: Results of a nationwide cross-sectional study among physicians and patients (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling
Keyword(s):  
Sports Medicine ◽  
Large Scale ◽  
Therapeutic Option ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Sectional Study ◽  
Cross Sectional ◽  
Virtual Visits ◽  
Training Courses ◽  
Economic Analyses

BACKGROUND Background: The global incidence of treating people in the field of sports medicine is increasing. The COVID-19 pandemic has changed everyday life. Many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in sports medicine could support physicians. OBJECTIVE The study analyses the use and perception of telemedicine applications among physicians and patients in the field of sports medicine in Germany. METHODS This prospective cross-sectional study was based on a survey of sports medicine physicians and patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated. Regression analyses were performed to show correlations. RESULTS We analyzed the responses of 729 patients and 702 sports medicine physicians. Most believed that telemedicine is useful. Physicians as well as patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine, although would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. Telemedicine is considered to be helpful for follow-up monitoring and prevention by both groups. CONCLUSIONS Telemedicine in Sports medicine finds limited use but high acceptance among physicians and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in tele-sportsmed is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

Implementation of telemedicine in times of SARS-CoV-2 in gynecology and obstetrics: Results of a nationwide cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling ◽  
Franziska Loos ◽  
Isabel Graul
Keyword(s):  
Large Scale ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Technical Equipment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gynecology And Obstetrics ◽  
Training Courses ◽  
Economic Analyses

BACKGROUND In the COVID-19 pandemic, many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in gynaecology (telegynaecology) could support gynaecologists and obstetricians. OBJECTIVE This study analyses the use and perception of telemedicine applications among gynaecologists in Germany. METHODS This prospective cross-sectional study was based on a survey of gynaecologists in Germany during the COVID-19 pandemic. Descriptive statistics were calculated and regression analyses were performed to show correlations. RESULTS The physicians expect telemedicine to be used in gynecology and obstetrics. 76. 4% (365/478) of the respondents rated their knowledge of telemedicine as insufficient. The majority of respondents (437/478, 91. 6%) said they did not currently use telemedicine, although 67. 3% (321/478) would like to do so. Obstacles to the introduction of telemedicine include the purchase of technical equipment (325/478, 68. 1%), administration (305/478, 64. 0%) and poor reimbursement (233/478, 48. 9%). Doctors surveyed would prefer telemedicine to communicate directly with other doctors (388/478, 81. 2%) rather than to communicate with patients (228/478, 47. 8%). In the treatment phases, 73. 2% (349/478) of the respondents would use telemedicine during follow-up. Half of the respondents would choose tele-culting as a specific approach to improving care (246/478, 51. 5%). CONCLUSIONS Telemedicine in gynecology finds little use but high acceptance among doctors. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in telegynecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

Acceptance, Use and Barriers of Telemedicine in times of SARS-CoV-2 in Transgender Health Care: Results of a nationwide cross-sectional survey (Preprint)

2021 ◽  
Author(s):  
Stefan Hertling ◽  
Doreen Hertling
Keyword(s):  
Health Care ◽  
Large Scale ◽  
Cross Sectional Study ◽  
User Preferences ◽  
Technical Equipment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Transgender Health ◽  
Virtual Visits ◽  
Economic Analyses

BACKGROUND The global incidence in the treatment of transident people is increasing. In the COVID-19 pandemic, many consultations had to be cancelled, postponed or converted to a virtual format. Telemedicine in Transgender Health Care management could support physicians. OBJECTIVE This study analyses the Acceptance, Use and Barriers of Telemedicine in times of SARS-CoV-2 in Transgender Health Care in Germany. METHODS This prospective cross-sectional study was based on a survey of gynecological endocrinologists and transident patients in Germany during the COVID-19 pandemic. Descriptive statistics were calculated and regression analyses were performed to show correlations. RESULTS We analyzed the responses of 269 transident patients and 202 gynaecological endocrinologists treating transident patients. Most believed that telemedicine was useful. Physicians as well as patients rated their knowledge of telemedicine as unsatisfactory. The majority of respondents said they do not currently use telemedicine, although would like to do so. Patients and physicians reported that their attitude had changed positively towards telemedicine and that their usage had increased due to COVID-19. The majority in both groups agreed on implementing virtual visits in stable disease conditions. In the treatment phases, 74.4% (150/202) of the respondents would use telemedicine during follow-up. Half of the respondents would choose telecounseling as a specific approach to improving care (128/202, 63.2%). Obstacles to the introduction of telemedicine include the purchase of technical equipment (132/202, 65.3%), administration (124/202, 61.2%) and poor reimbursement (106/202, 52.4%). CONCLUSIONS Telemedicine in Transgender Health Care finds limited use but high acceptance among doctors and patients alike. The absence of a structured framework is an obstacle to effective implementation. Training courses should be introduced to improve the limited knowledge in the use of telemedicine. More research in teleendogynaecology is needed. These include large-scale randomized controlled trials, economic analyses and the exploration of user preferences.

scholarly journals Acceptance of Telerheumatology: Results of a nationwide Survey of Rheumatologists and General Practitioners (Preprint)

2020 ◽  
Author(s):  
Felix Muehlensiepen ◽  
Johannes Knitza ◽  
Wenke Marquardt ◽  
Jennifer Engler ◽  
Axel Hueber ◽  
...  
Keyword(s):  
General Practitioners ◽  
Large Scale ◽  
Musculoskeletal Diseases ◽  
Nationwide Survey ◽  
User Preferences ◽  
Cross Sectional ◽  
Structural Framework ◽  
Full Capacity ◽  
Training Courses ◽  
Economic Analyses

BACKGROUND The worldwide burden of musculoskeletal diseases is increasing. The number of newly registered rheumatologists has stagnated. Primary care, which takes up a key role in early detection of rheumatic disease is working at full capacity. COVID-19 and its containment impede rheumatological treatment. Telemedicine in rheumatology (telerheumatology) could support rheumatologists and general practitioners. OBJECTIVE To investigate acceptance and preferences related to the use of telerheumatology care among German rheumatologists and general practitioners. METHODS A nationwide cross-sectional, self-completed, paper-based survey on telemedicine in rheumatology care was conducted among outpatient rheumatologists and general practitioners (pre-COVID-19). RESULTS A total of 73% (349/476) of survey participants rated their knowledge of telemedicine as unsatisfactory, poor, or very poor. The majority of survey participants (358/480, 75%) answered that they do not currently use telemedicine, although 62% would like to (291/467). Barriers to the implementation of telemedicine include the purchase of technology equipment (182/292, 62%), administration (181/292, 62%) and poor reimbursement (156/292, 53%). Seventy percent (117/168) of the surveyed physicians reckoned telemedicine could be used in rheumatology. Surveyed physicians would prefer to use telemedicine to communicate directly with other physicians (370/455, 81%), than to communicate with patients (213/455, 47%). Among treatment phases, 64% of participants would choose to use telemedicine during ‘follow-up’ (291/452). Half of the participants would choose 'telecounseling' as a specific approach to improve rheumatology care (91/170, 54%). CONCLUSIONS Before COVID-19 appeared, our results indicated generally low use but high acceptance of the implementation of telerheumatology among physicians. Participants indicated that the lack of a structural framework was a barrier to the effective implementation of telerheumatology. Training courses should be introduced to address the limited knowledge of physicians in the use of telemedicine. More research into telerheumatology is required. This includes large scale RCTs, economic analyses and the exploration of the user preferences. CLINICALTRIAL

Large-Scale Cross-Sectional Study of the Problem Areas in Diabetes Survey among Japanese Patients with Type 2 Diabetes Mellitus

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2393-PUB
Author(s):  
KENICHIRO TAKAHASHI ◽  
MINORI SHINODA ◽  
RIKA SAKAMOTO ◽  
JUN SUZUKI ◽  
TADASHI YAMAKAWA ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Large Scale ◽  
Japanese Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diabetes Survey

scholarly journals The Relationships Between Serum DHEA-S and AMH Levels in Infertile Women: A Retrospective Cross-Sectional Study

2021 ◽  
Vol 10 (6) ◽  
pp. 1211
Author(s):  
Li-Te Lin ◽  
Kuan-Hao Tsui
Keyword(s):  
Generalized Linear Models ◽  
Large Scale ◽  
Linear Models ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Dehydroepiandrosterone Sulphate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Infertile Women ◽  
The Relationship

The relationship between serum dehydroepiandrosterone sulphate (DHEA-S) and anti-Mullerian hormone (AMH) levels has not been fully established. Therefore, we performed a large-scale cross-sectional study to investigate the association between serum DHEA-S and AMH levels. The study included a total of 2155 infertile women aged 20 to 46 years who were divided into four quartile groups (Q1 to Q4) based on serum DHEA-S levels. We found that there was a weak positive association between serum DHEA-S and AMH levels in infertile women (r = 0.190, p < 0.001). After adjusting for potential confounders, serum DHEA-S levels positively correlated with serum AMH levels in infertile women (β = 0.103, p < 0.001). Infertile women in the highest DHEA-S quartile category (Q4) showed significantly higher serum AMH levels (p < 0.001) compared with women in the lowest DHEA-S quartile category (Q1). The serum AMH levels significantly increased across increasing DHEA-S quartile categories in infertile women (p = 0.014) using generalized linear models after adjustment for potential confounders. Our data show that serum DHEA-S levels are positively associated with serum AMH levels.

scholarly journals Eating Disorders in Top Elite Beach Handball Players: Cross Sectional Study

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 245
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Manuel Vicente-Martínez ◽  
Javier Sánchez-Sánchez ◽  
Laura Miralles-Amorós ◽  
María Martínez-Olcina ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Young Adults ◽  
Body Composition ◽  
Sports Medicine ◽  
Eating Habits ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eat 26

(1) Background: The preoccupation with the increasing appearance of eating disorders (ED) in athletes continues to grow, especially in athletes who practice team sports. ED severely affects the eating habits of the athletes, who tend to use unhealthy approaches to control their body weight. The development of nutritional education and early interventions by training staff is essential, and these factors are widely perceived as beneficial in sports medicine. This study evaluates the frequency at which beach handball (BH) players develop ED, also comparing the differences by sex and age (junior: adolescents vs. senior: young adults). In addition, the relation between body composition variables and ED was studied. (2) Methods: A descriptive and cross-sectional study was carried out in 69 top elite handball players (36 males and 33 females) from the Spanish National BH Team; who were separated by age (junior: adolescents and senior: young adults). The athletes completed the Eating Attitudes Test in its 26 item version (EAT-26). (3) Results: The prevalence of ED indicated that 11% of females had a high possibility of developing an ED, and 3% of males. Regarding the EAT-26 total score and subscales, no significant differences were found between female and male participants, or between the junior and senior categories. The correlations showed an association between body composition, in terms of body mass index, and the EAT-26 total score in both males and females. In the case of males, the correlation was negative. (4) Conclusions: Although there are no significant differences between sex or categories, it has been found that elite athletes are a population that is at high risk of developing ED.

A Re-Examination of Research on the Language of Black Children: The Need for a New Framework

1982 ◽  
Vol 164 (2) ◽  
pp. 157-172 ◽  
Author(s):  
Ida J. Stockman ◽  
Fay Boyd Vaughn-Cooke
Keyword(s):  
Working Class ◽  
Large Scale ◽  
Black Children ◽  
Cross Sectional Study ◽  
Linguistic Knowledge ◽  
Small Subset ◽  
Review Of The Literature ◽  
Sectional Study ◽  
Cross Sectional ◽  
New Framework

A review of the literature on the language of working-class Black children revealed that only a small subset of this research has focused on the acquisition and development of linguistic knowledge. Consequently major gaps exist in what is known about the linguistic abilities of these children. In an attempt to narrow these gaps, a team of researchers has initiated a large scale longitudinal and cross-sectional study of the acquisition of language by working-class Black children at the Center for Applied Linguistics in Washington, D. C. This paper will present a detailed description of the Center study. It will also critically evaluate existing research on the linguistic abilities of working-class Black children and its impact on language acquisition studies focusing on this population. The evaluation reveals that a new framework for analyzing the language of working-class Black children should be selected. The theory and methodology of the new framework are described.

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