A travel consultation system: Towards a smooth conversation in Japanese

Author(s):  
H. Suzuki ◽  
M. Kiyono ◽  
S. Kougo ◽  
M. Takahashi ◽  
S. Motoike ◽  
...  
Keyword(s):  
2013 ◽  
Vol 284-287 ◽  
pp. 1698-1703
Author(s):  
Steen J. Hsu ◽  
Kun Hui Chen ◽  
Chih Ning Huang ◽  
Chih Yen Chiang ◽  
Chia Tai Chan

Since the medical environment becomes more complicated nowadays, an efficient teleconsultation plays an important role for surgical emergency and medical decision making. The advances in the information communication technique during the past decade have already made the remote consulting feasible. The remote consulting must provide rapid response time, high quality radiological images and flexible cooperation platform. Based on the mobile internet device (MID) and computer-supported cooperative work (CSCW) platform, we propose an effective teleconsultation system to improve the medical quality of service. The internet virtual community concept is also adopted to provide a convenient and rapid connection manner. The results demonstrate that it fulfills the requirements of remote consultation system.


2021 ◽  
pp. 030089162110523
Author(s):  
Shushan Hovsepyan ◽  
Lusine Hakobyan ◽  
Armen Mkhitaryan ◽  
Monica Terenziani ◽  
Andrea Ferrari ◽  
...  

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.


2005 ◽  
Vol 44 (01) ◽  
pp. 80-88 ◽  
Author(s):  
R. Mueller ◽  
E. Rahm ◽  
J. Ramsch ◽  
B. Heller ◽  
M. Loeffler ◽  
...  

Summary Objectives: In many medical domains investigator-initiated clinical trials are used to introduce new treatments and hence act as implementations of guideline-based therapies. Trial protocols contain detailed instructions to conduct the therapy and additionally specify reactions to exceptional situations (for instance an infection or a toxicity). To increase quality in health care and raise the number of patients treated according to trial protocols, a consultation system is needed that supports the handling of the complex trial therapy processes efficiently. Our objective was to design and evaluate a consultation system that should 1) observe the status of the therapies currently being applied, 2) offer automatic recognition of exceptional situations and appropriate decision support and 3) provide an automatic adaptation of affected therapy processes to handle exceptional situations. Methods: We applied a hybrid approach that combines process support for the timely and efficient execution of the therapy processes as offered by workflow management systems with a knowledge and rule base and a mechanism for dynamic workflow adaptation to change running therapy processes if induced by changed patient condition. Results and Conclusions: This approach has been implemented in the AdaptFlow prototype. We performed several evaluation studies on the practicability of the approach and the usefulness of the system. These studies show that the AdaptFlow prototype offers adequate support for the execution of real-world investigator-initiated trial protocols and is able to handle a large number of exceptions.


1988 ◽  
Vol 24 (5) ◽  
pp. 281-289 ◽  
Author(s):  
Mitsuo NAGAMACHI ◽  
Koji ITO ◽  
Toshio TSUJI ◽  
Takamochi CHINO

1999 ◽  
Vol 01 (03) ◽  
pp. 369-388 ◽  
Author(s):  
PHILIPPA KREUSER ◽  
RICHARD HAMMERSLEY

For environment assessments to provide a positive contribution to official decision making in planning, the resulting environmental statement (ES) needs to exhibit such qualities as veracity, completeness and understandability; therefore the planning authority should "review" the ES to establish whether this is indeed the case and then move on to utilising the information contained therein. This research surveyed a sample of British local planning authorities to discover how they "assess the assessments" and use the information supplied. The literature suggests that planners use the "statutory consultation" system to achieve many aspects of a review, and therefore, a sample of consultees was asked about their treatment of ESs. From the surveys, it is clear that planners do in fact place great reliance on the consultees to review, verify and summarise at least parts of ESs. However there is some mismatch between the expectations of consultee review on the part of planners against the objectives of the consultees themselves. This then throws into question how useful the information is in the actual decision making processes. The paper goes on to examine the alternatives available for reviews and proposes the development of an independent review body which can ensure that ESs are "fit for purpose".


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