Medication support systems, medication support methods, and medication support programs

Abstract

The purpose is to support those who assist with medication administration. [Solution] The medication support system 500 supports medication caregivers who provide medication assistance. The imaging unit 220 photographs the medication package containing the medication to be administered to the person scheduled to take the medication and acquires the text information printed on the package, including the date and timing of administration. The display unit 230 displays the text information printed on the medication package and accepts a designation as to whether the medication is a temporary prescription or not. If the medication is a temporary prescription, the medication management unit 240 registers in the medication management database 33, which manages the timing of administration for each person scheduled to take the medication, that the medication should be taken on the date included in the text information and at the timing included in the text information.

Description

Technical Field

[0001] The present disclosure relates to a medication support system, a medication support method, and a medication support program.

Background Art

[0002] In facilities such as medical institutions or nursing facilities, medication assistance is provided by medication assistants such as nurses or care workers to ensure that users take their medications correctly. To prevent mistakes such as taking the wrong medication, a system has been introduced to support the medication assistants. Medications include regular medications that need to be taken at fixed times regularly and emergency medications that need to be taken temporarily. Therefore, a system is required to ensure that both regular and emergency medications are taken correctly.

[0003] In Patent Document 1, a medication management system is disclosed for managing the medication schedule by linking prescription information at the pharmacy to reduce the burden on assistants in the management of medication for patients.

Prior Art Documents

Patent Documents

[0004]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0005] In the technology of Patent Document 1, the medication timing is obtained by linking prescription information at the pharmacy. However, systematically linking the pharmacy's receipt computer and the mobile terminal owned by the assistant requires a large-scale system and is difficult to implement in reality.

[0006] An object of the present disclosure is to support medication assistants by correctly managing the medication timing based on the character information obtained by photographing the medicine package. [Means for solving the problem]

[0007] The medication support system described herein is a medication support system that assists medication caregivers who provide medication assistance, A photographing unit photographs the medication package containing the medication to be administered to the person scheduled to take the medication, and acquires the text information printed on the package, including the date and timing of administration. A display unit that displays the textual information printed on the drug package and accepts a designation as to whether the drug is a temporary prescription drug or not, If the aforementioned drug is a temporary drug, the medication management unit registers in the medication management database, which manages the timing of medication administration for each person scheduled to take the medication, that the medication will be taken on the date included in the text information and at the timing included in the text information. It is equipped with. [Effects of the Invention]

[0008] The medication support system disclosed herein displays textual information obtained by photographing the medication package and acquires information on whether or not it is a temporary medication. If it is a temporary medication, the date and timing of administration included in the textual information are registered in the medication management database. Therefore, the medication support system disclosed herein has the effect of supporting medication assistants so that even temporary medications can be administered correctly. [Brief explanation of the drawing]

[0009] [Figure 1] This figure shows an example of the overall configuration of the medication support system 500 according to Embodiment 1. [Figure 2] This figure shows an example configuration of the medication support device 100 according to Embodiment 1. [Figure 3] This figure shows an example configuration of a mobile terminal 200 according to Embodiment 1. [Figure 4] This figure shows an example of the configuration of the user master database 11 and the staff master database 12 stored in the storage unit 150 of the medication support device 100 according to Embodiment 1. [Figure 5] This figure shows an example of the configuration of the medication management master database 13 and the medication setting master database 14 stored in the storage unit 150 of the medication support device 100 according to Embodiment 1. [Figure 6] This figure shows an example of the configuration of the user database 31 and the staff database 32 stored in the storage unit 260 of the mobile terminal 200 according to Embodiment 1. [Figure 7] This figure shows an example of the configuration of the medication management database 33 and the medication setting database 34 stored in the storage unit 260 of the mobile terminal 200 according to Embodiment 1. [Figure 8] This is a flowchart showing an example of the operation of the medication timing acquisition process in the medication support system 500 according to Embodiment 1. [Figure 9] This figure shows an example of the display on the mobile terminal 200 during the medication timing acquisition process according to Embodiment 1. [Figure 10] This is a flowchart showing an example of the operation of the medication assistance support process in the medication support system 500 according to Embodiment 1. [Figure 11] This figure shows an example of the display on the mobile terminal 200 in the medication support processing according to Embodiment 1. [Figure 12] This figure shows an example of the configuration of the user master database 11 and the staff master database 12 stored in the storage unit 150 of the medication support device 100 according to a modified example of Embodiment 1. [Figure 13] This figure shows an example of the configuration of a user database 31 and a staff database 32 stored in the storage unit 260 of a mobile terminal 200 according to a modified example of Embodiment 1. [Modes for carrying out the invention]

[0010] Hereinafter, this embodiment will be described with reference to the drawings. In each figure, the same or corresponding parts are denoted by the same reference numerals. In the description of the embodiment, the description of the same or corresponding parts will be omitted or simplified as appropriate. The arrows in the figures mainly indicate the flow of data or the flow of processing. Also, in the following figures, the relationship in size of each component may be different from the actual one. Also, in the description of the embodiment, directions or positions such as up, down, left, right, front, back, front side, and back side may be shown. These notations are for convenience of explanation and do not limit the arrangement, direction, and orientation of devices, instruments, or parts, etc.

[0011] Embodiment 1. ***Description of the configuration*** FIG. 1 is a diagram showing an overall configuration example of a medication support system 500 according to this embodiment. The medication support system 500 is a system for assisting medication assistance by a medication assistant (nurse or caregiver) in a facility such as a medical institution or a nursing facility. The medication assistant performs medication assistance to correctly administer medicine to the users of the facility. The medication support system 500 includes a medication support device 100 and a plurality of mobile terminals 200. The medication support device 100 and the mobile terminals 200 communicate via a network 300. The mobile terminal 200 is a terminal carried by a medication assistant. The mobile terminal 200 is, for example, a computer having a photographing function such as a smartphone, a tablet, a portable computer, or a personal computer. There may be a plurality of mobile terminals 200 in the same facility. Also, a plurality of mobile terminals 200 may be in a plurality of different facilities.

[0012] FIG. 2 is a diagram showing a configuration example of the medication support device 100 according to this embodiment. FIG. 3 is a diagram showing a configuration example of the mobile terminal 200 according to this embodiment.

[0013] The medication support device 100 is a computer. The medication support device 100 includes a processor 910, as well as other hardware such as memory 921, auxiliary storage device 922, input interface 930, output interface 940, and communication device 950. The processor 910 is connected to the other hardware via signal lines and controls this other hardware. The medication support device 100 comprises an information management unit 110 and a storage unit 150 as functional elements. The storage unit 150 stores a user master database 11, a staff master database 12, a medication management master database 13, and a medication setting master database 14.

[0014] Mobile device 200 is a computer. The mobile terminal 200 includes a processor 910, as well as other hardware such as memory 921, auxiliary storage device 922, input interface 930, output interface 940, communication device 950, and imaging device 960. The processor 910 is connected to and controls the other hardware via signal lines. The imaging device 960 is a camera. The mobile terminal 200 includes, as functional elements, an authentication unit 210, a camera unit 220, a display unit 230, a medication management unit 240, and a storage unit 260. The storage unit 260 stores a user database 31, a staff database 32, a medication management database 33, and a medication setting database 34.

[0015] Note that the same reference numerals are used to describe the hardware components of the processor 910, memory 921, auxiliary storage device 922, input interface 930, output interface 940, display device 941, and communication device 950 in both the medication support device 100 and the mobile terminal 200. This is simply for the sake of simplicity, and it is clear that the medication support device 100 and the mobile terminal 200 each have their own separate hardware components.

[0016] The functions of each part of the medication support device 100 are implemented by software. The functions of each part of the mobile terminal 200 are implemented by software. Each of the storage units 150 and 260 is provided in memory 921. Each of the storage units 150 and 260 may also be provided in auxiliary storage device 922, or they may be distributed between memory 921 and auxiliary storage device 922.

[0017] The processor 910 is a device that executes the medication support program. The medication support program is a program that implements the functions of each part of the medication support device 100 and the mobile terminal 200. The processor 910 is an integrated circuit (IC) that performs arithmetic processing. Specific examples of the processor 910 include CPUs, DSPs, and GPUs. IC stands for Integrated Circuit. CPU stands for Central Processing Unit. DSP stands for Digital Signal Processor. GPU stands for Graphics Processing Unit.

[0018] Memory 921 is a storage device that temporarily stores data. Specific examples of memory 921 are SRAM or DRAM. SRAM is an abbreviation for Static Random Access Memory. DRAM is an abbreviation for Dynamic Random Access Memory. The auxiliary storage device 922 is a storage device for storing data. A specific example of the auxiliary storage device 922 is an HDD. Alternatively, the auxiliary storage device 922 may be a portable storage medium such as an SD® memory card, CF, NAND flash, flexible disk, optical disk, compact disk, Blu-ray® disc, or DVD. HDD is an abbreviation for Hard Disk Drive. SD® is an abbreviation for Secure Digital. CF is an abbreviation for CompactFlash®. DVD is an abbreviation for Digital Versatile Disk.

[0019] Input interface 930 is a port to which input devices such as a mouse, keyboard, or touch panel are connected. Specifically, input interface 930 is a USB terminal. Alternatively, input interface 930 may be a port connected to a LAN. USB stands for Universal Serial Bus, and LAN stands for Local Area Network.

[0020] The output interface 940 is to which a display device 941, such as a display, is connected. Specifically, the output interface 940 is either a USB terminal or an HDMI® terminal. Specifically, the display is an LCD. HDMI® is an abbreviation for High Definition Multimedia Interface. LCD is an abbreviation for Liquid Crystal Display.

[0021] The communication device 950 is connected to a communication network such as a LAN, Wi-Fi (registered trademark), the Internet, or a telephone line.

[0022] The medication support program is executed in both the medication support device 100 and the mobile terminal 200. The medication support program is loaded into the processor 910 and executed by the processor 910. Memory 921 stores not only the medication support program but also the OS. OS is an abbreviation for Operating System. The processor 910 executes the medication support program while executing the OS. The medication support program and OS may also be stored in auxiliary storage device 922. The medication support program and OS stored in auxiliary storage device 922 are loaded into memory 921 and executed by the processor 910. Note that part or all of the medication support program may be incorporated into the OS.

[0023] The word "part" in "each part of the medication support device 100 and each part of the mobile terminal 200" may be read as "circuit," "process," "procedure," "process," or "circuitry." The medication support program causes a computer to execute the process, which is the process of each part of the medication support device 100 and each part of the mobile terminal 200. The word "process" in the process, which is the process of each part of the medication support device 100 and each part of the mobile terminal 200, may be read as "program," "program product," or "computer-readable storage medium storing the program." The medication support program may be provided stored on a computer-readable recording medium. Alternatively, the medication support program may be provided as a program product.

[0024] ***Explanation of operation*** Next, the operation of the medication support system 500 according to this embodiment will be described. The operation procedure of the medication support system 500 corresponds to the medication support method. Furthermore, the program that realizes the medication support processing, which is the operation of the medication support system 500, corresponds to the medication support program.

[0025] The medication support processing by the medication support system 500 according to this embodiment includes a medication timing acquisition process and a medication assistance support process. The medication timing acquisition process involves acquiring the medication timing when the medication arrives at the facility from the pharmacy and registering it in the medication management database 33. Medication assistance support processing is the process of supporting medication assistance provided by medication caregivers. First, let's explain the various types of databases.

[0026] Figure 4 shows an example of the configuration of the user master database 11 and the staff master database 12 stored in the storage unit 150 of the medication support device 100 according to this embodiment. Figure 5 shows an example of the configuration of the medication management master database 13 and the medication setting master database 14 stored in the storage unit 150 of the medication support device 100 according to this embodiment. Figure 6 shows an example of the configuration of the user database 31 and staff database 32 stored in the storage unit 260 of the mobile terminal 200 according to this embodiment. Figure 7 shows an example of the configuration of the medication management database 33 and the medication setting database 34 stored in the storage unit 260 of the mobile terminal 200 according to this embodiment.

[0027] The user master database 11 is a master database stored in the storage unit 150 of the medication support device 100. The user master database 11 contains information on all users at all facilities that use the medication support system 500. The user master database 11 contains information such as facility ID 111, user ID 112, user name 113, phonetic name 114, and facial data 115. It may also contain information about the user such as age, gender, and special notes.

[0028] The user database 31 is stored in the storage unit 260 of the mobile terminal 200 and is a database in which information for each facility is registered. The user database 31 contains only data related to users who use the facility to which the mobile terminal 200 belongs, from the user master database 11. In the example in Figure 6, only information related to users who use the facility with facility ID "1300000001" is set. The items in the user database 31 are the same as those in the user master database 11.

[0029] The staff master database 12 is a master database stored in the storage unit 150 of the medication support device 100. The staff master database 12 contains information on all staff members at all facilities that use the medication support system 500. The staff master database 12 contains information such as facility ID 121, staff ID 122, and name 123, as well as authentication information required for staff authentication.

[0030] The staff database 32 is stored in the storage unit 260 of the mobile terminal 200 and is a database in which information for each facility is registered. The staff database 32 contains only the data related to the staff of the facility to which the mobile terminal 200 belongs, from the staff master database 12. In the example in Figure 6, only information related to the staff belonging to the facility with facility ID "1300000001" is set. The items in the staff database 32 are the same as those in the staff master database 12.

[0031] The medication management master database 13 is a master database stored in the storage unit 150 of the medication support device 100. The medication management master database 13 contains medication timing settings for all users in all facilities that use the medication support system 500. The medication management master database 13 contains the facility ID 131, user ID 132, and daily medication timing 133.

[0032] The medication management database 33 is stored in the storage unit 260 of the mobile terminal 200 and is a database in which information for each facility is registered. The medication management database 33 contains only the data related to users of the facility to which the mobile terminal 200 belongs, from the medication management master database 13. In the example in Figure 7, only information related to users of the facility with facility ID "1300000001" is set. The items in the medication management database 33 are the same as those in the medication management master database 13.

[0033] The medication setting master database 14 is a master database stored in the storage unit 150 of the medication support device 100. The medication setting master database 14 contains settings for medication timing, the time period indicating medication timing, and the warning time for each facility using the medication support system 500. The time period indicating medication timing is a time period uniquely set for each facility. The warning time is the time at which a warning is issued if medication is not taken at the prescribed time, and is uniquely set for each facility. The medication settings master database 14 contains the facility ID 141, medication timing 142, time zone 143, and warning time 144.

[0034] The medication setting database 34 is stored in the storage unit 260 of the mobile terminal 200 and is a database in which facility-specific information is registered. The medication setting database 34 contains only the data related to the facility to which the mobile terminal 200 belongs from the medication setting master database 14. In the example in Figure 7, only the information related to the facility with facility ID "1300000001" is set. The items in the medication setting database 34 are the same as those in the medication setting master database 14.

[0035] <Medication timing acquisition process> Figure 8 is a flowchart showing an example of the operation of the medication timing acquisition process in the medication support system 500 according to this embodiment. As mentioned above, the medication timing acquisition process involves acquiring the timing of medication administration when the medication arrives at the facility from the pharmacy and registering it in the medication management database 33. When medication arrives at the facility from the pharmacy, the medication assistant, who is a staff member, uses a mobile device 200 to register the timing of administration of the medication in the medication management database 33.

[0036] <Authentication process: Steps S101 to S102> When the medication timing acquisition process is initiated, the authentication unit 210 obtains information corresponding to its own facility from the master database stored in the medication support device 100 via the communication device 950. Specifically, in step S101, the authentication unit 210 obtains and updates information corresponding to the user database 31, staff database 32, medication management database 33, and medication setting database 34 from the medication support device 100 via the communication device 950. The authentication unit 210 identifies the facility ID of the facility where the mobile terminal 200 is being used and obtains information corresponding to the facility ID of the facility from the master database stored in the medication support device 100.

[0037] In step S102, the authentication unit 210 performs an authentication process for the medication assistant who will register the timing of taking the received medication package, based on the authentication information set in the staff database 32. Authentication of medication assistants is carried out using methods such as facial recognition, fingerprint recognition, or password authentication. Once the authentication process for the medication assistant is successful by the authentication unit 210, the staff ID of the medication assistant who will register the timing of administration of the received medication package is identified.

[0038] <Shooting process: Step S103> The imaging unit 220 photographs the medication package containing the drug to be administered to the person scheduled to take the medication. Based on the image of the medication package obtained by the imaging unit 220, the imaging unit 220 acquires the text information 41 printed on the medication package. The imaging unit 220 may acquire character information 41 from the image of the drug package using the character recognition function installed in the mobile terminal 200. Alternatively, the imaging unit 220 may transmit the image of the drug package obtained by imaging to the medication support device 100. The medication support device 100 receives the image of the drug package from the mobile terminal 200. The character recognition function installed in the medication support device 100 may extract characters from the image of the drug package and transmit the extracted characters as character information 41 to the imaging unit 220 of the mobile terminal 200.

[0039] <Display processing: Steps S104 to S105> The display unit 230 displays text information 41 on the display device 941 of the mobile terminal 200. The display unit 230 refers to the user database 31 based on the name contained in the text information 41 and identifies the person scheduled to take medication. The display unit 230 obtains the user ID of the identified person scheduled to take medication. The display unit 230 passes the obtained text information 41 and the corresponding user ID to the medication management unit 240.

[0040] Figure 9 shows an example of the display on the mobile terminal 200 during the medication timing acquisition process according to this embodiment. The imaging unit 220 acquires the name, date, and timing of medication administration, which are the text information 41 printed on the medication package 40, based on the image of the medication package 40 obtained by imaging. In Figure 9, it is assumed that the imaging unit 220 acquired the name "Hanako Ota", the date "December 2nd", and the timing of medication administration "after lunch" as the text information 41 printed on the medication package. The display unit 230 displays the name "Hanako Ota", the date "December 2nd", and the medication timing "After lunch" on the display device 941 of the mobile terminal 200. Based on the name "Hanako Ota", the display unit 230 refers to the user database 31 and identifies the user name "Hanako Ota" of the person scheduled to take medication. The display unit 230 then obtains the user ID "m002" corresponding to the identified user name "Hanako Ota" of the person scheduled to take medication.

[0041] In this case, the display unit 230 may refer to the user database 31 based on the name in the text information 41 and display multiple users who are candidates for the person scheduled to take the medication in the drug packet 40. The display unit 230 may then have the medication assistant select the correct person scheduled to take the medication from among the multiple users. Alternatively, the display unit 230 may display the name, date, and timing of medication, which are the text information 41, on the display device 941 and have the medication assistant select whether the displayed information is correct or not. If it is incorrect, the display unit 230 may display information for the next candidate user. Furthermore, the display unit 230 may also have a function to display the name, date, and medication timing, which are text information 41, on the display device 941, and to allow the medication caregiver to correct the name, date, and medication timing, which are text information. In this case, after the correction is completed, the display unit 230 refers to the user database 31 based on the name contained in the text information 41 to identify the person scheduled to take medication and obtain the user ID.

[0042] In step S105, the display unit 230 receives a designation from the medication assistant as to whether the medication is a temporary medication or not. The display unit 230 determines whether the medication is a temporary medication or not based on the designation received from the medication assistant. If the medication is a temporary medication, proceed to step S106. If the medication is a scheduled medication and not an emergency medication, proceed to step S107. Specifically, it is as follows:

[0043] For example, as shown in Figure 9, the display unit 230 displays text information 41 printed on the medicine package, along with a selection button 42 that allows the person assisting with medication administration to choose whether it is a temporary or scheduled medication. When the selection button 42 indicating that it is a temporary medication is pressed, the display unit 230 determines that the medication is a temporary medication.

[0044] Alternatively, the display unit 230 may refer to the medication management database 33 based on the user ID obtained from the text information 41 and estimate whether the medication is a temporary medication or not. The display unit 230 may then display a message indicating the estimation result along with the selection button 42. For example, the display unit 230 determines whether the user ID obtained from the text information 41 is registered in the medication management database 33. If the user ID is registered in the medication management database 33, the display unit 230 determines whether the date and medication timing included in the text information 41 are different from the current medication timing. If the date and medication timing included in the text information 41 are different from the current medication timing, it is estimated that the medication may be a temporary medication. At this time, the display unit 230 displays the name, date, and medication timing of the text information 41, the selection button 42, and a message indicating the estimation result, such as "Is this a temporary medication?". Medication assistants can choose whether a medication is a temporary or scheduled medication, using messages that indicate an estimated outcome, such as "Is this a temporary medication?", as a reference. Specifically regarding the estimation of temporary medication, since user ID "m002" does not have a scheduled medication set in the medication management database 33, temporary medication will be estimated when a medication timing is set for user ID "m002". Also, since user ID "m004" has a scheduled medication set only for bedtime, temporary medication will be estimated when a medication timing other than bedtime is set. In this way, temporary medication can be estimated for each person scheduled to take medication.

[0045] <Medication timing registration process: Steps 106 to S108> Step S106 is the procedure to be followed when the drug is determined to be a temporary drug. If the medication is a temporary medication, the medication management unit 240 registers in the medication management database 33 that the medication should be taken on the date specified in the text information 41 and at the timing specified in the text information 41. In step S106, the medication management unit 240 registers the timing of drug administration in the medication management database 33. Specifically, the medication management unit 240 registers the medication timing in the medication management database 33 based on the date and medication timing, which are textual information 41, and the corresponding user ID. The medication management unit 240 registers the medication timing in the user ID field of the medication management database 33 for the corresponding date.

[0046] In the medication management database 33 shown in Figure 7, the solid circles indicate that the timing of taking temporary medication has been registered. Here, "1" indicates that the medication timing has been obtained but the medication has not yet been taken. "2" indicates that the medication has been taken by the caregiver and the status of "taken" has been entered. A blank space indicates that it is not a medication timing.

[0047] The left diagram in Figure 9 shows a case where the text information 41 includes the name "Hanako Ota", the date "December 2nd", and the medication timing "after lunch", and the user ID "m002" is obtained. It also indicates that a temporary medication was selected. At this time, in the medication management database 33 shown in Figure 7, "1" is registered in the "noon" column for December 2nd in the user ID "m002" column. Note that Figure 7 shows the state changing from "1" (not taken) to "2" (taken).

[0048] As described above, by registering the timing of taking temporary medication in the medication management database 33, the medication management unit 240 can register the timing of taking the medication in the medication management database 33 in a way that indicates that the medication is temporary.

[0049] Furthermore, some medications, even if they are temporary medications, may be taken at the same time as regular medications. In such cases, as shown in the medication management database 33 in Figure 7, it is not necessary to register the timing of administration to indicate that the medication is a temporary medication. There is no problem as temporary medications can be taken at the same time as regular medications.

[0050] Step S107 is the procedure to be followed when the drug is determined to be a scheduled medication. In step S107, when the display unit 230 determines that the medication is a scheduled medication, it displays a prescription period input field 45 on the display device 941 for the medication assistant to register the prescription period, as shown in the right diagram of Figure 9. The display unit 230 receives information about the prescription period, i.e., how many days the medication is scheduled to be taken from the start date, from the prescription period input field 45. For example, the operation date or reading date may be initially displayed as the start date, and modifications by the medication assistant may be made. The medication assistant registers the prescription period from a medication notebook or medication card, etc.

[0051] In step S108, the medication management unit 240 registers the medication timings within the prescription period in the medication management database 33, based on the prescription period and the user ID and medication timings based on the text information 41.

[0052] In the medication management database 33 shown in Figure 7, the area within the dotted line indicates that the medication timing for scheduled medication has been registered. As mentioned above, when registering the medication timing, "1" is set if the medication has not been taken, but it is updated to "2" when the medication has been taken. The dotted line in the medication management database 33 in Figure 7 shows the case where the name "Taro Oyama", date "December 1st", and medication timings "after breakfast" and "after dinner" are obtained as text information 41 from the medication package, and the user ID "m001" is obtained. At this time, it is assumed that the medication assistant selected it as a scheduled medication and registered it by entering the prescription period as "December 1st to 30th" on the screen displayed on the display device 941. As a result, the medication timing for the scheduled medication is registered in the user ID "m001" column in the medication management database 33 in Figure 7.

[0053] <Update process: Step S109> In step S109, the medication management unit 240 transmits the medication management database 33, updated by the medication timing acquisition process, to the medication support device 100 via the communication device 950. At this time, the medication management unit 240 may transmit only the information updated by the medication timing acquisition process in the medication management database 33 to the medication support device 100. The medication support device 100 then receives the update information regarding the medication management database 33 and updates the medication management master database 13.

[0054] <Medication assistance support processing> Figure 10 is a flowchart showing an example of the operation of the medication assistance support process in the medication support system 500 according to this embodiment. Using Figure 10, we will explain the medication assistance support process for assisting medication assistance by medication assistants. Medication assistance support processing is performed using mobile terminal 200.

[0055] In step S201, the authentication unit 210 obtains information corresponding to its own facility from the master database stored in the medication support device 100 via the communication device 950. This process is the same as the process in step S101.

[0056] In step S202, the medication management unit 240 determines whether the current time is the time for taking medication. Specifically, it does as follows:

[0057] The medication management unit 240 determines, based on the medication setting database 34, whether the current time is the time for taking medication. The medication management unit 240 refers to the medication setting database 34 and determines that the current time is the time for taking medication if the current time falls within the time period that indicates the timing of taking medication. For example, suppose the current time is 7:00 AM on December 3rd. The medication management unit 240 determines whether the current time is a medication timing based on the medication setting database 34. According to the medication setting database 34 in Figure 7, 7:00 AM falls within the "after breakfast" time slot for medication timing. Therefore, the medication management unit 240 determines that the current time is a "after breakfast" time for medication timing.

[0058] If the current time is the time to take medication, proceed to step S203. If the current time is not the time to take the medication, proceed to step S204.

[0059] In step S203, the medication management unit 240 refers to the medication management database 33. The medication management unit 240 then retrieves the user ID for which "1" is set in the medication timing column that includes the current time on the current date, indicating that the user has not yet taken their medication. However, if "2" is set in the medication timing column that includes the current time on the current date, indicating that the user has already taken their medication, the medication management unit 240 does not retrieve the user ID for that user.

[0060] For example, in the medication management database 33 shown in Figure 7, let's assume the current time is 7:00 on December 3rd. In this case, the medication management unit 240 retrieves user ID "m003" for whom the "After Breakfast" medication timing column, which includes the current time of 7:00 on December 3rd, has "1" set to indicate that the medication has not been taken. The medication management unit 240 also indicates that if the "After Breakfast" medication timing column, which includes the current time of 7:00 on December 3rd, has "2" set to indicate that the medication has been taken, user ID "m001" has already taken their medication.

[0061] The medication management unit 240 outputs a message indicating that medication has not been taken, which includes a list of scheduled medication users who have not yet taken their medication at the scheduled time. Based on the acquired user IDs of those who have not taken their medication, the medication management unit 240 refers to the user database 31 and obtains the user names of those scheduled medication users who have not yet taken their medication. The medication management unit 240 outputs a message indicating that medication has not been taken, which includes the user names of those scheduled medication users who have not yet taken their medication and a message notifying them that it is time to take their medication. The display unit 230 displays the message indicating that medication has not been taken, which includes a list of scheduled medication users who have not yet taken their medication at the scheduled time, on the display device 941. Alternatively, the display unit 230 may only display a message indicating that there are patients scheduled to take medication who have not yet taken their medication at the scheduled time. The display unit 230 may also display a list of patients scheduled to take medication who have not yet taken their medication at the scheduled time, in response to a request from the medication assistant.

[0062] Specifically, in the medication management database 33 shown in Figure 7, let's assume the current time is 7:00 AM on December 3rd. At this time, the medication management unit 240 outputs information about user ID "m003" in the "After breakfast" column for medication timing, which includes the current time of 7:00 AM on December 3rd, and where "1" is set to indicate that the user has not taken their medication. The display unit 230 displays on the display device 941 that user ID "m003" has not taken their medication as of 7:00 AM on December 3rd.

[0063] Figure 11 shows an example of the display on the mobile terminal 200 in the medication support processing according to this embodiment. The left diagram in Figure 11 shows an example of displaying a message 43 indicating that medication has not been taken, including a list of scheduled medication takers who have not yet taken their medication. Along with the message "December 3rd, time for medication after dinner," which indicates that it is time to take medication, a list of scheduled medication takers who have not yet taken their medication is displayed.

[0064] Furthermore, when the warning time set in the medication setting database 34 is reached, the medication management unit 240 determines whether or not medication was taken at the most recent medication timing, and outputs a warning message 44 if there are any scheduled medication takers who have not taken their medication at the most recent medication timing. The warning message 44 includes a list of scheduled medication takers who have not taken their medication at the medication timing immediately preceding the warning message 44.

[0065] In step S204, the medication management unit 240 determines whether or not the warning time has arrived. Specifically, it does so as follows:

[0066] The medication management unit 240 determines whether the current time is a warning time based on the medication setting database 34. If the current time is within the warning time, proceed to step S205. If the current time is not within the warning period, return to step S201 and repeat the process.

[0067] In step S205, the medication management unit 240 refers to the medication management database 33 and outputs a list of scheduled medication users who have not taken their medication at the most recent medication timing before the warning time. Based on the user IDs of the users who have not taken their medication, the medication management unit 240 refers to the user database 31 and obtains the user names of the scheduled medication users who have not taken their medication at the most recent medication timing before the warning time. The medication management unit 240 outputs a warning message 44 that includes the user names of the scheduled medication users who have not taken their medication and a message notifying them that the medication timing has passed. The display unit 230 displays the warning message 44, which includes a list of scheduled medication users who have not taken their medication at the most recent medication timing before the warning time. Alternatively, the system could display only a message indicating that there are patients scheduled to take their medication who have not yet taken it at the most recent medication time before the warning time, and then display a list of patients upon request from the medication assistant.

[0068] Specifically, in the medication management database 33 shown in Figure 7, let's assume the current time is 9:00 AM on December 3rd. At this time, the medication management unit 240 outputs information about user ID "m003" in the column for the most recent medication timing, "After breakfast (6:00 AM - 8:00 AM)," which is the warning time of 9:00 AM, and the value "1" indicating that the medication has not been taken is set. The display unit 230 displays a warning on the display device 941 indicating that user ID "m003" has not taken the medication that should have been taken at the medication timing "After breakfast (6:00 AM - 8:00 AM)" as of 9:00 AM on December 3rd.

[0069] The right-hand diagram in Figure 11 shows an example of displaying a warning message 44 that includes a list of scheduled medication takers who have not taken their medication at the most recent scheduled medication time. Along with the message "December 3rd, after-dinner medication time has passed," which indicates that the medication time has passed, a list of scheduled medication takers who have missed their medication time and have not taken their medication is displayed.

[0070] Furthermore, facilities may be allowed to select in advance whether to display the untaken medication message 43 or the warning message 44. The decision of whether or not to provide prior notification is left to the discretion of the facility. This is because some facilities may only want to check for missed doses.

[0071] In step S206, the medication management unit 240 receives confirmation from the medication assistant that the person scheduled to take the medication has completed taking it. Based on the untaken medication message 43 or warning message 44, the medication assistant provides medication assistance to the person scheduled to take medication. Once the person scheduled to take medication has completed taking their medication through the medication assistance, the medication assistant registers the completion of medication in the medication management database 33 via the display screen. In step S207, the medication management unit 240 updates the medication timing column in the medication management database 33 to "Completed" for user IDs corresponding to patients who have completed their medication. Specifically, the medication timing column in the medication management database 33 is set to "2," indicating that the medication has been completed.

[0072] In step S208, the medication management unit 240 transmits the medication management database 33, updated by the medication timing acquisition process, to the medication support device 100 via the communication device 950. At this time, the medication management unit 240 may transmit only the information updated by the medication timing acquisition process in the medication management database 33 to the medication support device 100. The medication support device 100 then receives the update information regarding the medication management database 33 and updates the medication management master database 13.

[0073] ***Other configurations*** <Example 1> In this embodiment, the medication support system 500 comprises a mobile terminal 200 located in each of multiple facilities, and a medication support device 100 that communicates with the mobile terminal 200. The mobile terminal 200 is equipped with a medication management unit. Before photographing the medication package, the mobile terminal 200 obtains information on the medication timing of patients scheduled to take medication belonging to the facility where the mobile terminal is located from the medication management master database as a medication management database (step S101).

[0074] As a variation 1, the medication support device 100 may also have the functions of a medication management unit. The mobile terminal 200 takes a picture of the medication package and transmits the image of the package to the medication support device 100. The medication management unit of the medication support device 100 then identifies the text information printed on the medication package and transmits the text information to the mobile terminal 200. The mobile terminal 200 displays the received text information, accepts a designation as to whether the medication is a temporary medication or not, and transmits the result to the medication support device 100. If the medication is a temporary medication, the medication management unit of the medication support device 100 may then register in the medication management master database that the medication should be taken on the date and at the timing specified in the text information. Subsequently, the database of each mobile terminal 200 may be updated with the updated medication management master database.

[0075] When the various master databases of the medication support device 100 are updated, the update information is transmitted to the mobile terminals 200 at the appropriate time, and the various databases stored in each mobile terminal 200 are updated. The reverse is also true.

[0076] <Modification 2> In some cases, even though a medication is a temporary medication, it may be taken at the same time as a regular medication. In such cases, as shown in the medication management database 33 in Figure 7, it is not necessary to register the timing of administration to indicate that the medication is a temporary medication. There is no problem as temporary medications can be taken at the same time as regular medications. However, if a temporary medication is to be taken at the same time as a regular medication, the medication management department may register "3" instead of "1" for the timing of administration to indicate that the medication is a temporary medication. Alternatively, the medication management department may register "4" instead of "1" for the timing of administration for temporary medications to indicate that the medication is a temporary medication and not a regular medication. This enables a function to notify the medication assistant that the medication package contains both regular and temporary medications.

[0077] If "3" or "4" is registered as the medication timing, the message indicating that there are patients who have not yet taken their medication at the scheduled time can display "Includes temporary medication." Additionally, the warning message indicating that the medication timing has passed can also display "Includes temporary medication."

[0078] <Variation 3> Figure 12 shows an example of the configuration of the user master database 11 and the staff master database 12 stored in the storage unit 150 of the medication support device 100 according to a modified example of this embodiment. Figure 13 shows an example of the configuration of a user database 31 and a staff database 32 stored in the storage unit 260 of a mobile terminal 200 according to a modified example of this embodiment.

[0079] The user master database 11 contains the residential area 116 for each person scheduled to take medication across multiple facilities. The residential area 116 is indicated, for example, as "floor + direction". In Figure 12, user "〇kawa Taro" with user ID "m001" has residential area "2N". This indicates the north side of the second floor of the facility in question. The user database 31 also contains residential area 116 in a similar manner. Furthermore, the staff master database 12 contains the residential areas 124 that each medication assistant is responsible for across all facilities. Similarly, the staff database 32 also contains the residential areas 124.

[0080] Based on the user database 31 and the staff database 32, the medication management department outputs a message indicating that medication has not been taken or a warning message to residents in the residential area where medication assistants using a mobile terminal 200 are responsible. For example, in step S201, information from the user master database 11 is retrieved from the user database 31 corresponding to the facility. At this time, the users to be processed from then on are limited based on the staff ID authenticated in step S102. Specifically, suppose the authentication process described in step S102 is performed before step S201 and staff ID "S001" is authenticated. In that case, in step S201, the residential area to which staff ID "S001" is responsible, as registered in the staff database 32, is determined to be "2N". Therefore, only user information for which the residential area set in the user database 31 is "2N" is to be processed from then on. This configures the system to output a message indicating that medication has not been taken or a warning message for patients scheduled to take medication who reside in the residential area to which the medication assistant is responsible. Alternatively, the authentication process described in step S102 may be performed before step S201, and staff ID "S001" may be authenticated. In that case, in step S201, the residential area to which staff ID "S001" is responsible, as registered in the staff database 32, is determined to be "2N," and only user information corresponding to the facility and whose residential area is "2N" is retrieved from the user master database 11. As a result, only unmedicated messages or warning messages for users whose residential area is "2N," including user ID "m001," are output to the mobile terminal 200 used by staff ID "S001." This allows medication assistants to focus on the patients they are responsible for.

[0081] <Modification 4> In this embodiment, the functions of each part of each device in the medication support system 500 are implemented by software. As an alternative, the functions of each part of each device in the medication support system 500 may be implemented by hardware. Specifically, the medication support device 100 and the mobile terminal 200 may be equipped with electronic circuits instead of the processor 910.

[0082] The electronic circuits are dedicated electronic circuits that realize the functions of each part of each device in the Medication Support System 500. Specifically, the electronic circuits include single circuits, composite circuits, programmed processors, parallel programmed processors, logic ICs, GAs, ASICs, or FPGAs. GA is an abbreviation for Gate Array. ASIC is an abbreviation for Application Specific Integrated Circuit. FPGA is an abbreviation for Field-Programmable Gate Array.

[0083] As another variation, some functions of each part of the medication support system 500 may be implemented by electronic circuits, and the remaining functions by software. Alternatively, some or all functions of each part of the medication support system 500 may be implemented by firmware.

[0084] The processor and electronic circuit are also called processing circuits. In other words, the functions of each part of each device in the medication support system 500 are realized by processing circuits.

[0085] ***Description of the effects of this embodiment*** As described above, in the medication support system according to this embodiment, when taking a picture of the medication package to acquire the timing of medication administration, the medication assistant specifies whether it is an emergency medication or a scheduled medication. This ensures that the timing of medication administration can be reliably set in the medication management database, even in the case of emergency medications. Emergency medications have a high risk of being forgotten (forgotten to take), but this can be prevented. Furthermore, by allowing the user to specify whether it is an emergency or scheduled medication, the system can also accommodate on-site tasks such as checking for missed doses (forgotten administration) of only emergency medications.

[0086] Furthermore, in the medication support system according to this embodiment, the timing of medication administration for the prescribed period can be registered simultaneously by taking an image of the medication package only once. This minimizes the number of times medication packages need to be photographed.

[0087] Furthermore, the medication support system according to this embodiment is highly convenient because, when setting the timing of medication administration to a specific time or time slot using the medication setting database, the circumstances of each facility can be reflected.

[0088] In the above embodiment 1, each part of each device of the medication support system 500 was described as an independent functional block. However, the configuration of each device of the medication support system 500 does not have to be as in the embodiment described above. For example, the medication management processing performed on the mobile terminal 200 may be performed on the medication support device 100. The functional blocks of each device of the medication support system 500 can have any configuration as long as they can realize the functions described in the embodiment described above. Furthermore, multiple parts of Embodiment 1 may be combined and implemented. Alternatively, only one part of Embodiment 1 may be implemented. In addition, Embodiment 1 may be combined and implemented in any way, either as a whole or in part. In other words, in Embodiment 1, it is possible to freely combine each embodiment, modify any component of each embodiment, or omit any component in each embodiment.

[0089] The embodiments described above are essentially preferred examples and are not intended to limit the scope of the Disclosure, the scope of the Applications of the Disclosure, or the scope of Uses of the Disclosure. The embodiments described above can be modified in various ways as needed. For example, the procedures described using flowcharts or sequence diagrams may be modified as appropriate.

[0090] The various aspects of this disclosure are summarized below as an appendix.

[0091] (Note 1) In a medication support system that assists medication caregivers who provide medication assistance, A photographing unit photographs the medication package containing the medication to be administered to the person scheduled to take the medication, and acquires the text information printed on the package, including the date and timing of administration. A display unit that displays the textual information printed on the drug package and accepts a designation as to whether the drug is a temporary prescription drug or not, If the aforementioned drug is a temporary drug, the medication management unit registers in the medication management database, which manages the timing of medication administration for each person scheduled to take the medication, that the medication will be taken on the date included in the text information and at the timing included in the text information. A medication support system equipped with the following features. (Note 2) The aforementioned display unit is Along with the text information printed on the aforementioned drug packet, a selection button is displayed to allow the medication assistant to choose whether it is a temporary or scheduled medication. The aforementioned medication management department, The medication support system described in Appendix 1 determines that the drug is a temporary drug when a button indicating that it is a temporary drug is pressed. (Note 3) The aforementioned display unit is The medication support system described in Appendix 2, which refers to the medication management database based on the textual information printed on the medication package, estimates whether the medication is a temporary medication or not, and displays a message indicating the estimation result along with the selection button. (Note 4) The aforementioned display unit is A medication support system as described in Appendix 3, which refers to the medication management database based on the text information printed on the medication package, and estimates that the medication is a temporary medication if the timing of medication in the text information printed on the medication package differs from the current timing of medication. (Note 5) The aforementioned display unit is If the aforementioned drug is a regularly scheduled medication, the prescription period for the aforementioned drug will be accepted. The aforementioned medication management department, The medication support system described in Appendix 1, which registers the timing of medication administration during the prescription period in the medication management database. (Note 6) The aforementioned medication management department, A medication support system according to any one of the items in Appendix 1 to 5, which determines whether the current time is a time for taking medication, based on a medication setting database in which medication timings and time periods indicating said medication timings are set for each of multiple facilities. (Note 7) The aforementioned medication management department, The medication support system described in Appendix 6, which, when it is determined that the current time is a medication time, determines, based on the medication management database, whether or not there are any scheduled medication takers who have not yet taken their medication at that time, and if there are any scheduled medication takers who have not yet taken their medication, outputs a message indicating that there are any scheduled medication takers who have not yet taken their medication at that time. (Note 8) The medication setting database includes a warning time that is set to issue a warning message if the medication has not been taken at the prescribed medication timing. The aforementioned medication management department, The medication support system described in Appendix 7, which, when the warning time in the medication setting database arrives, determines whether or not the medication was taken at the prescribed time, and outputs a warning message if the medication was not taken. (Note 9) The aforementioned medication support system is: The system comprises a mobile terminal placed in each of multiple facilities, and a medication support device that communicates with the mobile terminal, The aforementioned mobile terminal is The system comprises the aforementioned imaging unit, the aforementioned display unit, and the aforementioned medication management unit. The aforementioned medication support device, The system includes a medication management master database in which the medication timing for all patients scheduled to take medication at all of the aforementioned multiple facilities is set. The aforementioned mobile terminal is A medication support system according to any one of the appendices 1 to 8, comprising an authentication unit that, before photographing the medication package, obtains information on the timing of medication administration for persons scheduled to take medication belonging to the facility where the mobile terminal is located from the medication management master database as the medication management database. (Note 10) The aforementioned medication support system is: The system comprises a user database containing information about patients scheduled to take medication at the facility to which the mobile device belongs, with each patient's residential area set; and a staff database containing information about staff belonging to the facility to which the mobile device belongs, with each staff member's assigned residential area set. The aforementioned medication management department, The medication support system described in Appendix 8, which outputs the untaken medication message or the warning message for persons scheduled to take medication who reside in the residential area covered by a medication assistant using a mobile device, based on the user database and the staff database. (Note 11) In a medication support system used to support medication caregivers who provide medication assistance, A computer photographs a drug packet containing medication to be administered to a person scheduled to take medication, and obtains text information printed on the drug packet, including the date and timing of administration. The computer displays the text information printed on the drug packet and accepts the designation of whether the drug is a temporary drug or not. A medication support method in which a computer, if the drug is a temporary medication, registers in a medication management database that manages medication timings for each person scheduled to take the medication that the drug will be taken on the date included in the text information and at the medication timing included in the text information. (Note 12) In a medication support program used in a medication support system that assists medication caregivers who provide medication assistance, A photographic process that photographs the medication package containing the medication to be taken by the person scheduled to take the medication, and obtains the text information printed on the package, including the date and timing of administration. A display process that displays the text information printed on the drug packet and accepts a designation as to whether the drug is a temporary drug or not, If the aforementioned drug is a temporary drug, the medication management process involves registering in the medication management database, which manages the timing of medication administration for each person scheduled to take the medication, that the medication will be taken on the date included in the text information and at the timing included in the text information. A medication support program that uses a computer to execute medication instructions. [Explanation of Symbols]

[0092] 11 User Master Database, 31 User Database, 111, 121, 131, 141 Facility ID, 112, 132 User ID, 113 User Name, 114 Phonetic Name, 115 Face Data, 116 Residential Area, 12 Staff Master Database, 32 Staff Database, 122 Staff ID, 123 Name, 124 Residential Area, 13 Medication Management Master Database, 133 Daily Medication Timing, 33 Medication Management Database, 14 Medication Setting Master Database, 34 Medication Setting Database, 142 Medication Timing, 143 Time Slot, 144 Warning Time, 40 Medication Packet, 41 Text Information, 42 Selection Button, 43 Untaken Medication Message, 44 Warning Message, 100 Medication Support Device, 110 Information Management Unit, 150, 260 Storage Unit, 200 Mobile Terminal, 210 Authentication unit, 220 Imaging unit, 230 Display unit, 240 Medication management unit, 300 Network, 500 Medication support system, 910 Processor, 921 Memory, 922 Auxiliary storage device, 930 Input interface, 940 Output interface, 941 Display device, 950 Communication device, 960 Imaging device.

Claims

1. In a medication support system that assists medication caregivers who provide medication assistance, A photographing unit photographs the medication package containing the medication to be administered to the person scheduled to take the medication, and acquires the text information printed on the package, including the date and timing of administration. A display unit that displays the textual information printed on the drug package and accepts a designation as to whether the drug is a temporary prescription drug or not, If the aforementioned drug is a temporary drug, the medication management unit registers in the medication management database, which manages the timing of medication administration for each person scheduled to take the medication, that the medication will be taken on the date included in the text information and at the timing included in the text information. A medication support system equipped with the following features.

2. The aforementioned display unit is Along with the text information printed on the aforementioned drug packet, a selection button is displayed to allow the medication assistant to choose whether it is a temporary or scheduled medication. The aforementioned medication management department, The medication support system according to claim 1, wherein if the selection button indicates that the drug is a temporary drug, the system determines that the drug is a temporary drug.

3. The aforementioned display unit is The medication support system according to claim 2, which refers to the medication management database based on the text information printed on the medication package, estimates whether the medication is a temporary medication or not, and displays a message indicating the estimation result together with the selection button.

4. The aforementioned display unit is A medication support system according to claim 3, which refers to the medication management database based on the text information printed on the medication package, and estimates that the medication is a temporary medication if the timing of medication in the text information printed on the medication package differs from the current timing of medication.

5. The aforementioned display unit is If the aforementioned drug is a regularly scheduled medication, the prescription period for the aforementioned drug will be accepted. The aforementioned medication management department, The medication support system according to claim 1, which registers the timing of medication administration during the prescription period in the medication management database.

6. The aforementioned medication management department, A medication support system according to any one of claims 1 to 5, which determines whether the current time is a time for taking medication based on a medication setting database in which medication timings and time periods indicating the medication timings are set for each of multiple facilities.

7. The aforementioned medication management department, The medication support system according to claim 6, which, when it is determined that the current time is a medication time, determines, based on the medication management database, whether or not there are any scheduled medication takers who have not yet taken their medication at that time, and if there are any scheduled medication takers who have not yet taken their medication at that time, outputs an untaken medication message indicating that there are any scheduled medication takers who have not yet taken their medication at that time.

8. The medication setting database includes a warning time that is set to issue a warning message if the medication has not been taken at the prescribed medication timing. The aforementioned medication management department, The medication support system according to claim 7, which, when the warning time in the medication setting database arrives, determines whether or not the medication was taken at the prescribed timing, and outputs a warning message if the medication was not taken.

9. The aforementioned medication support system is: The system comprises a mobile terminal placed in each of multiple facilities, and a medication support device that communicates with the mobile terminal. The aforementioned mobile terminal is The system comprises the aforementioned imaging unit, the aforementioned display unit, and the aforementioned medication management unit. The aforementioned medication support device, The system includes a medication management master database in which the medication timing for all patients scheduled to take medication at all of the aforementioned multiple facilities is set. The aforementioned mobile terminal is The medication support system according to any one of claims 1 to 5, further comprising an authentication unit that, before photographing the medication package, obtains information on the timing of medication administration for persons scheduled to take medication belonging to the facility where the mobile terminal is located from the medication management master database as the medication management database.

10. The aforementioned medication support system is: The system comprises a user database containing information about patients scheduled to take medication at the facility to which the mobile device belongs, with each patient's residential area set; and a staff database containing information about staff belonging to the facility to which the mobile device belongs, with each staff member's assigned residential area set. The aforementioned medication management department, The medication support system according to claim 8, which outputs the untaken medication message or the warning message for persons scheduled to take medication who reside in a residential area that is the responsibility of a medication assistant using a mobile device, based on the user database and the staff database.

11. In a medication support system used to support medication caregivers who provide medication assistance, A computer photographs a drug packet containing medication to be administered to a person scheduled to take medication, and obtains text information printed on the drug packet, including the date and timing of administration. The computer displays the text information printed on the drug packet and accepts the designation of whether the drug is a temporary drug or not. A medication support method in which a computer, if the drug is a temporary medication, registers in a medication management database that manages medication timings for each person scheduled to take the medication that the drug will be taken on the date included in the text information and at the medication timing included in the text information.

12. In a medication support program used in a medication support system that assists medication caregivers who provide medication assistance, A photographic process that photographs the medication package containing the medication to be taken by the person scheduled to take the medication, and obtains the text information printed on the package, including the date and timing of administration. A display process that displays the text information printed on the drug packet and accepts a designation as to whether the drug is a temporary drug or not, If the aforementioned drug is a temporary drug, the medication management process involves registering in the medication management database, which manages the timing of medication administration for each person scheduled to take the medication, that the medication will be taken on the date included in the text information and at the timing included in the text information. A medication support program that uses a computer to execute medication instructions.

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