RainBio: Proportional Visualization of Large Sets in Biology

A Web Interface for Antibiotic Prescription Recommendations in Primary Care: User-Centered Design Approach

BACKGROUND

Antibiotic misuse is a serious public health problem worldwide. National health authorities release clinical practice guidelines (CPGs) to guide general practitioners (GPs) in their choice of antibiotics. However, despite the large-scale dissemination of CPGs, GPs continue to prescribe antibiotics that are not recommended as first-line treatments. This nonadherence to recommendations may be due to GPs misunderstanding the CPGs. A web interface displaying antibiotic prescription recommendations and their justifications could help to improve the comprehensibility and readability of CPGs, thereby increasing the adoption of recommendations regarding antibiotic treatment.

OBJECTIVE

This study aims to design and evaluate a web interface for antibiotic prescription displaying both the recommended antibiotics and their justifications in the form of antibiotic properties.

METHODS

A web interface was designed according to the same principles as e-commerce interfaces and was assessed by 117 GPs. These GPs were asked to answer 17 questions relating to the usefulness, user-friendliness, and comprehensibility and readability of the interface, and their satisfaction with it. Responses were recorded on a 4-point Likert scale (ranging from "absolutely disagree" to "absolutely agree"). At the end of the evaluation, the GPs were allowed to provide optional, additional free comments.

RESULTS

The antibiotic prescription web interface consists of three main sections: a clinical summary section, a filter section, and a recommended antibiotics section. The majority of GPs appreciated the clinical summary (90/117, 76.9%) and filter (98/117, 83.8%) sections, whereas 48.7% (57/117) of them reported difficulty reading some of the icons in the recommended antibiotics section. Overall, 82.9% (97/117) of GPs found the display of drug properties useful, and 65.8% (77/117) reported that the web interface improved their understanding of CPG recommendations.

CONCLUSIONS

The web interface displaying antibiotic recommendations and their properties can help doctors understand the rationale underlying CPG recommendations regarding antibiotic treatment, but further improvements are required before its implementation into a clinical decision support system.

On the Readability of Abstract Set Visualizations

Set systems are used to model data that naturally arises in many contexts: social networks have communities, musicians have genres, and patients have symptoms. Visualizations that accurately reflect the information in the underlying set system make it possible to identify the set elements, the sets themselves, and the relationships between the sets. In static contexts, such as print media or infographics, it is necessary to capture this information without the help of interactions. With this in mind, we consider three different systems for medium-sized set data, LineSets, EulerView, and MetroSets, and report the results of a controlled human-subjects experiment comparing their effectiveness. Specifically, we evaluate the performance, in terms of time and error, on tasks that cover the spectrum of static set-based tasks. We also collect and analyze qualitative data about the three different visualization systems. Our results include statistically significant differences, suggesting that MetroSets performs and scales better.

MetroSets: Visualizing Sets as Metro Maps

We propose MetroSets, a new, flexible online tool for visualizing set systems using the metro map metaphor. We model a given set system as a hypergraph H=(V, S), consisting of a set V of vertices and a set S, which contains subsets of V called hyperedges. Our system then computes a metro map representation of H, where each hyperedge E in S corresponds to a metro line and each vertex corresponds to a metro station. Vertices that appear in two or more hyperedges are drawn as interchanges in the metro map, connecting the different sets. MetroSets is based on a modular 4-step pipeline which constructs and optimizes a path-based hypergraph support, which is then drawn and schematized using metro map layout algorithms. We propose and implement multiple algorithms for each step of the MetroSet pipeline and provide a functional prototype with easy-to-use preset configurations. Furthermore, using several real-world datasets, we perform an extensive quantitative evaluation of the impact of different pipeline stages on desirable properties of the generated maps, such as octolinearity, monotonicity, and edge uniformity.