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Early Warning System

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https://www.readbyqxmd.com/read/29150856/defining-sepsis-on-the-wards-results-of-a-multi-centre-point-prevalence-study-comparing-two-sepsis-definitions
#1
T Szakmany, R Pugh, M Kopczynska, R M Lundin, B Sharif, P Morgan, G Ellis, J Abreu, S Kulikouskaya, K Bashir, L Galloway, H Al-Hassan, T Grother, P McNulty, S T Seal, A Cains, M Vreugdenhil, M Abdimalik, N Dennehey, G Evans, J Whitaker, E Beasant, C Hall, M Lazarou, C V Vanderpump, K Harding, L Duffy, A Guerrier Sadler, R Keeling, C Banks, S W Y Ng, S Y Heng, D Thomas, E W Puw, I Otahal, C Battle, O Minik, R A Lyons, J E Hall
Our aim was to prospectively determine the predictive capabilities of SEPSIS-1 and SEPSIS-3 definitions in the emergency departments and general wards. Patients with National Early Warning Score (NEWS) of 3 or above and suspected or proven infection were enrolled over a 24-h period in 13 Welsh hospitals. The primary outcome measure was mortality within 30 days. Out of the 5422 patients screened, 431 fulfilled inclusion criteria and 380 (88%) were recruited. Using the SEPSIS-1 definition, 212 patients had sepsis...
November 17, 2017: Anaesthesia
https://www.readbyqxmd.com/read/29149753/identifying-relapse-prevention-elements-during-psychological-treatment-of-depression-development-of-an-observer-based-rating-instrument
#2
Katja Machmutow, Martin Grosse Holtforth, Tobias Krieger, Birgit Watzke
BACKGROUND: Although observer-rated instruments assessing therapist's adherence to relapse-preventive treatments are available, they do not adequately cover specific relapse-preventive elements that focus on implementation of strategies after terminating treatment. This study describes the development of the KERI-D (Kodierbogen zur Erfassung Rückfallprophylaktischer Interventionen bei Depression/Coding System to Assess Interventions of Relapse Prevention in Depression). The KERI-D is a new observer-based rating tool for acute or continuation/maintenance-phase sessions and assesses relapse-prevention elements including implementation into patient's daily routines...
November 6, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29149298/vector-borne-diseases-and-climate-change-a-european-perspective
#3
Jan C Semenza, Jonathan E Suk
Climate change has already impacted the transmission of a wide-range of vector-borne diseases in Europe, and it will continue to do so in the coming decades. Climate change has been implicated in the observed shift of ticks to elevated altitudes and latitudes, notably including the Ixodes ricinus tick species which is a vector for Lyme borreliosis and tick-borne encephalitis. Climate change is also thought to have been a factor in the expansion of other important disease vectors in Europe: Aedes albopictus (the Asian tiger mosquito), which transmits diseases such as Zika, dengue, and chikungunya, and Phlebotomus sandfly species, which transmits diseases including Leishmaniasis...
November 15, 2017: FEMS Microbiology Letters
https://www.readbyqxmd.com/read/29144409/how-well-can-we-extract-the-permanent-displacement-from-low-cost-mems-accelerometers
#4
Jyh Cherng Jan, Wei-An Chao, Yih-Min Wu, Chien-Chih Chen, Cheng-Horng Lin
Following the recent establishment of a high-density seismic network equipped with low-cost micro-electro-mechanical system (MEMS) P-wave-alert-device (P-Alert) by the earthquake early warning (EEW) research group at the National Taiwan University, a large quantity of strong-motion records from moderate-magnitude earthquakes (ML > 6) around Taiwan has been accumulated. Using a data preprocessing scheme to recover the dynamic average embedded within the P-Alert data, we adopted an automatic baseline correction approach for the P-Alert accelerograms to determine the coseismic deformation (Cd)...
November 16, 2017: Sensors
https://www.readbyqxmd.com/read/29143880/effects-of-heat-waves-on-daily-excess-mortality-in-14-korean-cities-during-the-past-20%C3%A2-years-1991-2010-an-application-of-the-spatial-synoptic-classification-approach
#5
Dae-Geun Lee, Kyu Rang Kim, Jiyoung Kim, Baek-Jo Kim, Chun-Ho Cho, Scott C Sheridan, Laurence S Kalkstein, Ho Kim, Seung-Muk Yi
The aims of this study are to explore the "offensive" summer weather types classified under the spatial synoptic classification (SSC) system and to evaluate their impacts on excess mortality in 14 Korean cities. All-cause deaths per day for the entire population were examined over the summer months (May-September) of 1991-2010. Daily deaths were standardized to account for long-term trends of subcycles (annual, seasonal, and weekly) at the mid-latitudes. In addition, a mortality prediction model was constructed through multiple stepwise regression to develop a heat-health warning system based on synoptic climatology...
November 16, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29130120/responses-of-rubber-leaf-phenology-to-climatic-variations-in-southwest-china
#6
De-Li Zhai, Haiying Yu, Si-Chong Chen, Sailesh Ranjitkar, Jianchu Xu
The phenology of rubber trees (Hevea brasiliensis) could be influenced by meteorological factors and exhibits significant changes under different geoclimates. In the sub-optimal environment in Xishuangbanna, rubber trees undergo lengthy periods of defoliation and refoliation. The timing of refoliation from budburst to leaf aging could be affected by powdery mildew disease (Oidium heveae), which negatively impacts seed and latex production. Rubber trees are most susceptible to powdery mildew disease at the copper and leaf changing stages...
November 13, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29123363/whatch-em-a-weather-driven-energy-balance-model-for-determining-water-height-and-temperature-in-container-habitats-for-aedes-aegypti
#7
Daniel F Steinhoff, Andrew J Monaghan, Lars Eisen, Michael J Barlage, Thomas M Hopson, Isaac Tarakidzwa, Karielys Ortiz-Rosario, Saul Lozano-Fuentes, Mary H Hayden, Paul E Bieringer, Carlos M Welsh Rodríguez
The mosquito virus vector Aedes (Ae.) aegypti exploits a wide range of containers as sites for egg laying and development of the immature life stages, yet the approaches for modeling meteorologically sensitive container water dynamics have been limited. This study introduces the Water Height and Temperature in Container Habitats Energy Model (WHATCH'EM), a state-of-the-science, physically based energy balance model of water height and temperature in containers that may serve as development sites for mosquitoes...
December 2016: Earth interactions
https://www.readbyqxmd.com/read/29119808/early-warning-and-track-and-trigger-systems-for-newborn-infants-a-review
#8
Nicolay Mortensen, Johan Henrik Augustsson, Jorunn Ulriksen, Unni Tveit Hinna, Georg M Schmölzer, Anne Lee Solevåg
Tools for clinical assessment and escalation of observation and treatment are insufficiently established in the newborn population. We aimed to provide an overview over early warning- and track and trigger systems for newborn infants and performed a nonsystematic review based on a search in Medline and Cinahl until November 2015. Search terms included 'infant, newborn', 'early warning score', and 'track and trigger'. Experts in the field were contacted for identification of unpublished systems. Outcome measures included reference values for physiological parameters including respiratory rate and heart rate, and ways of quantifying the extent of deviations from the reference...
March 2017: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29114964/chief-physicians-attitudes-towards-early-warning-score-systems-in-switzerland-results-of-a-cross-sectional-survey
#9
Aline Richard, Olga Frank, David Schwappach
RATIONALE, AIMS AND OBJECTIVES: Early warning score systems (EWS-S) have been shown to be valuable tools to recognize otherwise unnoticed clinical deterioration (CDET) of patients. They have been associated with fewer unplanned transfers to the intensive care unit (UTICU) and lower in-hospital mortality. Little is known about their current usage in Switzerland and about the attitudes towards such tools among chief physicians. We aimed to assess the use of EWS-S in Switzerland and the attitudes of chief physicians towards EWS-S depending on previously experienced CDET followed by UTICU, reanimation, or death...
November 8, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29108458/a-fuzzy-logic-based-warning-system-for-patients-classification
#10
Jumanah A Al-Dmour, Assim Sagahyroon, A R Al-Ali, Salah Abusnana
Typically acute deterioration in sick people is preceded by subtle changes in the physiological parameters such as pulse and blood pressure. The Modified Early Warning Score is a scoring system developed to assist hospital staff in gauging these physiological changes and identifying patients in need of urgent medical care to avoid catastrophic deterioration. This work discusses the design and implementation of an equivalent warning system that utilizes fuzzy logic techniques to categorize patients' status. The system is implemented and tested in Rashid Centre for Diabetes and Research in UAE...
November 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29102325/surveillance-for-control-of-antimicrobial-resistance
#11
REVIEW
Evelina Tacconelli, Frangiscos Sifakis, Stephan Harbarth, Remco Schrijver, Maaike van Mourik, Andreas Voss, Mike Sharland, Nithya Babu Rajendran, Jesús Rodríguez-Baño
Antimicrobial resistance poses a growing threat to public health and the provision of health care. Its surveillance should provide up-to-date and relevant information to monitor the appropriateness of therapy guidelines, antibiotic formulary, antibiotic stewardship programmes, public health interventions, infection control policies, and antimicrobial development. In Europe, although the European Antimicrobial Resistance Surveillance Network provides annual reports on monitored resistant bacteria, national surveillance efforts are still fragmented and heterogeneous, and have substantial structural problems and issues with laboratory data...
October 25, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29098405/a-socio-environmental-monitoring-system-for-a-unesco-biosphere-reserve
#12
Kim Lowell
To identify potentially critical changes in an area's ongoing ability to produce multiple ecosystem services, a monitoring system was designed and implemented for the Mornington Peninsula and Westernport Biosphere Reserve in southeast Australia. The system is underpinned by an "environmental vital signs" (EVS) approach that was adopted to provide early warning of critical changes in human and natural characteristics of the area. The six themes monitored are non-coastal water, land including vegetation, biodiversity, natural heritage, built environment (including human population and economic activity), and coasts...
November 3, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29091954/comparison-of-the-mortality-in-emergency-department-sepsis-score-modified-early-warning-score-rapid-emergency-medicine-score-and-rapid-acute-physiology-score-for-predicting-the-outcomes-of-adult-splenic-abscess-patients-in-the-emergency-department
#13
Shang-Kai Hung, Chip-Jin Ng, Chang-Fu Kuo, Zhong Ning Leonard Goh, Lu-Hsiang Huang, Chih-Huang Li, Yi-Ling Chan, Yi-Ming Weng, Joanna Chen-Yeen Seak, Chen-Ken Seak, Chen-June Seak
BACKGROUND: Splenic abscess is rare but has mortality rates as high as 14% even with recent improvements in management. Early and appropriate intervention may improve patient outcomes, yet at present there is no identified method that can predict mortality risk rapidly and accurately for emergency physicians, surgeons, and intensivists to decide on the ideal course of action. OBJECTIVE: This study aims to evaluate the performance of Mortality in Emergency Department Sepsis Score (MEDS), Modified Early Warning Score (MEWS), Rapid Emergency Medicine Score (REMS) and Rapid Acute Physiology Score (RAPS) for predicting the mortality risk of adult splenic abscess patients...
2017: PloS One
https://www.readbyqxmd.com/read/29089632/distributed-optical-fibre-sensing-for-early-detection-of-shallow-landslides-triggering
#14
Luca Schenato, Luca Palmieri, Matteo Camporese, Silvia Bersan, Simonetta Cola, Alessandro Pasuto, Andrea Galtarossa, Paolo Salandin, Paolo Simonini
A distributed optical fibre sensing system is used to measure landslide-induced strains on an optical fibre buried in a large scale physical model of a slope. The fibre sensing cable is deployed at the predefined failure surface and interrogated by means of optical frequency domain reflectometry. The strain evolution is measured with centimetre spatial resolution until the occurrence of the slope failure. Standard legacy sensors measuring soil moisture and pore water pressure are installed at different depths and positions along the slope for comparison and validation...
October 31, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29079804/an-early-warning-system-to-forecast-the-close-of-the-spring-burning-window-from-satellite-observed-greenness
#15
Paul D Pickell, Nicholas C Coops, Colin J Ferster, Christopher W Bater, Karen D Blouin, Mike D Flannigan, Jinkai Zhang
Spring represents the peak of human-caused wildfire events in populated boreal forests, resulting in catastrophic loss of property and human life. Human-caused wildfire risk is anticipated to increase in northern forests as fuels become drier, on average, under warming climate scenarios and as population density increases within formerly remote regions. We investigated springtime human-caused wildfire risk derived from satellite-observed vegetation greenness in the early part of the growing season, a period of increased ignition and wildfire spread potential from snow melt to vegetation green-up with the aim of developing an early warning wildfire risk system...
October 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29073904/detecting-the-tipping-points-in-a-three-state-model-of-complex-diseases-by-temporal-differential-networks
#16
Pei Chen, Yongjun Li, Xiaoping Liu, Rui Liu, Luonan Chen
BACKGROUND: The progression of complex diseases, such as diabetes and cancer, is generally a nonlinear process with three stages, i.e., normal state, pre-disease state, and disease state, where the pre-disease state is a critical state or tipping point immediately preceding the disease state. Traditional biomarkers aim to identify a disease state by exploiting the information of differential expressions for the observed molecules, but may fail to detect a pre-disease state because there are generally little significant differences between the normal and pre-disease states...
October 26, 2017: Journal of Translational Medicine
https://www.readbyqxmd.com/read/29072311/modifications-of-the-national-early-warning-score-for-patients-with-chronic-respiratory-disease
#17
N E Pedersen, L S Rasmussen, J A Petersen, T A Gerds, D Østergaard, A Lippert
BACKGROUND: The National Early Warning Score (NEWS) uses physiological variables to detect deterioration in hospitalized patients. However, patients with chronic respiratory disease may have abnormal variables not requiring interventions. We studied how the Capital Region of Denmark NEWS Override System (CROS), the Chronic Respiratory Early Warning Score (CREWS) and the Salford NEWS (S-NEWS) affected NEWS total scores and NEWS performance. METHODS: In an observational study, we included patients with chronic respiratory disease...
October 26, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29066710/citizen-science-provides-a-reliable-and-scalable-tool-to-track-disease-carrying-mosquitoes
#18
John R B Palmer, Aitana Oltra, Francisco Collantes, Juan Antonio Delgado, Javier Lucientes, Sarah Delacour, Mikel Bengoa, Roger Eritja, Frederic Bartumeus
Recent outbreaks of Zika, chikungunya and dengue highlight the importance of better understanding the spread of disease-carrying mosquitoes across multiple spatio-temporal scales. Traditional surveillance tools are limited by jurisdictional boundaries and cost constraints. Here we show how a scalable citizen science system can solve this problem by combining citizen scientists' observations with expert validation and correcting for sampling effort. Our system provides accurate early warning information about the Asian tiger mosquito (Aedes albopictus) invasion in Spain, well beyond that available from traditional methods, and vital for public health services...
October 24, 2017: Nature Communications
https://www.readbyqxmd.com/read/29062886/activating-peripheral-innate-immunity-enables-safe-and-effective-oncolytic-virotherapy-in-the-brain
#19
Lukxmi Balathasan, Vera A Tang, Beta Yadollahi, Jan Brun, Melanie Labelle, Charles Lefebvre, Stephanie L Swift, David F Stojdl
The oncolytic mutant vesicular stomatitis virus VSVΔ51 achieves robust efficacy in multiple extracranial tumor models. Yet for malignancies of the brain, direct intratumoral infusion of VSVΔ51 causes lethal virus-induced neuropathology. Here, we have developed a novel therapeutic regime that uses peripheral immunization with a single sub-lethal dose of VSVΔ51 to establish an acute anti-viral state that enables the safe intracranial (IC) infusion of an otherwise lethal dose of VSVΔ51 within just 6 hr. Although type I interferons alone appeared insufficient to explain this protective phenotype, serum isolated at early time points from primed animals conferred protection against an IC dose of virus...
December 15, 2017: Molecular Therapy Oncolytics
https://www.readbyqxmd.com/read/29060435/symptom-based-data-preprocessing-for-the-detection-of-disease-outbreak
#20
Khanita Duangchaemkarn, Varin Chaovatut, Phongtape Wiwatanadate, Ekkarat Boonchieng
Early warning systems for outbreak detection is a challenge topic for researchers in the epidemiology and biomedical informatics fields. We are proposing a new method for detecting disease epidemics using a symptom-based approach. The data was collected from developed mobile applications which include users' demographic information and a list of chief complaint symptoms. Deliberated outbreaks are differentiated from seasonal outbreak by specific symptoms that represent a sign of infection. These symptoms were grouped, classified, and then converted to a time-series digital signal using the consensus scoring approach...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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