Showing papers by "Paul P. Lee published in 2015"

Eye Care Providers' Attitudes Towards Tele-ophthalmology

Abstract: Background: The rapid rise of e-health and remote care systems will likely change the practice patterns of ophthalmologists. Although telemedicine practices are thriving in many specialties of medicine, telemedicine for ophthalmology has been limited primarily to asynchronous care for diabetic retinopathy. The goal of this research was to evaluate perspectives on and familiarity with telemedicine among eye care providers at a large tertiary-care medical center via an anonymous, descriptive survey. Results: In total, 58 eye care physicians completed surveys (response rates of 86% for physicians-in-training and 49% for faculty physicians, respectively). Although a majority of both faculty and physicians-in-training were willing to participate in telemedicine services, trainees were more likely to be willing to interpret photographs than faculty (p=0.04). Most respondents (71%) indicated that they did not use telemedicine. Over half had received photographs (via phone or e-mail) for interpretation f...

Geographic disparity of severe vision loss - United States, 2009-2013.

Abstract: Vision loss and blindness are among the top 10 disabilities in the United States, causing substantial social, economic, and psychological effects, including increased morbidity, increased mortality, and decreased quality of life.* There are disparities in vision loss based on age, sex, race/ethnicity, socioeconomic status, and geographic location. Current surveillance activities using national and state surveys have characterized vision loss at national and state levels. However, there are limited data and research at local levels, where interventions and policy decisions to reduce the burden of vision loss and eliminate disparities are often developed and implemented. CDC analyzed data from the American Community Survey (ACS) to estimate county-level prevalence of severe vision loss (SVL) (being blind or having serious difficulty seeing even when wearing glasses) in the United States and to describe its geographic pattern and its association with poverty level. Distinct geographic patterns of SVL prevalence were found in the United States; 77.3% of counties in the top SVL prevalence quartile (≥4.2%) were located in the South. SVL was significantly correlated with poverty (r = 0.5); 437 counties were in the top quartiles for both SVL and poverty, and 83.1% of those counties were located in southern states. A better understanding of the underlying barriers and facilitators of access and use of eye care services at the local level is needed to enable the development of more effective interventions and policies, and to help planners and practitioners serve the growing population with and at risk for vision loss more efficiently. Language: en

Establishing Qualitative Software Metrics in Department of the Navy Programs

Abstract: : Software Development is an infant engineering discipline compared with other engineering areas. The ability of programs, Program Managers, and Lead Software Engineers to effectively measure how a program is doing is increasingly difficult based on shifting requirements, resource constraints, familiarity of the development domain, etc. The Department of the Navy is dedicated to provide the highest quality software to its users. In doing, there is a need for a formalized set of Software Quality Metrics. The goal of this paper is to establish the validity of those necessary Quality metrics. In our approach we collected the data of over a dozen programs from previous tests, analyzed current states of the software, derived formulas via weighting to provide necessary results, investigated tool sets to provide the necessary variable data for our formulas and tested the formulas for validity.