scholarly journals Quality of Anaesthesiology Care in Postoperative Patients of Outpatient Surgery with Fast Track Protocol

2021 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Fast Track ◽  
Outpatient Surgery

How to Improve the Quality of Democracy? Experiences with Participatory Innovations at the Local Level in Germany

2009 ◽  
Vol 27 (4) ◽  
pp. 51-71 ◽  
Author(s):  
Brigitte Geissel
Keyword(s):  
World Wide ◽  
Fast Track ◽  
Local Level ◽  
Interesting Case ◽  
Quality Of Democracy ◽  
Political Actors ◽  
End Of History ◽  
The World ◽  
Research Analysis

Despite the world-wide triumph of democracy, the quest for an optimal politike has not yet reached the “end of history.” It turns out that representative democracies do not necessarily satisfy citizenries. These malaises are regarded as causes for concern and political actors increasingly pin their hopes on participatory innovations as re-legitimizing responses. But do they work? Germany is an especially interesting case for empirical research. Analysis of the variety of participatory innovations utilized at the local level in Germany—often varying considerably among the different Bundesländer—provides preliminary insights. The German case shows overall that participatory innovations have the potential to cure some of the current malaises of representative democracy. Participatory innovations, however, are certainly no fast-track cure. The useful implementation of participatory innovations requires comprehensive consideration, caution, and, (up to now limited) knowledge about possibilities and pitfalls.

scholarly journals HMB-I/O: Fast Track for Handling Urgent I/Os in Nonvolatile Memory Express Solid-State Drives

2020 ◽  
Vol 10 (12) ◽  
pp. 4341
Author(s):  
Kyusik Kim ◽  
Seongmin Kim ◽  
Taeseok Kim
Keyword(s):  
Quality Of Service ◽  
Solid State ◽  
User Satisfaction ◽  
Nonvolatile Memory ◽  
Fast Track ◽  
Solid State Drives ◽  
Solid State Drive ◽  
Memory Buffer

Differentiated I/O services for applications with their own requirements are very important for user satisfaction. Nonvolatile memory express (NVMe) solid-state drive (SSD) architecture can improve the I/O bandwidth with its numerous submission queues, but the quality of service (QoS) of each I/O request is never guaranteed. In particular, if many I/O requests are pending in the submission queues due to a bursty I/O workload, urgent I/O requests can be delayed, and consequently, the QoS requirements of applications that need fast service cannot be met. This paper presents a scheme that handles urgent I/O requests without delay even if there are many pending I/O requests. Since the pending I/O requests in the submission queues cannot be controlled by the host, the host memory buffer (HMB), which is part of the DRAM of the host that can be accessed from the controller, is used to process urgent I/O requests. Instead of sending urgent I/O requests into the SSDs through legacy I/O paths, the latency is removed by directly inserting them into the HMB. Emulator experiments demonstrated that the proposed scheme could reduce the average and tail latencies by up to 99% and 86%, respectively.

scholarly journals A meta-analysis of fast track surgery for patients with gastric cancer undergoing gastrectomy

2015 ◽  
Vol 97 (1) ◽  
pp. 3-10 ◽  
Author(s):  
S Chen ◽  
Z Zou ◽  
F Chen ◽  
Z Huang ◽  
G Li
Keyword(s):  
Gastric Cancer ◽  
Perioperative Care ◽  
Fast Track ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Fast Track Surgery ◽  
Short Term ◽  
Readmission Rates ◽  
Randomised Controlled

Introduction This meta-analysis evaluated the safety and efficacy of fast track surgery (FTS) for patients with gastric cancer undergoing gastrectomy. Methods Randomised controlled trials (RCTs) published between 1 January 1995 and 21 June 2013 comparing FTS with conventional perioperative care for patients with gastric cancer undergoing gastrectomy were identified in the PubMed, Embase™ and Cochrane Library databases, and were analysed systematically using RevMan software (Nordic Cochrane Centre, Copenhagen, Denmark). Results Seven RCTs (524 patients) were analysed. Compared with conventional perioperative care, FTS treatment with/without laparoscopy was associated with shorter postoperative hospitalisation, less hospitalisation expenditure (both p<0.00001), less pain and better quality of life. Short-term morbidity and readmission rates did not differ between treatments. No incidents of death occurred during the short-term follow-up period. Conclusions In patients with gastric cancer undergoing gastrectomy, the FTS pathway reduces the length and cost of postoperative hospitalisation while maintaining short-term morbidity, readmission and mortality rates comparable with those of conventional care.

Multimodality Approaches to Improving Post-operative Pain and Outcomes

2009 ◽  
Vol 05 (01) ◽  
pp. 16
Author(s):  
Ronald S Chamberlain ◽  
Robert H Blackshear ◽  
◽  
Keyword(s):  
Pain Control ◽  
Fast Track ◽  
Operative Management ◽  
Control Measures ◽  
Surgical Patient ◽  
Therapeutic Approaches ◽  
Post Operative Pain ◽  
Operative Complications ◽  
Complication Of Surgery

Pain is an inevitable complication of surgery. It not only impedes healing and recovery in the surgical patient, but also imposes a great deal of strain on healthcare resources. Post-operative ileus (POI), a frequent complication following surgery (especially of the abdomen), is intimately related to modes of pain control. Important aspects of effective pain control measures include improvement in quality of life and patient satisfaction as well as the prevention or limitation of post-operative complications, particularly POI. A comprehensive review of numerous peri-operative management methods reveals only limited benefit, if any, when employed individually. Strategies incorporating various preventive–therapeutic approaches devised to manage surgical patients in a ‘fast-track’ manner peri-operatively may provide better outcomes.

scholarly journals Health-related quality of life after fast-track treatment results from a randomized controlled clinical equivalence trial

2010 ◽  
Vol 19 (5) ◽  
pp. 631-642 ◽  
Author(s):  
Ghislaine A. P. G. van Mastrigt ◽  
Manuela A. Joore ◽  
Fred H. M. Nieman ◽  
Johan L. Severens ◽  
Jos G. Maessen
Keyword(s):  
Quality Of Life ◽  
Fast Track ◽  
Health Related Quality ◽  
Treatment Results ◽  
Equivalence Trial ◽  
Randomized Controlled ◽  
Related Quality ◽  
Health Related

Does preoperative quality of life predict pain after outpatient surgery?

2011 ◽  
Vol 28 ◽  
pp. 196
Author(s):  
D. Hoofwijk ◽  
A. Fiddelers ◽  
H. F. Gramke ◽  
M. Marcus
Keyword(s):  
Quality Of Life ◽  
Outpatient Surgery

scholarly journals TREATMENT OF COLORECTAL CANCER COMPLICATED BY INTESTINAL OBSTRUCTION USING THE METHOD OF «FAST-TRACK» RECOVERY

2015 ◽  
Vol 174 (2) ◽  
pp. 39-41 ◽  
Author(s):  
V. L. Denisenko ◽  
Yu. M. Gain
Keyword(s):  
Public Health ◽  
Fast Track ◽  
High Tech ◽  
Complex Treatment ◽  
Economic Costs ◽  
High Quality ◽  
Short And Long Term ◽  
Fast Track Recovery

A medical trend which is currently gaining strength includes the complex treatment based on the concept of «fast-track» recovery in oncology. An application of modern high-tech approaches allowed minimizing the terms of treatment, shortening economic costs and getting the highest final results. It provides a high quality treatment. Given method could exclude an interim treatment stages, sufficiently reduces terms of general treatment and rehabilitation of patients and could succeed in high quality of life for the patients in short- and long-term period. The authors present the results of successful clinical surgery of 78 patients using this method in public health.

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