I
nte
rna
t
io
na
l J
o
urna
l o
f
E
lect
rica
l a
nd
Co
m
pu
t
er
E
ng
ineering
(
I
J
E
CE
)
Vo
l.
15
,
No
.
6
,
Decem
b
er
20
25
,
p
p
.
5
4
3
3
~
5
4
4
2
I
SS
N:
2088
-
8
7
0
8
,
DOI
: 1
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.
1
1
5
9
1
/ijece.
v
15
i
6
.
pp
5
4
3
3
-
5
4
4
2
5433
J
o
ur
na
l ho
m
ep
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e
:
h
ttp
:
//ij
ec
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ia
esco
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co
m
A
tele
medicine
pl
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tf
o
rm empo
we
re
d by
5
G
mo
bil
e n
etworks
for
Tuni
sia
n rural pl
a
ces
I
bra
him
M
o
nia
,
Da
di
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ed
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hir,
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im
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elg
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a
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L
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e
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t
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d
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s
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e
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a
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a
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s
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u
n
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a
Art
icle
I
nfo
AB
S
T
RAC
T
A
r
ticle
his
to
r
y:
R
ec
eiv
ed
J
an
1
6
,
2
0
2
5
R
ev
is
ed
Au
g
8
,
2
0
2
5
Acc
ep
ted
Sep
1
5
,
2
0
2
5
A
tele
m
e
d
icin
e
p
latf
o
rm
n
e
e
d
e
d
to
b
e
d
e
v
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lo
p
e
d
to
a
d
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ss
t
h
e
v
a
rio
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s
c
h
a
ll
e
n
g
e
s
fa
c
e
d
b
y
p
a
ti
e
n
ts
i
n
ru
ra
l
a
re
a
s,
su
c
h
a
s
th
e
lac
k
o
f
sp
e
c
ialist
d
o
c
to
rs,
t
h
e
d
ista
n
c
e
to
h
e
a
lt
h
c
a
r
e
a
n
d
th
e
t
ime
sp
e
n
t
a
c
c
e
ss
in
g
it
,
wh
ich
c
a
n
p
re
se
n
t
a
risk
t
o
th
e
ir
l
iv
e
s,
e
sp
e
c
ially
fo
r
t
h
o
se
wit
h
c
h
ro
n
ic i
ll
n
e
ss
e
s.
F
o
r
it
s
re
a
li
z
a
ti
o
n
,
we
u
se
d
Lara
v
e
l
1
1
,
a
fra
m
e
wo
rk
th
a
t
o
ffe
rs
p
o
we
rfu
l
fe
a
tu
re
s
fo
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b
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il
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i
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m
o
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rn
,
h
ig
h
-
p
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o
rm
a
n
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a
p
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ti
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s.
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o
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a
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le
se
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le
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a
l
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ti
m
e
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o
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m
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ica
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n
,
we
i
n
t
e
g
ra
ted
Lara
v
e
l
re
v
e
rb
,
a
r
o
b
u
st
p
a
c
k
a
g
e
su
p
p
o
rti
n
g
li
v
e
in
tera
c
ti
o
n
s,
u
p
d
a
tes
,
a
n
d
n
o
t
ifi
c
a
ti
o
n
s.
T
h
e
d
a
ta
b
a
se
u
se
s
M
y
S
QL
8
in
c
o
m
b
i
n
a
ti
o
n
with
P
HP
8
.
2
,
e
n
su
ri
n
g
p
e
rfo
rm
a
n
c
e
,
s
c
a
lab
il
it
y
,
a
n
d
re
li
a
b
il
it
y
.
Th
e
stre
n
g
th
s
o
f
o
u
r
sy
ste
m
s
c
o
m
p
a
re
d
wit
h
e
x
isti
n
g
Tu
n
isia
n
p
latfo
rm
s
a
re
re
a
l
-
ti
m
e
in
tera
c
ti
o
n
b
e
twe
e
n
p
a
ti
e
n
t
a
n
d
d
o
c
to
r
th
a
n
k
s
t
o
5
G
,
e
n
su
rin
g
th
e
tran
sf
e
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o
f
d
a
ta
a
n
d
a
c
c
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ss
a
t
th
e
sa
m
e
ti
m
e
,
re
a
l
-
ti
m
e
c
o
m
m
u
n
ica
ti
o
n
s
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c
h
a
s
v
i
d
e
o
a
n
d
a
u
d
i
o
c
a
ll
s,
li
v
e
n
o
ti
f
ica
ti
o
n
s
a
n
d
in
sta
n
t
m
e
ss
a
g
in
g
.
K
ey
w
o
r
d
s
:
5G
Platfo
r
m
R
u
r
al
ar
ea
s
Ser
v
ices
T
elem
ed
icin
e
T
h
is i
s
a
n
o
p
e
n
a
c
c
e
ss
a
rticle
u
n
d
e
r th
e
CC B
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SA
li
c
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n
se
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
I
b
r
ah
im
M
o
n
ia
R
es
e
a
r
c
h
L
a
b
o
r
a
t
o
r
y
M
o
d
e
l
i
n
g
,
A
n
a
l
y
s
is
a
n
d
C
o
n
t
r
o
l
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f
S
y
s
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em
s
(
L
R
-
M
AC
S
)
,
É
c
o
le
N
a
ti
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n
a
l
e
d
’
I
n
g
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n
i
e
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r
s
d
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G
a
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s
6
0
2
9
Ga
b
es,
T
u
n
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E
m
ail: m
o
n
ia
-
ib
r
a
h
im
@
h
o
tm
a
il.c
o
m
1.
I
NT
RO
D
UCT
I
O
N
R
ig
h
tly
s
p
ea
k
in
g
,
th
e
ter
m
“
te
lem
ed
icin
e
”
was
f
ir
s
t
u
s
ed
in
t
h
e
late
1
8
th
ce
n
tu
r
y
[
1
]
.
T
h
is
was
o
n
e
o
f
th
e
f
ir
s
t
r
ep
o
r
ts
r
ep
o
r
ted
in
th
e
ea
r
ly
2
0
th
ce
n
tu
r
y
wh
e
n
elec
tr
o
ca
r
d
io
g
r
ap
h
d
ata
was
tr
an
s
m
itted
o
v
er
a
telep
h
o
n
e
lin
e
[
2
]
.
No
wad
ay
s
,
th
e
p
r
ac
ticed
an
d
k
n
o
wn
telem
ed
icin
e
b
eg
a
n
in
1
9
6
0
.
I
t
is
im
p
o
r
tan
t
to
n
o
te
th
at
co
m
m
u
n
icatio
n
tech
n
o
l
o
g
y
h
as
ev
o
lv
ed
s
ig
n
if
ican
tly
;
th
e
tele
g
r
ap
h
h
as
b
ee
n
r
ep
lace
d
b
y
t
h
e
wid
ely
u
s
ed
s
m
ar
tp
h
o
n
e.
T
h
e
co
n
n
ec
ti
v
ity
h
as
ev
o
lv
e
d
f
r
o
m
m
o
r
s
e
co
d
e
to
th
e
I
n
ter
n
et
an
d
ce
llu
lar
n
etwo
r
k
s
[
3
]
.
S
o
,
a
d
ir
ec
t
co
r
r
elatio
n
b
etwe
en
tech
n
o
lo
g
ical
ad
v
an
ce
s
,
co
n
n
ec
tiv
ity
an
d
th
e
d
ev
elo
p
m
e
n
t
o
f
telem
ed
icin
e
h
as
b
ee
n
r
eg
is
ter
ed
.
Sin
ce
th
e
twen
tieth
ce
n
tu
r
y
en
d
ed
,
an
er
a
o
f
in
f
o
r
m
atio
n
h
as c
o
lo
r
ed
t
h
e
s
ce
n
e.
An
in
f
o
r
m
atio
n
r
e
v
o
lu
tio
n
is
liv
ed
o
v
er
m
an
y
n
ew
tech
n
o
lo
g
ical
p
r
o
d
u
cts.
Am
o
n
g
th
ese
n
o
v
elties,
o
n
e
c
an
cite
th
e
m
e
d
icin
e
s
ec
to
r
w
h
er
e
n
o
ticea
b
le
p
r
o
g
r
ess
was
in
tr
o
d
u
ce
d
.
Ma
n
y
ac
ts
lik
e
m
ed
ical
im
a
g
in
g
,
m
o
d
er
n
to
o
ls
,
an
d
r
em
o
te
co
n
s
u
ltatio
n
h
av
e
ap
p
ea
r
ed
.
T
o
p
r
o
v
e
th
is
p
r
o
g
r
ess
,
we
wer
e
in
ter
ested
in
d
is
cu
s
s
in
g
th
e
T
elem
ed
icin
e
ap
p
licatio
n
.
T
h
is
co
n
s
titu
tes
m
o
d
er
n
tech
n
o
lo
g
y
,
an
d
it
co
v
e
r
s
a
wid
e
r
a
n
g
e
o
f
h
ea
lth
ca
r
e
s
er
v
ices
t
h
at
ca
n
b
e
p
r
o
v
id
ed
at
a
d
is
tan
ce
,
in
clu
d
in
g
c
o
n
s
u
ltatio
n
s
,
d
iag
n
o
s
is
,
m
o
n
ito
r
in
g
,
an
d
tr
ea
tm
en
t
[
3
]
–
[
5
]
.
B
ased
o
n
th
e
co
m
m
u
n
icatio
n
s
s
ec
to
r
'
s
liv
e
p
r
o
g
r
ess
,
T
elem
ed
icin
e
ex
p
lo
its
a
v
ar
iet
y
o
f
co
m
m
u
n
icatio
n
tech
n
o
lo
g
ies
s
u
ch
as
v
id
e
o
c
o
n
f
e
r
en
cin
g
,
m
o
b
ile
ap
p
s
,
an
d
wea
r
ab
le
d
e
v
ices.
T
h
ese
a
r
e
u
s
ed
t
o
co
n
n
ec
t
h
ea
lth
ca
r
e
p
r
o
v
id
e
r
s
with
p
atien
ts
r
em
o
tely
an
d
r
an
d
o
m
ly
lo
ca
ted
.
On
e
ca
n
o
v
e
r
co
m
e
b
a
r
r
ier
s
to
ac
ce
s
s
to
h
ea
lth
ca
r
e
s
i
tes ev
er
y
wh
er
e.
A
g
r
ea
t a
d
v
an
tag
e
is
p
ar
ticu
lar
ly
o
f
f
er
ed
to
r
u
r
al
o
r
u
n
d
er
s
er
v
ed
ar
ea
s
h
av
in
g
lim
ited
h
ea
lth
ca
r
e
in
f
r
astru
ctu
r
e.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
0
8
8
-
8
7
0
8
I
n
t J E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
15
,
No
.
6
,
Decem
b
e
r
20
25
:
5
4
3
3
-
5
4
4
2
5434
L
et’
s
n
o
te
th
at
th
er
e
ar
e
d
iv
e
r
s
e
ty
p
es
o
f
telem
ed
icin
e
s
o
f
twar
e,
d
ep
e
n
d
in
g
o
n
th
e
ap
p
li
ca
tio
n
[
4
]
.
T
h
ese
ca
n
b
e
class
if
ied
as
s
y
n
ch
r
o
n
o
u
s
telem
ed
icin
e
s
o
f
twa
r
e
an
d
asy
n
ch
r
o
n
o
u
s
telem
ed
icin
e
s
o
f
twar
e.
T
h
e
Sy
n
ch
r
o
n
o
u
s
telem
ed
icin
e
s
o
f
twar
e
ty
p
e
en
ab
les
r
ea
l
tim
e
s
er
v
ices
v
ia
au
d
io
an
d
v
id
eo
ca
lls
with
liv
e
in
ter
ac
tio
n
b
etwe
en
p
atien
ts
an
d
d
o
ct
o
r
s
[
4
]
.
Ho
wev
er
,
th
e
Asy
n
ch
r
o
n
o
u
s
telem
ed
icin
e
s
o
f
twar
e
d
o
es
n
o
t
r
eq
u
ir
e
liv
e
i
n
ter
ac
tio
n
b
etwe
en
p
atien
ts
an
d
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
b
u
t
en
ab
les
s
er
v
ices
s
u
ch
as
d
ata
s
to
r
ag
e
o
r
tr
an
s
f
er
[
1
]
.
Patien
t
in
f
o
r
m
atio
n
is
ex
ch
an
g
ed
b
etwe
en
d
o
cto
r
s
,
o
n
e
o
f
wh
o
m
is
u
s
u
ally
a
s
p
ec
ialis
t.
T
h
is
in
f
o
r
m
atio
n
m
ay
in
clu
d
e
m
e
d
ical
im
ag
es,
v
id
e
o
s
,
r
e
p
o
r
ts
a
n
d
m
ed
ical
r
ec
o
r
d
s
.
T
h
e
s
p
ec
ialis
t
ca
n
ass
ess
th
e
ca
s
e.
Acc
o
r
d
in
g
to
h
is
a
v
ailab
ilit
y
,
h
e
p
r
o
v
id
es
a
d
iag
n
o
s
is
o
r
o
p
in
io
n
.
T
elem
ed
icin
e
ca
n
b
e
co
m
e
m
o
r
e
ef
f
icien
t
b
y
o
v
er
co
m
in
g
th
e
cr
itical
f
ac
to
r
s
/p
r
o
b
lem
s
wh
ich
ar
e:
ti
m
e
an
d
d
is
tan
ce
.
W
e
ar
e
tr
y
in
g
to
d
ev
elo
p
a
m
o
d
er
n
to
o
l
th
at
p
r
o
v
id
es
eq
u
al
ac
ce
s
s
to
ca
r
e,
as
a
s
o
lu
tio
n
th
at
f
ac
ilit
ates
th
e
in
ter
ac
tio
n
b
et
wee
n
p
atien
ts
an
d
m
e
d
ical
s
p
ec
ialis
ts
to
f
ig
h
t
th
e
d
elay
o
f
ac
ce
s
s
th
at
ca
u
s
es
m
o
s
t
d
ea
th
ca
s
es.
T
h
is
is
f
r
eq
u
en
tly
n
o
ted
f
o
r
th
e
p
o
o
r
s
o
cia
l
ca
teg
o
r
y
.
So
,
th
e
id
ea
k
ee
p
s
s
ee
in
g
h
o
w
o
n
e
ca
n
d
esig
n
a
p
latf
o
r
m
to
m
o
n
ito
r
t
h
eir
d
aily
co
n
d
itio
n
.
T
h
is
will
m
ain
ly
co
n
ce
r
n
s
o
lv
in
g
th
e
d
elay
p
r
o
b
lem
n
o
te
d
f
o
r
g
e
o
g
r
a
p
h
ically
is
o
lated
zo
n
es.
Ma
n
y
o
b
s
tacle
s
ca
u
s
e
ti
m
e
waste
th
at
d
ir
ec
tly
af
f
ec
ts
th
eir
h
ea
lth
.
So
,
t
h
e
id
ea
is
to
cr
ea
te
a
p
latf
o
r
m
th
a
t
will
f
ac
ilit
ate
n
ee
d
ed
in
ter
ac
tio
n
s
f
o
r
p
atien
ts
an
d
h
ea
lth
p
r
o
f
ess
io
n
als.
B
ein
g
ac
ce
s
s
ib
le
to
th
e
p
latf
o
r
m
it
will
p
r
o
v
id
e
s
y
n
ch
r
o
n
o
u
s
an
d
asy
n
ch
r
o
n
o
u
s
s
er
v
ices.
T
h
i
s
will
b
e
an
ad
d
e
d
d
ev
elo
p
m
e
n
t
f
ac
to
r
co
m
p
ar
e
d
to
o
th
er
e
x
is
tin
g
p
latf
o
r
m
s
.
Ou
r
m
ain
o
b
jectiv
e
aim
s
to
p
r
o
m
o
te
h
ea
lth
in
T
u
n
is
ia
an
d
to
f
u
lf
ill
r
eg
io
n
al
d
is
p
ar
ities
as
liv
ed
b
y
s
o
m
e
T
u
n
is
ian
zo
n
es.
T
h
e
o
b
jectiv
e
o
f
th
is
p
a
p
er
is
t
o
p
r
esen
t
th
e
d
esig
n
an
d
im
p
le
m
en
tatio
n
o
f
s
u
c
h
a
p
latf
o
r
m
,
h
ig
h
lig
h
tin
g
its
ar
ch
itectu
r
e
a
n
d
d
em
o
n
s
tr
atin
g
its
ef
f
ec
tiv
en
ess
in
f
ac
ilit
atin
g
r
e
m
o
te
co
n
s
u
ltatio
n
.
W
e
p
r
o
p
o
s
e
a
d
ev
elo
p
ed
p
la
tf
o
r
m
d
esig
n
ed
to
o
v
er
co
m
e
n
u
m
er
o
u
s
d
if
f
ic
u
lties
in
th
e
h
ea
lth
ca
r
e
s
ec
to
r
in
r
u
r
al
ar
ea
s
.
Sectio
n
2
p
r
esen
ts
b
ac
k
g
r
o
u
n
d
an
d
r
elate
d
wo
r
k
.
Fo
r
th
at,
th
e
s
tate
o
f
th
e
a
r
t
an
d
p
ar
ticu
lar
ly
th
e
ev
o
lu
tio
n
o
f
t
elem
ed
icin
e,
5
G’
s
ad
v
a
n
tag
es
o
f
f
er
ed
,
T
u
n
is
ia’
s
h
ea
lth
s
ec
to
r
an
d
im
p
ac
ts
o
f
th
e
C
OVI
D
-
1
9
in
o
u
r
co
u
n
tr
y
will
b
e
g
iv
en
.
T
h
e
r
elatio
n
with
telem
ed
icin
e
will
b
e
d
is
cu
s
s
ed
.
Sectio
n
3
wil
l
b
e
co
n
ce
r
n
e
d
b
y
m
eth
o
d
s
,
ar
c
h
itectu
r
e
an
d
co
m
p
o
n
e
n
ts
o
f
o
u
r
p
latf
o
r
m
.
An
o
v
e
r
v
iew
o
f
u
s
ed
tech
n
o
lo
g
ies
an
d
a
r
em
o
te
co
n
s
u
ltatio
n
wil
l
b
e
p
r
o
v
ed
.
Sectio
n
4
will
g
iv
e
r
esu
lts
an
d
d
is
cu
s
s
io
n
s
.
Fu
tu
r
e
d
ir
ec
tio
n
s
an
d
ch
allen
g
es will b
e
also
s
h
o
wn
.
T
h
e
p
ap
e
r
will b
e
ter
m
ed
b
y
a
co
n
clu
s
io
n
a
n
d
a
c
o
n
s
u
lted
r
e
f
er
en
ce
s
lis
t.
2.
B
ACK
G
RO
UND
AN
D
RE
L
AT
E
D
WO
RK
2
.
1
.
E
v
o
lutio
n o
f
t
elem
edicine
T
e
l
e
m
e
d
i
c
i
n
e
is
d
i
f
f
e
r
e
n
t
f
r
o
m
o
t
h
e
r
m
e
d
i
c
a
l
a
d
v
a
n
c
e
s
o
r
p
r
o
g
r
e
s
s
:
it
i
s
m
e
d
i
ci
n
e
a
t
a
d
i
s
t
a
n
c
e
.
A
t
t
h
e
c
r
o
s
s
r
o
a
d
s
o
f
t
w
o
d
i
f
f
e
r
e
n
t
wo
r
l
d
s
-
m
e
d
i
c
i
n
e
a
n
d
i
n
f
o
r
m
a
t
i
o
n
a
n
d
c
o
m
m
u
n
i
c
a
t
i
o
n
s
t
e
c
h
n
o
l
o
g
i
e
s
(
I
C
T
s
)
-
it
e
m
b
o
d
i
e
s
a
n
e
w
f
o
r
m
o
f
r
e
m
o
t
e
m
e
d
i
c
al
p
r
a
c
ti
c
e
;
w
e
c
a
n
ta
l
k
a
b
o
u
t
a
c
o
m
p
r
e
h
e
n
s
i
v
e
a
n
d
h
i
s
t
o
r
ic
a
l
v
i
e
w
o
f
t
e
l
e
m
e
d
i
ci
n
e
f
r
o
m
a
n
ci
e
n
t
p
r
a
ct
i
c
e
t
o
t
h
e
p
r
e
s
e
n
t t
i
m
e
[
4
]
.
F
r
o
m
1
9
4
0
t
o
1
9
7
0
,
t
h
e
m
o
s
t
i
m
p
o
r
t
a
n
t
e
v
e
n
ts
o
f
t
h
is
p
e
r
i
o
d
w
e
r
e
as
y
n
c
h
r
o
n
o
u
s
t
e
lem
e
d
i
c
i
n
e
,
r
e
m
o
t
e
r
a
d
i
o
l
o
g
y
,
t
r
a
n
s
a
t
la
n
t
i
c
t
r
a
n
s
m
i
s
s
i
o
n
,
t
h
e
u
s
e
o
f
te
l
e
v
is
i
o
n
f
o
r
m
e
d
i
c
a
l
e
d
u
c
a
ti
o
n
,
a
n
d
t
h
e
d
ev
i
c
e
s
u
s
e
d
w
e
r
e
r
a
d
i
o
a
n
d
te
l
ep
h
o
n
e
.
C
o
n
n
e
c
t
i
o
n
s
a
r
e
ac
h
i
e
v
e
d
v
i
a
r
a
d
i
o
w
a
v
es
.
M
a
j
o
r
e
v
e
n
t
s
f
r
o
m
1
9
7
0
t
o
2
0
0
0
a
r
e
t
h
e
d
e
f
i
n
i
t
i
o
n
o
f
t
e
l
e
m
ed
i
c
i
n
e
,
s
y
n
c
h
r
o
n
o
u
s
t
e
le
m
e
d
i
c
in
e
,
c
o
m
p
u
t
e
r
s
,
a
n
d
t
h
e
o
r
i
g
i
n
o
f
t
h
e
I
n
t
e
r
n
e
t
[
5
]
.
T
e
l
e
m
e
d
i
c
i
n
e
i
n
c
r
i
ti
c
a
l
c
a
r
e
,
an
d
t
h
e
a
p
p
l
i
c
a
ti
o
n
o
f
s
p
a
c
e
te
ch
n
o
l
o
g
y
t
o
r
u
r
a
l
h
e
a
l
t
h
.
T
h
e
d
ev
i
c
e
s
u
s
e
d
d
u
r
i
n
g
t
h
i
s
p
e
r
i
o
d
w
e
r
e
t
e
l
e
p
h
o
n
e
s
,
t
e
l
e
v
i
s
i
o
n
s
a
n
d
c
o
m
p
u
t
e
r
s
.
C
o
n
n
e
c
ti
o
n
s
a
r
e
m
a
d
e
v
i
a
t
e
l
e
v
is
i
o
n
l
i
n
e
s
,
t
e
l
e
p
h
o
n
e
n
e
tw
o
r
k
s
,
s
a
t
el
l
it
e
s
an
d
s
p
a
c
e
t
e
c
h
n
o
l
o
g
y
.
T
h
e
s
e
3
0
y
e
a
r
s
a
r
e
c
h
a
r
a
ct
e
r
i
z
e
d
b
y
s
i
g
n
i
f
i
c
a
n
t
i
n
n
o
v
a
t
i
o
n
s
i
n
c
o
n
n
e
c
t
i
v
i
t
y
a
n
d
d
e
v
i
c
es
t
h
at
l
a
i
d
t
h
e
f
o
u
n
d
a
t
i
o
n
f
o
r
m
o
d
e
r
n
t
e
l
e
m
e
d
i
ci
n
e
[
2
]
.
F
r
o
m
2
0
0
0
t
o
2
0
2
0
,
t
h
e
m
o
s
t
i
m
p
o
r
t
a
n
t
e
v
e
n
t
s
o
f
t
h
is
p
e
r
i
o
d
w
e
r
e
m
a
i
n
l
y
a
v
a
il
a
b
l
e
o
n
t
h
e
in
t
e
r
n
e
t
,
a
n
d
a
r
e
g
e
n
e
r
a
l
l
y
a
v
a
i
l
a
b
l
e
,
o
n
m
o
b
i
l
e
d
e
v
i
c
es
,
s
m
a
r
t
p
h
o
n
e
s
,
e
l
ec
t
r
o
n
i
c
h
e
a
lt
h
r
e
c
o
r
d
s
a
n
d
t
el
em
e
d
i
c
a
l
c
o
m
p
a
n
ie
s
’
r
e
v
o
l
u
t
i
o
n
.
D
e
v
i
c
e
s
a
v
a
il
a
b
l
e
d
u
r
i
n
g
t
h
i
s
p
e
r
i
o
d
a
r
e
c
o
m
p
u
t
e
r
s
,
m
o
b
i
l
e
d
e
v
i
c
e
s
,
s
m
a
r
t
p
h
o
n
e
s
a
n
d
t
e
l
e
m
e
d
i
c
i
n
e
p
e
r
i
p
h
e
r
a
l
s
a
n
d
d
e
v
i
c
es
.
C
o
n
n
e
c
t
i
v
i
t
y
i
s
r
e
a
li
z
e
d
v
i
a
t
h
e
I
n
ter
n
e
t
,
b
r
o
a
d
b
a
n
d
,
a
n
d
m
o
b
i
l
e
n
e
t
w
o
r
k
.
T
h
e
s
e
y
e
a
r
s
w
e
r
e
c
h
a
r
a
ct
e
r
i
z
e
d
b
y
t
h
e
r
ap
i
d
d
e
v
e
l
o
p
m
e
n
t
o
f
t
e
c
h
n
i
c
al
h
a
r
d
w
a
r
e
(
s
m
a
r
t
p
h
o
n
e
s
,
t
a
b
le
t
s
,
a
n
d
t
el
e
m
e
t
r
y
)
,
s
o
f
t
w
a
r
e
(
m
o
b
il
e
a
p
p
l
ic
a
t
i
o
n
s
)
,
a
n
d
c
o
n
n
e
c
t
i
v
i
t
y
(
m
o
b
i
le
p
h
o
n
e
s
,
b
r
o
a
d
b
a
n
d
)
.
V
a
r
i
o
u
s
te
l
e
co
m
m
u
n
i
c
a
t
i
o
n
s
a
n
d
p
e
r
i
p
h
e
r
a
l
s
h
a
v
e
b
e
e
n
d
e
v
el
o
p
e
d
t
o
f
a
ci
l
i
ta
t
e
r
e
m
o
t
e
c
o
n
t
r
o
l
.
W
i
t
h
t
h
e
s
m
a
r
t
p
h
o
n
e
r
e
v
o
l
u
t
io
n
,
c
o
n
s
u
m
e
r
s
w
e
r
e
a
b
l
e
t
o
a
c
c
e
s
s
m
e
d
i
c
al
c
a
r
e
t
h
r
o
u
g
h
t
h
e
i
r
h
a
n
d
h
e
l
d
d
e
v
i
c
e
s
.
L
i
k
e
m
a
n
y
o
t
h
e
r
s
e
c
t
o
r
s
,
m
e
d
i
ca
l
c
a
r
e
i
s
b
e
g
i
n
n
i
n
g
t
o
m
o
v
e
f
r
o
m
p
h
y
s
i
c
a
l
f
a
c
il
i
ti
es
t
o
v
i
r
t
u
a
l
h
o
s
p
i
t
al
s
[
6
]
.
A
s
t
e
c
h
n
o
l
o
g
y
a
d
v
a
n
c
e
s
a
n
d
c
u
r
i
o
s
i
t
y
c
o
n
t
i
n
u
es
t
o
g
r
o
w
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i
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p
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ct
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e
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l
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h
c
a
r
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c
o
s
ts
.
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h
e
m
a
i
n
d
r
i
v
e
r
s
o
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t
e
l
e
m
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o
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a
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a
d
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a
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t
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a
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a
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t
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s
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o
f
I
C
T
s
b
y
t
h
e
p
o
p
u
l
a
t
i
o
n
[
7
]
.
I
n
a
d
d
i
t
i
o
n
,
5
G
t
e
c
h
n
o
l
o
g
y
p
l
a
y
s
a
h
u
g
e
r
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e
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n
t
h
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v
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it
s
m
u
l
t
i
p
l
e
b
e
n
e
f
it
s
[
7
]
,
[
8
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t J E
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&
C
o
m
p
E
n
g
I
SS
N:
2088
-
8
7
0
8
A
teleme
d
icin
e
p
la
tfo
r
m
emp
o
w
ered
b
y
5
G
mo
b
ile
n
etw
o
r
ks fo
r
…
(
B
elg
a
ce
m
C
h
ib
a
n
i
R
h
a
imi
)
5435
2
.
2
.
Adv
a
nt
a
g
es o
f
f
er
ed
by
5
G
in t
he
m
edica
l sect
o
r
5
G
n
etwo
r
k
s
p
r
o
v
id
e
h
ig
h
er
d
ata
r
ates
[
7
]
,
an
im
p
o
r
tan
t
tech
n
ical
ca
p
ab
ilit
y
o
f
5
G
wir
eless
co
m
m
u
n
icatio
n
is
h
ig
h
d
ata
r
ates
[
9
]
in
th
e
r
an
g
e
o
f
1
-
1
0
Gb
it/s
in
r
ea
l
-
wo
r
ld
n
etwo
r
k
s
[
1
0
]
.
T
h
is
is
also
an
in
cr
ea
s
e
o
f
a
h
u
n
d
r
ed
tim
es
o
v
er
4
G
tech
n
o
lo
g
y
[
1
1
]
.
L
aten
cy
r
ed
u
ctio
n
[
7
]
,
co
m
p
ar
ed
to
4
G
r
o
u
n
d
tr
ip
tim
e
10
m
s
[
1
2
]
,
5
G
aim
s
to
r
ed
u
ce
laten
cy
to
r
o
u
n
d
tr
ip
tim
e
1
m
s
.
T
h
is
is
ab
o
u
t
a
ten
th
r
ed
u
ctio
n
[
3
]
.
I
n
h
ea
lth
ca
r
e,
th
is
r
e
d
u
ctio
n
in
n
etwo
r
k
c
o
m
m
u
n
icatio
n
laten
cy
en
ab
les
r
em
o
te
c
o
n
tr
o
l
r
o
b
o
ts
f
o
r
m
ed
ical
o
r
p
r
im
ar
y
ca
r
e
i
n
ad
d
itio
n
t
o
ex
ten
d
ed
a
n
d
v
ir
tu
al
r
ea
lity
ap
p
licatio
n
s
th
at
r
eq
u
ir
e
f
ast
r
eq
u
est/
r
esp
o
n
s
e
cy
cles
[
1
3
]
–
[
1
6
]
.
T
h
e
b
asic
f
u
n
ctio
n
o
f
5
G
is
to
b
e
ab
le
to
s
u
p
p
o
r
t
b
illi
o
n
s
o
f
d
ev
ices
s
u
ch
as
s
en
s
o
r
s
,
co
n
n
ec
ted
wea
r
ab
les
an
d
ac
ce
s
s
o
r
ies
[
1
7
]
,
an
d
o
th
e
r
g
r
o
win
g
s
m
ar
t
d
e
v
ices
th
at
r
eq
u
ir
e
co
n
n
ec
tiv
ity
[
3
]
,
[
1
8
]
.
C
o
m
m
o
n
d
ev
ices
co
n
n
ec
te
d
to
th
ese
n
e
two
r
k
s
in
clu
d
e
s
m
ar
tp
h
o
n
es
a
n
d
s
m
ar
twatch
es
r
u
n
n
in
g
h
ea
l
th
-
r
elate
d
ap
p
s
,
as
well
as
wea
r
ab
les
th
at
en
ab
le
r
ea
l
-
tim
e
h
ea
lth
m
o
n
ito
r
in
g
a
n
d
f
itn
ess
tr
ac
k
in
g
.
I
n
ad
d
itio
n
,
to
b
etter
av
ailab
ilit
y
an
d
g
e
o
g
r
ap
h
ica
l
co
v
er
ag
e,
n
ex
t
g
e
n
er
atio
n
5
G
s
y
s
tem
s
p
r
o
v
id
e
v
ir
tu
a
lly
1
0
0
%
n
etwo
r
k
av
ailab
ilit
y
in
ad
d
itio
n
to
f
u
ll g
eo
g
r
a
p
h
ic
co
v
er
ag
e,
r
eg
ar
d
le
s
s
o
f
u
s
er
lo
ca
tio
n
[
6
]
.
T
h
e
I
n
ter
n
atio
n
al
T
elec
o
m
m
u
n
icatio
n
Un
io
n
(
I
T
U)
is
s
u
ed
a
r
ec
o
m
m
en
d
atio
n
in
Sep
tem
b
er
2
0
1
5
u
n
d
er
r
ef
er
en
ce
I
T
U
R
M.
2
0
8
3
[
1
9
]
.
I
t
d
iv
id
ed
t
h
e
5
G
u
s
e
ca
s
e
in
to
th
r
ee
m
ain
p
illa
r
s
an
d
d
ef
in
e
d
th
e
r
eq
u
ir
em
e
n
ts
f
o
r
in
ter
n
atio
n
al
m
o
b
ile
telec
o
m
m
u
n
icatio
n
s
(
I
MT
)
2
0
2
0
(
5
G)
f
r
o
m
th
e
p
er
s
p
ec
tiv
e
o
f
ad
v
an
ce
d
I
MT
(
L
T
E
A)
.
T
h
e
th
r
ee
m
ain
p
illar
s
o
f
5
G
ar
e
as
f
o
llo
ws
[
1
7
]
:
i)
E
n
h
an
ce
d
m
o
b
ile
b
r
o
ad
b
a
n
d
(
eM
B
B
)
:
T
h
at
is
,
v
er
y
h
ig
h
-
s
p
ee
d
m
o
b
ile
co
m
m
u
n
icatio
n
s
.
T
h
is
is
in
lin
e
wi
th
p
r
ev
io
u
s
g
en
er
atio
n
s
o
f
m
o
b
ile
telep
h
o
n
y
a
n
d
is
a
r
esp
o
n
s
e
to
th
e
i
n
cr
ea
s
in
g
u
s
e
o
f
m
o
b
ile
d
ata
;
i
i
)
Ma
s
s
iv
e
m
ac
h
in
e
tim
e
co
m
m
u
n
icatio
n
(
m
MT
C
)
:
i.e
.
,
C
o
m
m
u
n
icatio
n
b
etwe
en
o
b
j
ec
ts
,
th
e
in
ter
n
et
o
f
th
i
n
g
s
f
all
s
in
to
th
is
ca
teg
o
r
y
,
f
o
r
e
x
am
p
le,
s
m
ar
t
city
with
s
en
s
o
r
n
etwo
r
k
s
to
m
a
n
ag
e
d
if
f
er
en
t
s
er
v
ices
;
a
nd
iii)
Ultr
a
r
eliab
le
lo
w
laten
cy
co
m
m
u
n
icatio
n
(
u
R
L
L
C
)
:
C
o
m
m
u
n
icatio
n
s
f
o
r
wh
ic
h
r
eliab
ilit
y
an
d
r
esp
o
n
s
e
tim
e
ar
e
ess
en
tial.
T
h
er
e
m
u
s
t
b
e
n
o
co
m
m
u
n
icatio
n
f
ailu
r
es
o
r
in
ter
r
u
p
tio
n
s
,
an
d
tr
an
s
m
is
s
io
n
m
u
s
t b
e
as
f
ast
as p
o
s
s
ib
le
[
2
0
]
.
Du
e
to
th
ese
g
en
er
atio
n
b
en
ef
its
,
it h
as b
r
o
u
g
h
t a
b
o
u
t th
e
e
v
o
lu
tio
n
o
f
tel
em
ed
icin
e
[
1
1
]
,
[
1
3
]
.
Fig
h
t
ag
ain
s
t
m
e
d
ical
d
eser
ts
:
T
h
e
h
ea
lth
ca
r
e
s
ec
to
r
s
u
f
f
er
s
f
r
o
m
m
an
y
p
r
o
b
lem
s
[
1
9
]
,
in
c
lu
d
in
g
f
o
r
ex
am
p
le,
lack
o
f
g
en
e
r
al
p
r
a
ctitio
n
er
(
GP)
in
r
u
r
al
ar
ea
s
,
b
ed
clo
s
u
r
es,
ag
in
g
p
o
p
u
latio
n
s
an
d
in
cr
ea
s
in
g
ch
r
o
n
ic
illn
ess
es.
T
h
is
i
s
wh
er
e
co
n
n
ec
tiv
ity
an
d
5
G
co
m
e
i
n
to
p
lay
[
1
3
]
.
Fo
r
ex
am
p
le,
d
r
o
n
es
ca
n
h
elp
r
u
r
al
p
atien
ts
,
an
d
telem
ed
ici
n
e
i
s
r
eg
u
lar
ly
cited
as
a
m
ed
i
ca
l
d
eser
t
s
o
lu
tio
n
,
esp
ec
iall
y
to
f
ac
ilit
ate
th
e
m
o
n
ito
r
in
g
o
f
c
h
r
o
n
ic
d
is
ea
s
es
[
1
1
]
.
Als
o
,
u
s
e
o
f
r
em
o
te
s
en
s
o
r
s
an
d
s
u
r
v
eillan
ce
d
e
v
ices to
p
r
o
v
id
e
ac
ce
s
s
to
wo
r
ld
-
class
m
ed
ical
ca
r
e
f
o
r
p
atien
ts
liv
in
g
in
r
em
o
te
ar
ea
s
.
T
h
e
u
s
e
o
f
v
i
d
eo
co
n
f
e
r
en
c
in
g
o
r
telem
e
d
icin
e
f
ac
ilit
ies
ca
n
b
r
id
g
e
g
e
o
g
r
a
p
h
i
ca
l
g
ap
s
an
d
p
r
o
v
id
e
q
u
ality
c
ar
e
to
p
o
o
r
ly
s
er
v
iced
co
m
m
u
n
ities
[
1
7
]
.
A
s
tu
d
y
co
n
d
u
cte
d
b
y
th
e
Dep
ar
tm
en
t o
f
Vete
r
an
s
Af
f
air
s
(
VA)
m
ad
e
s
ig
n
if
ican
t
ad
v
an
ce
s
in
th
e
tr
ea
tm
en
t
o
f
c
h
r
o
n
ic
illn
ess
es
u
s
in
g
telem
ed
icin
e.
I
n
h
is
s
tu
d
y
o
f
m
o
r
e
th
a
n
1
7
,
0
0
0
Vete
r
an
s
Af
f
air
s
p
atien
ts
,
af
ter
en
r
o
llm
en
t
i
n
th
e
p
r
o
g
r
am
,
n
u
r
s
in
g
b
ed
d
ay
s
wer
e
r
ed
u
ce
d
b
y
2
5
%,
h
o
s
p
italizatio
n
s
wer
e
r
ed
u
ce
d
b
y
1
9
%,
an
d
av
er
a
g
e
s
atis
f
ac
tio
n
was 8
6
%
[
2
1
]
.
T
elem
ed
icin
e
an
d
au
g
m
en
ted
r
ea
lity
,
s
u
r
g
ical
o
p
er
atio
n
s
in
5
G:
s
u
r
g
e
r
y
als
o
b
en
ef
its
f
r
o
m
th
e
p
o
wer
o
f
5
G
[
1
2
]
,
[
2
2
]
.
5
G
g
r
ea
tly
im
p
r
o
v
es
th
e
tr
an
s
m
itte
d
im
ag
es
[
2
3
]
an
d
r
ed
u
ce
s
d
elay
s
.
Su
r
g
eo
n
s
ca
n
also
b
e
s
u
p
p
o
r
ted
b
y
au
g
m
e
n
ted
r
ea
lity
.
Do
cto
r
s
wea
r
in
g
a
u
g
m
en
ted
r
ea
lity
g
lass
es
will
r
ec
eiv
e
in
f
o
r
m
atio
n
th
at
wo
u
ld
n
o
t
h
a
v
e
b
e
en
a
cc
ess
ib
le
with
o
u
t
th
is
d
e
v
ice.
A
f
ea
t
was
ac
h
iev
e
d
in
2
0
1
7
with
s
h
o
u
ld
e
r
p
r
o
s
th
esis
.
C
o
n
n
ec
ted
o
b
jects
as
a
p
r
ev
e
n
tiv
e
m
ea
s
u
r
e
[
1
8
]
,
[
2
0
]
:
T
h
e
u
s
e
o
f
co
n
n
ec
ted
o
b
jects
is
also
p
lan
n
ed
to
s
p
ee
d
u
p
t
h
e
r
etu
r
n
h
o
m
e
a
f
ter
h
o
s
p
italizatio
n
[
2
2
]
.
T
h
ese
o
b
jects
co
m
e
in
to
p
lay
f
o
r
t
h
e
eld
er
ly
o
r
p
eo
p
le
u
n
ab
le
to
m
o
v
e
in
th
e
co
n
te
x
t
o
f
r
em
o
te
m
ed
ical
m
o
n
ito
r
in
g
.
T
h
e
g
o
al
is
to
en
s
u
r
e
th
at
e
v
er
y
o
n
e
ca
n
b
en
e
f
it
f
r
o
m
t
h
e
b
est
p
o
s
s
ib
le
m
ed
ical
s
er
v
ices.
T
h
e
f
ir
s
t
d
e
m
o
n
s
tr
atio
n
o
f
a
Sh
an
g
h
ai
-
b
ased
5
G
in
tellig
en
t
m
ed
ical
ap
p
licatio
n
to
o
k
p
lace
in
Hu
ash
an
Ho
s
p
itals
,
an
d
5
G,
was
u
s
ed
f
o
r
liv
e
tr
an
s
m
is
s
io
n
o
f
h
ig
h
-
r
eso
lu
tio
n
s
u
r
g
er
y
2
0
k
m
awa
y
,
alo
n
g
wi
th
r
ea
l
-
tim
e
r
em
o
te
s
u
r
g
er
y
in
s
tr
u
ctio
n
s
an
d
g
u
id
an
ce
[
2
3
]
,
[
2
4
]
.
2
.
3
.
T
un
is
ia
’
s
hea
lt
h sect
o
r
T
h
e
T
u
n
is
ian
au
th
o
r
ities
ar
e
p
r
ep
ar
in
g
s
ev
er
al
n
atio
n
al
s
tr
ateg
ic
p
lan
s
,
th
e
latest
o
f
wh
ich
is
th
e
Natio
n
al
Plan
Dig
ital
T
u
n
is
ia
2
0
2
0
with
a
b
u
d
g
et
o
f
5
.
5
b
illi
o
n
d
i
n
ar
s
f
o
r
th
e
p
er
io
d
2
0
1
4
-
2
0
2
0
.
T
h
e
s
tr
ateg
y
aim
s
to
m
ak
e
T
u
n
is
ia
an
in
te
r
n
atio
n
al
d
ig
ital
h
u
b
an
d
to
p
r
o
m
o
te
I
C
T
as
a
k
ey
v
ec
t
o
r
f
o
r
t
h
e
co
u
n
t
r
y
'
s
s
o
cio
-
ec
o
n
o
m
ic
d
ev
el
o
p
m
en
t
.
Ho
wev
er
,
in
2
0
2
0
,
o
n
l
y
2
5
o
f
th
e
s
tr
ateg
ic
o
b
jectiv
es
wer
e
n
o
t
ac
h
iev
ed
at
th
e
p
r
o
ject
id
ea
s
tag
e
[
6
]
.
T
u
n
is
ia
h
as n
o
w
d
is
p
lay
ed
t
h
e
p
lan
o
f
“
Dig
ital T
u
n
is
ia
2
0
2
5
”
wh
ic
h
in
ten
d
s
to
p
r
o
m
o
te
th
e
d
ig
itizatio
n
o
f
ed
u
ca
tio
n
a
n
d
th
e
tr
a
n
s
itio
n
to
e
-
g
o
v
er
n
m
en
t
[
2
5
]
.
I
n
T
u
n
is
ia,
g
en
er
al
h
o
s
p
ital’
s
n
u
m
b
er
was
1
2
in
2
0
1
3
an
d
h
as
g
r
o
wn
to
2
3
in
2
0
2
1
.
T
h
e
n
u
m
b
er
o
f
in
h
ab
itan
ts
f
o
r
a
d
o
cto
r
is
m
ea
s
u
r
ed
at
7
6
9
in
2
0
1
4
an
d
7
4
4
in
2
0
2
1
,
ac
c
o
r
d
in
g
to
th
e
Min
is
tr
y
o
f
Hea
lth
[
2
6
]
.
A
p
r
o
g
r
am
ca
lled
E
x
p
r
ess
o
o
n
R
ad
io
E
x
p
r
ess
FM
o
n
Ma
r
c
h
5
,
2
0
2
4
[
2
7
]
to
u
ch
ed
o
n
d
o
cto
r
s
’
m
ig
r
atio
n
to
T
u
n
is
ia,
with
th
e
p
r
esen
ce
o
f
th
e
g
en
er
al
s
ec
r
etar
y
o
f
th
e
T
u
n
is
ian
Do
cto
r
s
'
Dea
n
s
h
ip
,
wh
o
s
p
o
k
e
a
b
o
u
t
t
h
e
r
ea
s
o
n
s
f
o
r
d
o
cto
r
s
'
m
ig
r
atio
n
an
d
th
e
p
r
o
b
lem
s
in
v
o
l
v
ed
.
He
s
aid
th
at
f
o
r
m
e
d
ical
i
n
ter
n
s
wh
o
ar
e
n
o
t
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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8
8
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I
n
t J E
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C
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,
Vo
l.
15
,
No
.
6
,
Decem
b
e
r
20
25
:
5
4
3
3
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5436
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ed
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tain
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p
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ialties
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th
ey
a
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e
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o
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a
m
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ir
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)
,
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s
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as
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at
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h
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wo
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k
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io
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T
h
e
g
en
er
al
s
ec
r
etar
y
o
f
th
e
T
u
n
is
ian
Do
cto
r
s
'
d
ea
n
s
h
ip
ex
p
lain
ed
th
at
th
e
n
u
m
b
er
o
f
im
m
ig
r
an
ts
co
u
ld
m
ea
n
th
at
th
er
e
wo
u
ld
b
e
n
o
s
p
ec
ialis
ts
in
T
u
n
is
ia
in
t
h
e
f
u
t
u
r
e
(
5
.
2
0
)
.
T
elem
ed
icin
e
p
latf
o
r
m
s
ar
e
h
elp
f
u
l
in
telem
ed
icin
e
ad
v
an
ce
m
en
t a
n
d
co
n
tr
ib
u
te
to
o
v
er
co
m
e
m
an
y
d
if
f
icu
lties
f
ac
in
g
h
ea
lth
ca
r
e
ac
ce
s
s
in
T
u
n
is
ia.
2
.
4
.
E
x
is
t
ing
t
elem
edicine
pla
t
f
o
r
m
s
in T
un
i
s
ia
I
n
T
u
n
is
ia,
th
er
e
ar
e
s
ev
er
al
ex
am
p
les
o
f
telem
e
d
icin
e
p
la
tf
o
r
m
s
f
ac
ilit
atin
g
in
ter
ac
tio
n
b
etwe
en
d
o
cto
r
s
an
d
p
atie
n
ts
.
W
e
ca
n
cite
telem
ed
icin
e.
tn
[
2
8
]
,
T
o
b
b
a.
tn
[
2
9
]
,
D
o
cNe
t.tn
[
3
0
]
,
Me
d
.
tn
[
3
1
]
,
an
d
W
ic
-
d
o
cto
r
[
3
2
]
.
T
h
ey
o
f
f
e
r
s
er
v
ices
th
at
d
if
f
er
f
r
o
m
o
n
e
to
th
e
n
ex
t.
So
m
e
p
latf
o
r
m
s
o
f
f
er
s
y
n
ch
r
o
n
o
u
s
s
er
v
ices,
o
th
er
s
o
f
f
er
n
o
n
-
s
y
n
ch
r
o
n
o
u
s
s
er
v
ices,
an
d
s
o
m
e
o
f
f
er
b
o
th
.
T
h
e
ch
allen
g
e
is
to
p
r
o
v
id
e
r
ea
l
-
tim
e
s
er
v
ices.
2
.
5
.
I
m
pa
c
t
s
o
f
t
he
CO
VID
-
1
9
in T
un
is
ia
a
nd
it
s
re
la
t
io
ns
hip
wit
h t
elem
edicine
T
o
d
ay
,
s
ev
er
al
s
er
v
ices
ar
e
d
ev
elo
p
in
g
o
n
lin
e
in
T
u
n
is
ia.
T
h
e
s
co
p
e
o
f
th
ese
s
er
v
ices
is
v
er
y
wid
e
an
d
e
x
ten
d
s
to
e
-
lear
n
in
g
,
e
-
b
u
s
in
ess
an
d
e
-
g
o
v
er
n
m
e
n
t.
I
t
is
wo
r
th
n
o
tin
g
th
at
th
e
u
s
e
o
f
th
ese
e
-
s
er
v
ices
v
ar
ies
b
y
p
o
p
u
latio
n
an
d
ev
e
n
with
in
p
o
p
u
latio
n
s
.
So
m
e
p
eo
p
le
im
p
r
o
v
e
th
eir
h
ea
lth
s
tatu
s
b
y
u
s
in
g
th
ese
s
er
v
ices,
wh
ile
o
th
er
s
ca
n
n
o
t.
Du
r
in
g
th
e
C
OVI
D
-
1
9
co
n
ta
in
m
en
t,
p
eo
p
le
h
av
e
b
ee
n
f
o
r
ce
d
to
tu
r
n
to
t
h
e
d
ig
ital
wo
r
ld
an
d
th
e
is
s
u
e
o
f
d
ig
ital
tec
h
n
o
lo
g
y
u
s
e
h
as
tak
en
ce
n
ter
s
tag
e.
So
m
e
will
co
n
tin
u
e
to
wo
r
k
,
s
tu
d
y
,
b
u
y
an
d
s
ell
g
o
o
d
s
,
h
a
v
e
f
u
n
,
an
d
ac
ce
s
s
e
-
g
o
v
er
n
m
en
t,
an
d
o
th
er
s
will
n
o
t
b
e
ab
le
to
d
o
s
o
ev
en
if
th
ey
ar
e
well
-
eq
u
ip
p
e
d
.
T
h
er
e
ar
e
n
o
s
tu
d
ies
o
n
th
e
d
ig
ital
tech
n
o
lo
g
ies
u
s
e
in
T
u
n
is
ia.
T
h
e
s
tu
d
y
b
y
th
e
Natio
n
al
I
n
s
titu
te
o
f
Statis
tics
d
id
n
o
t ta
k
e
th
is
d
im
en
s
io
n
i
n
to
ac
co
u
n
t
[
6
]
.
I
n
T
u
n
is
ia,
im
p
r
o
v
in
g
e
-
h
ea
lth
s
y
s
tem
s
is
ess
en
tial
to
e
n
ab
le
h
ea
lt
h
ca
r
e
d
ec
is
io
n
-
m
a
k
in
g
a
n
d
p
r
o
v
id
e
b
etter
q
u
ality
ca
r
e
to
p
atien
ts
.
Ho
wev
er
,
d
esp
ite
th
e
in
cr
ea
s
in
g
d
ig
itizatio
n
o
f
th
e
h
ea
lth
ca
r
e
s
ec
to
r
,
s
o
m
e
ch
allen
g
es
to
d
ig
ital
tr
a
n
s
f
o
r
m
atio
n
r
em
ain
[
6
]
.
Sad
o
k
et
a
l.
[
3
3
]
id
en
tify
s
ev
er
al
c
h
allen
g
es
in
T
u
n
is
ia,
in
clu
d
in
g
th
e
lack
o
f
a
p
o
licy
ag
en
d
a,
s
tr
u
ctu
r
al
r
ef
o
r
m
s
,
an
d
c
o
h
er
e
n
t
in
v
estme
n
t
p
r
o
g
r
am
s
,
as
well
as
m
ar
k
et
r
eg
u
latio
n
af
f
ec
tin
g
th
e
d
ev
elo
p
m
en
t
o
f
telem
ed
icin
e
an
d
e
-
h
ea
lth
.
Du
r
in
g
C
OVI
D
-
1
9
,
g
r
ea
t
p
r
o
g
r
ess
was
m
ad
e
in
o
v
er
c
o
m
in
g
th
ese
o
b
s
tacle
s
.
Ma
n
s
o
u
r
an
d
Salem
(
2
0
2
0
)
[
3
4
]
p
o
in
t o
u
t
th
at
t
h
e
C
OVI
D
-
1
9
cr
is
is
h
as
ac
ce
ler
ated
th
e
d
ig
ital
tr
a
n
s
f
o
r
m
atio
n
.
Dig
itizatio
n
is
th
e
k
ey
t
o
co
n
tin
u
o
u
s
d
ev
elo
p
m
en
t.
T
u
n
is
ia
s
h
o
u
ld
in
v
est in
th
e
e
-
h
ea
lth
s
ec
to
r
an
d
in
cr
ea
s
e
th
e
u
s
e
o
f
d
ig
ital to
o
ls
.
3.
M
E
T
H
O
D
W
e
ar
e
tr
y
in
g
to
d
ev
elo
p
a
m
o
d
er
n
to
o
l
th
at
p
r
o
v
id
es
eq
u
al
ac
ce
s
s
to
ca
r
e,
as
a
s
o
lu
tio
n
th
at
f
ac
ilit
ates
th
e
in
ter
ac
tio
n
b
et
wee
n
p
atien
ts
an
d
m
e
d
ical
s
p
ec
ialis
ts
to
f
ig
h
t
th
e
d
elay
o
f
ac
ce
s
s
th
at
ca
u
s
es
m
o
s
t
d
ea
th
ca
s
es.
T
h
is
is
f
r
eq
u
en
tly
n
o
ted
f
o
r
th
e
p
o
o
r
s
o
cia
l
ca
teg
o
r
y
.
So
,
th
e
id
ea
k
ee
p
s
s
ee
in
g
h
o
w
o
n
e
ca
n
d
esig
n
a
p
latf
o
r
m
to
m
o
n
ito
r
t
h
eir
d
aily
co
n
d
itio
n
.
T
h
is
will
m
ain
ly
co
n
ce
r
n
s
o
lv
in
g
th
e
d
elay
p
r
o
b
lem
n
o
te
d
f
o
r
g
e
o
g
r
ap
h
ically
is
o
lated
zo
n
es.
T
h
e
p
r
in
ci
p
al
co
m
p
o
n
en
t
s
o
f
th
e
p
r
o
p
o
s
ed
s
y
s
tem
ar
e
t
h
e
p
atien
t'
s
m
ed
ical
r
ec
o
r
d
,
5
G
an
d
th
e
telem
ed
ici
n
e
p
latf
o
r
m
.
3
.
1
.
T
elem
edicine
pla
t
f
o
r
m
T
h
e
telem
ed
icin
e
p
latf
o
r
m
f
ac
ilit
ates
in
ter
ac
tio
n
b
etwe
en
d
o
cto
r
s
an
d
p
atien
ts
p
r
o
v
i
d
in
g
s
u
ch
s
er
v
ices
g
u
ar
an
tees
p
atien
t
h
ea
lth
ca
r
e
ac
ce
s
s
ea
s
ily
.
Patien
t
in
f
o
r
m
atio
n
is
ex
ch
an
g
ed
b
et
wee
n
d
o
cto
r
s
,
o
n
e
o
f
wh
o
m
is
u
s
u
ally
a
s
p
ec
ialis
t.
T
h
is
in
f
o
r
m
atio
n
m
ay
in
cl
u
d
e
m
e
d
ical
im
ag
es,
v
i
d
eo
s
,
r
ep
o
r
ts
an
d
m
ed
ical
r
ec
o
r
d
s
,
e
n
ab
lin
g
th
e
s
p
ec
ialis
t
to
ass
ess
th
e
ca
s
e
ac
co
r
d
in
g
t
o
av
ailab
ilit
y
an
d
p
r
o
v
id
e
a
d
iag
n
o
s
is
o
r
o
p
in
i
o
n
.
C
o
n
s
u
ltatio
n
s
p
atien
t
-
d
o
cto
r
ca
n
b
e
T
ex
t
-
b
ased
v
ia
r
ea
l
-
tim
e
ch
at
b
o
x
wh
ich
is
id
ea
l
f
o
r
s
itu
atio
n
s
wh
er
e
p
atien
ts
h
av
e
lim
ited
b
an
d
wid
th
an
d
r
ea
l
-
tim
e
v
id
e
o
ca
lls
m
ay
n
o
t
b
e
v
ia
b
le.
W
h
at
i
s
m
o
r
e,
p
atien
ts
m
a
y
also
p
r
ef
er
tex
t
-
b
ased
co
n
s
u
ltatio
n
s
to
in
ter
ac
tiv
e
o
n
es
f
o
r
r
ea
s
o
n
s
o
f
c
o
n
f
i
d
en
tiality
.
Als
o
,
it
p
r
o
v
id
es
a
u
d
io
an
d
v
id
eo
ca
lls
.
R
ea
l
-
tim
e
teleh
ea
lth
s
er
v
ices
h
elp
m
ain
tain
th
e
p
atien
t
-
d
o
cto
r
r
elatio
n
s
h
ip
,
en
ab
lin
g
p
r
o
v
id
e
r
s
to
in
ter
ac
t f
ac
e
-
to
-
f
ac
e
with
p
atie
n
ts
to
ass
ess
,
d
iag
n
o
s
e
an
d
tr
e
at
h
ea
lth
p
r
o
b
lem
s
.
T
h
e
d
ata
co
u
ld
b
e
s
en
t
to
th
e
s
p
ec
ialis
t
with
in
m
in
u
tes.
Pati
en
ts
s
h
o
u
ld
r
ec
eiv
e
p
r
escr
ip
tio
n
s
f
o
r
th
e
n
ec
ess
ar
y
m
ed
icatio
n
an
d
ad
v
ice
to
f
o
llo
w
f
o
r
th
eir
h
ea
lth
ca
s
e.
Ou
r
p
latf
o
r
m
co
u
ld
b
e
p
u
b
licly
an
d
f
r
ee
l
y
ac
ce
s
s
ed
.
a.
C
o
m
m
u
n
icatio
n
in
f
r
astru
ctu
r
e
:
T
h
is
in
clu
d
es
h
ig
h
in
ter
n
et
co
n
n
ec
tiv
ity
5
G
m
o
b
ile
n
etw
o
r
k
s
ar
e
a
v
ital
elem
en
t
in
t
h
e
s
y
s
tem
to
en
s
u
r
e
th
e
s
m
o
o
th
o
p
er
atio
n
o
f
o
u
r
s
y
s
tem
an
d
g
u
ar
an
tee
th
e
s
atis
f
ac
tio
n
o
f
b
o
th
h
ea
lth
ca
r
e
s
p
ec
ialis
ts
an
d
p
atien
ts
with
its
s
er
v
ices.
b.
Data
s
to
r
ag
e
an
d
m
a
n
ag
em
en
t:
th
e
p
latf
o
r
m
s
h
o
u
ld
in
clu
d
e
r
o
b
u
s
t
d
ata
s
to
r
ag
e
a
n
d
m
an
a
g
em
en
t
ca
p
ab
ilit
ies to
s
to
r
e
p
atien
t d
at
a
s
ec
u
r
ely
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J E
lec
&
C
o
m
p
E
n
g
I
SS
N:
2088
-
8
7
0
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A
teleme
d
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p
la
tfo
r
m
emp
o
w
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b
y
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mo
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ile
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3.
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.
I
m
ple
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ent
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t
io
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f
a
pr
o
t
o
t
y
pe
t
elem
edicine
pla
t
f
o
r
m
T
h
e
s
y
s
tem
is
c
o
n
s
id
er
ed
as
a
p
latf
o
r
m
t
h
at
co
n
n
ec
ts
m
a
n
y
p
atien
ts
with
m
an
y
d
o
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r
s
v
ia
s
er
v
er
,
th
e
p
latf
o
r
m
u
s
e
ca
s
e
d
iag
r
am
is
p
r
esen
ted
in
Fig
u
r
e
1
.
New
tech
n
o
lo
g
ical
to
o
ls
wh
ich
ar
e
u
s
ed
will
al
lo
w
o
n
th
e
o
n
e
h
an
d
o
p
tim
izin
g
th
e
s
af
ety
o
f
p
atien
ts
b
y
r
ed
u
cin
g
t
h
e
tim
e
o
f
in
ter
v
e
n
tio
n
d
u
r
i
n
g
th
e
o
cc
u
r
r
en
ce
o
f
v
ar
io
u
s
ev
en
ts
.
On
th
e
o
th
er
h
an
d
,
th
is
will im
p
r
o
v
e
th
e
p
ati
en
t'
s
co
m
f
o
r
t w
h
en
h
e
is
n
o
t
u
n
n
ec
ess
ar
ily
m
o
v
ed
.
T
h
e
p
latf
o
r
m
p
r
esen
ts
r
ea
l
-
tim
e
v
id
eo
,
i
n
s
tan
t
m
ess
ag
in
g
,
l
iv
e
n
o
tific
atio
n
s
an
d
elec
tr
o
n
ic
h
ea
lth
r
ec
o
r
d
(
E
HR
)
ac
ce
s
s
.
I
n
ad
d
itio
n
to
th
at
am
o
n
g
its
f
e
atu
r
es
an
d
f
u
n
ctio
n
s
we
m
e
n
tio
n
Ap
p
o
in
tm
e
n
t
Sch
ed
u
lin
g
,
an
d
f
ile
s
h
ar
in
g
t
h
e
p
latf
o
r
m
allo
ws
f
o
r
th
e
s
h
ar
in
g
o
f
m
ed
ical
im
a
g
es,
test
r
esu
lts
,
an
d
o
th
e
r
r
elev
an
t
d
o
cu
m
en
ts
b
etwe
en
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
an
d
p
ati
en
ts
an
d
s
ec
u
r
e
m
ess
ag
in
g
,
h
ea
lth
ca
r
e
p
r
o
v
id
e
r
s
an
d
p
atien
ts
ca
n
c
o
m
m
u
n
icate
s
ec
u
r
ely
th
r
o
u
g
h
th
e
p
latf
o
r
m
,
en
s
u
r
in
g
p
r
iv
ac
y
an
d
co
n
f
id
e
n
tiality
.
Fig
u
r
e
1
.
Platfo
r
m
u
s
e
ca
s
e
d
i
ag
r
am
3.
3
.
O
v
er
v
iew
o
f
o
ur
pla
t
f
o
r
m
t
ec
hn
o
lo
g
ies
Patien
ts
ar
e
s
till
n
o
t
r
ea
s
s
u
r
ed
b
y
th
e
s
er
v
ices
b
eh
in
d
th
e
s
c
r
ee
n
,
esp
ec
ially
wh
e
n
it
co
m
e
s
to
th
eir
h
ea
lth
.
T
h
ey
ar
e
m
o
r
e
r
ea
s
s
u
r
ed
b
y
s
ee
in
g
th
eir
d
o
cto
r
.
T
h
a
t
i
s
wh
y
we
'
r
e
alwa
y
s
lo
o
k
in
g
to
p
r
o
v
id
e
s
er
v
ices
th
at
im
p
r
o
v
e
wh
at
alr
ea
d
y
ex
is
ts
.
T
h
e
p
latf
o
r
m
p
r
o
v
i
d
es
r
e
al
-
tim
e
s
er
v
ices,
s
u
ch
as
v
id
e
o
ca
lls
f
o
r
p
atie
n
ts
wh
o
p
r
ef
e
r
f
ac
e
-
to
-
f
ac
e
in
ter
a
ctio
n
an
d
in
s
tan
t
m
ess
ag
in
g
f
o
r
p
atien
ts
wh
o
p
r
e
f
er
tex
t
-
b
a
s
ed
co
n
s
u
ltatio
n
s
to
in
ter
ac
tiv
e
o
n
es
f
o
r
r
ea
s
o
n
s
o
f
co
n
f
i
d
en
tiality
to
f
ig
h
t
a
g
ain
s
t
th
e
m
ain
o
b
s
tacle
b
etwe
en
th
e
p
atien
t
an
d
th
e
d
o
cto
r
wh
ich
is
th
e
lo
n
g
tim
e
to
h
av
e
an
ap
p
o
in
tm
e
n
t.
T
h
e
d
o
cto
r
will
b
e
n
o
tifie
d
f
o
llo
wi
n
g
a
r
eq
u
est
f
r
o
m
a
cu
s
to
m
er
.
On
ly
d
o
cto
r
s
ca
n
in
itiate
a
v
id
eo
ca
ll
if
n
ec
ess
ar
y
,
d
ep
en
d
in
g
o
n
t
h
e
p
atien
t’
s
c
o
n
d
itio
n
f
o
r
f
u
r
th
e
r
o
r
g
an
izatio
n
.
T
o
r
ea
lize
th
ese
s
er
v
ices,
th
e
p
latf
o
r
m
r
elies
o
n
th
e
p
o
wer
o
f
L
a
r
av
el
1
1
,
L
ar
av
el
R
ev
er
b
a
n
d
PHP
8
.
2
.
I
n
th
e
n
ex
t
p
a
r
ag
r
a
p
h
,
we
wi
ll
d
iv
e
d
ee
p
in
to
th
e
ar
ch
itectu
r
e,
f
ea
tu
r
es,
an
d
b
en
ef
its
th
at
m
ak
e
th
is
p
latf
o
r
m
with
th
e
s
er
v
ices b
elo
w
a
s
tan
d
o
u
t so
lu
tio
n
in
th
e
m
ar
k
et.
3.
3
.
1
.
B
a
ck
end
T
h
e
b
ac
k
e
n
d
o
f
o
u
r
p
latf
o
r
m
is
b
u
ilt
o
n
L
ar
a
v
el
1
1
,
a
r
o
b
u
s
t
an
d
f
ea
tu
r
e
-
r
ich
PHP
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r
am
e
wo
r
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at
p
r
o
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id
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tu
r
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y
f
o
u
n
d
atio
n
f
o
r
o
u
r
s
er
v
er
-
s
id
e
lo
g
ic.
B
y
u
s
in
g
th
e
latest
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er
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io
n
o
f
L
ar
av
el,
we
ha
v
e
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ee
n
ab
le
to
tak
e
ad
v
an
tag
e
o
f
its
cu
ttin
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ed
g
e
f
ea
t
u
r
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im
p
r
o
v
e
d
p
er
f
o
r
m
an
ce
,
an
d
en
h
an
ce
d
s
ec
u
r
ity
m
ea
s
u
r
es.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
0
8
8
-
8
7
0
8
I
n
t J E
lec
&
C
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,
Vo
l.
15
,
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6
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Decem
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L
ar
av
el
1
1
f
r
am
ewo
r
k
o
f
f
er
s
p
o
wer
f
u
l
f
ea
tu
r
es
f
o
r
cr
ea
tin
g
m
o
d
er
n
,
h
ig
h
-
p
e
r
f
o
r
m
an
ce
a
p
p
licatio
n
s
.
T
h
ese
in
clu
d
e
its
co
n
tr
o
ller
s
,
wh
ich
en
ab
le
b
u
s
in
ess
lo
g
ic
to
b
e
m
an
ag
ed
i
n
a
s
tr
u
ctu
r
ed
,
m
o
d
u
lar
way
.
R
o
u
tes
f
ac
ilit
ate
th
e
m
an
ag
em
en
t
o
f
UR
L
s
an
d
co
r
r
esp
o
n
d
in
g
ac
tio
n
.
Mig
r
atio
n
also
s
im
p
lifie
s
d
atab
ase
m
an
ag
em
en
t.
On
e
o
f
L
ar
av
el
1
1
'
s
m
ain
s
tr
en
g
th
s
is
its
ex
p
r
ess
iv
e
s
y
n
ta
x
an
d
m
o
d
u
lar
s
tr
u
ct
u
r
e,
d
ev
elo
p
er
s
ca
n
co
d
e
f
aster
an
d
m
o
r
e
ef
f
icien
tly
.
W
h
at
i
s
m
o
r
e,
s
ec
u
r
ity
is
a
m
ajo
r
c
o
n
ce
r
n
f
o
r
an
y
co
m
p
an
y
.
L
ar
av
el
1
1
in
co
r
p
o
r
ates
r
o
b
u
s
t
s
ec
u
r
ity
m
ec
h
an
is
m
s
,
s
ess
io
n
I
D
m
a
n
ag
em
en
t
a
n
d
s
ec
u
r
e
q
u
er
ies.
Scalab
ilit
y
an
o
th
er
m
ajo
r
ad
v
an
tag
e
o
f
L
ar
av
el
1
1
.
I
ts
f
le
x
ib
le
ar
c
h
itectu
r
e
l
ets
y
o
u
d
e
v
elo
p
s
ca
lab
le
ap
p
licatio
n
s
ca
p
ab
le
o
f
h
an
d
lin
g
in
cr
ea
s
ed
wo
r
k
lo
ad
s
with
o
u
t c
o
m
p
r
o
m
is
in
g
p
er
f
o
r
m
an
ce
.
3.
3
.
2
.
Rea
l
-
t
i
m
e
co
m
m
un
ica
t
io
n
We
ha
v
e
in
teg
r
ated
L
ar
av
el
R
ev
er
b
,
a
p
o
wer
f
u
l
r
ea
l
-
tim
e
co
m
m
u
n
icatio
n
p
ac
k
ag
e,
to
f
ac
ilit
ate
s
ea
m
less
r
ea
l
-
tim
e
co
m
m
u
n
ic
atio
n
b
etwe
en
o
u
r
u
s
er
s
[
3
5
]
.
T
h
is
allo
ws
o
u
r
a
p
p
licatio
n
to
d
eliv
er
i
n
s
tan
t
u
p
d
ates,
liv
e
n
o
tific
atio
n
s
,
a
n
d
in
ter
ac
tio
n
s
,
cr
ea
tin
g
a
d
y
n
am
ic
an
d
en
g
ag
in
g
u
s
er
e
x
p
er
ien
ce
.
L
ar
av
el
R
ev
er
b
'
s
ad
v
an
tag
es f
o
r
r
ea
l
-
ti
m
e
C
o
m
m
u
n
icatio
n
a
r
e:
a.
I
n
s
tan
t
m
ess
ag
in
g
:
L
ar
av
el
R
ev
er
b
en
a
b
les
u
s
to
b
u
il
d
r
ea
l
-
tim
e
ch
at
f
u
n
ctio
n
ality
,
allo
win
g
o
u
r
u
s
er
s
to
co
m
m
u
n
icate
in
s
tan
tly
an
d
ef
f
o
r
tles
s
ly
with
in
th
e
a
p
p
licati
o
n
,
f
o
s
ter
in
g
a
m
o
r
e
e
n
g
ag
e
d
an
d
co
n
n
ec
ted
u
s
er
b
ase.
b.
L
iv
e
n
o
tific
atio
n
s
:
with
L
ar
a
v
el
R
ev
er
b
,
we
ca
n
d
eliv
er
l
iv
e
n
o
tific
atio
n
s
to
o
u
r
u
s
er
s
,
k
ee
p
in
g
th
em
in
f
o
r
m
e
d
ab
o
u
t
u
p
d
ates,
ev
en
t
s
,
an
d
im
p
o
r
tan
t in
f
o
r
m
atio
n
with
o
u
t th
e
n
ee
d
f
o
r
p
a
g
e
r
ef
r
esh
es,
en
h
an
cin
g
th
e
o
v
er
all
u
s
er
e
x
p
er
ie
n
ce
.
c.
C
o
llab
o
r
ativ
e
ex
p
er
ien
ce
s
:
th
e
r
ea
l
-
tim
e
ca
p
ab
ilit
ies
o
f
L
ar
av
el
R
ev
er
b
en
ab
le
u
s
to
cr
ea
te
co
llab
o
r
ativ
e
f
ea
tu
r
es,
s
u
ch
as
r
ea
l
-
tim
e
d
o
cu
m
en
t
e
d
itin
g
,
w
h
iteb
o
ar
d
in
g
,
an
d
s
h
ar
e
d
wo
r
k
s
p
ac
es,
f
o
s
ter
in
g
s
ea
m
less
team
wo
r
k
an
d
p
r
o
d
u
ctiv
ity
a
m
o
n
g
o
u
r
u
s
er
s
.
3.
3
.
3
.
Da
t
a
ba
s
e
a
nd
s
cr
ipting
T
h
e
latest
v
er
s
io
n
o
f
My
SQL
8
co
u
p
led
with
t
h
e
ad
v
an
ce
d
ca
p
ab
ilit
ies
o
f
PHP
8
.
2
,
p
o
w
er
in
g
o
u
r
d
ata
s
to
r
ag
e
an
d
p
r
o
ce
s
s
in
g
.
T
h
is
co
m
b
in
atio
n
p
r
o
v
id
es
u
n
p
ar
alleled
p
er
f
o
r
m
an
ce
,
s
ca
lab
ilit
y
,
an
d
r
eliab
ilit
y
,
en
s
u
r
in
g
th
at
o
u
r
a
p
p
licatio
n
c
an
h
an
d
le
ev
en
t
h
e
m
o
s
t d
em
a
n
d
in
g
wo
r
k
lo
a
d
s
with
ea
s
e.
3.
4
.
De
m
o
ns
t
ra
t
io
n o
f
re
mo
t
e
co
ns
ulta
t
io
n
T
h
e
o
b
jectiv
e
is
to
p
r
o
m
o
te
a
n
d
im
p
r
o
v
e
h
ea
lth
c
o
n
d
itio
n
s
in
T
u
n
is
ia
an
d
to
c
o
v
er
m
ed
ic
al
d
eser
ts
ev
er
y
wh
er
e
.
A
d
em
o
n
s
tr
atio
n
o
f
th
e
p
r
o
t
o
ty
p
e
p
latf
o
r
m
s
h
o
wca
s
es
it
s
ca
p
ab
ilit
ies
in
f
ac
ilit
atin
g
r
em
o
te
co
n
s
u
ltatio
n
s
b
etwe
en
p
atien
ts
an
d
d
o
cto
r
s
.
On
ly
d
o
ct
o
r
s
ca
n
m
a
k
e
v
id
eo
ca
ll
co
n
s
u
ltatio
n
s
f
o
r
m
o
r
e
o
r
g
an
izatio
n
,
th
en
wh
en
o
n
e
o
f
th
em
s
en
d
s
a
m
ess
ag
e
it
ap
p
ea
r
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in
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o
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ch
at
b
o
x
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s
h
o
w
n
in
Fig
u
r
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an
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,
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ices
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lls
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r
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ices:
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Vid
eo
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e
n
o
tific
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n
s
an
d
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a
cc
ess
.
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n
ad
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itio
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th
at
am
o
n
g
its
f
ea
tu
r
es
an
d
f
u
n
ctio
n
s
:
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e
a
p
p
o
in
tm
e
n
t
s
ch
ed
u
lin
g
a
n
d
f
ile
s
h
ar
in
g
.
T
h
e
p
latf
o
r
m
allo
ws
f
o
r
th
e
s
h
ar
in
g
o
f
m
ed
ical
im
ag
es,
test
r
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lt
s
,
an
d
o
th
er
r
elev
an
t
d
o
cu
m
e
n
ts
b
etwe
en
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
an
d
p
atien
ts
an
d
s
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u
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e
m
ess
a
g
in
g
.
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lth
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r
e
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r
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atien
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n
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m
u
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icate
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u
r
el
y
th
r
o
u
g
h
th
e
p
latf
o
r
m
,
e
n
s
u
r
in
g
p
r
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a
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d
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o
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h
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atien
ts
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wh
ic
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k
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es,
esp
ec
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f
o
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th
o
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e
with
ch
r
o
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ic
illn
ess
es;
th
er
ef
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r
e
,
a
h
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g
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-
s
p
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in
t
er
n
et
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tio
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is
r
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u
ir
ed
to
b
en
e
f
it
f
r
o
m
t
h
e
p
latf
o
r
m
'
s
s
er
v
ices.
Fo
r
ea
ch
ch
ec
k
in
g
v
is
it,
th
e
p
atien
t
m
u
s
t
ac
ce
s
s
th
e
p
latf
o
r
m
with
au
th
en
ticatio
n
,
an
d
a
d
o
cto
r
will
d
o
th
e
r
e
q
u
ested
m
e
d
ical
n
ee
d
s
.
Ou
r
p
latf
o
r
m
c
o
n
tain
s
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em
er
g
en
c
y
s
er
v
ice,
wh
ich
is
a
r
ea
l
-
tim
e
s
er
v
ice
with
h
ea
lth
s
p
ec
ialis
ts
,
s
u
ch
as
c
h
at
v
ia
in
s
tan
t
m
es
s
ag
in
g
as
s
h
o
wn
in
Fig
u
r
e
2
an
d
v
id
e
o
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ll o
n
b
eh
alf
o
f
th
e
d
o
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r
.
W
e
f
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n
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er
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at
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u
r
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p
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t
co
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f
o
r
t
an
d
s
atis
f
ac
tio
n
,
wh
ich
ar
e:
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n
s
tan
t
m
ess
ag
in
g
,
liv
e
n
o
tific
atio
n
s
,
elec
tr
o
n
ic
p
r
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ip
tio
n
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eo
co
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s
u
lta
tio
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.
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ab
le
1
s
u
m
m
ar
izes
a
c
o
m
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ar
is
o
n
b
etwe
en
ex
is
tin
g
p
latf
o
r
m
s
an
d
o
u
r
o
n
e,
R
T
_
MI
,
in
p
r
o
v
id
in
g
t
h
ese
s
er
v
ices.
Ou
r
p
latf
o
r
m
o
f
f
er
s
m
o
r
e
telem
ed
icin
e
s
er
v
ices
in
co
m
p
ar
is
o
n
with
th
e
m
en
tio
n
ed
p
latf
o
r
m
s
'
ex
is
t
in
g
.
T
h
e
s
tr
en
g
th
s
o
f
o
u
r
s
y
s
tem
s
co
m
p
ar
ed
with
ex
is
tin
g
p
latf
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r
m
s
ar
e
r
ea
l
-
tim
e
in
ter
ac
tio
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b
etwe
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t
an
d
d
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r
th
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n
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s
to
5
G,
en
s
u
r
in
g
th
e
tr
an
s
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er
o
f
d
ata
an
d
ac
ce
s
s
at
th
e
s
am
e
tim
e,
r
ea
l
-
tim
e
co
m
m
u
n
icatio
n
s
s
u
ch
as
v
id
e
o
a
n
d
a
u
d
io
ca
lls
,
liv
e
n
o
tific
atio
n
s
an
d
in
s
tan
t m
ess
ag
in
g
.
T
ab
le
1
.
T
h
e
p
er
f
o
r
m
a
n
ce
o
f
e
ac
h
T
u
n
is
ian
telem
ed
icin
e
p
latf
o
r
m
S
e
r
v
i
c
e
s
Te
l
e
me
d
e
c
i
n
e
.
t
n
To
b
b
a
.
t
n
D
o
c
N
e
t
.
t
n
M
e
d
.
t
n
W
i
c
-
d
o
c
t
o
r
R
T_
M
I
I
n
st
a
n
t
mes
sa
g
i
n
g
No
N
o
t
p
r
e
c
i
s
e
No
No
Y
e
s
Y
e
s
Li
v
e
n
o
t
i
f
i
c
a
t
i
o
n
N
o
t
p
r
e
c
i
s
e
N
o
t
p
r
e
c
i
s
e
N
o
t
p
r
e
c
i
s
e
No
N
o
t
p
r
e
c
i
s
e
Y
e
s
El
e
c
t
r
o
n
i
c
p
r
e
s
c
r
i
p
t
i
o
n
Y
e
s
N
o
t
p
r
e
c
i
s
e
Y
e
s
No
N
o
t
p
r
e
c
i
s
e
Y
e
s
V
i
d
e
o
c
o
n
s
u
l
t
a
t
i
o
n
Y
e
s
Y
e
s (v
a
r
i
a
b
l
e
)
Y
e
s
No
Y
e
s
Y
e
s
4
.
1
.
E
t
hica
l a
nd
da
t
a
c
o
ns
id
er
a
t
io
ns
L
ar
av
el
an
d
L
a
r
av
el
r
e
v
er
b
o
f
f
e
r
tech
n
ical
to
o
ls
th
at
h
elp
co
m
p
ly
with
ce
r
tain
g
en
er
al
d
ata
p
r
o
tectio
n
r
e
g
u
latio
n
(
GDPR
)
an
d
h
ea
lth
in
s
u
r
an
ce
p
o
r
tab
i
lity
an
d
ac
co
u
n
ta
b
ilit
y
(
HI
PAA
)
s
tan
d
ar
d
s
.
Fo
r
d
ata
s
ec
u
r
ity
,
L
ar
av
el
o
f
f
er
s
en
cr
y
p
tio
n
m
ec
h
a
n
is
m
s
;
it
u
s
es
B
cr
y
p
t
o
r
Ar
g
o
n
2
v
ia
(
Hash
:
m
ak
e
(
)
)
to
s
ec
u
r
ely
s
to
r
e
p
ass
wo
r
d
s
.
Als
o
,
p
r
o
tectio
n
ag
ai
n
s
t
co
m
m
o
n
attac
k
s
v
ia
X
SS
(
cr
o
s
s
s
ite
s
cr
ip
tin
g
)
,
cr
o
s
s
-
s
ite
r
eq
u
est
f
o
r
g
er
y
(
C
SR
F
)
,
SQL
in
jectio
n
f
o
r
in
p
u
t
d
ata
v
alid
atio
n
,
th
e
r
o
b
u
s
t
v
alid
atio
n
s
y
s
tem
p
r
ev
en
ts
SQL
in
jectio
n
o
r
m
alf
o
r
m
ed
d
ata
b
y
f
ilter
in
g
s
er
v
er
-
s
id
e
in
p
u
ts
.
)
.
L
ar
a
v
el
allo
ws
ac
ce
s
s
m
an
ag
e
m
en
t
v
ia
Mid
d
lewa
r
es
au
th
,
a
n
d
ca
n
,
wh
ich
lim
its
ac
ce
s
s
to
m
ed
ic
al
d
ata
to
a
u
th
o
r
ize
d
u
s
er
s
o
n
ly
,
th
u
s
en
s
u
r
in
g
J
o
in
f
iles
o
r
im
a
g
es
I
ns
t
a
nt
m
ess
a
g
ing
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
0
8
8
-
8
7
0
8
I
n
t J E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
15
,
No
.
6
,
Decem
b
e
r
20
25
:
5
4
3
3
-
5
4
4
2
5440
au
th
en
ticatio
n
an
d
a
u
th
o
r
izati
o
n
.
I
n
ad
d
itio
n
,
L
ar
a
v
el
allo
ws
lo
g
g
in
g
,
wh
ich
allo
ws
tr
ac
k
i
n
g
ac
tio
n
s
,
wh
ich
is
u
s
ef
u
l
f
o
r
tr
ac
ea
b
ilit
y
r
eq
u
ir
ed
b
y
GDPR
/HI
PAA.
I
t
al
s
o
allo
ws
s
ec
u
r
e
s
to
r
ag
e
m
an
ag
em
en
t
with
th
e
p
o
s
s
ib
ilit
y
o
f
in
teg
r
atio
n
with
AW
S
co
m
p
lian
t
s
o
lu
tio
n
s
with
en
cr
y
p
tio
n
a
n
d
s
ec
u
r
e
s
er
v
e
r
s
f
o
r
in
f
r
astru
ctu
r
e
s
ec
u
r
ity
:
it
allo
ws
au
to
m
atic
d
ata
en
cr
y
p
tio
n
(
at
r
est
&
in
tr
an
s
it),
S3
,
R
DS
an
d
o
th
er
AW
S
s
er
v
ices
o
f
f
er
au
to
m
atic
AE
S
-
2
5
6
en
c
r
y
p
tio
n
,
en
s
u
r
in
g
d
ata
co
n
f
i
d
en
tiality
.
I
n
ad
d
itio
n
,
th
er
e
is
a
f
ir
ew
all,
n
etwo
r
k
s
ec
u
r
ity
an
d
co
n
tin
u
o
u
s
m
o
n
ito
r
in
g
with
s
ec
u
r
ity
g
r
o
u
p
s
,
v
ir
tu
al
p
r
i
v
ate
clo
u
d
(
VPC
)
,
AW
S
web
ap
p
licatio
n
f
ir
ewa
ll
(
AW
S W
AF)
an
d
C
lo
u
d
T
r
ail,
to
b
e
ab
le
to
b
lo
ck
attac
k
s
,
m
o
n
ito
r
lo
g
s
an
d
au
d
it a
cc
ess
.
4
.
2
.
F
uture
direct
io
ns
a
nd
cha
lleng
es
W
e
ar
e
lo
o
k
in
g
to
in
tr
o
d
u
ce
i
n
ter
n
et
o
f
th
in
g
s
(
I
o
T
)
d
ev
ices
in
ter
co
n
n
ec
ted
t
h
r
o
u
g
h
a
n
et
wo
r
k
to
th
e
p
latf
o
r
m
,
u
s
in
g
s
m
ar
t
s
en
s
o
r
s
th
at
co
llect
an
d
tr
an
s
m
it
h
ea
lth
ca
r
e
d
ata
in
r
ea
l
tim
e.
I
t
en
ab
les
co
n
tin
u
o
u
s
m
o
n
ito
r
in
g
o
f
p
atien
ts
’
v
ital
s
ig
n
s
.
T
h
ese
d
ev
ices
en
ab
le
r
em
o
te
p
atien
t
m
o
n
ito
r
in
g
a
n
d
s
u
p
p
o
r
t
th
e
ea
r
ly
d
etec
tio
n
o
f
h
ea
lth
is
s
u
es.
I
o
T
d
ev
ices
f
ac
ilit
ate
th
e
in
t
eg
r
atio
n
o
f
v
ar
i
o
u
s
h
ea
lth
ca
r
e
s
y
s
tem
s
en
ab
lin
g
s
ea
m
less
d
ata
ex
ch
an
g
e
an
d
in
ter
o
p
er
ab
ilit
y
.
5.
CO
NCLU
SI
O
N
T
h
e
o
b
jectiv
e
o
f
t
h
is
p
ap
er
is
to
p
r
esen
t
th
e
d
esig
n
an
d
im
p
lem
en
tatio
n
o
f
s
u
ch
a
p
latf
o
r
m
,
h
ig
h
lig
h
tin
g
its
ar
ch
itectu
r
e
a
n
d
d
e
m
o
n
s
tr
atin
g
its
ef
f
ec
tiv
en
ess
in
f
ac
ilit
atin
g
r
em
o
te
c
o
n
s
u
ltatio
n
.
I
n
th
e
r
ea
lizatio
n
o
f
o
u
r
p
latf
o
r
m
,
we
tr
ied
to
p
r
o
v
id
e
all
th
e
f
o
llo
win
g
o
b
jectiv
es:
Fo
r
p
ati
en
ts
:
to
p
r
o
v
id
e
a
n
ap
p
r
o
p
r
iate
r
esp
o
n
s
e
f
r
o
m
t
h
e
o
u
ts
et
o
f
ca
r
e,
an
d
a
b
o
v
e
all
with
r
ap
id
tu
r
n
ar
o
u
n
d
tim
es,
to
elim
in
ate
in
ap
p
r
o
p
r
iate
o
r
u
n
ju
s
tifie
d
tr
an
s
p
o
r
t
to
th
e
r
ef
e
r
r
al
f
ac
ilit
y
(
r
ed
u
cin
g
an
x
iety
f
o
r
p
atien
ts
)
,
to
en
ab
le
p
atien
ts
to
r
em
ain
at
h
o
m
e
o
r
with
in
m
ed
ical
-
s
o
cial
s
tr
u
ctu
r
es,
t
o
i
m
p
r
o
v
e
co
m
f
o
r
t
f
o
r
p
atien
ts
(
an
d
th
ei
r
f
am
ilies
)
.
Fo
r
h
ea
lth
ca
r
e
p
r
o
f
ess
io
n
als:
im
p
r
o
v
e
d
co
o
r
d
in
atio
n
an
d
co
n
tin
u
ity
o
f
ca
r
e
,
n
o
ta
b
ly
b
y
f
ac
i
litatin
g
r
ec
o
u
r
s
e
to
s
ec
o
n
d
-
lin
e
s
p
ec
ialis
t
ad
v
ic
e;
th
e
p
o
s
s
ib
ilit
y
o
f
ac
q
u
ir
in
g
n
ew
k
n
o
wled
g
e
an
d
s
tr
en
g
th
en
i
n
g
in
te
r
-
p
r
o
f
ess
io
n
al
co
llab
o
r
atio
n
;
o
p
tim
izatio
n
o
f
m
e
d
ical
an
d
p
a
r
am
ed
ical
tim
e.
Fo
r
p
u
b
lic
a
u
th
o
r
ities
:
o
p
tim
ize
r
eg
io
n
al
h
ea
lth
ca
r
e
p
lan
n
in
g
b
y
m
o
b
ilizin
g
h
u
m
a
n
r
eso
u
r
ce
s
,
in
clu
d
in
g
in
r
em
o
te
ar
ea
s
; m
ain
tain
a
h
ea
lth
ca
r
e
o
f
f
er
i
n
all
r
e
g
io
n
s
,
wh
ich
is
a
f
ac
to
r
i
n
m
ain
tain
in
g
th
e
r
e
g
io
n
'
s
attr
ac
tiv
en
ess
;
lim
it
h
ea
lth
ca
r
e
ex
p
e
n
d
itu
r
e
b
y
p
r
e
v
en
tin
g
co
m
p
licatio
n
s
f
o
r
p
atien
ts
s
u
f
f
e
r
in
g
f
r
o
m
c
h
r
o
n
ic
illn
ess
es,
av
o
id
in
g
o
r
s
h
o
r
ten
in
g
h
o
s
p
ital
s
tay
s
,
an
d
lim
itin
g
lo
g
is
tical
co
s
ts
s
u
ch
as
tr
an
s
f
er
r
in
g
p
atie
n
ts
b
y
am
b
u
lan
ce
.
I
n
th
e
f
u
tu
r
e
wo
r
k
we
will
tr
y
to
in
tr
o
d
u
ce
I
o
T
d
ev
ices
in
ter
co
n
n
ec
ted
th
r
o
u
g
h
a
n
etwo
r
k
to
th
e
p
latf
o
r
m
,
u
s
in
g
s
m
ar
t
s
en
s
o
r
s
th
at
co
llect
an
d
tr
a
n
s
m
it
h
ea
lth
ca
r
e
d
ata
i
n
r
ea
l
tim
e
to
p
r
o
v
id
e
m
o
r
e
a
d
v
an
ce
d
s
er
v
ices
f
o
r
p
atien
ts
with
g
r
ea
ter
co
m
f
o
r
t
f
o
r
th
em
.
F
UNDING
I
NF
O
R
M
A
T
I
O
N
No
f
u
n
d
in
g
in
v
o
lv
e
d
.
AUTHO
R
CO
NT
RI
B
UT
I
O
NS ST
A
T
E
M
E
N
T
T
h
is
jo
u
r
n
al
u
s
es
th
e
C
o
n
t
r
ib
u
to
r
R
o
les
T
a
x
o
n
o
m
y
(
C
R
ed
iT)
to
r
ec
o
g
n
ize
in
d
iv
i
d
u
al
au
th
o
r
co
n
tr
ib
u
tio
n
s
,
r
ed
u
ce
au
th
o
r
s
h
ip
d
is
p
u
tes,
an
d
f
ac
ilit
ate
co
llab
o
r
atio
n
.
Na
m
e
o
f
Aut
ho
r
C
M
So
Va
Fo
I
R
D
O
E
Vi
Su
P
Fu
I
b
r
ah
im
M
o
n
ia
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
Dad
i
Mo
h
am
ed
B
ec
h
ir
✓
✓
R
h
aim
i
B
elg
ac
em
C
h
ib
an
i
✓
✓
✓
✓
✓
✓
✓
✓
✓
C
:
C
o
n
c
e
p
t
u
a
l
i
z
a
t
i
o
n
M
:
M
e
t
h
o
d
o
l
o
g
y
So
:
So
f
t
w
a
r
e
Va
:
Va
l
i
d
a
t
i
o
n
Fo
:
Fo
r
mal
a
n
a
l
y
s
i
s
I
:
I
n
v
e
s
t
i
g
a
t
i
o
n
R
:
R
e
so
u
r
c
e
s
D
:
D
a
t
a
C
u
r
a
t
i
o
n
O
:
W
r
i
t
i
n
g
-
O
r
i
g
i
n
a
l
D
r
a
f
t
E
:
W
r
i
t
i
n
g
-
R
e
v
i
e
w
&
E
d
i
t
i
n
g
Vi
:
Vi
su
a
l
i
z
a
t
i
o
n
Su
:
Su
p
e
r
v
i
s
i
o
n
P
:
P
r
o
j
e
c
t
a
d
mi
n
i
st
r
a
t
i
o
n
Fu
:
Fu
n
d
i
n
g
a
c
q
u
i
si
t
i
o
n
CO
NF
L
I
C
T
O
F
I
N
T
E
R
E
S
T
ST
A
T
E
M
E
NT
No
co
n
f
lict
o
f
in
ter
est.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J E
lec
&
C
o
m
p
E
n
g
I
SS
N:
2088
-
8
7
0
8
A
teleme
d
icin
e
p
la
tfo
r
m
emp
o
w
ered
b
y
5
G
mo
b
ile
n
etw
o
r
ks fo
r
…
(
B
elg
a
ce
m
C
h
ib
a
n
i
R
h
a
imi
)
5441
DATA AV
AI
L
AB
I
L
I
T
Y
Data
a
v
aila
b
i
lit
y
is
n
o
t
a
p
p
li
ca
b
le
t
o
t
h
is
p
ap
er
as
n
o
n
e
w
d
a
t
a
w
er
e
cr
ea
te
d
o
r
an
al
y
z
e
d
i
n
t
h
is
s
t
u
d
y
.
RE
F
E
R
E
NC
E
S
[
1
]
J.
C
r
a
i
g
a
n
d
V
.
P
a
t
t
e
r
s
o
n
,
“
I
n
t
r
o
d
u
c
t
i
o
n
t
o
t
h
e
p
r
a
c
t
i
c
e
o
f
t
e
l
e
m
e
d
i
c
i
n
e
,
”
J
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t J E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
15
,
No
.
6
,
Decem
b
e
r
20
25
:
5
4
3
3
-
5
4
4
2
5442
B
I
O
G
RAP
H
I
E
S O
F
AUTH
O
RS
Ibra
h
im
Mo
n
ia
h
o
ld
s
a
B.
S
c
.
d
e
g
re
e
in
c
o
m
p
u
ter
sc
ien
c
e
a
n
d
a
m
a
ste
r’s
d
e
g
re
e
in
n
e
two
r
k
s
a
n
d
e
m
b
e
d
d
e
d
sy
ste
m
s
fro
m
th
e
F
a
c
u
lt
y
o
f
S
c
ien
c
e
in
G
a
fsa
(Tu
n
isia),
o
b
tain
e
d
in
2
0
1
5
a
n
d
2
0
1
7
.
S
h
e
is
n
o
w
a
P
h
.
D.
st
u
d
e
n
t
in
e
lec
tri
c
a
l
e
n
g
i
n
e
e
rin
g
.
S
h
e
c
a
n
b
e
c
o
n
tac
te
d
a
t
e
m
a
il
:
m
o
n
ia
-
ib
ra
h
im@
h
o
tma
il
.
c
o
m
.
Da
d
i
Mo
h
a
m
e
d
Be
c
h
ir
is
a
n
a
ss
istan
t
p
ro
fe
ss
o
r
a
t
t
h
e
D
e
p
a
rtme
n
t
o
f
Co
m
m
u
n
ica
ti
o
n
a
n
d
Ne
two
r
k
s,
C
o
ll
e
g
e
o
f
E
n
g
in
e
e
rin
g
(ENIG
),
G
a
b
è
s.
He
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
m
o
h
a
m
e
d
b
e
c
h
ir.
d
a
d
i@e
n
ig
.
r
n
u
.
tn
.
Rha
im
i
Be
lg
a
c
e
m
Chi
b
a
n
i
i
s
a
p
ro
fe
ss
o
r
i
n
c
o
m
m
u
n
ica
ti
o
n
sy
ste
m
s
a
t
th
e
De
p
a
rtme
n
t
o
f
Co
m
m
u
n
ica
ti
o
n
s
a
n
d
Ne
two
rk
s
a
t
En
g
.
Hig
h
S
c
h
o
o
l
o
f
G
a
b
è
s
a
t
Un
iv
e
rsity
o
f
G
a
b
è
s.
Afte
r
h
is
e
n
g
in
e
e
r'
s
c
o
m
m
u
n
ica
ti
o
n
s
d
i
p
lo
m
a
,
h
e
re
c
e
iv
e
d
th
e
M
.
S
.
d
e
g
re
e
in
a
u
to
m
a
ti
c
c
o
n
tro
l
a
n
d
P
h
.
D.
d
e
g
r
e
e
a
ll
fro
m
Un
i
v
e
rsity
o
f
T
u
n
is
i
n
T
u
n
isia.
His
re
se
a
rc
h
is
fo
c
u
se
d
o
n
c
o
m
m
u
n
ica
ti
o
n
s
a
n
d
si
g
n
a
l
p
ro
c
e
ss
in
g
wit
h
th
e
ir
a
p
p
l
ica
ti
o
n
s.
He
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
a
b
o
u
a
h
m
e
d
1
7
@g
m
a
il
.
c
o
m
.
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