A Study of The Feasibility of Establishing a Legal and Court Interpretation Service in Cook County, Illinois

The purpose of this study is to explore the feasibility of establishing a Legal and Court Interpreting Service, modeled upon Heartland Alliance's successful Medical Interpreting Services program. As conceptualized, the Legal and Court Interpreting Service would benefit Chicago's immigrant and refugee population in two ways: providing needed language interpretation services in the legal and court system of Cook County and offering employment opportunities for immigrants and refugees

Next Generation M2M Cellular Networks: Challenges and Practical Considerations

In this article, we present the major challenges of future machine-to-machine (M2M) cellular networks such as spectrum scarcity problem, support for low-power, low-cost, and numerous number of devices. As being an integral part of the future Internet-of-Things (IoT), the true vision of M2M communications cannot be reached with conventional solutions that are typically cost inefficient. Cognitive radio concept has emerged to significantly tackle the spectrum under-utilization or scarcity problem. Heterogeneous network model is another alternative to relax the number of covered users. To this extent, we present a complete fundamental understanding and engineering knowledge of cognitive radios, heterogeneous network model, and power and cost challenges in the context of future M2M cellular networks

Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia

Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials

Ultra wideband: applications, technology and future perspectives

Ultra Wide Band (UWB) wireless communications offers a radically different approach to wireless communication compared to conventional narrow band systems. Global interest in the technology is huge. This paper reports on the state of the art of UWB wireless technology and highlights key application areas, technological challenges, higher layer protocol issues, spectrum operating zones and future drivers. The majority of the discussion focuses on the state of the art of UWB technology as it is today and in the near future

Performance Measures Using Electronic Health Records: Five Case Studies

Presents the experiences of five provider organizations in developing, testing, and implementing four types of electronic quality-of-care indicators based on EHR data. Discusses challenges, and compares results with those from traditional indicators

Service providers' adherence to methadone maintenance treatment protocol in China.

BACKGROUND:Methadone maintenance treatment (MMT) programs have expanded rapidly in China during the last decade. However, variance in service providers' practice may have an impact on the quality of care received by the patients. This study examined Chinese service providers' adherence to the MMT protocol and its associated factors. METHODS:The study used baseline data from a randomized intervention trial implemented in MMT clinics in five provinces of China. The data were collected from January 2012 to August 2013. A total of 418 service providers from 68 MMT clinics participated in the study. Demographic and job-related characteristics were collected. The providers' adherence to the MMT protocol, MMT knowledge, negative attitudes towards people who use drugs (PWUD), and perceived institutional support were assessed. RESULTS:The average adherence score was 36.7 ± 4.3 (out of 9-45). Fewer providers adhered to the protocol items where communications with patients or families were required. After controlling for potential confounders, adherence to the MMT protocol was positively associated with perceived institutional support (standardized β = 0.130; p = 0.0052), and negatively associated with prejudicial attitudes towards PWUD (standardized β = -0.357; p < 0.0001). Reception of national-level MMT training was not associated with higher level of adherence to protocol. CONCLUSION:The findings suggest the potential benefits of providing institutional support to MMT providers to enhance their level of adherence to the MMT protocol. Intervention effort is needed to reduce negative attitudes towards PWUD among MMT service providers to achieve greater consistency with best-practice recommendations