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e
s
a
m
e
ti
m
e,
r
ed
u
cin
g
m
o
r
ta
lit
y
an
d
co
s
t
[
8
,
9
]
.
T
el
e
m
ed
icin
e
h
a
v
e
b
ee
n
ap
p
lied
f
o
r
tr
au
m
a
a
n
d
n
e
u
r
o
lo
g
y
c
o
n
s
u
ltati
v
e
s
er
v
ices
w
h
er
e
t
h
er
e
a
r
e
n
o
r
esid
e
n
t
s
p
ec
ialis
t
[
1
0
-
14
]
.
Desp
ite
th
e
ad
v
an
ce
s
i
n
t
h
i
s
tec
h
n
o
lo
g
y
,
i
ts
ad
o
p
tio
n
a
m
o
n
g
u
n
d
er
s
er
v
ed
p
o
p
u
latio
n
h
a
s
b
e
en
v
er
y
li
m
ited
.
Ma
j
o
r
h
in
d
r
a
n
ce
s
in
cl
u
d
e
t
h
e
p
r
o
b
le
m
s
o
f
c
o
m
p
le
x
h
u
m
an
an
d
cu
lt
u
r
al
f
ac
to
r
s
[
1
5
]
,
lack
o
f
p
r
o
o
f
o
f
ec
o
n
o
m
ic
b
en
e
f
its
an
d
co
s
t
-
ef
f
ec
t
iv
e
n
es
s
,
a
n
d
l
eg
al
co
n
s
id
er
atio
n
s
[
16
-
18
]
.
R
o
b
o
tic
telep
r
esen
ce
is
a
f
o
r
m
o
f
te
lep
r
esen
ce
t
h
at
cr
ea
tes
an
i
m
p
r
ess
io
n
o
f
th
e
p
h
y
s
ical
p
r
ese
n
ce
o
f
an
o
b
j
ec
t
at
a
r
em
o
te
lo
ca
tio
n
.
T
h
is
f
ea
t
u
r
e
is
ac
co
m
p
li
s
h
ed
th
r
o
u
g
h
a
m
o
b
ile
r
o
b
o
tic
m
e
ch
an
i
s
m
w
i
th
r
ea
l
-
ti
m
e
a
u
d
io
v
i
s
u
al
co
m
m
u
n
ica
tio
n
ca
p
ab
ilit
ie
s
[
1
9
-
26
]
.
C
o
n
s
id
er
in
g
th
e
h
ig
h
l
e
v
el
o
f
ex
tr
e
m
e
p
o
v
er
t
y
i
n
e
m
er
g
i
n
g
ec
o
n
o
m
ie
s
,
m
o
s
t
o
f
th
e
av
a
ilab
le
s
o
lu
tio
n
s
d
esi
g
n
ed
to
o
v
er
co
m
e
th
i
s
ch
all
en
g
e
ar
e
r
elativ
el
y
u
n
a
f
f
o
r
d
ab
le
f
o
r
d
ep
lo
y
m
e
n
t
in
t
h
i
s
r
eg
io
n
.
A
l
s
o
,
th
e
u
n
r
el
iab
ilit
y
o
f
p
o
w
er
g
r
id
i
n
r
u
r
al
ar
ea
s
w
h
er
e
m
o
s
t
co
m
m
u
n
itie
s
ar
e
n
o
t e
v
e
n
co
n
n
ec
ted
,
w
i
ll e
v
e
n
t
u
all
y
h
a
m
p
e
r
t
h
e
s
u
s
tai
n
ab
ilit
y
o
f
t
h
e
w
h
o
l
e
s
y
s
te
m
.
I
n
th
i
s
p
ap
er
,
th
e
au
th
o
r
s
r
ed
u
ce
d
th
e
co
s
t
o
f
en
g
a
g
in
g
a
r
o
b
o
tic
telep
r
esen
ce
s
o
lu
tio
n
f
o
r
r
u
r
al
m
ed
icar
e
b
y
u
s
i
n
g
p
last
ic
m
a
n
n
eq
u
in
a
n
d
s
o
lar
p
h
o
to
v
o
ltaic
tech
n
o
lo
g
y
.
A
n
I
P
ca
m
er
a
w
a
s
f
i
x
ed
in
ea
ch
o
f
th
e
e
y
e
s
o
ck
ets
o
f
th
e
p
last
ic
m
an
n
eq
u
in
.
T
h
ese
ca
m
er
as
wer
e
co
n
n
ec
ted
to
a
m
in
i
-
co
m
p
u
ter
e
m
b
ed
d
ed
i
n
t
h
e
p
last
ic
m
an
n
eq
u
i
n
.
A
W
i
-
F
i
m
o
d
u
le
e
s
tab
lis
h
es
an
I
n
ter
n
e
t
co
n
n
ec
tio
n
b
et
w
ee
n
r
e
m
o
te
p
h
y
s
ician
s
a
n
d
r
u
r
al
h
ea
th
ca
r
e
f
ac
ili
t
ies.
T
h
e
s
y
s
te
m
is
p
o
w
er
ed
b
y
a
s
o
lar
p
h
o
t
o
v
o
ltaic
en
er
g
y
s
o
u
r
ce
to
g
u
a
r
an
tee
av
ailab
ili
t
y
.
An
o
th
er
u
n
iq
u
e
f
ea
t
u
r
e
o
f
th
i
s
s
o
lu
tio
n
is
t
h
at
it
g
iv
e
s
th
e
p
a
tien
t
a
b
etter
i
m
p
r
ess
io
n
o
f
th
e
p
h
y
s
ical
p
r
ese
n
ce
o
f
a
p
h
y
s
ician
.
2.
RE
S
E
ARCH
M
E
T
H
O
D
T
h
e
p
last
ic
m
a
n
n
eq
u
in
-
b
ased
telep
r
esen
ce
is
a
r
o
b
o
tic
s
y
s
te
m
th
at
i
s
r
e
m
o
tel
y
co
n
tr
o
ll
ed
u
s
in
g
a
w
eb
-
b
ased
s
o
f
t
w
ar
e
ap
p
licati
o
n
th
at
r
u
n
s
o
n
t
h
e
I
n
ter
n
et.
T
h
e
h
ar
d
w
ar
e
p
ar
t
o
f
t
h
e
s
y
s
te
m
i
n
cl
u
d
e
t
w
o
I
P
ca
m
er
as,
m
in
i
-
co
m
p
u
ter
,
w
ir
eless
n
et
w
o
r
k
tr
a
n
s
ce
i
v
er
,
an
d
au
d
io
v
is
u
al
s
y
s
te
m
.
T
h
ese
ar
e
en
clo
s
ed
in
a
p
last
ic
m
an
n
eq
u
i
n
.
T
h
is
co
m
p
u
ter
h
u
m
a
n
o
id
ap
p
r
o
ac
h
is
e
m
p
lo
y
ed
to
g
i
v
e
a
b
etter
i
m
p
r
e
s
s
io
n
o
f
t
h
e
p
h
y
s
ical
p
r
esen
ce
o
f
t
h
e
m
ed
ical
co
n
s
u
ltan
t
to
t
h
e
p
atie
n
t.
T
h
e
u
ti
liza
tio
n
o
f
a
p
last
ic
m
a
n
n
eq
u
i
n
,
wh
ich
ar
e
r
elati
v
el
y
ch
eap
,
w
i
ll
s
i
g
n
i
f
ican
tl
y
r
ed
u
ce
th
e
o
v
er
all
co
s
t
o
f
t
h
e
r
o
b
o
tic
s
y
s
te
m
.
T
o
f
u
l
l
y
m
a
x
i
m
i
ze
th
e
ad
v
a
n
ta
g
e
o
f
th
is
m
et
h
o
d
,
t
h
e
p
last
ic
h
ea
d
ca
n
b
e
r
em
o
ld
ed
to
d
ep
ict
th
e
f
ac
e
o
f
th
e
m
ed
ical
p
r
ac
titi
o
n
er
atten
d
i
n
g
to
th
e
p
atien
t
f
r
o
m
a
r
e
m
o
te
lo
ca
tio
n
.
T
h
e
p
last
ic
m
a
n
n
eq
u
i
n
is
d
r
ess
ed
in
t
h
e
r
eg
u
lar
attir
e
o
f
h
ea
lth
w
o
r
k
er
o
n
d
u
t
y
.
M
I
N
I
P
C
P
T
Z
I
P
C
A
M
E
R
A
1
W
I
R
E
L
E
S
S
N
E
T
W
O
R
K
T
R
A
N
S
C
E
I
V
E
R
E
M
B
E
D
D
E
D
S
Y
S
T
E
M
P
T
Z
I
P
C
A
M
E
R
A
2
S
O
L
A
R
C
H
A
R
G
I
N
G
S
Y
S
T
E
M
P
O
W
E
R
A
U
D
I
O
/
V
I
S
U
A
L
S
Y
S
T
E
M
C
o
m
m
u
n
i
c
a
t
i
o
n
S
a
t
e
l
l
i
t
e
C
o
m
m
u
n
i
c
a
t
i
o
n
N
e
t
w
o
r
k
1
C
o
m
m
u
n
i
c
a
t
i
o
n
N
e
t
w
o
r
k
2
N
e
t
w
o
r
k
A
n
t
e
n
n
a
B
N
e
t
w
o
r
k
A
n
t
e
n
n
a
A
N
e
t
w
o
r
k
A
n
t
e
n
n
a
C
W
a
r
d
R
o
u
n
d
i
n
g
i
n
R
e
m
o
t
e
M
e
d
i
c
a
l
C
e
n
t
r
e
C
o
n
s
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t
a
n
t
1
i
n
U
.
S
.
A
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.
K
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1
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2
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3
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4
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5
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6
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7
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8
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9
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.
1
0
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.
1
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1
2
S
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1
3
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1
4
(
a)
(
b
)
Fig
u
r
e
1
.
(
a)
B
lo
ck
Diag
r
a
m
; (
b
)
Use Cas
e
o
f
P
last
ic
Ma
n
n
e
q
u
in
-
B
ased
T
elep
r
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ce
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
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2
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8
8
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8708
I
J
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Vo
l.
7
,
No
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3
,
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u
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:
1
2
1
2
–
1
2
1
8
1214
An
I
P
ca
m
er
a
is
a
n
e
t
w
o
r
k
-
b
ased
ca
m
er
a
o
f
h
ig
h
d
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n
it
io
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w
it
h
t
h
e
ca
p
ab
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y
to
p
an
,
tilt
,
an
d
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m
,
an
d
tr
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ata
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th
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I
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ter
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I
t
en
ab
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s
ea
s
y
ac
c
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a
n
d
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m
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a
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n
s
w
h
e
n
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w
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s
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v
er
is
co
n
n
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ted
to
th
e
I
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ter
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T
h
er
e
is
a
h
ig
h
d
eg
r
ee
o
f
f
r
ee
d
o
m
o
f
m
o
v
e
m
en
t
th
at
en
ab
les
v
ie
w
s
f
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m
d
i
f
f
er
e
n
t
d
ir
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tio
n
s
an
d
m
u
lt
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les.
T
h
is
m
a
k
es
it
id
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l
f
o
r
co
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tin
u
o
u
s
o
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ec
t
tr
ac
k
in
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.
U
s
er
s
ca
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co
n
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n
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n
tl
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zo
o
m
i
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o
n
a
f
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th
er
o
b
j
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t
f
o
r
b
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v
ie
w
.
I
n
p
r
ac
tice,
t
h
is
t
y
p
e
o
f
ca
m
er
a
p
r
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d
u
ce
ir
r
eg
u
lar
r
esp
o
n
s
e
ti
m
e
to
co
n
tr
o
l
co
m
m
a
n
d
s
,
lo
w
f
r
a
m
e
r
ate,
ir
r
eg
u
lar
f
r
a
m
e
r
ate
d
u
e
to
n
et
w
o
r
k
d
elay
s
,
v
ar
y
in
g
f
ield
o
f
v
ie
w
th
at
r
esu
lts
f
r
o
m
p
an
n
in
g
,
tilt
i
n
g
,
an
d
zo
o
m
i
n
g
,
a
n
d
d
if
f
er
e
n
t
s
ca
les
o
f
o
b
j
ec
ts
.
Ho
w
e
v
er
,
w
it
h
th
e
ad
ap
tiv
e
f
u
zz
y
p
a
r
ticle
f
il
ter
alg
o
r
ith
m
p
r
o
p
o
s
ed
in
[
2
7
]
th
e
d
is
p
lace
m
en
ts
in
t
h
e
i
m
a
g
e
p
lan
e
b
et
w
ee
n
t
w
o
co
n
s
ec
u
ti
v
e
f
r
a
m
e
s
is
r
ed
u
ce
d
,
an
d
th
e
d
etec
ted
tar
g
et
lo
ca
tio
n
i
s
n
ea
r
to
th
e
g
r
o
u
n
d
-
tr
u
t
h
.
B
y
t
h
i
s
,
th
e
ca
m
er
a
ex
h
ib
its
a
b
etter
p
r
ec
is
io
n
o
n
f
o
cu
s
.
Of
th
e
t
w
o
ca
m
e
r
a
s
f
i
x
ed
in
to
th
e
e
y
e
s
o
ck
et
s
o
f
t
h
e
m
an
n
eq
u
in
,
o
n
e
is
i
n
te
n
d
ed
to
en
ab
le
r
e
m
o
te
ac
ce
s
s
f
o
r
a
d
is
tan
t
-
co
n
s
u
lta
n
t
w
h
ile
t
h
e
o
th
er
is
r
eser
v
ed
f
o
r
a
s
p
ec
ialis
t
.
T
h
is
is
ai
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d
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m
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ed
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tr
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m
in
g
s
er
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[
2
8
]
.
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h
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v
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ac
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(
a)
(
b
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Fig
u
r
e
2
(
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: Flo
w
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eb
Ser
v
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Op
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T
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A
p
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W
ith
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1
].
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m
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2
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3
3
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cc
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6
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.
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h
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ex
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it
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alter
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tec
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s
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s
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v
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t
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m
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ca
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w
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ib
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as
b
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So
lar
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n
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w
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p
tio
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lo
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d
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m
p
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p
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s
in
r
u
r
al
co
m
m
u
n
it
y
p
r
o
j
ec
ts
[
3
7
-
39
]
.
Olato
m
i
w
a
et
al.
[
4
0
]
in
v
esti
g
ated
th
e
p
o
ten
tial
s
o
f
w
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n
d
an
d
s
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m
f
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cli
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ap
p
licatio
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g
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n
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ted
r
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v
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g
es
w
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th
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n
t
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T
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r
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f
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p
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d
CO
2
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ed
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.
T
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e,
th
e
s
y
s
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b
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la
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p
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s
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u
r
ce
to
g
u
ar
an
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p
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av
ailab
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.
3.
RE
SU
L
T
S
A
ND
AN
AL
Y
SI
S
T
ab
le
1
s
h
o
w
s
th
e
p
r
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o
f
av
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b
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m
s
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A
co
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t
co
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p
ar
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v
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an
a
l
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s
i
s
s
h
o
w
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th
at
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p
last
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m
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eq
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in
-
b
ased
telep
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m
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r
e
af
f
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d
ab
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w
it
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f
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.
I
n
th
is
s
e
n
s
e,
e
m
er
g
i
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g
ec
o
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o
m
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ca
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ta
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tag
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o
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co
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-
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f
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r
eso
lv
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th
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ch
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s
f
ac
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n
g
r
u
r
al
m
ed
icar
e
in
th
e
r
eg
io
n
.
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I
J
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C
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I
SS
N:
2088
-
8708
C
o
s
t
-
E
ffective
Med
ica
l R
o
b
o
tic
Telep
r
esen
ce
S
o
lu
tio
n
u
s
in
g
P
la
s
tic
Ma
n
n
eq
u
in
(
V
icto
r
O.
Ma
tth
ews
)
1217
4.
CO
NCLU
SI
O
N
M
o
b
ile
r
o
b
o
tic
telep
r
esen
ce
is
an
e
x
p
en
s
i
v
e
h
ea
lt
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ca
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e
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o
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io
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r
p
eo
p
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liv
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al
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ea
s
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s
t
r
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s
i
n
e
m
er
g
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o
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ies
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tr
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ca
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t
af
f
o
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d
th
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t
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ice
o
f
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b
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tic
telep
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ce
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W
e
h
a
v
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ed
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ce
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th
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co
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g
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tic
telep
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o
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tio
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ed
icar
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y
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p
last
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a
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d
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o
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tech
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T
h
e
p
last
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m
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b
ased
telep
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ce
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tili
ze
s
t
w
o
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P
ca
m
er
as
w
it
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ab
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m
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ter
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an
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ce
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m
o
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a
m
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co
m
p
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ter
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T
h
is
s
u
cc
es
s
f
u
l
l
y
m
in
i
m
ize
d
th
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er
all
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o
f
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h
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y
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te
m
.
Als
o
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t
h
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s
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te
m
w
a
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d
esig
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to
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p
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ate
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V
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te
m
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e
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o
f
r
eq
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ir
ed
elec
tr
ical
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lo
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Af
ter
a
p
r
o
p
er
au
th
e
n
ticatio
n
p
r
o
ce
s
s
,
a
m
ed
ical
co
n
s
u
lta
n
t
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ased
in
a
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f
t
h
e
d
ev
elo
p
ed
co
u
n
tr
ies
ca
n
ea
s
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l
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g
in
to
th
e
w
eb
o
r
m
o
b
ile
ap
p
licatio
n
p
latf
o
r
m
a
n
d
atte
n
d
to
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ts
i
n
d
i
f
f
er
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n
t
p
ar
ts
o
f
t
h
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d
ev
elo
p
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co
u
n
tr
ies
w
h
er
e
t
h
e
m
a
n
n
eq
u
i
n
r
o
b
o
t is si
tu
at
ed
.
T
h
e
d
ev
elo
p
ed
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y
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te
m
allo
w
s
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t
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er
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ialis
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/co
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n
ts
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m
m
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d
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elatin
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ty
p
ical
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ap
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ce
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n
clea
r
d
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ar
tu
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f
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ti
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g
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tel
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te
m
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s
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t
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p
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o
f
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p
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p
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o
f
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m
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ical
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s
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e
l
.
C
o
m
p
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ed
to
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x
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s
ti
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g
telep
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ce
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o
b
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t
,
th
e
p
last
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m
a
n
n
eq
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i
n
-
b
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s
ed
s
y
s
t
e
m
is
a
co
s
t
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e
f
f
ec
tiv
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e
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er
g
y
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e
f
f
icie
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t,
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d
ec
o
-
f
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ie
n
d
l
y
s
o
lu
tio
n
th
at
h
as
a
n
en
o
r
m
o
u
s
p
o
ten
tial to
s
i
g
n
if
ic
an
tl
y
in
cr
ea
s
e
t
h
e
ad
o
p
tio
n
o
f
r
o
b
o
tic
telep
r
esen
s
e
in
r
u
r
al
te
le
m
ed
ici
n
e
.
ACK
NO
WL
E
D
G
M
E
NT
T
h
e
au
th
o
r
s
w
i
s
h
to
ac
k
n
o
w
le
d
g
e
th
e
C
e
n
ter
f
o
r
R
esear
ch
,
I
n
n
o
v
atio
n
a
n
d
Di
s
co
v
er
y
(
C
U
C
R
I
D)
o
f
C
o
v
e
n
an
t U
n
i
v
er
s
it
y
,
Ota,
Ni
g
er
ia
f
o
r
f
u
n
d
in
g
t
h
is
r
esear
c
h
.
RE
F
E
R
E
NC
E
S
[1
]
W
HO
,
―
A
H
e
a
lt
h
T
e
le
m
a
ti
c
s
P
o
l
ic
y
in
S
u
p
p
o
r
t
o
f
W
HO
’s
H
e
a
lt
h
-
f
or
-
a
ll
S
trate
g
y
f
o
r
G
lo
b
a
l
He
a
lt
h
De
v
e
lo
p
m
e
n
t:
Re
p
o
rt
o
f
t
h
e
W
HO
G
ro
u
p
Co
n
su
lt
a
ti
o
n
o
n
He
a
lt
h
T
e
le
m
a
ti
c
s
‖
,
1
1
–
1
6
De
c
e
m
b
e
r,
G
e
n
e
v
a
,
1
9
9
7
,
G
e
n
e
v
a
,
W
o
rld
He
a
lt
h
Org
a
n
iza
ti
o
n
,
1
9
9
8
.
[2
]
He
in
z
e
l
m
a
n
n
P
J,
L
u
g
n
NE,
Kv
e
d
a
r
JC,
―
T
e
le
m
e
d
icin
e
in
t
h
e
F
u
tu
r
e
”,
J
o
u
r
n
a
l
o
f
T
e
lem
e
d
icin
e
a
n
d
T
e
lec
a
re
,
2
0
0
5
,
1
1
(
8
):3
8
4
–
3
9
0
.
[3
]
Cra
f
t
R
L
:
T
re
n
d
s in
F
e
c
h
n
o
lo
g
y
a
n
d
t
h
e
F
u
tu
re
I
n
ten
siv
e
Ca
re
U
n
it
.
Crit
Ca
re
M
e
d
2
9
S
:N1
5
1
-
N
1
5
8
,
2
0
0
1
[4
]
P
o
ro
p
a
ti
c
h
RK,
De
T
re
v
il
le
R,
Lap
p
a
n
C
,
e
t
a
l.
,
―
T
h
e
U.S
.
A
rm
y
T
e
le
m
e
d
icin
e
P
r
o
g
ra
m
:
G
e
n
e
r
a
l
O
v
e
rv
ie
w
a
n
d
Cu
rre
n
t
S
tatu
s
i
n
S
o
u
t
h
w
e
st
A
sia
‖
,
T
e
lem
e
d
J
E
He
a
lt
h
,
1
2
:
3
9
6
-
4
0
8
,
2
0
0
6
.
[5
]
G
ru
n
d
y
B
L
,
Cra
wf
o
rd
P
,
Jo
n
e
s
P
K,
e
t
a
l.
,
―
T
e
le
m
e
d
icin
e
i
n
Crit
ic
a
l
Ca
re
:
A
n
Ex
p
e
rime
n
t
in
He
a
lt
h
Ca
re
De
li
v
e
r
y
‖
,
JA
CEP
,
6
:
4
3
9
-
4
4
4
,
1
9
7
7
.
[6
]
G
ru
n
d
y
B
L
,
Jo
n
e
s
P
K,
L
o
v
it
t
A
,
―
T
e
le
m
e
d
icin
e
i
n
Crit
ica
l
C
a
re
:
P
ro
b
lem
s
i
n
De
sig
n
,
Im
p
l
e
m
e
n
tatio
n
a
n
d
A
s
se
ss
m
e
n
t‖,
Crit
Ca
re
M
e
d
,
1
0
:
4
7
1
-
4
7
5
,
1
9
8
2
.
[7
]
Ce
li
LA
,
Hs
sa
n
E,
M
a
rq
u
a
rd
t
C,
e
t
a
l.
,
―
T
h
e
Ei
c
u
:
It’s
n
o
t
Ju
st
T
e
le
m
e
d
icin
e
‖,
Crit
Ca
re
M
e
d
,
2
9
S
:N
1
8
3
-
N1
8
9
,
2
0
0
1
.
[8
]
Ro
se
n
f
e
ld
BA
,
Do
rm
a
n
T
,
Bre
slo
w
M
J,
e
t
a
l.
,
―
In
ten
siv
e
Ca
re
Un
it
T
e
le
m
e
d
icin
e
:
A
lt
e
rn
a
te
P
a
ra
d
ig
m
f
o
r
P
ro
v
id
i
n
g
Co
n
ti
n
u
o
u
s I
n
ten
siv
e
Ca
re
‖,
Crit
Ca
re
M
e
d
,
2
8
:3
9
2
5
-
3
9
3
1
,
2
0
0
0
.
[9
]
Bre
slo
w
M
J,
Ro
se
n
f
e
ld
BA
,
Do
e
rf
ler
M
,
e
t
a
l.
,
―
T
h
e
Ef
f
e
c
t
o
f
Am
u
lt
i
-
S
it
e
ICU
T
e
le
m
e
d
icin
e
P
r
o
g
ra
m
o
n
Cli
n
ica
l
a
n
d
Eco
n
o
m
ic Ou
tco
m
e
s:
A
n
A
lt
e
rn
a
ti
v
e
P
a
ra
d
ig
m
f
o
r
In
ten
siv
ist
S
taff
in
g
‖
,
Crit
Ca
re
M
e
d
,
3
2
:3
1
-
3
8
,
2
0
0
4
.
[1
0
]
Ric
c
i
M
A
,
Ca
p
u
to
M
,
Am
o
u
r
J,
e
t
a
l.
,
―
T
e
le
m
e
d
icin
e
Re
d
u
c
e
s
Di
s
c
re
p
a
n
c
ies
in
Ru
ra
l
T
ra
u
m
a
Ca
re
‖
,
T
e
le
m
e
d
J
E
He
a
lt
h
,
9
:
3
-
1
1
,
2
0
0
3
.
[1
1
]
L
a
M
o
n
te
M
P
,
Ba
h
o
u
t
h
M
N,
Hu
P
,
e
t
a
l.
,
―
T
e
le
m
e
d
icin
e
f
o
r
A
c
u
t
e
S
tro
k
e
:
T
riu
m
p
h
s
a
n
d
P
it
f
a
ll
s‖
,
S
tro
k
e
,
34:
725
-
7
2
8
,
2
0
0
3
.
[1
2
]
S
h
w
a
m
m
L
H,
R
o
se
n
th
a
l
ES
,
Hirsh
b
e
rg
A
,
e
t
a
l.
,
―
V
irt
u
a
l
T
e
les
tro
k
e
S
u
p
p
o
rt
f
o
r
t
h
e
Eme
rg
e
n
c
y
D
e
p
a
rt
m
e
n
t
Ev
a
lu
a
ti
o
n
o
f
A
c
u
te S
tro
k
e
‖,
A
c
a
d
Em
e
rg
M
e
d
,
1
1
:
1
1
9
3
-
1
1
9
7
,
2
0
0
4
.
[1
3
]
Ic
k
e
n
ste
i
n
G
W
,
Ho
rn
M
,
S
c
h
e
n
k
e
l
J,
e
t
a
l.
,
―
T
h
e
Us
e
o
f
T
e
l
e
m
e
d
ici
n
e
in
Co
m
b
in
a
ti
o
n
w
it
h
a
Ne
w S
tro
k
e
-
Co
d
e
-
Bo
x
S
ig
n
if
ica
n
tl
y
In
c
re
a
se
s
T
-
P
A
Us
e
i
n
R
u
ra
l
Co
m
m
u
n
it
ies
‖,
Ne
u
ro
c
rit
Ca
re
,
3
:2
7
-
3
2
,
2
0
0
5
.
[1
4
]
A
u
d
e
b
e
rt
HJ
,
Ku
k
la
C,
Clar
m
a
n
n
v
o
n
Clara
n
a
u
S
,
e
t
a
l.
,
―
T
e
l
e
m
e
d
icin
e
f
o
r
S
a
f
e
a
n
d
Ex
ten
d
e
d
Us
e
o
f
T
h
ro
m
b
o
ly
si
s
i
n
S
tr
o
k
e
:
T
h
e
T
e
le
m
e
d
ic P
il
o
t
P
r
o
jec
t
F
o
r
In
teg
ra
ti
v
e
S
tro
k
e
Ca
re
(T
e
m
p
is)
i
n
Ba
v
a
ria‖
,
S
tro
k
e
,
3
6
:
2
8
7
-
2
9
1
,
2
0
0
5
.
[1
5
]
Cra
ig
J,
P
a
tt
e
rso
n
V,
―
In
tr
o
d
u
c
ti
o
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7
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[3
9
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v
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ter
n
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ti
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o
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m
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ter
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n
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(
IJ
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)
,
2
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1
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(
2
).
[4
0
]
L
a
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(
RHC
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e
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rg
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h
n
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lo
g
ies
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n
d
Ass
e
ss
me
n
ts
,
2
0
1
6
,
13:
1
-
12
.
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