Technology and health care : official journal of the European Society for Engineering and Medicine
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Technol Health Care · Jan 2015
Secondary triage classification using an ensemble random forest technique.
Triage of patients in the emergency department is a complex task based on several uncertainties and ambiguous information. Triage must be implemented within two to five minutes to avoid potential fatality and increased waiting time. ⋯ With this combination, the random forest reduces the variance, and the randomized resembling reduces the bias, leading to the reduced out-of-bag error.
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Technol Health Care · Jan 2015
Randomized Controlled TrialImpact of regional femoral nerve block during general anesthesia for hip arthoplasty on blood pressure, heart rate and pain control: A randomized controlled study.
Adequate pain management is essential for preventing hemodynamic instability which can affect the perfusion of vital organs during the perioperative period, particularly in geriatric patients. For hip arthroplasty, peripheral nerve block is frequently used, limiting the adverse effects of opioid and non-opioid analgesics. ⋯ Femoral nerve block improved perioperative hemodynamic stability mostly likely attributable to an overall reduced sympathico adrenergic tone.
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Technol Health Care · Jan 2015
Surgery scheduling optimization considering real life constraints and comprehensive operation cost of operating room.
Operating Room (OR) is the core sector in hospital expenditure, the operation management of which involves a complete three-stage surgery flow, multiple resources, prioritization of the various surgeries, and several real-life OR constraints. As such reasonable surgery scheduling is crucial to OR management. ⋯ The nested-ACO considering real-life operation constraints such as the difference between first and following case, surgeries priority, and fixed nurses in pre/post-operative stage is proposed to solve the surgery scheduling optimization problem. The results clearly show the benefit of using the nested-ACO in enhancing the OR management efficiency and minimizing the comprehensive overall operation cost.
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Technol Health Care · Jan 2015
CT-guided satellite ganglion block for the treatment of Prostatectomy pain in survivors of breast cancer.
To describe the feasibility and efficacy of CT-guided satellite ganglion block in the management of Prostatectomy pain in survivors of breast cancer. ⋯ CT-guided satellite ganglion block is a safe and successful treatment of Prostatectomy pain with few or no side-effects.
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Technol Health Care · Jan 2015
Time trend of injection drug errors before and after implementation of bar-code verification system.
Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice. ⋯ Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.