Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/11147/7148
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Article Citation - WoS: 10Citation - Scopus: 10The Effect of Additional Telerounding on Postoperative Outcomes, Patient and Surgeon Satisfaction Rates in the Patients Who Underwent Percutaneous Nephrolithotomy(Iniestares, S.A., 2019) Aydoğdu, Özgü; Şen, Volkan; Yarımoğlu, Serkan; Aydoğdu, Canan; Bozkurt, İbrahim H.; Yonguç, TarıkINTRODUCTION: We wanted to investigate the potential effect of additional telerounding system on postoperative outcomes, patient and surgeon satisfaction rates in the patients who underwent percutaneous nephrolithotomy (PNL). METHODS: Eighty patients who underwent PNL were included in the study. The patients were randomly divided to two groups. Group 1 included 40 patients who were followed-up with standard rounds and group 2 included 40 patients who were followed-up with telerounding in addition to standard rounds. Patient and surgeon satisfaction rates were assessed with a visual analog scale (VAS) where 0 point represents very dissatisfied and 100 points very satisfied. RESULTS: Mean time of preoperative telerounding visit was 3.65 +/- 0.59 (2-4) minutes. Mean time of telerounding visits on the postoperative 1st and 2nd days was 3.80 +/- 0.62 and 2.9 +/- 0.91 minutes respectively. The VAS score evaluating the surgeon's satisfaction rate for telerounding was 91 +/- 11.2 and patients expressed a high level of satisfaction with 72.5%. CONCLUSION: The use of additional telerounding in urological patient care provides high satisfaction rates for both the patients and the surgeon. However the findings of the present study don't underestimate the importance of personal surgeon-patient interaction.Article Citation - WoS: 5Citation - Scopus: 10Performance Evaluation of Webrtc-Based Online Consultation Platform(Türkiye Klinikleri Journal of Medical Sciences, 2019) Tarım, Ergün Alperay; Tekin, Hüseyin CumhurInformation technologies give patients the opportunity to communicate with medical professionals remotely. Telemedicine uses these technologies to provide advanced healthcare and medical services. We present a medical online consultation application based on Web Real-Time Communications (WebRTC) technology enabling chat, audio, and video calls. Communication architecture and protocols of the application are explained in detail. Additionally, the user interface of the application is shown via performed calls. The application is tested and evaluated on different network connections (3G, 4G, local, and DSL) and different browsers and mobile operating systems (Android, Chrome, Firefox, Internet Explorer, iOS, Opera, Safari). During calls, communication quality parameters such as round-trip time (RTT) and packet loss, obtained via the WebRTC application programming interface, are analyzed. 3G, 4G, and local connections show low packet losses (<1%). Packet losses are high (>1%) in Android, Chrome, iOS, Opera, and Safari for DSL connection, but RTT values are low (<100 ms) in all different conditions excluding iOS. In the presented application, RTT and packet loss remain lower than 100 ms and 1%, respectively, in various scenarios, indicating good communication quality. RTT and packet loss are related to total time and hang time parameters, which describe the necessary time to establish and to end a call. It is shown that communication quality of the application can simply be measured by analyzing the total time parameter. This enables predictable information for communication quality for WebRTC-based applications without continuously monitoring RTT and packet loss for the first time.
