Automating Incident Categorization in a Support Request System

With the expansion of the role of IT, organizations tend to maintain a support request system/ Issue Tracking System (ITS) to handle issues. ITSs are designed to streamline the process of customer support and keep a track of all the reported issues. Incident Management (IM) makes efforts to re-establish standard business operations reducing the impact and maintaining the quality and availability [1]. An incident also refers to a ticket. The manual categorization of raised issues infers an improper assignment of incident tickets, cause delays in the entire procedure of dispatch. The focus of this research is to automate the incident categorization (IC) and transfer to the appropriate support group forecasting the resolution for frequent issues based on the past.

Afterword

Whenever I am confronted with the need to make sense of a health system issue, I sort the actors involved according to the rules that govern their actions, decisions, and relations—and according to the rules that they make, change, monitor, and enforce. In this analytic framing, everyone is a health system actor (...

How Do Health Systems Address Patient Flow When Services Are Misaligned With Population Needs? A Qualitative Study

Background: Patient flow through health services is increasingly recognized as a system issue, yet the flow literature has focused overwhelmingly on localized interventions, with limited examination of system-level causes or remedies. Research suggests that intractable flow problems may reflect a basic misalignment between service offerings and population needs, requiring fundamental system redesign. However, little is known about health systems’ approaches to population–capacity misalignment, and guidance for system redesign remains underdeveloped. Methods: This qualitative study, part of a broader investigation of patient flow in urban Western Canada, explored health-system strategies to address or prevent population–capacity misalignment. We conducted in-depth interviews with a purposive sample of managers in 10 jurisdictions across 4 provinces (N = 300), spanning all healthcare sectors and levels of management. We used the constant comparative method to develop an understanding of relevant strategies and derive principles for system design. Results: All regions showed evidence of pervasive population–capacity misalignment. The most superficial level of response – mutual accommodation (case-by-case problem solving) – was most prevalent; capacity (re)allocation occurred less frequently; population redefinition most rarely. Participants’ insights yielded a general principle: Define populations on the basis of clusters of co-occurring need. However, defining such clusters demands a difficult balance between narrowness/rigidity and breadth/flexibility. Deeper analysis suggested a further principle: Populations that can be divided into homogeneous subgroups experiencing similar needs (eg, surgical patients) are best served by narrow/ rigid models; heterogeneous populations featuring diverse constellations of need (eg, frail older adults) require broad/ flexible models. Conclusion: To remedy population–capacity misalignment, health system planners should determine whether clusters of population need are separable vs. fused, select an appropriate service model for each population, allocate sufficient capacity, and only then promote mutual accommodation to address exceptions. Overreliance on case-by-case solutions to systemic problems ensures the persistence of population–capacity misalignment.

Understanding the Patient Experience: Analysis of 2-Word Assessment and Its Relationship to Likelihood to Recommend in Outpatient Hand Surgery

Background: Actionable feedback from patients after a clinic visit can help inform ways to better deliver patient-centered care. A 2-word assessment may serve as a proxy for lengthy post-visit questionnaires. We tested the use of a 2-word assessment in an outpatient hand clinic. Methods: New patients were asked to provide a 2-word assessment of the following: (1) their physician; (2) their overall experience; and (3) recommendations for improvement and their likelihood to recommend (LTR) after their clinic visit. Sentiment analysis was used to categorize results into positive, neutral, or negative sentiment. Recommendations for improvement were classified into physician issue, system issue, or neither. We evaluated the relationship between LTR status, sentiment, actionable improvement opportunities, and classification (physician issue, system issue, or neither). Recommendations for improvement were classified into themes based on prior literature. Results: Sixty-seven (97.1%) patients noted positive sentiment toward their physician; 67 (97.1%) noted positive sentiment toward their overall experience. About 31% of improvement recommendations were system-based, 5.9% were physician-based, and 62.7% were neither. Patients not LTR were more likely to leave actionable opportunities for improvement than those LTR ( P = .01). Recommendations for improvement were classified into predetermined themes relating to: (1) physician interaction; (2) check-in process; (3) facilities; (4) unnecessary visit; and (5) appointment delays. Conclusion: Patients not likely to recommend provided actionable opportunities for improvement using a simple 2-word assessment. Implementation of a 2-word assessment in a hand clinic can be used to obtain actionable, real-time patient feedback that can inform operational change and improve the patient experience.

Implementasi Sistem Pembayaran Quick Response Indonesia Standard Bagi Perkembangan UMKM di Medan

ABSTRACTThe use of server-based electronic money is one of the most popular non-cash payment systems in use today. The form of server-based electronic money is e-wallet / digital wallet. E-wallet can be used to transact by customers, if the merchant provides an application Same e-wallet to customers. This made Bank Indonesia, as the regulator of the payment system, issue a new payment channel namely; QRIS (QR Code Indonesia Standard). The use of QRIS is used to standardize all e-wallets applications that use the QR Code system to conduct payment transactions. This study examines how the application of QRIS to UMKM in Medan, and describes the roles, constraints, and income of UMKM s in the presence of QRIS. The research method used is interviews and literature studies with UMKM traders who have used QRIS as a payment tool in their characters. This research indicates that QRIS has benefits for UMKM traders.

The Innovative Potential of Antibody Engineering Enhanced the Clinical Value of Immunotherapy

The improvements of counter acting antibody generation systems of various types of immunoglobulins have been created on a vast scale. Miscellaneous scientific tools and skills used to design the most efficient and accurate method. The hybridoma innovation opened a new era in the production of antibodies against target antigens of desirable pathogens, life-threatening infections including immune system issue and various intense poisons. Despite that, these clinical acculturated or chimeric murine antibodies have a few constraints and complexities. The study aims to review and explain the advanced antibody engineering to enhance the innovative potential of antibodies. Therefore, our major effort focusing to defeat the current challenges, late advances in hereditary building methods and phage display system that permitted the creation of exceedingly particular recombinant antibodies. These antibodies have been built in the chase for novel remedial medications furnished with improved immune protective capacities. That will potential connects with the resistant effector's capacities; compel advancement of combination proteins, proficient tumor and tissue entrance and high-liking antibodies coordinated against moderated targets. Propelled counteracting agent designing systems have broad applications in the fields of immunology, biotechnology, diagnostics and helpful prescriptions. Even so, there is constrained learning with respect to element immune response improvement approaches. Along these lines, this study reaches outside of our ability to comprehend traditional polyclonal and monoclonal antibodies. Besides, late advances in immunizer designing systems together with counteracting agent sections, show advances, immunomodulation and expansive utilization of antibodies are examined to upgrade creative neutralizer generation in the expedition for a more advantageous future for people.

Metformin adherence in patients with type 2 diabetes and its association with glycated haemoglobin levels

ABSTRACT INTRODUCTIONMetformin is the initial medication of choice for most patients with type 2 diabetes. Non-adherence results in poorer glycaemic control and increased risk of complications. AIMThe aim of this study was to characterise metformin adherence and association with glycated haemoglobin (HbA1c) levels in a cohort of patients with type 2 diabetes. METHODSPrescription and dispensing data were used for this study. Primary care clinical and demographic data were collected from 10 general practices (October 2016–March 2018) and linked to pharmaceutical dispensing information. Metformin adherence was initially measured by calculating the proportion of patients who had optimal medication cover for at least 80% of days (defined as a medication possession ratio (MPR) of ≥0.8), calculated using dispensing data. Prescription adherence was assessed by comparing prescription and dispensing data. The association between non-adherence (MPR <0.8) and HbA1c levels was also assessed. RESULTSOf the 1595 patients with ≥2 metformin prescriptions, the mean MPR was 0.87. Fewer Māori had an MPR ≥0.8 than New Zealand European (63.8% vs. 81.2%). Similarly, Māori received fewer metformin prescriptions (P=0.02), although prescription adherence did not differ by ethnicity. Prescription adherence was lower in younger patients (P=0.002). Mean HbA1c levels were reduced by 4.8 and 5.0mmol/mol, respectively, in all and Māori patients with an MPR ≥0.8. Total prescription adherence reduced HbA1c by 3.2mmol/mol (all P<0.01). DISCUSSIONEthnic disparity exists for metformin prescribing, leading to an overall reduction in metformin coverage for Māori patients. This needs to be explored further, including understanding whether this is a patient preference or health system issue.

Innovative Intelligent Methodology for the Classification of Soil Salinization Degree Using a Fractional-Order Master-Slave Chaotic System

Soil salinization has become a highly significant eco-system issue that is encountered all over the world. Serious soil salinization leads to soil deterioration and has a negative impact on sustainable development of the eco-system and agriculture. However, the spectral reflectance of soils with high overlap and indecipherability makes it difficult to classify the soil salinization degree quickly and accurately. In this paper, an innovative, intelligent methodology using a fractional-order chaotic system to classify the soil salinization degree is proposed. To select a suitable order for the fractional-order chaotic system, the integer-order and noninteger order master-slave Lorenz chaotic systems were used to observe variations in the phase plane distributions. Movement traces of the chaotic system show that severely saline soil will exhibit more active changes, and its distribution status of the Lorenz chaotic system will be more scattered. After analyzing the characteristics of phase plane distributions, a preferred 0.9 fractional-order chaotic system is selected to obtain good analytical characteristics. Finally, extenics theory is used to verify the accuracy of salinization status classified by the coordinate values of the chaotic attractors, and an extenic matter element model is established to analyze the salinization degree. From the results, it was found that 100% analysis accuracy in the judgment of salinization level could be achieved under noninteger order status, and this judgment method is also suitable for soils in different human activity areas. This method has now become a benchmark for testing soil salinization with a chaotic system and is an innovative method that can be used to test the soil salinization degree quickly and accurately.

Diabetes Cure for Type1, Type 2 and Type 3 (LADA)

As most of us are aware Type 2 diabetes can be controlled and cured completely with the diet, workouts (yoga), effective stress management and other healing methods. However, Type 1 and Type 1.5/3/LADA diabetes healing or complete cure is a big challenge because of our body’s immune system issue.