How to Identify Rheumatic Diseases by General Physicians

2020 ◽  
pp. 1533-1563
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

How to Identify Rheumatic Diseases by General Physicians

2016 ◽  
pp. 136-166
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

Intelligent Agent to Identify Rheumatic Diseases

2013 ◽  
pp. 451-473
Author(s):  
Gustavo Julio Puente Salcido ◽  
Eduardo César Contreras Delgado
Keyword(s):  
General Practitioner ◽  
Early Diagnosis ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Psychological Impact ◽  
Intelligent Agent ◽  
Inflammatory Rheumatic Diseases ◽  
Agent Based ◽  
Medical Disorders ◽  
Medical Population

Most of Mexican populations, even medical population, do not have enough information on rheumatic diseases to allow them to understand the importance of the socioeconomic and psychological impact of these disorders. In order to reduce this problem, a didactic tool is provided to general practitioners that enables them to identify medical disorders in the area of rheumatology. Didactic software is based on the application of an intelligent agent based on goals that contains enough information to identify seven of the most common inflammatory rheumatic diseases and fourteen non-inflammatory. The purpose of this tool is that a general practitioner can get an early diagnosis in a rheumatic patient and subsequently send that patient to a rheumatologist in order to prevent damage. The presented prototype can be useful for professors and students of the computation area to solve similar problems.

scholarly journals Medical records: Doctors' and patients' experiences of copying letters to patients

2004 ◽  
Vol 28 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Harpal Nandhra ◽  
Graham Murray ◽  
Nigel Hymas ◽  
Neil Hunt
Keyword(s):  
General Practitioner ◽  
Pilot Study ◽  
General Practitioners ◽  
Medical Records ◽  
Letter Writing ◽  
Initial Assessment ◽  
Clinical Implications ◽  
Usual Practice ◽  
To Receive ◽  
Writing Practice

Aims and MethodWe conducted a pilot study to determine patients' views on receiving a copy of the assessment letter sent to their general practitioner and to determine how psychiatrists' letter writing practice would be altered in the knowledge that patients would receive copies of such letters. Seventy-six consecutive new outpatients received copies of the initial assessment letter sent to general practitioners. Patients were asked to complete a short questionnaire on how the practice affected them. For each letter, psychiatrists were asked to provide details of anything of importance that had been omitted from the letter that in their normal practice they would have included.ResultsThere was a broad range of responses on how patients felt about the letters. Only two patients found the letters unhelpful, and 83% expressed a positive desire to continue receiving letters, even though initially 18% found the letter distressing. For 56 out of 76 patients, psychiatrists stated that they composed and sent out the letter to the GP in accordance with their usual practice and copied the letter to the patient in an unaltered form. For 17 patients, the psychiatrist stated that some information he/she would usually have included in the GP letter was omitted in the copy the patient received. In a further 3 cases, the psychiatrist sent no letter to the patient.Clinical ImplicationsPatients found it helpful to receive copies of their assessment letters. Psychiatrists might require training and reassurance about this policy before implementation.

scholarly journals Education for Students with Special Needs: Child X Case

2020 ◽  
Vol 3 ◽  
pp. 16-28
Author(s):  
Monika Kontautaitė ◽  
Aida Norvilienė
Keyword(s):  
General Education ◽  
Structured Interview ◽  
Educational Needs ◽  
Special Educational Needs ◽  
Students With Special Needs ◽  
Special Support ◽  
The Subject ◽  
Teachers And Parents ◽  
The Given ◽  
To Receive

The article presents the opinion of teachers and parents concerning the educational situation of students with special educational needs at general education schools. The qualitative research, which was carried out by means of a semi-structured interview with teachers and parents, helped to determine that students with special educational needs are included in the general education school on a theoretical rather than practical basis. Despite the fact that the school advocates the inclusion of students with special educational needs and provides various special support services, informants observe a number of weaknesses in the system that do not provide an opportunity for the subject to receive the support one requires. It is alleged that teachers working at general education schools are not trained to work with such students and there is a lack of means and facilities for individual work. There are too many students in classes. Due to the following reasons, education that the subject receives is not always efficient. It was also revealed that specialists working with the subject have difficulties in communicating with each other and working as a team in order to set and achieve a common goal. All interviewees work as they think is best. Poor parent-subject work at home was also emphasized. For the given reasons, there is a lack of continuation in the education of the subject, which is one of the most important factors influencing the educational success of students with special educational needs.

Postmarketing Surveillance Based on Electronic Patient Records: The IPCI Project

1999 ◽  
Vol 38 (04/05) ◽  
pp. 339-344 ◽  
Author(s):  
J. van der Lei ◽  
B. M. Th. Mosseveld ◽  
M. A. M. van Wijk ◽  
P. D. van der Linden ◽  
M. C. J. M. Sturkenboom ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Validation Studies ◽  
Resource Planning ◽  
Routine Practice ◽  
Patient Records ◽  
Postmarketing Surveillance ◽  
Electronic Patient Records ◽  
Use Of Data ◽  
Data Requirements

AbstractResearchers claim that data in electronic patient records can be used for a variety of purposes including individual patient care, management, and resource planning for scientific research. Our objective in the project Integrated Primary Care Information (IPCI) was to assess whether the electronic patient records of Dutch general practitioners contain sufficient data to perform studies in the area of postmarketing surveillance studies. We determined the data requirements for postmarketing surveil-lance studies, implemented additional software in the electronic patient records of the general practitioner, developed an organization to monitor the use of data, and performed validation studies to test the quality of the data. Analysis of the data requirements showed that additional software had to be installed to collect data that is not recorded in routine practice. To avoid having to obtain informed consent from each enrolled patient, we developed IPCI as a semianonymous system: both patients and participating general practitioners are anonymous for the researchers. Under specific circumstances, the researcher can contact indirectly (through a trusted third party) the physician that made the data available. Only the treating general practitioner is able to decode the identity of his patients. A Board of Supervisors predominantly consisting of participating general practitioners monitors the use of data. Validation studies show the data can be used for postmarketing surveillance. With additional software to collect data not normally recorded in routine practice, data from electronic patient record of general practitioners can be used for postmarketing surveillance.

Nonlinear Trend Analysis of Mill Fan System Vibrations for Predictive Maintenance and Diagnostics

2012 ◽  
Vol 58 (4) ◽  
pp. 351-356
Author(s):  
Mincho B. Hadjiski ◽  
Lyubka A. Doukovska ◽  
Stefan L. Kojnov
Keyword(s):  
Power Plant ◽  
Trend Analysis ◽  
Thermal Power Plant ◽  
Power Plants ◽  
Thermal Power ◽  
Balkan Peninsula ◽  
Predictive Maintenance ◽  
Nonlinear Trend ◽  
The Subject ◽  
The Given

Abstract Present paper considers nonlinear trend analysis for diagnostics and predictive maintenance. The subject is a device from Maritsa East 2 thermal power plant a mill fan. The choice of the given power plant is not occasional. This is the largest thermal power plant on the Balkan Peninsula. Mill fans are main part of the fuel preparation in the coal fired power plants. The possibility to predict eventual damages or wear out without switching off the device is significant for providing faultless and reliable work avoiding the losses caused by planned maintenance. This paper addresses the needs of the Maritsa East 2 Complex aiming to improve the ecological parameters of the electro energy production process.

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