scholarly journals Mixed states: an early warning sign of profound problems in our taxonomy?

2019 ◽  
Vol 139 (6) ◽  
pp. 489-492 ◽  
Author(s):  
Gin S. Malhi ◽  
Erica Bell
Keyword(s):  
Early Warning ◽  
Warning Sign ◽  
Mixed States ◽  
Early Warning Sign

scholarly journals Diagnostic utility of C-reactive protein to albumin ratio as an early warning sign in hospitalized severe COVID-19 patients

2021 ◽  
Vol 91 ◽  
pp. 107285
Author(s):  
Inanc Karakoyun ◽  
Ayfer Colak ◽  
Melda Turken ◽  
Zeynep Altin ◽  
Fatma Demet Arslan ◽  
...  
Keyword(s):  
Early Warning ◽  
Warning Sign ◽  
Diagnostic Utility ◽  
C Reactive Protein ◽  
Albumin Ratio ◽  
Reactive Protein ◽  
Early Warning Sign

Arch Index as a Predictor of Pes Planus

2005 ◽  
Vol 95 (3) ◽  
pp. 273-276 ◽  
Author(s):  
Patrick S. Igbigbi ◽  
Boniface C. Msamati ◽  
Macfenton B. Shariff
Keyword(s):  
Early Warning ◽  
Warning Sign ◽  
Foot Pain ◽  
Pes Planus ◽  
Early Warning Sign ◽  
Foot Arch ◽  
Arch Index ◽  
Functional Defects

We determined the arch index of able-bodied indigenous Kenyan and Tanzanian individuals free of foot pain by using their dynamic footprints to classify the foot arch type and determine the prevalence of pes planus according to a previously described method. Males had a significantly higher arch index than females in both groups, and the prevalence of pes planus in Kenyans was 432 per 1,000 population, the highest ever documented and twice as high as that in Tanzanians (203 per 1,000 population). The arch index is useful in determining the prevalence of pes planus and possibly predicting pathologic foot conditions, and it may serve as an early warning sign of structural and functional defects of the foot in a given population. (J Am Podiatr Med Assoc 95(3): 273–276, 2005)

scholarly journals Early-warning health and process indicators for sentinel surveillance in Madagascar 2007-2011

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Soatiana Rajatonirina ◽  
Fanjasoa Rakatomanana ◽  
Laurence Randrianasolo ◽  
Norosoa Harline Razanajatovo ◽  
Soa Fy Andriamandimby ◽  
...  
Keyword(s):  
Early Warning ◽  
Sentinel Surveillance ◽  
Warning Sign ◽  
Surveillance Network ◽  
Poor Countries ◽  
Process Indicators ◽  
Spatiotemporal Trends ◽  
Mobile Telephones ◽  
Early Warning Sign ◽  
Primary Health Centres

Background: Epidemics pose major threats in resource-poor countries, and surveillance tools for their early detection and response are often inadequate. In 2007, a sentinel surveillance system was established in Madagascar, with the aim of rapidly identifying potential epidemics of febrile or diarrhoeal syndromes and issuing alerts. We present the health and process indicators for the five years during which this system was constructed, showing the spatiotemporal trends, early-warning sign detection capability and process evaluation through timely analyses of high-quality data.Methods: The Malagasy sentinel surveillance network is currently based on data for fever and diarrhoeal syndromes collected from 34 primary health centres and reported daily via the transmission of short messages from mobile telephones. Data are analysed daily at the Institut Pasteur de Madagascar to make it possible to issue alerts more rapidly, and integrated process indicators (timeliness, data quality) are used to monitor the system.Results: From 2007 to 2011, 917,798 visits were reported. Febrile syndromes accounted for about 11% of visits annually, but the trends observed differed between years and sentinel sites. From 2007 to 2011, 21 epidemic alerts were confirmed. However, delays in data transmission were observed (88% transmitted within 24 hours in 2008; 67% in 2011) and the percentage of forms transmitted each week for validity control decreased from 99.9% in 2007 to 63.5% in 2011.Conclusion: A sentinel surveillance scheme should take into account both epidemiological and process indicators. It must also be governed by the main purpose of the surveillance and by local factors, such as the motivation of healthcare workers and telecommunication infrastructure. Permanent evaluation indicators are required for regular improvement of the system. 

Newly Proposed Sepsis-Induced Coagulopathy Precedes International Society on Thrombosis and Haemostasis Overt-Disseminated Intravascular Coagulation and Predicts High Mortality

2018 ◽  
Vol 35 (7) ◽  
pp. 643-649 ◽  
Author(s):  
Toshiaki Iba ◽  
Makoto Arakawa ◽  
Marcello Di Nisio ◽  
Satoshi Gando ◽  
Hideaki Anan ◽  
...  
Keyword(s):  
International Society ◽  
Disseminated Intravascular Coagulation ◽  
Early Warning ◽  
Warning Sign ◽  
Data Set ◽  
Time Points ◽  
Intravascular Coagulation ◽  
Early Warning Sign ◽  
Coagulation Tests ◽  
The Relationship

Background: Disseminated intravascular coagulation (DIC) has been recognized as an urgent and critical condition in patients with sepsis. Therefore, unfamiliar and time-consuming tests or a complex scoring system are not suitable for diagnosis. Sepsis-induced coagulopathy (SIC), a newly proposed category delineated by a few global coagulation tests, has been established as an early warning sign for DIC. The purpose of this study was to elucidate the characteristics of SIC, especially in relation to the score of the International Society on Thrombosis and Haemostasis (ISTH) for overt DIC. Method: A data set for 332 patients with sepsis who were suspected to have DIC, antithrombin activity <70%, and treated with antithrombin substitution was utilized to examine the relationship between SIC and overt DIC. The performance of SIC calculated at baseline (ie, before treatment) as well as on days 2, 4, or 7 was analyzed in terms of its ability to predict 28-day mortality and overt DIC. Results: At baseline, 149 (98.7%) of 151 patients with overt DIC according to the ISTH definition were diagnosed as having SIC. Of the 49, 46 (93.9%) patients who developed overt DIC between days 2 and 4 had received a prior diagnosis of SIC. The sensitivity of baseline SIC for the prediction of death was significantly higher than that of overt DIC (86.8% vs 64.5%, P < .001). The sensitivity of SIC on days 2, 4, and 7 was significantly higher than those of overt DIC (96.1%, 92.3%, and 84.4% vs 67.1%, 57.7%, and 50.0%, P < .001, .001, and .001, respectively), although the specificity of SIC was lower at all time points.

scholarly journals Vascular depression: An early warning sign of frailty

2013 ◽  
Vol 17 (1) ◽  
pp. 85-93 ◽  
Author(s):  
Daniel Paulson ◽  
Peter A. Lichtenberg
Keyword(s):  
Early Warning ◽  
Warning Sign ◽  
Vascular Depression ◽  
Early Warning Sign

scholarly journals MARSIPAN-based Early Warning Signs System: A full Audit cycle in the Inpatient Eating Disorders Ward

2019 ◽  
Author(s):  
Konstantinos Ioannidis ◽  
Gabriella Lewis ◽  
Jane Waterston ◽  
Carol Connolly ◽  
Felix Clay ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Early Warning ◽  
Warning Signs ◽  
Warning Sign ◽  
Design Problems ◽  
System A ◽  
Early Warning Signs ◽  
Early Warning Sign ◽  
Audit Cycle ◽  
Future Work

Aims and method: We aimed to evaluate the MARSIPAN-guidance-adapted Early Warning Sign system (MARSI-MEWS) in respect to clinical governance standards for accuracy and completion. We performed a full audit cycle; between audit rounds, we addressed intrinsic information design problems related to the form in operation and provided guidance to staff on how to use this specialized tool. Result: Overall completeness of recording and scoring of MARSI-MEWS improved from 82.0% to 99.5% (χ2, p&lt;0.001). The accuracy of MARSI-MEWS scoring improved from 80% to 93% (χ2, p&lt;0.001). False recording of diastolic blood pressure dropped from 98% to 0% (χ2, p&lt;0.001). Clinical implication: This result suggests that the MARSI MEWS track-and-trigger system is suitable for use in inpatient eating disorders ward in regard to its completeness and accuracy standards. Specific training for staff might be essential in order to complete the tool effectively, and the validity of the tool should be tested in future work.

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