Investigating the Correlation between Patient Education on Web-Based Portal Functionality and the Reduction in 30-Day Hospital Readmission Rates

Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influence of educating patients on these portals’ functionality on clinical outcomes, such as all-cause readmission rates, remains underexplored. Objective: This research proposal tested the hypothesis that educating a subset of patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF), on how to effectively access and utilize the functionality of web-based patient portals can reduce all-cause readmission rates. Methods: We performed a prospective, quasi-experimental study at Bon Secours St. Mary’s Hospital in Richmond, Virginia, USA;dividing participants into an intervention group, receiving education about accessing and navigating “My Chart”, the Bon Secours Web based portal, and a control group, receiving standard care. We then compared 30-day readmission rates, patient engagement, and self-management behaviors between the groups. Data was analyzed using statistical tests to assess the intervention’s impact. Results: We projected that educated patients will exhibit lower readmission rates, improved engagement, and better self-management. The results of the study showed that there was a significant decrease in 30-day readmissions in the intervention group in comparison with the control group (22.7% and 40.9%, respectively). This reduction of 18. 2% of readmissions evaluated here for a trial of meaningful clinical effect is statistically insignificant (p = 0. 184). The practical significance of the intervention is considered small-to-moderate (Cramer V = 0. 20) suggesting that the observed difference has a potential clinical importance even though the difference was not statistically significant. Conclusion: These results imply that the proposed educational intervention might have a positive impact on readmissions;nonetheless, the patient’s characteristics that make him or her capable of readmission cannot be changed and are assessed by the RoR (Risk of Readmission) score. The potential impact of the intervention may be offset, in part, by these baseline risk factors. The study’s power may be limited by sample size, potentially affecting the detection of significant differences. Future studies with larger, multi-center samples and longer follow-up periods are recommended to confirm these findings.

Web-based多数据源集成系统的研究

1 引言 多数据源信息集成系统是近年来数据库界和人工智能界研究的热点.在复杂的数据库应用环境中,如CIMS、DSS、IQ&AS、DW等,各种数据往往分布在多个不同源系统上,如数据库系统、文件系统,以及Web系统.

Fast Web - Based Data Transmission

Since web based GIS processes large size spatial geographic information on internet, we should try to improve the efficiency of spatial data query processing and transmission. This paper presents two efficient methods for this purpose: division transmission and progressive transmission methods. In division transmission method, a map can be divided into several parts, called “tiles”, and only tiles can be transmitted at the request of a client. In progressive transmission method, a map can be split into several phase views based on the significance of vertices, and a server produces a target object and then transmits it progressively when this spatial object is requested from a client. In order to achieve these methods, the algorithms, “tile division”, “priority order estimation” and the strategies for data transmission are proposed in this paper, respectively. Compared with such traditional methods as “map total transmission” and “layer transmission”, the web based GIS data transmission, proposed in this paper, is advantageous in the increase of the data transmission efficiency by a great margin.

Daas:A Web-based System for User-specific Dietary Analysis and Advice for the Public Healthcare Domain

This paper presents a Dietary Analysis and Advice System (DAAS), a web based system for providing, within the public healthcare domain, user specific diet advice based on a preliminary analysis of current diet or eating habits and lifestyle, using knowledge from domain expertise and experts’ interpretation of national dietary guidelines.

On the analysis of the construction of the quality guarantee system of web based College English teaching

With the quick development of the reform of College English teaching, web based College English teaching is used and generalized in every institution of higher education. However, more attention should be paid to the teaching quality to develop this web based College English teaching model. Therefore, the construction of the quality guarantee system is of major significance to promote the effective design of web based College English course system and improve the quality of web based College English teaching.

Analyzing the Factors Affecting the Users＇ Success in Web Based Education： A Data Mining Approach

Corporations focus on web based education to train their employees ever more than before. Unlike traditional learning environments, web based education applications store large amount of data. This growing availability of data stimulated the emergence of a new field called educational data mining. In this study, the classification method is implemented on a data that is obtained from a company which uses web based education to train their employees. The authors＇ aim is to find out the most critical factors that influence the users＇ success. For the classification of the data, two decision tree algorithms, Classification and Regression Tree （CART） and Quick, Unbiased and Efficient Statistical Tree （QUEST） are applied. According to the results, assurance of a certificate at the end of the training is found to be the most critical factor that influences the users＇ success. Position, number of work years and the education level of the user, are also found as important factors.

Improving Quality of Education by Evaluating the Capacity of Lecturers Using a Web Based System

Evaluating the capacity of lecturer is the key to improve quality of education by improving lecturer capacity in higher education institution. Lecturer’s capacity has been evaluated using different parameters in Assosa University, Ethiopia. Mandatorily, lecturers are evaluated using printed check list. For the last few years we observed that, the lecturer efficiency score is found on the shelf and not checked by anyone to know the gaps and to establish follow-up system. The use of intranet based web system is better to use lecturer’s efficiency result to monitor their performance and to establish follow-up mechanism. In this study, a prototype of web based yearbook efficiency management system for evaluating and monitoring the performance of lecturers was designed and developed. The evaluation process in the system was presented according to the university evaluation format. The output generated by the proposed system can be used by lecturers, HoD, HRM and academic managers to monitor teaching performance.

Suicide Prevention in Mental Health Services—A Qualitative Study of a Web Based Program for Mental Health Care Staff

Background: Further strategies are needed to deal with the high losses to suicide. New modalities should be explored within the context of suicide prevention. Aim: The aim of the study was to evaluate participants’ experiences of a web based program for mental health care staff, including its potential clinical relevance. Methods: Nineteen participants participated in five focus groups. Data was analyzed using content analysis. Results: The analysis showed participants’ experiences of the program’s contents and format (“Web Based Modules”, “Discussion Groups”) and practical value (“Clinical Relevance and Use”, “Effects on Communication and Climate”). Conclusions: The program partly increased awareness about risk factors and the importance of inquiring about suicide ideation/plans and documenting suicide assessments. Experiences of the clinical value were varying and may be increased through potential enhancements.

WebPIPA （Web Based Paddy Irrigation Productivity Assessment）： An Online Irrigation Water Supply Management for Tanjung Karang Rice Irrigation Scheme （TAKRIS）

Irrigation water management has significant economic implications in developing countries like Malaysia. As in many countries, Malaysia is also espousing internet as a platform of new possibilities for information access and sharing. Thus web based decision tools are pertinent in managing water, which is becoming a source of conflict between domestic, industry and agricultural use in this emerging technological and information age. Decision Support System （DSS） created in the past was theoretically acceptable but practically not effective in the transfer of scientific knowledge from research labs to the end-users to support them in decision making. The Web Based Paddy Irrigation Productivity Assessment （WebPIPA） is an example of DSS created to provide an effective conduit for the transfer of scientific knowledge from research labs to the end-users to support them in decision making. WebPIPA serves as an innovative, user friendly and efficient management tool for run-of-river rice irrigation system. It is a web based program that requires users to login through user name and password WebPIPA is developed using Net framework and ASP. Net Programming Languages of Microsoft. Net 2003 environment. A 3-tier architecture framework was carefully studied and was implemented to create the WebP1PA model. Mathematical model developed for aiding irrigation decisions must be oriented towards addressing various issues in addition to the scientific ones for better acceptability. All government and private agencies, researchers, station users, farmers, investors and buyers related to this study area will be able to access and share the database through the internet. By strengthening the involvement of government departments, the database can be very effectively used by all stakeholders at the same time narrowing the gap between the urban and rural communities in the development of country.

Estimating Security Risk of Healthcare Web Applications: A Design Perspective

In the recent years,the booming web-based applications have attracted the hackers’community.The security risk of the web-based hospital management system(WBHMS)has been increasing rapidly.In the given context,the main goal of all security professionals and website developers is to maintain security divisions and improve on the user’s confidence and satisfaction.At this point,the different WBHMS tackle different types of security risks.In WBHMS,the security of the patients’medical information is of utmost importance.All in all,there is an inherent security risk of data and assets in the field of the medical industry as a whole.The objective of this study is to estimate the security risk assessment of WBHMS.The risks assessment pertains to securing the integrity of the information in alignment with the Health Insurance Portability and Accountability Act.This includes protecting the relevant financial records,as well as the identification,evaluation,and prevention of a data breach.In the past few years,according to the US-based cyber-security firm Fire-eye,6.8 million data thefts have been recorded in the healthcare sector in India.The breach barometer report mentions that in the year 2019,the data breaches found were up to 48.6%as compared to the year 2018.Therefore,it is very important to assess the security risk in WBHMS.In this research,we have followed the hybrid technique fuzzy analytic hierarchy process-technique for order of preference by similarity to ideal solution(F-AHPTOPSIS)approach to assess the security risk in WBHMS.The place of this empirical database is at the local hospital of Varanasi,U.P.,India.Given the affectability of WBHMS for its board framework,this work has used diverse types of web applications.The outcomes obtained and the procedure used in this assessment would support future researchers and specialists in organizing web applications through advanced support of safety and security.

KNOWLEDGE AND XML BASED CAPP SYSTEM

In order to enhance the intelligent level of system and improve the interaetivity with other systems, a knowledge and XML based computer aided process planning （CAPP） system is implemented. It includes user management, bill of materials（BOM） management, knowledge based process planning, knowledge management and database maintaining sub-systems. This kind of nesting knowledge representation method the system provided can represent complicated arithmetic and logical relationship to deal with process planning tasks. With the representation and manipulation of XML based technological file, the system solves some important problems in web environment such as information interactive efficiency and refreshing of web page. The CAPP system is written in ASP VBScript, JavaScript, Visual C＋＋ languages and Oracle database. At present, the CAPP system is running in Shenyang Machine Tools. The functions of it meet the requirements of enterprise production.

基于OpenPBS的机群作业管理系统的设计与实现

机群作业管理系统直接关系到机群性能的发挥和使用率的提高,是机群的一个重要组成部分。该文主要介绍了当前比较流行的作业管理系统OpenPBS的结构及工作过程,以及在其基础上开发的好用的web方式的作业提交系统。基于web的使用策略增加了系统的好用性。

网上培训(WBT)的基本形式和选择

WBT是远程职业培训方案的基本组成部分,分为网络个别化培训、网络电子绩效支持系统、网络虚拟异步课堂、网络虚拟同步课堂等形式,分别适合于认知学习的不同目的和类型,以及学习者的需要和条件,本文结合实例介绍这些形式的特点和选择因素。

基于网络的《大学英语》双主教学模式初探

双主教学模式是一种能有效发挥教师主导作用和学生主体作用的教学模式。采用这种教学模式,可以有效地发挥学生思维品质、培养其综合应用能力。在现代信息技术手段日益获得提高的今天,充分利用网络资源的辅助作用,建立W eb-based英语教学双主教学模式,是高校大学英语教学改革的一种尝试。以《大学英语》这门公共基础课程为例,讨论W eb-based大学英语双主模式的构建问题。

Data Transfer Over the Internet for Real Time Applications

Efficient real time data exchange over the Internet plays a crucial role in the successful application of web-based systems. In this paper, a data transfer mechanism over the Internet is proposed for real time web based applications. The mechanism incorporates the eXtensible Markup Language （XML） and Hierarchical Data Format （HDF） to provide a flexible and efficient data format. Heterogeneous transfer data is classified into light and heavy data, which are stored using XML and HDF respectively; the HDF data format is then mapped to Java Document Object Model （JDOM） objects in XML in the Java environment. These JDOM data objects are sent across computer networks with the support of the Java Remote Method Invocation （RMI） data transfer infrastructure. Client＇s defined data priority levels are implemented in RMI, which guides a server to transfer data objects at different priorities. A remote monitoring system for an industrial reactor process simulator is used as a case study to illustrate the proposed data transfer mechanism.

Developing a web-based spatial decision support system for geothermal exploration at the Olkaria geothermal field

Geothermal exploration is a complex process that spans a number of disciplines.Before a decision is made to drill a geothermal well,there is need for an extensive exploration process to determine the most suitable location.The process of evaluating and analyzing data from individual scientific disciplines can be complex and tedious.Attempts have been made at solving this problem using GIS-based tools but the uptake of these tools is often hindered by the limited knowledge of GIS by decision makers.This paper presents an approach for solving the geothermal exploration question through a web-based spatial decision support system(SDSS)that incorporates the various geosciences through a multi-criteria spatial decision analysis model.The results reveal a decision-making gap that is to be filled using a novel,automated exploration SDSS.This approach hypothesizes an easier and faster decision-making process.The research focuses on Olkaria,an active geothermal area in Kenya,East Africa and highlights a pragmatic approach to identifying priority areas for drilling.It evaluates contributions made by many disciplines in identifying potential sites ideal for harnessing geothermal energy and the gaps that emerge in an effort to synergize the results from the different disciplines.

Study on the Medical Image Distributed Dynamic Processing Method

To meet the challenge of implementing rapidly advanced, time-consuming medical image processing algorithms, it is necessary to develop a medical image processing technology to process a 2D or 3D medical image dynamically on the web. But in a premier system, only static image processing can be provided with the limitation of web technology. The development of Java and CORBA (common object request broker architecture) overcomes the shortcoming of the web static application and makes the dynamic processing of medical images on the web available. To develop an open solution of distributed computing, we integrate the Java, and web with the CORBA and present a web-based medical image dynamic processing methed, which adopts Java technology as the language to program application and components of the web and utilies the CORBA architecture to cope with heterogeneous property of a complex distributed system. The method also provides a platform-independent, transparent processing architecture to implement the advanced image routines and enable users to access large dataset and resources according to the requirements of medical applications. The experiment in this paper shows that the medical image dynamic processing method implemented on the web by using Java and the CORBA is feasible.

A Comparison of Different Communication Tools for Distance Learning in Nuclear Education

Recent advancement in nuclear education learning has been through the use of computers and simulation related tasks such as the use of industry codes. Further enhancements in nuclear education are being considered through the use of distance learning technologies. The purpose of this work is to explore distance learning related tools to determine if they can provide an enhanced learning environment for nuclear education. In this work, a set of tools are examined that can be used to augment or replace the traditional lecture method. These tools are Mediasite, Adobe Connect, Elluminate, and Camtasia. All four tools have recording capabilities that allow the students to experience the exchange of information in different ways. This paper compares recent experiences with each of these tools in providing nuclear engineering education and assesses the various constraints and impacts on delivery through direct feedback from students and instructors. In general, the tools were found to be useful for mature students on the condition that the lecturer was comfortable with the tools and in some cases, adequate support from IT groups was provided.

基于网络的培训中同步交互的类型和应用

在基于网络的培训中,基本的同步交互技术有网络实时聊天、视觉支持的音频会议、共享白板和应用软件、网络视频会议等,充分有效的同步交互使培训课程具有人际交流的氛围,使学习者由被动视听转为主动探究。本文介绍同步交互的类型和应用。