PDF(Pubmed)
Abstract：
The number of overdose-related fatalities continues to reach historic levels across Canada, despite ongoing efforts by authorities. To reduce mortality, a clinical trajectory ranging from preventative measures to crisis intervention, skill training to treatment, and risk assessment to risk management needs to be supported. The web-based Risk Assessment and Management Platform (RAMP) was developed to realize this concept and to empower people who use drugs through an integrated tool that allows them to better understand and manage their risk of overdose. This paper outlines the architecture and development of RAMP, which is built on the WordPress platform. WordPress components are mapped onto a 3-tier architecture that consists of presentation, application, and database layers. The architecture facilitates the development of a modular software that includes several features that are independent in functionality but interact with each other in an integrated platform. The relatively low coupling and high coherence of the features may reduce the cost of maintenance and increase flexibility of future developments. RAMP\'s architecture comprises a user interface, conceptual framework, and backend layers. The RAMP front end effectively uses some of the WordPress\' features such as HTML5, CSS, and JavaScript to create a mobile, friendly, and scalable user interface. The RAMP backend uses several standard and custom WordPress plug-ins to support risk assessment and monitoring, with the goal of mitigating the impacts and eliminating risks together. A rule-based decision support system has been hard-coded to suggest relevant modules and goals to complement each user\'s lifestyle and goals based on their risk assessment. Finally, the backend uses the MySQL database management system and communicates with the RAMP framework layer via the data access layer to facilitate a timely and secure handling of information. Overall, RAMP is a modular system developed to identify and manage the risk of opioid overdose in the population of people who use drugs. Its modular design uses the WordPress architecture to efficiently communicate between layers and provide a base for external plug-ins. There is potential for the current system to adopt and address other related fields such as suicide, anxiety, and trauma. Broader implementation will support this concept and lead to the next level of functionality.
摘要：
整个加拿大的过量死亡人数继续达到历史水平，尽管当局一直在努力。为了降低死亡率，从预防措施到危机干预的临床轨迹，治疗技能训练，和风险管理的风险评估需要得到支持。基于网络的风险评估和管理平台（RAMP）的开发是为了实现这一概念，并通过集成工具赋予使用药物的人权力，使他们能够更好地了解和管理其用药过量的风险。本文概述了RAMP的体系结构和发展,它是在WordPress平台上构建的。WordPress组件被映射到一个3层架构，该架构由演示文稿组成，应用程序,和数据库层。该架构促进了模块化软件的开发,该模块化软件包括在功能上独立但在集成平台中彼此交互的若干特征。特征的相对低的耦合和高的连贯性可以降低维护成本并增加未来发展的灵活性。RAMP的体系结构包括用户界面，概念框架，和后端层。RAMP前端有效地使用了WordPress的一些功能，如HTML5，CSS，和JavaScript来创建一个移动，友好,和可扩展的用户界面。RAMP后端使用多个标准和自定义的WordPress插件来支持风险评估和监控，以减轻影响和消除风险为目标。一个基于规则的决策支持系统已经被硬编码，建议相关的模块和目标，以补充每个用户的生活方式和基于他们的风险评估的目标。最后,后端使用MySQL数据库管理系统,通过数据访问层与RAMP框架层进行通信,便于及时安全地处理信息。总的来说,RAMP是一种模块化系统，用于识别和管理使用药物的人群中阿片类药物过量的风险。其模块化设计使用WordPress架构在各层之间进行有效通信，并为外部插件提供基础。目前的系统有可能采用和解决其他相关领域，如自杀，焦虑,和创伤。更广泛的实施将支持这一概念，并导致下一级别的功能。
