Academic literature on the topic 'Patients-expert'

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Journal articles on the topic "Patients-expert"

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Thomas, Sue. "Expert patients." Primary Health Care 11, no. 9 (2001): 20–21. http://dx.doi.org/10.7748/phc2001.11.11.9.20.c340.

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Squire, Sarah, and Patrick Hill. "The Expert Patients Programme." Clinical Governance: An International Journal 11, no. 1 (2006): 17–21. http://dx.doi.org/10.1108/14777270610646985.

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Twomey, C., and M. Busk. "Learning from adult services: expert patients to expert parents." BMJ Supportive & Palliative Care 1, no. 2 (2011): 200–201. http://dx.doi.org/10.1136/bmjspcare-2011-000100.6.

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Barlow, Julie, and Philip Scullion. "Self-management for ‘expert patients’." British Journal of Therapy and Rehabilitation 8, no. 7 (2001): 245. http://dx.doi.org/10.12968/bjtr.2001.8.7.13777.

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Cooper, Jane, Roy Jones, and Jean Thompson. "Expert patients are more enjoyable." Practice Nursing 13, no. 4 (2002): 146–47. http://dx.doi.org/10.12968/pnur.2002.13.4.10396.

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Siviter, Bethann. "Expert patients take centre stage." Primary Health Care 19, no. 4 (2009): 11. http://dx.doi.org/10.7748/phc.19.4.11.s14.

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Cooke, M. "Expert patients: learning from HIV." BMJ Quality & Safety 20, Suppl 1 (2011): i67—i68. http://dx.doi.org/10.1136/bmjqs.2010.046813.

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Lorig, Kate. "Partnerships between expert patients and physicians." Lancet 359, no. 9309 (2002): 814–15. http://dx.doi.org/10.1016/s0140-6736(02)07959-x.

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Lindsay, Sally, and Hubertus J. M. Vrijhoef. "A sociological focus on ‘expert patients’." Health Sociology Review 18, no. 2 (2009): 139–44. http://dx.doi.org/10.5172/hesr.18.2.139.

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Pollock, Jacqui. "Expert Patients Programme launches social media resource for patients." British Journal of Community Nursing 17, no. 12 (2012): 644. http://dx.doi.org/10.12968/bjcn.2012.17.12.644.

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Dissertations / Theses on the topic "Patients-expert"

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Gross, Olivia. "Experts et expertise : le cas des patients : Contribution à la caractérisation du patient-­expert et de son expertise." Thesis, Paris 13, 2014. http://www.theses.fr/2014PA131003.

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Les nouvelles technologies de l’information rendent l’accès au savoir possible, des forum et des réseaux sociaux permettent aux malades de s’organiser, le monde associatif se structure, et dans cette dynamique, des patients sont considérés des experts de leur maladie chronique. Toutefois, la nature de leur expertise reste floue et polémique et appelle à être caractérisée. Pour caractériser ce phénomène, nous avons utilisé comme cadre conceptuel le socioconstructivisme et l’individualisme méthodologique. A partir d’une première grille d’analyse issue d’une recension des écrits sur les notions d’expert et d’expertise, il a été procédé à des entretiens avec 12 patients reconnus socialement comme ayant une pratique d’expert ainsi qu’à des entretiens avec des professionnels de santé qui les côtoient en différentes circonstances. La première grille d’analyse ayant permis d’identifier les domaines à explorer, nous avons procédé à l’analyse qualitative et compréhensive des récits de vie des patients et mis en évidence leur motivation, éthique, déontologie, rapport au savoir, modalités d’apprentissages, savoirs, actions, compétences, traits de personnalité, et leur rapport aux soins et à leurs soignants. Deux types de patients-experts émergent qui se consacrent soit aux problématiques biomédicales, soit à l’accompagnement social et au système de soins. Ces deux types de patients-experts ont en commun d’être des acteurs sociaux passionnés et altruistes, qui poursuivent l’objectif d’améliorer la prise en charge de la maladie et/ou sa prévention, qui déploient à cet effet des compétences interculturelles, émotionnelles et de l’autonomie, et qui assurent des rôles d’interface, de porte-voix et d’éclaireurs. Ces acteurs motivés, qui participent à identifier des problématiques de santé et à les élucider, intéressent la santé publique dans la mesure où nos résultats interrogent le type de fonctions qu’ils pourraient occuper dans le système de santé et la forme que pourrait prendre la valorisation de leurs actions<br>New information technology provides access to knowledge; thanks to forums and social networks, patients can organize, constructing a community in which some patients are considered experts in their chronic disease. The nature of that expertise is unclear and controversial, however, and demands characterizations. To characterize this phenomenon we employed social constructivism and methodological individualism as a conceptual framework. Using an initial analysis grid taken from a literature review on the concepts of expert and expertise, we interviewed twelve patients socially acknowledged as having expert experience, as well as health professionals with whom they have contact in a variety of circumstances
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Gately, Claire. "The personal experience of the expert patients programme : a qualitative study." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.493980.

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Background; Long term conditions have been identified as causing increased demand on health services and there is much debate about how this demand can be managed. Formalsed lay-led self-care programmes are being introduced into the health systems of many industrialised countries as part of top-down policy initiatives that empower patients to manage their chronic condition. Self-care support in England is being introduced in the form of the Expert Patients Programme (EPP). This thesis aimed to examine the extent to which traditional outcome measures (e.g. self-efficacy, health service utilisation) captured the experiences of people taking part in a self-management programme.
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Mburu, Christine Wanjiru. "Enhancing home based care for HIV patients using an advisory expert system." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/6642.

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South Africa has one of the highest Human Immunodeficiency Virus (HIV) prevalence rates in the world. People living with HIV/AIDS experience many unrelieved symptoms. Nutritional care and support are important in preventing development of nutritional deficiencies. Home remedies can extend and improve the quality of their lives. Home remedies treatment involves eating healthy food, avoiding certain types of foods, psychological and emotional support and practicing hygiene to avoid skin infections (Sizani, Bandile; Nikiwe 2012). HIV/AIDS treatment and management strategies require ongoing management and support. In this research, we work with people from a clinic in Gugulethu Township in Western Cape, South Africa. The area has high prevalence of HIV (Ministry of health South Africa 2011). Most of the HIV patients in this area access medical information by walking long distances to the clinic. Most of these patients are poor and sometimes cannot afford to visit the clinic regularly for medical advice. In this township there is scarcity of health care workers (HCWs). The HCWs toil on many fronts to meet the enormous demand for the HIV/AIDS services but they are not able to meet the patients' needs. The aim of this research is to empower HIV-patients to self-manage the HIV-related symptoms which they experience. We investigated the way in which the HCWs deliver information to the patients. We interviewed the patients to understand what measures they take to manage the symptoms which they experienced. Consequently, we developed an advisory expert system to enhance Home-Based Care for HIV patients. An advisory expert system is defined as a computing system which is capable of representing and reasoning about some knowledge–rich domain, with a view to solving problems and giving advice (Gustafson et al. 1994). Since South Africa has high mobile phone penetration and most of the patients own them, we opted to use mobile phone as a tool to access the information provided by the advisory expert system. The system was then deployed at the clinic. We trained both HCWs and patients how to use the system. The findings were captured and reported after a six month deployment of the system. The results show that our system can be used as an effective tool to disseminate nutritional and psychological support information to HIV- patients in Gugulethu. The system is simple, yet practical. It helps the patients to self-manage the HIV-related symptoms which they experienced and at the same time, saves time and cost for both HCWs and the patients.
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Zhao, Ruilin 1972. "A model-based expert system for interpretation of hemodynamic data fro ICU patients." Thesis, Massachusetts Institute of Technology, 1997. http://hdl.handle.net/1721.1/10458.

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Amro, Raed. "Expert patient programme for recently diagnosed patients with chronic open angle glaucoma (COAG)." Thesis, City, University of London, 2013. http://openaccess.city.ac.uk/18125/.

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Chronic Open Angle Glaucoma (COAG) refers to a chronic progressive condition that is characterised by damage to the optic nerve, resulting in peripheral visual loss that can progress to involve the fovea and central vision; subsequently causing blindness. COAG is reported to have a poor level of adherence to treatment due to its asymptomatic nature. In this study, a Glaucoma Expert Patient Programme (GEPP) demonstrated new ways of improving patients' experience and adherence to COAG treatment. The research has employed an Information-Motivation-8ehavioural Skills Model to understand the association between knowledge, motivation and behavioural skills in an attempt to improve adherence amongst recently diagnosed patients. Patient participation was at the heart of every component of the study. In this research, four Expert Patients were trained and supported to deliver an educational programme (termed the GEPP) to 25 recently diagnosed patients with COAG (Intervention Group) and then a comparison was made to 25 participants (Control Group) that were also recently diagnosed with COAG but did not receive the educational programme. Three pre and post educational programme validated questionnaires were used to measure patients' knowledge, satisfaction and adherence at baseline and then discern changes at 1 month and 6 months follow up to the GEPP intervention. Staff (N = 10), Expert Patient (N = 4), Intervention Group (N=10) and Control Group (N=10) semi-structured interviews were also conducted to obtain deeper insight into their experiences of engaging in the programme. Data analysis indicated IMPROVING AWARENESS was the main theme that emerged supported by three subthemes: knowledge, satisfaction and adherence. This research has taken the Patient-Patient relationship to a higher level. It is viewed that the Expert Patients' experience is crucial and valuable to improving the experience, knowledge and adherence of newly diagnosed patients with COAG. The GEPP delineated in this study provided insight regarding individuals' life experiences of living with and managing chronic complex glaucoma. Implications for practice relate to the development of tailored educational programmes. This research contributed new knowledge to improving the adherence practices of glaucoma patients. It also demonstrated the value of Expert Patients' experience and their contribution to assisting newly diagnosed patients in self-managing their COAG.
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Dunning, Gemma Louise. "Acceptance and commitment therapy with chronic pain patients : using a Delphi study to gather an expert consensus on client language in relation to psychological flexibility." Thesis, University of Leeds, 2016. http://etheses.whiterose.ac.uk/13382/.

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Introduction: There is increasing research evidence to support the effectiveness of Acceptance and Commitment Therapy (ACT) in treating chronic pain, but relatively little on the hypothesised change processes thought to underlie it. ACT is rooted in a theory of human language and cognition and if an ACT intervention was successful, this should be reflected in a change in the language used by the patient when talking about their experience of pain. However, there is currently no clear understanding regarding the form these changes might take. Aim: The current study aimed to gather a consensus from experts in the fields of chronic pain and ACT regarding client language in relation to psychological flexibility, the key theoretical construct in ACT. The focus was to create a pool of statements thought to typify client language during therapy that reflects psychological in/flexibility and that could inform future outcome and process research. Method: Participants were recruited using a mixture of purposeful and snowball sampling to take part in a Delphi study. The study involved three iterative rounds of data collection and analysis. Quantitative and qualitative data analysis included simple descriptive statistics and thematic analysis respectively. Results: Participants generated 478 statements representing client language reflective of psychological in/flexibility in round one. Participants found it hardest to produce statements in relation to the ‘now as known’ processes. The item pool was reduced/amended on the basis of participant feedback in round two leaving 160 items for round three. A final item pool was obtained in round three using two different consensus cut-offs, and data was gathered on the process. Participants were often split in their decision making regarding statements inconsistent with the target processes, but offered several insights into hypothesised key characteristics of client language before and after successful ACT. Discussion: The results are contextualised within the wider literature. The strengths and limitations of the current study are explored. Finally, areas for future research and the clinical implications of the current study are considered.
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MacDonald, Kath. "Negotiating healthcare through partnership : an exploration of the perceived and observed factors that enable or inhibit partnership between young 'expert' patients with cystic fibrosis and the healthcare professionals with whom they interact." Thesis, Queen Margaret University, 2014. https://eresearch.qmu.ac.uk/handle/20.500.12289/7718.

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Since the late eighties healthcare policy has seen a shift from a paternalistic model of care to that of an inclusive partnership approach which encourages engagement, responsibility and self-management of long term conditions. This paradigm shift has given credence to the notion of the “expert patient” (EP); an individual with a long-term condition whose knowledge and skills are valued and utilised in partnership with healthcare professionals. However, there is debate as to the definition of the EP, and an assumption that all patients would want to adopt this role and a partnership model of care. There is also scepticism about the motivation behind the introduction of the EP and the perceived benefits of EP Programmes. This study aimed to explore how young “expert patients” living with cystic fibrosis (CF) and the healthcare professionals (HCPs) with whom they interact perceive partnership and negotiate care. Adopting a qualitative methodological strategy, informed by Interpretivism and Symbolic Interactionism, thirty three consultations were observed between eight patients, two accompanied by a carer and twelve healthcare professionals (HCPs). Following the observed sessions the eight patients, two carers and eleven HCPs were interviewed. Data were analysed thematically using the five stages of “Framework” a matrix-based analysis approach. Three major themes emerged from the data: experiences of partnership, attributes of the expert patient and constructions of illness. Multiple sub themes are also presented, including the power of the nurses, normalcy, the expert patient as navigator and the ceremonial order of the clinic. Implications for practice suggest the need for ground rules outlining both parties’ roles and responsibilities in partnership, a remodelling of the clinic format to ensure patient- centredness and a consideration of the role of decision tools and Telehealth in any new proposed model.
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Goswami, Bhavesh Dineshbhai. "Optimizing Cost and Data Entry for Assignment of Patients to Clinical Trials Using Analytical and Probabilistic Web-Based Agents." [Tampa, Fla.] : University of South Florida, 2003. http://purl.fcla.edu/fcla/etd/SFE0000202.

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Spence, James Michael. "A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157518/.

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The exponential growth in medical pharmaceuticals and related clinical trials have created a need to better understand the decision-making factors in the processes for developing hospital medication formularies. The purpose of the study was to identify, rank, and compare major factors impacting hospital formulary decision-making among three prescriber groups serving on a hospital's pharmacy and therapeutics (P&T) committee. Prescribers were selected from the University of Texas, MD Anderson Cancer Center which is a large, multi-facility, academic oncology hospital. Specifically, the prescriber groups studied were comprised of physicians, midlevel providers, and pharmacists. A self-administered online survey was disseminated to participants. Seven major hospital formulary decision-making factors were identified in the scientific literature. Study participants were asked to respond to questions about each of the hospital formulary decision-making factors and to rank the various formulary decision-making factors from the factor deemed most important to the factor deemed least important. There are five major conclusions drawn from the study including three similarities and two significant differences among the prescriber groups and factors. Similarities include: (1) the factor "pharmacy staff's evaluation of medical evidence including formulary recommendations" was ranked highest for all three prescriber groups; (2) "evaluation of medications by expert physicians" was ranked second for physicians and midlevel providers while pharmacists ranked it third; and (3) the factor, "financial impact of the treatment to the patient" was fifth in terms of hospital formulary decision-making statement and ranking by all three prescriber groups. Two significant differences include: (1) for the hospital-formulary decision making statement, "I consider the number of patients affected by adding, removing, or modifying a drug on the formulary when making hospital medication formulary decisions," midlevel providers considered this factor of significantly greater importance than did physicians; and (2) for the ranked hospital formulary decision-making factor, "financial impact of treatment to the institution," pharmacists ranked this factor significantly higher than did physicians. This study contributes to a greater understanding of the three prescriber groups serving on a P&T committee. Also, the study contributes to the body of literature regarding decision-making processes in medicine and specifically factors impacting hospital formulary decision-making. Furthermore, this study has the potential to impact the operational guidelines for the P&T committee at the University of Texas, MD Anderson Cancer Center as well as other hospitals.
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Kuo, C. H., and 郭志宏. "Development of A Nutritional Care Expert System for Diabetic Patients." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/35819547171393874110.

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碩士<br>輔仁大學<br>食品營養學系<br>83<br>This study is to develop an expert system for clinical dietitian in providing nutritional support to diabetic patients. An expert system shell (NEXPERT OBJECT) was adopted for this purpose.The system can record patients'' subjective and objective information,and simulate human experts'' reasoningprocess in making appropriate advices for nutritional care for diabetic patients. The system consists of two modules: nutritional assessment and nutritional plan. Functions of thesystem include assessment of nutritional status, assessment of weight change, evaluationof feeding problems,assessment of nutritionally pertinent medication, appraisal nutritional effects of diseases or surgeries, estimation of nutritional requirements and estimation of protein and calorie requirements. This system can be used to improve coordination of medical care teams, and be used as a learning tool for nutrition-major students.
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Books on the topic "Patients-expert"

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Expert Advisory Group on AIDS. AIDS-HIV infected health care workers: Practical guidance on notifying patients : recommendations ofthe Expert Advisory Group on AIDS. BAPS Health Promotion Unit, 1993.

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Great Britain. Department of Health. AIDS-HIV infected health care workers: Practical guidance on notifying patients : recommendationsof the Expert Advisory Group on AIDS. HMSO, 1993.

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Expert Advisory Group on AIDS. AIDS-HIV infected health care workers: Practical guidance on notifying patients : recommendations of the Expert Advisory Group on AIDS. Health Publications Unit, 1993.

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Expert Advisory Group on AIDS. AIDS-HIV infected health care workers: Practical guidance on notifying patients : recommendations of the Expert Advisory Group on AIDS. Scottish Office Home and Health Department, 1993.

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Finding your way through cancer: An expert cancer psychologist helps patients and survivors face the challenges of illness : based on the author's pioneering work with more than 7,500 patients. Celestial Arts, 2010.

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Fatal red poppies: Notes of a doctor, drug and alcohol abuse expert, about meetings with police, drug dealers, patients, doctors and politicians on five continents. Medical Press, 2003.

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C, Lowe John. Documentary evidence: The chiropractic care of myofascial patients. McDowell Pub., 1991.

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Can the cardiac stand trial? Hemisphere Pub. Corp., 1987.

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Integrating individual and family therapy. Brunner/Mazel Publishers, 1992.

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Rehabilitation after cardiovascular diseases, with special emphsis on developing countries: Report of a WHO expert committee. World Health Organization, 1993.

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Book chapters on the topic "Patients-expert"

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Dankel, Douglas D., and María Ósk Kristmundsdóttir. "REPS: A Rehabilitation Expert System for Post-stroke Patients." In Artificial Intelligence in Medicine. Springer Berlin Heidelberg, 2005. http://dx.doi.org/10.1007/11527770_13.

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Alić, Berina, Lejla Gurbeta, Almir Badnjević, et al. "CLASSIFICATION OF METABOLIC SYNDROME PATIENTS USING IMPLEMENTED EXPERT SYSTEM." In IFMBE Proceedings. Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-4166-2_91.

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Hunter, John G., and Joseph M. Drosdeck. "Expert Commentary: Surveillance Versus Ablation for Patients with Low-Grade Dysplasia." In The SAGES Manual of Foregut Surgery. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-96122-4_31.

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Giron, A., M. George, P. Jan, et al. "An Expert System for Diagnosis and Therapy Planning in Patients with Ovarian Cancer." In Expert Systems and Decision Support in Medicine. Springer Berlin Heidelberg, 1988. http://dx.doi.org/10.1007/978-3-642-48706-4_36.

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Norman, G. R., L. R. Brooks, J. P. W. Cunnington, V. Shali, M. Marriott, and G. Regehr. "Expert-Novice Differences in the Use of History and Visual Information from Patients." In Advances in Medical Education. Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-4886-3_189.

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Talmon, Jan L., Ruud A. J. Schijven, Peter J. E. H. M. Kitslaar, and Renée Penders. "An Expert System for Diagnosis and Therapy Planning in Patients with Peripheral Vascular Disease." In AIME 87. Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-95549-5_5.

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Pereira Neto, André, Julyane Felipette Lima, Leticia Barbosa, and Eda Schwartz. "Internet, Expert Patient, and Empowerment: Activity Profiles in Virtual Communities of Chronic Kidney Patients." In The Internet and Health in Brazil. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-99289-1_6.

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Larson, Donna E. "Development of a Microcomputer-Based Expert System to Provide Support for Nurses Caring for AIDS Patients." In Nursing and Computers. Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-2182-1_81.

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Mascitelli, Justin, Asha Iyer, and Joshua Bederson. "Postoperative Neurosurgical Patients." In Mount Sinai Expert Guides. John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118621042.ch42.

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Luukka, Pasi. "A Classification Method Based on Similarity Measures of Generalized Fuzzy Numbers in Building Expert System for Postoperative Patients." In Advances in Experimental Medicine and Biology. Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-5913-3_1.

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Conference papers on the topic "Patients-expert"

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Pizzi, Nicolino J., Sandhya Kapoor, and Jon M. Gerrard. "Hematology Expert System (HES) For Tonsillectomy/Adenoidectomy Patients." In SPIE 1989 Technical Symposium on Aerospace Sensing, edited by Mohan M. Trivedi. SPIE, 1989. http://dx.doi.org/10.1117/12.969339.

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Mburu, C., A. Mbogho, and H. Lee. "Ehealth advisory expert system for HIV/AIDS patients in South Africa." In 7th International Conference on Appropriate Healthcare Technologies for Developing Countries. Institution of Engineering and Technology, 2012. http://dx.doi.org/10.1049/cp.2012.1467.

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Kail, E., S. Khoor, K. Fugedi, et al. "Expert system for phonocardiographic monitoring of heart failure patients based onwavelet analysis." In Computers in Cardiology, 2005. IEEE, 2005. http://dx.doi.org/10.1109/cic.2005.1588234.

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Zeng, Yuqun, Xusheng Liu, Liwei Wang, Hongfang Liu, and Yanshan Wang. "Answering diabetic patients' questions using expert-vetted online resources: A case study." In 2016 IEEE International Conference on Bioinformatics and Biomedicine (BIBM). IEEE, 2016. http://dx.doi.org/10.1109/bibm.2016.7822575.

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León, L., M. Redondo, A. Fernández-Nebro, et al. "FRI0739-HPR Expert recommendations on psychological needs of patients with rheumatoid arthritis." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.6314.

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Grünig, E., H. Gall, M. Hoeper, et al. "Safety of Riociguat in Patients Receiving Concomitant Prostanoids: Data from the EXPERT Registry." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a2038.

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Farruggia, Alfonso, Luca Agnello, Patrizia Toia, et al. "A Novel Expert System for Non-invasive Liver Iron Overload Estimation in Thalassemic Patients." In 2014 Eighth International Conference on Complex, Intelligent and Software Intensive Systems (CISIS). IEEE, 2014. http://dx.doi.org/10.1109/cisis.2014.16.

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Radovanovic, Zoran, Aleksandar Rikalovic, Nebojsa Ralevic, Zdravko Tesic, Nenad Simeunovic, and Bojana Bajic. "Fuzzy Expert System for Risk Assessment After Nipple-Sparing Mastectomy in Breast Cancer Patients." In IEEE EUROCON 2019 -18th International Conference on Smart Technologies. IEEE, 2019. http://dx.doi.org/10.1109/eurocon.2019.8861983.

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Moret-Bonillo, Alonso-Betanzos, and Truemper. "Patricia: An Expert System That Incorporates A Patient-oriented Approach For The Management Of Icu Patients." In Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.594629.

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Moret-Bonillo, Vicente, Amparo Alonso-Betanzos, Edward J. Truemper, Esteban Garcia Martin, and Alejandro Pazos Sierra. "PATRICIA: An expert system that incorporates a patient-oriented approach for the management of ICU patients." In 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.5761287.

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