2. 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.

3. Questions of the Physician Patients 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 educations level and from different ethnic descent.

4. Многоезичен Виртуално Симулиран Пациент

5. Многоезичен Виртуално Симулиран Пациент 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.

6. Многоезичен Виртуално Симулиран Пациент 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.

7. Многоезичен Виртуално Симулиран Пациент 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.

8. Go to the Virtual Patients website ( http://ic2.ugr.es:8080/MVSP_WS/start ). Who to work with the Bulgarian Virtual Patient:

9. Choose the language Choose the disease Click here This is the main menu of the MVSP

10. Многоезичен Виртуално Симулиран Пациент Choose Bulgarian Native or Bulgarian Non-Native In the Diseases window choose a Disease Access

11. Field for questions Dialog field Field for mimics and emotional expressions of the Patient

12. Многоезичен Виртуално Симулиран Пациент How to change the Disease? Go back to the Main screen of the MVSP. In the window for Diseases, choose the new Disedse. Access

13. Многоезичен Виртуално Симулиран Пациент What MVSP can do? At each re-enter in the VP-dialog screen brings a new VP:

14. Многоезичен Виртуално Симулиран Пациент 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 dont suffer from smell loss. But I have difficulty to breath at rest.

15. Многоезичен Виртуално Симулиран Пациент 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. Its stifling. Im 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)

16. Многоезичен Виртуално Симулиран Пациент 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 ) NativeNon-Native

17. Многоезичен Виртуално Симулиран Пациент How strong the unusal sweating is? Strong. Ter, and very nasty. (mixture or turkish and Bulgarian) A lot. Im sweating as a bore, and badly too. I sweat. Unbearable. Im sweating. Too much. NativeNon-Native

18. Многоезичен Виртуално Симулиран Пациент 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) Im 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

19. Многоезичен Виртуално Симулиран Пациент How frequent the unusual sweating is? Rarely. Rain wind. Very rarely. Im having sweat, but from time to time. In rear ocasions. Sometimes I am experiencing sweating. NativeNon-Native

20. Многоезичен Виртуално Симулиран Пациент 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

21. Многоезичен Виртуално Симулиран Пациент 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.

22. Многоезичен Виртуално Симулиран Пациент 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 dont 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

23. Многоезичен Виртуално Симулиран Пациент 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.

24. Многоезичен Виртуално Симулиран Пациент Очакваме Вашата писмена оценка. Вашите забележки и препоръки за важни за нас! Благодарим за времето, което ни отделихте!

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