The Bulgarian MVSP – Platform and its application in the medical research How the Virtual Patient...

The Bulgarian MVSP – Platform and its application in the medical

research

How the Virtual Patient

(VP) can be used in a

research in the field of

medicine.

Questions of the Physician

Patient’s answers and coments

Bulgarian language

Simulation of Patients - with different diseases - with combinations of diseases - with diseases, effected by negative factors (environmental pollutants, negative habits) - with different education’s level and from different ethnic descent.

МногоезиченВиртуалноСимулиранПациент


Advantages:• Direct contact with the patient.• Fast application of a treatment protocol.

Disadvantages:• Patients with the disease of interest

may not be available in the clinic.• Many of the patients suffer from

combination of diseases.• Sometimes the patient or his relatives

do not agree to participate in the scientific experiment.

• Risk for the patient if wrong diagnosis and/or wrongly applied treatment protocol.


Advantages:

•No necessity to search for patient in the clinics.

•No problems related with permission of the patient or his/her relatives fo participate in the research.

•No problem with accompanying diseases.

Disadvantages:•One has to set a meeting with the actor.

•Limited number of actors with particular disease.

•High cost of the interview with actor.

•Limited period of time for communication with the actor.

•If the interview is via Skype, requirements to the computer skills, hardware and software.

•Requirements for high-speed and stable internet- connection.


Предимства:

•Не се налага да се търси подходящ пациент.

•Отпадат проблемите, свъразни с изискванията за информирано съгласие на пациента или близките му.

•Отпадат проблемите с наличието на съпътстващи заболявания.

•Възможност за неограничено време за общуване с пациента, в удобен за лекаря момент.

Недостатъци:

•Изисква се интервюиращият да има компютърна грамотност

•Има изисквания към софтуера на компютъра

•Изисква се наличие на бърза и стабилна интернет-връзка със сървъра.

Go to the Virtual Patient’s website (http://ic2.ugr.es:8080/MVSP_WS/start ).

Who to work with the Bulgarian Virtual

Patient:

Choose the language

Choose the disease

Click here

This is the main menu of the MVSP


Choose“Bulgarian Native”

or“Bulgarian Non-Native”

In the “Diseases” window choose a

Disease

Access

Field for questions

Dialog field

Field for mimics and emotional

expressions of the Patient


How to change the Disease?

Go back to the Main screen of the MVSP.

In the window for Diseases, choose the

new Disedse.

Access


What MVSP can do?

At each re-enter in the VP-dialog screen brings a new VP:


All VPs with same Disease reveal symptoms of the same groupno matter of variations.

Example: Upper Respiratory Tract Infection (URTI):

I suffocate from almost 10 days, Doctor. The inability to breath is not too strong. But I have a cough.

I have expectoration. I havwe a cough from 13 дни, Doctor. Since wto weeks I hear noises when breathing. I suffocate.

I feel pain in the parietal bone area. I don’t suffer from smell loss. But I have difficulty to breath at rest.


The education level and ethnic descend of the Patient can be varied within the same Disease:

Example: Upper Respiratory tract Infection:

I have pain in the fce, and guju kajbi around the cheekbone. It’s stifling. I’m sweaty. (ethnic Turk, not well educated)

Yeah. Hurt me muzzle. Right cheekbone hurts me. My year hurts too. But it hurts slightly. (low educated Bulgarian)

I have a smell loss. I have expectoration. And I have cold in the head. (ethnic Bulgarian, well educated)


Do you have unusual sweating?

Yes. I suffer from sweating. Seems yes. Frequently as dust in the wind.

Yes. I have an unusual sweating from 2-3 weeks.

Yes.

Yes, Doctor. Water flows from me.

Va, isi man. Sapanisarel.(completely Gipsy expression)

Native Non-Native


How strong the unusal sweating is?

Strong. Ter, and very nasty. (mixture or turkish and Bulgarian)

A lot.

I’m sweating as a bore, and badly too.

I sweat. Unbearable.

I’m sweating. Too much.

Native Non-Native


Is this unusual sweating from long ago?

I have a hypersweating from two weeks.

I’ having terledime almost half a month. (Mixture ov Bulgarian and Gipsy)

I’m sweating from last Friday.

I have a sweat from last ten days.

I am sweating from 2-3 weeks..

From three weeks.

Native Non-Native


How frequent the unusual sweating is?

Rarely. Rain wind.

Very rarely.

I’m having sweat, but from time to time.

In rear ocasions.

Sometimes I am experiencing sweating.

Native Non-Native


The VP allows modeling the effect of a bad habits on a disease:

Often I am loosing taste on my tongue. I have a smell loss. I have no appetite. I have expectorations. This happens to me frequently

Smoker:

I have pain in my chest when breathing. I suffocate. I have expectorations.

Asthmatic patient:

I have cough. I have a wheezing chest. If moving, I feel pain in the ribs.

50%asthma+50% smoker


Всички ВП отговарят повече или по-малко адекватно на въпросите на лекаря, имитирайки хора с различно ниво на образование и етнос:

ПРИМЕР: Имате ли хрема?

Евет. Фана ме соук. Да. Оплаквам се от хрема. .

Да. Усещам хрема от около три седмици.


Virtual Patients with different doseases show different groups of symptoms:

I am in a bad mood. I urinate very frequently. I am always thirsty.

Diabetes:

I have pain in the chest when moving. I don’t have anough air. I have expectorations.

Asthma:

I have lost my taste. I have no appetite. I feel like this frequently. I have a serious smell loss too.

URTI-patient


To develop more smooth dialog between Doctor and Patient.What has to be done?

To increase the diversity of Diseases and their combinations.

To expand the modeling of the effects of various factors:

Bad habits;Environmental polution.

To adapt the MVSP to the needs of the training and self-education of larger varieties of groups of health-care specialists.


Очакваме Вашата писмена оценка.Вашите забележки и препоръки за важни за нас!

Благодарим за времето, което ни отделихте!

Българският екип

Ви пожелава ползотворна работа

С Виртуалния Пациент!

The Bulgarian MVSP – Platform and its application in the medical research How the Virtual Patient...

Documents

Transcript of The Bulgarian MVSP – Platform and its application in the medical research How the Virtual Patient...