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Types of teleconferences and server. Participation in online and offline teleconference

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Types of teleconferences and server. Participation in online and offline teleconference

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ID: CN-00758176
AU: Ryuzaki M
AU: Nakamoto H
AU: Nishida E
AU: Sone M
AU: Nakajima S
AU: Suzuki Y
TI: The Blood Pressure Control Crossover Study with Amlodipine vs. Nifedipine CR Monitoring Precise Home Blood Pressure via New Telemedicine System Using Cellular Phone
SO: Hypertension
YR: 2005
VL: 46
NO: 5
CC: Hypertension
PG: 866‐867
PT: Journal article
AB: Introduction: We already developed a telemedicine system using a cellular phone and internet web site to monitor changes in blood pressure and pulse rate in patients at home (Nakamoto et al., Hypertension 42: 442â€"3, 2003). Using this system, we have conducted the blood pressure control crossover study with amlodipine vs. nifedipine CR. Methods: Patients who were not taking an anti‐hypertensive ca‐antagonist other than amlodipine (A) or nifedipine CR (N) were eligible to enter this study. The patients in the first group (n 11) started A 2.5 mg/day. Doses of A were increased to achieve home blood pressure less than 135 / 85 mmHg to the extent of 7.5 mg/day. If necessary, atenolol was added. After achieving the target blood pressure, home blood pressure was monitored for more than 6 weeks and then A was changed to N. Home blood pressure monitoring was continued for more than 6 weeks after changing medication. The patients in second group (n 9) took N firstly, and then changed to A. The alternative doses were as follows; A 2.5 mg/day N 20 mg/day, A 5.0 mg/day N 40mg/day, A 7.5 mg/day N 60 mg/day. Blood pressure was checked at least twice a day, in the morning within 1 hour after wake‐up and in the evening before going to bed. Data of blood pressure and pulse rate were measured by automatic sphygmomanometer and were directly collected by i‐converter. All data including the time of measurement were directly sent and accumulated in the main server constructed in NTT DoCoMo data center through cellular phone operated by i‐converter. We could download data to CSV file like Excel and analyze them easily. Results: The mean of morning blood pressure in each period of medicine was significantly decreased in N period ( 133.0 1.1 / 78.1 1.1 mmHg (A) vs. 130.0 0.9 / 77.9 1.0 mmHg (N), p 0.05 ). The mean of morning pulse rate significantly increased in N period ( 68.4 1.2 beats / min (A) vs. 70.5 1.3 beats / min (N), p 0.05 ).Conclusion: The blood pressure reduction effect of nifedipine CR is stronger than that of amlodipine. Also, nifedipine CR increases pulse rate at our alternative dose setting. In this study, we have collected more data of home blood pressure in the quality and quantity than the previous studies through our telemedicine system. We also reduced the effort of data analysis with this system. (59th Annual Fall Conference and Scientific Sessions of the Council for High Blood Pressure Research)
US: https://www.cochranelibrary.com/central/doi/10.1002/central/CN-00758176/full

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The development of telemedicine in the world

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The development of telemedicine in the world

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E‐Health interventions for anxiety and depression in children and adolescents with long‐term physical conditions - Thabrew, H - 2018 | Cochrane Library

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Telemedicine is a new direction in medicine.

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Telemedicine is a new direction in medicine.