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Ocular fundus photos in the emergency room: a new application for telemedicine?

急诊室的眼底照片：远程医疗的新应用？

基本信息

批准号：
8665428
负责人：
Beau Benjamin Bruce
金额：
$ 13.74万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-06-01 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8665428
关键词：
Accident and Emergency department Acute Address Admission activity Advisory Committees Age Area Benign Black race Blindness Blood Pressure Body mass index Brain Caregivers Cerebrospinal fluid shunts procedure Characteristics Clinical Clinical Research Clinical Trials Consult Data Analyses Development Diagnosis Diagnostic Disease Doctor of Medicine Doctor of Philosophy Early Diagnosis Early treatment Education Emergency Department Physician Emergency Situation Environment Etiology Evaluation Eye Eye Part Failure Foundations Fundus Fundus photography Gender Goals Headache Headache Disorders Health Hemoglobin Hydrocephalus Intracranial Hypertension Intracranial Sinus Thrombosis Knowledge Lead Legal Liability Life Measures Meningitis Mentors Mentorship Methods Mydriasis Ocular Pathology Ophthalmoscopy Optic Nerve Outcome Papilledema Patient Care Patients Physicians Predictive Value Protocols documentation Provider Pseudotumor Cerebri Race Reference Standards Research Research Project Grants Research Proposals Research Training Risk Risk Factors Scientist Sensitivity and Specificity Specialist Structure Swelling Symptoms Technology Telemedicine Training Triage Universities Vision Visit Visual Work career career development clinical practice diagnostic accuracy digital experience high risk improved male multidisciplinary novel strategies predictive modeling pressure prognostic screening treatment as usual venous sinus

项目摘要

This application proposes a research project and training plan to develop Beau B. Bruce, M.D. into an independent clinician-scientist in the area of acute neuro-ophthalmic disease. This proposal is a logical extension of Dr. Bruce's excellent academic background and early scientific efforts in the field of acute neuroophthalmic disorders, and is the next step toward gaining the experience and training that he needs to establish a successful independent clinical research career. His mentorship team will consist of David W. Wright, M.D. (co-mentor), Nancy J. Newman, M.D. (co-mentor), Roy W. Beck, M.D., Ph.D. (advisory committee), Val¿rie Biousse, M.D. (advisory committee), and Michael Lynn, M.S. (advisory committee) who have exceptional experience in a variety of overlapping areas that will provide synergistic guidance and support. Emory University provides an unrivaled environment for his short- and long-term career development. He will receive training through formal course work and structured mentorship in five major areas: (1) fundamentals of clinical research, (2) practicalities of multidisciplinary, multicenter clinical trials, (3) clinical interpretation of fundus photography, (4) advanced correlated/longitudinal data analysis, and (5) telemedicine. Dr. Bruce's research protocol recognizes that there is a critical disconnect between the diagnosis and treatment of acute neuro-ophthalmic diseases within existing clinical frameworks and seeks to explore the application of emerging telemedical technologies to close this gap in clinical practice and clinical research while advancing our knowledge of these emergent diseases. It will begin to address these issues through two specific aims: (1) assessing the impact and diagnostic capability of non-dilated ocular fundus photography on the diagnosis of papilledema among headache patients presenting to the emergency department, and (2) determining risk factors among headache patients predictive for the presence of papilledema and for poor visual outcomes from papilledema. Accomplishing these aims will likely provide a new approach to the diagnosis of papilledema and improve our prognostic capability and pathophysiologic understanding of papilledema. The successful completion of this research proposal and training plan will serve as the scientific foundation for Dr. Bruce's independent clinical research career in which he seeks to advance neuro-ophthalmic scientific knowledge, facilitate patient care, and execute clinical trials of promising therapies in the field of acute neuro-ophthalmic diseases.

本申请提出了一个研究项目和培训计划，以培养Beau B. Bruce医学博士成为急性神经眼科疾病领域的独立临床医生和科学家。该提案是Bruce博士在急性神经眼疾病领域出色的学术背景和早期科学努力的合理延伸，是他获得建立成功的独立临床研究生涯所需的经验和培训的下一步。他的指导团队将由David W. Wright， M.D.（联合导师），Nancy J. Newman， M.D.（联合导师），Roy W. Beck， M.D., Ph.D.（咨询委员会），Val¿rie Biousse， M.D.（咨询委员会）和Michael Lynn， M.S.（咨询委员会）组成，他们在各种重叠领域拥有非凡的经验，将提供协同指导和支持。埃默里大学为他的短期和长期职业发展提供了无与伦比的环境。他将通过正式的课程学习和结构化的指导在五个主要领域接受培训：(1)临床研究基础，(2)多学科，多中心临床试验的实用性，(3)眼底摄影的临床解释，(4)高级相关/纵向数据分析，以及(5)远程医疗。Bruce博士的研究方案认识到，在现有的临床框架中，急性神经眼科疾病的诊断和治疗之间存在着严重的脱节，并寻求探索新兴远程医疗技术的应用，以缩小临床实践和临床研究中的这一差距，同时提高我们对这些紧急疾病的认识。它将通过两个具体目标开始解决这些问题：(1)评估非扩张性眼底摄影对急诊科头痛患者中乳头状水肿诊断的影响和诊断能力；(2)确定头痛患者中预测乳头状水肿存在和乳头状水肿导致视力不良的危险因素。实现这些目标将可能为乳头状水肿的诊断提供一种新的方法，并提高我们对乳头状水肿的预后能力和病理生理学的理解。这项研究计划和培训计划的成功完成将为Bruce博士独立的临床研究生涯奠定科学基础，他将在急性神经眼科疾病领域寻求推进神经眼科科学知识，促进患者护理，并执行有前途的治疗方法的临床试验。

项目成果

期刊论文数量（12）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Logarithmic transformation of spectral-domain optical coherence tomography data in uveitis-associated macular edema.

葡萄膜炎相关黄斑水肿的谱域光学相干断层扫描数据的对数变换。

DOI：
10.1167/iovs.11-8193
发表时间：
2011
期刊：
Investigative ophthalmology & visual science
影响因子：
4.4
作者：
Payne,JohnF;Bruce,BeauB;Lee,LyndonBK;Yeh,Steven
通讯作者：
Yeh,Steven

An 80-year-old woman with left-sided headache and diplopia.

一名 80 岁女性，患有左侧头痛和复视。

DOI：
10.1177/1941874413483755
发表时间：
2013
期刊：
The Neurohospitalist
影响因子：
0
作者：
Kang,ChristianMCabrera;Velez-Ruiz,Naymee;Greene,JamesG;Grossniklaus,HansE;Bruce,BeauB
通讯作者：
Bruce,BeauB

Nonmydriatic retinal photography in the evaluation of acute neurologic conditions.

免散瞳视网膜摄影在评估急性神经系统疾病中的应用。