Search

The objective of this study was to create and evaluate an advice and guidance consultation system for a learning institution in Nueva Ecija, Philippines. The study employed a developmental research design and involved IT experts and end-users from various senior high school tracks as respondents, who were selected using purposive sampling. The system was developed based on the software development life cycle model, and its technical aspects and quality were evaluated using ISO 25010 software standards. The results indicated that the system was well-received by end-users and met their needs and expectations. The study recommends following the SDLC model, conducting regular assessments, and continuing to improve the system. The study highlights the importance of a systematic approach to system development and the significance of assessing the technical aspects and quality of use of the system. The findings can serve as a foundation for future studies on the development and evaluation of comparable systems.

Introduction. The sexual and reproductive health (SRH) constitutes a universal human right. Due the consequences generated by the pandemic Virus SARS-COV-2 sexual and reproductive health benefits have been deprioritized in different countries. In Chile, a loss in access and continuity of benefits has been observed due to the reorientation of primary health care resources. The consequences of these decisions affected the preventive benefits in SRH and the discontinuation of contraceptive controls. The latter becomes more serious if it is observed that this level solves 95 % of the contraceptive benefits of the entire public network. Objectives. Describe the main international recommendations available regarding the management of contraception in pandemic times and generate proposals for our country. Material and Methods. It was done a literature review in Pubmed, the Cochrane Library and the websites of the main international Spanish and English-speaking scientific societies. Results. 6 documents were identified that systematize the recent and updated information so that the countries can face better the problems in contraception. The results were organized into the following categories: implementation of a non-face-to-face consultation system, suggestions for access to information / services and management of different types of contraception. Conclusions. The adoption of all or some of the proposed measures implies that the health system can prevent the consequences derived from the loss of access and continuity in contraceptive and SRH services., Introducción. La salud sexual y reproductiva (SSR) constituye un derecho humano universal. Debido a las consecuencias generadas por la pandemia del Virus SARS-COV-2 las prestaciones en salud sexual y reproductiva han sido postergadas en diferentes países. En Chile, debido a las medidas de distanciamiento social y reorganización de los servicios, se ha observado una pérdida en el acceso y continuidad de las prestaciones a causa de la reorientación de los recursos de atención primaria de salud. Las consecuencias de estas decisiones afectan a las prestaciones preventivas en SSR y descontinuación de los controles de anticoncepción. Esto último se torna más grave si se observa que este nivel resuelve el 95 % de las prestaciones de anticoncepción de toda la red pública. Objetivos. Describir las principales recomendaciones internacionales disponibles respecto del manejo de la anticoncepción en tiempos de pandemia y generar propuestas generales aplicables a nuestro país. Material y métodos. Se realizó una revisión de literatura en Pubmed, Biblioteca Cochrane y sitios web de las principales sociedades científicas internacionales de habla hispana e inglesa. Resultados. Se identificaron 6 documentos que sistematizan la información reciente y actualizada para que los países puedan enfrentar de la mejor manera las problemáticas en anticoncepción. Los resultados fueron organizados en: implementación de sistema de consultas no presenciales, sugerencias para el acceso a información/ servicios y manejo de los distintos tipos de anticoncepción. Conclusiones. La adopción de la totalidad o algunas de las medidas propuestas supone que un sistema de salud pueda prevenir las consecuencias derivadas de la pérdida de acceso y continuidad en los servicios de anticoncepción y SSR.

This study analyzes the barriers to the operation of prior consultation systems regarding disaster safety budgets - and which has been in effect since 2015 - to enhance the investment efficiency and effectiveness of disaster safety projects, and to suggest a desirable direction for future operation. Using prior research and data from the 2020 National Assembly Budget Office, three factors - including both deficiencies and limits of the operation - were derived, and group survey and AHP analyses were conducted. According to the analyses, “legal obstacles” is the most important factor hindering the efficient operation of disaster safety budgets. In addition, the Ministry of the Interior and Safety needs to have practical control over the budget so as to improve its use and property-protection functions.

Corpus consultation with concordancers has been recognized as a promising way for learners to study and explore language features such as collocations at their own pace and in their own time. This study examined 1.5 million search queries sent to a collocation consultation tool called FlaxCLS (Flexible Language Acquisition Collocation Learning System; http://flax.nzdl.org) over a period of two years to identify learners’ collocation look-up patterns. This paper examines and characterizes learners’ look-up patterns as they entered search queries, clicked on the query formation aids provided by the system, and navigated through the different levels of collocation information returned by the system to support collocation learning. We looked at how learners formulated query terms, and we analyzed the characteristics of query words learners entered, the characteristics of collocations they preferred, and the sample sentences they checked. Our collocation look-up pattern analyses, similar to traditional user query analyses of the web, provide interesting and revealing insights that are hard to obtain from small-scale user studies. The findings provide valuable information and pedagogical implications for data-driven learning (DDL) researchers and language teachers in designing tailored collocation consultation systems and activities. This paper also presents multidimensional analyses of learner query data, which, to the best of our knowledge, have not been explored in DDL research.

Background: Adolescence is a transition from childhood to adulthood, along with physical and emotional changes. One significant difference is physical appearance. Adolescents tend to be afraid of negative evaluations from others for their physical appearance or social physique anxiety. Objective: This study aimed to determine the social physique anxiety in female adolescents at Bandung Middle School. Methods: This study's method was a descriptive quantitative method using a total population technique with a sample of 331 female high school students in Bandung Middle School. The measurement instrument that was used in this study was SPAS-C (Social Physique Anxiety for Children). Analysis of the data was conducted using the average score of social physique anxiety and was presented as a percentage. Result: This study showed that most respondents had a lower score than social physique anxiety average score with a several 176 respondents (53.2%), in comparison 155 respondents (46.8%) had a higher score than social physique anxiety average score. Based on the study results, comparing the number of respondents who had a lower score than the social physique anxiety average score with the number of respondents who had a higher score than the social physique anxiety average score did not significantly differ. Conclusions: Preventive solutions for social physique prevention are essential. Schools can make a consultation schedule or use an online consultation system and work with community health centers to provide health education and knowledge about social physique anxiety and the influencing factors and its prevention.

Background:Medical test orders can display the physiological functions of patients by using medical means. The medical staff determines the patient's condition through medical test orders and completes the treatment. However, for most patients and their families, there are so many terminologies in the medical test list and they are inconvenient to understand and query, which would affect the patients’ cognition and treatment effect. Therefore, it is especially necessary to develop a consulting system that can provide related analysis after getting medical test data.Objective :This paper starts with information acquisition and speech recognition. It proposes a natural scene information acquisition and analysis model based on deep learning, focusing on improving the recognition rate of routine test list and achieving targeted smart search to allow users to get more accurate personalized health advice.Methods :Based on medical characteristics, considering the needs of patients, this paper constructs an APP-based conventional medical test consultation system, using artificial intelligence and voice recognition technology to collect user input; analyzing user needs with the help of conventional medical information knowledge database.Results:This model combines speech recognition and data mining methods to obtain routine test list data and is suitable for accurate analysis of problems in routine check-up procedure. The app provides effective explanations and guidance for the treatment and rehabilitation of patients.Conclusion:It organically links the Internet with personalized medicine, which can effectively improve the popularity of medical knowledge and provide a reference for the application of medical services on the Internet. Meanwhile, this app can contribute to the improvement of medical standards and provide new models for modern medical management.

Background It is important to intervene early and treat children and individuals with behavioral disorders. We conducted a functional assessment-based consultation for teachers of several students with severe behavioral disorders and examined the effects of the consultation. Methods Eight students with severe behavioral disorders were selected from two special schools for intellectual disabilities in western Japan. An external consultant team conducted a functional assessment-based consultation in cooperation with a team of teachers. Consultations were held once a month, and comprised three to six sessions per student. Results As a result of the functional assessment, only 8 out of 10 behaviors with some communication function, and 2 with only sensory enhancements were estimated. The Effects of consultations based on functional assessment were presented. It was found that 6 out of 10 target behaviors had obtained high effects. The total score for each behavioral scale showed a statistically significant improvement. Conclusion Although consultations lasted for only six months and occurred from three to six times for each student, scale scores for problem behavior before and after intervention were improved, overall. Each case report suggested that many factors influence the difference in the effects of consultation among individual students. This study is significant in that it provides a model for the consultation system that operates on a short-term basis, and presents a means for small-scale group consultations for students with intellectual disabilities and autism in cooperation with external specialized institutions in special schools in Japan.

Virtual clinics have been proposed as a method of reducing costs and improving services in the National Health Service (NHS). The aim of this research was to assess the attitudes of clinicians and patients towards virtual consultations in a department of oral and maxillofacial surgery (OMFS). Patients and clinicians at conventional OMFS adult outpatient clinics were prospectively interviewed using a structured questionnaire. Variables recorded included type of consultation, overall attitude, time travelled, and mode of transport. Patients' notes were assessed retrospectively to check if examinations had been done. A total of 146 patients (100%) completed the surveys, and 108 of them (74%) were amenable to having virtual consultations in the future. Such appointments may have been suitable for 19 patients who did not have examinations. Chi squared analysis showed no relation between type of appointment and preference for a virtual consultation (p=0.087). To introduce a virtual consultation system in our department and to assess its efficacy once implemented, further development and research are required.

The molecular pathogenesis of human amyloidosis has been elucidated greatly during the last 20 years. Based on the understanding of the molecular mechanisms of amyloid fibril formation and deposition, various kinds of new drugs and therapeutics have been emerging to improve the prognosis of amyloidosis and even cure this disease. In this review article, we first summarize the pathogenesis and state-of-the-art therapeutics of representative types of systemic human amyloidosis, that is, immunoglobulin light chain-related, transthyretin-related, amyloid A-associated and β2 -microglobulin-related amyloidosis. Next, we describe the essential roles of pathological diagnosis, especially the typing diagnosis of amyloidosis to appropriately guide type-specific therapies of amyloidosis patients. Finally, we introduce the activities of the government-funded group for surveys and research of amyloidosis in Japan, especially the nation-wide pathology consultation system of amyloidosis, which started in April 2018. The nation-wide improvement of the typing diagnosis of amyloidosis is essential for the appropriate treatment and care of amyloidosis patients in Japan.

Artificial intelligence (AI) has been deeply applied in the medical field and has shown broad application prospects. Pre-consultation system is an important supplement to the traditional face-to-face consultation. The combination of the AI and the pre-consultation system can help to raise the efficiency of the clinical work. However, it is still challenging for the AI to analyze and process the complicated electronic health record (EHR) data. Our pre-consultation system uses an automated natural language processing (NLP) system to communicate with the patients through the mobile terminals, applying the deep learning (DL) techniques to extract the symptomatic information, and finally outputs the structured electronic medical records. From November 2019 to May 2020, a total of 2,648 pediatric patients used our model to provide their medical history and get the primary diagnosis before visiting the physicians in the outpatient department of the Shanghai Children's Medical Center. Our task is to evaluate the ability of the AI and doctors to obtain the primary diagnosis and to analyze the effect of the consistency between the medical history described by our model and the physicians on the diagnostic performance. The results showed that if we do not consider whether the medical history recorded by the AI and doctors was consistent or not, our model performed worse compared to the physicians and had a lower average F1 score (0.825 vs. 0.912). However, when the chief complaint or the history of present illness described by the AI and doctors was consistent, our model had a higher average F1 score and was closer to the doctors. Finally, when the AI had the same diagnostic conditions with doctors, our model achieved a higher average F1 score (0.931) compared to the physicians (0.92). This study demonstrated that our model could obtain a more structured medical history and had a good diagnostic logic, which would help to improve the diagnostic accuracy of the outpatient doctors and reduce the misdiagnosis and missed diagnosis. But, our model still needs a good deal of training to obtain more accurate symptomatic information.

Background: The lack of internationally recognized guidelines for very rare tumors, such as juvenile granulosa cell tumors (JGCTs), which are nonepithelial, unusual ovarian tumors, is a challenge for pediatric oncologists, especially in developing countries with limited resources and experience in treating rare tumors. Methods: We report clinical data of 2 girls with JGCTs treated at the Pediatric Cancer and Blood Disorders Center of Armenia with the assistance of the EXPeRT (European Cooperative Study Group for Pediatric Rare Tumors) international cooperation panel. Case presentation: Two girls (16 and 15 years old) with JGCTs of the ovaries, stage Ic, underwent surgery and, with consultation through an online advisory board ( http://vrt.cineca.it/ ), received 4 cycles of chemotherapy according to the PEI regimen (cisplatin, etoposide, ifosfamide). Conclusion: Very rare tumors, especially in advanced stages, have limited data and a low survival rate. International collaboration with the EXPeRT group is beneficial for physicians with limited experience and facilitates research in pediatric oncology.

Traditional online psychological consultation expert system has low efficiency. It is because of limited human-computer interaction and lack of intelligence. As a result, an expert system for psychological consultation is needed. Therefore, in this paper, we design an online psychological consultation expert system based on human-computer interaction. Using human-computer interaction technology, the basic principles of the system’s design are formulated. The design is used to build a psychological consultation expert system framework suitable for numerous applications. Human-computer interaction knowledge is imported into the system to determine the consultation process based on fuzzy set. To complete the online psychological consultation preset, the adjustment of human-computer interaction accuracy is determined. Moreover, a psychological state of the user in human-computer interaction is achieved using the expression of psychological counseling results. Comparing the simulated psychological consultation process, the results show that the design system is 30% more efficient than the traditional consultation system. The consulting success rate is more than 20%. The comprehensive consultation time is shortened, and its effectiveness is proved.

This study aims to develop a novel web-based decision support system for diabetic retinopathy screening and classification of eye fundus images for medical officers. The research delivers diabetic retinopathy information with a web-based environment according to the needs of the users. The proposed research also intends to evaluate the developed system usability to the target users. The complex characteristics of diabetic retinopathy signs contribute to the difficulty in detecting diabetic retinopathy. Therefore, professional and skilled retinal screeners are required to produce accurate diabetic retinopathy detection and diagnosis. The proposed system assists the communication and consultation among the medical experts in the hospital and the primary health cares located at the health clinics. The agile software development model is the methodology used for the development of this research project. The project collaborates with the Department of Ophthalmology, Hospital Melaka, Malaysia for the medical content expertise and testing. Representative medical officers from Hospital Melaka and all the public health clinics in Melaka were involved in the preliminary study and system testing. This research study consists of a web development producing an interactive web-based application of diabetic retinopathy consultation which comprises image processing and editing features as a core of the system. It is envisaged that this research project will contribute to the management of diabetic retinopathy screening among medical officers.

The impact of the Corona Virus Disease 19 (Covid-19) Pandemic is very large for the mental health of the population in Indonesia. Based on data from observations made by Kompas, 69% of people in Indonesia have mental health problems, due to stress, fear of being exposed to the corona virus. People need consultation with psychiatric experts during a pandemic by not visiting hospitals or health clinics for fear of contracting Covid-19. Based on this, the researchers conducted a study at a mental health counseling clinic in the South Tangerang area, Banten to build an Android-based online mental health consultation service information system, to make it easier for people to consult psychologists or psychiatry experts without creating new clusters. The system development method used is prototyping through literature review and observation to obtain updated data and information. The contribution of this research is a mental health consultation system application based on an Android application with a web service. The application developed is expected to be able to dynamically generate user interfaces in the consultation process from the initial state to obtain a conclusion. This application provides several features related to patient case records and patient journals to facilitate deeper understanding and ongoing services to maintain a patient's mental health condition.

The purpose of this study was to compare the characteristics of suicide attempts by drug overdose between young people and adults, and evaluate the cost-effectiveness of a multi-disciplinary emergency consultation system (MECS) for suicide attempters with drug overdose. It was verified by comparing and analyzing data from June 1, 2017 to May 31, 2018 (before the MECS was implemented; pre-MECS), and from June 1, 2018 to May 31, 2019 (after the MECS was implemented; post-MECS). The data were retrospectively reviewed for a total of 251 such patients with suicide attempts by drug overdose who visited the emergency room of a university hospital in Seoul during the period. The young people group were shown to be more likely to use painkillers and less likely to use psychoactive drugs for a suicide attempt (p < 0.01), had more unplanned attempts than planned ones (p < 0.01), and had lower levels of intentionality for suicide (p = 0.04) and of suicide lethality (p = 0.02), compared to the adult group. We defined suicide attempts as being “serious” when there was both high intentionality and lethality. On this basis, the young people group had less serious suicide attempts, compared to the adult group (p = 0.02). Young people in the post-MECS group had lower intensive care unit (ICU) costs (p = 0.01) and lower costs in the 6-months after the suicide attempt (p = 0.02) compared to those in the pre-MECS group. Young people, both with serious (p < 0.01) and non-serious attempts (p < 0.01) in the post-MECS group had lower ICU costs compared to those in the pre-MECS group. Adults with non-serious attempts in the post-MECS group had lower ICU costs (p < 0.01) compared to those in the pre-MECS group. Therefore, it can be concluded that fast and precise cooperation from the multidisciplinary departments for patients who attempted suicide by drug overdose reduced unnecessary ICU treatment and costs, especially in young attempters and those with lower levels of intentionality and lethality.

Background Since the outbreak of COVID-19 in January, 2020, the fever of unknown origin (FUO) emergency department has become the first station for disease prevention and identification in hospitals. Establishing a standardized FUO emergency department within a short period of time has become the key to preventing and controlling COVID-19 in densely populated Chinese cities. Methods Based on the lean management model, the research group established a process of less-link visits, which sees reduced contact between patients and physicians during diagnosis and treatment, and zero-contact consultation through lean workflow and value stream analysis. Three steps were implemented to improve the operations of the FUO emergency department: the rapid establishment of an isolation zone, the refinement of duty and protection configuration, and the use of Internet and technology to establish a full-process follow-up consultation system. Results (I) Tests related to COVID-19 screening are all completed in the FUO emergency department; (II) 12 new isolated observation rooms have been built; (III) hospital visiting time, waiting time for consultation, and the time from pre-examination to virus screening has been shortened from 18 to 8 hours, from 2 hours to 10 minutes, and from 34 to 3 hours, respectively; (IV) the transfer distance has been shortened from 450 to 20 m, and the observation time has been shortened from 72 to 26 hours. The median waiting time for image examination has been reduced from 40 to 3 minutes, and the moving distance has been shortened from 800 to 10 m; (V) the diagnosis and treatment process is facilitated by 5G, achieving zero contact between doctors and patients. Conclusions Through the implantation of information technology, the local transformation of the site, the rational allocation of medical teams and the planned distribution of protective equipment, in a short period of time, individual medical institutions can set up a safe FUO emergency department to provide 24-hour screening and detention services. Establishing an FUO emergency department with lean management and realizing the management approach of combining daily operation with prevention and control could help China and other countries to handle the outbreak of fulminant infectious diseases.

Argentina does not have a sufficiently complete and developed system of sectoral statistical data on foreign trade. This paper tries to make a contribution showing a methodology to calculate foreign trade indexes, based on unit values obtained from Foreign Trade Consultation System of INDEC. This methodology is applied to the quarterly data of Argentine sectoral imports and exports and its accuracy is shown from the comparison with price indexes published by INDEC (aggregate level) and Brazilian statistical institute (sectoral level). Our indexes show a correlation above 80% and variability close to the benchmark in almost all sectors. Finally, we analyzed the contribution of each sector to foreign trade growth during 1996-2016 using the estimated quantity indexes, something impossible to obtain without the estimated price indexes. Both real exports and imports show a weak growth pace of 2.3% and 2.4% per year, respectively. The leading sectors are Foodstuff industry and Agricultural products in exports, and Motor vehicles and Chemical products in imports for the whole period. JEL Classification: C43, C81, F14, F19. Resumen: Argentina carece de un sistema suficientemente completo y desarrollado de datos sectoriales sobre el comercio exterior. Este trabajo hace un aporte mostrando una metodología para calcular los índices de comercio exterior, con base en valores unitarios obtenidos del Sistema de Consulta de Comercio Exterior del INDEC. Esta metodología se aplica a los datos trimestrales de importaciones y exportaciones sectoriales argentinas y su bondad se muestra a partir de la comparación con los índices oficiales del INDEC (nivel agregado) y Brasil (nivel sectorial). Nuestros índices muestran una correlación superior al 80% y una variabilidad cercana a la oficial en casi todos los sectores. Finalmente, analizamos la contribución sectorial al crecimiento del comercio exterior durante 19962016 utilizando índices de cantidad calculados a partir de nuestros índices de precio, algo imposible de lograr con anterioridad. Tanto las exportaciones como las importaciones reales muestran un débil crecimiento del 2,3% y el 2,4% anual, respectivamente. Los sectores más destacados son la industria alimenticia y los productos agrícolas en las exportaciones, así como la industria automotriz y los productos químicos en las importaciones para el periodo comprendido. JEL Classification: C43, C81, F14, F19. Résumé: L’Argentine ne dispose pas d’un système suffisamment complet et développé de données sectorielles sur son commerce international. Ce travail est une contribution à ce système car nous proposons une méthodologie qui permet de calculer les indices du commerce international, sur la base des valeurs unitaires obtenues à partir du système de consultation du commerce international - INDEC-. Cette méthodologie est appliquée aux données trimestrielles des importations et exportations sectorielles argentines. Leur qualité est démontrée par une comparaison avec les indices officiels de l’INDEC (niveau agrégé) et de l’IPEA du Brésil (niveau sectoriel). Nos indices montrent une corrélation de plus 80% et une variabilité proche de l’indice officiel pour presque tous les secteurs. Enfin, nous analysons la contribution sectorielle à la croissance du commerce international pour la période 1996-2016, à l’aide d’indices de quantité calculés à partir de nos indices de prix, une démarche qui n´était pas possible auparavant. Les exportations et les importations réelles affichent respectivement une faible croissance de 2,3% et 2,4% par an. Les secteurs les plus importants sont alors l’industrie alimentaire et les produits agricoles destinés à l’exportation, ainsi que l’industrie automobile et les produits chimiques importés pour la même période d’étude. JEL Classification: C43, C81, F14, F19.

Background Safety evaluation for patients with cardiac implantable electronic devices (CIEDs) undergoing magnetic resonance imaging (MRI) scanning is often overlooked. We developed an automatic consultation system (ACS) to improve the screening rate in these patients. Methods ACS was developed by the Hospital Information System Development Department of Seoul National University Bundang Hospital. It was designed to automatically request pre-MRI cardiac evaluation in patients with CIED when MRI orders are issued. The proportion of the patients without pre-MRI cardiologic evaluation was evaluated before and after the ACS application. Results From January 2016 to June 2018, a total of 157 patients with CIEDs [pacemaker 136 (86.6%), ICD or CRT-D 21 (13.4%), MR-conditional 117 (74.5%)] visited the MRI facility. Before the ACS application, 23 out of 84 patients (27.4%) did not have adequate pre-MRI cardiologic evaluation. Despite urgent request for pre-MRI cardiac evaluation, MRI examination was postponed or cancelled in 14 (60.8%) cases. After the ACS application, all 73 patients underwent proper cardiologic evaluation before their MRI examinations (P P Conclusions The newly developed ACS helped the patients with CIED receive MRI scan safely on the schedule, improving the quality of care in this population.

Background In Japan, patients generally have free access to any hospital or clinic. This could lead to reduced efficiency in the treatment for eating disorders (EDs) because there are only a limited number of doctors who can treat ED patients. The objectives of this study were to examine the efficiency of a new trial system for consultation and appointments, a medical community network (MCN), in outpatient treatment for EDs. MCN schedules appointments for the first visit only by referral from another medical institution, not by patients themselves. Methods We analyzed the data of 342 outpatients (mean age = 28.9 ± 9.9 years; 328 female and 14 male) who visited the ED clinic at the University of Tokyo Hospital for the first time between January 2009 and July 2012 to investigate possible differences in treatment efficacy between the new (MCN+) system and the conventional (MCN-) system, which accepts reservations directly from patients. Results The no-show rate for MCN+ patients (0.8%) was significantly lower than that for the MCN- group (17.8%) (p

We propose an ontological Chinese legal consultation system (CLCS) based on Chinese legal characteristics by integrating statutes and judicial precedents to facilitate the retrieval of relevant statutes and judgments for the general public. Ontology, an emerging research topic in recent years, incorporates a hierarchical structure and supports logical reasoning, which can reduce semantic ambiguities and extract implied semantic information. We constructed statutes ontology and a case ontology using a bottom-up method and a top-down method, respectively. Then, to test the retrieval precision of the proposed CLCS, we performed experiments using emotional damage compensation as an example by combining genetic algorithm and k-nearest neighbor approaches. Experimental results demonstrate that the proposed method improves retrieval precision.

In view of the characteristics of a major earthquake in need of multi-sectoral collaborative disposal, this paper designed an earthquake emergency system for multi-user consultation simulation system based on GIS technology, computer technology, modern communications technology, focusing on the design of the plotting coordinating plotting, text coordinating and file coordinating based on the common operation picture. A prototype system was developed to research Ya’an Lushan earthquake. The experimental result shows that the collaborative consultation system is smooth and efficient in the wide area network.

Purpose of the study Increasing pressure on general practice prompts innovative change in service organisation. This study sought to evaluate the impact of introducing a telephone-first consultation system in a socioeconomically deprived population. Study design An interrupted time series of preplanned outcomes for 2 years before and 1 year postintroduction of a telephone-first system was used to measure the volume and type of general practitioner (GP) consultations and the number of patients consulted per year. Emergency department (ED) and GP out-of-hours attendances, the number of outpatient referrals, and the number of requests for laboratory tests were measured as secondary outcomes. Results The telephone-first system was associated with a 20% increase in total GP consultations (telephone and face-to-face, effect estimate at 12 months, p=0.001). Face-to-face consultations decreased by 39% (p Conclusions A telephone-first system in a deprived urban general practice can decrease delays to GP–patient contacts. The number of patients seeking a medical intervention did not differ irrespective of the consultation system used. The telephone-first system did not affect GP out-of-hours, laboratory investigations or secondary care contacts.

Researchers all across the world have been working extensively for developing system in health care domain. Many people are struggling to clear their doubts about health issues by doctors or other medical personnel to confirm or clarify their diagnosis. The health management system is an end user support and online consultation system. The system is fed with counts of various pigments and chemicals present in an individual’s body which are necessary for determining liver health. Four algorithms have been implemented for this. This paper summarizes the predicted accuracy, precision and F-score of various machine learning algorithms and compares them to find the best suited algorithm to predict the impact of the liver diseases.

Background: Development of a point-of-care (POC) consultation system based on telepresence robots is needed to enable effective decision-making by medical staff at care sites. Introduction...

In the current context, technology drives solutions to problems that normally affect productivity in the field, the AXON Research group, from the CUN Systems Engineering program, through the HORUS research center is implementing a solution via web, so that the farmer can consult in a timely manner problems generated by a disease called Botrytis cinerea that affects strawberry crops in the savannah of Bogota, data capture tests have been performed using Vehicles unmanned aerial calls drones, these images are processed and analyzed for according to the results obtained send the alert to the farmer of the main areas that are affected by this disease and can be prevented from spreading to the entire crop generating large losses to the farmer.

Taking GIS technology as the core, an online collaborative consultation system for connecting emergency command users in different places was designed and implemented. A system of online emergency command achieved the Collaborative Plotting, audio and video conferencing, file sharing and map query functions based on the common operation picture, greatly improves the timeliness, effectiveness and collaboration of the emergency command.

BACKGROUND AND OBJECTIVES A mobile application (app)-based electrocardiogram (ECG) consultation system (InterMD Co., Ltd., Seoul, Korea) using the collective intelligence (CI) and the availability of large-scale digitized ECG data would extend the utility of ECGs beyond their current limitations, while at the same time preserving interpretability that remains critical to medical decision-making. METHODS We developed a new mobile app-based ECG consultation system by CI for general practitioners. We compared the responses of ECG reading between the mobile app-based CI system and the conventional system in a tertiary referring hospital. RESULTS We analyzed 376 consecutive ECGs between December 2017 and May 2019. Of these, 159 ECGs (42.3%) were interpreted by CI through the mobile app-based ECG consultation system and 217 ECGs (57.7%) were analyzed by cardiologists in the conventional systems based on electronic medical record data in a tertiary hospital. All ECG readings were confirmed by an electrophysiologist (EP). The time to an initial response by the CI system was faster than that of the conventional system (6.6 hours vs. 35.8 hours, p

China has eight democratic parties which established cooperative relations with the CPC. All the democratic parties earnestly performed the functions of participating in and deliberating on state affairs and exercising democratic supervision in China’s political life. Their participation in state affairs under the leadership of the CPC is a major indication of people's democracy. They are of great importance to enhance and develop the multi-party cooperation and political consultation system under the leadership of the CPC. This paper introduces the establishing time, the mainly component members, the founding background, the history evolution and the outstanding contributions of China’s eight democratic parties.

In 2014, the Harassment Counseling Office at Osaka University conducted an awareness survey on the campus harassment consultation system, focusing on both our office and each school at our university. The questionnaire was sent to 281 professors or officers concerned with campus harassment problems in their roles as counselors or chairpersons of the committee of each school. The response rate of the questionnaire was 45.1%, and participants frankly expressed various opinions about harassment issues. This survey revealed the actual situation within each school, which our office had not been fully aware of. Counselors and chairpersons faced various hardships as they dealt with their school’s harassments and their expectations of our office. Our questionnaire results indicate the following three points. First, it is important that the Harassment Counseling Office enhances its collaboration with the staff such as the counselors and chairpersons of each school, in order to resolve the harassment problems. Above all, the staff should seek professional advice from our office about consultation methods. Second, we should give more effective seminars to enable members of our university to prevent the harassment problems. Finally, we should take care of both the victim and the perpetrator to ensure recurrence prevention.

To determine the average medical cost incurred for early identification of intellectual and developmental disabilities in children, we retrieved the records of 264 children who had visited our consulting unit from 2005 until the end of March 2012. In the evaluation process, each child took psychological assessments and the parents were provided with solutions to enable the children to overcome their delay in school. As a whole, while the average number of visits did not differ by the diagnosis, the average medical cost differed by the diagnosis. The consultation unit was effective for gradually diminishing the medical costs incurred. Our in-clinic consultation system proved useful for early identification of intellectual and developmental disabilities in children and minimization of the medical costs incurred for the process.

In September 2015, the (United Nations) UN member countries approved the Global Plan for Sustainable Development with the purpose of enhancing economic, social and environmental indicators for the next generations. This plan is the result of a process started in Brazil, in 2012, during the Rio + 20 Conference, which followed a wide consultation system to ensure diversified perspectives and experiences in the composition of the Post-2015 Agenda. The new agenda titled “Transforming Our World: The 2030 Agenda for Sustainable Development” consists of a Declaration with 17 Objectives and 169 goals intended to guide the actions of the international community in the following years (2016-2030), thereby helping countries to achieve sustainable development.

In this chapter, we explore recent developments of antimonopoly law in relation to merger control in Japan. Arai (2004) states that Japan’s merger control policy is competition oriented, systematically designed, and transparent but that the policy is regulatory. In March 2007, the Japanese Fair Trade Commission (JFTC) revised the Guidelines to Application of the Antimonopoly Act Concerning Review of Business Combination (Business Combination Guidelines) based on three factors: (i) international consistency, (ii) enforcement experiences, and (iii) economic theory. The JFTC amended the notification rules and Business Combination Guidelines in July 2011, which canceled the earlier consultation system and gave early signs of how the reforms would influence the JFTC’s merger practices.

ObjectivesEvaluation of a pilot study of an online consultation system in primary care. We describe who used the system, when and why, and the National Health Service costs associated with its use.Design15-month observational study.SettingPrimary care practices in South West England.Results36 General practices covering 396 828 patients took part in the pilot. The online consultation website was viewed 35 981 times over the pilot period (mean 9.11 visits per 1000 patients per month). 7472 patients went on to complete an ‘e-consultation’ (mean 2.00 online consultations per 1000 patients per month). E-consultations were mainly performed on weekdays and during normal working hours. Patient records (n=485) were abstracted for eight practices and showed that women were more likely to use e-consultations than men (64.7% vs 35.3%) and users had a median age of 39 years (IQR 30–50). The most common reason for an e-consultation was an administrative request (eg, test results, letters and repeat prescriptions (22.5%)) followed by infections/immunological issues (14.4%). The majority of patients (65.2%) received a response within 2 days. The most common outcome was a face-to-face (38%) or telephone consultation (32%). The former were more often needed for patients consulting about new conditions (OR 1.56, 95% CI 1.05 to 2.27, p=0.049). The average cost of a practice’s response to an e-consultation was £36.28, primarily triage time and resulting face-to-face/telephone consultations needed.ConclusionsUse of e-consultations is very low, particularly at weekends. Unless this can be improved, any impact on staff workload and patient waiting times is likely to be negligible. It is possible that use of e-consultations increases primary care workload and costs. Online consultation systems could be developed to improve efficiency both for staff and patients. These findings have implications for software developers as well as primary care services and policy-makers who are considering investing in online consultation systems.