scholarly journals Estimation of the future fracture epidemiology in the patients applying to the emergency department with long short time memory method

2020 ◽  
Vol 41 (3) ◽  
pp. 741-746
Author(s):  
Ozhan PAZARCI ◽  
Yunus TORUN ◽  
Serkan AKKOYUN
Keyword(s):  
Emergency Department ◽  
The Future ◽  
Future Fracture ◽  
Short Time

The Future of Primary Care

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 186-187
Author(s):  
RITAMARIE MOSCOLA
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Social Economic ◽  
Emergency Department Visits ◽  
Missed Appointments ◽  
Cultural Changes ◽  
Pediatric Education ◽  
The Social ◽  
The Future ◽  
Physician Relationship

To the Editor.— In the article "Primary Care: The Future of Pediatric Education"1 Dr Alpert addresses many issues facing pediatrics. I agree with his list of problems. However, I doubt that the social, economic, and cultural changes he describes will ever occur. My informal survey of pediatricians in practice is a song of frustration and boredom. The ringing telephone provides the rhythm. How does a patient-physician relationship develop in an environment of missed appointments, 3 AM emergency department visits, and managed care? Many families change physicians whenever employers change health benefits packages.

Visualizing Emergency Department Admission through Data Mining

2019 ◽  
Vol 1 (2) ◽  
pp. 19-31
Author(s):  
Kalaivani S ◽  
Shalini Dhiman ◽  
Rajagopal T.K.P.
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Prediction Models ◽  
Personal Data ◽  
Mobility Data ◽  
Novel Approach ◽  
Key Factor ◽  
Ed Overcrowding ◽  
Historic Data ◽  
Short Time

Emergency Department (ED) boarding –the inability to transfer emergency patients to inpatient beds- is a key factor contributing to ED overcrowding. This paper presents a novel approach to improving hospital operational efficiency and, therefore, to decreasing ED boarding. Using the historic data of 15,000 patients, admission results and patient information are correlated in order to identify important admission predictor factors. For example, the type of radiology exams prescribed by the ED physician is identified as among the most important predictors of admission. Based on these  factors, a  real-time prediction  model is  developed which  is able  to correctly predict  the  admission  result  of  four  out  of  every  five  ED  patients.  The  proposed admission  model  can  be  used  by inpatient  units  to  estimate  the  likelihood  of ED patients’ admission, and consequently, the number of incoming patients from ED in the near future. Using  similar prediction models,  hospitals can evaluate their short-time needs for inpatient care more accurately Emergency Department (ED) boarding – the inability to transfer emergency patients to inpatient beds- is a key factor contributing to ED overcrowding. This paper presents a novel approach to improving hospital operational efficiency and, therefore, to decreasing ED boarding. Using the historic data of 15,000 patients, admission results and patient information are correlated in order to identify important admission predictor factors. For example, the type of radiology exams prescribed by the ED physician is identified as among the most important predictors of admission. The proposed admission model can be used by inpatient units to estimate the likelihood of ED patients’ admission, and consequently, the number of incoming patients from ED in the near future. Using similar prediction models, hospitals can evaluate their short-time needs for inpatient care more accurately. We use three algorithms to build the predictive models: (1) logistic regression, (2) decision trees, and Analytic tools (accuracy=80.31%, AUC-ROC=0.859) than the decision tree accuracy=80.06%, AUC-ROC=0.824) and the logistic regression model (accuracy=79.94%, AUC-ROC=0.849). Drawing on logistic regression, we identify several factors related to hospital admissions including hospital site, age, arrival mode, triage category, care group, previous admission in the past month, and previous admission in the past year. From a different perspective, the research focuses on mobility data instead of personal data in general using Structural Equation Modelling analysis method. Based on this research finding, we identified an unexplored factor that can be used to predict the intention to disclose mobility data, and the result also confirmed that context aspects such as demographics and different personal data categories.

The experience of the non-medical prescriber in the emergency department in Ireland

2019 ◽  
Vol 1 (5) ◽  
pp. 240-245 ◽  
Author(s):  
Roger Connor ◽  
Áine McHugh
Keyword(s):  
Emergency Department ◽  
Professional Support ◽  
Professional Relationships ◽  
Role Development ◽  
The Future ◽  
Role Expansion

Aim: this study set out to evaluate the position of the non-medical prescriber in the emergency department in Ireland. It aims to explore how the role is developing and determine possible barriers to role expansion. Results: six main themes were identified: the process of role development, changes in professional relationships, nurses' awareness of non-medical prescribing, role progression, the future of the role of the non-medical prescriber, and nursing management's understanding of the role. Conclusion: the findings suggest that despite major leaps in the progression of the non-medical prescriber role, many barriers remain. There have been great improvements in professional support from medical and pharmacy colleagues, but nurses themselves were identified as impeding the progression of the role.

WDC: Advanced System for Characterization of Alpha-Bearing Waste Contained in 200L and 400L Drums: Performances and Lessons Learned From the First Industrial Measurement Campaigns

2007 ◽  
Author(s):  
A. Libens ◽  
M. Vandorpe ◽  
J. M. Cuchet
Keyword(s):  
Limit Of Detection ◽  
Counting Efficiency ◽  
Lessons Learned ◽  
Nuclear Facilities ◽  
Nuclear Operators ◽  
System A ◽  
The Future ◽  
Coincidence Counter ◽  
Short Time

The Waste Drum Characterization installation was originally developed for the assay of alpha-bearing waste in standard 200 l (55 gallons) drums during the dismantling operations of the Siemens mixed-oxide (MOX) facility in Hanau (Germany). That installation was validated and qualified by the German authorities, its main performances being: - Counting efficiency for coincident neutrons: app. 1%; - Lowest Limit of Detection (LLD): 75 mg 240Pueq; - Pu content per drum: up to 100 g tot. (35 g 240Pueq); - Measurement duration: app. 20 minutes. The success of this system, a passive neutron coincidence counter combined with a high resolution gamma spectrometer, led to the radiological characterization and qualification of about 1,700 drums during the period 2001 – 2004. In 2005, after completion of the dismantling operations of the Siemens MOX facility, Tecnubel took over the WDC installation which could be used in the frame of the future dismantling of the Belgonucleaire’s MOX plant in Dessel (Belgium), which can be comparable to the Siemen’s one. This second (and new) life for the WDC means that it must be rigorously retested and validated against the Belgian authorities requirements. Furthermore, and additionally to the future use in the Belgonucleaire’s facility, Tecnubel was faced with new challenges, namely: - Assay of 400 l drums together with the 200 l packages; - Determination of the real LLD taking into account the background in different Belgian nuclear facilities, the determination of a value of ∼5 mg 240Pueq being an objective; - Assay of mixed alpha/beta-gamma wastes; - Transportability of the WDC from one plant to another; - Assistance to different nuclear operators for the licensing of the WDC for their own waste types. This paper describes the installation itself and its performances, presents the difficulties encountered during the new challenge and the results of the performed revalidation tests; it gives the perspectives and objectives on short time as well.

scholarly journals Astin Colloquium at Randers: Subject A Report

1971 ◽  
Vol 6 (2) ◽  
pp. 73-78
Author(s):  
Carl-Otto Segerdahl
Keyword(s):  
Practical Importance ◽  
Common Market ◽  
Risk Theory ◽  
The Other ◽  
Great Practical Importance ◽  
The Future ◽  
Short Time ◽  
Overall Risk

Our discussions today will concern Subject A: Risk Theory, in particular the overall risk involved in operating an insurance concern. 7 papers have been handed in to the Colloquium on this subject.To be quite candid, the referee would like to say that only one of these papers really treats the whole of the topic foreseen, and this is the paper by Mr. Colin M. Stewart (U.K.): The Assessment of Solvency. The other papers treat different special practical sides of the problem as well as general risk theoretical questions. One of the papers, that of Mr. Brichler, could have been attributed to Subject B as well as to Subject A, but it has been decided to take it up for treatment today.Mr. Stewart delivers a lot of interesting points, which, I may say, take into account the solvency aspect as it looks to the supervisory authorities much more than has been done within the ASTIN discussions earlier. This, of course, is very related to the fact that regional as well as Common Market discussions have resulted in or will result in legislative rules for judging the solvency of insurance concerns, which rules will have great practical importance in the future. Mr. Stewart stresses the point that in case of non-life concerns it is the business on the books and its future contracted periods, short time business to be signed before judgment can be practically undertaken, claims reported, claims occurred but not yet reported, as compared with free reserves available that really decide the matter of sovency.

scholarly journals Bedside emergency department ultrasonography availability and use for blunt abdominal trauma in Canadian pediatric centres

CJEM ◽  
2012 ◽  
Vol 14 (01) ◽  
pp. 14-19 ◽  
Author(s):  
Robin Cardamore ◽  
Joe Nemeth ◽  
Christine Meyers
Keyword(s):  
Emergency Department ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Positive Impact ◽  
Pediatric Trauma ◽  
Great Majority ◽  
Pediatric Emergency ◽  
Perceived Barriers ◽  
Emergency Physicians ◽  
The Future

ABSTRACT Objectives: To quantify the current availability and use of bedside emergency department ultrasonography (EDUS) for blunt trauma at Canadian pediatric centres and to identify any perceived barriers to the use of bedside EDUS in such centres. Methods: An electronic survey was sent to 162 pediatric emergency physicians and 12 site directors from the 12 pediatric emergency departments across Canada. Results: Ninety-two percent (11 of 12) of centres completed the survey. The individual physician response rate was 65% (106 of 162), with 100% of site directors responding. Ultrasound machines were available in 45% (5 of 11) of centres. Forty-two percent (32 of 77) of emergency physicians working in equipped pediatric centres used bedside EDUS to evaluate blunt abdominal trauma (BAT). In the subgroup of staff who also worked at adults sites, the frequency of ultrasonography use for the evaluation of pediatric BAT was 75%. In the 55% (6 of 11) of centres without ultrasonography, 88% of staff intend to incorporate its use in the future and 81% indicated that they believed the incorporation of ultrasonography would have a positive impact on patient care. The main perceived barriers to the use of ultrasonography in the evaluation of BAT were a lack of training (41%) and a lack of equipment (26%). Conclusion: Bedside EDUS is currently used in almost half of pediatric trauma centres, a frequency that is significantly lower than adult centres. Physicians in pediatric centres who use ultrasonography report that it has a high utility, and a great majority of physicians at pediatric centres without EDUS plan to incorporate it in the future. The main reported barriers to its use are a lack of training and a lack of equipment availability.

Emergency Department Design: A Practical Guide to Planning for the Future

2003 ◽  
Vol 41 (5) ◽  
pp. 768-769
Author(s):  
J Huddy ◽  
MT Rapp ◽  
Leon L. Haley
Keyword(s):  
Emergency Department ◽  
Practical Guide ◽  
The Future
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