scholarly journals The Effects of Real-Time Interactive Multimedia Teleradiology System

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Lilac Al-Safadi
Keyword(s):  
Real Time ◽  
Interactive Multimedia ◽  
Point Of Care ◽  
Critical Role ◽  
Web Based ◽  
Teleradiology System ◽  
Multimedia Technologies ◽  
Referring Physicians ◽  
Improving Patient Care

This study describes the design of a real-time interactive multimedia teleradiology system and assesses how the system is used by referring physicians in point-of-care situations and supports or hinders aspects of physician-radiologist interaction. We developed a real-time multimedia teleradiology management system that automates the transfer of images and radiologists’ reports and surveyed physicians to triangulate the findings and to verify the realism and results of the experiment. The web-based survey was delivered to 150 physicians from a range of specialties. The survey was completed by 72% of physicians. Data showed a correlation between rich interactivity, satisfaction, and effectiveness. The results of our experiments suggest that real-time multimedia teleradiology systems are valued by referring physicians and may have the potential for enhancing their practice and improving patient care and highlight the critical role of multimedia technologies to provide real-time multimode interactivity in current medical care.

scholarly journals How I use fibrinogen replacement therapy in acquired bleeding

Blood ◽  
2015 ◽  
Vol 125 (9) ◽  
pp. 1387-1393 ◽  
Author(s):  
Jerrold H. Levy ◽  
Lawrence T. Goodnough
Keyword(s):  
Replacement Therapy ◽  
Cardiovascular Surgery ◽  
Point Of Care ◽  
Critical Role ◽  
Clinical Settings ◽  
Point Of Care Testing ◽  
Hemostatic Therapy ◽  
Transfusion Guidelines ◽  
Fibrinogen Replacement Therapy

Abstract Fibrinogen is a critical protein for hemostasis and clot formation. However, transfusion guidelines have variable recommendations for maintaining fibrinogen levels in bleeding patients. An increasing number of studies support the practice of fibrinogen replacement therapy for acquired coagulopathies, and additional studies are underway. Fibrinogen therapy can be administered with cryoprecipitate or fibrinogen concentrates, and clinical practice varies according to their availability and licensing status. Fibrinogen concentrate therapy has been studied in animal models and clinical trials and supports the critical role of fibrinogen repletion in bleeding patients. Point-of-care testing will have an important role in guiding fibrinogen replacement for hemostatic therapy in clinical settings such as cardiovascular surgery, postpartum hemorrhage, and trauma. Fibrinogen therapy is an important component of a multimodal strategy for the treatment of coagulopathic bleeding.

Importance of Web Based Tools for Promotion of Movies

2014 ◽  
Vol 4 (2) ◽  
pp. 62-73
Author(s):  
Suresh Sannapu ◽  
Akshat Singh Parihar ◽  
Gaurav Kandwal ◽  
Karan Kakkar
Keyword(s):  
Film Industry ◽  
Critical Role ◽  
Individual Investors ◽  
Multiple Stakeholders ◽  
Web Based ◽  
Secondary Sources ◽  
Online Tools ◽  
The Impact ◽  
The Relationship

This paper gives a description of the empirical study investigating the impact of promotions using Web based tools by Indian Movie production houses. Evolution of movie promotion starting with use of traditional methods for the first movie to the near dependence on social media to promote the latest movies produced in India has been chronologically presented. Critical role of web based tools and their synchronization with other media tools in contemporary movie promotion has also been elaborated. As Indian film industry is witnessing impeccable advancements in areas like technology and marketing digitalization, this research shows the use of online tools for attracting consumers. The key research objective is to find out the ability of the production houses to attain maximum customer attraction through various online tools like Facebook, Twitter, Blogs and YouTube. Data has been collected both from primary and secondary sources. Regression analysis has been used to depict the relationship between likes, comments and shares with the number of campaigns. Given the huge contribution of movies to Indian economy, ever increasing competition in this industry and increasing popularity of Web based tools; this study aims to benefit multiple stakeholders including movie producers, individual investors and all other entities related to movie making business such as music companies, distributors, exhibitors and single screen owners.

scholarly journals Atg16L1 as a Novel Biomarker and Autophagy Gene for Diabetic Retinopathy

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Xinxiao Gao ◽  
Yunhui Du ◽  
Wayne Bond Lau ◽  
Yu Li ◽  
Siquan Zhu ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Real Time ◽  
Potential Role ◽  
Critical Role ◽  
Differentially Expressed ◽  
Chain Reactions ◽  
Polymerase Chain Reactions ◽  
Polymerase Chain ◽  
Microarray Analyses

Objective. Accumulating evidence suggests the critical role of autophagy in the pathogenesis of diabetic retinopathy (DR). In the current study, we aim to identify autophagy genes involved in DR via microarray analyses. Methods. Gene microarrays were performed to identify differentially expressed lncRNAs/mRNAs between normal and DR retinas. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses of lncRNA-coexpressed mRNAs were used to determine the related pathological pathways and biological modules. Real-time polymerase chain reactions (PCR) were conducted to validate the microarray analyses. Results. A total of 2474 significantly dysregulated lncRNAs and 959 differentially expressed mRNAs were identified in the retina of DR. Based upon Signalnet analysis, Bcl2, Gabarapl2, Atg4c, and Atg16L1 participated the process of cell death in DR. Moreover, real-time PCR revealed significant upregulation of Atg16L1. Conclusion. This study indicated the importance and potential role of Atg16L1, one of the autophagy genes, as a biomarker in DR development and progression.

scholarly journals Consultagene: Pre- and Post-Pandemic Experience with a Web-based Platform and Remote Delivery of Genetic Services

2021 ◽  
Author(s):  
Kim C. Worley ◽  
Daniel Lee Riconda ◽  
Amy M. Wallis ◽  
Chad A. Shaw ◽  
Chris M. Holder ◽  
...  
Keyword(s):  
Point Of Care ◽  
Genetic Services ◽  
Clinical Genetics ◽  
Web Based ◽  
Specific Content ◽  
Data Infrastructure ◽  
Direct To Consumer ◽  
Video Consultation ◽  
Virtual Platform

AbstractChanges in genetics and genomics sequencing in recent years have created increased demand for genetics professionals, including clinical geneticists and genetic counselors. A significant workforce shortage of these professionals has become widely recognized. This shortage is driven by several factors, including the increased role of genetics in healthcare due to precision medicine initiatives and demand outside of medical practices in clinical and direct-to-consumer genetic testing companies that require genetics professionals for education and counseling.We developed the Consultagene virtual platform for delivery of genetic care, counseling, and education to address some of these issues that have become global challenges in the field of clinical genetics and to bridge existing gaps at the point of care. The platform provides access to specific content based upon the referral indication including educational videos and resource links, allows document sharing, health and history information gathering and appointment scheduling with persistent access to the materials via secure data infrastructure. Having the platform coupled with access to our tele- and video consultation service allows clients convenient on-demand access to genetic education and services as needed.This report describes the Consultagene platform development and use prior to and during the COVID-19 pandemic, some of the identified strengths and weaknesses of such a platform, and the current applications in the new environment where telemedicine practice has rapidly expanded.Topic SummaryConsultagene is the first academic virtual platform to integrate a comprehensive range of genetics services including genetics education, genetics consultation, and genetic counseling. Consultagene addresses the increasing demands and unmet, evolving needs for genetic services due to widely available genomic sequencing and the platform seamlessly adapted to the pandemic-induced adjustments to clinical practice.

scholarly journals The Neural Basis of Predictive Pursuit

2019 ◽  
Author(s):  
Seng Bum Michael Yoo ◽  
Jiaxin Cindy Tu ◽  
Steven T. Piantadosi ◽  
Benjamin Yost Hayden
Keyword(s):  
Anterior Cingulate Cortex ◽  
Real Time ◽  
Critical Role ◽  
Cingulate Cortex ◽  
Explicit Representation ◽  
Anterior Cingulate ◽  
Neural Basis ◽  
Dorsal Anterior Cingulate Cortex ◽  
The Brain

ABSTRACTIt remains unclear how and to what extent non-human animals make demanding on-the-fly predictions during pursuit. We studied this problem in a novel laboratory pursuit task that incentivizes prediction of future prey positions. We trained three macaques to perform joystick-controlled pursuit of prey that followed intelligent escape algorithms. Subjects reliably aimed towards the prey’s likely future positions, indicating that they generate internal predictions and use those predictions to guide behavior. We then developed a generative model that explains real-time pursuit trajectories and showed that our subjects use prey position, velocity, and acceleration to make predictions. We identified neurons in the dorsal anterior cingulate cortex (dACC) whose responses track these three variables. These neurons multiplexed prediction-related variables with a distinct and explicit representation of the prey’s future position. Our results provide a clear demonstration that the brain can explicitly represent future predictions and highlight the critical role of anterior cingulate cortex for future-oriented cognition.One-sentence summaryIn a dynamic pursuit environment, monkeys actively predict future prey positions and dACC neurons encode these future positions.

scholarly journals The critical role of direct observation in entrustment decisions

2021 ◽  
Author(s):  
Matthew Sibbald ◽  
Muqtasid Mansoor ◽  
Michael Tsang ◽  
Sarah Blissett ◽  
Geoffrey Norman
Keyword(s):  
Real Time ◽  
Direct Observation ◽  
Postgraduate Training ◽  
Critical Role ◽  
Reliability And Validity ◽  
Consequential Validity ◽  
Systematic Direct Observation ◽  
Objective Structured Clinical Exam ◽  
Past Experiences

Background: Entrustment decisions may be retrospective (based on past experiences with a trainee) or real-time (based on direct observation). We investigated judgments of entrustment based on assessor prior knowledge of candidates and based on systematic direct observation, conducted in an objective structured clinical exam (OSCE). Methods: Sixteen faculty examiners provided 287 retrospective and real-time entrustment ratings of 16 cardiology trainees during OSCE stations in 2019 and 2020. Reliability and validity of these ratings were assessed by comparing correlations across stations as a measure of reliability, differences across postgraduate years as an index of construct validity, correlation to standardized in-training exam (ITE) as a measure of criterion validity, and reclassification of entrustment as a measure of consequential validity. Results: Both retrospective and real-time assessments were highly reliable (all intra-class correlations >0.86). Both increased with year of postgraduate training. Real-time entrustment ratings were significantly correlated with standardized ITE scores; retrospective ratings were not. Real-time ratings explained 37% (2019) and 46% (2020) of variance in examination scores vs. 21% (2019) and 7% (2020) for retrospective ratings. Direct observation resulted in a different level of entrustment compared with retrospective ratings in 44% of cases (p = <0.001). Conclusions: Ratings based on direct observation made unique contributions to entrustment decisions.

Teacher Knowledge and Perceptions of Stuttering and Bullying in School‐Age Children.

2013 ◽  
Vol 23 (2) ◽  
pp. 39-53 ◽  
Author(s):  
Laura W. Plexico ◽  
Allison M. Plumb ◽  
Jillian Beacham
Keyword(s):  
Teacher Knowledge ◽  
Critical Role ◽  
Information Provision ◽  
School Age Children ◽  
Web Based ◽  
Speech Language Pathologist ◽  
Development And Management ◽  
E Mail ◽  
Insight Into

Purpose: To evaluate teacher knowledge and perceptions of the development and management of stuttering, as well as bullying. Method: A 32‐item web‐based survey was created to address the purposes of this investigation. Participants were recruited in 5 states representing diverse geographic regions by sending an e‐mail with an attached information letter and an embedded e‐mail link. A total of 84 teachers completed the survey. Results: Teachers demonstrated a general understanding of the cause and characteristics associated with stuttering; however, teachers indicated some feelings of discomfort surrounding stuttering and there were some indications that they are not clear on the best ways to manage it, nor do they have access to materials. The majority identified bullying as a problem at their schools and encountered bullying of children who stutter. Conclusions: The results from this investigation were mixed in that teachers demonstrated insight into some areas of stuttering and bullying, but decreased awareness or misperceptions in others. The findings highlight the critical role of the speech‐language pathologist in the continued need for in‐services and information provision on the nature and management of childhood stuttering as well as bullying.

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