Plos One
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The Text Forum Threads (TFThs) contain a large amount of Initial-Posts Replies pairs (IPR pairs) which are related to information exchange and discussion amongst the forum users with similar interests. Generally, some user replies in the discussion thread are off-topic and irrelevant. Hence, the content is of different qualities. ⋯ Moreover, crowdsourcing platforms were used for judging the quality of the replies and classified them into high-quality, low-quality or non-quality replies to the Initial-Posts. Then, the high-quality IPR pairs were extracted and identified based on their quality, and they were ranked using three classifiers i.e., Support Vector Machine, Naïve Bayes, and the Decision Trees according to their quality dimensions of relevancy, author activeness, timeliness, ease-of-understanding, politeness, and amount-of-data. In conclusion, the experimental results for the TFThs showed that the proposed approach could improve the extraction of the quality replies and identify the quality features that can be used for the Text Forum Thread Summarization.
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Observational Study
Evaluation of blood culture epidemiology and efficiency in a large European teaching hospital.
Blood cultures remain the gold standard for detecting bacteremia despite their limitations. The current practice of blood culture collection is still inefficient with low yields. Limited focus has been given to the association between timing of specimen collection at different time points during admission and their yield. ⋯ This study showed that blood cultures are inefficient in detecting bacteremia. Cultures collected during 24 hours after admission yielded more positive results than those collected later. Significant variations in blood culture epidemiology and efficiency per specialty suggest that guidelines should be reevaluated. Future studies should aim at improving blood culture yield, implementing educational programs to reduce contamination and cost-effective application of modern molecular diagnostic technologies.
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Observational Study
Unscheduled hospital contacts after inpatient discharge: A national observational study of COPD and heart failure patients in England.
Readmissions are a recognised challenge for providers of healthcare and incur financial penalties in a growing number of countries. However, the scale of unscheduled hospital contacts including attendances at emergency departments that do not result in admission is not well known. In addition, little is known about the route to readmission for patients recently discharged from an emergency hospital stay. ⋯ While the majority of patients did not have unscheduled contact with secondary care in the 30 days after index discharge, many patients attended the ED, often multiple times, and many were admitted to hospital, not always via the ED. More frail patients were more likely to be admitted through the ED, suggesting a possible area of focus as discharge bundles are developed.
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The aims of this study were to 1) evaluate the impact of eight common chronic conditions and multimorbidity on preference-based health-related quality of life (HRQoL), and 2) estimate the minimally important difference (MID) in the general population of Hong Kong (HK). ⋯ The findings suggest that having more chronic conditions is strongly associated with a lower HRQoL. Healthcare reforms to address foreseeable challenges arising as more patients live with chronic conditions and multimorbidity could improve the HRQoL of HK citizens.
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Opioids are one of the most important and effective drug classes in pain medicine with a key role in most medical fields. The increase of opioid prescription over time has led to higher numbers of prescription opioid misuse, abuse and opioid-related deaths in most developed OECD (Organisation for Economic Co-operation and Development) countries around the world. Whilst reliable data on the prevalence of opioid treatment is accessible for many countries, data on Germany specifically is still scarce. Considering Germany being the largest country in the European Union, the lack of evidence-based strategies from long-term studies is crucial. The aim of this work is to review and summarise relevant published literature on the prevalence of opioid prescription in Germany to adequately inform health policy strategies. ⋯ Despite some limitations of the review and the heterogeneity of studies, it can be stated that the number of opioid prescriptions overall as well as the number of people receiving opioid treatment have increased over time. Most prescriptions were found to be for strong opioids and patients with non-cancer pain. Even though patterns of opioid prescription follow trends observed in other developed countries, there are no signs of an opioid epidemic in Germany. Therefore, this review could currently not find a need for urgent health policy interventions regarding opioid prescription practices. However, critical gaps in the literature remain and more research is needed to make more reliable judgements.