Abstract: Understanding how airborne pathogens are
transported through hospital wards is essential for determining the
infection risk to patients and healthcare workers. This study utilizes
Computational Fluid Dynamics (CFD) simulations to explore
possible pathogen transport within a six-bed partitioned Nightingalestyle
hospital ward.
Grid independence of a ward model was addressed using the Grid
Convergence Index (GCI) from solutions obtained using three fullystructured
grids. Pathogens were simulated using source terms in
conjunction with a scalar transport equation and a RANS turbulence
model. Errors were found to be less than 4% in the calculation of air
velocities but an average of 13% was seen in the scalar field.
A parametric study of variations in the pathogen release point
illustrated that its distribution is strongly influenced by the local
velocity field and the degree of air mixing present.
Abstract: The aim of this study was to compare the
sensitometric properties of commonly used radiographic films
processed with chemical solutions in different workload hospitals.
The effect of different processing conditions on induced densities on
radiologic films was investigated. Two accessible double emulsions
Fuji and Kodak films were exposed with 11-step wedge and
processed with Champion and CPAC processing solutions. The
mentioned films provided in both workloads centers, high and low.
Our findings displays that the speed and contrast of Kodak filmscreen
in both work load (high and low) is higher than Fuji filmscreen
for both processing solutions. However there was significant
differences in films contrast for both workloads when CPAC solution
had been used (p=0.000 and 0.028). The results showed base plus
fog density for Kodak film was lower than Fuji. Generally Champion
processing solution caused more speed and contrast for investigated
films in different conditions and there was significant differences in
95% confidence level between two used processing solutions
(p=0.01). Low base plus fog density for Kodak films provide more
visibility and accuracy and higher contrast results in using lower
exposure factors to obtain better quality in resulting radiographs. In
this study we found an economic advantages since Champion
solution and Kodak film are used while it makes lower patient dose.
Thus, in a radiologic facility any change in film processor/processing
cycle or chemistry should be carefully investigated before
radiological procedures of patients are acquired.
Abstract: The American Health Level Seven (HL7) Reference Information Model (RIM) consists of six back-bone classes that have different specialized attributes. Furthermore, for the purpose of enforcing the semantic expression, there are some specific mandatory vocabulary domains have been defined for representing the content values of some attributes. In the light of the fact that it is a duplicated effort on spending a lot of time and human cost to develop and modify Clinical Information Systems (CIS) for most hospitals due to the variety of workflows. This study attempts to design and develop sharing RIM-based components of the CIS for the different business processes. Therefore, the CIS contains data of a consistent format and type. The programmers can do transactions with the RIM-based clinical repository by the sharing RIM-based components. And when developing functions of the CIS, the sharing components also can be adopted in the system. These components not only satisfy physicians- needs in using a CIS but also reduce the time of developing new components of a system. All in all, this study provides a new viewpoint that integrating the data and functions with the business processes, it is an easy and flexible approach to build a new CIS.
Abstract: Alzheimer is known as the loss of mental functions
such as thinking, memory, and reasoning that is severe enough to
interfere with a person's daily functioning. The appearance of
Alzheimer Disease symptoms (AD) are resulted based on which part
of the brain has a variety of infection or damage. In this case, the
MRI is the best biomedical instrumentation can be ever used to
discover the AD existence. Therefore, this paper proposed a fusion
method to distinguish between the normal and (AD) MRIs. In this
combined method around 27 MRIs collected from Jordanian
Hospitals are analyzed based on the use of Low pass -morphological
filters to get the extracted statistical outputs through intensity
histogram to be employed by the descriptive box plot. Also, the
artificial neural network (ANN) is applied to test the performance of
this approach. Finally, the obtained result of t-test with confidence
accuracy (95%) has compared with classification accuracy of ANN
(100 %). The robust of the developed method can be considered
effectively to diagnose and determine the type of AD image.
Abstract: This paper discusses about an intelligent system to be
installed in ambulances providing professional support to the paramedics on board. A video conferencing device over mobile 4G services enables specialists virtually attending the patient being transferred to the hospital. The data centre holds detailed databases
on the patients past medical history and hospitals with the specialists. It also hosts various software modules that compute the shortest traffic –less path to the closest hospital with the required facilities, on inputting the symptoms of the patient, on a real time basis.
Abstract: Clusters of microcalcifications in mammograms are an
important sign of breast cancer. This paper presents a complete
Computer Aided Detection (CAD) scheme for automatic detection of
clustered microcalcifications in digital mammograms. The proposed
system, MammoScan μCaD, consists of three main steps. Firstly
all potential microcalcifications are detected using a a method for
feature extraction, VarMet, and adaptive thresholding. This will also
give a number of false detections. The goal of the second step,
Classifier level 1, is to remove everything but microcalcifications.
The last step, Classifier level 2, uses learned dictionaries and sparse
representations as a texture classification technique to distinguish
single, benign microcalcifications from clustered microcalcifications,
in addition to remove some remaining false detections. The system
is trained and tested on true digital data from Stavanger University
Hospital, and the results are evaluated by radiologists. The overall
results are promising, with a sensitivity > 90 % and a low false
detection rate (approx 1 unwanted pr. image, or 0.3 false pr. image).
Abstract: Data mining techniques have been used in medical
research for many years and have been known to be effective. In order
to solve such problems as long-waiting time, congestion, and delayed
patient care, faced by emergency departments, this study concentrates
on building a hybrid methodology, combining data mining techniques
such as association rules and classification trees. The methodology is
applied to real-world emergency data collected from a hospital and is
evaluated by comparing with other techniques. The methodology is
expected to help physicians to make a faster and more accurate
classification of chest pain diseases.
Abstract: Nosocomial (i.e., hospital-acquired) infections
(NI) is a major cause of morbidity and mortality in hospitals. NI
rate is higher in intensive care units (ICU) than in the general
ward due to patients with severe symptoms, poor immunity,
and accepted many invasive therapies. Contact behaviors
between health caregivers and patients is one of the infect
factors. It is difficult to obtain complete contact records by
traditional method of retrospective analysis of medical records.
This paper establishes a contact history inferential model
(CHIM) intended to extend the use of Proximity Sensing of
rapid frequency identification (RFID) technology to
transferring all proximity events between health caregivers and
patients into clinical events (close-in events, contact events and
invasive events).The results of the study indicated that the
CHIM can infer proximity care activities into close-in events
and contact events.
The infection control team could redesign and build optimal
workflow in the ICU according to the patient-specific contact
history which provided by our automatic tracing system.
Abstract: The aim of this retrospective study was to evaluate the
parameters of dental implants such as patient gender, number of
implant, failed implant before prosthetic restorations and failed
implant after implantation and failed implant after prosthetic
restorations. 135 male and 99 female patients, total 234 implant
patients which have been treated with 450 implant between 2005-
2009 years in GATA Haydarpasa Training Hospital Dental Service.
Twelve implants were failed before prosthetic restorations. Four
implant were failed after fixed prosthetic restorations. Cumulative
survival rate after prostheses were 97.56 % during 6 years period.
Abstract: The Yasuj city stream named the Beshar supply
water for different usages such as aquaculture farms , drinking,
agricultural and industrial usages. Fish processing plants
,Agricultural farms, waste water of industrial zones and hospitals
waste water which they are generate by human activity produce a
considerable volume of effluent and when they are released in to the
stream they can effect on the water quality and down stream aquatic
systems. This study was conducted to evaluate the effects of outflow
effluent from different human activity and point and non point
pollution sources on the water quality and health of the Beshar
river next to Yasuj. Yasuj is the biggest and most important city in
the Kohkiloye and Boyerahmad province . The Beshar River is one
of the most important aquatic ecosystems in the upstream of the
Karun watershed in south of Iran which is affected by point and non
point pollutant sources . This study was done in order to evaluate the
effects of human activities on the water quality and health of the
Beshar river. This river is approximately 190 km in length and
situated at the geographical positions of 51° 20' to 51° 48' E and 30°
18' to 30° 52' N it is one of the most important aquatic ecosystems of
Kohkiloye and Boyerahmad province in south-west Iran. In this
research project, five study stations were selected to examine water
pollution in the Beshar River systems. Human activity is now one of
the most important factors affecting on hydrology and water quality
of the Beshar river. Humans use large amounts of resources to sustain
various standards of living, although measures of sustainability are
highly variable depending on how sustainability is defined. The
Beshar river ecosystems are particularly sensitive and vulnerable to
human activities. The water samples were analyzed, then some
important water quality parameters such as pH, dissolve oxygen
(DO), Biochemical Oxygen Demand (BOD5), Chemical Oxygen
Demand (COD), Total Suspended Solids (TDS),Turbidity,
Temperature, Nitrates (NO3) and Phosphates (PO4) were estimated
at the two stations. The results show a downward trend in the water
quality at the down stream of the city. The amounts of
BOD5,COD,TSS,T,Turbidity, NO3 and PO4 in the down stream
stations were considerably more than the station 1. By contrast the
amounts of DO in the down stream stations were less than to the
station 1. However when effluent discharge consequence of human
activities are released into the Beshar river near the city, the quality
of river are decreases and the environmental problems of the river
during the next years are predicted to rise.
Abstract: Abdominal aortic aneurysms rupture (AAAs) is one of the main causes of death in the world. This is a very complex phenomenon that usually occurs “without previous warning". Currently, criteria to assess the aneurysm rupture risk (peak diameter and growth rate) can not be considered as reliable indicators. In a first approach, the main geometric parameters of aneurysms have been linked into five biomechanical factors. These are combined to obtain a dimensionless rupture risk index, RI(t), which has been validated preliminarily with a clinical case and others from literature. This quantitative indicator is easy to understand, it allows estimating the aneurysms rupture risks and it is expected to be able to identify the one in aneurysm whose peak diameter is less than the threshold value. Based on initial results, a broader study has begun with twelve patients from the Clinic Hospital of Valladolid-Spain, which are submitted to periodic follow-up examinations.
Abstract: There are a number of different cars for transferring hundreds of close contacts of swine influenza patients to hospital, and we need to carefully assign the passengers to those cars in order to minimize the risk of influenza spreading during transportation. The paper presents an approach to straightforward obtain the optimal solution of the relaxed problems, and develops two iterative improvement algorithms to effectively tackle the general problem.
Abstract: Along with the advances in medicine, providing medical information to individual patient is becoming more important. In Japan such information via Braille is hardly provided to blind and partially sighted people. Thus we are researching and developing a Web-based automatic translation program “eBraille" to translate Japanese text into Japanese Braille. First we analyzed the Japanese transcription rules to implement them on our program. We then added medical words to the dictionary of the program to improve its translation accuracy for medical text. Finally we examined the efficacy of statistical learning models (SLMs) for further increase of word segmentation accuracy in braille translation. As a result, eBraille had the highest translation accuracy in the comparison with other translation programs, improved the accuracy for medical text and is utilized to make hospital brochures in braille for outpatients and inpatients.
Abstract: The objective of this research is to explore the role of actors at the local level in managing the Pre-hospital Emergency Medical Service (EMS) system in Thailand. The research method was done through documentary research, individual interviews, and one forum conducted in each province. This paper uses the case of three provinces located in three regions in Thailand including; Ubon Ratchathani (North-eastern region), Lampang (Northern Region), and Songkhla (Southern Region). The result shows that, recently, the role of the local government in being the service provider for their local people is increasingly concerned. In identifying the key success factors towards the EMS system, it includes; (i) the local executives- vision and influence that the decisions made by them, for both PAO (Provincial Administration Organisation (PAO) and TAO (Tambon Administration Organisation), is vital to address the overall challenges in EMS development, (ii) the administrative system through reforming their working style create the flexibility in running the EMS task, (iii) the network-based management among different agencies at the local level leads to the better EMS practices, and (iv) the development in human resource is very vital in delivering the effective services.
Abstract: Practices of food sharing as part of the brotherhood and hospitality interpretation have been essential part of the Kazakh ethnic culture since early times. Dialogue in time and space between Kazakhs through differences in food interpretation among the ethnic repatriates may become a link connecting them and platform for stable relations with the host society or serious barrier on the way of their integration in the Kazakhstani society. The article elucidates by the field materials how some aspects of food culture differences among ethnic Kazakhs living abroad (XUAR of China) and ethnic repatriates in Kazakhstan may influence their integration path.
Abstract: The aim of this study was to investigate the pregnancy
outcomes of teenage mothers at DanKhunThot hospital, Nakhon
Ratchasima, Thailand. A retrospective descriptive study was
conducted in 573 of teenage pregnant from charts reviewed from 1st
October 2010-31st March, 2012. Data were analyzed by frequency
distribution, mean and Standard Deviation.
The results shown several problems and negatives outcomes of
pregnancy in teenager such as not attended prenatal care, Low birth
weight infants, death fetus in utero and other complications. The
results of this study can be utilized in the development of prenatal,
perinatal and post natal care services, especially in DanKhunthot
Hospital contexts. Moreover, the results were present to the District
Health Care committees in order to enhance health care service
system for teenage pregnancy of DanKhunthot District in further.
Abstract: Legionella pneumophila is involved in more than 95%
cases of severe atypical pneumonia. Infection is mainly by
inhalation the indoor aerosols through the water-coolant systems.
Because some Legionella strains may be viable but not culturable,
therefore, Taq polymerase, DNA amplification and semi-nested-PCR
were carried out to detect Legionella-specific 16S-rDNA sequence.
For this purpose, 1.5 litter of water samples from 77 water-coolant
system were collected from four different hospitals, two nursing
homes and one student hostel in Kerman city of Iran, each in a brand
new plastic bottle during summer season of 2006 (from April to
August). The samples were filtered in the sterile condition through
the Millipore Membrane Filter. DNA was extracted from membrane
and used for PCR to detect Legionella spp. The PCR product was
then subjected to semi-nested PCR for detection of L. pneumophila.
Out of 77 water samples that were tested by PCR, 30 (39%) were
positive for most species of Legionella. However, L. pneumophila
was detected from 14 (18.2%) water samples by semi-nested PCR.
From the above results it can be concluded that water coolant
systems of different hospitals and nursing homes in Kerman city of
Iran are highly contaminated with L. pneumophila spp. and pose
serious concern. So, we recommend avoiding such type of coolant
system in the hospitals and nursing homes.
Abstract: The aim of this paper is to know the sociodemographic
and operational-financial determinants of the services
quality perceived by users of the national health services. Through
the use of an inquiry conducted by the Ministry of Health,
comprehending 16.936 interviews in 2006, we intend to find out if
there is any characteristic that determines the 2006 inquiry results.
With the revision of the literature we also want to know if the
operational-financial results have implications in hospitals users-
perception on the quality of the received services. In order to achieve
our main goals we will make use of the regression analysis to find out
the possible dimensions that determine those results.
Abstract: Not with standing the importance of foreign highly
skilled professionals for host economies, there is a paucity of
research studies investigating the role of the corporate social context
during the integration process. This research aims to address this
paucity by exploring the role of social capital in the integration of
foreign health professionals. It does so by using a qualitative research
approach. In this pilot study the hospital sector forms this study-s
sample and interviews were conducted with HR managers, foreign
health professionals and external HR consultants. It was found that
most of the participating hospitals had not established specific HR
practices and had only partly linked the development of
organisational social capital with a successful integration process.
This research contributes, for example, to the HR literature on the
integration of self-initiated expatriates by analysing the role of HRM
in generating organisational social capital needed for a successful
integration process.
Abstract: Autofluorescence (AF) bronchoscopy is an
established method to detect dysplasia and carcinoma in situ (CIS).
For this reason the “Sotiria" Hospital uses the Karl Storz D-light
system. However, in early tumor stages the visualization is not that
obvious. With the help of a PC, we analyzed the color images we
captured by developing certain tools in Matlab®. We used statistical
methods based on texture analysis, signal processing methods based
on Gabor models and conversion algorithms between devicedependent
color spaces. Our belief is that we reduced the error made
by the naked eye. The tools we implemented improve the quality of
patients' life.