The effectiveness of telemental health: a 2013 review.

INTRODUCTION: The effectiveness of any new technology is typically measured in order to determine whether it successfully achieves equal or superior objectives over what is currently offered. Research in telemental health-in this article mainly referring to telepsychiatry and psychological services-has advanced rapidly since 2003, and a new effectiveness review is needed. MATERIALS AND METHODS: The authors reviewed the published literature to synthesize information on what is and what is not effective related to telemental health. Terms for the search included, but were not limited to, telepsychiatry, effectiveness, mental health, e-health, videoconferencing, telemedicine, cost, access, and international. RESULTS: Telemental health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes. CONCLUSIONS: Telemental health is effective and increases access to care. Future directions suggest the need for more research on service models, specific disorders, the issues relevant to culture and language, and cost.

Atlas of diatoms (Bacillariophyta) from diverse habitats in remote regions of western Canada.

High-resolution LM images of diatoms from remote regions of western Canada are presented as a contribution to our knowledge of diatom floristics, ecology and biogeography in North America. Approximately 600 taxa are imaged in 132 plates. Genera with the most taxa are Cymbella (19 taxa), Cymbopleura (29), Encyonema (23), Encyonopsis (15), Eunotia (77), Gomphonema (42), Navicula (47), Neidium (20), Nitzschia (35), Pinnularia (50) and Stauroneis (34). Diatoms were collected from diverse habitats in four of North America's major biomes: Arctic tundra, taiga, Rocky Mountains and Pacific rainforest. Many of the photographed taxa could not be identified to species and are likely new to science. Other taxa may represent new records for North America or Canada. Images of voucher specimens are keyed to individual collection sites. Detailed descriptions of the collection sites include GPS coordinates, colour photographs, vegetation, algal substrates, elevations, pH, temperature and conductivity. Samples were collected from natural substrates in fresh to brackish, flowing and standing waters. Voucher slides are deposited in the Montana Diatom Collection (Helena) and the University of Montana Herbarium (Missoula). Cleaned diatom frustules have been deposited in the Diatom Herbarium of the Academy of Natural Sciences of Philadelphia.