Early identification of children with developmental disabilities, as well as early childhood intervention (ECI), improves children's opportunities to maximise their developmental potential and functioning as well as their quality of life and social participation.40,41 Early identification and intervention are two distinct complementary strands; timely identification of children with developmental disabilities is required for early intervention, which strengthens the cumulative process of development, helping children acquire new skills and behaviours to reinforce and strengthen learning. In addition, some ECIs may have wider benefits for caregivers, such as through establishing support, thus helping build their knowledge, confidence and coping strategies,32 with positive impacts for their mental health. However, data are lacking from LMICs and there is a paucity of implementation evidence to guide policymakers and donors.33
To complete this installation you will need a copy of the Ubuntu Linux Server 16.04 installation media. You can obtain the latest version as a DVD image (ISO) which can be used for this installation at www.ubuntu.com/download/server. Be sure to select the Ubuntu Linux Server edition as the desktop version uses a graphical installer.
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The study focuses on the follow-up management of patients with congenital cataract (CC), a typical chronic condition characterized by high long-term risk of two main complications: high intraocular pressure (IOP)15 and visual axis opacification (VAO)16. Rigorous follow-up care and timely intervention are necessary to prevent the irreversible and permanent loss of vision caused by these complications17. Therefore, CC is an ideal test case for exploring follow-up management strategies for chronic conditions.
Users login to the website and input the necessary prediction metrics to obtain the risk-stratification output (occurrence of VAO and/or high IOP) (Supplementary Fig. 3a). Doctors can assign an individual follow-up plan using the smartphone app (doctor portal) (Supplementary Fig. 3b). Patients will receive individual follow-up schedules and can check these schedules using the smartphone app (patient portal) (Supplementary Fig. 3c). Interaction between patients and CCPMOH is enabled through either the website or the app. Doctors can also reschedule individual plans if necessary. During the follow-up process, users can upload their follow-up examination results to the website and obtain an intervention decision in a timely manner (Supplementary Fig. 3d). The algorithm embedded in this app is the same as the one in following validations.
A compatible mechanism to promote the real-world clinical application of CC-Guardian to the follow-up management is highly desirable. Therefore, we created a prediction-telehealth cloud platform for the CC-Guardian smartphone app. As shown in Fig. 5, when a potential patient registers at the specialized care center (CCPMOH), their clinical metrics (valuable for the prediction module) are collected with their permission and immediately sent to the CC-Guardian website for complication prediction. Based on the prediction results, the dispatching module individually determines a follow-up schedule and sends an SMS to remind the patient in a timely manner. Patients can complete their regular follow-up examinations in primary care hospitals (telehealth follow-up examination) and upload their examination results to the web-based telehealth module. If the telehealth module recommends intervention, a fast-track notification system is triggered, and an emergency notification is sent to doctors at CCPMOH for immediate confirmation. Such patients will be informed that they should undergo intervention to manage their complications. Instructions for using the prediction-telehealth cloud platform are provided in Supplementary Video 1.
When potential patients register at the specialized care center (CCPMOH), their clinical metrics (valuable for the prediction module) are collected with their permission and immediately uploaded to the CC-Guardian cloud platform for complication prediction. Based on the prediction results, the dispatching module designs an individualized follow-up schedule and sends a short message to notify each corresponding patient in a timely manner. Patients can complete their regular follow-up in primary care hospitals and upload their examination results to the web-based telehealth module. If the telehealth module recommends intervention, the fast-track notification system is triggered, and an emergency notification is sent to doctors at the specialized care center (CCPMOH) for immediate confirmation. These patients are informed that they should undergo intervention to manage complications after confirmation.
This will ensure that your x360Recover devices are updated with the latest software enhancements in a timely fashion, and that the x360Recover Support team will have a short window of time to access and repair any troublesome devices without requiring user intervention.
In this era of automation, it is often required that we execute multiple scripts repeatedly in a timely fashion. These scripts can be used to back up an existing database, delete extra log files, process data from a table, drop and rebuild indexes on a table, or running an ETL job etc. All these tasks are repetitive and can be automated using the SQL Server Agent. This gives us the flexibility that the job will be executed as per the rules defined in the schedule and there is minimal human intervention required in order to execute these jobs. Once the jobs are executed, you can view the history if the execution was successful or failed. In case of a failure, there is an option to restart the job manually.
Thanks once again Ken for your timely intervention and for all the very very useful information. I will start trashing around on those ideas straight away and get back to you. I really had no idea that error codes can be decyphered that easily. 2ff7e9595c
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