Sustainable reduction of phone-call interruptions by 35% in a medical imaging department using an automatic voicemail and custom call redirection system

BACKGROUND Have you ever been in the trenches of a complicated study only to be interrupted by a not-so urgent phone-call? We were, repeatedly- unfortunately. PURPOSE To increase productivity of radiologists by quantifying the main source of interruptions (phone-calls) to the workflow of radiologists, and too assess the implemented solution. MATERIALS AND METHODS To filter calls to the radiology consultant on duty, we introduced an automatic voicemail and custom call redirection system. Thus, instead of directly speaking with radiology consultants, clinicians were to first categorize their request and dial accordingly: 1. Inpatient requests, 2. Outpatient requests, 3. Directly speak with the consultant radiologist. Inpatient requests (1) and outpatient requests (2) were forwarded to MRI technologists or clerks, respectively. Calls were monitored in 15-minute increments continuously for an entire year (March 2022 until and including March 2023). Subsequently, both the frequency and category of requests were assessed. RESULTS 4803 calls were recorded in total: 3122 (65 %) were forwarded to a radiologist on duty. 870 (18.11 %) concerned inpatients, 274 (5.70 %) outpatients, 430 (8.95 %) dialed the wrong number, 107 (2.23 %) made no decision. Throughout the entire year the percentage of successfully avoided interruptions was relatively stable and fluctuated between low to high 30 % range (Mean per month 35 %, Median per month 34.45 %). CONCLUSIONS This is the first analysis of phone-call interruptions to consultant radiologists in an imaging department for 12 continuous months. More than 35 % of requests did not require the input of a specialist trained radiologist. Hence, installing an automated voicemail and custom call redirection system is a sustainable and simple solution to reduce phone-call interruptions by on average 35 % in radiology departments. This solution was well accepted by referring clinicians. The installation required a one-time investment of only 2h and did not cost any money

Optimization systems developed to improve the yield on tungsten and tantalum extraction and reduce associated costs – the EU HORIZON 2020 Optimore project (grant no. 642201)

Peer ReviewedPostprint (published version

A picture of medically assisted reproduction activities during the COVID-19 pandemic in Europe

STUDY QUESTION: How did coronavirus disease 2019 (COVID-19) impact on medically assisted reproduction (MAR) services in Europe during the COVID-19 pandemic (March to May 2020)? SUMMARY ANSWER: MAR services, and hence treatments for infertile couples, were stopped in most European countries for a mean of 7 weeks. WHAT IS KNOWN ALREADY: With the outbreak of COVID-19 in Europe, non-urgent medical care was reduced by local authorities to preserve health resources and maintain social distancing. Furthermore, ESHRE and other societies recommended to postpone ART pregnancies as of 14 March 2020. STUDY DESIGN, SIZE, DURATION: A structured questionnaire was distributed in April among the ESHRE Committee of National Representatives, followed by further information collection through email. PARTICIPANTS/MATERIALS, SETTING, METHODS: The information was collected through the questionnaire and afterwards summarised and aligned with data from the European Centre for Disease Control on the number of COVID-19 cases per country. MAIN RESULTS AND THE ROLE OF CHANCE: By aligning the data for each country with respective epidemiological data, we show a large variation in the time and the phase in the epidemic in the curve when MAR/ART treatments were suspended and restarted. Similarly, the duration of interruption varied. Fertility preservation treatments and patient supportive care for patients remained available during the pandemic. LARGE SCALE DATA: N/A. LIMITATIONS, REASONS FOR CAUTION: Data collection was prone to misinterpretation of the questions and replies, and required further follow-up to check the accuracy. Some representatives reported that they, themselves, were not always aware of the situation throughout the country or reported difficulties with providing single generalised replies, for instance when there were regional differences within their country. WIDER IMPLICATIONS OF THE FINDINGS: The current article provides a basis for further research of the different strategies developed in response to the COVID-19 crisis. Such conclusions will be invaluable for health authorities and healthcare professionals with respect to future similar situations.peer-reviewe

Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors

Background Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. Methods We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors. Results Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged. Conclusions Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.Peer reviewe

The Potential Role of Colloidal Silica as a Depressant in Scheelite Flotation

The main challenge in scheelite flotation lies in the contamination of the concentrate by other calcium-bearing minerals, mainly calcite. To remedy this problem, sodium silicate is frequently used as a depressant. According to the literature, one hypothesis for the mechanism of water glass consists in its absorption onto calcite through colloidal silica formation, preventing hydrophobization by the collector. This short communication presents research conducted on the direct use of colloidal silica as a depressant in scheelite flotation. Colloidal silica is shown to have an impact on scheelite flotation, especially by depressing silicates

Froth flotation of scheelite – A review

Froth flotation of scheelite has regained new focus since the 2010s and research regarding floatability and reagents has made great progress over the years. The main objective was and remains the selective flotation of scheelite from other calcium-bearing minerals, in particular calcite, fluorite and apatite. Due to similar properties, most attempts have limited success or only specific application (linked to a type of ore or a location). This article aims at reviewing all general physical-chemical information on froth flotation of scheelite, including electrokinetic properties, influence of pH and already existing reagents as well as ones still under examination. It appears that chelating or mixed collectors and modified versions of sodium silicate and quebracho hold great promise for scheelite flotation, while the use of said depressants and/or promoters seems inevitable. Keywords: Scheelite, Froth flotation, Calcium-bearing minerals, Selectivity challenges, Promising reagent

Acidified water glass in the selective flotation of scheelite from calcite, part II: species in solution and related mechanism of the depressant

NMR dataset to the publication: Acidified water glass in the selective flotation of scheelite from calcite, part II: species in solution and related mechanism of the depressan

Acidified water glass in the selective flotation of scheelite from calcite, Part I: performance and impact of the acid type

To improve the performance of sodium silicate in scheelite flotation and allow the selective separation of scheelite from other semi-soluble salt-type minerals such as calcite, three acids, sulfuric, oxalic and for the first time hydrochloric are used to acidify sodium silicate (also called water glass). A literature review of previous usage of acidified water glass shows that no comparison between acids was made before, that comparisons with alkaline water glass were limited and that the idea that acidified water glass is more efficient at lower dosages has not been proven in scheelite flotation. As a consequence, the impact of the acid type, the ratio between acid and sodium silicate and acid dosage is tested in single mineral flotation and batch flotation experiments. All three acids allow a higher performance of acidified water glass compared to alkaline water glass at lower dosages and with little addition of acid: the tungsten recovery and grade are improved while silicates and to a lesser extent calcium-bearing minerals float less. The dosage of acid is less determining than the mass ratio of the acid to sodium silicate, except in the case of hydrochloric acid. Overall, the acid type does not matter as all three acids perform well in flotation, whereby oxalic and hydrochloric acid are better

Acidified water glass in the selective flotation of scheelite from calcite, part II: species in solution and related mechanism of the depressant

Sodium silicate is one of the main depressants against calcite and fluorite in the scheelite flotation industry. In the first part of this article, the authors acidified sodium silicate (AWG) with three acids (sulfuric, oxalic and hydrochloric) to improve its performance. Results showed that acidified water glass outperforms alkaline water glass in terms of selectivity: it increases mainly the grade by further depressing silicates and calcium-bearing minerals. In most cases, AWG requires lower dosages to do so. The effect of acidified water glass is evaluated through Mineral Liberation Analysis (MLA), froth analysis, Raman and Nuclear Magnetic Resonance (NMR) spectroscopy in order to hypothesize its mechanism. MLA shows that AWG affects silicates and sulfides more intensely than semi-soluble salttype minerals. Froth observations indicate other species in solution associated to the acid having an impact on the flotation results. Raman spectroscopy and NMR measurements indicate that the solution undergoes deep depolymerization when water glass is acidified. Lower molecular weight silica species, specifically Si-O monomers such as SiO(OH)3- will be responsible for the depression of the gangue minerals and are the drivers of the selectivity of AWG, more than orthosilicic acid. Depolymerization is more or less effective depending on the mass ratio of the acid to water glass and depending on the acid

On the impact of grinding conditions in the flotation of semi-soluble salt-type mineral-containing ores driven by surface or particle geometry effects?

Grinding and flotation processes are often studied independently, despite the well-established grinding influence on flotation performance, which affects not only particle size and thus liberation but also shape and leads to complex changes in pulp chemistry affecting the particle surface properties relevant for selective bubble attachment. Yet, no study jointly investigated these possible causes and many are limited to single mineral flotation. We relate grinding conditions to changes in pulp chemistry and particle surface properties and assess their impact on upgrading. We studied three non-sulfide ores with different feed grades and valuables: scheelite, apatite, and fluorite. These were dry-, wet-, and wet conditioned-ground before flotation in a laboratory mechanical cell. Results were evaluated with bulk- and particle-specific methodologies. The selectivity of the process is higher after dry grinding for the fluorite and apatite ores and irrelevant for the scheelite ore. Variations in flotation kinetics of individual particles associated to their size and shape are not sufficient to explain these results. The higher concentration of Ca2+ and Mg2+ observed in the pulp after wet grinding, altering particle surface properties, better explains the phenomenon. Additionally, we demonstrate how particle shape impacts are system specific and related to both entrainment and true flotation