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"Technology"

Review

[English]
The role and prospects of telemedicine in the treatment of heart failure patients: a narrative review
Dong-Ju Choi
Received March 1, 2025  Accepted April 2, 2025  Published online April 8, 2025  
DOI: https://doi.org/10.12771/emj.2025.00360    [Epub ahead of print]
Heart failure (HF) represents a significant global health burden characterized by high morbidity, mortality, and healthcare utilization. Traditional in-person care models face considerable limitations in providing continuous monitoring and timely interventions for HF patients. Telemedicine—defined as the remote delivery of healthcare via information and communication technologies—has emerged as a promising solution to these challenges. This review examines the evolution, current applications, clinical evidence, limitations, and future directions of telemedicine in HF management. Evidence from randomized controlled trials and meta-analyses indicates that telemedicine interventions can improve guideline-directed medical therapy implementation, reduce hospitalization rates, improve patient engagement, and potentially decrease mortality among HF patients. Remote monitoring systems that track vital signs, symptoms, and medication adherence allow for the early detection of clinical deterioration, enabling timely interventions before decompensation occurs. Despite these benefits, telemedicine implementation faces several barriers, including technological limitations, reimbursement issues, digital literacy gaps, and challenges in integrating workflows. Future directions include developing standardized guidelines, designing patient-centered technologies, and establishing hybrid care models that combine virtual and in-person approaches. As healthcare systems worldwide seek more efficient and effective strategies for managing the growing population of individuals with HF, telemedicine offers a solution that may significantly improve patient outcomes and quality of life.
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  • 6 Download

Review Article

[Korean]

Type 1 diabetes requires lifelong insulin therapy because insulin-secretion capability is diminished. Glycemic control and glucose monitoring are important to prevent type 1 diabetes complications. Diabetes technologies have developed rapidly; continuous glucose monitoring (CGM) and continuous subcutaneous insulin infusion (CSII) are now common and greatly aid glycemic control, especially in children and adolescents. The National Health Insurance Service has provided partial reimbursements for both CGM and CSII devices since 2019 and 2020, respectively; the devices are thus expected to become more popular. CGM reduces the frequency of hypoglycemia and the level of glycated hemoglobin. CSII affords more precise glycemic control than multi-dose insulin therapy. CSII showed reduced frequency of hypoglycemia and improved metabolic outcome without an increase in the body mass index z-score. Technological advancement of combined CGM and CSII will eventually serve as an artificial pancreas. The National Health Insurance Service should fund not only the devices but also education of patients and caregivers. In addition, healthcare providers must be continuously updated on new diabetes technologies.

Citations

Citations to this article as recorded by  
  • Tailored Meal-Type Food Provision for Diabetes Patients Can Improve Routine Blood Glucose Management in Patients with Type 2 Diabetes: A Crossover Study
    Dong Hoon Jung, Jae Won Han, Hyeri Shin, Hee-Sook Lim
    Nutrients.2024; 16(8): 1190.     CrossRef
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  • 6 Download
  • 1 Web of Science
  • 1 Crossref
Original Article
[English]
Growing Trend of Medical Students in Utilizing Electronic Devices for Studying
Hea Yun Yoon, Jung-A Shin
Ewha Med J 2019;42(1):1-5.   Published online January 29, 2019
DOI: https://doi.org/10.12771/emj.2019.42.1.1
Objectives

There is a growing trend of medical students using electronic devices for studying. This paper analyzes such trend and assesses if the utilization of devices is adequate to effectively help students to study.

Methods

Survey of total 155 medical students about the usage of the electronic devices for studying during the first year of medical school was done. The answers were matched with their exam scores in the first year.

Results

Most of students were using a device, as a learning tool and the most important purpose of it was its convenience, especially for taking notes during lectures. However, students who didn't use a device when they learned anatomy or who studied with the printouts showed a tendency of receiving better scores on exams.

Conclusion

Utilizing electronic devices for studying tends to be more convenient, but not effective for studying anatomy.

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  • 1 Download
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