# ent

id: cord-029582-kap3tdiy
type: WORK_OF_ART
entity:
  A Multilevel Analysis of Patient Engagement and Patient Reported Outcomes in Primary Care Practices of Accountable Care Organizations


id: cord-243596-ryyokrdx
type: WORK_OF_ART
entity:
  Haptic Retargeting Dynamic Repurposing of Passive Haptics for Enhanced Virtual Reality Experiences Training Intensity Affects Motor Rehabilitation Efficacy


id: cord-243596-ryyokrdx
type: LAW
entity:
  the COVID 19 Pandemic Effects of Virtual Reality Based Exercise Imagery on Pain in Healthy Individuals Self


id: cord-146606-ee5s2pjs
type: LAW
entity:
  the Screen Interaction Across Touchscreen Boundaries in Virtual Reality for Mobile Knowledge Workers Wearable


id: cord-276273-26ktt0zw
type: ORG
entity:
  the Office of the Information and Privacy Commissioner of Saskatchewan on Apps That Offer Health Care Consultations Office of the Information and Privacy


id: cord-296560-ehrww6uu
type: LAW
entity:
  Chapter 9 Molecular Similarity Advances in Methods Applications and Validations in Virtual Screening and QSAR


id: cord-258269-ig8i9278
type: WORK_OF_ART
entity:
  A Literacy Pedagogy for Multimodal Composing Transforming Learning and Teaching Application of multimodal


id: cord-322918-9w727lpn
type: ORG
entity:
  Medicare Telemedicine Health Care Provider Fact Sheet University of Michigan National Poll on Healthy


id: cord-312212-h5j4f0xq
type: GGP
entity:
  Rev DOI 10 1016 j sxmr 2020 06 001 sha f173be72bc972e1cbc6c71d42e94d3f4f05dbc2d doc_id 312212 cord_uid h5j4f0xq INTRODUCTION Telemedicine TM


# bib

id: cord-029582-kap3tdiy
author: Srinivasan, Malathi
date: 2020-07-10
txt: ./txt/cord-029582-kap3tdiy.txt
cache: ./cache/cord-029582-kap3tdiy.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371283/
doi: 10.1056/cat.20.0262
summary:
  During the first two months of Virtual Health roll-out, our Stanford primary care providers conducted over 15,000 video and 3,500 telephone visits. Within four weeks after initiating the Virtual Health program, we conducted more than 80 interviews with staff and providers (physicians, advanced practice providers, medical assistants [MAs] ) in Stanford Primary Care to understand their experiences around Virtual Health. We developed a Virtual Health Patient Engagement model that incorporated principles of the NAM Quintuple Aim,4 which evolved from the NAM Triple Aim (quality of care, cost, patient experience) to include patient equity and inclusion, and prevention of provider burnout.5 Drawing from the WellMD model, 6 we considered factors to support patient engagement in Virtual Health, including system/technology support, support by clinical teams, and customized support for self-care ( Figure 1 ). To help providers achieve meaningful connection with Virtual Health patients, the Stanford Presence group developed and distributed five best practices for telepresence communication4:

title:
  Enhancing patient engagement during virtual care: A conceptual model and rapid implementation at an academic medical center

abstract:
  Stanford Healthcare shares the lessons learned during its rapid deployment of virtual visits during the Covid-19 pandemic.


id: cord-029626-j6b59y7a
title: Fostering Human Connection in the Covid-19 Virtual Health Care Realm
author: Cooley, Laura
date: 2020-05-20
txt: ./txt/cord-029626-j6b59y7a.txt
cache: ./cache/cord-029626-j6b59y7a.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371327/
doi: 10.1056/cat.20.0166
summary:
  On the other hand, patients before Covid-19 generally reported overall satisfaction with telehealth experiences,7 and recent reports indicate those positive perceptions have continued.8 Patients cite the ease with which they can discuss personal problems when mediated by technology.9 In addition, these virtual "home visits" allow patients to avoid traveling to a clinical setting or waiting there with frustration for a provider who runs late. Covid-19 distancing requirements have also accelerated the adoption of interactive digital tools to facilitate team connections,13 including the use of video conferencing and online discussion forums.14 Health care organizations hold virtual Q&A sessions to exchange up-to-date Covid-19 information with staff. However, identifying and improving one''s skills for engaging in meaningful virtual " communications with patients and colleagues can help ensure that human connection prospers in the midst of, and beyond, the changes wrought by the Covid-19 pandemic.

abstract:
  As telehealth becomes more mainstream, finding ways to add compassion and understanding to your communications with patients and colleagues is increasingly important. Here are some evidence-based, relationship-centered tips for enhancing these virtual encounters.


id: cord-034975-gud4dow5
title: Problematising reality: the promises and perils of synthetic media
author: Kalpokas, Ignas
date: 2020-11-09
txt: ./txt/cord-034975-gud4dow5.txt
cache: ./cache/cord-034975-gud4dow5.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649059/
doi: 10.1007/s43545-020-00010-8
summary:
  The analysis then focuses on synthetic media, first engaging with the capacity to create synthetic likenesses (deepfakes), then moving onto synthetic personalities (virtual influencers) and synthetic worlds (Extended Reality). Currently, the primary use of deepfakes is for synthetic pornography, as in transposing the faces of celebrities or former partners onto the bodies of performers in pornographic videos; however, there are clear threats coming from improvements in the technology itself, such as reducing the quantity of necessary input and increasing the quality of output, and from its pairing with other techniques, including big data-based precision targeting to identify those most susceptible to believing the synthetic content (Paul and Posard 2020) . Recent developments in today''s media also involve the creation of synthetic personalities, primarily as virtual influencers (VIs). An additional benefit of VIs is their independence from real-world context: for example, while coronavirus lockdowns issued by governments have significantly constrained opportunities (travel, public appearances etc.) for human influencers, virtual ones can continue regardless (Deighton 2020).

abstract:
  This commentary article focuses on the emergence of synthetic media—computer-generated content that is created by employing Artificial Intelligence (AI) technologies. It discusses three of the most notable current forms of this emerging form of content: deepfakes, virtual influencers, and augmented and virtual reality (collectively known as extended reality). Their key features are introduced, and the main challenges and opportunities associated with the technologies are analysed. In all cases, a crucial change is underway: reality (or, at least, the perception thereof) is seen as increasingly less stable, and potential for manipulation is on the rise. In fact, it transpires that personalisation of (perceived) reality is the likely outcome, with increasing societal fragmentation as a result. Mediatisation is used as a broad-ranging metatheory that explains the permeation by media of everyday affairs to explain the degree of impact that synthetic media have on the society. In this context, it is suggested that we search for new and alternative criteria for reality that would be capable of accounting for the changing nature of agency and impact in today’s world.


id: cord-146606-ee5s2pjs
title: Towards a Practical Virtual Office for Mobile Knowledge Workers
author: Ofek, Eyal
date: 2020-09-07
txt: ./txt/cord-146606-ee5s2pjs.txt
cache: ./cache/cord-146606-ee5s2pjs.txt
extension: .txt
mime: text/plain
url: https://arxiv.org/pdf/2009.02947v1.pdf
doi: nan
summary:
  Virtual Reality (VR) has the potential to change the way information workers work: it enables personal bespoke working environments even on the go and allows new collaboration approaches that can help mitigate the effects of physical distance. Head-mounted devices (HMDs) have become light, cheap, supporting high-resolution displays that are on par with available screens (such as HP Reverb''s 2160 x 2160 display), they may use inside-out optical tracking, which requires no special setups of the user''s environment, enable optical hand tracking for controller-less interaction, support video pass-through for occasional interaction with the external world and be driven by existing laptops and tablets. By designing interaction for a small input space, the user may be able to keep his familiar working gestures and muscle memory in many different physical environments.

abstract:
  As more people work from home or during travel, new opportunities and challenges arise around mobile office work. On one hand, people may work at flexible hours, independent of traffic limitations, but on the other hand, they may need to work at makeshift spaces, with less than optimal working conditions and decoupled from co-workers. Virtual Reality (VR) has the potential to change the way information workers work: it enables personal bespoke working environments even on the go and allows new collaboration approaches that can help mitigate the effects of physical distance. In this paper, we investigate opportunities and challenges for realizing a mobile VR offices environments and discuss implications from recent findings of mixing standard off-the-shelf equipment, such as tablets, laptops or desktops, with VR to enable effective, efficient, ergonomic, and rewarding mobile knowledge work. Further, we investigate the role of conceptual and physical spaces in a mobile VR office.


id: cord-243596-ryyokrdx
title: When Virtual Therapy and Art Meet: A Case Study of Creative Drawing Game in Virtual Environments
author: Baron, Lauren
date: 2020-10-16
txt: ./txt/cord-243596-ryyokrdx.txt
cache: ./cache/cord-243596-ryyokrdx.txt
extension: .txt
mime: text/plain
url: https://arxiv.org/pdf/2010.08100v1.pdf
doi: nan
summary:
  In a mixed-design study, healthy participants (N=16, 8 females) completed one of the easy or hard trajectories of the virtual therapy game in standing and seated arrangements using a virtual-reality headset. The results from participants'' movement accuracy, task completion time, and usability questionnaires indicate that participants had significant performance differences on two levels of the game based on its difficulty (between-subjects factor), but no difference in seated and standing configurations (within-subjects factor). In this paper, we introduce a creative drawing game for virtual therapy and investigate user''s comfort, range of motion and movement in multiple scenarios and configurations in a pilot study. The working hypothesis of this study was that our creative drawing VR game would be effective when integrated into therapy by analyzing improved Task Completion Time (TCT), accuracy based on lower number of the mistakes, and user experience (UX).

abstract:
  There have been a resurge lately on virtual therapy and other virtual- and tele-medicine services due to the new normal of practicing 'shelter at home'. In this paper, we propose a creative drawing game for virtual therapy and investigate user's comfort and movement freedom in a pilot study. In a mixed-design study, healthy participants (N=16, 8 females) completed one of the easy or hard trajectories of the virtual therapy game in standing and seated arrangements using a virtual-reality headset. The results from participants' movement accuracy, task completion time, and usability questionnaires indicate that participants had significant performance differences on two levels of the game based on its difficulty (between-subjects factor), but no difference in seated and standing configurations (within-subjects factor). Also, the hard mode was more favorable among participants. This work offers implications on virtual reality and 3D-interactive systems, with specific contributions to virtual therapy, and serious games for healthcare applications.


id: cord-255589-f8uf4kvf
title: Oculoplastics Education in the Coronavirus 2019 Pandemic With Virtual Suturing Curriculum
author: DeMaria, Lauren N.
date: 2020-08-18
txt: ./txt/cord-255589-f8uf4kvf.txt
cache: ./cache/cord-255589-f8uf4kvf.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32675725/
doi: 10.1097/iop.0000000000001783
abstract: nan
summary:
  4 In order to provide our residents with suturing experience during the pandemic, the oculoplastics team at New York University created a virtual suture training wet lab curriculum; this didactic incorporates elements of the in-person suturing didactics at Bascom Palmer Eye Institute. The residents had two virtual training sessions which included group discussion and wet lab breakout rooms with a 1:1 or 1:2 attending to resident ratio using the zoom video platform. Residents were additionally graded on suturing technique prior to instruction and at the final performance evaluation (Table) Overall surgical confidence faculty members of the New York University ophthalmology department; the resident with the highest point total received recognition. Our introductory experience with virtual wet labs has shown that virtual suture instruction can be an effective and viable mode of oculoplastics education for junior residents mastering basic suturing techniques. Our hope is that residency programs will be encouraged to utilize virtual surgical training in ophthalmology education in this new era of telehealth.


id: cord-258269-ig8i9278
title: Multimodal teaching, learning and training in virtual reality: a review and case study
author: Philippe, Stéphanie
date: 2020-10-31
url: https://www.sciencedirect.com/science/article/pii/S2096579620300711
doi: 10.1016/j.vrih.2020.07.008
abstract:
  It is becoming increasingly prevalent in digital learning research to encompass an array of different meanings, spaces, processes, and teaching strategies for discerning a global perspective on constructing the student learning experience. Multimodality is an emergent phenomenon that may influence how digital learning is designed, especially when employed in highly interactive and immersive learning environments such as Virtual Reality (VR). VR environments may aid students' efforts to be active learners through consciously attending to, and reflecting on, critique leveraging reflexivity and novel meaning-making most likely to lead to a conceptual change. This paper employs eleven industrial case-studies to highlight the application of multimodal VR-based teaching and training as a pedagogically rich strategy that may be designed, mapped and visualized through distinct VR-design elements and features. The outcomes of the use cases contribute to discern in-VR multimodal teaching as an emerging discourse that couples system design-based paradigms with embodied, situated and reflective praxis in spatial, emotional and temporal VR learning environments.


id: cord-258550-8ynduijm
author: Turner, Sandra
date: 2020-10-21
txt: ./txt/cord-258550-8ynduijm.txt
cache: ./cache/cord-258550-8ynduijm.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1007/s13187-020-01898-9
doi: 10.1007/s13187-020-01898-9
summary:
  title: Rapid Adaptation of Cancer Education in Response to the COVID-19 Pandemic: Evaluation of a Live Virtual Statistics and Research Skills Workshop for Oncology Trainees Due to COVID-19, an annual interactive statistics and research methodology workshop for radiation oncology trainees was adapted at short notice into a live virtual format. The SMART workshop program is composed largely of short didactic lectures given by the biostatisticians to align with learning outcomes, followed by highly interactive small-group sessions led by the radiation oncologist facilitators [6] . Trainees were asked their views on the educational value of the workshop components (didactic and interactive) and to rate their experience against the pre-prescribed LOs. Opinions around the logistical, technical and networking/social aspects of the virtual delivery format were sought as well thoughts about digital delivery methods for future educational activities.

title:
  Rapid Adaptation of Cancer Education in Response to the COVID-19 Pandemic: Evaluation of a Live Virtual Statistics and Research Skills Workshop for Oncology Trainees

abstract:
  Due to COVID-19, an annual interactive statistics and research methodology workshop for radiation oncology trainees was adapted at short notice into a live virtual format. This study aimed to evaluate trainee opinions around the educational value of the workshop, logistical aspects and impact on interactivity. A post-course on-line survey was completed by 26/42 trainee attendees (response rate 62%). For five pre-specified learning outcomes (LO), 58 to 69% of trainees agreed that the LO was completely or largely met (Likert scores 6 and 7 on a scale 1 = not met at all; 7 = completely met). All trainees felt that logistical aspects of the workshop including organisation, accessibility to the platform and sound/image quality were good or excellent. With regard to opportunities for interaction and suitability for small-group ‘break-out’ sessions, the majority felt that interaction could be adequately maintained whilst just under a quarter felt the delivery method was not fit for the purpose. Networking/social engagement with peers and teachers was the factor most impaired using the live virtual delivery format. Over three-quarters of trainees replied they would favour the current event or other educational sessions being offered (at least as an option) in a virtual format in the future. Cost and convenience were given as the major non-COVID-19–related benefits of virtual on-line learning. These preliminary findings provide valuable feedback to help adapt or develop further on-line educational and training initiatives that will be necessary in the COVID-19 pandemic period and beyond. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13187-020-01898-9) contains supplementary material, which is available to authorized users.


id: cord-273926-7556mk88
author: Maheshwari, Kavish
date: 2020-05-17
txt: ./txt/cord-273926-7556mk88.txt
cache: ./cache/cord-273926-7556mk88.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S174868152030190X?v=s5
doi: 10.1016/j.bjps.2020.05.012
abstract: nan
summary:
  title: Virtual clinics: Need of the hour, a way forward in the future. Virtual clinics: Need of the hour, a way forward in the future. There are no conflicts of interest Virtual clinics: Need of the hour, a way forward in the future. The whole concept of social distancing 2 and keeping people in self isolation has reduced footfall to the hospitals but this is affecting delivery of routine care to patients for other illnesses in the hospital and telehealth is an upcoming way to reduce the risk of cross contamination as well as reduce close contact without affecting the quality of health care delivered 3 . We have increased the use of these virtual clinics, with the onset of the novel Coronavirus pandemic, in order to reduce the patient footfall to our clinics. In order to achieve this, we have started virtual clinics for nearly all patients in order to triage patients that can do without having to come to the hospital for now.

title:
  Virtual clinics: Need of the hour, a way forward in the future. Adapting practice during a healthcare crisis.


id: cord-276273-26ktt0zw
title: Virtual care: Enhancing access or harming care?
author: Hardcastle, Lorian
date: 2020-07-20
txt: ./txt/cord-276273-26ktt0zw.txt
cache: ./cache/cord-276273-26ktt0zw.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32686506/
doi: 10.1177/0840470420938818
summary:
  In this article, we analyze virtual care models in Canada and argue that although they can improve access to health services, policy-makers must approach them with caution due to quality of care and privacy issues. One possible benefit of the virtual walk-in clinic model is improved access to care for patients who do not have family physicians or who live in remote areas without doctors. Saskatchewan''s Information and Privacy Commissioner recently cautioned health professionals and patients to "be careful what you sign up for." 23 Alberta''s Commissioner similarly noted "concerns" with Babylon and launched an investigation into the app. Given that continuity of care is linked to better patient outcomes, it is essential for governments to implement policies ensuring that all Canadians have access to a consistent primary care provider, rather than relying on virtual walk-in clinics as anyone''s main point of contact with the healthcare system.

abstract:
  COVID-19 has catalyzed the adoption of virtual medical care in Canada. Virtual care can improve access to healthcare services, particularly for those in remote locations or with health conditions that make seeing a doctor in person difficult or unsafe. However, virtual walk-in clinic models that do not connect patients with their own doctors can lead to fragmented, lower quality care. Although virtual walk-in clinics can be helpful for those who temporarily lack access to a family doctor, they should not be relied on as a long-term substitute to an established relationship with a primary care provider. Virtual care also raises significant privacy issues that policy-makers must address prior to implementing these models. Patients should be cautious of the artificial intelligence recommendations generated by some virtual care applications, which have been linked to quality of care concerns.


id: cord-278722-hox9m5mv
title: Learning Communities Engage Medical Students: A COVID-19 Virtual Conversation Series
author: Anderi, Emilyn
date: 2020-08-06
txt: ./txt/cord-278722-hox9m5mv.txt
cache: ./cache/cord-278722-hox9m5mv.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32923199/
doi: 10.7759/cureus.9593
summary:
  Conclusion The Virtual Conversation series emphasizing different medical aspects of COVID-19 provided a unique benefit to medical students'' understanding of the current landscape of healthcare, the anticipation of their future roles as physicians, connectedness with their community, and opportunity to practice flexibility as they begin to apply online learning with real-world situations in the health system. The Virtual Conversation series emphasizing different medical aspects of COVID-19 provided a unique benefit to medical students'' understanding of the current landscape of healthcare, the anticipation of their future roles as physicians, connectedness with their community, and opportunity to practice flexibility as they begin to apply online learning with real-world situations in the health system. As the COVID-19 pandemic evolved and social distancing measures were put into place, medical students faced numerous obstacles relating to their education such as the inability to gather with peers, lost sense of community, inadequate opportunities to practice crucial clinical skills, uncertainties of their roles in rotations, as well as individually grappling with virtual delivery of rigorous and difficult academic content while in quarantine [2, 3] .

abstract:
  Context Challenges to medical education have been pervasive during the COVID-19 pandemic, and medical students, in particular, have faced numerous obstacles as a result. One of the greatest losses for medical students was the inability to gather with their peers and a lost sense of community. The Learning Community (LC) program at Wayne State University School of Medicine (WSU SoM) expanded our offerings through the use of the Zoom platform to increase a sense of connectedness among medical students. The first initiative of its kind at WSU SoM, the Virtual Conversation series enabled students to share their pandemic challenges while also connecting with physicians on the COVID-19 frontlines. Students were offered eight online sessions with physicians and residents who were able to share insight regarding (1) how to succeed as a medical student on rotation during COVID-19, (2) potential implications of the pandemic on residency applications, (3) the utility of telemedicine, (4) tips for patient encounters, and (5) realities of serving as a physician during a global health crisis. Methods Residents and clinical physicians on the COVID-19 frontlines participated in 40-minute discussions with WSU SoM students through Zoom. Electronic Qualtrics surveys were distributed to medical student attendees of the Virtual Conversation series and responses were received via Likert scale, open text, and ranking questions. Results Qualtrics results demonstrated 55% of medical students (n=55) reported they learned new information about the COVID-19 pandemic from the perspective of physicians. Additionally, 62% of medical students described the Virtual Conversation series as ‘extremely useful’. Conclusion The Virtual Conversation series emphasizing different medical aspects of COVID-19 provided a unique benefit to medical students’ understanding of the current landscape of healthcare, the anticipation of their future roles as physicians, connectedness with their community, and opportunity to practice flexibility as they begin to apply online learning with real-world situations in the health system.


id: cord-282175-4b6wn04j
title: COVID-19 pandemic: personal view to a new model of pediatric practice
author: Barsoum, Zakaria
date: 2020-06-10
txt: ./txt/cord-282175-4b6wn04j.txt
cache: ./cache/cord-282175-4b6wn04j.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32524375/
doi: 10.1007/s12519-020-00372-2
abstract: nan
summary:
  title: COVID-19 pandemic: personal view to a new model of pediatric practice Virtual consultations deploying recent technology have now replaced the normal practice of routine clinics. Virtual consultations minimise the risk of COVID-19 transmission, promote public protection and reduce the backlog of waiting lists during this time of testing. Virtual clinics are useful tools at the time of COVID-19 pandemic when health care demands are pressing. The preponderance of them are well and parents can provide a detailed allergy focused clinical history guided by clinicians during virtual consultations. In our unit, paediatric allergy team had forethought to launch virtual clinics before recent recommendations from The British Society for Allergy and Clinical Immunology (BSACI) justified this model [2] . In brief, virtual clinics are useful at times of pandemics although they lack direct clinical relationship with patients. Virtual consultations deploy recent technology in medicine and are recommended by professional bodies. COVID-19: pandemic contingency planning for the allergy and immunology clinic


id: cord-284396-prp8hiz6
title: Identifying the differentiation practices of virtual school teachers
author: Beck, Dennis
date: 2020-10-08
txt: ./txt/cord-284396-prp8hiz6.txt
cache: ./cache/cord-284396-prp8hiz6.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33052191/
doi: 10.1007/s10639-020-10332-y
summary:
  Results showed that the large majority of teacher comments about differentiation definitions, assessments, curriculum, grouping and strategies fell in the novice category, and that newer virtual school teachers may struggle in developing skills in differentiation in an online environment. One study found that teachers struggle to find ways to differentiate instruction (Beasley & Beak, 2017) , but beyond that, no research compares differentiation practices of teachers across different types of virtual schools. A differentiated approach to instruction is informed by principles that include providing high quality curriculum, utilizing flexible grouping, and administering ongoing assessments within a community that respects learning activities that are challenging for all students (Tomlinson, 2001; . The best practices of teachers who differentiate instruction involve (a) the collection of information about student interests, learning profiles, and student readiness; (b) cultivation of a community in the classroom, (c) distribution of students into groups that can be easily changed based on the activity, and (d) use of formative assessment for learning (Doubet 2007) .

abstract:
  Despite a large increase in enrollments of students in online courses at the K-12 level, there is very little research on the use of differentiation in fully online (called “virtual”) schools. This study asked virtual teachers from two different types of schools to discuss their differentiation practices, and compared differentiation practices of teachers across these schools. Nineteen focus groups consisting of 92 teachers were conducted. Data were analyzed using Tomlinson’s differentiation framework. Results showed that the large majority of teacher comments about differentiation definitions, assessments, curriculum, grouping and strategies fell in the novice category, and that newer virtual school teachers may struggle in developing skills in differentiation in an online environment.


id: cord-289931-wqgq0ci4
title: Development and implementation of virtual grand rounds in surgery
author: Sutzko, Danielle C.
date: 2020-07-08
txt: ./txt/cord-289931-wqgq0ci4.txt
cache: ./cache/cord-289931-wqgq0ci4.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.amjsurg.2020.06.075
doi: 10.1016/j.amjsurg.2020.06.075
abstract: nan
summary:
  Importantly, the pre-meeting registration also allows tracking of all participants which is useful for recording attendance, assigning CME credits and having the ability for faculty to logon and complete an online quiz for maintenance of certification (MOC) Part II Credit from American Board of Surgery following the grand rounds presentation. While unwelcome participants could technically register and login (e.g., Zoom-bombing), another layer of security is provided by the "co-host" assignments (given only to the moderator, administrator and speaker) which gives only the co-hosts the ability to share screens and to mute/disable audio and video. In this test run the speaker, On the day of grand rounds, once the speaker is introduced and beginning the presentation, the moderator should be scanning the chat box (where questions are often placed), observing the participant list for any alerts (such as raised virtual hands) and monitoring the time.


id: cord-290081-pjg00t7g
author: Dunkerley, Sarah
date: 2020-08-07
url: https://doi.org/10.1007/s00264-020-04764-x
doi: 10.1007/s00264-020-04764-x
title:
  Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma

abstract:
  PURPOSE: The COVID pandemic has decreased orthopaedic fracture operative intervention and follow-up and increased the use of virtual telemedicine clinics. We assessed the implications of this management on future orthopaedic practice. We also surveyed patient satisfaction of our virtual fracture follow-up clinics. METHOD: We prospectively analysed 154 patients during two weeks of ‘lockdown’ assessing their management. We surveyed 100 virtual fracture clinic follow-up patients for satisfaction, time off work and travel. RESULTS: Forty-nine percent of patients had decisions affected by COVID. Twelve percent of patients were discharged at diagnosis having potentially unstable fractures. These were all upper limb fractures which may go onto mal-union. Twenty-nine percent of patients were discharged who would have normally had clinal or radiological follow-up. No patients had any long-term union follow-up. Virtual telemedicine clinics have been incredibly successful. The average satisfaction was 4.8/5. In only 6% of cases, the clinician felt a further face-to-face evaluation was required. Eighty-nine percent of patients would have chosen virtual follow-up under normal conditions. CONCLUSION: Lessons for the future include potentially large numbers of upper limb mal-unions which may be symptomatic. The non-union rate is likely to be the same, but these patients are unknown due to lack of late imaging. Telemedicine certainly has a role in future orthopaedic management as it is well tolerated and efficient and provides economic and environmental benefits to both clinicians and patients.


id: cord-292951-7bgavlam
author: Twogood, Rory
date: 2020-11-04
txt: ./txt/cord-292951-7bgavlam.txt
cache: ./cache/cord-292951-7bgavlam.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1136/bmjoq-2020-001107
doi: 10.1136/bmjoq-2020-001107
summary:
  7 In response to the challenges faced by HEI''s to accommodate the 1000 hours of practice-based learning during COVID-19, the CSP issued guidance 8 that compliments that of the Health and Care Professions Council (HCPC), 9 to focus the need for flexible contingency plans to ensure students meet the physiotherapy standards of proficiency on graduation. The aim of this project was, therefore, to develop a novel model for virtual undergraduate clinical placements for physiotherapy students that would allow fulfilment of the postponed 10 placements and be scalable to be delivered nationally throughout Connect and across multiple HEI''s. There was clear demand from our partner HEI''s for student placements and so we developed an initial placement model that combined shadowing virtual clinics with creation of online exercise classes using the Facebook live platform and virtual projects and presentations (figure 1).

title:
  Rapid implementation and improvement of a virtual student placement model in response to the COVID-19 pandemic

abstract:
  Practice-based learning via clinical placement is a core part of a physiotherapy degree with the Chartered Society of Physiotherapy requiring completion of 1000 placement hours over a preregistration degree programme. In April 2020, as a result of the COVID-19 pandemic and subsequent lockdown Connect Health had to cancel 10 student placements as we transitioned to virtual consultations for all clinics. This cancellation of student placements was replicated across the nation with many Higher Education Institutes reporting a backlog of student placements. Without the requisite placement hours students are unable to progress into the next academic year or are unable to graduate. This then reduces the flow of new-graduate physiotherapists into the workforce at a time when there is a plan to grow the physiotherapy workforce to meet primary care demand. In response to this problem a novel placement model to facilitate virtual student placements (‘virtual placements’) was developed, tested and then rolled out across Connect Health using the Plan-Do-Study-Act quality improvement methodology. The model combines shadowing a broad range of virtual clinics with delivery of patient-facing online exercise classes via the Facebook Live platform and completion of virtual projects to support knowledge consolidation. This virtual student placement model enabled an increase in student capacity of over 400% compared with 2018–2019 with 182 students starting between May and August 2020. The model runs using widely available technology, requires no additional investment and has enabled these students to continue their studies and progress towards qualifying as physiotherapists.


id: cord-293449-frfui61a
title: Today''s virtual teams: Adapting lessons learned to the pandemic context
author: Feitosa, Jennifer
date: 2020-06-24
txt: ./txt/cord-293449-frfui61a.txt
cache: ./cache/cord-293449-frfui61a.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S0090261620300292
doi: 10.1016/j.orgdyn.2020.100777
abstract: nan
summary:
  Accordingly, Ask everyone to think about pros and cons of all ideas, including their own Understand others'' constraints (e.g., personal challenges) Set aside time dedicated to each member in order to make sure each team member gets adequate opportunity to speak Assess teamwork often Provide feedback to your team members often Follow up to ensure communication still flowing among team members Allocate time for peer evaluations and debriefing sessions Focus on results rather than hours worked taskwork is important, but what will really set effective virtual teams apart right now are teamwork skills. Hence, assessing team members'' teamwork behaviors, providing continuous feedback that highlights any problem areas, and ensuring that employees feel heard will maintain the appropriate collaborations strong. In summary, the key takeaways for virtual teams in the Pandemic include: (1) monitor trust, (2) focus on process gains, (3) foster inclusion through psychological safety, and (4) assess teamwork often.


id: cord-296560-ehrww6uu
author: Bender, Andreas
date: 2006-11-07
txt: ./txt/cord-296560-ehrww6uu.txt
cache: ./cache/cord-296560-ehrww6uu.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32362803/
doi: 10.1016/s1574-1400(06)02009-3
summary:
  This chapter discusses recent developments in some of the areas that exploit the molecular similarity principle, novel approaches to capture molecular properties by the use of novel descriptors, focuses on a crucial aspect of computational models—their validity, and discusses additional ways to examine data available, such as those from high-throughput screening (HTS) campaigns and to gain more knowledge from this data. The chapter also presents some of the recent applications of methods discussed focusing on the successes of virtual screening applications, database clustering and comparisons (such as drugand in-house-likeness), and the recent large-scale validations of docking and scoring programs. (Note that this has at the same time been shown empirically in virtual screening experiments [42, 43] .) Some of the methods, namely mutual information and genetic programing, have also been evaluated separately for their use in QSAR studies [44] with respect to a dataset which showed some (typical) problems present in the area, such as a very different sizes of ''active'' vs.

title:
  Chapter 9 Molecular Similarity: Advances in Methods, Applications and Validations in Virtual Screening and QSAR

abstract:
  This chapter discusses recent developments in some of the areas that exploit the molecular similarity principle, novel approaches to capture molecular properties by the use of novel descriptors, focuses on a crucial aspect of computational models—their validity, and discusses additional ways to examine data available, such as those from high-throughput screening (HTS) campaigns and to gain more knowledge from this data. The chapter also presents some of the recent applications of methods discussed focusing on the successes of virtual screening applications, database clustering and comparisons (such as drug- and in-house-likeness), and the recent large-scale validations of docking and scoring programs. While a great number of descriptors and modeling methods has been proposed until today, the recent trend toward proper model validation is very much appreciated. Although some of their limitations are surely because of underlying principles and limitations of fundamental concepts, others will certainly be eliminated in the future.


id: cord-306191-xvfybif4
title: Simulations and Virtual Learning Supporting Clinical Education During the COVID 19 Pandemic
author: Tabatabai, Shima
date: 2020-08-05
url: https://www.ncbi.nlm.nih.gov/pubmed/32821192/
doi: 10.2147/amep.s257750
abstract:
  Currently, the COVID-19 pandemic has a critical impact on clinical education, and it has resulted in the widespread disruption of clinical assessment. Clinical mentors and students in all the health professions are working within the most troublesome of circumstances in the hospital-based educational settings. Medical educationists ought to concentrate on the health and the safety of the students and communities. The safety issues have prompted the Ministry of Health to suggest that schools develop action plans for the adoption of available technologies to keep medical education moving forward with high quality, active, and interactive learning for more demanding tomorrow. A key challenge for medical educators is to simulate the clinical encounters at this unprecedented time, and this emphasized the necessity of applying virtual simulation-based educational tools in clinical education. This commentary explores how COVID-19 has challenged medical education. It also has discussed the future implications and potencial challenges of incorporating simulation-based virtual learning technologies into the medical curriculum, for the future of clinical education, and students' or residents' competency evaluation.


id: cord-312212-h5j4f0xq
title: Use of Telemedicine for Sexual Medicine Patients
author: Dooley, Anjali B.
date: 2020-07-30
url: https://doi.org/10.1016/j.sxmr.2020.06.001
doi: 10.1016/j.sxmr.2020.06.001
abstract:
  INTRODUCTION: Telemedicine (TM) will play a significant role in contemporary practices that diagnose and treat sexual medicine patients. Although only a small percentage of urologists, sex therapists, social workers, psychiatrists, gynecologists, and urogynecologists currently use TM, many more practices are going to embrace this technology in the near future. This article will discuss the process for implementing TM in sexual medicine with minimal time, energy, effort, and expense. We will also examine compliance and legal issues associated with implementing TM in practice and how to code for TM services based on regulatory guidelines. OBJECTIVES: The purpose of this article is to improve the understanding of the concept and the trends of using TM to provide care for sexual medicine patients. METHODS: The study involves a literature review focussing on the new Centers for Medicare and Medicaid Services guidelines including the relaxation of the Health Insurance Portability and Accountability Act requirements. RESULTS: COVID-19 has changed the doctor-patient relationship especially in the area of sexual medicine. There are many patients with sexual medicine conditions that are amenable to the use of TM methods. CONCLUSION: Virtual visit utilizing audiovisual telecommunications is a very attractive approach for sexual medicine patients. Many patients with sexual medicine problems are no longer going to accept the antiquated method of healthcare involving making an appointment, visiting a brick-and-mortar facility, and the requirement of having a physical examination. The new normal will be communicating with patients by utilizing TM. Dooley AB, Houssaye N de la, Baum N. Use of Telemedicine for Sexual Medicine Patients. Sex Med Rev 2020;XX:XXX–XXX.


id: cord-322918-9w727lpn
title: Uptake of Virtual Visits in A Geriatric Primary Care Clinic During the COVID‐19 Pandemic
author: Dewar, Shenbagam
date: 2020-05-15
txt: ./txt/cord-322918-9w727lpn.txt
cache: ./cache/cord-322918-9w727lpn.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32383773/
doi: 10.1111/jgs.16534
abstract: nan
summary:
  Herein, we share our experience in providing telehealth for patients in a geriatric primary care clinic. Our multisite geriatric clinic, which provides more than 300 primary and geriatric specialty visits weekly within an academic healthcare system, moved quickly to transform most of in-person clinical appointments to virtual care format. In the course of 5 weeks, by eliminating nonurgent in-person visits and rapid implementation of virtual care, we ramped up from zero to 91% of total geriatric primary and outpatient specialty care visits ( Figure 1 ). Virtual care transformation was made possible by institutional commitment, as well as efforts by individual physicians, office staff, information technology specialist, and patients and caregivers. We recognized that the leading concern about telehealth visits among older adults is that healthcare Figure 1 Increasing use of telephone and video virtual care after Michigan shelter-in-place order.


id: cord-327050-rrgpkwey
author: Faes, Livia
date: 2020-10-30
txt: ./txt/cord-327050-rrgpkwey.txt
cache: ./cache/cord-327050-rrgpkwey.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1038/s41433-020-01240-z
doi: 10.1038/s41433-020-01240-z
summary:
  METHODS: This retrospective cohort study included diabetic patients referred by the DESP to either a virtual or a traditional doctor''s appointment (face-to-face, F2F) at the Moorfields Eye Hospital NHS Foundation Trust (London, UK) between January 2015 and December 2018. A proportion of referrals is directly triaged to F2F, either those identified by the: (i) DESP to likely to require intervention i.e., proliferative retinopathy, best-corrected visual acuity (VA) below 6/18 Snellen (61 Early Treatment Diabetic Retinopathy [ETDRS] letters); or (ii) triaging MEH ophthalmologist as unsuitable for a virtual consultation (ungradable fundus image in secondary care, vulnerable adult, lens or media opacities, pregnancy, or requirement of interpreter services). The primary study outcome was the proportion of patients who meet hospital guidelines for initial assessment in VC; Fig. 1 Referral pathway from the NHS diabetic eye screening program (DESP) to Moorfields Eye Hospital.

title:
  A virtual-clinic pathway for patients referred from a national diabetes eye screening programme reduces service demands whilst maintaining quality of care

abstract:
  AIM: To evaluate the potential of an integrated virtual medical retina clinic in secondary care for diabetic patients screened and referred by the UK National Diabetic Eye Screening Program (DESP). METHODS: This retrospective cohort study included diabetic patients referred by the DESP to either a virtual or a traditional doctor’s appointment (face-to-face, F2F) at the Moorfields Eye Hospital NHS Foundation Trust (London, UK) between January 2015 and December 2018. The primary outcome was the proportion of patients that qualified for a virtual-clinic appointment according to hospital guidance. Secondary outcomes included the rate of attendance, mean time from DESP referral to initial hospital appointment, mean time-to-discharge and -to-treatment of either panretinal photocoagulation or intravitreal injection of anti-vascular endothelial growth factor. RESULTS: We included 12,563 patients in this study. While 8833 patients (70.7%) would have qualified for a virtual appointment according to local triage guidance, only 2306 (18.4%) were referred to a virtual consultation due to capacity constraints. For routine referrals, mean time to the first hospital appointment was 66.9 days with a standard deviation of ±35.9 and 80.9 ± 44.4 days for a virtual and a F2F consultation, respectively. The mean time from referral to discharge to community was 71.7 ± 30.8 and 86.3 ± 37.0 days for a virtual and a F2F consultation, respectively. We did not observe a statistically significant difference in the mean time-to-treatment in the sub-cohort that required intravitreal therapy for maculopathy (virtual clinics: 220.7 ± 84.8; F2F: 178.0 days ± 80.7; p value > 0.05). Moreover, we observed a non-inferior attendance rate in virtual as compared to F2F clinics. CONCLUSION: A significant proportion of diabetic patients referred to a F2F clinic could initially be managed in a virtual clinic. Increasing the adoption of virtual clinics in the management of diabetic patients that do not need long-term management or monitoring in secondary services may help alleviate service demands without diminishing quality of clinical care. Collectively, our analyses suggest that virtual consultations are a faster and clinically appropriate alternative for a substantial proportion of diabetic patients.


id: cord-339580-wxlcf9w1
author: Qasem, Zainah
date: 2020-10-22
url: https://www.sciencedirect.com/science/article/pii/S0268401220314535
doi: 10.1016/j.ijinfomgt.2020.102254
title:
  The effect of positive TRI traits on centennials adoption of try-on technology in the context of E-fashion retailing

abstract:
  To provide a more realistic experience, e-retailers have implemented virtual try-on systems. It is, therefore, important to examine the variable that influences customers’ intention to use try-on technologies when online shopping for apparel. The main aim of the current study is to identify and examine the design and individual characteristics that influence centennials to adopt virtual try-on systems. Factors extracted from the UTAUT2 model and technology readiness were proposed in the current study model, which was empirically validated based on data collected from 315 participants. The main results of structural equation modeling largely supported the significant role of “optimism” and “innovativeness” in performance expectancy and price value. Behavioral intention was also predicted by all the factors of UTAUT2 apart from effort expectancy. These results provide a guideline for online retailers on how to communicate with their centennial customers to influence them to adopt try-on technology.


id: cord-346528-n2jq03g4
title: Virtual Reality in Clinical Psychology
author: Riva, Giuseppe
date: 2020-09-18
txt: ./txt/cord-346528-n2jq03g4.txt
cache: ./cache/cord-346528-n2jq03g4.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/B9780128186978000066
doi: 10.1016/b978-0-12-818697-8.00006-6
summary:
  In line with the results of two recent meta-reviews assessing more than 53 systematic reviews and meta-analyses exploring the current use of VR in clinical psychology (Riva et al., , 2019b , existing research supports the clinical use of VR in the assessment and treatment of anxiety disorders, pain management, and eating and weight disorders, with long-term effects that generalize to the real world. In a different study, Suzuki and colleagues (Suzuki et al., 2013 ) combined feedback of interoceptive information (heart rate) with computer-generated augmented reality to produce a "cardiac rubber hand illusion." Their results suggest that the feeling of ownership of the virtual hand is enhanced by cardio-visual feedback in time with the actual heartbeat, supporting the use of this technique to improve emotion regulation.

abstract:
  From a technological viewpoint, virtual reality (VR) is a set of fancy technologies: a helmet, trackers, and a 3D visualizing system. However, from a psychological viewpoint, VR is simultaneously a simulative, a cognitive, and an embodied technology. These features make VR the perfect tool for experiential assessment and learning with great clinical potential. This potential is already supported by clinical outcomes. Two recent meta-reviews assessing more than 53 systematic reviews and meta-analyses support its use in anxiety disorders, pain management, and eating and weight disorders, with long-term effects that generalize to the real world. Recent studies have also provided preliminary support for the use of VR in the assessment and treatment of psychosis, addictions, and autism.


id: cord-349741-echy5ks8
title: A digital embrace to blunt the curve of COVID19 pandemic
author: Schwamm, Lee H.
date: 2020-05-04
url: https://www.ncbi.nlm.nih.gov/pubmed/32377575/
doi: 10.1038/s41746-020-0279-6
abstract:
  Digital health, virtual care, telehealth, and telemedicine are all terms often used interchangeably to refer to the practice of care delivered from a distance. Because virtual care collapses the barriers of time and distance, it is ideal for providing care that is patient-centered, lower cost, more convenient and at greater productivity. All these factors make virtual care tools indispensable elements in the COVID19 response. In this perspective, we offer implementation guidance and policy insights relevant to the use of virtual care tools to meet the challenges of the COVID19 pandemic.


id: cord-351222-9bfchw4u
title: Virtual screening for the discovery of bioactive natural products
author: Rollinger, Judith M.
date: 2008
url: https://www.ncbi.nlm.nih.gov/pubmed/18084917/
doi: 10.1007/978-3-7643-8117-2_6
abstract:
  In this survey the impact of the virtual screening concept is discussed in the field of drug discovery from nature. Confronted by a steadily increasing number of secondary metabolites and a growing number of molecular targets relevant in the therapy of human disorders, the huge amount of information needs to be handled. Virtual screening filtering experiments already showed great promise for dealing with large libraries of potential bioactive molecules. It can be utilized for browsing databases for molecules fitting either an established pharmacophore model or a three dimensional (3D) structure of a macromolecular target. However, for the discovery of natural lead candidates the application of this in silico tool has so far almost been neglected. There are several reasons for that. One concerns the scarce availability of natural product (NP) 3D databases in contrast to synthetic libraries; another reason is the problematic compatibility of NPs with modern robotized high throughput screening (HTS) technologies. Further arguments deal with the incalculable availability of pure natural compounds and their often too complex chemistry. Thus research in this field is time-consuming, highly complex, expensive and ineffective. Nevertheless, naturally derived compounds are among the most favorable source of drug candidates. A more rational and economic search for new lead structures from nature must therefore be a priority in order to overcome these problems. Here we demonstrate some basic principles, requirements and limitations of virtual screening strategies and support their applicability in NP research with already performed studies. A sensible exploitation of the molecular diversity of secondary metabolites however asks for virtual screening concepts that are interfaced with well-established strategies from classical pharmacognosy that are used in an effort to maximize their efficacy in drug discovery. Such integrated virtual screening workflows are outlined here and shall help to motivate NP researchers to dare a step towards this powerful in silico tool.


id: cord-355851-t8xh6327
title: Accessibility of Virtual Visits for Urgent Care Among US Hospitals: a Descriptive Analysis
author: Goodman, Christopher W.
date: 2020-05-18
txt: ./txt/cord-355851-t8xh6327.txt
cache: ./cache/cord-355851-t8xh6327.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32424785/
doi: 10.1007/s11606-020-05888-x
abstract: nan
summary:
  title: Accessibility of Virtual Visits for Urgent Care Among US Hospitals: a Descriptive Analysis 3 Many hospitals now offer real-time "virtual visits" for common urgent care through their websites, which offer an opportunity to assess the accessibility of a typical telehealth service. Many hospitals have begun offering virtual visits for urgent care with real-time connectivity through their websites. Hospitals used different names for these services such as "e-visits," "virtual urgent care," and "virtual visits." We included links to primary care visits if the website clearly indicated quick access for urgent care. We examined hospital websites and their virtual visit sites, focusing on three accessibility characteristics: general availability, language accommodations, and affordability. Even among hospitals with publicly accessible virtual visits, further limitations included geographic limitations (i.e., accessing care across state lines) and exclusions for chronic health conditions. Virtual visits were not easily or equitably accessible; in general, navigation of hospital websites was challenging.


