The Evolution of Telepractice Use during the COVID-19 Pandemic: Perspectives of Pediatric Speech–Language Pathologists

The study investigated how pediatric speech-language pathologists (SLPs) applied telepractice to compensate for the loss of in-person services and the dynamics of telepractice use during the COVID-19 pandemic in a rural state. We conducted interviews with 10 SLPs and then a statewide survey in which 51 SLPs participated. The qualitative interviews revealed themes including changes in service environment due to the pandemic (e.g., transition to telepractice, losing clients), challenges in the transition to telepractice (e.g., limited training, difficulty engaging clients), worsening wellbeing of clinicians and clients, and SLPs’ perspectives and suggestions towards telepractice in the future. Survey results showed service disruptions and transition dynamics during the pandemic. SLPs’ weekly caseloads reduced from an average of 42.3 clients prior to the pandemic to 25.9 and 23.4 from March to May and from June to September 2020, respectively, and then recovered to 37.2 clients from October to December 2020. In contrast, the number of telepractice caseloads sharply increased from 0.2 clients per week prior to the pandemic to 14.8 from March to May 2020. The weekly telepractice caseloads then declined to 5.5 clients from June to September and 7.9 clients from October to December 2020. In the months right after the pandemic outbreak (i.e., March to May), client children struggled with treatment gains and behavioral wellbeing. However, their outcomes gradually improved by October to December and approached pre-pandemic levels. About one-third of the SLPs reported that they would be more likely or much more likely to use telepractice in the future regardless of the pandemic. However, only about a quarter perceived telepractice as comparable to in-person services. We concluded that the transition from in-person services to telepractice substantially mitigated service disruptions right after the pandemic outbreak and that telepractice’s substitute role evolved over time.

Design and Research of Intelligent Educational Administration Management System Based on Mobile Edge Computing Internet

Educational administration management is the primary link in the teaching management of colleges and universities. Mobile edge computing can create a carrier-class service environment with high performance, low latency, and high bandwidth and accelerate the rapid download of various contents, services, and applications in the network, which greatly promotes the upgrade of the educational administration system. Using educational administration management system to manage educational administration can promote the teaching work of colleges and universities better. This paper aims to design and develop a set of educational management information systems, using mobile edge computing (MEC) technology to combine the IT service environment and cloud computing technology at the edge of the network to improve the computing and performance of the edge network. Storage capacity reduces network operation and service delivery delay, improves user service quality experience, and helps universities improve the efficiency of educational administration management. This paper first discusses the implementation mode and related technologies of educational administration management system, then discussing the demand analysis of each functional module of the system; in the nonfunctional demand analysis part, the system needs to meet the security and performance. According to the function modules included in the system, using the way of running interface screenshot, implementation code, and flowchart, the paper analyzes the realization process of the function module and also completes the function test of the function module, as well as the performance test of the whole system. The experimental results show that the rule 4 of teaching level evaluation data mining reveals that the support degree of excellent teaching effect is 18% and the confidence degree is 53% in the age of 50–60. Rule 5 shows that the degree of support is 16% and the degree of confidence is 52%. Rule 10 shows that the degree of support for excellent teaching effect is 22% and the confidence level is 71%. The high confidence level of backbone teachers aged 50–60 indicates that the old teachers are more experienced and popular with students, while the young teachers under 30 need to focus on training to help young teachers improve their professional level. From the above data, it can be seen that through the application of mobile edge technology the educational administration system is more efficient in processing and analyzing data in terms of teacher management and teaching level, which once again shows the impact of this network technology on the construction and development of educational administration systems highly feasible.

2019 TOKYO DECLARATION

As the Congress explored the nature of burnout among doctors and health professionals in differing settings and in different nations it is clear that burnout is a global phenomenon. An organizational paradigm changes to a person- and people-centered system that incorporates complexity, is adaptive and integrative is essential. Such a change will enable continuing medical education be effective and the current unaffordable and unnecessary waste of human resources that the Congress identified reduced. The Congress reviewed a range of features precipitating burnout including a dysfunctional work–life balance and a variety of relatively simple individually protective factors. It is because of this variety that person- and people-centered initiatives rather than narrowly based top-down management solutions will prove effective Individual-level actions can be taken to reduce stress and poor health symptoms through effective coping and promoting healthy behavior. But there needs to be a much better alignment between the health system and the individual physician so that there are shared professional values within a clear medical ethical framework [23] that encourages professional development and adaptation to the health service environment and health system.

Damage Behavior in Simulated Service Environment of Thermal Control Oxidation Film of 2A12 Alloy

In order to obtain the service performance of the black anodic oxidation film of 2A12 aluminum alloy, the influence of humidity and temperature in storage environment and heat on the performance of black oxidation film were studied. And the morphologies were analyzed by using optical microscopy (OM) and scanning electron microscopy (SEM). The results showed that after the black anodic oxidation film is produced, "aging" will occur in the natural environment, which can lead to the structure change of the sealing pore and affect the service performance of the film. The film exfoliates off slightly under the humidity of 90%, and the film exfoliates off more seriously when the humidity over 95%. The temperature has a greater influence on the film cracking, especially when the temperature is above 120°C, it is easy to exfoliate off. The exfoliation model was established and the affection mechanism was discussed.