scholarly journals Quality of Written Feedback given to Medical Students after Introduction of Real-Time Audio Monitoring of Clinical Encounters

2020 ◽  
Author(s):  
Michael Sanatani ◽  
Kylea Potvin ◽  
Henry Conter ◽  
Andrew Warner ◽  
Kimberly Trudgeon
Keyword(s):  
Real Time ◽  
Body Language ◽  
Written Feedback ◽  
Feedback Process ◽  
Patient Encounter ◽  
High Quality ◽  
Usual Practice ◽  
Clinical Encounters ◽  
Easy Integration

Abstract Background Direct observation is necessary for specific and actionable feedback, however clinicians often struggle to integrate observation into their practice. Remotely audio-monitoring trainees for periods of time may improve the quality of written feedback given to them, and may be a minimally disruptive task for a consultant to perform in a busy clinic.Methods Selected faculty used a wireless audio receiver during the second half of students' oncology rotations to listen to encounters during clinic in real time. They then gave written feedback as per usual practice, as did faculty who did not use the listening-in intervention. Feedback was de-identified and rated, using a rubric, as strong/medium/weak according to consensus of 2/3 rating investigators.Results Monitoring faculty indicated that audio monitoring made the feedback process easier and increased confidence in 95% of encounters. Most students (19/21 respondents) felt monitoring contributed positively to their learning, and included more useful comments. 101 written evaluations were completed by 7 monitoring and 19 non-monitoring faculty. 22/23 (96%) of feedback after monitoring was rated as high quality, compared to 16/37 (43%) (p<0.001) for monitoring faculty before using the equipment (and 20/78 (26%) without monitoring for all consultants (p<0.001)).Conclusions Using live audio monitoring improved the quality of written feedback given to trainees, as judged by the trainees themselves and also using an exploratory grading rubric. The method was well received by both faculty and trainees. Although there are limitations compared to in-the-room observation (body language), the benefits of easy integration into clinical practice and a more natural patient encounter without the observer physically present lead the authors to now use this method routinely while teaching oncology students.

scholarly journals Quality of written feedback given to medical students after introduction of real-time audio monitoring of clinical encounters

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michael Sanatani ◽  
Kylea Potvin ◽  
Henry Conter ◽  
Kimberly Trudgeon ◽  
Andrew Warner
Keyword(s):  
Medical Students ◽  
Real Time ◽  
Written Feedback ◽  
Clinical Encounters

scholarly journals An Adaptive Bitrate Switching Algorithm for Speech Applications in Context of WebRTC

2021 ◽  
Vol 17 (4) ◽  
pp. 1-21
Author(s):  
Mohannad Alahmadi ◽  
Peter Pocta ◽  
Hugh Melvin
Keyword(s):  
Real Time ◽  
Data Exchange ◽  
Quality Of Experience ◽  
End User ◽  
High Quality ◽  
Content Type ◽  
Switching Algorithm ◽  
Wide Range ◽  
The Impact

Web Real-Time Communication (WebRTC) combines a set of standards and technologies to enable high-quality audio, video, and auxiliary data exchange in web browsers and mobile applications. It enables peer-to-peer multimedia sessions over IP networks without the need for additional plugins. The Opus codec, which is deployed as the default audio codec for speech and music streaming in WebRTC, supports a wide range of bitrates. This range of bitrates covers narrowband, wideband, and super-wideband up to fullband bandwidths. Users of IP-based telephony always demand high-quality audio. In addition to users’ expectation, their emotional state, content type, and many other psychological factors; network quality of service; and distortions introduced at the end terminals could determine their quality of experience. To measure the quality experienced by the end user for voice transmission service, the E-model standardized in the ITU-T Rec. G.107 (a narrowband version), ITU-T Rec. G.107.1 (a wideband version), and the most recent ITU-T Rec. G.107.2 extension for the super-wideband E-model can be used. In this work, we present a quality of experience model built on the E-model to measure the impact of coding and packet loss to assess the quality perceived by the end user in WebRTC speech applications. Based on the computed Mean Opinion Score, a real-time adaptive codec parameter switching mechanism is used to switch to the most optimum codec bitrate under the present network conditions. We present the evaluation results to show the effectiveness of the proposed approach when compared with the default codec configuration in WebRTC.

scholarly journals Evolution of orbit and clock quality for real-time multi-GNSS solutions

GPS Solutions ◽  
2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Kamil Kazmierski ◽  
Radoslaw Zajdel ◽  
Krzysztof Sośnica
Keyword(s):  
Real Time ◽  
Atomic Clock ◽  
Orbital Plane ◽  
Poor Quality ◽  
Satellite Orbits ◽  
High Quality ◽  
Changes Over Time ◽  
Over Time ◽  
Orbit Characteristics

Abstract High-quality satellite orbits and clocks are necessary for multi-GNSS precise point positioning and timing. In undifferenced GNSS solutions, the quality of orbit and clock products significantly influences the resulting position accuracy; therefore, for precise positioning in real time, the corrections for orbits and clocks are generated and distributed to users. In this research, we assess the quality and the availability of real-time CNES orbits and clocks for GPS, GLONASS, Galileo, and BeiDou-2 separated by satellite blocks and types, as well as the product quality changes over time. We calculate the signal-in-space ranging error (SISRE) as the main orbit and clock quality indicator. Moreover, we employ independent orbit validation based on satellite laser ranging. We found that the most accurate orbits are currently available for GPS. However, Galileo utmost stable atomic clocks compensate for systematic errors in Galileo orbits. As a result, the SISRE for Galileo is lower than that for GPS, equaling 1.6 and 2.3 cm for Galileo and GPS, respectively. The GLONASS satellites, despite the high quality of their orbits, are characterized by poor quality of clocks, and together with BeiDou-2 in medium and geosynchronous inclined orbits, are characterized by SISRE of 4–6 cm. BeiDou-2 in geostationary orbits is characterized by large orbital errors and the lowest availability of real-time orbit and clock corrections due to a large number of satellite maneuvers. The quality of GNSS orbit and clock corrections changes over time and depends on satellite type, block, orbit characteristics, onboard atomic clock, and the sun elevation above the orbital plane.

Design of High Accuracy Robot Welding Machine for a Cone Bottom

2014 ◽  
Vol 496-500 ◽  
pp. 1289-1292
Author(s):  
De Huan Tang ◽  
De Yang Luo
Keyword(s):  
Real Time ◽  
Tracking System ◽  
High Accuracy ◽  
Welding Robot ◽  
Robotic Welding ◽  
High Quality ◽  
The Real ◽  
Laser Tracking ◽  
Welding Machine

This paper designed a special welding machine for an aluminum cone bottom workpiece. This machine contains highly accurate positioner system, laser tracking system, and robotic welding devices. It is used to weld the transverse seams and the longitudinal seams of the workpiece. The interaction of welding robot with positioner and the real-time seam correcting can ensure high quality of welding.

scholarly journals The Quality of Colonoscopy Reporting in Usual Practice: Are Endoscopists Reporting Key Data Elements?

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
S. D. Hadlock ◽  
N. Liu ◽  
M. Bernstein ◽  
M. Gould ◽  
L. Rabeneck ◽  
...  
Keyword(s):  
Open Access ◽  
Poor Quality ◽  
High Quality ◽  
Usual Practice ◽  
Quality Reporting ◽  
Targeted Interventions ◽  
Factors Associated ◽  
Data Elements ◽  
Colonoscopy Quality

Background. High quality reporting of endoscopic procedures is critical to the implementation of colonoscopy quality assurance programs.Objective. The aim of our research was to (1) determine the quality of colonoscopy (CS) reporting in “usual practice,” (2) identify factors associated with good quality reporting, and (3) compare CS reporting in open-access and non-open-access procedures.Methods. 557 CS reports were randomly selected and assigned a score based on the number of mandatory data elements included in the report. Reports documenting greater than 70% of the mandatory data elements were considered to be of good quality. Physician and procedure factors associated with good quality CS reporting were identified.Results. Variables that were consistently well documented included date of the procedure (99.6%), procedure indication (88.9%), a description of the most proximal anatomical segment reached (98.6%), and documentation of polyp location (97.8%). Approximately 79.4% of the reports were considered to be of good quality. Gastroenterology specialty, lower annual CS volume, and fewer years in practice were associated with good quality reporting.Discussion. CS reporting in usual practice in Ontario lacks quality in several areas. Almost 1 in 5 reports was of poor quality in our study.Conclusions. Targeted interventions and/or use of mandatory fields in synoptic reports should be considered to improve CS reporting.

scholarly journals The invisible supporters

AILA Review ◽  
2020 ◽  
Vol 33 ◽  
pp. 21-46
Author(s):  
Eva-Maria Jakobs ◽  
Claas Digmayer
Keyword(s):  
Written Feedback ◽  
Feedback Process ◽  
University Of Texas ◽  
Staff Members ◽  
Writing Processes ◽  
Text Quality ◽  
The Us ◽  
The University

Abstract This article examines how written feedback is used to support the production of texts for purposes of reuse. The case study refers to an entrepreneur training program at the University of Texas at Austin. In the program, Korean startups are trained in understanding the US market, and developing pitches that convince US investors. They are supported by Quicklook® reports. A Quicklook report delivers snapshots of the market receptivity for the startup’s product. Market analysts write the reports. In the final stage of drafting, program staff members supervise the report author. This study investigates how supervisors use commenting and how the goal of creating a highly reusable text source guides the feedback process. The database was examined quantitatively (frequency of drafting and commenting) and qualitatively (functional comment types). The results offer valuable insights into actual writing processes in business settings and how professionals interact to ensure a reusable product. The findings indicate a broad range of comment functions. Overall, we distinguish two main categories: feedback activities focusing on Quicklook reports as reusable resource, and feedback activities focusing on collaboration and workflow. Each category includes functional comment types. Further research is needed to learn more about professional strategies of reflecting on text quality, the quality of assessments, or the ratio between detected and real deficiencies of a document.

scholarly journals Characterization of Infant Cardiopulmonary Resuscitation Delivery with Range Sensor Feedback on Performance

2021 ◽  
Vol 11 (21) ◽  
pp. 9813
Author(s):  
Farah M. Alkhafaji ◽  
Ghaidaa A. Khalid ◽  
Ali Al-Naji ◽  
Basheer M. Hussein ◽  
Javaan Chahl
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Real Time ◽  
Survival Rates ◽  
Feedback System ◽  
High Quality ◽  
Compression Technique ◽  
The Social ◽  
Cpr Training

Cardiac arrest (CA) in infants is an issue worldwide, which causes significant morbidity and mortality rates. Cardiopulmonary resuscitation (CPR) is a technique performed in case of CA to save victims' lives. However, CPR is often not performed effectively, even when delivered by qualified rescuers. Therefore, international guidelines have proposed applying a CPR feedback device to achieve high-quality application of CPR to enhance survival rates. Currently, no feedback device is available to guide learners through infant CPR performance in contrast to a number of adult CPR feedback devices. This study presents a real-time feedback system to improve infant CPR performance by medical staff and laypersons using a commercial CPR infant manikin. The proposed system uses an IR sensor to compare CPR performance obtained with no feedback and with a real-time feedback system. Performance was validated by analysis of the CPR parameters actually delivered against the recommended target parameters. Results show that the real-time feedback system significantly improves the quality of chest compression parameters. The two-thumb compression technique is the achievable and appropriate mechanism applied to infant subjects for delivering high-quality CPR. Under the social distancing constraints imposed by the SARS-CoV-2 pandemic, the results from the training device were sent to a CPR training center and provided each participant with CPR proficiency.

Effective Assignment Feedback through Timely and Personal Digital Audio Engagement

2010 ◽  
pp. 409-428
Author(s):  
Anne Nortcliffe ◽  
Andrew Middleton
Keyword(s):  
Best Practice ◽  
Learning Experience ◽  
Written Feedback ◽  
Digital Audio ◽  
Feedback Process ◽  
Audio Feedback ◽  
Audio Technology ◽  
Literature Base ◽  
Written Word

Audio feedback is a method that can provide rich, personal and detailed feedback that can convey more than the written word. This is particularly achieved through the capturing of the expressive quality of the speaker’s voice. Audio feedback has the potential to promote student engagement in the feedback process, as it is not associated with the negative connotations of written feedback. This chapter will draw upon the growing literature base and recent research. It will indicate how different approaches to using audio technology can enhance the learning experience and the feedback process through its personal and timely qualities. The chapter will conclude with guidelines for best practice for implementation of audio feedback.

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