126 Comparative Analysis of Simple Triage and Rapid Treatment and Five-Level Nursing Emergency Severity Index Triage During a Large-Scale Disaster Drill

2014 ◽  
Vol 64 (4) ◽  
pp. S45-S46
Author(s):  
K. Reed ◽  
R.R. Sarin ◽  
S. Cattamanchi ◽  
J.J. Rifino ◽  
G. Ciottone
Keyword(s):  
Comparative Analysis ◽  
Large Scale ◽  
Severity Index ◽  
Emergency Severity Index ◽  
Rapid Treatment

scholarly journals Comparative Analysis Of Triage Systems At Emergency Departments Of Different Countries: Implementation In Kazakhstan

2021 ◽  
Vol 10 (3) ◽  
Author(s):  
Lyudmila Pivina ◽  
Assylzhan M. Messova ◽  
Yersin T. Zhunussov ◽  
Zhanar Urazalina ◽  
Zhanna Muzdubayeva ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Emergency Departments ◽  
Severity Index ◽  
Evidence Based ◽  
Emergency Severity Index ◽  
Reliable System ◽  
Efficient System ◽  
Literary Sources ◽  
Short Time ◽  
Based Medicine

Medical sorting is aimed at assessment of disease severity and has to be carried out within a short time to determine the priorities for patient care and transportation to the most appropriate place for future treatment. The goal of this study was to provide an integrative review by analyzing the publications on the most common triage systems worldwide in order to select and implement the most reliable system at emergency departments. We searched for publications relevant to our comparative analysis in evidence-based medicine databases. A total of 1,740 literary sources were identified, of which 42 were selected for analysis. Comparative analysis of different triage systems may help implementing the most efficient system in Kazakhstan. The Emergency Severity Index is considered the most reliable and accurate tool used in international practice, and it could provide a basis for introduction of triage system at emergency departments in Kazakhstan.

scholarly journals Confocal laser endomicroscopy reveals alterations in duodenal permeability in patients with acute pancreatitis

2019 ◽  
Vol 47 (3) ◽  
pp. 1279-1287
Author(s):  
Lingjia Sun ◽  
Min Yue ◽  
Yining Dai ◽  
Chaohui Yu ◽  
Chunxiao Chen
Keyword(s):  
Acute Pancreatitis ◽  
Large Scale ◽  
Duodenal Bulb ◽  
Severity Index ◽  
Duodenal Mucosa ◽  
Confocal Laser Endomicroscopy ◽  
Confocal Laser ◽  
Mucosal Permeability ◽  
Reactive Protein ◽  
Severity Index Score

Objective Intestinal permeability increases during the course of acute pancreatitis (AP). We assessed duodenal permeability alterations in patients with AP by confocal laser endomicroscopy (CLE). Methods Thirty patients with AP underwent CLE evaluation of the antral and duodenal mucosa. Images were graded based on the appearance of capillaries and the degree of fluorescein leakage. Results Patients with AP had increased duodenal mucosal permeability that could be detected by CLE. The mucosal permeability progressively increased in the gastric antrum, duodenal bulb, and descending duodenum. The CLE parameters in the antrum and duodenal bulb were not significantly different between patients with mild and severe AP. The CLE grades in the descending duodenum were higher in patients with severe than mild AP. The C-reactive protein level in AP was positively correlated with the permeability in the duodenal bulb and descending duodenum, while the computed tomography severity index score was positively correlated with the mucosal permeability in the duodenal bulb and descending duodenum. Conclusion CLE revealed increased duodenal permeability in patients with AP. Higher permeability in the descending duodenum was observed in severe than mild AP. Further large-scale studies are needed to confirm the relationship between altered duodenal permeability and the severity of AP.

scholarly journals Effects of a workplace prevention programme for problem gambling: study protocol for a cluster randomised controlled trial

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015963 ◽  
Author(s):  
Jonas Rafi ◽  
Ekaterina Ivanova ◽  
Alexander Rozental ◽  
Per Carlbring
Keyword(s):  
Problem Gambling ◽  
Large Scale ◽  
Controlled Trial ◽  
Public Health Problem ◽  
Cluster Randomised Controlled Trial ◽  
Severity Index ◽  
The Body ◽  
Prevention Programme ◽  
Open Access Journals ◽  
Randomised Controlled

IntroductionDespite being considered a public health problem, no prevention programme for problem gambling in workplace settings has been scientifically evaluated. This study aims to fill a critical gap in the field of problem gambling by implementing and evaluating a large-scale prevention programme in organisations.Methods and analysisTen organisations, with a total of n=549 managers and n=8572 employees, will be randomised to either receiving a prevention programme or to a waitlist control condition. Measurements will be collected at the baseline and 3, 12 and 24 months after intervention. The primary outcome of interest is the managers’ inclination to act when worried or suspicious about an employee’s problem gambling or other harmful use. Additional outcomes of interest include the Problem Gambling Severity Index and gambling habits in both managers and employees. Furthermore, qualitative analyses of the responses from semistructured interviews with managers will be performed.Ethics and disseminationThis study has been approved by the regional ethics board of Stockholm, Sweden, and it will contribute to the body of knowledge concerning prevention of problem gambling. The findings will be published in peer-reviewed, open-access journals.Trial registration numberNCT02925286; Pre-results.

A comparative analysis of “Hutsulka” in the performing interpretations by two violinists representing the tradition of the Kosmach-Brusturiv areal

Ethnomusic ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 142-177
Author(s):  
Jarema Pavliv ◽  
Keyword(s):  
Comparative Analysis ◽  
Large Scale ◽  
Mobile Elements ◽  
Strategic Performance ◽  
Distinctive Features ◽  
Eastern Carpathians ◽  
Linear Movement ◽  
Melodic Line ◽  
Individual Interpretation ◽  
Formal Features

In the offered article, a comparative analysis of two performing versions of the wedding ceremonial dance “Hutsulka”, dominant in the Eastern Carpathians region of Ukraine has been made, with outstanding violinists-capellists, which, based on traditions and their own virtuoso style, developed this dance genre due to the accumulation of stable and mobile elements of melo-, rhythm- and form-making, as well as the establishment of aesthetics of regional styles. The material for the study was the audio version of the “Hutsulka” recorded on the basis of the performance of two violinists representing the region of Kosmach- Brusturiv villages tradition – Kyrylo Lyndiuk (“Vityshyn”, 1929–2003) (recorded by prof. Bogdan Lukaniuk in 1991) and Ivan Sokoliuk (born in 1944; Musician's own recording of 2017) – and transcribed by the author of the article. The performance of “Hutsulka” by each violinist is characteristic of common and distinctive features concerning the formation of the variative composition, the thematic material (respectively, 29 and 43 themes of kolomyika, kozachok and voloshka bases), tonality and rhythmic structuring, individual interpretation of ornamentation, which is collectively connected with artistic orientation on certain artistic and performing directions, presented by iconic musicians-predecessors. The formal features of the Hutsulka composition depends on scenery where it is performed (1); the tonality outline determined by established regional tradition (2), and rhythmic outline, by the overall style, varyation technics, updating and ornamentation of rhythmic formulas, characteristic of the personal manner and style of the performer (3). Ornamentation, as the essence of the performing style of any Hutsul musician, in K. “Vityshyn” is characterized by intense interweaving of short melismatic legal groups and non-legal figurations within melodic line and texture. I. Sokoliuk 166 enriches the linear movement with prolonged melismatic groups and rhythm- intonational and figurational turns that decorate it and amplify the expression of dance overall sonority. In performing aesthetics of K. Lyndiuk prevails an acute articulation of melodic expressiveness with accented and often pointed rhythmic patterns that provides representative-temperamental virtuosity. For strategic performance aesthetics of I. Sokoliuk, rich in virtuosic expressiveness, is characterized by choral and transparent ringing articulation in the context of “stratum”-development creation of the whole large-scale virtuoso composition. Each version reveals individual compositional, improvised, techno-performing, emotional as well as aesthetic mind of their creators. All these qualities, formed by both musicians in a single tradition and expressed in related kolomyika and kozachok-voloshka tunes, present the decision of developmental, composite, rhythmic, intonational, articulation, tempo and many other aspects of style, characteristic of folk violinists – soloists and capellists, inherent to each of them, in their performing manner, evident in “Hutsulka” rendering.

scholarly journals A Novel Deep Learning–Based System for Triage in the Emergency Department Using Electronic Medical Records: Retrospective Cohort Study

10.2196/27008 ◽  
2021 ◽  
Vol 23 (12) ◽  
pp. e27008
Author(s):  
Li-Hung Yao ◽  
Ka-Chun Leung ◽  
Chu-Lin Tsai ◽  
Chien-Hua Huang ◽  
Li-Chen Fu
Keyword(s):  
Deep Learning ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Severity Index ◽  
University Hospital ◽  
Emergency Severity Index ◽  
National Hospital ◽  
Data Set ◽  
Care Survey ◽  
Ambulatory Medical Care

Background Emergency department (ED) crowding has resulted in delayed patient treatment and has become a universal health care problem. Although a triage system, such as the 5-level emergency severity index, somewhat improves the process of ED treatment, it still heavily relies on the nurse’s subjective judgment and triages too many patients to emergency severity index level 3 in current practice. Hence, a system that can help clinicians accurately triage a patient’s condition is imperative. Objective This study aims to develop a deep learning–based triage system using patients’ ED electronic medical records to predict clinical outcomes after ED treatments. Methods We conducted a retrospective study using data from an open data set from the National Hospital Ambulatory Medical Care Survey from 2012 to 2016 and data from a local data set from the National Taiwan University Hospital from 2009 to 2015. In this study, we transformed structured data into text form and used convolutional neural networks combined with recurrent neural networks and attention mechanisms to accomplish the classification task. We evaluated our performance using area under the receiver operating characteristic curve (AUROC). Results A total of 118,602 patients from the National Hospital Ambulatory Medical Care Survey were included in this study for predicting hospitalization, and the accuracy and AUROC were 0.83 and 0.87, respectively. On the other hand, an external experiment was to use our own data set from the National Taiwan University Hospital that included 745,441 patients, where the accuracy and AUROC were similar, that is, 0.83 and 0.88, respectively. Moreover, to effectively evaluate the prediction quality of our proposed system, we also applied the model to other clinical outcomes, including mortality and admission to the intensive care unit, and the results showed that our proposed method was approximately 3% to 5% higher in accuracy than other conventional methods. Conclusions Our proposed method achieved better performance than the traditional method, and its implementation is relatively easy, it includes commonly used variables, and it is better suited for real-world clinical settings. It is our future work to validate our novel deep learning–based triage algorithm with prospective clinical trials, and we hope to use it to guide resource allocation in a busy ED once the validation succeeds.

scholarly journals Creativity And Innovation Thinking

2021 ◽  
Vol 03 (04) ◽  
pp. 93-98
Author(s):  
Gulnoza Sabirovna Sultanova ◽  
Keyword(s):  
Comparative Analysis ◽  
Young People ◽  
Creative Thinking ◽  
Large Scale ◽  
Analytical Analysis ◽  
Creative Processes ◽  
Distinctive Features ◽  
Innovative Thinking ◽  
Creativity And Innovation

In this article, a comparative analysis of creative and innovative thinking in a similar and different way will be made. The peculiarities of creativity and the essence of innovation are considered to be brought up as an object of philosophical research. Within the framework of the theme, it is mentioned about how our young people can use the opportunities created in our country on a large scale, about the achievement of the goals, the pursuit of innovation, creative thinking consisting of creative processes in a specific way and the various methods used in the mobilization of its implementation and their practical opportunities. Also, analytical analysis of the characteristic aspects of innovative thinking was carried out.The essence and essence of creative and innovational thinking, its distinctive features are considered to be brought up as an object of philosophical research. The views on innovation and creative thinking were also analyzed comparatively. In particular, it is noted that the formation of creative and innovative thinking is a period demand as well as a social need.

scholarly journals FEATURES FOR THE RESPIRATORY SYSTEM DISEASES MORBIDITY IN THE CHILD POPULATION LIVING IN THE IMPACT AREA OF EMISSION COMPONENTS OF LARGE-SCALE ALUMINA PRODUCTION

2019 ◽  
pp. 28-33
Keyword(s):  
Comparative Analysis ◽  
Respiratory System ◽  
Large Scale ◽  
Poor Quality ◽  
Morbidity Rate ◽  
Alumina Production ◽  
Atmospheric Air ◽  
Child Population ◽  
Actual Attendance ◽  
The Impact

We made hygienic assessment of the atmospheric air quality of the observation territory and comparison according to monitoring and field observations, carried out a comparative analysis of the respiratory system diseases morbidity of the child population according to the form of federal statistical observation and actual attendance for medical care for 2014–2017, evaluated the relationship of respiratory system diseases morbidity with the effects of the studied chemical factors. Atmospheric air poor quality for a number of substances has been established in the residential development of the observation territory. An increased morbidity rate of respiratory system diseases and certain nosological forms (chronic diseases of the tonsils and adenoids and bronchial asthma) in areas with stable atmospheric air pollution by emission components of large-scale alumina production has been established as a result of a comparative analysis of morbidity rates. We proved the dependence of the occurrence probability of additional cases of respiratory system diseases on the content in the atmospheric air of suspended solids, fine PM10, PM2.5 fractions, nitrogen dioxide, aluminum, manganese, solid and gaseous fluorides, chromium.

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