scholarly journals National video consultation service- changing the way we deliver future care

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S169-S170
Author(s):  
Alka Ahuja ◽  
Gemma Johns ◽  
Sara Khalil ◽  
Mike Ogonovsky
Keyword(s):  
Digital Implementation ◽  
Patient Demographics ◽  
Care Services ◽  
Wide Range ◽  
Clinician Satisfaction ◽  
Urban Rural ◽  
Survey Responses ◽  
Very High ◽  
Health Boards

AimsIn March 2020, when the COVID-19 outbreak emerged, Technology Enabled Care (TEC) Cymru went into partnership with the Welsh Government and CWTCH Cymru to offer a safe solution to protect the NHS and the public by developing and rolling-out a National Video Consulting (VC) Service on an All-Wales basis.The aim was to quickly develop and roll-out an NHS-approved communication platform (Attend Anywhere) to all primary, secondary and community care services, and into care homes, prisons, dentistry, optometry and pharmacy to offer video consultations to patients.MethodThe NHS Wales Video Consulting (VC) Service used a robust mixed methodology of surveys and interviews with patients, families and professionals. The real-time quality improvement approach was invaluable to the team as findings continually informed the approach and direction.ResultBased upon 10,000 survey responses from patients and professionals, and more than 300 interviews the results demonstrate that video consulting is consistently high in satisfaction, clinical suitability and acceptability across a wide range of patient demographics and clinical specialties in Wales. The key findings areVery high in patient and clinician satisfaction (slightly higher in patients).Clinically suitable across a wide range of specialties, care sectors and Health Boards.Very high in patient and clinician satisfaction (slightly higher in patients).High acceptability of VC, which is believed to be associated to the ‘Welsh Way’ of digital implementation processes.Consistent data patterns across patient demographics (age, gender, urban/rural location).Consistent data patterns across clinical settings and Health Boards.ConclusionThere is large appetite for VC in Wales, with high potential of sustainability and long-term use beyond COVID-19. The service is now working with clinicians, patients, carers and policy makers to explore the long-term use and sustainability of video consultations in Wales

scholarly journals Phytoplankton traits from long-term oceanographic time-series

2017 ◽  
Author(s):  
Crispin M Mutshinda ◽  
Zoe V Finkel ◽  
Claire E Widdicombe ◽  
Andrew J Irwin
Keyword(s):  
Biotic Interactions ◽  
Niche Differentiation ◽  
Phytoplankton Species ◽  
Density Dependent ◽  
Functional Types ◽  
Wide Range ◽  
Linear Loss ◽  
Very High ◽  
Loss Rates

AbstractTrait values are usually extracted from laboratory studies of single phytoplankton species, which presents challenges for understanding the immense diversity of phytoplankton species and the wide range of dynamic ocean environments. Here we use a Bayesian approach and a trait-based model to extract trait values for four functional types and ten diatom species from field data collected at Station L4 in the Western Channel Observatory. We find differences in maximum net growth rate, temperature optimum and sensitivity, half-saturation constants for light and nitrogen, and density-dependent loss terms across the functional types. We find evidence of very high linear loss rates, suggesting that grazing may be even more important than commonly assumed and differences in density-dependent loss rates across functional types, indicating the presence of strong niche differentiation among functional types. Low half-saturation constants for nitrogen at the functional type level may indicate widespread mixotrophy. At the species level, we find a wide range of density-dependent effects, which may be a signal of diversity in grazing susceptibility or biotic interactions. This approach may be a way to obtain more realistic and better-constrained trait-values for functional types to be used in ecosystem modeling.

Acute Improvement in Intraoperative EMG During Common Fibular Nerve Decompression in Patients with Symptomatic Diabetic Sensorimotor Peripheral Neuropathy: EMG and Clinical Attribute Interrelations

2020 ◽  
Vol 81 (06) ◽  
pp. 484-494
Author(s):  
Dwayne S. Yamasaki ◽  
D. Scott Nickerson ◽  
James C. Anderson
Keyword(s):  
Peripheral Neuropathy ◽  
Age Groups ◽  
Men And Women ◽  
Nerve Decompression ◽  
Patient Demographics ◽  
Wide Range ◽  
Fibular Nerve ◽  
Common Fibular Nerve

Abstract Study Aims Electromyographic (EMG) recordings of the fibularis longus and tibialis anterior muscles were performed intraoperatively during nerve decompression (ND) of the common fibular nerve (CFN) in patients with symptomatic diabetic sensorimotor peripheral neuropathy. Patient demographics and clinical attributes were compared against changes in EMG after ND and analyzed for possible correlations. Methods Intraoperative changes in CFN EMG were analyzed for correlations against sex, age, body mass index (BMI), hemoglobin A1c (A1c), and type and duration of diabetes. Results Statistically significant changes were found between EMG changes and patient attributes, but no individual correlations were established. Significant EMG improvement was observed for both men and women (p < 0.0001 and p < 0.05, respectively), age groups (4th decade: p < 0.05; 5th decade: p < 0.05; 6th decade: p < 0.01; 7th decade: p < 0.005), diabetes duration (0–9 years: p = 0.002; 10–19 years: p = 0.002; 20–29 years: p = 0.03), and for type 1 and 2 diabetes (type 1: p < 0.005; type 2: p < 0.001). EMG improvement was greater in patients with the highest BMI levels (30–34.9: p = 0.014; 35–39.9: p = 0.013; > 39.9: p = 0.043), and highest A1c levels (> 6.4%; p < 0.0001). Conclusion Although long-term clinical studies are needed, these results provide insight into which patients might benefit most from this surgery. These results also suggest that surgical ND can produce an acute improvement in nerve function for both men and women, for people with type 1 and 2 diabetes, and across a wide range of ages, BMI, A1c levels, and disease duration.

TEM study of boron additions to cobalt aluminide

1988 ◽  
Vol 46 ◽  
pp. 546-547
Author(s):  
Gerald B. Feldewerth
Keyword(s):  
High Temperature ◽  
Turbine Engines ◽  
Major Drawback ◽  
University Of Missouri ◽  
Specific Strength ◽  
Aerospace Applications ◽  
Wide Range ◽  
Ordered Alloys ◽  
The University ◽  
Very High

In recent years an increasing emphasis has been placed on the study of high temperature intermetallic compounds for possible aerospace applications. One group of interest is the B2 aiuminides. This group of intermetaliics has a very high melting temperature, good high temperature, and excellent specific strength. These qualities make it a candidate for applications such as turbine engines. The B2 aiuminides exist over a wide range of compositions and also have a large solubility for third element substitutional additions, which may allow alloying additions to overcome their major drawback, their brittle nature.One B2 aluminide currently being studied is cobalt aluminide. Optical microscopy of CoAl alloys produced at the University of Missouri-Rolla showed a dramatic decrease in the grain size which affects the yield strength and flow stress of long range ordered alloys, and a change in the grain shape with the addition of 0.5 % boron.

Features of the Christian values ​​system

2004 ◽  
pp. 21-29
Author(s):  
G.V. Pyrog
Keyword(s):  
Public Opinion ◽  
Religious Beliefs ◽  
Religious Values ◽  
Direct Influence ◽  
Moral Norms ◽  
Value System ◽  
Christian Religion ◽  
Mass Consciousness ◽  
Wide Range ◽  
Very High

In domestic scientific and public opinion, interest in religion as a new worldview paradigm is very high. Today's attention to the Christian religion in our society is connected, in our opinion, with the specificity of its value system, which distinguishes it from other forms of consciousness: the idea of ​​God, the absolute, the eternity of moral norms. That is why its historical forms do not receive accurate characteristics and do not matter in the mass consciousness. Modern religious beliefs do not always arise as a result of the direct influence of church preaching. The emerging religious values ​​are absorbed in a wide range of philosophical, artistic, ethical ideas, acting as a compensation for what is generally defined as spirituality. At the same time, the appeal to Christian values ​​became very popular.

DURCOMET 100

Alloy Digest ◽  
1993 ◽  
Vol 42 (2) ◽  
Keyword(s):  
Fracture Toughness ◽  
Wear Resistance ◽  
Corrosion Resistance ◽  
Mechanical Strength ◽  
Heat Treating ◽  
Corrosion And Wear ◽  
Annealed Condition ◽  
Excellent Corrosion Resistance ◽  
Wide Range ◽  
Very High

Abstract Durcomet 100 is an improved version of Alloy CD-4 MCu with better corrosion and wear resistance. The alloy is used in the annealed condition and possesses excellent corrosion resistance over a wide range of corrosion environments. Mechanical strength is also very high. This datasheet provides information on composition, physical properties, hardness, and tensile properties as well as fracture toughness. It also includes information on corrosion resistance as well as heat treating and joining. Filing Code: SS-540. Producer or source: Duriron Company Inc.

Modern prevention and active longevity programs on the basis of disruptive domestic technologies: positive experience and prospects for application

2020 ◽  
pp. 66-73
Author(s):  
A. Simonova ◽  
S. Chudakov ◽  
R. Gorenkov ◽  
V. Egorov ◽  
A. Gostry ◽  
...  
Keyword(s):  
Personalized Medicine ◽  
Early Detection ◽  
Laboratory Diagnostics ◽  
Positive Experience ◽  
Practical Application ◽  
Wide Range ◽  
Integrated Program ◽  
Long Term Experience ◽  
Early Detection And Prevention

The article summarizes the long-term experience of practical application of domestic breakthrough technologies of preventive personalized medicine for laboratory diagnostics of a wide range of socially significant non-infectious diseases. Conceptual approaches to the formation of an integrated program for early detection and prevention of civilization diseases based on these technologies are given. A vision of the prospects for the development of this area in domestic and foreign medicine has been formed.

Influencia de las condiciones de secado solar en la coloración de plantas medicinales

2019 ◽  
pp. 28-34
Author(s):  
Margarita Castillo-Téllez ◽  
Beatriz Castillo-Téllez ◽  
Juan Carlos Ovando-Sierra ◽  
Luz María Hernández-Cruz
Keyword(s):  
Medicinal Plants ◽  
Forced Convection ◽  
Rural Areas ◽  
Color Change ◽  
Drying Process ◽  
Scientific Medicine ◽  
Drying Time ◽  
Bacterial Proliferation ◽  
Wide Range ◽  
Very High

For millennia, humans have used hundreds of medicinal plants to treat diseases. Currently, many species with important characteristics are known to alleviate a wide range of health problems, mainly in rural areas, where the use of these resources is very high, even replacing scientific medicine almost completely. This paper presents the dehydration of medicinal plants that are grown in the State of Campeche through direct and indirect solar technologies in order to evaluate the influence of air flow and temperature on the color of the final product through the L* a* scale. b*, analyzing the activity of water and humidity during the drying process. The experimental results showed that the direct solar dryer with forced convection presents a little significant color change in a drying time of 400 min on average, guaranteeing the null bacterial proliferation and reaching a final humidity between 9 % and 11 %.

To the 70th anniversary of World Meteorological Organization. Scientific and technical cooperation of Hydrometeorological Center of the USSR/Russia in the Programs of World Meteorological Organization

2020 ◽  
pp. 117-138
Author(s):  
S.V. Borshch ◽  
◽  
R.M. Vil’fand ◽  
D.B. Kiktev ◽  
V.M. Khan ◽  
...  
Keyword(s):  
Environmental Monitoring ◽  
High Efficiency ◽  
World Meteorological Organization ◽  
70Th Anniversary ◽  
Technical Level ◽  
Technical Cooperation ◽  
Wide Range

The paper presents the summary and results of long-term and multi-faceted experience of international scientific and technical cooperation of Hydrometeorological Center of Russia in the field of hydrometeorology and environmental monitoring within the framework of WMO programs, which indicates its high efficiency in performing a wide range of works at a high scientific and technical level. Keywords: World Meteorological Organization, major WMO programs, representatives of Hydrometeorological Center of Russia in WMO

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