Dépistage de la rétinopathie diabétique par télédiagnostic dans le Haut-Rhin

Lenoble, P.; Kheliouen, Mehdi; Bourderont, D; Klinger, V.; Nasica, X.; Benseddik, Y.; Holl, P.

doi:10.1016/j.jfo.2009.01.006

Cited by 12 publications

(3 citation statements)

References 11 publications

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“…We found some results consistent with other French telemedical screening studies: in the Haut-Rhin study reported by Lenoble et al, the rate of all stages of DR was 18.0% (vs. 13.9% in the current study) [ 13 ]. However, in this study, patients were recruited differently, referred by their physicians, whereas they were self-referred in our study.…”

Section: Discussionsupporting

confidence: 92%

“…As a result, screening with nonmydriatic retinal photographs and remote interpretation has been considered [ 10 ]. Various standardized recruitment protocols have been implemented to increase annual screenings, whether via a general practitioner or an endocrinologist, in hospitals [ 11 , 12 , 13 ] or drugstores [ 14 ], or even set up by local authorities [ 15 ]. Mobile screening is justified in Burgundy because of its vast territory and a density of ophthalmologists that is lower than the national average, at 6.65 ophthalmologists per 100,000 inhabitants, versus 8.8 per 100,000 in France (French Ministry of Health).…”

Section: Introductionmentioning

confidence: 99%

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Mobile Telemedicine Screening for Diabetic Retinopathy Using Nonmydriatic Fundus Photographs in Burgundy: 11 Years of Results

Charlot

Baudin

Tessier

et al. 2022

JCM

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We analyzed the results of mobile screening for diabetic retinopathy (DR) using retinal photographs, comparing these results between rural and periurban areas, and before and after the first national COVID-19 pandemic lockdown. The Burgundy Union Régionale des Professionnels de Santé (URPS) has organized an annual DR screening since 2004. The examination, performed by an orthoptist, consisted of taking the patient's history, intraocular pressure measurement, and taking retinal photographs. After remote transmission, the examinations were interpreted by participating ophthalmologists at the Dijon University Hospital. In September 2016, the screening was open to periurban townships. In 11 years, 10,220 patients were screened: 1,420 patients (13.9%) had DR of any type, with an average age of 68.5 (±11.3) years, and 59.2% were men. These patients had a statistically significantly higher glycated hemoglobin level (7.4% vs. 7.0%) and a longer duration of diabetes (13.8 vs. 9.3 years) than patients without DR. When comparing rural and periurban areas and periods before and after the beginning of the COVID-19 pandemic, we did not find any significant difference in the screening results. The results of this study are in line with the average findings of similar studies comparing screening strategies for DR. The early detection of DR can benefit from mobile telemedicine screening, identifying a considerable number of patients at an elevated risk, especially in rural areas where access to ophthalmological care is limited.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Mobile Telemedicine Screening for Diabetic Retinopathy Using Nonmydriatic Fundus Photographs in Burgundy: 11 Years of Results

Charlot

Baudin

Tessier

et al. 2022

JCM

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“…Telediagnosis is an emerging research area that has attracted considerable attention. With the help of telediagnosis technologies, patients are able to receive medical services at home, be pre-screened before they reach a hospital, or even get early warnings before emergency situations occur [1][2][3][4][5][6]. Although transmission of images, sounds, and key physical data is widely used in telediagnosis processes, what is lacking is an effective method to transform real-time and sensitive information, which is needed for accurate diagnosis, such as tactile and olfactory information.…”

Section: Introductionmentioning

confidence: 99%

Robust control of dielectric elastomer diaphragm actuator for human pulse signal tracking

Chen

Asmatulu

et al. 2017

Smart Mater. Struct.

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Human pulse signal tracking is an emerging technology that is needed in traditional Chinese medicine. However, soft actuation with multi-frequency tracking capability is needed for tracking human pulse signal. Dielectric elastomer (DE) is one type of soft actuating that has great potential in human pulse signal tracking. In this paper, a DE diaphragm actuator was designed and fabricated to track human pulse pressure signal. A physics-based and control-oriented model has been developed to capture the dynamic behavior of DE diaphragm actuator. Using the physical model, an H-infinity robust control was designed for the actuator to reject high-frequency sensing noises and disturbances. The robust control was then implemented in real-time to track a multi-frequency signal, which verified the tracking capability and robustness of the control system. In the human pulse signal tracking test, a human pulse signal was measured at the City University of Hong Kong and then was tracked using DE actuator at Wichita State University in the US. Experimental results have verified that the DE actuator with its robust control is capable of tracking human pulse signal.

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Prevalence, incidence and future projection of diabetic eye disease in Europe: a systematic review and meta-analysis

et al. 2019

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Dépistage de la rétinopathie diabétique par télédiagnostic dans le Haut-Rhin

Cited by 12 publications

References 11 publications

Mobile Telemedicine Screening for Diabetic Retinopathy Using Nonmydriatic Fundus Photographs in Burgundy: 11 Years of Results

Mobile Telemedicine Screening for Diabetic Retinopathy Using Nonmydriatic Fundus Photographs in Burgundy: 11 Years of Results

Robust control of dielectric elastomer diaphragm actuator for human pulse signal tracking

Prevalence, incidence and future projection of diabetic eye disease in Europe: a systematic review and meta-analysis

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