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Articles 2971 - 3000 of 3246

Full-Text Articles in Health Information Technology

Willow: Reaching Hiv-Positive African-American Women Through A Computer-Delivered Intervention, Charles H. Klein Nov 2013

Willow: Reaching Hiv-Positive African-American Women Through A Computer-Delivered Intervention, Charles H. Klein

Anthropology Faculty Publications and Presentations

This study evaluates the efficacy of Multimedia WiLLOW in enhancing HIV-protective sexual behaviors and psychosocial outcomes among HIV-positive African American women, including condom use for vaginal and anal sex, and psychosocial mediators associated with risk reduction practices. Using a community-based randomized controlled design, 168 participants completed a baseline and follow-up assessment as well as an exit satisfaction survey. Intervention participants reported significantly higher proportions of condom protected sex acts in the past 30 days (p=.002), with both HIV-negative (p=.040) and HIV-positive (p=.003) partners. They were also more likely to report 100% condom use (OR = .10; p=.030); a lower adjusted …

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The Predictive Value Of Renal Ultrasound Of Vesicoureteral Reflux After First Urinary Tract Infection In Neonates And Infants 0-24 Months, Richard J. Mazzaccaro Md, Michael J. Weiss Mph Oct 2013

The Predictive Value Of Renal Ultrasound Of Vesicoureteral Reflux After First Urinary Tract Infection In Neonates And Infants 0-24 Months, Richard J. Mazzaccaro Md, Michael J. Weiss Mph

Department of Pediatrics

No abstract provided.

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Flexiterm: A Flexible Term Recognition Method, Irena Spasić, Mark Greenwood, Alun Preece, Nick Francis, Glyn Elwyn Oct 2013

Flexiterm: A Flexible Term Recognition Method, Irena Spasić, Mark Greenwood, Alun Preece, Nick Francis, Glyn Elwyn

Dartmouth Scholarship

Background: The increasing amount of textual information in biomedicine requires effective term recognition methods to identify textual representations of domain-specific concepts as the first step toward automating its semantic interpretation. The dictionary look-up approaches may not always be suitable for dynamic domains such as biomedicine or the newly emerging types of media such as patient blogs, the main obstacles being the use of non-standardised terminology and high degree of term variation.

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The Advanced Practice Nurse And Patient-Centered Medical Home: Maintaining Patient Focus, Meeting The Institute For Healthcare Improvement Triple Aim Through The Electronic Health Record, Aileen Teresa Twomey Oct 2013

The Advanced Practice Nurse And Patient-Centered Medical Home: Maintaining Patient Focus, Meeting The Institute For Healthcare Improvement Triple Aim Through The Electronic Health Record, Aileen Teresa Twomey

Seton Hall University DNP Final Projects

The Federal Government enacted the Heath Information Technology for Economic and Clinical Health Act (HITECH) in 2009, which incentivized providers to use electronic health records (EHR) for meaningful use (MU); the Patient-Centered Medical Home (PCMH) stems from the Act. Research by the National Council on Quality Assurance (NCQA) shows that primary care practices have a positive influence on the health of patients, families and communities. These positive influences are related to their ability to deliver first-contact access, and to develop long-term therapeutic relationships that focus on the person rather than the disease, improving patient health outcomes and reducing health care …

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Analytical Methods For Planning And Scheduling Daily Work In Inpatient Care Settings: Opportunities For Research And Practice, Laila Cure Ph.D. Oct 2013

Analytical Methods For Planning And Scheduling Daily Work In Inpatient Care Settings: Opportunities For Research And Practice, Laila Cure Ph.D.

Transactions of the International Conference on Health Information Technology Advancement

This article identifies current challenges in the planning and execution of daily work in inpatient care settings. Inadequate planning of the processes and resources associated with inpatient care services may negatively affect their effectiveness. It may also lead to burnout of healthcare workers when the resulting work plan is unknowingly infeasible or does not incorporate the necessary human factors considerations. This paper provides with an overview of current research on inpatient care workflow planning, as well as with directions for researchers and practitioners to advance this problem using a combination of human factors engineering and analytical methods.

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The Principles Of Good Health Care In The U.S. In The 2010s, Andrew S. Targowski Oct 2013

The Principles Of Good Health Care In The U.S. In The 2010s, Andrew S. Targowski

Transactions of the International Conference on Health Information Technology Advancement

The purpose of this investigation is to define the principles of good health in the U.S. in the 21st century. The interdisciplinary, civilizational methodology is applied to establish roots of this health care at the national level. Among findings are; well-being of Americans” is the constitutional opportunity of an American, good health of Americans is a constituent of their well-being, basic health care should be perceived as the controlled right of a citizen. Human and societal wisdom requires mentally healthy people. Human and societal wisdom requires well educated citizens. The state of health care of the Americans is in a …

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Digital Illness Narratives: A New Form Of Health Communication, Jofen Han, Jo Wiley Oct 2013

Digital Illness Narratives: A New Form Of Health Communication, Jofen Han, Jo Wiley

Transactions of the International Conference on Health Information Technology Advancement

Social media has dramatically affected the way information is accessed and circulated. Social networking sites continue to create on-line communities where every participant plays an active role in seeking and sharing information. While social networks have profoundly impacted different industries in terms of communication between business-to-business and business-to-consumer interaction, they also have had significant impact on many stakeholders in the healthcare communication system. This report describes how a non-profit social networking site called CaringBridge can help patients communicate about their health challenges and gain support though their writings. When traditional “Illness Narratives” (a patient’s reflective writing about his/her illness) become …

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Predictive Modeling In Post-Reform Marketplace, Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, Morgan C. Wang Oct 2013

Predictive Modeling In Post-Reform Marketplace, Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, Morgan C. Wang

Transactions of the International Conference on Health Information Technology Advancement

Healthcare reform changes everything. Annual and lifetime dollar limits, underwriting, and preexisting condition exclusion will all be eliminated by 2014. Insurers must offer coverage to any individual regardless of their health status. An overwhelming majority of those who will be mandated to purchase individual insurance is currently uninsured or under-insured. Insurers have insufficient internal data to estimate costs for this new population. A study on how to apply predictive modeling to deal with risks and uncertainties facing healthcare industry in the post-reform marketplace is presented in this article.

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Health Information Technology In American Medicine: A Historical Perspective, Kenneth A. Fisher Oct 2013

Health Information Technology In American Medicine: A Historical Perspective, Kenneth A. Fisher

Transactions of the International Conference on Health Information Technology Advancement

Medical care has had great advances during and especially after the 19th century. With these advances has come the moral imperative to provide care to all in a nation regardless of the ability to pay. One of the great dilemmas of our time is how to provide this care without consuming other national priorities. There exists a debate between government-centered or patient-centered models of care and how electronic medical records could facilitate this process.

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Relationships, Caring, And Near Misses: Michael’S Story, Sharie Falan, Bernard Han Oct 2013

Relationships, Caring, And Near Misses: Michael’S Story, Sharie Falan, Bernard Han

Transactions of the International Conference on Health Information Technology Advancement

Health care errors are costly to both patients, insurance companies, and put additional strain on existing resources. This research paper is a case study about a patient’s experience in health care with the electronic health care record and the information used to deliver care. This case study will demonstrate that although the electronic health care record does provided information, the information contained within it can be confusing, contribute to health care errors, near misses, and may have an impact on health provider relationships with patients. Information and systems issues are identified with recommendations to help avert health care errors and …

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Theoretical, Methodological And Practical Challenges In Designing Formative Evaluations Of Personal Ehealth Tools, Michael S. Dohan, Joseph Tan Oct 2013

Theoretical, Methodological And Practical Challenges In Designing Formative Evaluations Of Personal Ehealth Tools, Michael S. Dohan, Joseph Tan

Transactions of the International Conference on Health Information Technology Advancement

This article describes the challenges experienced in designing a formative evaluation of a mobile personal eHealth tool for disease symptom tracking, in the context of Inflammatory Bowel Diseases management. As this unique context is characterized by regular visits with physicians, and the need to report disease activity to the physician, a mixed methodology is used to assess the fit of the technology to the context, and a multilevel model is used to evaluate theoretical links between patient and physician. Other issues include selection of sampling techniques, recruitment, and preventing study attrition by participants.

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Data Interoperability And Information Security In Healthcare, Reid Berryman, Nathan Yost, Nicholas Dunn, Christopher Edwards Oct 2013

Data Interoperability And Information Security In Healthcare, Reid Berryman, Nathan Yost, Nicholas Dunn, Christopher Edwards

Transactions of the International Conference on Health Information Technology Advancement

Interoperability represents the accurate exchange of information and the use of the information for effective decision making. For information exchange to be interoperable, it must be widely interpretable between multiple information systems. At a more granular level, it focuses on the accuracy, consistency and reliability of information exchanged between systems. The healthcare industry has defined many problems when it comes to the best practice of interoperability. Technical, financial, and managerial barriers are present that produce large scale complex problems for the whole industry. Although, a variety of potential solutions have been developed. Some have even been implemented already focusing on …

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What Is Your Informatics Skills Level? --The Reliability Of An Informatics Competency Measurement Tool, Xiaomeng Sun, Sharie Falan Oct 2013

What Is Your Informatics Skills Level? --The Reliability Of An Informatics Competency Measurement Tool, Xiaomeng Sun, Sharie Falan

Transactions of the International Conference on Health Information Technology Advancement

To determine the reliability of the nursing informatics self- assessment tool which was developed and extended from Kaminski’s assessment tool among health care students. It was hypothesized that there would be no significant difference in participant responses for a test/retest survey completed by nursing students.

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Mobile Health Information Technology And Patient Care: Methods, Themes, And Research Gaps, Bahae Samhan, Majid Dadgar, K. D. Joshi Oct 2013

Mobile Health Information Technology And Patient Care: Methods, Themes, And Research Gaps, Bahae Samhan, Majid Dadgar, K. D. Joshi

Transactions of the International Conference on Health Information Technology Advancement

The focus of the healthcare industry on delivering Patient-Centered Care (PCC) using Mobile Health Information Technologies (MHIT) is rapidly increasing, yet this critical area is still under-researched in the IS/IT literature despite the fact that mobile devices and their applications are widely spread and are likely to change the way of using and applying healthcare services. In this study we further analyze the literature reviewed in Dadgar et al (2013) to uncover research gaps in the area of MHIT which needs further attention. This work posits a preliminary research agenda, in forms of gaps, which can help propel future work …

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A Balanced Perspective To Perioperative Process Management Aligned To Hospital Strategy, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis Oct 2013

A Balanced Perspective To Perioperative Process Management Aligned To Hospital Strategy, Jim Ryan, Barbara Doster, Sandra Daily, Carmen Lewis

Transactions of the International Conference on Health Information Technology Advancement

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness …

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Michigan Health Information Network (Mihin) Shared Services Vs. The Hie Shared Services In Other States, Devon K. O'Toole, Sean M. O'Toole, Logan Steely Oct 2013

Michigan Health Information Network (Mihin) Shared Services Vs. The Hie Shared Services In Other States, Devon K. O'Toole, Sean M. O'Toole, Logan Steely

Transactions of the International Conference on Health Information Technology Advancement

This paper explores selected states health information exchanges in regards to how they are implemented and used. Health information exchanges are broken down and a concise background is given for a better understanding of how states are implementing their health information exchanges. This paper not only examines states use of their health information exchange, but how they will connect to create a nationwide health information network.

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Message From The Transactions Editor, Huei Lee Oct 2013

Message From The Transactions Editor, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

No abstract provided.

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Monitoring And Assisting Maternity-Infant Care In Rural Areas (Mamicare), Juan C. Lavariega Dr., Gustavo Córdova, Lorena G. Gómez, Alfonso Avila Dr. Oct 2013

Monitoring And Assisting Maternity-Infant Care In Rural Areas (Mamicare), Juan C. Lavariega Dr., Gustavo Córdova, Lorena G. Gómez, Alfonso Avila Dr.

Transactions of the International Conference on Health Information Technology Advancement

We present our project called MAMICare that is motivated by the alarming number of maternity and infant deaths in rural areas due mainly to a poor monitoring of pregnancy progress and lack of appropriate alerting mechanism in case of abnormal gestation evolution. We are proposing an information technology solution based on mobile devices, and health sensors such as ECG (electrocardiogram), stethoscope, pulse-oximeter, and blood-glucose meter to automatically collect relevant health data for a better monitoring of pregnant women. In this paper we address the current status of the maternity infant death problem especially in rural areas of Mexico. We review …

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Impact Of Radio-Frequency Identification (Rfid) Technologies On The Hospital Supply Chain: A Literature Review, Alberto Coustasse, Shane Tomblin, Chelsea Slack Oct 2013

Impact Of Radio-Frequency Identification (Rfid) Technologies On The Hospital Supply Chain: A Literature Review, Alberto Coustasse, Shane Tomblin, Chelsea Slack

Management Faculty Research

Supply costs account for more than one-third of the average operating budget and constitute the second largest expenditure in hospitals. As hospitals have sought to reduce these costs, radio-frequency identification (RFID) technology has emerged as a solution. This study reviews existing literature to gauge the recent and potential impact and direction of the implementation of RFID in the hospital supply chain to determine current benefits and barriers of adoption. Findings show that the application of RFID to medical equipment and supplies tracking has resulted in efficiency increases in hospitals with lower costs and increased service quality. RFID technology can reduce …

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The Impact Of Big Data On The Healthcare Information Systems, Kuo Lane Chen, Huei Lee Oct 2013

The Impact Of Big Data On The Healthcare Information Systems, Kuo Lane Chen, Huei Lee

Transactions of the International Conference on Health Information Technology Advancement

This article explores the possible impact of big data on healthcare information systems. Possible research issues include: 1). What applications in healthcare information systems are impacted most? 2). What algorithm/programs will be used for big data? 3). What privacy, security, and ethical issues are there for big data? In the biology area, big data becomes the newest technology for genomics. Other possible areas include pharmacovigilance, patient care, and medical supply chain management.

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Managing Government Regulatory Requirements For Security And Privacy Using Existing Standard Models, Gregory Schymik, Dan Shoemaker Oct 2013

Managing Government Regulatory Requirements For Security And Privacy Using Existing Standard Models, Gregory Schymik, Dan Shoemaker

Transactions of the International Conference on Health Information Technology Advancement

This paper posits the use of a well-established standard approach to Federal compliance, which can be easily adapted to satisfy all legal and regulatory requirements for protection of patient personally identifiable information (PII) in health organizations. This approach is embodied in the three standards that dictate how to comply with the Federal Information Security Management Act (FISMA). These standards also provide an excellent foundation for organizing a secure operation anywhere. The discussion revolves around the application of the FIPS 199 and FIPS 200/NIST 800-53(4) standard approach to the satisfaction of the present and upcoming legal and regulatory requirements for health …

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Hdqm2: Healthcare Data Quality Maturity Model, Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, Juan Carlos Lavariega-Jarquín Oct 2013

Hdqm2: Healthcare Data Quality Maturity Model, Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, Juan Carlos Lavariega-Jarquín

Transactions of the International Conference on Health Information Technology Advancement

Data Quality is a central issue within the development of Healthcare Systems, for both the delivery of the service as well as for the establishment of public policies. Public and private Healthcare Systems in Latin America do not have a framework of reference which allows them to have knowledge of the level of Data Quality (DQ). In other frameworks found within literature the evaluation of DQ has been centered within the dimensions. The intention of this research is to build an evaluation model for DQ based on maturity. This research contributes an innovating and comprehensive model, based on the data …

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The Role Of Mobile Technology In Enhancing The Use Of Personal Health, Mohamed Abouzahra, Joseph Tan Oct 2013

The Role Of Mobile Technology In Enhancing The Use Of Personal Health, Mohamed Abouzahra, Joseph Tan

Transactions of the International Conference on Health Information Technology Advancement

Healthcare industry is essential for the wellbeing of society members, however this industry is characterized by high cost and by plagued by serious medical errors. Personal health records (PHR) can play an important role in solving healthcare problems by enhancing patients’ involvement in their treatment, and improving patient-provider communication. Despite the potential importance of PHR systems, they suffer from low adoption rate because of several factors such as digital divide and lack of training. In this paper we propose that mobile PHR systems (MPHR) can aid in overcoming barriers to adopt PHR. We present a theoretical model based on theory …

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A Study On Generic Prescription Substitution Policy As A Cost Containment Approach For Michigan’S Medicaid System, Khandaker Nayeemul Islam Oct 2013

A Study On Generic Prescription Substitution Policy As A Cost Containment Approach For Michigan’S Medicaid System, Khandaker Nayeemul Islam

Transactions of the International Conference on Health Information Technology Advancement

High health care costs have left millions of people unable to buy health insurance and has broadened the state’s responsibility to protect low-income families through Medicaid programs. Increasing health care costs have created severe toll on fiscal management of federal and state governments. Prescription drugs are a significant part of Michigan’s Medicaid costs. Due to the economic recession and the downsizing of auto sector the number of Medicaid beneficiaries in Michigan has increased over the years. Thus it has increased Medicaid prescription drugs program costs at a fast pace, which creates fiscal burden on Michigan in administering the program and …

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Challenges Of Mobile Healthcare Application Security, Alan Rea Oct 2013

Challenges Of Mobile Healthcare Application Security, Alan Rea

Transactions of the International Conference on Health Information Technology Advancement

Healthcare information technology has overcome many of the Web application security challenges in the past decade. We can now access information more securely and incidents of unintentional data loss are on the decline. However, more must be done to ensure the confidentiality, integrity, and availability of mobile applications in the healthcare field. Whether it is physicians using iPads to access treatment histories or patients managing healthcare options via smart phones, the proposed CAP framework (checks, assurances, protection) adds additional security and privacy layers to our modern mobile medical needs.

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A Threat Table Based Approach To Telemedicine Security, John C. Pendergrass, Karen Heart, C. Ranganathan, V.N. Venkatakrishnan Oct 2013

A Threat Table Based Approach To Telemedicine Security, John C. Pendergrass, Karen Heart, C. Ranganathan, V.N. Venkatakrishnan

Transactions of the International Conference on Health Information Technology Advancement

Information security within healthcare is paramount and telemedicine applications present unique security challenges. Technology is giving rise to new and advanced telemedicine applications and understanding the security threats to these applications is needed to ensure, among other things, the privacy of patient information. This paper presents a high level analysis of a telemedicine application in order to better understand the security threats to this unique and vulnerable environment. This risk analysis is performed using the concept of threat tables. This case study focuses on the capture and representation of salient security threats in telemedicine. To analyze the security threats to …

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Standardization Needs For Effective Interoperability, Marilyn Skrocki Oct 2013

Standardization Needs For Effective Interoperability, Marilyn Skrocki

Transactions of the International Conference on Health Information Technology Advancement

The Electronic Health Record (EHR) has brought unique challenges in the effort to share information. How data is captured varies from institution to institution. In order for data to be well understood, data should have a definition that is consistent and comprehensively understood by all users of the data. Standardization of how data is captured is critical to allow the production and export of data needed to support quality assessment, decision support, exchange of data for patients with multiple health care providers and public health surveillance. Patient safety and quality improvement are dependent upon embedded clinical guidelines that promote standardized, …

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An Empirical Study Of Home Healthcare Robots Adoption Using The Utuat Model, Ahmad Alaiad, Lina Zhou, Gunes Koru Oct 2013

An Empirical Study Of Home Healthcare Robots Adoption Using The Utuat Model, Ahmad Alaiad, Lina Zhou, Gunes Koru

Transactions of the International Conference on Health Information Technology Advancement

Home healthcare initiatives are aimed to reduce readmission costs, transportation costs, and hospital medical errors, and to improve post hospitalization healthcare quality, and enhance patient home independency. Today, it is almost unimaginable to consider this initiative without information technology. Home healthcare robots are one type of the emerging technologies that hold promise for making clinical information available at the right place and right time. Several robots have been developed to facilitate home healthcare such as remote presence robots (e.g., RP2) and Paro. Most previous research focus on technical and implementation issues of home healthcare robots, there is a need to …

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Dia-Beat-It: An Online Game For Children And Teenagers With Type 1 Diabetes, Emily M. Stone Oct 2013

Dia-Beat-It: An Online Game For Children And Teenagers With Type 1 Diabetes, Emily M. Stone

Honors Theses and Capstones

No abstract provided.

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Predicting Hospital Patients' Admission To Reduce Emergency Department Boarding, Mohammadmahdi Moqri Aug 2013

Predicting Hospital Patients' Admission To Reduce Emergency Department Boarding, Mohammadmahdi Moqri

Graduate Masters Theses

Emergency Department (ED) boarding - the inability to transfer emergency patients to inpatient beds- is a key factor contributing to ED overcrowding. This paper presents a novel approach to improving hospital operational efficiency and, therefore, to decreasing ED boarding. Using the historic data of 15,000 patients, admission results and patient information are correlated in order to identify important admission predictor factors. For example, the type of radiology exams prescribed by the ED physician is identified as among the most important predictors of admission. Based on these factors, a real-time prediction model is developed which is able to correctly predict the …

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