scholarly journals 695 Photo-otoscopy Audit: A Review of Change in Departmental Practice Due to COVID-19

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Y Chan ◽  
H Thornton ◽  
C Gordon ◽  
H Ishii ◽  
M Clark
Keyword(s):  
Future Development ◽  
Significant Variation ◽  
Slight Improvement ◽  
Vulnerable Patients ◽  
Set Up ◽  
Outpatient Appointments

Abstract Background Photo-otoscopy is a new service set up during the COVID-19 pandemic, with the view to minimise unnecessary appointments, protect vulnerable patients, and optimise efficiency of ENT-outpatient appointments. The objectives are to assess rate of diagnostic photos and investigate how to improve this service. Method First cycle was performed between June and July and second cycle between October and December 2020. All patients attending Audiology who had a photo taken were included. Photos were analysed based on a number of variables to identify the proportion of diagnostic and non-diagnostic photos. First cycle highlighted a few changes to practice that were then instigated for second cycle. Results 324 patients and 232 patients were included in first and second cycle respectively. 17 operators/audiologists were involved. There is slight improvement in percentage of diagnostic photos in second cycle compared to first (30.6% to 31.9% in right ear and 23.5% to 35.8% in left ear). Percentages of non-diagnostic photos with blurriness as sole reason have increased compared to first cycle. Percentages of non-diagnostic photos with all 3 variables present have reduced significantly. Mean percentage of acceptable photos per operator have also improved. 8 out of 10 ENT consultants/registrars found the service useful. Conclusions Rate of diagnostic photos remained low (<40%) despite implementation of changes to practice from first cycle. 38% of non-diagnostic photos were wax-related. There is significant variation in rate of diagnostic photos due to its operator-dependent nature. Given the expansion of telemedicine, there is definitely scope for future development for photo-otoscopy.

Multi-phase information aggregation and dynamic synthetic evaluation based on grey inspiriting control lines

2014 ◽  
Vol 4 (2) ◽  
pp. 154-163 ◽  
Author(s):  
San-dang Guo ◽  
Sifeng Liu ◽  
Zhigeng Fang ◽  
Lingling Wang
Keyword(s):  
Future Development ◽  
Information Aggregation ◽  
Development Trend ◽  
Future Application ◽  
Phase Information ◽  
Content Type ◽  
Multi Stage ◽  
Comprehensive Evaluations ◽  
Set Up ◽  
Multi Phase

Purpose – The purpose of this paper is to put forward a multi-stage information aggregation method based on grey inspiriting control lines to evaluate the objects dynamically and comprehensively. Design/methodology/approach – According to the evaluation value of the objects, the positive and negative incentive lines were set up and the predicted values were solved based on the grey GM(1, 1) model, so the value with expected information could be evaluated. In the evaluation, the part above the positive incentive line should be “rewarded” and that below the negative incentive line should be “punished” appropriately. Thereby the double incentive effects of “the current development situation and future development trend” to objects could be implemented on the basis of control. Findings – This method can primarily describe the decision maker's expectancy of the development of evaluation objects and make the evaluation results have better practical application value. Research limitations/implications – Many comprehensive evaluations were always based on the past information. However, the future development trend of the evaluated object is also very important. This study can be used in the evaluation for future application and development. Originality/value – The paper succeeds in providing not only a method of multi-phase information aggregation with expectancy information, but also a simple and convenient method solving nonlinear inspiring lines objectively.

scholarly journals N-body Simulations with Live Stellar Evolution

2009 ◽  
Vol 26 (1) ◽  
pp. 92-102 ◽  
Author(s):  
Ross P. Church ◽  
Christopher A. Tout ◽  
Jarrod R. Hurley
Keyword(s):  
Future Development ◽  
Stellar Evolution ◽  
Binary Star ◽  
Software Packages ◽  
Set Up ◽  
Model Fits

AbstractAn N-body code containing live stellar evolution through combination of the software packages nbody6 and stars is presented. Operational details of the two codes are outlined and the changes that have been made to combine them discussed. We have computed the evolution of clusters of 104 stars using the combined code and we compare the results with those obtained using nbody6 and the synthetic stellar evolution code sse. We find that, providing the physics package within stars is set up correctly to match the parameters of the models used to construct sse, the results are very similar. This provides a good indication that the new code is working well. We also demonstrate how this physics can be changed simply in the new code with convective overshooting as an example. Similar changes in sse would require considerable reworking of the model fits. We conclude by outlining proposed future development of the code to include more complete models of single stars and binary star systems.

Commissioning Diabetic Eye Screening by Optometrists: A Local Initiative at the Primary-Secondary Care Interface

1994 ◽  
Vol 1 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Andrew Harris ◽  
Christopher Bonell ◽  
Tyrrell Evans ◽  
Geoffrey Roberson
Keyword(s):  
Health Services ◽  
Future Development ◽  
Secondary Care ◽  
Research Agenda ◽  
Family Health ◽  
Local Initiative ◽  
Eye Screening ◽  
Set Up ◽  
Diabetic Eye Screening ◽  
Key Questions

The rationale behind the decision of a London family health services authority (Lambeth, Southwark, and Lewisham) to embark on a programme for diabetic eye screening by optometrists is outlined, discussing the way in which the scheme was set up and its possible future development. This family health services authority brought together a range of professionals across primary and secondary care to reach agreement on development of the service, and a consensus on clinical guidelines for operation of the scheme. This was particularly difficult in an area served by four hospitals which provide care to diabetics. Development of the scheme identified key questions about quality which have promoted a separate research agenda.

A Beginners' Guide to Setting up a Relatives' Support Group for Carers of Elderly People with a Mental Illness

1989 ◽  
Vol 52 (3) ◽  
pp. 105-107
Author(s):  
Sue Penna
Keyword(s):  
Mental Illness ◽  
Elderly People ◽  
Support Groups ◽  
Support Group ◽  
Future Development ◽  
The Future ◽  
Need For Support ◽  
Set Up

This article discusses the need for support groups for the carers of elderly people with a mental illness, and offers suggestions on how to set up and run a relatives' support group. It is hoped that it may not only encourage those working in this field to set up similar groups but also provoke discussion on the future development of such groups.

scholarly journals Mind the evidence gap: the use of patient-based evidence to create “complete HTA” in the twenty-first century

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Sophie Staniszewska ◽  
Sophie Söderholm Werkö
Keyword(s):  
Future Development ◽  
Technology Assessment ◽  
Task Force ◽  
Health Technology ◽  
First Century ◽  
Full Potential ◽  
Discussion Forums ◽  
Methodological Development ◽  
Conference Presentations ◽  
Set Up

Abstract The aim of this paper is to review the concept of patient-based evidence in health technology assessment (HTA), drawing on philosophical ideas of knowledge in order to judge whether current approaches to the use of evidence for HTA are complete. We draw on a number of key sources, including key papers and book chapters, discussion forums, agency reports, and conference presentations. We develop the potential dimensions of patient-based evidence, describe its key attributes, and consider its future development. Patient-based evidence has the potential to be a key concept in HTA, comprised of a series of related elements of importance to patients. We recognize that we raise more questions than can be answered, but as an emerging concept, recognition and understanding of patient-based evidence is still developing. The concepts and methods that support its application in HTA require urgent development. We conclude that clinical and economic forms of evidence are not enough for HTA. For HTA to be complete, we need to consider all relevant aspects of the phenomena, including patient-based evidence. There is now an urgent need for the global research and HTA community to work together to realize the full potential of patient-based evidence through conceptual and methodological development and wider recognition. We advocate that a task force be set up to address these urgent issues.

scholarly journals Distance Measurement Systems Using Lasers and Their Applications

2017 ◽  
Vol 9 (4) ◽  
pp. 33
Author(s):  
Joao Antonio Santos Dias Fonseca ◽  
Antonio Baptista ◽  
Ma Joao Martins ◽  
Joao Paulo N. Torres
Keyword(s):  
Future Development ◽  
Technological Progress ◽  
Distance Measurement ◽  
Measurement Methods ◽  
Measuring Systems ◽  
Measurement Systems ◽  
Advantages And Disadvantages ◽  
Set Up ◽  
Complex Methods ◽  
Methods Of Measurement

Optical measuring systems came to offer new ways to determine distances, deformations or vibrations through more accurate and greater range methods. Technological progress has allowed a significant improvement of several components, including the optical ones. Thus, the development of essential measurement methods is crucial to keep up with technological advances.In this paper, the three basic methods of measurement are studied – triangulation, telemetry and interferometry, covering their main applications, advantages and disadvantages, and theoretically substantiating each of the methods. The results of simulation routines for each method are shown along this work. For the triangulation method we made two experiments which demonstrate the functioning of the method in measuring distances and surfaces.For the telemetry method, experimental setups were studied to apply the method of pulse telemetry and phase comparison telemetry to measure distances,Thus, it is intended to set up the basis for the future development of more complex methods.

scholarly journals Mind the robot! Variation in attributions of mind to a wide set of real and fictional robots

2020 ◽  
Author(s):  
Oliver Jacobs ◽  
Kamel Gazzaz ◽  
Alan Kingstone
Keyword(s):  
Future Development ◽  
Significant Variation ◽  
Affective Computing ◽  
Critical Factor ◽  
Rapid Rise ◽  
Computing Systems ◽  
Computing Power ◽  
Technical Challenge ◽  
Half Century ◽  
Generational Shift

The rapid rise of computing power over the last half-century has prompted the desire to understand and develop a paradigm of affective computing systems that can recognize, process, and simulate human features, including qualities like empathy and morality. Quantitatively comparing different computing systems in their abilities to simulate human qualities has been a major technical challenge. A recent framework put forth by Gray, Gray, and Wegner (2007) provides promise as a new means for comparing a wide landscape of different digital agents both real and fictional. Using this framework, we sought to investigate if attributions of mind towards robots suggests that people perceive robots as capable of emulating different degrees of mind. We asked participants to rate the agency (the ability "to do") and experience (the ability "to feel") of 24 characters made up of humans, robots, inanimate objects, and animals. Although robots were collectively rated much lower than humans on agency and experience, there was significant variation among robots (both real and well-known fictional robots). This implies that building digital agents to imitate aspects of experience is a fruitful avenue for future development. In addition, age was a critical factor in people’s attributions of agency and experience indicating that there may be a generational shift towards greater acceptance of robots’ ability to both do and feel.

scholarly journals Roles and responsibilities of board of directors: Paving new path toward corporate governance in Thailand

2006 ◽  
Vol 3 (4) ◽  
pp. 184-191 ◽  
Author(s):  
Boonchai Hongcharu
Keyword(s):  
Corporate Governance ◽  
Board Of Directors ◽  
Future Development ◽  
Asian Financial Crisis ◽  
Essential Elements ◽  
Board Members ◽  
Monitoring Systems ◽  
Roles And Responsibilities ◽  
The Board Of Directors ◽  
Set Up

Board of directors is one of the most essential elements of a corporation. Board members function as representatives of shareholders to monitor the management’s performance. Therefore, the board of directors is directly concerned with corporate governance development. However, it is generally found that the roles and responsibilities of board of directors are often ignored. The Asian financial crisis that first started in Thailand in 1997 triggered the interest in the structure and roles of the board of directors as an attempt to improve corporate governance. As a result, several measures have been set up to strengthen the functions of the board after incidences of corporate disasters resulting from the failure of monitoring systems of the board. This includes both regulatory and voluntary measures to improve corporate governance through board of directors. Recommendations for future development of board of directors are also discussed

Designing Virtual Medical Student Ambulatory Rotations in Light of the Coronavirus Pandemic: A Pilot Project

2020 ◽  
Author(s):  
Shreya Louis ◽  
J. Harry Isaacson ◽  
Monica Yepes-Rios ◽  
Neil Mehta
Keyword(s):  
Communication Technologies ◽  
Pilot Project ◽  
Rapid Expansion ◽  
Clinical Experiences ◽  
Department Of Health ◽  
Technology Platforms ◽  
Vulnerable Patients ◽  
Patient Consent ◽  
Virtual Visits ◽  
Set Up

Problem: Medical schools across the country have suspended in-person student clinical rotations in light of the ongoing COVID-19 pandemic to reduce transmission of infection, protect students, and preserve personal protective equipment (PPE) for health care workers on the front lines of care. The COVID-19 pandemic has led to a rapid expansion of outpatient virtual visits. While involving students into these visits will provide meaningful clinical experiences, and help offset the provider burden of increased virtual visits, students and preceptors alike may initially struggle initially in adapting to these new modalities due to the lack of a formal telemedicine curriculum.Approach/Method: The U.S. Department of Health & Human Services has relaxed HIPAA rules to allow for the use of audio and video communication technologies. This study aims to evaluate if ambulatory virtual visits can replicate key elements of the teaching model of in-person visits. Patient consent, preference for virtual visits (audio vs. video), and student involvement are documented in a virtual encounter note template created for this study. We evaluated several platforms to maximize patient access to visits including FaceTime, WhatsApp, Doximity, and Google Voice. Two virtual scenarios were evaluated: one in which students virtually interview patients alone first, and another in which students interview patients with their preceptors for the entire virtual visit. Outcome: Following our initial implementation of this virtual model, students and preceptors were able to replicate the general in-person clinic workflow with the exception physical exam maneuvers and procedures. Students saw patients virtually, completed notes, and participated in feedback sessions with preceptors for each visit. While this pilot study is ongoing, we wanted to share our workflow, note templates, and challenges in order to help other programs initiate implementation of their own student virtual visit encounters. Next Steps: The unique ability for students and preceptors to practice telemedicine with a variety of platforms in light of the COVID-19 pandemic has provided insight into the difficulties in implementing and obtaining access to telemedical visits. To ensure that our most vulnerable patients (those who rely on home health visits) will have access to virtual outpatient care, we aim to enlist medical students in outreach to patients to help them set up various technology platforms or better understand how virtual visits take place prior to their scheduled visit. Lastly, we plan to survey patient, student, and preceptor satisfaction with virtual encounters, to further develop our telemedicine curriculum and implementation for the future.

Production of Microelectronic Components at Umist

1982 ◽  
Vol 19 (3) ◽  
pp. 245-251 ◽  
Author(s):  
H. D. McKell
Keyword(s):  
Future Development ◽  
Semiconductor Device ◽  
Postgraduate Students ◽  
Manufacturing Facility ◽  
Microelectronic Technology ◽  
Set Up ◽  
Microelectronic Components

The UMIST semiconductor device manufacturing facility, set up, primarily, to make possible the familiarisation of undergraduate and postgraduate students with many of the fundamental processes in microelectronic technology, is described. The range of activities currently undertaken is outlined, and the direction of future development indicated.

Sign in / Sign up

Export Citation Format

Share Document