In the information age,electronic documents(e-documents)have become a popular alternative to paper documents due to their lower costs,higher dissemination rates,and ease of knowledge sharing.However,digital copyright ...In the information age,electronic documents(e-documents)have become a popular alternative to paper documents due to their lower costs,higher dissemination rates,and ease of knowledge sharing.However,digital copyright infringements occur frequently due to the ease of copying,which not only infringes on the rights of creators but also weakens their creative enthusiasm.Therefore,it is crucial to establish an e-document sharing system that enforces copyright protection.However,the existing centralized system has outstanding vulnerabilities,and the plagiarism detection algorithm used cannot fully detect the context,semantics,style,and other factors of the text.Digital watermark technology is only used as a means of infringement tracing.This paper proposes a decentralized framework for e-document sharing based on decentralized autonomous organization(DAO)and non-fungible token(NFT)in blockchain.The use of blockchain as a distributed credit base resolves the vulnerabilities inherent in traditional centralized systems.The e-document evaluation and plagiarism detection mechanisms based on the DAO model effectively address challenges in comprehensive text information checks,thereby promoting the enhancement of e-document quality.The mechanism for protecting and circulating e-document copyrights using NFT technology ensures effective safeguarding of users’e-document copyrights and facilitates e-document sharing.Moreover,recognizing the security issues within the DAO governance mechanism,we introduce an innovative optimization solution.Through experimentation,we validate the enhanced security of the optimized governance mechanism,reducing manipulation risks by up to 51%.Additionally,by utilizing evolutionary game analysis to deduce the equilibrium strategies of the framework,we discovered that adjusting the reward and penalty parameters of the incentive mechanism motivates creators to generate superior quality and unique e-documents,while evaluators are more likely to engage in assessments.展开更多
Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;...Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .展开更多
目的:研究当前国内电子递交制度在药品注册全生命周期管理中的应用现状,分析面临的挑战,提出完善我国电子递交制度的建议。方法:采用文献研究和比较研究等方法,回顾并对比分析国内电子递交制度的发展历程及实施现状,结合我国实际情况,...目的:研究当前国内电子递交制度在药品注册全生命周期管理中的应用现状,分析面临的挑战,提出完善我国电子递交制度的建议。方法:采用文献研究和比较研究等方法,回顾并对比分析国内电子递交制度的发展历程及实施现状,结合我国实际情况,提出针对性的改进建议。结果与结论:我国的电子递交存在电子通用技术文档(electronic common technical document,eCTD)递交与非eCTD递交2种形式,目前处于两者并行的过渡阶段。但在实施过程中仍面临申请事项递交格式标准不统一、省级药品监管机构接收和审阅eCTD能力不足等问题。针对这些问题,本文提出了以下具体措施:①深化eCTD改革的进程,扩大实施范围。②强化药品从上市前到上市后管理的有效衔接。③加速药品全生命周期文件递交的标准化。通过这些措施的实施,以期加速推进我国药品注册申报全面电子化的进程,从而提升审评审批的效率与质量。展开更多
基金This work is supported by the National Key Research and Development Program(2022YFB2702300)National Natural Science Foundation of China(Grant No.62172115)+2 种基金Innovation Fund Program of the Engineering Research Center for Integration and Application of Digital Learning Technology of Ministry of Education under Grant Number No.1331005Guangdong Higher Education Innovation Group 2020KCXTD007Guangzhou Fundamental Research Plan of Municipal-School Jointly Funded Projects(No.202102010445).
文摘In the information age,electronic documents(e-documents)have become a popular alternative to paper documents due to their lower costs,higher dissemination rates,and ease of knowledge sharing.However,digital copyright infringements occur frequently due to the ease of copying,which not only infringes on the rights of creators but also weakens their creative enthusiasm.Therefore,it is crucial to establish an e-document sharing system that enforces copyright protection.However,the existing centralized system has outstanding vulnerabilities,and the plagiarism detection algorithm used cannot fully detect the context,semantics,style,and other factors of the text.Digital watermark technology is only used as a means of infringement tracing.This paper proposes a decentralized framework for e-document sharing based on decentralized autonomous organization(DAO)and non-fungible token(NFT)in blockchain.The use of blockchain as a distributed credit base resolves the vulnerabilities inherent in traditional centralized systems.The e-document evaluation and plagiarism detection mechanisms based on the DAO model effectively address challenges in comprehensive text information checks,thereby promoting the enhancement of e-document quality.The mechanism for protecting and circulating e-document copyrights using NFT technology ensures effective safeguarding of users’e-document copyrights and facilitates e-document sharing.Moreover,recognizing the security issues within the DAO governance mechanism,we introduce an innovative optimization solution.Through experimentation,we validate the enhanced security of the optimized governance mechanism,reducing manipulation risks by up to 51%.Additionally,by utilizing evolutionary game analysis to deduce the equilibrium strategies of the framework,we discovered that adjusting the reward and penalty parameters of the incentive mechanism motivates creators to generate superior quality and unique e-documents,while evaluators are more likely to engage in assessments.
文摘Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .
文摘目的:研究当前国内电子递交制度在药品注册全生命周期管理中的应用现状,分析面临的挑战,提出完善我国电子递交制度的建议。方法:采用文献研究和比较研究等方法,回顾并对比分析国内电子递交制度的发展历程及实施现状,结合我国实际情况,提出针对性的改进建议。结果与结论:我国的电子递交存在电子通用技术文档(electronic common technical document,eCTD)递交与非eCTD递交2种形式,目前处于两者并行的过渡阶段。但在实施过程中仍面临申请事项递交格式标准不统一、省级药品监管机构接收和审阅eCTD能力不足等问题。针对这些问题,本文提出了以下具体措施:①深化eCTD改革的进程,扩大实施范围。②强化药品从上市前到上市后管理的有效衔接。③加速药品全生命周期文件递交的标准化。通过这些措施的实施,以期加速推进我国药品注册申报全面电子化的进程,从而提升审评审批的效率与质量。
