Search Results
Results 1 - 50 of 2655
1 2 3 4 5 6 7 8 9 10 >
Benn J J Centre for Patient Safety and Service Quality, Imperial College London/Imperial College Healthcare NHS Trust, - - 2014
Prior to this project, anaesthetists rarely received systematic feedback on the experience of patients in recovery. This could help to improve perioperative practice. Preliminary audits demonstrated variations in patient temperature, pain and nausea measures. Mapping the perioperative workflow revealed that delays in patient transfer from the Post Anaesthetic Care Unit ...
Jansen Jan O JO From the Department of Surgery and Intensive Care Medicine (J.O.J.), Aberdeen Royal Infirmary; Health Services Research Unit (J.O.J., M.K.C.), University of Aberdeen; and Scottish Ambulance Service (R.L., G.E.), Edinburgh; Academic Unit of Surgery (J.J.M.), Glasgow Royal Infirmary, Glasgow; Academic Department of Military Surgery & Trauma (J.J.M.), Royal Centre for Defence Medicine; and School of Computer Science (S.H.), University of Birmingham; and Key Lab of Intelligent Perception and Image Understanding (H.W.), Ministry of Education, Xidian University, Xi'an, - - 2014
Trauma systems have been shown to reduce death and disability from injury but must be appropriately configured. A systematic approach to trauma system design can help maximize geospatial effectiveness and reassure stakeholders that the best configuration has been chosen. This article describes the GEOS [Geospatial Evaluation of Systems of Trauma ...
Kluemper Nicole S NS a Alliant International University , San - - 2014
Abstract Psychologists have long assumed a connection between traumatic experience and psychological dissociation. This hypothesis is referred to as the Trauma Model of dissociation. In the last decade, a series of papers have been published that question this traditional causal link, proposing an alternative Fantasy Model of dissociation. In this ...
Neelon Brian B 1Center for Health Services Research in Primary Care, Durham VAMC, - - 2014
Motivated by a study exploring spatiotemporal trends in emergency department use, we develop a class of two-part hurdle models for the analysis of zero-inflated areal count data. The models consist of two components-one for the probability of any emergency department use and one for the number of emergency department visits ...
Frewen Paul A PA a Departments of Psychiatry , Psychology, and Neuroscience University of Western - - 2014
Abstract Frewen and Lanius (in press) recently articulated a "4-D model" as a framework for classifying symptoms of posttraumatic stress into those that potentially occur within normal waking consciousness (NWC) versus those that intrinsically represent dissociative experiences of trauma-related altered states of consciousness (TRASC). Four dimensions were specified: time-memory, thought, ...
Büchel Christian C Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany; Department of Psychology, Stanford University, Stanford, CA 94305, USA. Electronic address: - - 2014
This Perspective reviews recent findings in placebo hypoalgesia and provides a conceptual account of how expectations and experience can lead to placebo hypoalgesia. In particular, we put forward the idea that the ascending and the descending pain system resembles a recurrent system that allows for the implementation of predictive coding-meaning ...
Guiry John J JJ Department of Electronic & Computer Engineering, University of Limerick, Limerick, Ireland. Electronic address: - - 2014
In this paper, the authors describe a method of accurately detecting human activity using a smartphone accelerometer paired with a dedicated chest sensor. The design, implementation, testing and validation of a custom mobility classifier are also presented. Offline analysis was carried out to compare this custom classifier to de-facto machine ...
Gohier F F Biomedical Engineering Research Group, Department of Mechanical and Mechatronic Engineering, Stellenbosch University, Private Bag X1, Matieland, 7602, South - - 2014
To evaluate the performance of a real-time feedback algorithm for chest compression (CC) during cardiopulmonary resuscitation (CPR), which provides accurate estimation of the CC depth based on dual accelerometer signal processing, without assuming full CDC. Also, to explore the influence of incomplete chest decompression (CDC) on the CC depth estimation ...
Wailoo Allan - - 2014
Economic evaluation typically is conducted using health state utilities to estimate treatment benefits. However, such outcomes are often missing from studies of clinical effectiveness. This study aims to bridge that gap by providing appropriate methods to link values from the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) to the ...
McCracken Lance M LM Health Psychology Section, Psychology Department, Institute of Psychiatry, King's College London & INPUT Pain Management Centre, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom. Electronic address: - - 2014
Scientific models are like tools, and like any tool they can be evaluated according to how well they achieve the chosen goals of the task at hand. In the science of treatment development for chronic pain, we might say that a good model ought to achieve at least 3 goals: ...
Chan Teresa T The Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, - - 2014
The objective was to determine the causes of and mitigating factors for conflict between emergency physicians and other colleagues during consultations. From March to September 2010, a total of 61 physicians (31 residents and 30 attendings from emergency medicine [EM], internal medicine, and general surgery) were interviewed about how junior ...
McCracken Lance M LM Health Psychology Section, Psychology Department, King's College London & INPUT Pain Management, Guy's & St Thomas' NHS Foundation Trust, London, UK. - - 2014
SUMMARY Psychological approaches to chronic pain have produced significant success and are widely accepted. Yet it can be difficult for those outside the field to understand the many different variables, processes and methods that are a part of these approaches. This is partly because these approaches are characterized by a wide ...
Erdener S E SE Department of Neurology, Faculty of Medicine and, Institute of Neurological Sciences and Psychiatry, Hacettepe University, Ankara, - - 2014
Similarities between laboratory animals and humans in anatomy and physiology of the cephalic nociceptive pathways allowed scientists to create successful models that have significantly contributed to our understanding of headache. They have also been instrumental for development of novel anti-migraine drugs dissimilar to classical pain killers. On the other hand, ...
Percie du Sert N N National Centre for the Replacement, Refinement and Reduction of Animals in Research - - 2014
Neuropathic pain remains an area of considerable unmet clinical need. Research based on preclinical animal models has failed to deliver truly novel treatment options, questioning the predictive value of these models. This review addresses the shortcomings of rodent in vivo models commonly used in the field and highlights approaches which ...
Macaluso P James PJ Jr Institute of Legal Medicine, Seville, Spain, - - 2014
The ability to estimate stature from various parts of the body is essential in medicolegal investigations, particularly in cases in which human remains have been dismembered or mutilated. Therefore, the aim of this study was to generate linear regression models for predicting stature on the basis of sternum length in ...
Holmqvist Kristian K a Chalmers University of Technology , SAFER Vehicle and Traffic Safety Center and the Department of Applied Mechanics, Vehicle Safety Division , Göteborg , - - 2014
Objective: The main aim of this study was to improve the quality of injury risk assessments in steering wheel rim to chest impacts when using the Hybrid III crash test dummy in frontal heavy goods vehicle (HGV) collision tests. Correction factors for chest injury criteria were calculated as the model ...
Hu Peter P University of Maryland Department of Anesthesiology, Baltimore, - - 2014
In most trauma registries, prehospital trauma data are often missing or unreliable because of the difficult dual task consigned to prehospital providers of recording vital signs and simultaneously resuscitating patients. The purpose of this study was to test the hypothesis that the analysis of continuous vital signs acquired automatically, without ...
Richie Russell R Department of Psychology, University of - - 2014
It is largely 4ledged that natural languages emerge not just from human brains but also from rich communities of interacting human brains (Senghas, ). Yet the precise role of such communities and such interaction in the emergence of core properties of language has largely gone uninvestigated in naturally emerging systems, ...
Benson N N Xenologiq, Canterbury, Kent, - - 2014
The level of the endocannabinoid anandamide is controlled by fatty acid amide hydrolase (FAAH). In 2011, PF-04457845, an irreversible inhibitor of FAAH, was progressed to phase II clinical trials for osteoarthritic pain. This article discusses a prospective, integrated systems pharmacology model evaluation of FAAH as a target for pain in ...
Li Shasha S Department of Computer Science and Engineering, Minnan Normal University, Zhangzhou 363000, - - 2014
The Internet of things (IOT) is a hot issue in recent years. It accumulates large amounts of data by IOT users, which is a great challenge to mining useful knowledge from IOT. Classification is an effective strategy which can predict the need of users in IOT. However, many traditional rule-based ...
Fransén Erik E Department of Computational Biology, School of Computer Science and Communication, KTH Royal Institute of Technology, Stockholm, - - 2014
Chronic pain constitutes an important and growing problem in society with large unmet needs with respect to treatment and clear implications for quality of life. Computational modeling is used to complement experimental studies to elucidate mechanisms involved in pain states. Models representing the peripheral nerve ending often address questions related ...
Miyaji Naoko - - 2014
This article provides a model for speaking of trauma based on the author's ethnographic and clinical experiences mainly in Japan. It is often assumed that a person with more serious trauma has the right and ability to speak out. But those who are at the center of trauma and unable ...
Hanney William J WJ Department of Health Professions, University of Central Florida , Orlando, FL , USA - - 2013
Abstract This study evaluated the inter-rater reliability of select examination procedures in patients with neck pain (NP) conducted over a 24- to 48-h period. Twenty-two patients with mechanical NP participated in a standardized examination. One examiner performed standardized examination procedures and a second blinded examiner repeated the procedures 24-48 h later ...
Donner-Banzhoff Norbert - - 2013
The classical diagnostic cross-sectional study has a focus on one disease only. Generalist clinicians, however, are confronted with a wide range of diagnoses. We propose the "comprehensive diagnostic study design" to evaluate diagnostic tests regarding more than one disease outcomes. We present the secondary analysis of a data set obtained ...
Hilligoss Brian B Division of Health Services Management and Policy, College of Public Health, The Ohio State University, 224 Cunz Hall, 1841 Neil Avenue, Columbus, OH 43210, USA. Electronic address: - - 2014
This paper reports a discourse analysis of the language doctors used as they talked about and engaged in patient handoffs between the emergency department (ED) and various inpatient services at one highly specialized academic tertiary teaching and referral hospital in the Midwest United States. Although interest in handoff improvement has ...
Liu Nehemiah T - - 2013
Accurate and effective diagnosis of actual injury severity can be problematic in trauma patients. Inherent physiologic compensatory mechanisms may prevent accurate diagnosis and mask true severity in many circumstances. The objective of this project was the development and validation of a multiparameter machine learning algorithm and system capable of predicting ...
Schnorenberg Alyssa J - - 2013
Pediatric manual wheelchair users (MWU) require high joint demands on their upper extremity (UE) during wheelchair mobility, leading them to be at risk of developing pain and pathology. Studies have examined UE biomechanics during wheelchair mobility in the adult population; however, current methods for evaluating UE joint dynamics of pediatric ...
Kaneko Hideo - - 2013
The three-dimensional (3-D) distances of specific points on the chest and abdominal wall are useful for assessing the characteristics of breathing movement. This study aimed to determine whether the 3-D distances on the chest and abdominal wall during deep breathing could be estimated using a newly developed breathing METHODS:: Breathing ...
Courtenay Molly - - 2013
Approximately 70 to 80% of healthcare errors are due to poor team communication and understanding. High-risk environments such as the trauma setting (which covers a broad spectrum of departments in acute services) are where the majority of these errors occur. Despite the emphasis on interprofessional collaborative practice and patient safety, ...
Woods Ryan W - - 2013
RadLex was developed to create a unified language for radiologists. Despite the large number of terms, little research has evaluated the degree to which RadLex contains terms frequently used in clinical practice. The purposes of this project are to estimate the completeness of RadLex in the chest radiography domain and ...
Terzi O - - 2013
The location of ambulance stations are of great importance, as location is a determining factor of whether ambulances are able to respond to emergency calls within the critical period. The aim of the present study was to determine whether the ambulance stations in the provincial centre of Samsun, Turkey, were ...
Taneja A - - 2013
The formalin-induced rat model of nociception involves moderate continuous pain. Formalin-induced pain results in a typical repetitive flinching behaviour, which displays a biphasic pattern characterised by peaks of pain. Here we described the time course of pain response and the analgesic effect of gabapentin using a semi-mechanistic modelling approach. Male ...
Biurrun Manresa José A - - 2013
The nociceptive withdrawal reflex (NWR) has been proven to be a valuable tool in the objective assessment of central hyperexcitability in the nociceptive system at spinal level that is present in some chronic pain disorders, particularly chronic low back and neck pain. However, most of the studies on objective assessment ...
Espinosa Gabriela - - 2013
OBJECTIVE. We evaluated three diagnostic strategies with the objective of comparing the current standard of care for individuals presenting acute chest pain and no history of coronary artery disease (CAD) with a novel diagnostic strategy using an emerging technology (blood-pool contrast agent [BPCA]) to identify the potential benefits and cost ...
Umbrello Laura - - 2013
This study aimed to determine the accuracy of laceration length estimation in a pediatric emergency department among health care providers of varying levels of training and its impact on billing practices. This study involves a prospective case series. Children younger than 21 years with lacerations evaluated and repaired in the ...
Parlak Siddika - - 2013
We examined configuring RFID equipment for best object use detection in a trauma bay. Unlike prior work on RFID, we (1) optimized the accuracy of object use detection rather than just object detection, and (2) quantitatively assessed antenna placement while addressing issues specific to tag placement likely to occur in ...
Hernández Alava Mónica - - 2013
Analysts frequently estimate health state utility values from other outcomes. Utility values like EQ-5D have characteristics that make standard statistical methods inappropriate. We have developed a bespoke, mixture model approach to directly estimate EQ-5D. An indirect method, "response mapping," first estimates the level on each of the 5 dimensions of ...
de Jong Joop - - 2013
Guidelines on psychosocial interventions in postconflict areas commonly mention that interventions should be based on local needs and be built on culture-specific expertise. This paper is based on a dissociative cult, the Kiyang-yang (KYY), in Guinea Bissau. In a previous article, we used a refined definition of the concept of ...
Nadolski Gregory - - 2013
To evaluate a chest x-ray-based algorithm for managing malfunctioning ports. A review of interventional radiology procedures on malfunctioning ports during the period 2000-2012 was performed. Events were divided into two periods: before and after implementation of an algorithm beginning with tip position evaluation using a chest x-ray. Time to return ...
Silich Bert A - - 2013
Many emergency departments (EDs) compare themselves to national productivity benchmarks, such as the average patients/hour or relative value units (RVUs)/hour. Making these comparisons does not provide a tool to determine which processes need improvement, most urgently, within the ED to improve efficiency. Furthermore, there has been no clear means to ...
Clarke Bob - - 2013
You've found the new CEO; onboarding will help you keep her.
Gopalakrishnan Raghavan - - 2013
Contact heat evoked potentials (CHEP) is a thermal stimulus modality used in pain research. We examine a commercial CHEP stimulator (CHEPS) that is designed to work in an fMRI environment, but poorly understood in the MEG environment. The CHEPS attains target temperatures rapidly using sophisticated control signals that unfortunately induce ...
Hildebrand F - - 2013
The majority of injury combinations in multiply injured patients entail the chest, abdomen and extremities. Numerous pig models focus on the investigation of posttraumatic pathophysiology, organ performance monitoring and on potential treatment options. Depending on the experimental question, previous authors have included isolated insults (controlled or uncontrolled hemorrhage, chest trauma) ...
Liu Vincent - - 2013
Prior studies demonstrate the suitability of natural language processing (NLP) for identifying pneumonia in chest radiograph (CXR) reports, however, few evaluate this approach in intensive care unit (ICU) patients. From a total of 194,615 ICU reports, we empirically developed a lexicon to categorize pneumonia-relevant terms and uncertainty profiles. We encoded ...
Granja Conceição - - 2013
The growing influx of patients in healthcare providers is the result of an aging population and emerging self-consciousness about health. In order to guarantee the welfare of all the healthcare stakeholders, it is mandatory to implement methodologies that optimize the healthcare providers' efficiency while increasing patient throughput and reducing patient's ...
Chen Wen-Hung - - 2013
Large samples are generally considered necessary for Rasch model to obtain robust item parameter estimates. Recently, small sample Rasch analysis was suggested as preliminary assessment of items' psychometric properties. This study is to evaluate the Rasch analysis results using small sample sizes. Ten PROMIS pain behavior items were used. Random ...
Vodovotz Yoram - - 2013
To familiarize clinicians with advances in computational disease modeling applied to trauma and sepsis. PubMed search and review of relevant medical literature. Definitions, key methods, and applications of computational modeling to trauma and sepsis are reviewed. Computational modeling of inflammation and organ dysfunction at the cellular, organ, whole-organism, and population ...
Bieber Béatrice - - 2013
The tradition of wax models in Dermatology, also named moulages, is about 200 years old. Dermatology departments all over the world created wax moulages collections to teach students and doctors as well as to document research. In 1910 Erich Hoffmann, who discovered Spirochaeta pallida together with Fritz Schaudinn, became head ...
Guo Yi - - 2013
Many researchers favor repeated measures designs because they allow the detection of within-person change over time and typically have higher statistical power than cross-sectional designs. However, the plethora of inputs needed for repeated measures designs can make sample size selection, a critical step in designing a successful study, difficult. Using ...
Quinn Francis - - 2013
Background: Previous research has supported an integrated biomedical and behavioural model explaining activity limitations. However, further tests of this model are required at the within-person level, because while it proposes that the constructs are related within individuals, it has primarily been tested between individuals in large group studies. We aimed ...
1 2 3 4 5 6 7 8 9 10 >