Effects of visualization tools on cardiac telephone consultation processes

<p>eMap is a web-based platform for identifying and visualizing electron or hole transfer pathways in proteins based on their crystal structures. The underlying model can be viewed as a coarse-grained version of the Pathways model, where each tunneling step between hopping sites represented by electron transfer active (ETA) moieties is described with one eﬀective decay parameter that describes protein-mediated tunneling. ETA moieties include aromatic amino acid residue side chains and aromatic fragments of cofactors that are automatically detected, and, in addition, electron/hole residing sites that can be speciﬁed by the users. The software searches for the shortest paths connecting the user-speciﬁed electron/hole source to either all surface-exposed ETA residues or to the user-speciﬁed target. The identiﬁed pathways are ranked based on their length. The pathways are visualized in 2D as a graph, in which each node represents an ETA site, and in 3D using available protein visualization tools. Here, we present the capability and user interface of eMap 1.0, which is available at https://emap.bu.edu.</p>

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Patient feedback on a new method of consulting with the GP; an analysis of responses by users of online triage software

British Journal of General Practice ◽

10.3399/bjgp18x696773 ◽

2018 ◽

Vol 68 (suppl 1) ◽

pp. bjgp18X696773

Author(s):

Abi Eccles ◽

Mike Hopper ◽

Helen Atherton

Keyword(s):

Free Text ◽

Telephone Consultation ◽

Face To Face ◽

Potential Barriers ◽

Online Consultation ◽

Patient Feedback ◽

Levels Of Use ◽

Negative Perceptions ◽

Context Dependent ◽

Feedback Data

BackgroundOnline triage software is a new way to triage patients online that allows patients to describe their problem via an online form. A GP then contacts the patient to arrange either a face-to-face or telephone consultation.AimThis study aimed to explore use of online consultation software and gain insight into patients’ experiences of using online consultations, identifying potential barriers and facilitators to use.MethodThis is a mixed methods retrospective study analysing data about patient users and their associated feedback. Data from a sample of 5591 patients were quantitatively analysed to describe characteristics of users. 576 out of the 5591 users left free-text feedback comments on their experience of use. These were thematically analysed.ResultsThe highest levels of use were observed in 25–35-year olds and lowest from those aged >65. Key themes identified included convenience, consultation quality, appropriateness, resource-use and functionality. Within each, a range of subthemes were present representing both positive and negative perceptions, suggesting that experiences of using online triage varied and were often context-dependentConclusionThere are various advantages to online triage software, but these are context-dependent. Therefore, such applications should be offered as an additional way to contact the GP surgery, rather than a replacement for more established methods, to ensure appropriate and equal access for patients.

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Effects of Using Licensed Practical Nurses to Assist with Telephone Consultation Management

10.21236/ada473550 ◽

2006 ◽

Author(s):

Jennifer L. Wiley

Keyword(s):

Telephone Consultation ◽

Licensed Practical Nurses ◽

Practical Nurses

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829 Is There an Ongoing Role For 'Telephone Triage Clinics' Post COVID-19?

British Journal of Surgery ◽

10.1093/bjs/znab134.092 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

B Holmes ◽

U Mirza ◽

C Manning ◽

R Cooke ◽

R Jugdey

Keyword(s):

Common Theme ◽

Telephone Triage ◽

Telephone Consultation ◽

Face To Face ◽

Clinician Satisfaction ◽

Set Up ◽

Local Protocol ◽

Telephone Questionnaire

Abstract Introduction COVID-19 has placed unprecedented demand on services at ELHT and it has become necessary to have telephone clinics to reduce the number of face-to-face clinics. A ‘telephone triage clinic’ was set up for referrals from A&E. Our project evaluated patient and clinician satisfaction on this. Method We carried out a retrospective telephone questionnaire with patients over a one-week period during the pandemic. We focussed on overall satisfaction of the consultation and quality of communication. Consultants were also surveyed for their opinion on the clinics. Results From 30 patients, 77% said they were ‘very satisfied’ with the overall experience. 80% of patients were ‘very satisfied’ with the overall length of the telephone consultation. 50% of patients felt the clinician was only ‘adequately’ able to assess them over the telephone. The consultants were less satisfied with the overall experience of telephone consultation. A common theme was that they felt ED documentation could be improved to help inform ongoing management. Conclusions Overall, patients were satisfied with the consultations. It has been successful in minimising face to face consultations however some presentations necessitate further evaluation. We need to identify those injuries appropriate for virtual follow up and design a local protocol for these.

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Reference in-vitro dataset for inertial-sensor-to-bone alignment applied to the tibiofemoral joint

Scientific Data ◽

10.1038/s41597-021-00995-8 ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Ive Weygers ◽

Manon Kok ◽

Thomas Seel ◽

Darshan Shah ◽

Orçun Taylan ◽

...

Keyword(s):

Inertial Sensors ◽

Inertial Sensor ◽

Ground Truth ◽

Transformation Matrices ◽

True Model ◽

Advance Research ◽

Manual Palpation ◽

Visualization Tools ◽

Inertial Measurements

AbstractSkin-attached inertial sensors are increasingly used for kinematic analysis. However, their ability to measure outside-lab can only be exploited after correctly aligning the sensor axes with the underlying anatomical axes. Emerging model-based inertial-sensor-to-bone alignment methods relate inertial measurements with a model of the joint to overcome calibration movements and sensor placement assumptions. It is unclear how good such alignment methods can identify the anatomical axes. Any misalignment results in kinematic cross-talk errors, which makes model validation and the interpretation of the resulting kinematics measurements challenging. This study provides an anatomically correct ground-truth reference dataset from dynamic motions on a cadaver. In contrast with existing references, this enables a true model evaluation that overcomes influences from soft-tissue artifacts, orientation and manual palpation errors. This dataset comprises extensive dynamic movements that are recorded with multimodal measurements including trajectories of optical and virtual (via computed tomography) anatomical markers, reference kinematics, inertial measurements, transformation matrices and visualization tools. The dataset can be used either as a ground-truth reference or to advance research in inertial-sensor-to-bone-alignment.

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Implementation of podiatry telephone appointments for people with rheumatic and musculoskeletal diseases

Journal of Foot and Ankle Research ◽

10.1186/s13047-020-00441-9 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

J. L. Palmer ◽

H. J. Siddle ◽

A. C. Redmond ◽

B. Alcacer-Pitarch

Keyword(s):

Musculoskeletal Diseases ◽

Cost Effective ◽

Time Frame ◽

Teaching Hospitals ◽

Potential Cost ◽

Foot Health ◽

Telephone Consultation ◽

Face To Face ◽

Initial Intervention

Abstract Background Foot health problems are common in the general population, and particularly so in people with rheumatic and musculoskeletal disorders (RMD). Several clinical guidelines state that people with RMDs should have access to foot health services, although service capacity is often limited. The current COVID-19 pandemic has increased the need for alternative ways to provide patient care. The aim of this clinical audit was to review a newly implemented telephone follow-up appointment service conducted within the Rheumatology Podiatry Department in Leeds, UK. Methods Fifty-eight patients attending the Rheumatology Podiatry Department at Leeds Teaching Hospitals NHS Trust were contacted by telephone approximately 6–8 weeks following initial intervention. During the telephone consultation, all patients were asked pre-defined questions relating to their symptoms, intervention efficacy, the need for further appointments and their preference for the type of consultation. To assess the cost of the telephone consultation the number of attempts needed in order to make successful contact, the duration of the call and the number of telephone follow-up appointments completed in a working day were also recorded. Results Twenty-five patients (43%) were successfully contacted within the 6–8 weeks stipulated time frame and were included in the analysis. Of the 25 contacted, twelve (48%) patients were successfully contacted on the first attempt. Ten (40%) were successfully contacted on the second attempt. The remaining three patients (12%) required 3 or more attempts to make successful contact. Telephone consultations were estimated not to last longer than 10 min, including notes screening and documentation. Eleven patients (44%) reported an improvement in their symptoms, thirteen (52%) reported no change and one patient (4%) reported their symptoms to be worse. Conclusion Telephone follow-up consultations may be a potentially cost-effective alternative to face-to-face appointments when implemented in a Rheumatology Podiatry Department, and provide an alternative way of providing care, especially when capacity for face-to-face contact is limited. The potential cost saving and efficiency benefits of this service are likely to be enhanced when telephone consultations are pre-arranged with patients.

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Pareto domain: an invaluable source of process information

Chemical Product and Process Modeling ◽

10.1515/cppm-2020-0012 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Geraldine Cáceres Sepúlveda ◽

Silvia Ochoa ◽

Jules Thibault

Keyword(s):

Case Studies ◽

Optimal Solution ◽

Pareto Optimal ◽

Process Variables ◽

Optimal Point ◽

Decision Variables ◽

Visualization Tools ◽

Pareto Domain ◽

And Performance ◽

Typical Process

AbstractDue to the highly competitive market and increasingly stringent environmental regulations, it is paramount to operate chemical processes at their optimal point. In a typical process, there are usually many process variables (decision variables) that need to be selected in order to achieve a set of optimal objectives for which the process will be considered to operate optimally. Because some of the objectives are often contradictory, Multi-objective optimization (MOO) can be used to find a suitable trade-off among all objectives that will satisfy the decision maker. The first step is to circumscribe a well-defined Pareto domain, corresponding to the portion of the solution domain comprised of a large number of non-dominated solutions. The second step is to rank all Pareto-optimal solutions based on some preferences of an expert of the process, this step being performed using visualization tools and/or a ranking algorithm. The last step is to implement the best solution to operate the process optimally. In this paper, after reviewing the main methods to solve MOO problems and to select the best Pareto-optimal solution, four simple MOO problems will be solved to clearly demonstrate the wealth of information on a given process that can be obtained from the MOO instead of a single aggregate objective. The four optimization case studies are the design of a PI controller, an SO2 to SO3 reactor, a distillation column and an acrolein reactor. Results of these optimization case studies show the benefit of generating and using the Pareto domain to gain a deeper understanding of the underlying relationships between the various process variables and performance objectives.

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Are telephone consultations here to stay in rheumatology?

Rheumatology Advances in Practice ◽

10.1093/rap/rkaa071 ◽

2020 ◽

Author(s):

Sabrina R Raizada ◽

Natasha Cleaton ◽

James Bateman ◽

Diarmuid M Mulherin ◽

Nick Barkham

Keyword(s):

Older Patients ◽

Online Survey ◽

Vulnerable Groups ◽

Age Group ◽

Telephone Consultation ◽

Survey Tool ◽

Face To Face ◽

Vulnerable Patients ◽

Number Of Patients

Abstract Objectives During the COVID-19 pandemic, face-to-face rheumatology follow-up appointments were mostly replaced with telephone or virtual consultations in order to protect vulnerable patients. We aimed to investigate the perspectives of rheumatology patients on the use of telephone consultations compared with the traditional face-to-face consultation. Methods We carried out a retrospective survey of all rheumatology follow-up patients at the Royal Wolverhampton Trust who had received a telephone consultation from a rheumatology consultant during a 4-week period via an online survey tool. Results Surveys were distributed to 1213 patients, of whom 336 (27.7%) responded, and 306 (91.1%) patients completed all components of the survey. Overall, an equal number of patients would prefer telephone clinics or face-to-face consultations for their next routine appointment. When divided by age group, the majority who preferred the telephone clinics were <50 years old [χ2 (d.f. = 3) = 10.075, P = 0.018]. Prevalence of a smartphone was higher among younger patients (<50 years old: 46 of 47, 97.9%) than among older patients (≥50 years old: 209 of 259, 80.7%) [χ2 (d.f. = 3) = 20.919, P < 0.001]. More patients reported that they would prefer a telephone call for urgent advice (168, 54.9%). Conclusion Most patients interviewed were happy with their routine face-to-face appointment being switched to a telephone consultation. Of those interviewed, patients >50 years old were less likely than their younger counterparts to want telephone consultations in place of face-to-face appointments. Most patients in our study would prefer a telephone consultation for urgent advice. We must ensure that older patients and those in vulnerable groups who value in-person contact are not excluded. Telephone clinics in some form are here to stay in rheumatology for the foreseeable future.

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COVD-26. TELEPHONE CONSULTATIONS IN NEURO-ONCOLOGY DURING THE COVID-19 PANDEMIC: LEVELS OF PATIENT SATISFACTION AND COMPARISON WITH TRADITIONAL FACE-TO-FACE CONSULTATIONS

Neuro-Oncology ◽

10.1093/neuonc/noaa215.107 ◽

2020 ◽

Vol 22 (Supplement_2) ◽

pp. ii26-ii26

Author(s):

Emma Toman ◽

Claire Goddard ◽

Frederick Berki ◽

William Garratt ◽

Teresa Scott ◽

...

Keyword(s):

Patient Satisfaction ◽

University Hospitals ◽

Health Crisis ◽

Patient Satisfaction Questionnaire ◽

Telephone Consultation ◽

Exact Test ◽

Face To Face ◽

Significant Difference ◽

The Face ◽

The University

Abstract INTRODUCTION Controversy exists as to whether telephone clinics are appropriate in neurosurgical-oncology. The COVID-19 pandemic forced neuro-oncology services worldwide to re-design and at the University Hospitals Birmingham UK, telephone clinics were quickly implemented in select patients to limit numbers of patients attending hospital. It was important to determine how these changes were perceived by patients. METHODS A 20-question patient satisfaction questionnaire was distributed to patients who attended neuro-oncology clinic in person (“face-to-face”), or via the telephone. Fisher’s exact test was used to determine significance, which was set at p< 0.05. RESULTS Eighty questionnaires were distributed between June 2020 and August 2020. Overall, 50% (n=40) of patients returned the questionnaire, 50% (n=23) of face-to-face and 50% (n=17) telephone patients. Of those who received telephone consultations, 88% (n=15) felt the consultation was convenient, 88% (n=15) were satisfied with their consultation and 18% (n=3) felt they would have preferred to have a face-to-face appointment. Of those who attended clinic in person, 96% (n=22) felt their consultation was convenient, 100% (n=23) were satisfied with their consultation and 13% (n=3) would have preferred a telephone consultation. Within the face-to-face clinic attendees, only 13% (n=3) were concerned regarding the COVID risk associated with attending hospital. There was no significant difference in patient convenience or satisfaction (p=0.565 and p=0.174 respectively) between face-to-face and telephone clinics. There was no significant difference in whether patients would’ve preferred the alternative method of consultation (p > 0.999). CONCLUSION Our study suggests that careful patient selection for neuro-oncology telephone clinic is not inferior to face-to-face clinic. Telephone clinic during COVID-19 pandemic proved to be convenient, safe and effective. This global health crisis has transformed telephone neuro-oncology consultations from an experimental innovation into established practice and should be continued beyond the pandemic in select cases.

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