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For time-sensitive treatment of a patient with malignant melanoma, physicians must obtain a rapid overview of the patient’s status. This study aimed to analyze context-specific features and processes at the point of care to derive requirements for a dashboard granting more straightforward access to information. The Think-Aloud method, contextual inquiries, and interviews were performed with physicians from the Department of Dermatology at the University Hospital Essen in Germany. The user statements and observations that were obtained were grouped and categorized using an affinity diagram. Based on the derived subjects, requirements were defined, confirmed, and prioritized. The resulting affinity diagram revealed four topics of importance at the point of care. These topics are “Identifying and Processing the Important”, a comprehensive “Patient Record”, tasks and challenges in the “Clinical Routine”, and interactions and experiences with the available “Systems”. All aspects have been reflected in 135 requirements for developing context- and indication-specific patient dashboards. Our work has elucidated the most important aspects to consider when designing a dashboard that improves patient care by enabling physicians to focus on the relevant information. Furthermore, it has been demonstrated that the aspects most often mentioned are not context-specific and can be generalized to other medical contexts.
For time-sensitive treatment of a patient with malignant melanoma, physicians must obtain a rapid overview of the patient’s status. This study aimed to analyze context-specific features and processes at the point of care to derive requirements for a dashboard granting more straightforward access to information. The Think-Aloud method, contextual inquiries, and interviews were performed with physicians from the Department of Dermatology at the University Hospital Essen in Germany. The user statements and observations that were obtained were grouped and categorized using an affinity diagram. Based on the derived subjects, requirements were defined, confirmed, and prioritized. The resulting affinity diagram revealed four topics of importance at the point of care. These topics are “Identifying and Processing the Important”, a comprehensive “Patient Record”, tasks and challenges in the “Clinical Routine”, and interactions and experiences with the available “Systems”. All aspects have been reflected in 135 requirements for developing context- and indication-specific patient dashboards. Our work has elucidated the most important aspects to consider when designing a dashboard that improves patient care by enabling physicians to focus on the relevant information. Furthermore, it has been demonstrated that the aspects most often mentioned are not context-specific and can be generalized to other medical contexts.
This research delves into the sustainable utilization of waste materials, particularly chemical sludges from coal power plant water treatment processes, in ceramic glaze development. The study background underscores the growing interest in repurposing industrial waste for sustainability in the ceramics industry. To address this, this study employs innovative methods like the Delphi method and Quality Function Deployment (QFD) to understand customer needs and guide product development. The next step will be to design an experiment to find the optimization point of the mixture of chemical sludge, silica, and soda feldspar to obtain a prototype as desired from QFD. The experimental investigations in this study highlight that resistance to cracking is a crucial factor in glaze formulations. An analysis revealed that a formulation containing 15% sludge, 52% soda feldspar, and 22% silica emerged as the optimal combination for further development. The results indicate that the prototype holds promise for future development, as demonstrated by cracking tests accelerated in an autoclave and analyzed using image processing. These findings contribute to advancing sustainable practices in ceramics, aligning with broader goals of waste minimization, circular economy principles, and resource efficiency.
Background: A major group of the population, especially antenatal checkup (ANC) mothers and their spouses, people admitted for surgery, and people attending STI clinics, are reluctant to pretest counseling. Objectives: This study has been taken up to explore the barriers and possible solutions to improve the utilization of Facility based integrated counseling and testing center (F-ICTC) counseling services. Materials and Methods: Phase 1: In-depth interview and ranking with stakeholders from the F-ICTC center (n = 13) were conducted to identify the barriers to utilization of F-ICTC and solution for the same. Phase 2: A Delphi panel with experts (n = 17) was invited through mail to find out the potential solution to improve the utilization of F-ICTC counseling services. Results: Possible barriers from the stakeholders’ perspectives were fear of the disease, violate the privacy, unacceptance, gender bias, fear of social stigma and discrimination, and neglect attached to the disease. At third round of Delphi experts had arrived at a consensus regarding of following possible potential solutions: 1. Those who refuse pretest counseling they should be asked to answer a set of questions(which are usually told during counseling), only those questions not answered correctly by them can be corrected, 2.conducive hospital environment, 3.zero discrimination policy, 4. group counseling for ANC mothers and patients in waiting area of the hospital,5. phone counseling for unwilling patients and relocation of testing center and health education camping. Conclusion: Context-specific proactive evidence-based intervention will help in improving the proper utilization of the F-ICTC center.
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