{"created":"2023-05-15T16:50:14.961188+00:00","id":28029,"links":{},"metadata":{"_buckets":{"deposit":"41dc8060-3b85-48ef-b758-c84c7713c92d"},"_deposit":{"created_by":6,"id":"28029","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"28029"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00028029","sets":["29:30:1713167819629:2051"]},"author_link":["125075","125069","125076","125077","125073","125079","125074","125070","125078","125071","125072"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"92","bibliographicPageStart":"87","bibliographicVolumeNumber":"66","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Medical resources on remote islands are limited, which makes it difficult for patients to receive specialized medical care.\nPurpose: This study aimed to develop and evaluate a method to perform doctor-to-doctor-to-patient (D-to-D-to-P) telemedicine.\nMethods: The-D-to-D-to-P telemedicine was implemented to provide specialized medical support from a neurologist at Nagasaki University Hospital to a rural physician wearing camera-equipped smart glasses at Goto Chuoh Hospital on a remote island, which was called a virtual neurological outpatient (VNO). For the first six months, the rural physician independently saw patients with Parkinson’s disease (PD), and then for the next six months, VNO was implemented. Comparisons were made before and after the implementation of the VNO. Next, by adding a 4 K overhead camera, in-person examinations of a single outpatient were compared between the rural physician with VNO and another neurologist unrelated to the VNO.\nResults: The clinical efficacy of VNO was not superior to no VNO, but had a learning effect on rural physicians and was satisfactory for patients. By adding a 4 K overhead camera to the VNO, the accuracy of the in-person examination by the rural physician was shown to be equivalent to that of an in-person neurologist.\nConclusion: VNO using smart glasses could be applied for D-to-D-to-P telemedicine in neurology. However, to promote telemedicine on remote islands, it will be necessary to improve the system to make it more accessible to rural physicians.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia, 66(2), pp.87-92; 2023","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_62":{"attribute_name":"sortkey","attribute_value_mlt":[{"subitem_text_value":"07"}]},"item_3_text_63":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"長崎大学医学部"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Miyazaki, Teiichiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Uehara, Hiroki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hirayama, Takuro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tomita, Yuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamashita, Kairi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Shima, Tomoaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nagaoka, Atsushi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshimura, Shunsuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tateishi, Yohei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Maeda, Takahiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tsujino, Akira"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-30"}],"displaytype":"detail","filename":"ActMed66_87.pdf","filesize":[{"value":"662.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ActMed66_87.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/28029/files/ActMed66_87.pdf"},"version_id":"5107f2f6-9272-4a76-aea4-ff2791d5bcb0"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"telemedicine","subitem_subject_scheme":"Other"},{"subitem_subject":"smart glasses","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Development of D-to-D-to-P telemedicine at a remote island hospital using smart glasses","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Development of D-to-D-to-P telemedicine at a remote island hospital using smart glasses"}]},"item_type_id":"3","owner":"6","path":["2051"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-03-30"},"publish_date":"2023-03-30","publish_status":"0","recid":"28029","relation_version_is_last":true,"title":["Development of D-to-D-to-P telemedicine at a remote island hospital using smart glasses"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2024-04-17T04:19:57.380355+00:00"}