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2. An Improved Filter Based Feature Selection Model for Kidney Disease Prediction
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Raj, D. M. Deepak, Geetha, A., Keerthika, V., Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Satheeskumaran, S., editor, Zhang, Yudong, editor, Balas, Valentina Emilia, editor, Hong, Tzung-pei, editor, and Pelusi, Danilo, editor
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- 2024
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3. Social Media and Health Care: Effectiveness of Education About COVID-19 Vaccination to Improve Knowledge and Attitudes in Students
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Kusbaryanto, Fathurrohmanuthor, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Nagar, Atulya K., editor, Jat, Dharm Singh, editor, Mishra, Durgesh Kumar, editor, and Joshi, Amit, editor
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- 2024
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4. Computer-Aided Diagnosis of Dyslexia Using Machine Learning
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Gaikwad, Aaishwarya Ashish, Raut, Roshani, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Das, Swagatam, editor, Saha, Snehanshu, editor, Coello Coello, Carlos A., editor, and Bansal, Jagdish C., editor
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- 2024
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5. A Systematic Literature Survey on IoT in Health Care: Security and Privacy Threats
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Bakliwal, Aryan, Panwar, Deepak, Saini, G. L., Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Das, Swagatam, editor, Saha, Snehanshu, editor, Coello Coello, Carlos A., editor, and Bansal, Jagdish C., editor
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- 2024
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6. Med Card: An Innovative Way to Keep Your Medical Records Handy and Safe
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Goel, Abhishek, Singh, Mandeep, Gupta, Jaya, Mangla, Nancy, Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Bhattacharya, Abhishek, editor, Dutta, Soumi, editor, Dutta, Paramartha, editor, and Piuri, Vincenzo, editor
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- 2023
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7. Considering Short and Long Term Fairness in Recurrent Auctions with an Application to Collaborative Rostering
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Heller, T., Velten, S., Barbosa-Povoa, Ana Paula, Editorial Board Member, de Almeida, Adiel Teixeira, Editorial Board Member, Gans, Noah, Editorial Board Member, Gupta, Jatinder N. D., Editorial Board Member, Heim, Gregory R., Editorial Board Member, Hua, Guowei, Editorial Board Member, Kimms, Alf, Editorial Board Member, Li, Xiang, Editorial Board Member, Masri, Hatem, Editorial Board Member, Nickel, Stefan, Editorial Board Member, Qiu, Robin, Editorial Board Member, Shankar, Ravi, Editorial Board Member, Slowiński, Roman, Editorial Board Member, Tang, Christopher S., Editorial Board Member, Wu, Yuzhe, Editorial Board Member, Zhu, Joe, Editorial Board Member, Zopounidis, Constantin, Editorial Board Member, Grothe, Oliver, editor, Rebennack, Steffen, editor, and Stein, Oliver, editor
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- 2023
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8. Performance Analysis of Healthcare Information in Big Data NoSql Platform
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Mondal, Sukhendu S., Mondal, Somen, Adhikari, Sudip Kumar, Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Bhattacharyya, Siddhartha, editor, Das, Gautam, editor, De, Sourav, editor, and Mrsic, Leo, editor
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- 2023
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9. Interpretable Stroke Risk Prediction Using Machine Learning Algorithms
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Zafeiropoulos, Nikolaos, Mavrogiorgou, Argyro, Kleftakis, Spyridon, Mavrogiorgos, Konstantinos, Kiourtis, Athanasios, Kyriazis, Dimosthenis, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Nagar, Atulya K., editor, Singh Jat, Dharm, editor, Mishra, Durgesh Kumar, editor, and Joshi, Amit, editor
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- 2023
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10. Computational Analysis for Candidate X-ray Images Using Generative Adversarial Network
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Kumar, Pradeep, Raja, Linesh, Kumar, Ankit, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Das, Swagatam, editor, Saha, Snehanshu, editor, Coello Coello, Carlos A., editor, and Bansal, Jagdish Chand, editor
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- 2023
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11. Covid-19: The Effect on Hospitalization Patient of Ophthalmology Department in 'Antonio Cardarelli' Hospital
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Montella, Emma, Marino, Marta Rosaria, Raiola, Eliana, Majolo, Massimo, Russo, Giuseppe, Rossi, Giovanni, Borrelli, Anna, Triassi, Maria, Scala, Arianna, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Wen, Shiping, editor, and Yang, Cihui, editor
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- 2023
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12. Edge-Enabled Prognosis Using Cognitive Ensemble Machine Learning Model for Time Constraint Applications
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Jain, Arpit, Jat, Dharm Singh, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Nagar, Atulya K., editor, Singh Jat, Dharm, editor, Mishra, Durgesh Kumar, editor, and Joshi, Amit, editor
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- 2023
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13. A Case Study in the Application of STPA-sec and CHASSIS for Socio-Technical Cyber Security Risk Management in Health Care from Developing Nations
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Kaberuka, Joseph, Johnson, Christopher, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Nagar, Atulya K., editor, Singh Jat, Dharm, editor, Mishra, Durgesh Kumar, editor, and Joshi, Amit, editor
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- 2023
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14. Infectious Diseases Society of America Position Paper: Recommended Revisions to the National Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Sepsis Quality Measure
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Rhee, Chanu, Chiotos, Kathleen, Cosgrove, Sara E, Heil, Emily L, Kadri, Sameer S, Kalil, Andre C, Gilbert, David N, Masur, Henry, Septimus, Edward J, Sweeney, Daniel A, Strich, Jeffrey R, Winslow, Dean L, and Klompas, Michael
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Biomedical and Clinical Sciences ,Clinical Sciences ,Sepsis ,Hematology ,Prevention ,Infectious Diseases ,Infection ,Inflammatory and immune system ,Good Health and Well Being ,Aged ,Anti-Bacterial Agents ,Communicable Diseases ,Humans ,Medicare ,Quality Indicators ,Health Care ,Reproducibility of Results ,Shock ,Septic ,United States ,sepsis ,septic shock ,SEP-1 ,severe sepsis ,IDSA ,Biological Sciences ,Medical and Health Sciences ,Microbiology ,Clinical sciences - Abstract
The Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) measure has appropriately established sepsis as a national priority. However, the Infectious Diseases Society of America (IDSA and five additional endorsing societies) is concerned about SEP-1's potential to drive antibiotic overuse because it does not account for the high rate of sepsis overdiagnosis and encourages aggressive antibiotics for all patients with possible sepsis, regardless of the certainty of diagnosis or severity of illness. IDSA is also concerned that SEP-1's complex "time zero" definition is not evidence-based and is prone to inter-observer variation. In this position paper, IDSA outlines several recommendations aimed at reducing the risk of unintended consequences of SEP-1 while maintaining focus on its evidence-based elements. IDSA's core recommendation is to limit SEP-1 to septic shock, for which the evidence supporting the benefit of immediate antibiotics is greatest. Prompt empiric antibiotics are often appropriate for suspected sepsis without shock, but IDSA believes there is too much heterogeneity and difficulty defining this population, uncertainty about the presence of infection, and insufficient data on the necessity of immediate antibiotics to support a mandatory treatment standard for all patients in this category. IDSA believes guidance on managing possible sepsis without shock is more appropriate for guidelines that can delineate the strengths and limitations of supporting evidence and allow clinicians discretion in applying specific recommendations to individual patients. Removing sepsis without shock from SEP-1 will mitigate the risk of unnecessary antibiotic prescribing for noninfectious syndromes, simplify data abstraction, increase measure reliability, and focus attention on the population most likely to benefit from immediate empiric broad-spectrum antibiotics.
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- 2021
15. How to approach and take care of minor adolescents whose situations raise ethical dilemmas? a position paper of the European academy of pediatrics
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Pierre-André Michaud, Yusuke-Leo Takeuchi, Artur Mazur, Adamos A. Hadjipanayis, and Anne-Emmanuelle Ambresin
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young people ,adolescent ,ethics ,decision making ,health care ,autonomy ,Pediatrics ,RJ1-570 - Abstract
In the care of adolescents, health care providers often face situations raising ethical concerns or dilemmas, such as refusal of a treatment or hospitalization, or request of confidentiality while engaging in risky behaviors or facing unplanned pregnancy. This position paper provides concrete avenues as how to assess the adolescent's capacity for autonomous decision making, e.g. the patient's competence in a specific situation, and how to elicit informed choice or consent. To do so, professionals need to be sensitized and trained as how to assess the cognitive and socio-psychological development of the young patient. Another challenge for the health professionals is to balance the needs to support patient's autonomy while offering secure guidance and protection if needed. To optimize such a process, they establish a climate of trust and empathy that will allow the patient to participate freely in the decision. In addition, especially when the decisions have potentially important consequences on the health and life, the professionals include, with the adolescent's permission, parents, caregivers or other significant adults, as well as they may request the opinion of other members of the health care team or expert colleagues such as ethicists.
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- 2023
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16. Leveling ICU Bed Occupancy Using a Quota System: An Applied Heuristic for Operating Theater Managers
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Heider, Steffen, Barbosa-Povoa, Ana Paula, Editorial Board Member, de Almeida, Adiel Teixeira, Editorial Board Member, Gans, Noah, Editorial Board Member, Gupta, Jatinder N. D., Editorial Board Member, Heim, Gregory R., Editorial Board Member, Hua, Guowei, Editorial Board Member, Kimms, Alf, Editorial Board Member, Li, Xiang, Editorial Board Member, Masri, Hatem, Editorial Board Member, Nickel, Stefan, Editorial Board Member, Qiu, Robin, Editorial Board Member, Shankar, Ravi, Editorial Board Member, Slowiński, Roman, Editorial Board Member, Tang, Christopher S., Editorial Board Member, Wu, Yuzhe, Editorial Board Member, Zhu, Joe, Editorial Board Member, Zopounidis, Constantin, Editorial Board Member, Trautmann, Norbert, editor, and Gnägi, Mario, editor
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- 2022
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17. Cardiac Arrhythmia Diagnosis via Multichannel Independent Component Analysis: An Approach Towards a Better Health Care System
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Sarfraz, Mohammad, Khan, Mudassir Hasan, Mohammed, Duraid Yahya, Hussain, Mays Dheya, Zidan, Khamis A., Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Prates, Raquel Oliveira, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Liatsis, Panos, editor, Hussain, Abir, editor, Mostafa, Salama A., editor, and Al-Jumeily, Dhiya, editor
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- 2022
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18. Towards Assessing Data Bias in Clinical Trials
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Criscuolo, Chiara, Dolci, Tommaso, Salnitri, Mattia, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Rezig, El Kindi, editor, Gadepally, Vijay, editor, Mattson, Timothy, editor, Stonebraker, Michael, editor, Kraska, Tim, editor, Kong, Jun, editor, Luo, Gang, editor, Teng, Dejun, editor, and Wang, Fusheng, editor
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- 2022
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19. An Extensive Study on Parkinson’s Disease Using Different Approaches of Supervised Learning Algorithms
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Sree, V. Navya, Rao, S. Srinivasa, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Prates, Raquel Oliveira, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Kumar, Ashwani, editor, Fister Jr., Iztok, editor, Gupta, P. K., editor, Debayle, Johan, editor, Zhang, Zuopeng Justin, editor, and Usman, Mohammed, editor
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- 2022
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20. Understanding the Key Performance Indicators for Business Intelligence Maturity in the Healthcare Sector
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Silva, João, Gonçalves, Célia Talma, Félix, Catarina, Howlett, Robert J., Series Editor, Jain, Lakhmi C., Series Editor, Abreu, António, editor, Liberato, Dália, editor, and Garcia Ojeda, Juan Carlos, editor
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- 2022
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21. The Impact of Virtual Reality Toward Telemedicine: A Qualitative Study
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Zhao, Fan, Sochacki, Dustin, Witenko, Jonathan, Kogan, Rachel, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Duffy, Vincent G., editor, Gao, Qin, editor, Zhou, Jia, editor, Antona, Margherita, editor, and Stephanidis, Constantine, editor
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- 2022
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22. Discovering Care Pathways for Multi-morbid Patients Using Event Graphs
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Naeimaei Aali, Milad, Mannhardt, Felix, Toussaint, Pieter Jelle, van der Aalst, Wil, Series Editor, Mylopoulos, John, Series Editor, Ram, Sudha, Series Editor, Rosemann, Michael, Series Editor, Szyperski, Clemens, Series Editor, Munoz-Gama, Jorge, editor, and Lu, Xixi, editor
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- 2022
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23. Developing a Smart Personal Health Monitoring Architecture and Its Capacity
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Li, Si, Wang, Yichuan, Zhang, Minhao, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Prates, Raquel Oliveira, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Wang, Yichuan, editor, Wang, William Yu Chung, editor, Yan, Zhijun, editor, and Zhang, Dongsong, editor
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- 2021
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24. Machine Learning Algorithms for the Diagnosis of Cardiac Arrhythmia in IoT Environment
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Yadav, Samir, Kadam, Vinod, Jadhav, Shivajirao, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Prates, Raquel Oliveira, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Santosh, K. C., editor, and Gawali, Bharti, editor
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- 2021
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25. Cloud Computing-Based Approach for Accessing Electronic Health Record for Healthcare Sector
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Mourya, Ashish Kumar, Shafqat-Ul-Ahsaan, Idrees, Sheikh Mohammad, Chaudhary, Anil, editor, Choudhary, Chothmal, editor, Gupta, Mukesh Kumar, editor, Lal, Chhagan, editor, and Badal, Tapas, editor
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- 2020
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26. Chronic pancreatitis for the clinician. Part 2: Treatment and follow-up. Interdisciplinary position paper of the Societat Catalana de Digestologia and the Societat Catalana de Pàncrees
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Xavier Molero, Àngels Ginès, Lucas Ilzarbe, Teresa Serrano, Juli Busquets, Anna Casteràs, Carme Loras, Juan Ramón Ayuso, Gloria Fernàndez Esparrach, Mar Concepción, Esther Fort, Silvia Salord, Jorge J. Olsina, Miquel Masachs, Borobia Fg, Xavier Merino, Eva Cristina Vaquero, Joaquim Balsells, Jaume Boadas, Valentí Puig-Diví, and Míriam Cuatrecasas
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Abdominal pain ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Exocrine pancreatic insufficiency ,Interventional radiology ,General Medicine ,Evidence-based medicine ,medicine.disease ,Genetic mutations ,Therapeutic approach ,Diabetes mellitus ,Quality of life (healthcare) ,Health care ,medicine ,Pancreatitis ,Position paper ,Intensive care medicine ,business ,Chronic pancreatitis - Abstract
Chronic pancreatitis is associated with impaired quality of life, high incidence of comorbidities, serious complications and mortality. Healthcare costs are exorbitant. Some medical societies have developed guidelines for treatment based on scientific evidence, but the gathered level of evidence for any individual topic is usually low and, therefore, recommendations tend to be vague or weak. In the present position papers on chronic pancreatitis from the Societat Catalana de Digestologia and the Societat Catalana de Pàncrees we aimed at providing defined position statements for the clinician based on updated review of published literature and on multidisciplinary expert agreement. The final goal is to propose the use of common terminology and rational diagnostic/therapeutic circuits based on current knowledge. To this end 51 sections related to chronic pancreatitis were reviewed by 21 specialists from 6 different fields to generate 88 statements altogether. Statements were designed to harmonize concepts or delineate recommendations. Part 2 of these paper series discuss topics on treatment and follow-up. The therapeutic approach should include assessment of etiological factors, clinical manifestations and complications. The complexity of these patients advocates for detailed evaluation in multidisciplinary committees where conservative, endoscopic, interventional radiology or surgical options are weighed. Specialized multidisciplinary units of Pancreatology should be constituted. Indications for surgery are refractory pain, local complications, and suspicion of malignancy. Enzyme replacement therapy is indicated if evidence of exocrine insufficiency or after pancreatic surgery. Response should be evaluated by nutritional parameters and assessment of symptoms. A follow-up program should be planned for every patient with chronic pancreatitis. © 2021 Elsevier España, S.L.U.
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- 2022
27. American College of Rheumatology White Paper on Performance Outcome Measures in Rheumatology
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Suter, Lisa G, Barber, Claire E, Herrin, Jeph, Leong, Amye, Losina, Elena, Miller, Amy, Newman, Eric, Robbins, Mark, Tory, Heather, and Yazdany, Jinoos
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Health Services ,Clinical Research ,Autoimmune Disease ,Arthritis ,8.4 Research design and methodologies (health services) ,Health and social care services research ,Humans ,Outcome Assessment ,Health Care ,Quality of Health Care ,Rheumatic Diseases ,Rheumatology ,Societies ,Medical ,United States ,Clinical Sciences ,Public Health and Health Services ,Psychology - Abstract
ObjectiveTo highlight the opportunities and challenges of developing and implementing performance outcome measures in rheumatology for accountability purposes.MethodsWe constructed a hypothetical performance outcome measure to demonstrate the benefits and challenges of designing quality measures that assess patient outcomes. We defined the data source, measure cohort, reporting period, period at risk, measure outcome, outcome attribution, risk adjustment, reliability and validity, and reporting approach. We discussed outcome measure challenges specific to rheumatology and to fields where patients have predominantly chronic, complex, ambulatory care-sensitive conditions.ResultsOur hypothetical outcome measure was a measure of rheumatoid arthritis disease activity intended for evaluating Accountable Care Organization performance. We summarized the components, benefits, challenges, and tradeoffs between feasibility and usability. We highlighted how different measure applications, such as for rapid cycle quality improvement efforts versus pay for performance programs, require different approaches to measure development and testing. We provided a summary table of key take-home points for clinicians and policymakers.ConclusionPerformance outcome measures are coming to rheumatology, and the most effective and meaningful measures can only be created through the close collaboration of patients, providers, measure developers, and policymakers. This study provides an overview of key issues and is intended to stimulate a productive dialogue between patients, practitioners, insurers, and government agencies regarding optimal performance outcome measure development.
- Published
- 2016
28. A Lyapunov Stability Based Adaptive Learning Rate of Recursive Sinusoidal Function Neural Network for Identification of Elders Fall Signal
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Chu, Chao-Ting, Ho, Chian-Cheng, Barbosa, Simone Diniz Junqueira, Editorial Board Member, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Kotenko, Igor, Editorial Board Member, Yuan, Junsong, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Chang, Chuan-Yu, editor, Lin, Chien-Chou, editor, and Lin, Horng-Horng, editor
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- 2019
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29. Virtual Assistant to Improve Self-care of Older People with Type 2 Diabetes: First Prototype
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Buinhas, Susana, Cláudio, Ana Paula, Carmo, Maria Beatriz, Balsa, João, Cavaco, Afonso, Mendes, Anabela, Félix, Isa, Pimenta, Nuno, Guerreiro, Mara Pereira, Barbosa, Simone Diniz Junqueira, Editorial Board Member, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Kotenko, Igor, Editorial Board Member, Yuan, Junsong, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, García-Alonso, José, editor, and Fonseca, César, editor
- Published
- 2019
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30. Feasibility and effectiveness of electronic vs. paper partograph on improving birth outcomes: A prospective crossover study design.
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Rahman, Aminur, Begum, Tahmina, Ashraf, Fatema, Akhter, Sadika, Hoque, Dewan Md. Emdadul, Ghosh, Tarun Kanti, Rahman, Monjur, Stekelenburg, Jelle, Das, Sumon Kumar, Fatima, Parveen, and Anwar, Iqbal
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- *
ELECTRONIC paper , *MIDDLE-income countries , *LONGITUDINAL method , *CHILDBIRTH , *LOW-income countries , *CHILDBIRTH at home - Abstract
Background: The partograph has been endorsed by World Health Organization (WHO) since 1994 which presents an algorithm for assessing maternal and foetal conditions and labor progression. Monitoring labour with a partograph can reduce adverse pregnancy outcomes such as prolonged labor, emergency C-sections, birth asphyxia and stillbirths. However, partograph use is still very low, particularly in low and middle income countries (LMICs). In Bangladesh the reported partograph user rate varies from 1.4% to 33.0%. Recently, an electronic version of the partograph, with the provision of online data entry and user aid for emergency clinical support, has been tested successfully in different settings. With this proven evidence, we conducted and operations research to test the feasibility and effectiveness of implementing an e-partograph, for the first time, in 2 public hospitals in Bangladesh Methods: We followed a prospective crossover design. Two secondary level referral hospitals, Jessore and Kushtia District Hospital (DH) were the study sites. All pregnant women who delivered in the study hospitals were the study participants. All nurse-midwives working in the labor ward of study hospitals were trained on appropriate use of both types of partograph along with standard labour management guidelines. Collected quantitative data was analyzed using SPSS 23 statistical software. Discrete variables were expressed as percentages and presented as frequency distribution and cross tabulations. Chi square tests were employed to test the association between exposure and outcome variables. Potential confounding factors were adjusted using multivariate binary logistic regression methods. Ethical approval was obtained from the institutional review board of the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b). Findings: In total 2918 deliveries were conducted at Jessore DH and 2312 at Kushtia DH during one-year study period. Of them, 1012 (506 in each facility) deliveries were monitored using partograph (paper or electronic). The trends of facility based C-section rates was downwards in both the hospitals; 43% to 37% in Jessore and from 36% to 25% in Kushtia Hospital. There was a significant reduction of prolonged labour with e-partograph use. In Kushtia DH, the prolonged labour rate was 42% during phase 1 with the paper version which came down to 29% during phase-2 with the e-partograph use. The similar result was observed in Jessore DH where the prolonged labour rate reduced to 7% with paper partograph from the reported 30% prolonged labour with e-partograph. The e-partograph user rate was higher than the paper partograph during both phases (phase 1: 3.31, CI: 2.04–5.38, p < .001 and in phase 2: 15.20 CI: 6.36–36.33, p < .001) after adjusting for maternal age, parity, gestational age, religion, mother’s education, husband’s education, and fetal sex Conclusion: The partograph user rate has significantly improved with the e- partograph and was associated with an overall reduction in cesarean births. Use of the e-partograph was also associated with reduced rates of prolonged labour. This study has added to the growing body of evidence on the positive impact of e-partograph use. We recommend implementing e-partograph intervention at scale in both public and private hospitals in Bangladesh. Trial registration: ClinicalTrials.gov . [ABSTRACT FROM AUTHOR]
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- 2019
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31. The palliative clinical specialist radiation therapist: A CAMRT White Paper
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Nicole Harnett, Natalie Rozanec, and Carrie Lavergne
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medicine.medical_specialty ,Radiological and Ultrasound Technology ,Palliative Radiation Therapy ,business.industry ,Radiation Therapist ,media_common.quotation_subject ,medicine.medical_treatment ,food and beverages ,Cancer ,medicine.disease ,Radiation therapy ,White paper ,Health care ,medicine ,Radiology, Nuclear Medicine and imaging ,Quality (business) ,Incurable cancer ,Intensive care medicine ,business ,media_common - Abstract
Palliative radiation therapy (pRT) is an effective tool for people with incurable cancer, in the treatment of many cancer-related symptoms such as pain, bleeding and dyspnea. As utilization rates for palliative radiation therapy increase, the demands on the healthcare system continue to grow. Radiation Therapists with advanced knowledge, skills and judgements began demonstrating their ability to practice autonomously in 2004, with the development of the Clinical Specialist Radiation Therapist (CSRT) role. Since this time, CSRTs with a specific focus in pRT (pCSRT) have been increasing in both numbers as well as their positive effects on the cancer care system. Integrating a pCSRT into the existing pRT system has resulted in increased access to and quality of pRT being delivered to palliative cancer patients. The benefits of the addition of pCSRTs to the cancer care system include increasing system capacity and increasing quality of care. This white paper provides information related to the improvements that can be realized in a RT program related to the care and treatment of its palliative patients by adding a pCSRT to the interprofessional healthcare team and suggest it as one of many strategies that can be undertaken to make improvements to access and quality of care.
- Published
- 2021
32. Migrant workers occupational health research: an OMEGA-NET working group position paper
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Damien McElvenny, Mario Marinov, Evangelia Nena, Valentina Milenkova, Bertina Kreshpaj, Lode Godderis, Barbara Bergbom, Deborah Catherine Glass, Ingrid Sivesind Mehlum, Dana Mates, and Emine Aktas
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MIGRATION ,Ethnic group ,Working conditions ,Review Article ,Migrant workers ,Occupational safety and health ,Health care ,Humans ,Sociology ,Work-related health ,Occupations ,Public, Environmental & Occupational Health ,RISK ,Transients and Migrants ,Science & Technology ,Occupational health ,business.industry ,Public Health, Environmental and Occupational Health ,COVID-19 ,Study design ,social sciences ,Native workers ,female genital diseases and pregnancy complications ,PREVALENCE ,PRECARIAT ,Systematic review ,IMMIGRANT WORKERS ,Cross-Sectional Studies ,Work (electrical) ,behavior and behavior mechanisms ,Position paper ,population characteristics ,Demographic economics ,business ,Life Sciences & Biomedicine ,MENTAL-HEALTH ,geographic locations ,Qualitative research ,Cohort study - Abstract
Objective The aims of the study were: (1) to clarify the definitions of “migrant” used in occupational health research; (2) to summarize migrant workers’ industry sectors, occupations and employment conditions; (3) to identify the occupational health and safety services available to migrant workers; (4) to summarize work-related health problems found among migrant workers; (5) to identify the methodological challenges to research into occupational health of migrant workers; and (6) to recommend improvements in migrant occupational health research. Methods This position paper was prepared by researchers from several European countries and Australia, working within the EU COST Action OMEGA-NET. The paper drew on two recent systematic reviews on the occupational health of international migrant workers and other literature, and also identified uncertainties and gaps in the research literature. Migrants may, for example, be temporary or permanent, moving for specific jobs migrants or other reasons. Their ethnicity and language capabilities will affect their work opportunities. Results The occupational health literature seldom adequately identifies the heterogeneity or characteristics of the migrant group being studied. Migrants tend to work in more physically and mentally demanding environments with higher exposures than native workers. Migrants tend to have an increased risk of physical and mental ill health, but less access to health care services. This has been demonstrated recently by high rates of COVID-19 and less access to health care. There have been a number of cross-sectional studies of migrant health but few long-term cohort studies were identified. Other study designs, such as registry-based studies, surveys and qualitative studies may complement cross-sectional studies. Mixed-methodology studies would be valuable in research on migrants’ occupational health. Language and lack of trust are barriers to migrant research participation. Conclusion Targeted research, especially longitudinal, identifying how these economically important but often-vulnerable workers can be best assisted is needed. Researchers should identify the characteristics of the migrant workers that they are studying including visa/migration circumstances (temporary, permanent, undocumented), racial and ethnic characteristics, existing skills and language abilities.
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- 2021
33. Early Detection of Sepsis Induced Deterioration Using Machine Learning
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Dal Canton, Francesco, Quinten, Vincent M., Wiering, Marco A., Barbosa, Simone Diniz Junqueira, Editorial Board Member, Filipe, Joaquim, Editorial Board Member, Ghosh, Ashish, Editorial Board Member, Kotenko, Igor, Editorial Board Member, Zhou, Lizhu, Editorial Board Member, Yuan, Junsong, Founding Editor, Atzmueller, Martin, editor, and Duivesteijn, Wouter, editor
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- 2019
- Full Text
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34. Intelligent Health Care Data Management Using Blockchain: Current Limitation and Future Research Agenda
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Dubovitskaya, Alevtina, Novotny, Petr, Thiebes, Scott, Sunyaev, Ali, Schumacher, Michael, Xu, Zhigang, Wang, Fusheng, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Woeginger, Gerhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Gadepally, Vijay, editor, Mattson, Timothy, editor, Stonebraker, Michael, editor, Wang, Fusheng, editor, Luo, Gang, editor, Laing, Yanhui, editor, and Dubovitskaya, Alevtina, editor
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- 2019
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35. Paper and thread as media for the frugal detection of urinary tract infections (UTIs)
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Hardik Ramesh Singhal, Amrutha Hasandka, Ankita Ramchandran Singh, Naresh Kumar Mani, M. S. Giri Nandagopal, and Anusha Prabhu
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Burden of disease ,Paper ,medicine.medical_specialty ,Thread (network protocol) ,Microfluidics ,Review ,Biochemistry ,Analytical Chemistry ,Lab-On-A-Chip Devices ,Health care ,medicine ,Humans ,Intensive care medicine ,Cellulose ,Menstrual Hygiene Products ,Urinary tract infection ,Modalities ,Bacteria ,business.industry ,Public health ,Fungi ,Electrochemical Techniques ,Thread ,Culture Media ,Detection ,Urinary Tract Infections ,Colorimetry ,business - Abstract
Urinary tract infections (UTIs) make up a significant proportion of the global burden of disease in vulnerable groups and tend to substantially impair the quality of life of those affected, making timely detection of UTIs a priority for public health. However, economic and societal barriers drastically reduce accessibility of traditional lab-based testing methods for critical patient groups in low-resource areas, negatively affecting their overall healthcare outcomes. As a result, cellulose-based materials such as paper and thread have garnered significant interest among researchers as substrates for so-called frugal analytical devices which leverage the material’s portability and adaptability for facile and reproducible diagnoses of UTIs. Although the field may be only in its infancy, strategies aimed at commercial penetration can appreciably increase access to more healthcare options for at-risk people. In this review, we catalogue recent advances in devices that use cellulose-based materials as the primary housing or medium for UTI detection and chart out trends in the field. We also explore different modalities employed for detection, with particular emphasis on their ability to be ported onto discreet casings such as sanitary products. Graphical abstract
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- 2021
36. Advanced LTE (5G) in Medical IOT-Research, Future and Scope
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Dhaya, R., Suganth Maharaja, S., Sowmya, J., Kanthavel, R., Barbosa, Simone Diniz Junqueira, Series Editor, Filipe, Joaquim, Series Editor, Kotenko, Igor, Series Editor, Sivalingam, Krishna M., Series Editor, Washio, Takashi, Series Editor, Yuan, Junsong, Series Editor, Zhou, Lizhu, Series Editor, Deshpande, A.V., editor, Unal, Aynur, editor, Passi, Kalpdrum, editor, Singh, Dharm, editor, Nayak, Malaya, editor, Patel, Bharat, editor, and Pathan, Shafi, editor
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- 2018
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37. All around suboptimal health — a joint position paper of the Suboptimal Health Study Consortium and European Association for Predictive, Preventive and Personalised Medicine
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Olga Golubnitschaja, Bo Li, Zhaohua Zhong, Youxin Wang, Yulu Zheng, Yuxiang Yan, Xiuhua Guo, Enoch Odame Anto, Haifeng Hou, Zheng Guo, Timothy Kang, Monique Garcia, Gehendra Mahara, Xuerui Tan, and Wei Wang
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Behavioural patterns ,Medical ethics ,Sleep medicine ,Artificial intelligence (AI) ,Drug Discovery ,Health care ,Periodontal health ,Body mass index (BMI) ,Individualised patient profile ,Risk assessment ,Big data management ,Dietary habits ,Glycan ,Cardiovascular disease ,Health policy ,Adolescence ,Mood disorders ,Cancers ,medicine.medical_specialty ,Suboptimal health status (SHS) ,Stress overload ,Communicable ,Multi-parametric analysis ,Neurologic diseases ,Omics ,Risk management tools ,behavioral disciplines and activities ,medicine ,Predictive preventive personalised medicine (PPPM/3PM) ,Modifiable preventable risks ,Non-communicable diseases ,Intensive care medicine ,Epidemics ,Health economy ,Pandemics ,Liquid biopsy ,business.industry ,Research ,Biochemistry (medical) ,COVID-19 ,Traditional medicine ,medicine.disease ,Lifestyle ,Multi-level diagnostics ,Position paper ,Eye disorder ,Microbiome ,business ,Natural substances - Abstract
First two decades of the twenty-first century are characterised by epidemics of non-communicable diseases such as many hundreds of millions of patients diagnosed with cardiovascular diseases and the type 2 diabetes mellitus, breast, lung, liver and prostate malignancies, neurological, sleep, mood and eye disorders, amongst others. Consequent socio-economic burden is tremendous. Unprecedented decrease in age of maladaptive individuals has been reported. The absolute majority of expanding non-communicable disorders carry a chronic character, over a couple of years progressing from reversible suboptimal health conditions to irreversible severe pathologies and cascading collateral complications. The time-frame between onset of SHS and clinical manifestation of associated disorders is the operational area for an application of reliable risk assessment tools and predictive diagnostics followed by the cost-effective targeted prevention and treatments tailored to the person.This article demonstrates advanced strategies in bio/medical sciences and healthcare focused on suboptimal health conditions in the frame-work of Predictive, Preventive and Personalised Medicine (3PM/PPPM). Potential benefits in healthcare systems and for society at large include but are not restricted to an improved life-quality of major populations and socio-economical groups, advanced professionalism of healthcare-givers and sustainable healthcare economy. Amongst others, following medical areas are proposed to strongly benefit from PPPM strategies applied to the identification and treatment of suboptimal health conditions:Stress overload associated pathologiesMale and female healthPlanned pregnanciesPeriodontal healthEye disordersInflammatory disorders, wound healing and pain management with associated complicationsMetabolic disorders and suboptimal body weightCardiovascular pathologiesCancersStroke, particularly of unknown aetiology and in young individualsSleep medicineSports medicineImproved individual outcomes under pandemic conditions such as COVID-19.
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- 2021
38. Health Information Privacy, Protection, and Use in the Expanding Digital Health Ecosystem: A Position Paper of the American College of Physicians
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Dejaih Johnson, Lois Snyder Sulmasy, Professionalism Ethics, and Brooke Rockwern
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Digital Technology ,business.industry ,Internet privacy ,Privacy protection ,Privacy laws of the United States ,ComputingMilieux_LEGALASPECTSOFCOMPUTING ,General Medicine ,Digital health ,United States ,Health Records, Personal ,Privacy ,Health care ,Internal Medicine ,Electronic Health Records ,Humans ,Position paper ,Medicine ,Health information ,Privacy law ,business ,Computer Security ,Medical ethics - Abstract
Technologic advancements and the evolving digital health landscape have offered innovative solutions to several of our health care system's issues as well as increased the number of digital interactions and type of personal health information that is generated and collected, both within and outside of traditional health care. This American College of Physicians' position paper discusses the state of privacy legislation and regulations, highlights existing gaps in health information privacy protections, and outlines policy principles and recommendations for the development of health information privacy and security protections that are comprehensive, transparent, understandable, adaptable, and enforceable. The principles and recommendations aim to improve on the privacy framework in which physicians have practiced for decades and expand similar privacy guardrails to entities not currently governed by privacy laws and regulations. The expanded privacy framework should protect personal health information from unauthorized, discriminatory, deceptive, or harmful uses and align with the principles of medical ethics, respect individual rights, and support the culture of trust necessary to maintain and improve care delivery.
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- 2021
39. Best‐practices for preventing skin injury beneath personal protective equipment during the COVID‐19 pandemic: A position paper from the National Pressure Injury Advisory Panel
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Barbara Delmore, Sharon Eve Sonenblum, Joyce Pittman, Nancy Munoz, Ann Marie Nie, Jill Cox, William V. Padula, Lee Ruotsi, Virginia Capasso, Joyce Black, David M. Brienza, Ann N. Tescher, Sarah Holden-Mount, and Janet Cuddigan
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medicine.medical_specialty ,integumentary system ,030504 nursing ,Coronavirus disease 2019 (COVID-19) ,Discursive Paper ,Skin Injury ,business.industry ,Best practice ,General Medicine ,Discursive Papers ,03 medical and health sciences ,0302 clinical medicine ,Personal hygiene ,Health care ,Pandemic ,medicine ,Position paper ,030212 general & internal medicine ,0305 other medical science ,business ,Intensive care medicine ,Personal protective equipment ,General Nursing - Abstract
COVID‐19 has infected millions of patients and impacted healthcare workers worldwide. Personal Protective Equipment (PPE) is a key component of protecting frontline clinicians against infection. The benefits of PPE far outweigh the risks, nonetheless, many clinicians are exhibiting skin injury caused by PPE worn incorrectly. These skin injuries, ranging from lesions to open wounds are concerning because they increase the susceptibility of viral infection and transmission to other individuals. Early into the COVID‐19 pandemic (April 2020), the U.S. National Pressure Injury Advisory Panel (NPIAP) developed a series of position statements to improve wear‐ability of PPE and protect healthcare professionals and their patients as safe from harm as possible under the circumstances. The NPIAP positions, which were formed by conducting a systematic review of what was known at the time, include: (1) Prepare skin before and after wearing PPE with skin sealants, barrier creams and moisturizers; (2) Frequent PPE offloading to relieve pressure and shear applied to skin; (3) treat visible skin injuries immediately caused by PPE to minimize future infection; (4) non‐porous dressings may provide additional skin protection, but lack evidence; (5) health systems should take care to educate clinicians about placement and personal hygiene related to handling PPE. Throughout all of these practices, handwashing remains a top priority to handle PPE. These NPIAP positions provided early guidance to reduce the risk of skin injury caused by PPE based on available research regarding PPE injuries, a cautious application of evidence‐based recommendations on prevention of device related pressure injuries in patients and the expert opinion of the NPIAP Board of Directors. Clinicians who adhere to these recommendations reduce the prospects of skin damage and long‐term effects (e.g. scarring). These simple steps to minimize the risk of skin injury and reduce the risk of coronavirus infection from PPE can help.
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- 2021
40. The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper
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Ari Leppanemi, Belinda De Simone, Leonardo Pagani, Edoardo Picetti, Emmanouil Pikoulis, Fausto Catena, Salomone Di Saverio, Elie Chouillard, Gian Luca Baiocchi, A. B. Peitzmann, Federico Coccolini, Luca Ansaloni, Yoram Kluger, Gustavo Pereira Fraga, Walter L. Biffl, Massimo Sartelli, Massimo Valentino, Ernest E. Moore, Fikri M. Abu-Zidan, and Ciro Paolillo
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Infectious Disease Transmission, Patient-to-Professional ,Isolation (health care) ,Non operative management ,MEDLINE ,lcsh:Surgery ,030204 cardiovascular system & hematology ,Global Health ,Open surgery ,Perioperative Care ,03 medical and health sciences ,Postoperative care ,0302 clinical medicine ,COVID-19 Testing ,Personal protective equipment ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Pandemics ,Infection Control ,Pandemic ,business.industry ,SARS-CoV-2 ,Follow-up ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,COVID-19 ,Emergency department ,lcsh:RD1-811 ,lcsh:RC86-88.9 ,medicine.disease ,Trauma surgery ,Mass-casualty incident ,Surgical Procedures, Operative ,2019-nCoV ,Emergency Medicine ,Emergency surgery ,Laparoscopy ,Screening ,Position paper ,Surgery ,Medical emergency ,Emergencies ,business ,Research Article - Abstract
Background Since the COVID-19 pandemic has occurred, nations showed their unpreparedness to deal with a mass casualty incident of this proportion and severity, which resulted in a tremendous number of deaths even among healthcare workers. The World Society of Emergency Surgery conceived this position paper with the purpose of providing evidence-based recommendations for the management of emergency surgical patients under COVID-19 pandemic for the safety of the patient and healthcare workers. Method A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) through the MEDLINE (PubMed), Embase and SCOPUS databases. Synthesis of evidence, statements and recommendations were developed in accordance with the GRADE methodology. Results Given the limitation of the evidence, the current document represents an effort to join selected high-quality articles and experts’ opinion. Conclusions The aim of this position paper is to provide an exhaustive guidelines to perform emergency surgery in a safe and protected environment for surgical patients and for healthcare workers under COVID-19 and to offer the best management of COVID-19 patients needing for an emergency surgical treatment. We recommend screening for COVID-19 infection at the emergency department all acute surgical patients who are waiting for hospital admission and urgent surgery. The screening work-up provides a RT-PCR nasopharyngeal swab test and a baseline (non-contrast) chest CT or a chest X-ray or a lungs US, depending on skills and availability. If the COVID-19 screening is not completed we recommend keeping the patient in isolation until RT-PCR swab test result is not available, and to manage him/she such as an overt COVID patient. The management of COVID-19 surgical patients is multidisciplinary. If an immediate surgical procedure is mandatory, whether laparoscopic or via open approach, we recommend doing every effort to protect the operating room staff for the safety of the patient.
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- 2021
41. Update of the position paper of the Spanish Society of Rheumatology on biosimilar drugs
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Miguel Ángel Abad Hernández, Alejandro Balsa Criado, Rubén Queiro Silva, Juan J. Gomez-Reino, Federico Díaz-González, José Vicente Moreno Muelas, and José Luis Andreu
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030203 arthritis & rheumatology ,0301 basic medicine ,Forgetting ,business.industry ,Biosimilar ,General Medicine ,Public relations ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Sustainability ,Health care ,Medicine ,Position paper ,European commission ,Medical prescription ,Quality of care ,business - Abstract
In 2015 the Spanish Society of Rheumatology (Sociedad Espanola de Reumatologia [SER]) published its position paper on biosimilar drugs. In this update, the SER, continues to manifest its unequivocal commitment to the sustainability of the health system of our country and is aligned with the measures that, without reducing quality of care, are aimed at ensuring its continuity. Since the publication of the previous position paper, the European Commission has authorized new biosimilar drugs, which provides an excellent opportunity to advance the efficiency of health care. In this new scenario of increased therapeutic offer of biologics, the SER considers it crucial to preserve the freedom of prescription of physicians who prescribe drugs based exclusively on the characteristics and individual circumstances of each patient, without forgetting the economic aspects there of.
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- 2021
42. ANMCO POSITION PAPER: The reorganization of cardiology in times of the SARS-CoV-2 pandemic
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Stefano Urbinati, Nadia Aspromonte, Vincenzo Amodeo, Luigi Tavazzi, Michele Massimo Gulizia, Massimo Imazio, Giuseppe Di Pasquale, Pasquale Caldarola, Manlio Cipriani, Loris Roncon, Domenico Gabrielli, Fortunato Scotto di Uccio, Stefano Domenicucci, Adriano Murrone, Giuseppina Maura Francese, Andrea Di Lenarda, Furio Colivicchi, and Serafina Valente
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Telemedicine ,National Health Service ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Cardiology ,COVID-19 ,Articles ,Disease ,medicine.disease ,Phase (combat) ,Health care ,Pandemic ,medicine ,Position paper ,AcademicSubjects/MED00200 ,Medical emergency ,Cardiology and Cardiovascular Medicine ,business ,Organization - Abstract
The COVID-19 pandemic represents an unprecedented event that has brought deep changes in hospital facilities with reshaping of the health system organization, revealing inadequacies of current hospital and local health systems. When the COVID-19 emergency will end, further evaluation of the national health system, new organization of acute wards, and a further evolution of the entire health system will be needed to improve care during the chronic phase of disease. Therefore, new standards for healthcare personnel, more efficient organization of hospital facilities for patients with acute illnesses, improvement of technological approaches, and better integration between hospital and territorial services should be pursued. With experience derived from the COVID-19 pandemic,new models, paradigms, interventional approaches, values and priorities should be suggested and implemented.
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- 2021
43. Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper
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Albert Barrocas, Theodoric Wong, Mary Pat Turon-Findley, Rubén Gustavo Kliger, Denise B. Schwartz, Jay M. Mirtallo, Gil Hardy, Diego Arenas, Kathleen Stratton, Teruyoshi Amagai, Maria Giuseppina Annetta, Peggi Guenter, Kelly Green Corkins, and Carol McGinnis
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Advance care planning ,030309 nutrition & dietetics ,media_common.quotation_subject ,Decision Making ,education ,Medicine (miscellaneous) ,Advance Care Planning ,03 medical and health sciences ,Enteral Nutrition ,0302 clinical medicine ,Nursing ,Health care ,Humans ,Medicine ,Obligation ,Justice (ethics) ,Child ,media_common ,0303 health sciences ,Nutrition and Dietetics ,business.industry ,Communication ,Beneficence ,Directive ,Position paper ,030211 gastroenterology & hepatology ,Advance Directives ,business ,Autonomy - Abstract
The American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropriate distribution of healthcare resources. Preventing and resolving ethical dilemmas is addressed, with an emphasis on a collaborative, interdisciplinary approach. Optimizing early communication and promoting advance care planning, involving completion of an advance directive, including designation of a surrogate decision-maker, are encouraged. Clinicians achieve respect for autonomy when they incorporate the patient, family, community, country, geographical, and presumed cultural values and religious belief considerations into ethical decision-making for adults and children with a shared decision-making process. These discussions should be guided by the 4 ethical principles. Hospital committees and teams, limited-time trials, clinician obligation with conflicts, and forgoing of AANH are addressed. Specific patient conditions are addressed because of the concern for potential ethical issues: coma, decreased consciousness, and dementia; advanced dementia; cancer; eating disorders; and end-stage disease/terminal illness. Incorporated in the Position Paper are ethical decisions during a pandemic and a legal summary involving ethical issues. International authors presented the similarities and differences within their own country or region and compared them with the US perspective.
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- 2021
44. Agent-Based Modelling and Simulation Framework for Health Care
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Mustapha, Karam, Gilli, Quentin, Frayret, Jean-Marc, Lahrichi, Nadia, Kacprzyk, Janusz, Series editor, Pal, Nikhil R., Advisory editor, Bello Perez, Rafael, Advisory editor, Corchado, Emilio S., Advisory editor, Hagras, Hani, Advisory editor, Kóczy, László T., Advisory editor, Kreinovich, Vladik, Advisory editor, Lin, Chin-Teng, Advisory editor, Lu, Jie, Advisory editor, Melin, Patricia, Advisory editor, Nedjah, Nadia, Advisory editor, Nguyen, Ngoc Thanh, Advisory editor, Wang, Jun, Advisory editor, Obaidat, Mohammad S., editor, Ören, Tuncer, editor, and Merkuryev, Yuri, editor
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- 2018
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45. Anticipating the Unexpected: Simulating a Health Care System Showing Counterintuitive Behavior
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Schwaninger, Markus, Hutchison, David, Series editor, Kanade, Takeo, Series editor, Kittler, Josef, Series editor, Kleinberg, Jon M., Series editor, Mattern, Friedemann, Series editor, Mitchell, John C., Series editor, Naor, Moni, Series editor, Pandu Rangan, C., Series editor, Steffen, Bernhard, Series editor, Terzopoulos, Demetri, Series editor, Tygar, Doug, Series editor, Weikum, Gerhard, Series editor, Moreno-Díaz, Roberto, editor, Pichler, Franz, editor, and Quesada-Arencibia, Alexis, editor
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- 2018
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46. Undocumented and Uninsured Part 1: No Papers, No Health Care
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Plascencia, Imelda S, Leyva, Alma, Jaimes Pena, Mayra Y, and Waheed, Saba
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Immigrant ,health care ,health ,undocumented ,uninsured - Abstract
A Five Part Report on Immigrant Youth and the Struggle to Access Health Care in California
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- 2014
47. Health Care for Our Nation's Veterans: A Policy Paper From the American College of Physicians
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Ryan, Crowley, Omar, Atiq, David, Hilden, Thomas G, Cooney, and Michael, Tan
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Mental Health Services ,Advisory Committees ,Population ,Holistic Health ,Modernization theory ,Health Services Accessibility ,Patient satisfaction ,Nursing ,Health care ,Internal Medicine ,Electronic Health Records ,Humans ,Medicine ,Health Workforce ,education ,Societies, Medical ,health care economics and organizations ,Patient Care Team ,education.field_of_study ,Primary Health Care ,Emergency management ,Delivery of Health Care, Integrated ,business.industry ,Health Policy ,Medical record ,General Medicine ,Telemedicine ,United States ,United States Department of Veterans Affairs ,Education, Medical, Graduate ,Veterans Health Services ,Position paper ,Private Sector ,Health Services Research ,business ,Administration (government) - Abstract
The Veterans Health Administration (VHA) is the United States' largest integrated health care delivery system, serving over 9 million enrollees at nearly 1300 health care facilities. In addition to providing health care to the nation's military veterans, the VHA has a research and development program, trains thousands of medical residents and other health care professionals, and conducts emergency preparedness and response activities. The VHA has been celebrated for delivering high-quality care to veterans, early adoption of electronic medical records, and high patient satisfaction. However, the system faces challenges, including implementation of an expanded community care program, modernization of its electronic medical records system, and providing care to a population with complex needs. The position paper offers policy recommendations on VHA funding, the community care program, medical and health care professions training, and research and development.
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- 2021
48. Financial Profit in Medicine: A Position Paper From the American College of Physicians
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Ryan, Crowley, Omar, Atiq, David, Hilden, and Michael, Tan
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Finance ,Physician-Patient Relations ,Profit (accounting) ,Financial Management ,Financial stability ,business.industry ,General Medicine ,Organizational Policy ,United States ,Fiduciary ,Private equity ,Physicians ,Health care ,Internal Medicine ,Humans ,Position paper ,Medicine ,Economics, Hospital ,business ,Delivery of Health Care ,Health Facilities, Proprietary ,Societies, Medical ,health care economics and organizations ,Quality of Health Care - Abstract
The steady growth of corporate interest and influence in the health care sector over the past few decades has created a more business-oriented health care system in the United States, helping to spur for-profit and private equity investment. Proponents say that this trend makes the health care system more efficient, encourages innovation, and provides financial stability to ensure access and improve care. Critics counter that such moves favor profit over care and erode the patient-physician relationship. American College of Physicians (ACP) underscores that physicians are permitted to earn a reasonable income as long as they are fulfilling their fiduciary responsibility to provide high-quality, appropriate care within the guardrails of medical professionalism and ethics. In this position paper, ACP considers the effect of mergers, integration, private equity investment, nonprofit hospital requirements, and conversions from nonprofit to for-profit status on patients, physicians, and the health care system.
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- 2021
49. White Paper: Recognizing Child Trafficking as a Critical Emerging Health Threat
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Dawn Lee Garzon Maaks, Stacia M. Hays, Mikki Meadows-Oliver, and Jessica L. Peck
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medicine.medical_specialty ,Adolescent ,Health Personnel ,media_common.quotation_subject ,education ,Vulnerability ,03 medical and health sciences ,0302 clinical medicine ,White paper ,Nursing ,030225 pediatrics ,Health care ,medicine ,Humans ,Family ,030212 general & internal medicine ,Child ,media_common ,Human rights ,business.industry ,Sex trafficking ,Public health ,Child Abuse, Sexual ,Health equity ,Human Trafficking ,Pediatrics, Perinatology and Child Health ,Public Health ,business ,Psychology ,Criminal justice - Abstract
Human trafficking is a pandemic human rights violation with an emerging paradigm shift that reframes an issue traditionally seen through a criminal justice lens to that of a public health crisis, particularly for children. Children and adolescents who are trafficked or are at risk for trafficking should receive evidence-based, trauma-informed, and culturally responsive care from trained health care providers (HCPs). The purpose of this article was to engage and equip pediatric HCPs to respond effectively to human trafficking in the clinical setting, improving health outcomes for affected and at-risk children. Pediatric HCPs are ideally positioned to intervene and advocate for children with health disparities and vulnerability to trafficking in a broad spectrum of care settings and to optimize equitable health outcomes.
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- 2021
50. Impact of electronic versus paper-based recording before EHR implementation on healthcare professionals' perceptions of EHR use, data quality, data reuse
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Ameen Abu-Hanna, Martine C. de Bruijne, Erik Joukes, Ronald Cornet, Nicolette F. de Keizer, Public and occupational health, APH - Methodology, APH - Quality of Care, APH - Digital Health, Medical Informatics, APH - Aging & Later Life, and APH - Global Health
- Subjects
Adult ,Male ,Paper ,020205 medical informatics ,media_common.quotation_subject ,Health Personnel ,MEDLINE ,Health Informatics ,02 engineering and technology ,03 medical and health sciences ,0302 clinical medicine ,Health Information Management ,Electronic health record ,Perception ,Health care ,0202 electrical engineering, electronic engineering, information engineering ,Electronic Health Records ,Humans ,030212 general & internal medicine ,media_common ,Medical education ,business.industry ,Attitude to Computers ,Data reuse ,Paper based ,Middle Aged ,University hospital ,Computer Science Applications ,Data Accuracy ,Data quality ,Regression Analysis ,Female ,business ,Psychology - Abstract
Background The implementation of an electronic health record (EHR) with structured and standardized recording of patient data can improve data quality and reusability. Whether and how users perceive these advantages may depend on the preimplementation situation. Objective To determine whether the influence of implementing a structured and standardized EHR on perceived EHR use, data quality, and data reuse differed for users working with paper-based records versus a legacy EHR before implementation. Methods We used an electronic questionnaire to measure users' perception before implementation (2014), expected change, and perceived change after implementation (2016) on three themes. We included all health care professionals in two university hospitals in the Netherlands. Before jointly implementing the same structured and standardized EHR, one hospital used paper-based records and the other a legacy EHR. We compared perceptions before and after implementation for both centers. Additionally, we compared expected benefit with perceived benefit. Results We received 7,611 responses (4,537 before and 3,074 after implementation) of which 5,707 (75%) were from professionals reading and recording patient data. A total of 975 (13%) professionals responded to both before and after implementation questionnaires. In the formerly paper-based center staff perceived improvement in all themes after implementation. The legacy EHR center experienced deterioration of perceived EHR use and data reuse, and only one improvement in EHR use. In both centers, for half of the aspects at least 45% of responders experienced results worse than expected preimplementation. Conclusion Our results indicate that the preimplementation recording practice impacts the perceived effect of the implementation of a structured and standardized EHR. For almost half of the respondents the new EHR did not meet their expectations. Especially legacy EHR centers need to investigate the expectations as these might be different and less clear cut than those in paper-based centers. These expectations need to be addressed appropriately to achieve a successful implementation.
- Published
- 2019
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