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1.
Journal of the Intensive Care Society ; 24(1 Supplement):94-95, 2023.
Article in English | EMBASE | ID: covidwho-20231886

ABSTRACT

Introduction: Early Warning Scores (EWS) use physiological parameters to create an aggregate score alerting medical teams to patient deterioration. Although vital tools for triggering referrals to critical care services in appropriate patients, the score does not take account of patients with persistently altered physiology or patients who are not deemed suitable for escalation to critical care. In these instances, EWS can result in the over-monitoring of patients and inappropriate contact of already strained critical care outreach services.1-2 Guidelines state that in such circumstances routine recording of EWS may be stopped.1 The COVID-19 pandemic has placed unprecedented demands on already overstretched resources in the critical care services,3 in particular on the Critical Care Outreach Team (CCOT). This makes their judicious use, and this QIP, ever more pertinent. Objective(s): In our trust, it was found that despite documented decisions not to escalate patients to critical care, these patients were still being monitored according to EWS, resulting in the inappropriate call out of the CCOT. We introduced measures to improve the proportion of inpatients with treatment limitations in place that had these limitations documented on their EWS charts, with the overall aim of reducing the number of inappropriate call-out of the CCOT. Method(s): We performed two snapshot audits on acute medical (control) and general medical wards (intervention) in a large district general hospital between the years 2018-2019. We obtained the percentage of patients with treatment limitations in place who had this documented on their EWS charts before and after improvement measures. Firstly, a paper prompt on the EWS chart was used in both control and intervention wards. Secondly, targeted communication interventions to general medical wards only. Targeted communication was not repeated after the second audit. A third snapshot audit was completed a year after improvement measures (2020) to identify whether improvements were sustained. Result(s): There was no significant difference in EWS amendment in the acute medical ward, where only a paper prompt was used. However, where targeted communication was used (general medical ward), there was a statistically significant improvement in review and amendment of EWS scores between the first and second audit in the intervention ward (37.2% vs 59.1%, p=0.017). However, this improvement was not sustained when the audit was repeated a year later. Conclusion(s): The proportion of inpatients with treatment escalation limitation decisions in place that have EWS amended can be improved by targeted communication, but paper prompts alone are not sufficient. However, these improvements are not sustained without repeated communication. The importance of appropriate amendment of EWS has two key benefits. Firstly, it reduces inappropriate and futile monitoring of end-of-life patients, allowing them to have a more dignified death. Secondly, instead of performing repeated observations (nursing staff) or patient reviews (CCOT) that will not alter management, nursing staff can better utilise their time in providing palliative support where appropriate (particularly considering current visiting restrictions), and the ever- stretched CCOT can be used more judiciously.

2.
Acm Transactions on Asian and Low-Resource Language Information Processing ; 21(5), 2022.
Article in English | Web of Science | ID: covidwho-2307148

ABSTRACT

Internet-delivered psychological treatments (IDPT) consider mental problems based on Internet interaction. With such increased interaction because of the COVID-19 pandemic, more online tools have been widely used to provide evidence-based mental health services. This increase helps cover more population by using fewer resources for mental health treatments. Adaptivity and customization for the remedy routine can help solve mental health issues quickly. In this research, we propose a fuzzy contrast-based model that uses an attention network for positional weighted words and classifies mental patient authored text into distinct symptoms. After that, the trained embedding is used to label mental data. Then the attention network expands its lexicons to adapt to the usage of transfer learning techniques. The proposed model uses similarity and contrast sets to classify the weighted attention words. The fuzzy model then uses the sets to classify the mental health data into distinct classes. Our method is compared with non-embedding and traditional techniques to demonstrate the proposed model. From the experiments, the feature vector can achieve a high ROC curve of 0.82 with problems associated with nine symptoms.

3.
Open Forum Infectious Diseases ; 9(Supplement 2):S784, 2022.
Article in English | EMBASE | ID: covidwho-2189982

ABSTRACT

Background. The SARS-CoV-2 pandemic continues, with new variants of concern fueling periodic increases in COVID-19 cases. Authorized vaccines have provided protection against severe disease but less so for incident cases. Boosts with these vaccines have demonstrated waning protection. New vaccines, including those which induce immunity against more conserved regions outside of Spike, may improve upon these and be key to long-term protection and may be a useful approach against novel coronaviruses. Methods. GO-009 (CORAL-Boost, NCT05148962) is an open-label study, conducted in the UK, of a self-amplifying mRNA vaccine encoding for Wuhan Spike (S) and highly conserved non-S T cell epitopes (GRT-R910;R910). R910 is given as 1 or 2 doses after vaccination with an authorized adenovirus or mRNA SARS-CoV-2 vaccine. The first two cohorts assessed 10mug and 30mug doses of R910 in older (>=60y) adults who had previously received ChAdOx1. Subsequent cohorts assess two boost doses in older and younger adults who have received an adenovirus or mRNAvaccine. Primary objectives are safety and reactogenicity and secondary objectives include cellular and humoral immunogenicity. Results. Ten and seven adults received 10 or 30mug (cohorts 1 and 2) of R910, respectively. Reactogenicity and unsolicited adverse events were mostly mild/moderate and transient. The majority of severe events (malaise, fatigue, myalgia, Inj. site pain/ tenderness/swelling) after dose 1 were experienced by 1 subject in cohort 2. Analysis of both IgG binding and neutralizing antibodies demonstrated a boost of anti-S antibodies after one dose of R910;geomean ID50 titers from 92 to 2370 and 99 to 1553 for 10 and 30mug, respectively. ELISpot analyses demonstrated that R910 boosted and broadened T cell responses to S and non-S T cell epitopes. Conclusion. R910 was well tolerated. One R910 boost vaccination increased existing humoral and cellular immunity against S while inducing a broad T cell response against non-S SARS-CoV-2 proteins. A 10mug R910 boost increased neutralizing antibody titers comparable to a 10-fold higher dose (100mug) with authorized mRNA vaccines in a similar population (Munro et al 2021). A 10mug dose was selected for further study. Data post mRNA primary series will also be presented.

4.
1st Samarra International Conference for Pure and Applied Sciences, SICPS 2021 ; 2394, 2022.
Article in English | Scopus | ID: covidwho-2133925

ABSTRACT

C-Reactive Protein, D-dimer and lymphocyte considered a mark of the infection in COVID-19 Virus, the aim of this study was to determine the levels of this three factors CRP, D-dimer and Lymphocyte number in of (40) patients have (fever, cough, headache, fatigue) all of them was positive of Covid- 19 infection, Patients divided in to 4 groups according to the time and severity of infection in to G1, G2, G3, G4. the results showed increase significance (P≤0.05) in CRP in (Group4) comparison with (Groups l, 2, 3), also D-dimer showed significance increase (P≤0.05) in Group3 compared with (Groups1. 2, 4), Lymphocyte showed significant decrease(P≥0.05) in G l, G4 compared with G2, G3. © 2022 American Institute of Physics Inc.. All rights reserved.

5.
British Journal of Surgery ; 109:vi35, 2022.
Article in English | EMBASE | ID: covidwho-2042538

ABSTRACT

Introduction: There has been a rise in trainee-led trauma & orthopaedic multi-centre research collaborative projects globally. These increase trainee involvement in research with an opportunity to deliver highly generalisable results on a particular topic. Objective: To evaluate the number of trauma & orthopaedic trainee-led research collaborative projects that took part since the start of the COVID-19 pandemic in the UK and compare them to projects from 2019. Methods: This was a retrospective study that evaluated trauma & orthopaedic trainee-led national collaborative projects within the UK since the start of the COVID-19 pandemic lockdown (March 2020 to June 2021). Our exclusion criteria included any regional collaborative projects, pre Covid- 19 projects and projects of other surgical specialities. Results: In 2019, 0 trainee-led collaborative projects were commenced nationally in the UK. Since the COVID-19 pandemic, we identified 10 trainee-led collaborative trauma & orthopaedic projects with 6 being published so far. The level of evidence ranged between 3 and 4 and included 5 Audits and 5 cohort studies. The patients that were included in the studies ranged from 927 to 140,231 from a total of 2249 centres. Conclusion: Covid-19 has placed significant challenges across healthcare. However, one positive aspect is the increase in multi-centre trainee-led collaborative projects within the UK. Our study highlights the feasibility of a trainee-led high quality collaborative research projects in the UK and the availability of new tools such as social media and centralised confidential online databases such as Redcap® facilitates such projects. Therefore, we recommend expanding this trainee-led collaborative platform in the field of trauma & orthopaedics worldwide.

6.
Computer Journal ; : 12, 2022.
Article in English | Web of Science | ID: covidwho-1895809

ABSTRACT

Disease diagnosis is an exciting task due to many associated factors. Inaccuracy in the measurement of a patient's symptoms and the medical expert's expertise has some limitations capacity to articulate cause affects the diagnosis process when several connected variables contribute to uncertainty in the diagnosis process. In this case, a decision support system that can assist clinicians in developing a more accurate diagnosis has a lot of potentials. This work aims to deploy a fuzzy inference-based decision support system to diagnose various diseases. Our suggested method distinguishes new cases based on illness symptoms. Distinguishing symptomatic disorders becomes a time-consuming task in most cases. It is critical to design a system that can accurately track symptoms to identify diseases using a fuzzy inference system (FIS). Different coefficients were used to predict and compute the severity of the predicted diseases for each sign of disease. This study aims to differentiate and diagnose COVID-19, typhoid, malaria and pneumonia. The FIS approach was utilized in this study to determine the condition correlating with input symptoms. The FIS method demonstrates that afflictive illness can be diagnosed based on the symptoms. Our decision support system's findings showed that FIS might be used to identify a variety of ailments. Doctors, patients, medical practitioners and other healthcare professionals could benefit from our suggested decision support system for better diagnosis and treatment.

7.
British Journal of Surgery ; 109(SUPPL 1):i3-i4, 2022.
Article in English | EMBASE | ID: covidwho-1769191

ABSTRACT

Introduction: Virtual fracture clinics (VFC) have been shown to be a safe and cost-effective way of managing outpatient referrals to the orthopaedic department. During the coronavirus pandemic there has been a push to reduce unnecessary patient contact whilst maintaining patient safety. Method: A protocol was developed by the clinical team on how to manage common musculoskeletal presentations to A&E prior to COVID as part of routine service development. Patients broadly triaged into 4 categories;discharge with advice, referral to VFC, referral to face to face clinic or discussion with on call team. The first 9 months of data were analysed to assess types of injury seen and outcomes. Results: In total 2489 patients were referred to VFC from internal and external sources. 734 patients were discharged without follow-up and 182 patients were discharged for physiotherapy review. Only 3 patients required admission. Regarding follow-ups, 431 patients had a virtual follow-up while 1036 of patients required further face to face follow up. 87 patients were triaged into subspecialty clinics. 37 patients were felt to have been referred inappropriately. Conclusions: BOA guidelines state all patients must be reviewed within 72 hours of their orthopaedic injury. Implementation of a VFC allows this target to be achieved and at the same time reduce patient contact. Almost half the patients were discharged following VFC review, the remaining patients were followed up. This is especially relevant in the current pandemic where reducing unnecessary trips to hospital will benefit the patient and make the most of the resources available.

8.
British Journal of Surgery ; 109(SUPPL 1):i13, 2022.
Article in English | EMBASE | ID: covidwho-1769164

ABSTRACT

Introduction: There has been a significant rise in trainee-led trauma & orthopaedic (T&O) multi-centre research collaborative projects globally. Since the start of the COVID-19 pandemic, more emphasis has been on global collaborative research efforts to tackle important research questions. The aim was to evaluate the number of T&O trainee-led research collaborative projects that took part since the start of the COVID-19 pandemic in the UK. Method: A retrospective study that evaluated T&O trainee-led national collaborative projects within the UK since the start of the COVID-19 pandemic lockdown (March 2020 to June 2021). Our exclusion criteria included any regional collaborative projects, projects that were started pre-COVID and projects of other surgical specialities. The number of projects identified was compared to that in 2019. Results: In 2019, 0 trainee-led collaborative projects were commenced nationally in the UK. Since the COVID-19 pandemic, we identified 10 trainee-led collaborative trauma & orthopaedic projects with 3 being published so far. The level of evidence ranged between 3 and 4. Conclusions: Covid has placed significant challenges across healthcare. One positive aspect that has been noted is the increase in multi-centre trainee-led collaborative projects within the UK. Our study highlights the feasibility of a trainee-ledhigh quality collaborative research projects in the UK, emphasising the growing contribution of trainees towards research. Wide-spreadavailability ofnewtechnological toolssuchas social media and Redcap® facilitates such projects in terms of recruitment and data collection. We would, therefore, recommend expanding this trainee-led collaborative platform across in Europe and Worldwide.

9.
European Respiratory Journal ; 58:2, 2021.
Article in English | Web of Science | ID: covidwho-1708886
10.
British Journal of Surgery ; 108(SUPPL 7):vii75, 2021.
Article in English | EMBASE | ID: covidwho-1585060

ABSTRACT

Aim: The Postgraduate Virtual Learning Environment (PGVLE) is a digital platform developed by HEEWM in response to the COVID-19 pandemic to deliver a virtual teaching programme to surgical trainees. The programme is delivered through the BigBlueButton;an integrated virtual classroom. All teaching sessions are recorded and archived to allow trainees to review content at their convenience. We performed a contemporaneous study to review the effectiveness and quality of the platform in delivering teaching and suggest its future role in the surgical curriculum. Method: Anonymised feedback was gathered of trainee's perspective of the platform experience, the quality of teaching and the archived content. All trainees were General Surgery higher trainees (HST) (ST3- ST8). The data from sequential teaching days was analysed. Results: Of 90 HST, on average 40 attended each monthly training day (consistent with pre-COVID attendance). 122 trainee responses were completed. 68% of respondents were between ST3-ST5. 91% rated the administration and delivery of the teaching sessions as excellent or very good. 16% of trainees watched the archived sessions after the teaching day of which 46% felt it met their educational expectations. Conclusions: The PGVLE is an effective platform for the delivery of a virtual surgical teaching programme. It met with high levels of trainee satisfaction in the context of the pandemic. The archived content provides advantages to consolidation of learning. It is thought that the PGVLE platform will become a key feature of the surgical training programme in a hybrid learning model, related to relevant curricula, in the future.

11.
British Journal of Surgery ; 108(SUPPL 6):vi223, 2021.
Article in English | EMBASE | ID: covidwho-1569628

ABSTRACT

Introduction: Surgical conferences are invaluable events for healthcare professionals;they provide opportunities to engage with upcoming scientific discoveries, network professionally with peers as well as expand learning through lectures and workshops. For medical students, conferences provide an opportunity to expand understanding beyond the undergraduate curriculum in an interactive manner. COVID-19 has caused disruption to the organisation and attendance of in-person conferences (IPCs). Virtual conferences (VCs) offer a viable solution, allowing delegates to attend from the comfort of their own homes. Method: The aim of our study was to evaluate an organised VC and explore the perceived benefits and limitations of VCs compared to IPCs. A virtual one-day trauma & orthopaedics (T&O) conference was organised involving lectures, workshops, poster, and oral presentations. Anonymous questionnaire forms were distributed to delegates following the conference to assess the aims of our paper. Results: From 106 responses, 96.2% rated the conference as 'Excellent' or 'Good' with 92.5% stating that it increased their passion for T&O surgery. Based on a five-point Likert scale (5= strongly agree, 1= strongly disagree), mean score of agreement for preferring VCs to IPCs was 3.30(± 1.24). Key advantages of the VC were a lower cost (70.8%) and not having to travel (77.4%), whereas the main limitation was the inability to participate in hands-on workshops (84.9%). Conclusions: Despite the success of our VC, delegate feedback indicates a mixed response comparing VCs to IPCs. We share our findings to encourage similar events to be organised and for other specialties.

12.
British Journal of Surgery ; 108(SUPPL 6):vi195, 2021.
Article in English | EMBASE | ID: covidwho-1569616

ABSTRACT

Introduction: Good Surgical Practice from RCS England encourages the use of e-health records and detailed typed operative notes. The Covid- 19 pandemic has led to multi-site operating. ENT operations in our trust were split over three sites including the private sector leading to potential disruption in continuity of patient care. Physical operation notes are difficult to access in emergencies, telephonic clinics or for audit purposes. We aim to have operative notes available on patients' erecords which adhere to RCSEng guidelines. Method: In this QIP, we reviewed all ENT operations over a retrospective one-month period recording percentage of notes uploaded to patient e-record and the number of surgeons in theatre. We created two novel RCSEng compliant e-operative notes with a user guide, generic and tonsillectomy-specific, and prospectively collected data to complete the cycle. Results: 261 patients were included in both study periods. Only 36/ 134(27%) had e-operative pre-intervention improving to 71/127(56%) post-intervention. In the latter period, 76% of operations included a registrar and were more likely to have e-operative notes(72%) compared to when a consultant was operating alone(6%). There was low uptake of our tonsillectomy e-proforma(33%). Conclusions: Our QIP has already proved effective with our templates increasing operative documentation on e-records. Increased use of etemplate was more likely with the presence of a registrar in theatre. Room for improvement remains and we will re-audit after the introduction of further user-friendly operative templates and IT training. This QIP has also revealed additional operative training opportunities of which registrars can take advantage.

13.
British Journal of Surgery ; 108(SUPPL 6):vi57, 2021.
Article in English | EMBASE | ID: covidwho-1569593

ABSTRACT

Aim: Good Surgical Practice (RCS England) and GMC guidelines inform a surgeon's practice in the consent process for an operation. Since the Covid-19 pandemic, many surgical departments have converted from face-to-face to telephonic consultations. The clinic letter is of increased importance given that it forms a key part of the medical record which the patient should receive to ensure sufficient time and information to make an informed decision. Method: Clinic letters of patients undergoing elective ENT surgery at our trust over a four-week period were examined in this retrospective audit of compliance with RCSEng and GMC guidelines. Additional data was collected on clinician grade and proportion of letters sent to patients. Patients rated satisfaction with consultation on a five-point Likert scale. Results: 135 eligible patients were included in our audit and the majority were listed by a consultant (57%). In all domains, consultant letters were more likely to be comprehensive as compared to registrars. Overall quality of clinic letters was highly variable regarding documentation of diagnosis (52%), surgical risks (50%), discussion of alternative or no treatment (30%) and registrar discussion with consultant (31%). There was also a stark difference between registrars and consultants sending patients copies of clinic letters (10% vs 47%). Only 10% of patients received a leaflet on their condition. 90% of patients were either satisfied or very satisfied with their clinic consultation. Conclusions: Refresher sessions on consent, updated template letters and increased provision of patient information leaflets will be introduced to the ENT department, and improvements monitored with further re-audit.

14.
British Journal of Surgery ; 108:1, 2021.
Article in English | Web of Science | ID: covidwho-1539368
15.
Thorax ; 76(Suppl 2):A178, 2021.
Article in English | ProQuest Central | ID: covidwho-1505966

ABSTRACT

BackgroundBlood eosinopaenia was one of the earliest reported findings in hospitalised patients with COVID-19, questioning whether eosinophils could have an anti-viral or deleterious role in the immune response against SARS-CoV2. Benralizumab is an anti-IL5R monoclonal antibody licensed for the treatment of severe eosinophilic asthma (SEA) and causes the near-complete depletion of blood and tissue eosinophils. As such, it offers the opportunity to explore the impact of eosinopaenia at the time of infection on outcome with COVID-19.MethodPatients started on treatment with benralizumab (up until April 2021) for SEA at our regional asthma centre were contacted by telephone throughout May and June 2021 to establish whether they had experienced a confirmed (PCR-positive) SARS-CoV2 infection since commencing benralizumab. Clinical and demographic characteristics were recorded along with the outcome of infection, including the need for hospitalisation or intensive care admission. Patients requiring hospitalisation were compared to those experiencing mild infections.ResultsData on 268 patients treated with benralizumab was collected with 24/268 (9%) confirming SARS-CoV2 infection with a positive PCR test. Of these 18/24 (75%) experienced mild infections that did not require hospitalisation. Of the 6/24 requiring hospitalisation, the median (IQR) length of stay was 6 (1–8) days. No patients required ICU admission or mechanical ventilation. There was no significant difference in baseline characteristics between hospitalised and non-hospitalised patients. However, it is noteworthy that a higher proportion of hospitalised patients were male (50.0% vs 38.9%) and had a higher mean BMI (32.1 vs 29.5).DiscussionIn the context of drug-induced eosinopaenia with benralizumab, 75% of patients with severe asthma experienced mild COVID-19 disease. This is likely to be an underestimate given that other patients may have experienced an asymptomatic infection or not pursued PCR testing in the context of mild infection. Although caution is needed due to the small sample size, these results do not support a significant role for eosinophils in SARS-CoV2 infection.

16.
Sustainability (Switzerland) ; 13(13), 2021.
Article in English | Scopus | ID: covidwho-1304711

ABSTRACT

Entrepreneurship is essential in contributing to economic growth, job creation, technological advances, etc. in all countries, including Kazakhstan. Hence, the purpose of this study was to find out how to further facilitate the development of (foreign) entrepreneurship in Kazakhstan. In doing so, the authors attempted to identify factors influencing entrepreneurial intention (EI), specifically among the foreigners in Kazakhstan, and highlight the role of government support (GS) in general and under COVID-19. The study conceptualized the extended “TPB + Moderator (GS)” model. The hypotheses were tested on a sample of 362 new and established foreign entrepreneurs in Kazakhstan by means of descriptive analysis, Pearson’s correlation analysis, and multiple regression analysis. The study found that the foreigners’ personal attitude (PA) toward entrepreneurship was the strongest factor motivating their EI, followed by their perceived behavioral control (PBC) as the second strongest factor. The role of GS strengthened each effect of PA and PBC on EI. The moderating effect of GS and PA is greater than that of GS and PBC;each of the moderating effects is lower in magnitude than each of the direct effects. Their subject norms (SNs) and the moderating effect of GS and SNs are both insignificant. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

17.
Academy of Strategic Management Journal ; 20(SpecialIssue2):1-19, 2021.
Article in English | Scopus | ID: covidwho-1273929

ABSTRACT

The intent of this paper is to assess the impact on sustainability due to the outbreak of pandemic. The paper has been carried out on the basis of theoretical review. The outbreak of COVID-19 threw the whole world into a deep crisis. In this time of crisis during the pandemic, enterprises have been through many challenges, so as to say;to the degree that impact of sustainability needed engaging attention. As a result, this avant-garde paper attempts to do a studyof the extent to what COVID-19 all in all;as well as specifically lockdown has impacted sustainability. The researchers have carried out discussion on the many challenges faced by the organizations and economy as a whole and the need to overcome it. The research carried out additionally summaries the lessons learnt from this outbreak and investigate the risk management strategies that emerged as a result of this catastrophic pandemic. © 2021. Academy of Strategic Management Journal. All Rights Reserved.

18.
Rheumatology (United Kingdom) ; 60(SUPPL 1):i43, 2021.
Article in English | EMBASE | ID: covidwho-1266169

ABSTRACT

Background/AimsTelemedicine has not previously been a regular part of routinerheumatology services.Our department adopted telephone clinicsduring the COVID-19 pandemic. We assessed patient satisfaction byconducting a feedback survey. Our aim was to obtain a patientperspective on remote consultations and on preferred future follow upoptions including video or face-to-face consultations.MethodsThe cohort included 160 rheumatology patients who had a telephoneconsultation between May and mid-June 2020. All patients consentedto receive a further phone call by a different member of the team.Patients had to answer a questionnaire about recent consultation andto rate this on a scale of 1-5. Other questions included whether all theirqueries were answered;clear action plan made;perceived benefits ordisadvantages of telephone consultation;and views about futurefollow up and any additional comments.Results71.9% of 160 patients were females while 28.1 % males. Mean age58.6 yrs. More than half of the patients (60.6%) had a diagnosis ofinflammatory arthritis, followed by connective tissue disease (19.3%), other diagnosis (8.1% ) & vasculitis (5.6%). 94.4 % of the patients inthis study were return appointments-the remainder new. Feedbackresults revealed 92.5% patients were satisfied with their consultationwith mean score of 4.3/5 (5=best, 1= worst). More than 80% agreedthat all their queries were answered and a clear action plan wasformed during consultation. However , 71.2% would want a face toface consultation if given choice while 54 % happy to have furtherfollow up over the phone. 65% of patients preferred not to have videoconsultation. Subgroup analysis showed that majority of patients whowould accept video consultation were aged between 30-39. Mostcommon benefits described were noted to be convenience;reducedtime of work;travel time and safety during pandemic, whilst difficulty indescribing symptoms;hearing problems;and severity of disease weredisadvantages raised, but numbers were small in our cohort.ConclusionTelephone clinics were the mainstay during the COVID-19 pandemic.Thelarge majority of the rheumatology patients in our cohort were highlysatisfied with this form of consultation. However, interestingly themajority (71% ) would still prefer face-to-face consultation as follow up inthe future. Regular follow up in carefully selected patient groups cansuccessfully be performed by telephone clinics with good patientsatisfaction. This would help increase capacity within the clinic setting.

19.
British Journal of Surgery ; 108(SUPPL 2):ii50, 2021.
Article in English | EMBASE | ID: covidwho-1254542

ABSTRACT

Introduction: Postgraduate medical education in the wake of a pandemic has sparked creativity, evolving novel platforms concordant with socially distanced learning. Inevitably, evaluation is critical in navigating improvements in content delivery. However, as culture continues to shift away from didactic teaching, students are at risk of 'feedback overload'. We propose a novel emoji scale to facilitate rapid appraisal. Method: A three-point emoji scale was developed within the novel virtual learning environment for core surgical training in the West Midlands. Engagement with the emoji system was assessed and correlated with conventional post-course questionnaires. Results: The novel emoji systemprovided a rapid mechanism for trainees to express opinion on individual modules immediately following completion. Parallels to social media meant this modality felt familiar to trainees. Simplification of feedback permitted prompt, targeted review of modules for improvement, as opposed to laborious collection and analysis of standard post-course questionnaires. Literature review revealed limited research regarding similar emoji-based responses, or the validity of Likert or free-text based feedback systems. Conclusion: As virtual learning evolves following COVID-19, feedback systems help guide evolution. Emoji-based feedback may provide the key to prompt, accessible evaluation of VLE platforms.

20.
Br Dent J ; 230(4): 186, 2021 02.
Article in English | MEDLINE | ID: covidwho-1201913
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