{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T02:39:47Z","timestamp":1777084787736,"version":"3.51.4"},"reference-count":24,"publisher":"Aerospace Medical Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:bold>INTRODUCTION:<\/jats:bold>\n                    Improved video transmission is needed for telemedicine in austere or remote ground, maritime, and aerospace environments. A prototype compression algorithm named \u201cV-CRAMMIT\u201d (patent pending) streamlines medical images, improving bandwidth efficiency. This study evaluated the technology by assessing diagnostic designations made by medical clinicians using uncompressed vs. compressed video.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHODS:<\/jats:bold>\n                    An inventory of deidentified videos was selected from a library of recorded MP4 pulmonary ultrasound scans. Videos displayed four lung pathology conditions: Pneumothorax, Pneumonia, Pleural Effusion, and No Finding\/No Pathology. Four videos were selected per condition, yielding 16 recordings compressed using V-CRAMMIT. Average file size reduction was 83%. A total of 20 ultrasound clinicians evaluated each video in both uncompressed and compressed format, presented in a randomized 32-trial sequence. In each trial, subjects selected one of the four pathology designations or an \u201cInconclusive\/Unsure\u201d designation. Trials were presented using a mouse interface and virtual dashboard displaying large-format video, the anatomic location of each scan, a replay button, and response buttons for the above designations. Accuracy, response time, and replay frequency were analyzed using repeated-measures ANOVA incorporating Video format (Uncompressed vs. Compressed) and Pathology (four levels) as independent factors.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    Performance did not differ between video conditions: Uncompressed vs. Compressed trials showed no significant differences in accuracy, response times, or replays. Pathology imposed significant effects for all measures, with subjects making the most accurate (91% correct) determinations in Pleural Effusion cases.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DISCUSSION:<\/jats:bold>\n                    Streamlined video afforded performance equivalent to standard video and could thus enable improved bandwidth efficiency for remote telemedicine settings.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      Beer JMA, Ng PC, Wlodarski DC, Tompkins J, Mock J, Mojica A, Clemons M.\n                      <jats:italic>A streamlined telepresent video platform for aerospace medicine<\/jats:italic>\n                      . Aerosp Med Hum Perform. 2025; 96(11):1008\u20131014.\n                    <\/jats:bold>\n                  <\/jats:p>","DOI":"10.3357\/amhp.6687.2025","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T21:30:49Z","timestamp":1763760649000},"page":"1008-1014","source":"Crossref","is-referenced-by-count":0,"title":["A Streamlined Telepresent Video Platform for Aerospace Medicine"],"prefix":"10.3357","volume":"96","author":[{"given":"Jeremy M. A.","family":"Beer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick C.","family":"Ng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan C.","family":"Wlodarski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Tompkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Mock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Mojica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Clemons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"12","key":"B1","series-title":"Acad Emerg Med.","first-page":"1411","article-title":"Satellite and mobile wireless transmission of focused assessment with sonography in trauma","volume":"10","author":"Strode CA","year":"2003","unstructured":"Strode CA, Rubal BJ, Gerhardt RT, Christopher FL, Bulgrin JR,  Satellite and mobile wireless transmission of focused assessment with sonography in trauma. Acad Emerg Med. 2003 Dec; 10(12):1411\u20134."},{"issue":"1","key":"B2","series-title":"J Spec Oper Med.","first-page":"50","article-title":"Evaluation of contingency telemedical support to improve casualty care at a simulated military intermediate resuscitation facility: The EM-ANGEL Study","volume":"14","author":"Gerhardt RT","year":"2014","unstructured":"Gerhardt RT, Berry J, Mabry RL, Flournoy L, Arnold RG,  Evaluation of contingency telemedical support to improve casualty care at a simulated military intermediate resuscitation facility: The EM-ANGEL Study. 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Mil Med. 2022 May 3; 187(5\u20136):e726\u201334."},{"issue":"6","key":"B5","series-title":"J Telemed Telecare.","first-page":"343","article-title":"Emergency department telemedicine consults decrease time to interpret computed tomography of the head in a multi-network cohort","volume":"27","author":"Swanson MB","year":"2021","unstructured":"Swanson MB, Miller AC, Ward MM, Ullrich F, Merchant KAS, Mohr NM. Emergency department telemedicine consults decrease time to interpret computed tomography of the head in a multi-network cohort. J Telemed Telecare. 2021 Jul; 27(6):343\u201352."},{"issue":"9\/10","key":"B6","series-title":"Mil Med.","first-page":"e1693","article-title":"Reduction in medical evacuations from Iraq and Syria following introduction of an asynchronous telehealth system","volume":"185","author":"Nguyen C","year":"2020","unstructured":"Nguyen C, Mbuthia J, Dobson CP. Reduction in medical evacuations from Iraq and Syria following introduction of an asynchronous telehealth system. Mil Med. 2020 Sep 18; 185(9\/10):e1693\u20139."},{"issue":"11\/12","key":"B7","series-title":"Mil Med.","first-page":"e462","article-title":"Telemedical support for military medicine","volume":"183","author":"Nettesheim N","year":"2018","unstructured":"Nettesheim N, Powell D, Vasios W, Mbuthia J, Davis K,  Telemedical support for military medicine. Mil Med. 2018 Nov 1; 183(11\/12):e462\u201370."},{"key":"B8","article-title":"Telemedicine to improve human performance during prolonged field care","author":"Pamplin J","year":"2018","unstructured":"Pamplin J, Veazey S, Barczak S, Cohen K, Ross K, Kunze J. Telemedicine to improve human performance during prolonged field care. DTIC Annual Report (The Geneva Foundation). 2018; [Accessed 11 September 2025]. 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Cureus. 2023 Aug 31; 15(8):e44456."},{"issue":"1","key":"B10","series-title":"Emerg (Tehran).","first-page":"1","article-title":"Screening performance characteristic of ultrasonography and radiography in detection of pleural effusion; a meta-analysis","volume":"4","author":"Yousefifard M","year":"2016","unstructured":"Yousefifard M, Baikpour M, Ghelichkhani P, Asady H, Shahsavari Nia K,  Screening performance characteristic of ultrasonography and radiography in detection of pleural effusion; a meta-analysis. Emerg (Tehran). 2016 Winter; 4(1):1\u201310."},{"key":"B11","series-title":"J Clin Med.","first-page":"1402","article-title":"Infectious pneumonia and lung ultrasound: a review","volume":"12","author":"Boccatonda A","year":"2023","unstructured":"Boccatonda A, Cocco G, D\u2019Ardes D, Delli Pizzi A, Vidili G,  Infectious pneumonia and lung ultrasound: a review. 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