scholarly journals Deployment of an Electronic HCT Workflow Application Allows for Comprehensive Management of Recipients, Donors, and HPC Products

2017 ◽  
Vol 23 (3) ◽  
pp. S402-S403
Author(s):  
Betsy Blunk ◽  
Jesse Jawanda ◽  
Kevin Drake ◽  
Richard Lex ◽  
Mary Jo Burton ◽  
...  
Keyword(s):  
Comprehensive Management ◽  
Workflow Application

scholarly journals Impact of comprehensive management on clinical outcomes in hypertensive patients with coronary artery disease: HIJ-CREATE sub-study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
H Ogawa ◽  
H Sekiguchi ◽  
K Jujo ◽  
E Kawada-Watanabe ◽  
H Arashi ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Primary Outcome ◽  
Ldl Cholesterol ◽  
Lipid Lowering ◽  
Hypertensive Patients ◽  
Mean Values ◽  
Comprehensive Management ◽  
The Mean ◽  
Artery Disease

Abstract Background There are limited data on the effects of blood pressure (BP) control and lipid lowering in secondary prevention of coronary artery disease (CAD) patients. We report a secondary analysis of the effects of BP control and lipid management in participants of the HIJ-CREATE, a prospective randomized trial. Methods HIJ-CREATE was a multicenter, prospective, randomized, controlled trial that compared the effects of candesartan-based therapy with those of non-ARB-based standard therapy on major adverse cardiac events (MACE; a composite of cardiovascular death, non-fatal myocardial infarction, unstable angina, heart failure, stroke, and other cardiovascular events requiring hospitalization) in 2,049 hypertensive patients with angiographically documented CAD. In both groups, titration of antihypertensive agents was performed to reach the target BP of <130/85 mmHg. The primary endpoint was the time to first MACE. Incidence of endpoint events in addition to biochemistry tests and office BP was determined during the scheduled 6, 12, 24, 36, 48, and 60-month visits. Achieved systolic BP and LDL-Cholesterol (LDL-C) level were defined as the mean values of these measurements in patients who did not develop MACEs and as the mean values of them prior to MACEs in those who developed MACEs during follow-up. Results During a median follow-up of 4.2 years (follow-up rate of 99.6%), the primary outcome occurred in 304 patients (30.3%). Among HIJ-CREATE participants, 905 (44.2%) were prescribed statins on enrollment. Kaplan–Meier curves for the primary outcome revealed that there was no relationship between statin therapy and MACEs in hypertensive patients with CAD. The original HIJ-CREATE population was divided into 9 groups based on equal tertiles based on mean achieved BP and LDL-C during follow-up. For the analysis of subgroups, estimates of relative risk and the associated 95% CIs were generated with a Cox proportional-hazards model (Figure 1). The relation between LDL cholesterol level and hazard ratios for MACEs was nonlinear, with a significant increase of MACEs only in the patients with inadequate controlled LDL-C level even in the patients with tightly controlled BP. Conclusions The results of the post-hoc analysis of the HIJ-CREATE suggest that clinicians should pay careful attention to conduct comprehensive management of lipid lowering even in the contemporary BP lowering for the secondary prevention in hypertensive patients with CAD. Figure 1 Funding Acknowledgement Type of funding source: None

Repairing the injured bronchus in blunt chest trauma – A case series

Trauma ◽  
2021 ◽  
pp. 146040862098811
Author(s):  
Anith Nadzira Riduan ◽  
Narasimman Sathiamurthy ◽  
Benedict Dharmaraj ◽  
Diong Nguk Chai ◽  
Narendran Balasubbiah
Keyword(s):  
Blunt Trauma ◽  
Chest Trauma ◽  
Surgical Intervention ◽  
Case Series ◽  
Trauma Patients ◽  
Lung Collapse ◽  
Comprehensive Management ◽  
Lung Capacity ◽  
Management Algorithm ◽  
Operative Outcomes

Introduction Traumatic bronchial injury (TBI) is uncommon, difficult to diagnose and often missed. The incidence of TBI among blunt trauma patients is estimated to be around 0.5–2%. Bronchoplastic surgery is indicated in most cases to repair the tracheobronchial airway and preserve lung capacity. There is limited existing literature addressing the management of this condition in view of its rarity. The comprehensive management and outcomes of these patients are discussed. Methods The case notes of all patients who presented with persistent lung collapse due to trauma since July 2017 were reviewed retrospectively. Those patients requiring surgical intervention were included in the review. The mode of injury, clinical, radiological and bronchoscopy findings, concurrent injuries, type of surgery, length of stay (LOS) and operative outcomes were reviewed. Results Out of 11 patients who presented with persistent lung collapse post-blunt trauma, four (36%) were found to have structural bronchial disruption. All of them underwent successful repair of the injured bronchus, without the need of a pneumonectomy. The other seven patients were successfully treated conservatively. Conclusion The repair of the injured bronchus is essential in improving respiratory function and to prevent a pneumonectomy. Routine bronchoscopic evaluation should be performed for all suspected airway injuries as recommended in our management algorithm. Delayed presentations should not hinder urgent referral to thoracic centers for tracheobronchial reconstruction.

Comprehensive Management of Rural Water Pollution in Polder Wetland: a Case Study of the Chenhai Wei Polder Wetland in the Taihu Basin of China

Wetlands ◽  
2021 ◽  
Vol 41 (2) ◽  
Author(s):  
Lubing Yan ◽  
Changkun Xie ◽  
Anze Liang ◽  
Ruiyuan Jiang ◽  
Shengquan Che
Keyword(s):  
Water Pollution ◽  
Comprehensive Management ◽  
Taihu Basin ◽  
Rural Water

scholarly journals Comparing workflow application designs for high resolution satellite image analysis

2021 ◽  
Author(s):  
Aymen Al-Saadi ◽  
Ioannis Paraskevakos ◽  
Bento Collares Gonçalves ◽  
Heather J. Lynch ◽  
Shantenu Jha ◽  
...  
Keyword(s):  
Image Analysis ◽  
High Resolution ◽  
Satellite Image ◽  
High Resolution Satellite Image ◽  
Satellite Image Analysis ◽  
Workflow Application

Internet financial supervision based on machine learning and improved neural network

2020 ◽  
pp. 1-12
Author(s):  
Cao Yanli
Keyword(s):  
Neural Network ◽  
Machine Learning ◽  
Credit Risk ◽  
Machine Learning Algorithms ◽  
Financial Supervision ◽  
Loan Pricing ◽  
Comprehensive Management ◽  
Risk Pricing ◽  
Basel Agreement ◽  
Relevant Factors

The research on the risk pricing of Internet finance online loans not only enriches the theory and methods of online loan pricing, but also helps to improve the level of online loan risk pricing. In order to improve the efficiency of Internet financial supervision, this article builds an Internet financial supervision system based on machine learning algorithms and improved neural network algorithms. Moreover, on the basis of factor analysis and discretization of loan data, this paper selects the relatively mature Logistic regression model to evaluate the credit risk of the borrower and considers the comprehensive management of credit risk and the matching with income. In addition, according to the relevant provisions of the New Basel Agreement on expected losses and economic capital, starting from the relevant factors, this article combines the credit risk assessment results to obtain relevant factors through regional research and conduct empirical analysis. The research results show that the model constructed in this paper has certain reliability.

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