远程医疗对降低医疗条件薄弱地区患者心血管危险的作用

1、烦恼有何惧怕，既然躲不掉，就调好心态与它共存。心向阳光，何惧风霜。茫茫人海你我相遇就是缘分，欢迎下载！2021/4/262Telemedicine Impact on Reducing Cardiovascular Risk in Underserved Patients?2021/4/263Temple Telemedicine Research Center远程医疗研究中心我愿借此机会向盛情邀请我为本次长城会议主席团成员的胡大一先生表示由衷的感谢。同时也对那些为此而付出辛勤劳动的工作人员表示感谢。我还要感谢我的同事们： Bove, Homko, Masucci, and Cross 医生,

2、 以及我们的试验员 Philip Berger2021/4/264What is Telemedicine?nUse of medical information exchanged from one site to another via electronic communications for the health and education of the patient or health care provider for the purpose of improving patient care2021/4/265Telemedicine - ApproachesNon-Face-

3、to-Face TransactionsTraditional ApproachImage, X-rayMailedMedical Specialists Reviews and Sends a ReportTelemedicine ApproachElectronic TransferImage, X-rayMedical Specialists Reviews and Sends a ReportExamples - Radiology, Dermatology, Pathology2021/4/266Telemedicine - ApproachesTraditional Face-to

4、-FacePatient (+ Doctor)Patient (+ Doctor)Doctor or SpecialistsDoctor or SpecialistsVia Video ConferencingIn Same RoomTraditional ApproachTelemedicine ApproachExamples Office Visit, Consultation2021/4/267Telemedicine - ApproachesNon-Traditional Asynchronous Doctor not in direct contact with PatientEx

5、amples Letter to Doctor Telephone Call to Nurse E-mail2021/4/268Telemedicine - ApproachesNon-Traditional AsynchronousTelemedicine ApproachBP, Weight, StepsPatientDoctorInternetSecure Telemedicine SystemInternet2021/4/269OutlinenElements Driving DesignnNational Priority Computerize Medical SystemnHig

6、h Rate of CVD Risk FactorsnObesitynCost2021/4/2610Increased Risk for Cardiovascular Disease in African-Americans nCompared with white women, African-American women are more likely to live in poverty, and have less education; nExperience greater weight gain during childhood, and have lower resting me

7、tabolic rates, physical activity energy expenditures.nAbout half of African-American women are considered obese (BMI 30), nmore than 15% between 40 to 59 yrs old have extreme obesity (BMI 40) 2021/4/2611Increased Risk for Cardiovascular Disease in African-AmericansnAAs have a prevalence of diabetes:

8、 n19% for AA women compared to 7% for white women, and n16% for AA men compared to 8% for white mennAAs have a 40% greater prevalence of hypertension compared to whites. nRoughly 1 in 3 AAs has hypertension. nAAs have a rate of multiple risk factors.n9、 人的价值，在招收诱惑的一瞬间被决定。2022-6-122022-6-12Sunday, Ju

9、ne 12, 2022n10、低头要有勇气，抬头要有低气。2022-6-122022-6-122022-6-126/12/2022 8:38:01 PMn11、人总是珍惜为得到。2022-6-122022-6-122022-6-12Jun-2212-Jun-22n12、人乱于心，不宽余请。2022-6-122022-6-122022-6-12Sunday, June 12, 2022n13、生气是拿别人做错的事来惩罚自己。2022-6-122022-6-122022-6-122022-6-126/12/2022n14、抱最大的希望，作最大的努力。2022年6月12日星期日2022-6-1220

10、22-6-122022-6-12n15、一个人炫耀什么，说明他内心缺少什么。2022年6月2022-6-122022-6-122022-6-126/12/2022n16、业余生活要有意义，不要越轨。2022-6-122022-6-12June 12, 2022n17、一个人即使已登上顶峰，也仍要自强不息。2022-6-122022-6-122022-6-122022-6-122021/4/2613199119952002Obesity Trends* Among U.S. AdultsBRFSS, 1991-2002No Data 2 Weeks11%Never11%Requested Ret

11、raining11%2021/4/2627Telemedicine Patient Trends2021/4/2628Telemedicine Patient Trends2021/4/2629Telemedicine Patient Trends2021/4/2630Expected OutcomesnTelemedicine Group CVD Risk than the Control GroupnWhy Better control of BP, Lipids, Smoking CessationnDetermine Factors Contributing to Success an

12、d to Failure2021/4/2631Planned Updates2021/4/2632Temple Telemedicine Research CenterThank YouW2021/4/2633WEBDBInternetT1InternalNetworkSwitchVLAN-CapableSwitch to supportLogical VLANsVLAN1VLAN2VLAN4Clustered Web ServersVLAN5-6RouterBackup ServerVLAN3Database ServerIDSMonitoring WorkstationSecurity20

13、21/4/2634n9、 人的价值，在招收诱惑的一瞬间被决定。2022-6-122022-6-12Sunday, June 12, 2022n10、低头要有勇气，抬头要有低气。2022-6-122022-6-122022-6-126/12/2022 8:38:02 PMn11、人总是珍惜为得到。2022-6-122022-6-122022-6-12Jun-2212-Jun-22n12、人乱于心，不宽余请。2022-6-122022-6-122022-6-12Sunday, June 12, 2022n13、生气是拿别人做错的事来惩罚自己。2022-6-122022-6-122022-6-122022-6-126/12/2022n14、抱最大的希望，作最大的努力。2022年6月12日星期日2