Ride in the back of the ambulance with Sherry Jones Mayo
Share the innermost feelings of emergency services workers as they encountertrauma, tragedy, redemption, and even a little humor. Sherry Jones Mayo has beenan Emergency Medical Technician, Emergerncy Room Nurse, and an on-scene criticalincident debriefer for Hurricane Katrina. Most people who have observed orexperienced physical, mental or emotional crisis have single perspectives. Thisbook allows readers to stand on both sides of the gurney; it details a progressionfrom innocence to enlightened caregiver to burnout, glimpsing into each stage personallyand professionally.
Emergency Service Professionals Praise "Confessions of a Trauma Junkie"
"A must read for those who choose to subject themselves to life at its best and atits worst. Sherry offers insight in the Emergency Response business that most peoplecannot imagine."
--Maj Gen Richard L. Bowling, former Commanding General, USAF Auxiliary (CAP)
"Sherry Mayo shares experiences and unique personal insights of first responders.Told with poetry, sensitivity and a touch of humor at times, all are real, providingviews into realities EMTs, Nurses, and other first responders encounter. Recommendedreading for anyone working with trauma, crises, critical incidents in anyprofession."
-- George W. Doherty, MS, LPC, President Rocky Mountain Region Disaster Mental Health Institute
"Sherry has captured the essence of working with people who have witnessedtrauma. It made me cry, it made me laugh, it helped me to understand differentlythe work of our Emergency Services Personnel. I consider this a 'MUST READ' forall of us who wish to be helpful to those who work in these professions."
--Dennis Potter, LMSW, CAAC, FAAETS, ICISF Instructor
"Confessions of a Trauma Junkie is an honest, powerful, and moving account ofthe emotional realities of helping others Sherry Mayo gives us a privileged lookinto the healing professions she knows firsthand. The importance of peer supportis beautifully illustrated. This book will deepen the readers respect for those whoserve."
--Victor Welzant, PsyD, Director of Education and Training, The International Critical Incident Stress Foundation, Inc
Learn more at www.SherryJonesMayo.com
Available in trade paper, hardcover, and eBook formats
From the Reflections of America Series
Modern History Press www.ModernHistoryPress.com
MED003010 Medical: Allied Health Services - Emergency Medical Services
BIO017520 Biography & Autobiography: Medical - General
PSY022040 Psychology: Psychopathology - Post Traumatic Stress Disorder

Eve Shapiro has been writing about patient-centered care, physician-patient communication, and relationships between doctors and their patients since 2007. In Joy in Medicine? What 100 Healthcare Professionals Have to Say about Job Satisfaction, Dissatisfaction, Burnout, and Joy, Eve turns her attention to those on the healthcare delivery side of this "sacred interaction." These healthcare professionals share their enthusiasm, joys, frustrations, disappointments, insights, advice, stories, fears, and pain, explaining how it looks and feels to work in healthcare today no matter who you are, where you work, or what your position is in the organizational hierarchy. The healthcare professionals who provide patient care deserve our collective interest in their humanity. Without some insight into who they are and the forces with which they struggle every day, we cannot fully appreciate the obstacles to providing the care we all want for ourselves and our families during the best of times, let alone in the uncertain times that lie ahead.

Validation of computer systems is the process that assures the formal assessment and report of quality and performance measures for all the life-cycle stages of software and system development, its implementation, qualification and acceptance, operation, modification, requalification, maintenance and retirement (PICS CSV PI 011-3). It is a process that demonstrates the compliance of computer systems functional and non-functional requirements, data integrity, regulated company procedures and safety requirements, industry standards, and applicable regulatory authority's requirements. Compliance is a state of being in adherence to application-related standards or conventions or regulations in laws and similar prescriptions. This book, which is relevant to the pharmaceutical and medical devices regulated operations, provides practical information to assist in the computer validation to production systems, while highlighting and efficiently integrating worldwide regulation into the subject. A practical approach is presented to increase efficiency and to ensure that the validation of computer systems is correctly achieved.

Discusses the need for Root Cause Analysis in the context of healthcare Describes how to construct an effective action plan to eliminate errors that may cause healthcare patients harm and eliminate repeat events Provides practical applications for Root Cause Analysis facilitation in the healthcare sector Includes practical strategies on how to use Root Cause Analysis in healthcare systems and to increase patient safety Offers a demonstrated training curriculum with real-life healthcare examples and exercises

The book examines the status of public service in developing countries, in the sectors of health, infrastructure, labour and marginalized populations, rural economy and public administration. The last decade has witnessed significant government focus on service delivery in developing nations like South Africa, Philippines, India and Malaysia. At the forefront of this movement has been the public sector reforms significantly driven by two broad factors: public sector inefficiencies and liberal economic ideology. This move towards efficient public service delivery in developing nations (versus developed nations) has required a significant shift in institutional thinking and institutional capacity for the governments. It is therefore no surprise that while economic liberalization has been relatively easy to implement, governance reforms towards public service delivery has been significantly more challenging. In this background, the chapters of the book, with sector themes, examine the three basic foundations of public policy-courses of action, regulatory measures and issues, and funding structures and priorities-in public service delivery. The book is a multi country, multi sector, perspective since it includes studies from Russian Federation, India, Ethiopia, Pakistan, Fiji, South Africa, Columbia, Philippines, Macedonia and India. This perspective lends itself to the investigation for a comprehensive overall development model.

A robust guide to the leadership and management of inter-agency collaborative endeavours. It summarises recent trends in policy, establishes what we can learn from research and practice, and uses international evidence to set out useful frameworks and approaches to address a range of problems that collaborations face.

This book is open access under a CC BY-NC-ND 4.0 license. This open access book is the first compilation that reviews a wide range of social determinants of health (SDHs) for non-communicable diseases (NCDs) and healthy ageing in Japan. With the highest life expectancy and the largest elderly population in the world, Japan has witnessed health inequality by region and social class becoming more prevalent since the 2000s. The first half of this volume describes in detail major NCDs, such as cancers, heart and kidney diseases, diabetes, stroke, and metabolic syndrome. The second half, on the other hand, explores various SDHs relating to healthy ageing. All chapters review and focus on SDHs, particularly health inequality associated with socio-economic status and social capital, which are widely addressed in the field of social epidemiology. The book makes the argument that "Health for All" advocated by the WHO should be implemented based on social justice and benefits for the greater society. Public health researchers and policymakers, both in Japan and other nations, will gain scientific evidence from this book to prepare for the coming era as ageing becomes a global issue.

There is plenty of controversy surrounding pharmaceuticals, but it cannot be denied that the pharmaceutical industry is both socially beneficial and profitable. Regulators are expected to ensure that the economic success of the industry does not come at the expense of public safety, yet they have also assumed a cooperative role by providing advice on regulation and by targeting unmet medical needs. Concerns over regulatory standards, conflicts of interest, and the manipulation of information on drug safety and effectiveness have led to public mistrust and a greater need for transparency between the pharmaceutical industry and government regulators. Transparency, Power, and Influence in the Pharmaceutical Industry evaluates the progress made in holding the pharmaceutical industry responsible for creating transparency in the industry, from development to market. The contributors to this volume examine the various mechanisms introduced to make the regulatory process more informative and situate these efforts within the larger project of enhancing the safety of drugs, vaccines, and other products.

Drawing on anthropology, historical sociology and social-epidemiology, this multidisciplinary book investigates how pharmaceuticals are produced, distributed, prescribed, (and) consumed, and regulated in order to construct a comprehensive understanding of the issues that drive (medicine) pharmaceutical markets in the Global South today. Based on primary research conducted in Benin and Ghana, and additional data collected in Cambodia and the Ivory Coast, this volume uses artemisinin-based combination therapies (ACTs) against malaria as a central case study. It highlights the influence of the countries colonial and post-colonial history on their models for state regulation, production, and distribution, explores the determining role transnational actors as well as industries from the North but also and increasingly from the South play in influencing local pharmaceutical markets and looks at the behaviour of health care professionals and individuals. Stepping back, the authors then unpick the pharmaceuticalization process and the multiple regulations at stake by looking at the workings of, and linkages between, (biomedical health) pharmaceutical systems, (representatives of companies) industries, actors in private distribution, and consumer practices. Providing a thorough comparative analysis of the advantages and disadvantages of different pharmaceutical systems, it is an important contribution to the literature on pharmaceutalization and the governance of medication. It is of interest to students, researchers and policy-makers interested in medical anthropology, the sociology of health and illness, global health, healthcare management and pharmacy. The Open Access version of this book, available at http://www.taylorfrancis.com/books/9780429329517, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

This book presents statistical processes for health care delivery and covers new ideas, methods and technologies used to improve health care organizations. It gathers the proceedings of the Third International Conference on Health Care Systems Engineering (HCSE 2017), which took place in Florence, Italy from May 29 to 31, 2017. The Conference provided a timely opportunity to address operations research and operations management issues in health care delivery systems. Scientists and practitioners discussed new ideas, methods and technologies for improving the operations of health care systems, developed in close collaborations with clinicians. The topics cover a broad spectrum of concrete problems that pose challenges for researchers and practitioners alike: hospital drug logistics, operating theatre management, home care services, modeling, simulation, process mining and data mining in patient care and health care organizations.

It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a 'customer' focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What's unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, "blaming and shaming culture", burnout of providers and many others.

Quality healthcare is a cornerstone of any healthy society. In the U.S., we have access to sophisticated medical technology, world renowned physicians, highly trained nurses and hospital personnel, advanced pharmaceuticals, and innovations in diagnosis and treatment. But for all of our sophistication, serious problems afflict healthcare systems across the U.S. today - problems that cause severe hardship for families in communities large and small. Considering its impact on society, healthcare is arguably our most important industry. Good health is a key aspect of a productive and fulfilling life no matter what a person's age, cultural background, social status or career. To live well and provide for ourselves and others, we all depend on a strong healthcare system that can help us prevent illness and access effective treatment when we need it. Needless to say, building and maintaining that robust healthcare system is no easy task. According to a report by the Institute of Medicine, up to 98,000 deaths per year occur in U.S. hospitals as a result of adverse events. In other words, errors in hospitals cause more annual deaths than acceptable and are totally preventable. With the healthcare system in such critical condition, Lean is the best possible treatment as it moves to eliminate waste and improve processes. The revised edition of Taking Improvement from the Assembly Line to Healthcare supplies step-by-step guidance on how to implement Lean methods to achieve world-class improvement with the healthcare industry. The updated edition of this Shingo award winner book provides specific examples of Lean implementation in emergency medicine, diagnostic imaging, orthopedic clinics, general internal medicine, administration, and community care. Highlighting quality, safety, and financial evidence as to why immediate change is both possible and essential, the book provides a firm foundation in Lean improvement and the tools used to deliver sustainable solutions. This revised edition presents new and updated client interviews and how the process has changed or been enhanced, what worked and what didn't work. New case studies from U.S. and Canada provide readers with the real-world understanding needed to embark and sustain a successful improvement journey.

This volume presents a review of global progress made towards achieving Sustainable Development Goal 6 (SDG 6): Clean Water and Sanitation, part of the United Nations 2030 Agenda for Sustainable Development. It builds on the latest data and statistics provided by the UN and other international organizations through chapters written by a wide variety of authors, including representatives of government ministries and departments, members of international organizations specializing in this area, academics and senior professionals. The book details how SDG 6 is being approached in a number of geographic regions, with each chapter describing developments in a particular region or country. Supporting case studies presented in the book illustrate progress, achievements and challenges that remain in the effort to reach SDG 6 by 2030. The book is intended for academics/researchers, scientists, policymakers, practitioners, and all stakeholders working at the global, regional, national and local levels who support or are engaged with the implementation of SDG 6.

This book uses an economic framework to examine the consequences of U.S. farm and food policies for obesity, its social costs, and the implications for government policy. Drawing on evidence from economics, public health, nutrition, and medicine, the authors evaluate past and potential future roles of policies such as farm subsidies, public agricultural R&D, food assistance programs, taxes on particular foods (such as sodas) or nutrients (such as fat), food labeling laws, and advertising controls. The findings are mostly negative-it is generally not economic to use farm and food policies as obesity policy-but some food policies that combine incentives and information have potential to make a worthwhile impact. This book is accessible to advanced undergraduate and graduate students across the sciences and social sciences, as well as to decision-makers in the public, private, and not-for-profit sectors. Winner of the Quality of Research Discovery Award from the Australasian Agricultural and Resource Economics Society.

A unique contribution to research on feminist care ethics. Drawing on a wealth of practical experience across eight different disciplinary fields, the international contributors demonstrate the significance of care ethics as a transformative way of thinking and highlight the necessity of thinking about the ethics of care within policies and practice.

In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.

The book examines the health rights of older persons who are more likely potentially to face various disadvantages in terms of healthcare access and affordability, thereby impacting on health outcomes. The point of departure in the analyses is that the health security of older persons is guaranteed only if a country approaches the health of its citizens out of moral obligation, viewing health and well-being as a right rather than an entitlement. Data from five countries in the ASEAN region are analysed with the intent of highlighting the health inequalities and barriers at the societal and individual levels, on the one hand, as well as the gaps at the health and healthcare policy and programmatic levels within each country, on the other. It is also intended that the analyses of the data from the selected countries which represent different stages of development, and thus income levels, provide a useful comparative framework for policymakers in the ASEAN region.

In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.

With the use of electronic health records (EHR) transforming the healthcare industry, the use of information technology in the maintenance of personal health records poses a range of issues and opportunities for every medical organization, The Cyber Patient expertly walks readers through the elements required for an efficient, well-run healthcare record management system, while reflecting the U.S. government's goal of achieving widespread adoption of interoperable electronic health records to improve the quality and efficiency of healthcare while maintaining the levels of security and privacy that consumers expect. The author also provides an update as to where the industry stands in their push of interoperability and the increased use of data as an analytic tools. Providing an application readers can adopt as a model, this important book examines the infrastructure of electronic health records and how government criteria have impacted and will continue to impact both private and public marketplaces. This valuable resource also addresses how auditors, controllers, and healthcare providers can keep up with the market's continued move towards an interoperable e-health world, without neglecting clinical and financial accountability in the delivery of healthcare. As e-health continues to develop and transform, The Cyber Patient thoughtfully prepares professionals to plan and implement an effective EHR as wel as internal controls system within any clinical setting.

Analyzing Form, Function, and Financing of the U.S. Health Care System tells the story of the U.S. health care system by using a narrative approach identifying function rather than the more common data-driven focus on structure. It presents policy decisions we have made about our health care system and analyzes some of their consequences to better understand the choices we have. To facilitate this, the book is divided into four major sections. Section I is mostly "about" the health care system. It describes several theoretical models that provide a foundation for the structure of the U.S. health care system. Section II provides a description of the form, or organization, of the U.S. health care delivery system. It presents a comprehensive overview of the entire health care delivery system, including identifying all levels of care. Section III focuses on financing, beginning with a description of the economic and political values that determine how we finance our system. It describes health insurance, from the perspective of both the consumer and the provider, and discusses how money moves through the system. It concludes with a discussion and analysis of cost and cost control efforts. Section IV describes some of the more important efforts in health care reform, including several targeted programs that are a significant part of the U.S. health care system, such as Medicare and Medicaid. It also describes other targeted programs within the U.S. health care system and explores how other countries with economies similar to that of the United States organize and finance their health care systems.

Quality healthcare is a cornerstone of any healthy society. In the U.S., we have access to sophisticated medical technology, world renowned physicians, highly trained nurses and hospital personnel, advanced pharmaceuticals, and innovations in diagnosis and treatment. But for all of our sophistication, serious problems afflict healthcare systems across the U.S. today - problems that cause severe hardship for families in communities large and small. Considering its impact on society, healthcare is arguably our most important industry. Good health is a key aspect of a productive and fulfilling life no matter what a person's age, cultural background, social status or career. To live well and provide for ourselves and others, we all depend on a strong healthcare system that can help us prevent illness and access effective treatment when we need it. Needless to say, building and maintaining that robust healthcare system is no easy task. According to a report by the Institute of Medicine, up to 98,000 deaths per year occur in U.S. hospitals as a result of adverse events. In other words, errors in hospitals cause more annual deaths than acceptable and are totally preventable. With the healthcare system in such critical condition, Lean is the best possible treatment as it moves to eliminate waste and improve processes. The revised edition of Taking Improvement from the Assembly Line to Healthcare supplies step-by-step guidance on how to implement Lean methods to achieve world-class improvement with the healthcare industry. The updated edition of this Shingo award winner book provides specific examples of Lean implementation in emergency medicine, diagnostic imaging, orthopedic clinics, general internal medicine, administration, and community care. Highlighting quality, safety, and financial evidence as to why immediate change is both possible and essential, the book provides a firm foundation in Lean improvement and the tools used to deliver sustainable solutions. This revised edition presents new and updated client interviews and how the process has changed or been enhanced, what worked and what didn't work. New case studies from U.S. and Canada provide readers with the real-world understanding needed to embark and sustain a successful improvement journey.

Progressive, untreatable nerve and muscle diseases transformed the author's life from having been a college athlete to needing a wheelchair and special equipment for day-to-day activities. While dealing with his own conditions, he was faced with the unique challenge of being the sole caregiver for his wife who suffers from Alzheimer's disease. He has written this experience-based book to help people with life-altering medical conditions and those dealing with challenging caregiving responsibilities. Comprehensive in scope, it covers topics including grief, finances, safety and end-of-life planning. This is a resource book containing many references aimed at helping the reader overcome their challenges, maintain their independence and have happy, fulfilling lives.

Including the voices of key protagonists in the development of the public health workforce, this book is an important addition to the history of public health in England. It charts events leading to the unique achievement, from 2003, of specialist status, equivalent to public health medical consultants, for those from non-medical backgrounds. Setting these changes in context it discusses implications for practitioners and the wider UK public health workforce. A lively and comprehensive review of policy change, Multidisciplinary public health: Understanding the development of the modern workforce concludes with a reflection on the new public health system under way in England, making useful comparisons with the rest of the UK. This is an invaluable resource for anyone with an interest in public health, including public health academics and relevant postgraduate students.

Among the developed countries it is not the richest societies which have the best health, but those which have the smallest income differences between rich and poor. Inequality and relative poverty have absolute effects: they increase death rates. But why? How can smaller income differences raise average life expectancy?
Using examples from the USA, Britain, Japan and Eastern Europe, and bringing together evidence from the social and medical sciences, Unhealthy Socities provides the explanation. Healthy, egalitarian societies are more socially cohesive. They have a stronger community life and suffer fewer of the corrosive effects of inequality. As well as inequality weakening the social fabric, damaging health and increasing crime rates, Unhealthy Societies shows that social cohesion is crucial to the quality of life.
The contrast between the material success and social failure of modern societies marks an imbalance which needs attention. The relationship between health and equality suggests that important social needs will go unmet without a larger measure of social and distributive justice. This path-breaking book is essential reading for health psychologists, sociologists, welfare economists, social policy analysts and all those concerned with the future of developed societies.

The medical sector has been growing exponentially over the last decade and healthcare services are becoming more complex and costly. In order to continue efficiently and effectively managing patient safety, quality, and the effectiveness of the healthcare systems, new methodologies are needed. This book provides a platform to address this growing need and to improve practice. With the introduction of a new computer platform package for the management of medical organizations and healthcare systems, Modeling a New Computer Framework for Managing Healthcare Organizations aims to improve management techniques and increase overall satisfaction scores of patients, owners, and medical resources. The platform outlined will improve the daily operation of a healthcare system, focusing on the emergency department, and can be used to study the operation flow of a unit for performance optimization. It offers a user-friendly interface and proposed programming language, along with a visual and simple practice to collect and understand statistical outputs. Essential reading for decision makers on different levels in the healthcare organization hierarchy, this book can also be used by management to improve the performance of the organization and decision makers to hire resources, enhance workflows or both. It guides designers and system implementers in a step-by-step approach to make optimal decisions for resource allocation and helps designers and management to detect deficiencies in ongoing processes and fix or enhance them. Soraia Oueida is an instructor in the Department of Computer Engineering at the American University of the Middle East. She is an IEEE member and her research interests include Simulation Modeling, Discrete Mathematics, Petri Net, Workflows, Blockchain, IoT, Industrial Management Systems.