Telecardiology holds great promise for Africa, from tele-echocardiography and tele-ECG s, to home monitoring and text messaging for medication adherence monitoring. The burden of disease is great and there is an extreme shortage of health professionals. Telemedicine can provide access to scarce specialist care, improve the quality of care in rural areas and reduce the need for rural patients to...

F. Shenfield1,*, J. de Mouzon2, G. Pennings3, A.P. Ferraretti 4, A. Nyboe Andersen5, G. de Wert6, and V. Goossens7 the ESHRE Taskforce on Cross Border Reproductive Care† Reproductive Medecine Unit, New EGA, UCLH, Euston Road, London NW1 2BU, UK INSERM, Unité de Médecine de la Reproduction, Groupe Hospitalier Cochin-Saint Vincent de Paul, 82 avenue Denfert Rochereau, 75014 Paris, France Bioethic...

The continuity of cross-border health care in the European Union depends on the ability to set up shared practices with respect to patient data exchange across Member States. This flow of data must comply with demanding security, legal and interoperability requirements, as defined by the epSOS project specifications. In this paper, we describe the OpenNCP framework that offers a comprehensive s...

The participants in this study of young children’s social identity in the border region of Ireland, reside in several areas along both sides of the border separating Northern Ireland and the Republic of Ireland. The settings ranged between pre-school (3/4 years) and 6/7 years. The key criterion for selection of the participants was that they crossed the border to avail of, mainly, educational/c...

This paper analyses the ethical aspects of cross-border reproductive care. Ethical questions are raised by some of the main reasons of cross-border travelling, i.e. law evasion and unequal access to treatment. The phenomenon also generates possible conflicts linked to the responsibility of the professionals. Three points are discussed: the moral obligation of the physician to refer the patient,...

As the first step in a pioneering effort by the Health Care Financing Administration (HCFA) to measure interstate border crossing for services used by both Medicare and non-Medicare beneficiaries, the authors study the spending behavior of Medicare beneficiaries for 10 Medicare-covered services. Based on interstate flow-of-expenditure data developed for calendar year 1991, the authors analyze t...

Diabetes is a serious public health problem in the border region between the United States of America and Mexico, reflecting and by some measures surpassing the extent of national diabetes burden of each country. The U.S.-Mexico Border Diabetes Prevention and Control Project, a two-phase prevalence study on type 2 diabetes and its risk factors, was conceived and developed by culturally diverse ...

Background: Concurrent Chemotherapy and Radiotherapy (RT) is considered as standard of care in advanced carcinoma cervix. The superior border of radiation portal is kept at L4-L5 junction to cover common iliac group of lymph nodes which lie along common iliac vessels. Methods: Level of aortic bifurcation in to two common iliacs was retrospectively evaluated in 90 patients of carcinoma cervix to...

OBJECTIVE To assess whether U.S.-Mexico border residents with diabetes 1) experience greater barriers to medical care in the United States of America versus Mexico and 2) are more likely to seek care and medication in Mexico compared to border residents without diabetes. METHODS A stratified two-stage randomized cross-sectional health survey was conducted in 2009 - 2010 among 1 002 Mexican Am...