Energy Management Expert Assistant, a New Concept

In recent years, interest in home energy management systems (HEMS) has grown significantly, as well as the development of Voice Assistants that substantially increase home comfort. This paper presents a novel merging of HEMS with the Assistant paradigm. The combination of both concepts has allowed the creation of a high-performance and easy-to-manage expert system (ES). It has been developed in a framework that includes, on the one hand, the efficient energy management functionality boosted with an Internet of Things (IoT) platform, where artificial intelligence (AI) and big data treatment are blended, and on the other hand, an assistant that interacts both with the user and with the HEMS itself. The creation of this ES has made it possible to optimize consumption levels, improve security, efficiency, comfort, and user experience, as well as home security (presence simulation or security against intruders), automate processes, optimize resources, and provide relevant information to the user facilitating decision making, all based on a multi-objective optimization (MOP) problem model. This paper presents both the scheme and the results obtained, the synergies generated, and the conclusions that can be drawn after 24 months of operation.

Constructing citations: reviewing chat transcripts to improve citation assistance as a service

PurposeUsing chat transcripts from Indiana University Libraries, the authors examined a subset of transcripts involving citations. From this analysis, they propose improvements for citation assistance as a holistic service.Design/methodology/approachTwo years of chat transcripts were examined and questions containing citation-related keywords were segregated for further examination. The authors used a test data set to create a coding scheme for the questions and responses. This scheme was then applied to all the citation-related transcripts.Findings390 of 11,553 transcripts included interactions about citations. In 42% of the transcripts, no specific citation style was mentioned. American Psychological Association and Modern Language Association were the most frequently mentioned citation styles by chat users. Business reports (company data and market research), periodicals (journal, newspaper or magazine articles), websites and government documents were the most often asked about formats, but there was a wide variety of other unusual formats. Questions about EndNote were more common than other types of citation management software. Chat staff utilized a variety of responses including guiding the student by example, directing to an online resource for more information (85% of the responses) or referring to a citation management expert. An unexpected amount of hedging words in the responses indicates the presence of anxiety on the part of chat staff in responding to these types of questions.Originality/valueThis paper goes beyond most existing studies of chat transcripts by using chat transcripts as data to guide service improvements for a commonly asked but not typically discussed set of questions.

Ergonomic Recommendations in Ultrasound-Guided Botulinum Neurotoxin Chemodenervation for Spasticity: An International Expert Group Opinion

Ultrasound (US)-guided botulinum neurotoxin (BoNT) injections are becoming a mainstay in the treatment of muscle spasticity in upper motor neuron syndromes. As a result, there has been a commensurate increase in US-guided BoNT injection for spasticity training courses. However, many of these courses do not emphasize the importance of ergonomics. This paper aims to highlight the importance of ultrasound ergonomics and presents ergonomic recommendations to optimize US-guided BoNT injection techniques in spasticity management. Expert consensus opinion of 11 physicians (4 different continents; representing 8 countries, with an average of 12.6 years of practice using US guidance for BoNT chemodenervation (range 3 to 22 years)). A search using PubMed, College of Physicians and Surgeons of British Columbia database, EMbase was conducted and found no publications relating the importance of ergonomics in US-guided chemodenervation. Therefore, recommendations and consensus discussions were generated from the distribution of a 20-question survey to a panel of 11 ultrasound experts. All 11 surveyed physicians considered ergonomics to be important in reducing physician injury. There was complete agreement that physician positioning was important; 91% agreement that patient positioning was important; and 82% that ultrasound machine positioning was important. Factors that did not reach our 80% threshold for consensus were further discussed. Four categories were identified as being important when implementing ultrasound ergonomics for BoNT chemodenervation for spasticity; workstation, physician, patient and visual ergonomics. Optimizing ergonomics is paramount when performing US-guided BoNT chemodenervation for spasticity management. This includes proper preparation of the workspace and allowing for sufficient pre-injection time to optimally position both the patient and the physician. Lack of awareness of ergonomics for US-guided BoNT chemodenervation for spasticity may lead to suboptimal patient outcomes, increase work-related injuries, and patient discomfort. We propose key elements for optimal positioning of physicians and patients, as well as the optimal setup of the workspace and provide clinical pearls in visual identification of spastic muscles for chemodenervation.

Tanta Protocol for Management of COVID-19: Perspectives from a Developing Country

: In late 2019, SARS-COV-2 disease is firstly discovered in Wuhan, China and it reached millions of people worldwide. Later, the World Health Organization (WHO) described COVID-19 as the first pandemic invading the world in 21st century. The WHO has declared that the emerging infection will last long enough to force adjustments not only in people's lifestyles but also in health care system. This amendment is expected to spread through many medical practices and specialties. A lot of diagnostic and therapeutic modalities have been proposed for COVID-19 management. The best strategy for management of patients requires a multi-disciplinary team approach with correct decision regarding the right timing of each modality of treatment. The participating multidisciplinary team for COVID-19 management includes six infectious diseases experts in Tanta University; one critical care management expert; an emergency medicine expert and two pharmacists in Tanta University. In this review, we reported our multi-disciplinary team experience with up to date literature guidance to propose a valid protocol for management of COVID-19 patients in limited resources setting.

On Detecting and Enforcing the Non-Relational Constraints Associated to Dyadic Relations in MatBase

MatBase is a prototype data and knowledge base management expert intelligent system based on the Relational, Entity-Relationship, and (Elementary) Mathematical Data Models. Dyadic relationships are quite common in data modeling. Besides their relational-type constraints, they often exhibit mathematical properties that are not covered by the Relational Data Model. This paper presents and discusses the MatBase algorithm that assists database designers in discovering all non-relational constraints associated to them, as well as its algorithm for enforcing them, thus providing a significantly higher degree of data quality.

PROSES DAN TEKNIK SUPERVISI

Abstract--The supervision process is a series of activities carried out when conducting supervision. According to the Educational Management Expert Team (2004: 53) in general the process of supervision is carried out through three stages of planning, implementation and evaluation. Regulation of the Minister of National Education number 41 of 2007 regulates the supervision of the learning process includes monitoring and supervision. Based on these regulations the follow-up activities of academic supervision can be done by the school principal by providing examples, discussion, training, and consultation. Principals can choose alternative follow-up activities above in accordance with the analysis of the results of academic supervision of the components mentioned above. Educational supervision can be carried out with individual supervision techniques and group supervision techniques (Group Techniques) In the current situation, not all supervision techniques outlined below can be implemented by the supervisor, but as reading material, it is necessary to offer a rasep that can be chosen by each supervisor to be used in accordance with the situation and conditions