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October 21, 1998

Telemedicine: Low-Bandwidth Applications for Intermittent Health Services in Remote Areas

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(15):1305-1306. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-15-jbk1021

To the Editor.—Telemedicine has benefited greatly from rapid advances in imaging hardware and transmission technologies.15 Intermittent service projects can augment medical care in developing countries with effectiveness and quality in such fields as plastic surgery, which are characterized by low morbidity and rapid recovery. Yale University, in collaboration with Interplast (http://www.Interplast.org), a pro bono plastic surgery program, used Internet telemedicine to make more efficient use of limited service project time by screening patients prior to arriving on-site in Manaus, in the state of Amazonas, Brazil, on the Amazon River.

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