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Early Warning System

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https://www.readbyqxmd.com/read/28434059/early-warning-score-independently-predicts-adverse-outcome-and-mortality-in-patients-with-acute-pancreatitis
#1
Michael J Jones, Christopher P Neal, Wee Sing Ngu, Ashley R Dennison, Giuseppe Garcea
PURPOSE: The aim of this study was to compare the prognostic value of established scoring systems with early warning scores in a large cohort of patients with acute pancreatitis. METHODS: In patients presenting with acute pancreatitis, age, sex, American Society of Anaesthesiologists (ASA) grade, Modified Glasgow Score, Ranson criteria, APACHE II scores and early warning score (EWS) were recorded for the first 72 h following admission. These variables were compared between survivors and non-survivors, between patients with mild/moderate and severe pancreatitis (based on the 2012 Atlanta Classification) and between patients with a favourable or adverse outcome...
April 22, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28433738/crimean-congo-hemorrhagic-fever-virus-in-ticks-in-turkey-a-broad-range-tick-surveillance-study
#2
Ömer Orkun, Zafer Karaer, Ayşe Çakmak, Serpil Nalbantoğlu
In Turkey, Crimean-Congo hemorrhagic fever (CCHF) outbreaks started in northern regions in 2002. Human cases still continue to increase and the disease spreads in many other provinces of Turkey. The ecological role of the vector tick species occurring in Turkey is not certain exactly. Therefore, we planned a broad range tick study in three different ecological and geographical areas extending from the West Black Sea regions down to the Central Anatolia. The aim of this study was to determine and characterize CCHFV molecularly in feeding-ticks collected from various wild and domestic animals and from humans as well as in questing and unfed ticks...
April 19, 2017: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/28423109/effects-of-climatic-and-social-factors-on-dengue-incidence-in-mexican-municipalities-in-the-state-of-veracruz
#3
Grea Litai Moreno-Banda, Horacio Riojas-Rodríguez, Magali Hurtado-Díaz, Rogelio Danis-Lozano, Stephen Joel Rothenberg
Objective: To assess links between the social variables and longer-term El Niño-Southern Oscillation (ENSO) related weather conditions as they relate to the week-to-week changes in dengue incidence at a regional level. Materials and methods: We collected data from 10 municipalities of the Olmeca region in México, over a 10 year period (January 1995 to December 2005). Negative binomial models with distributed lags were adjusted to look for associations between changes in the weekly incidence rate of dengue fever and climate variability...
January 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28422006/ecdc-round-table-report-and-promed-mail-most-useful-international-information-sources-for-the-netherlands-early-warning-committee
#4
Paul Bijkerk, Annelie A Monnier, Ewout B Fanoy, Katina Kardamanidis, Ingrid Hm Friesema, Mirjam J Knol
The Netherlands Early Warning Committee (NEWC) aims to identify infectious diseases causing a potential threat to Dutch public health. Threats are assessed and published as (information) alerts for public health experts. To identify threats from abroad, the NEWC screens 10 sources reporting disease outbreaks each week. To identify the sources essential for complete and timely reporting, we retrospectively analysed 178 international alerts published between 31 January 2013 and 30 January 2014. In addition, we asked the four NEWC coordinators about the required time to scan the information sources...
April 6, 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/28421894/how-learning-analytics-can-early-predict-under-achieving-students-in-a-blended-medical-education-course
#5
Mohammed Saqr, Uno Fors, Matti Tedre
AIM: Learning analytics (LA) is an emerging discipline that aims at analyzing students' online data in order to improve the learning process and optimize learning environments. It has yet un-explored potential in the field of medical education, which can be particularly helpful in the early prediction and identification of under-achieving students. The aim of this study was to identify quantitative markers collected from students' online activities that may correlate with students' final performance and to investigate the possibility of predicting the potential risk of a student failing or dropping out of a course...
April 19, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28420157/the-effects-of-pm2-5-from-asian-dust-storms-on-emergency-room-visits-for-cardiovascular-and-respiratory-diseases
#6
Ssu-Ting Liu, Chu-Yung Liao, Cheng-Yu Kuo, Hsien-Wen Kuo
A case-crossover study examined how PM2.5 from Asian Dust Storms (ADS) affects the number of emergency room (ER) admissions for cardiovascular diseases (CVDs) and respiratory diseases (RDs). Our data indicated that PM2.5 concentration from ADS was highly correlated with ER visits for CVDs and RDs. The odds ratios (OR) increased by 2.92 (95% CI: 1.22-5.08) and 1.86 (95% CI: 1.30-2.91) per 10 µg/m³ increase in PM2.5 levels, for CVDs and RDs, respectively. A 10 µg/m³ increase in PM2.5 from ADSs was significantly associated with an increase in ER visits for CVDs among those 65 years of age and older (an increase of 2...
April 16, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28418738/real-time-surveillance-of-infectious-diseases-taiwan-s-experience
#7
Shu-Wan Jian, Chiu-Mei Chen, Cheng-Yi Lee, Ding-Ping Liu
Integration of multiple surveillance systems advances early warning and supports better decision making during infectious disease events. Taiwan has a comprehensive network of laboratory, epidemiologic, and early warning surveillance systems with nationwide representation. Hospitals and clinical laboratories have deployed automatic reporting mechanisms since 2014 and have effectively improved timeliness of infectious disease and laboratory data reporting. In June 2016, the capacity of real-time surveillance in Taiwan was externally assessed and was found to have a demonstrated and sustainable capability...
March 2017: Health Security
https://www.readbyqxmd.com/read/28417836/cervical-spine-status-of-pilots-and-air-controllers-of-airborne-early-warning-and-control-aircraft
#8
Young Ho Shin, Chul Yun, Andrew Hogyu Han
INTRODUCTION: Many countries have developed their own airborne early warning and control (AEW&C) systems for use in surveying their territorial sky in real time. However, a review of the literature suggests that no studies have been conducted to analyze the cervical spine of pilots and air-controllers of AEW&C aircraft. METHODS: The study subjects were 80 pilots and air-controllers of AEW&C aircraft with a period of service of > 1 yr and had data on physical examinations, simple radiographs and functional scores of the axial skeleton, and questionnaires about lifestyle and working conditions...
May 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28416176/maternal-early-warning-systems-towards-reducing-preventable-maternal-mortality-and-severe-maternal-morbidity-through-improved-clinical-surveillance-and-responsiveness
#9
Lisa C Zuckerwise, Heather S Lipkind
Despite increasing awareness of obstetric safety initiatives, maternal mortality and severe maternal morbidity in the United States have continued to increase over the past 20 years. Since results from large-scale surveillance programs suggest that up to 50% of maternal deaths may be preventable, new efforts are focused on developing and testing early warning systems for the obstetric population. Early warning systems are a set of specific clinical signs or symptoms that trigger the awareness of risk and an urgent patient evaluation, with the goal of reducing severe morbidity and mortality through timely diagnosis and treatment...
April 14, 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/28413995/the-burden-of-seasonal-respiratory-infections-on-a-national-telehealth-service-in-england
#10
R A Morbey, S Harcourt, R Pebody, M Zambon, J Hutchison, J Rutter, H Thomas, G E Smith, A J Elliot
Seasonal respiratory illnesses present a major burden on primary care services. We assessed the burden of respiratory illness on a national telehealth system in England and investigated the potential for providing early warning of respiratory infection. We compared weekly laboratory reports for respiratory pathogens with telehealth calls (NHS 111) between week 40 in 2013 and week 29 in 2015. Multiple linear regression was used to identify which pathogens had a significant association with respiratory calls...
April 17, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28411289/evaluating-automated-rules-for-rapid-response-system-alarm-triggers-in-medical-and-surgical-patients
#11
Santiago Romero-Brufau, Bruce W Morlan, Matthew Johnson, Joel Hickman, Lisa L Kirkland, James M Naessens, Jeanne Huddleston
BACKGROUND: The use of rapid response systems (RRS), which were designed to bring clinicians with critical care expertise to the bedside to prevent unnecessary deaths, has increased. RRS rely on accurate detection of acute deterioration events. Early warning scores (EWS) have been used for this purpose but were developed using heterogeneous populations. Predictive performance may differ in medical vs surgical patients. OBJECTIVE: To evaluate the performance of published EWS in medical vs surgical patient populations...
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28409055/enhanced-surveillance-for-the-third-united-nations-conference-on-small-island-developing-states-apia-samoa-september-2014
#12
Paul White, Salanieta Saketa, Alexis Durand, Saine Vaai-Nielsen, Tile Ah Leong-Lui, Take Naseri, Ailuai Matalima, Filipina Amosa, Alize Mercier, Christelle Lepers, Vjesh Lal, Richard Wojcik, Sheri Lewis, Adam Roth, Yvan Souares, Onofre Edwin Merilles, Damian Hoy
The Ministry of Health in Samoa, in partnership with the Pacific Community, successfully implemented enhanced surveillance for the high-profile Third United Nations Conference on Small Island Developing States held concurrently with the popular local Teuila festival during a widespread chikungunya outbreak in September 2014. Samoa's weekly syndromic surveillance system was expanded to 12 syndromes and 10 sentinel sites from four syndromes and seven sentinel sites; sites included the national hospital, four private health clinics and three national health service clinics...
January 2017: Western Pacific Surveillance and Response Journal: WPSAR
https://www.readbyqxmd.com/read/28396448/paediatric-early-warning-systems-pews-and-trigger-systems-for-the-hospitalised-child-time-to-focus-on-the-evidence
#13
EDITORIAL
Peter J Lillitos, Ian K Maconochie
No abstract text is available yet for this article.
April 10, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28394303/hazards-in-motion-development-of-mobile-geofences-for-use-in-logging-safety
#14
Eloise G Zimbelman, Robert F Keefe, Eva K Strand, Crystal A Kolden, Ann M Wempe
Logging is one of the most hazardous occupations in the United States. Real-time positioning that uses global navigation satellite system (GNSS) technology paired with radio frequency transmission (GNSS-RF) has the potential to reduce fatal and non-fatal accidents on logging operations through the use of geofences that define safe work areas. Until recently, most geofences have been static boundaries. The aim of this study was to evaluate factors affecting mobile geofence accuracy in order to determine whether virtual safety zones around moving ground workers or equipment are a viable option for improving situational awareness on active timber sales...
April 10, 2017: Sensors
https://www.readbyqxmd.com/read/28385419/vital-signs-and-other-observations-used-to-detect-deterioration-in-pregnant-women-an-analysis-of-vital-sign-charts-in-consultant-led-uk-maternity-units
#15
G B Smith, R Isaacs, L Andrews, M Y K Wee, E van Teijlingen, D E Bick, V Hundley
BACKGROUND: Obstetric early warning systems are recommended for monitoring hospitalised pregnant and postnatal women. We decided to compare: (i) vital sign values used to define physiological normality; (ii) symptoms and signs used to escalate care; (iii) type of chart used; and (iv) presence of explicit instructions for escalating care. METHODS: One hundred and twenty obstetric early warning charts and escalation protocols were obtained from consultant-led maternity units in the UK and Channel Islands...
March 10, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28378182/could-malaria-control-programmes-be-timed-to-coincide-with-onset-of-rainfall
#16
Kibii Komen
Malaria cases in South Africa's Northern Province of Limpopo have surpassed known endemic KwaZulu Natal and Mpumalanga Provinces. This paper applies statistical methods: regression analysis and impulse response function to understand the timing of impact and the length that such impacts last. Climate data (rainfall and temperature) are obtained from South African Weather Services (SAWs); global data from the European Centre for Medium-Range Weather Forecasts (ECMWF), while clinical malaria data came from Malaria Control Centre in Tzaneen (Limpopo Province)...
April 4, 2017: EcoHealth
https://www.readbyqxmd.com/read/28364749/percolation-framework-to-describe-el-ni%C3%A3-o-conditions
#17
Jun Meng, Jingfang Fan, Yosef Ashkenazy, Shlomo Havlin
Complex networks have been used intensively to investigate the flow and dynamics of many natural systems including the climate system. Here, we develop a percolation based measure, the order parameter, to study and quantify climate networks. We find that abrupt transitions of the order parameter usually occur ∼1 year before El Niño events, suggesting that they can be used as early warning precursors of El Niño. Using this method, we analyze several reanalysis datasets and show the potential for good forecasting of El Niño...
March 2017: Chaos
https://www.readbyqxmd.com/read/28364525/complications-after-cosmetic-surgery-tourism
#18
Holger J Klein, Dario Simic, Nina Fuchs, Riccardo Schweizer, Tarun Mehra, Pietro Giovanoli, Jan A Plock
Background: Cosmetic surgery tourism characterizes a phenomenon of people traveling abroad for aesthetic surgery treatment. Problems arise when patients return with complications or need of follow-up care. Objectives: To investigate the complications of cosmetic surgery tourism treated at our hospital as well as to analyze arising costs for the health system. Methods: Between 2010 and 2014, we retrospectively included all patients presenting with complications arising from cosmetic surgery abroad...
April 1, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28355612/strengthening-health-security-at-the-hajj-mass-gatherings-characteristics-of-the-infectious-diseases-surveillance-systems-operational-during-the-2015-hajj
#19
Badriah M Alotaibi, Saber Yezli, Abdul-Aziz A Bin Saeed, Abdulhafeez Turkestani, Amnah H Alawam, Kingsley L Bieh
Background: Hajj is one of the largest and the most ethnically and culturally diverse mass gatherings worldwide. The use of appropriate surveillance systems ensures timely information management for effective planning and response to infectious diseases threats during the pilgrimage. The literature describes infectious diseases prevention and control strategies for Hajj but with limited information on the operations and characteristics of the existing Hajj infectious diseases surveillance systems...
May 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28353681/a-cardiac-early-warning-system-with-multi-channel-scg-and-ecg-monitoring-for-mobile-health
#20
Prasan Kumar Sahoo, Hiren Kumar Thakkar, Ming-Yih Lee
Use of information and communication technology such as smart phone, smart watch, smart glass and portable health monitoring devices for healthcare services has made Mobile Health (mHealth) an emerging research area. Coronary Heart Disease (CHD) is considered as a leading cause of death world wide and an increasing number of people die prematurely due to CHD. Under such circumstances, there is a growing demand for a reliable cardiac monitoring system to catch the intermittent abnormalities and detect critical cardiac behaviors which lead to sudden death...
March 29, 2017: Sensors
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