Abstract: The technological concepts such as wireless hospital
and portable cardiac telemetry system require the development of
physiological signal acquisition devices to be easily integrated into
the hospital database. In this paper we present the low cost, portable
wireless ECG acquisition hardware that transmits ECG signals to a
dedicated computer.The front end of the system obtains and
processes incoming signals, which are then transmitted via a
microcontroller and wireless Bluetooth module. A monitoring
purpose Bluetooth based end user application integrated with patient
database management module is developed for the computers. The
system will act as a continuous event recorder, which can be used to
follow up patients who have been resuscitatedfrom cardiac arrest,
ventricular tachycardia but also for diagnostic purposes for patients
with arrhythmia symptoms. In addition, cardiac information can be
saved into the patient-s database of the hospital.
Abstract: The standard investigational method for obstructive
sleep apnea syndrome (OSAS) diagnosis is polysomnography (PSG),
which consists of a simultaneous, usually overnight recording of
multiple electro-physiological signals related to sleep and
wakefulness. This is an expensive, encumbering and not a readily
repeated protocol, and therefore there is need for simpler and easily
implemented screening and detection techniques. Identification of
apnea/hypopnea events in the screening recordings is the key factor
for the diagnosis of OSAS. The analysis of a solely single-lead
electrocardiographic (ECG) signal for OSAS diagnosis, which may
be done with portable devices, at patient-s home, is the challenge of
the last years. A novel artificial neural network (ANN) based
approach for feature extraction and automatic identification of
respiratory events in ECG signals is presented in this paper. A
nonlinear principal component analysis (NLPCA) method was
considered for feature extraction and support vector machine for
classification/recognition. An alternative representation of the
respiratory events by means of Kohonen type neural network is
discussed. Our prospective study was based on OSAS patients of the
Clinical Hospital of Pneumology from Iaşi, Romania, males and
females, as well as on non-OSAS investigated human subjects. Our
computed analysis includes a learning phase based on cross signal
PSG annotation.
Abstract: The need to increase the efficiency of health care
systems is becoming an obligation, and one of area of improvement
is the discharge process. The objective of this work is to minimize
the patients discharge time (for insured patients) to be less than 50
minutes by using six sigma approach, this improvement will also:
lead to an increase in customer satisfaction, increase the number of
admissions and turnover on the rooms, increase hospital
profitability.Three different departments were considered in this
study: Female, Male, and Paediatrics. Six Sigma approach coupled
with simulation has been applied to reduce the patients discharge
time for pediatrics, female, and male departments at hospital. Upon
applying these recommendations at hospital: 60%, 80%, and 22% of
insured female, male, and pediatrics patients respectively will have
discharge time less than the upper specification time i.e. 50 min.
Abstract: The purpose of this study was to investigate the relationship between hope and resilience with work engagement. A total of 422 staff nurses working in three public hospitals in Peninsular Malaysia participated in this study. Statistical results using regression analysis revealed that hope and resilience were positively related to work engagement. Possible reasons for these findings, as well as their implications and future research directions are discussed.
Abstract: This paper proposes the use of Bayesian belief
networks (BBN) as a higher level of health risk assessment for a
dumping site of lead battery smelter factory. On the basis of the
epidemiological studies, the actual hospital attendance records and
expert experiences, the BBN is capable of capturing the probabilistic
relationships between the hazardous substances and their adverse
health effects, and accordingly inferring the morbidity of the adverse
health effects. The provision of the morbidity rates of the related
diseases is more informative and can alleviate the drawbacks of
conventional methods.
Abstract: The Beshar River is one aquatic ecosystem, which is
located next to the city of Yasuj in southern Iran. The Beshar river
has been contaminated by industrial factories such as effluent of
sugar factory, agricultural and other activities in this region such as,
Imam Sajjad hospital, drainage from agricultural farms, Yasuj urban
surface runoff and effluent of wastewater treatment plants ,specially
Yasuj waste water treatment plant. In order to evaluate the effects of
these pollutants on the quality of the Beshar river, five monitoring
stations were selected along its course. The first station is located
upstream of Yasuj near the Dehnow village; stations 2 to 4 are
located east, south and west of city; and the 5th station is located
downstream of Yasuj. Several water quality parameters were
sampled. These include pH, dissolved oxygen, biological oxygen
demand (BOD), temperature, conductivity, turbidity, total dissolved
solids and discharge or flow measurements. Water samples from the
five stations were collected and analyzed to determine the following
physicochemical parameters: EC, pH, T.D.S, T.H, No2, DO, BOD5,
COD during 2008 to 2010. The study shows that the BOD5 value of
station 1 is at a minimum (1.7 ppm) and increases downstream from
stations 2 to 4 to a maximum (11.6 ppm), and then decreases at
station 5. The DO values of station 1 is a maximum (8.45 ppm),
decreases downstream to stations 2 - 4 which are at a minimum (3.1
ppm), before increasing at station 5. The amount of BOD and TDS
are highest at the 4th station and the amount of DO is lowest at this
station, marking the 4th station as more highly polluted than the
other stations .This study shows average amount of the water quality
parameters in first year of sampling (2008) have had a better quality
relation to third year in 2010 because of recent drought in this region
and pollutant increasing .As the Beshar river path after 5th station
goes through the mountain area with more slope and flow velocity
,so the physicochemical parameters improve at the 5th station due to
pollutant degradation and dilution. Finally the point and nonpoint
pollutant sources of Beshar river were determined and compared to
the monitoring results.
Abstract: PARADIGMA (PARticipative Approach to DIsease
Global Management) is a pilot project which aims to develop and
demonstrate an Internet based reference framework to share scientific
resources and findings in the treatment of major diseases.
PARADIGMA defines and disseminates a common methodology and
optimised protocols (Clinical Pathways) to support service functions
directed to patients and individuals on matters like prevention, posthospitalisation
support and awareness. PARADIGMA will provide a
platform of information services - user oriented and optimised
against social, cultural and technological constraints - supporting the
Health Care Global System of the Euro-Mediterranean Community
in a continuous improvement process.
Abstract: Minor law breaking seems more and more to be a part
of adolescence behavior. An important risk factor which seems to
influence delinquency appears to be the socio-economic one.
According to Romanian statistics, during the first six months of 2012,
1,378 minors have committed various crimes, the most common
being theft, sexual offenses and violent assaults. Drug-related
offenses did not reach the gravity of those from high income
countries of the European Union, but have a continuous upward
during the last years.
The aim of our research was to examine whether delinquency in
adolescence is correlated to mental disorders or socio-economic and
familial factors. Forensic psychiatric expertise was performed to 79
adolescents who committed offenses between 01 January 2012 and
31 December 2012. Teenagers, with ages between 12 and 17, were
examined by day hospitalization in the University Clinic of
Psychiatry Craiova.
Abstract: Deaths from cardiovascular diseases have decreased substantially over the past two decades, largely as a result of advances in acute care and cardiac surgery. These developments have produced a growing population of patients who have survived a myocardial infarction. These patients need to be continuously monitored so that the initiation of treatment can be given within the crucial golden hour. The available conventional methods of monitoring mostly perform offline analysis and restrict the mobility of these patients within a hospital or room. Hence the aim of this paper is to design a Portable Cardiac Telemedicine System to aid the patients to regain their independence and return to an active work schedule, there by improving the psychological well being. The portable telemedicine system consists of a Wearable ECG Transmitter (WET) and a slightly modified mobile phone, which has an inbuilt ECG analyzer. The WET is placed on the body of the patient that continuously acquires the ECG signals from the high-risk cardiac patients who can move around anywhere. This WET transmits the ECG to the patient-s Bluetooth enabled mobile phone using blue tooth technology. The ECG analyzer inbuilt in the mobile phone continuously analyzes the heartbeats derived from the received ECG signals. In case of any panic condition, the mobile phone alerts the patients care taker by an SMS and initiates the transmission of a sample ECG signal to the doctor, via the mobile network.
Abstract: In this paper, we present user pattern learning
algorithm based MDSS (Medical Decision support system) under
ubiquitous. Most of researches are focus on hardware system, hospital
management and whole concept of ubiquitous environment even
though it is hard to implement. Our objective of this paper is to design
a MDSS framework. It helps to patient for medical treatment and
prevention of the high risk patient (COPD, heart disease, Diabetes).
This framework consist database, CAD (Computer Aided diagnosis
support system) and CAP (computer aided user vital sign prediction
system). It can be applied to develop user pattern learning algorithm
based MDSS for homecare and silver town service. Especially this
CAD has wise decision making competency. It compares current vital
sign with user-s normal condition pattern data. In addition, the CAP
computes user vital sign prediction using past data of the patient. The
novel approach is using neural network method, wireless vital sign
acquisition devices and personal computer DB system. An intelligent
agent based MDSS will help elder people and high risk patients to
prevent sudden death and disease, the physician to get the online
access to patients- data, the plan of medication service priority (e.g.
emergency case).
Abstract: According to the statistics, the prevalence of congenital hearing loss in Taiwan is approximately six thousandths; furthermore, one thousandths of infants have severe hearing impairment. Hearing ability during infancy has significant impact in the development of children-s oral expressions, language maturity, cognitive performance, education ability and social behaviors in the future. Although most children born with hearing impairment have sensorineural hearing loss, almost every child more or less still retains some residual hearing. If provided with a hearing aid or cochlear implant (a bionic ear) timely in addition to hearing speech training, even severely hearing-impaired children can still learn to talk. On the other hand, those who failed to be diagnosed and thus unable to begin hearing and speech rehabilitations on a timely manner might lose an important opportunity to live a complete and healthy life. Eventually, the lack of hearing and speaking ability will affect the development of both mental and physical functions, intelligence, and social adaptability. Not only will this problem result in an irreparable regret to the hearing-impaired child for the life time, but also create a heavy burden for the family and society. Therefore, it is necessary to establish a set of computer-assisted predictive model that can accurately detect and help diagnose newborn hearing loss so that early interventions can be provided timely to eliminate waste of medical resources. This study uses information from the neonatal database of the case hospital as the subjects, adopting two different analysis methods of using support vector machine (SVM) for model predictions and using logistic regression to conduct factor screening prior to model predictions in SVM to examine the results. The results indicate that prediction accuracy is as high as 96.43% when the factors are screened and selected through logistic regression. Hence, the model constructed in this study will have real help in clinical diagnosis for the physicians and actually beneficial to the early interventions of newborn hearing impairment.
Abstract: Dengue fever has become a major concern for health
authorities all over the world particularly in the tropical countries.
These countries, in particular are experiencing the most worrying
outbreak of dengue fever (DF) and dengue haemorrhagic fever
(DHF). The DF and DHF epidemics, thus, have become the main
causes of hospital admissions and deaths in Malaysia. This paper,
therefore, attempts to examine the environmental factors that may
influence the recent dengue outbreak. The aim of this study is twofold,
firstly is to establish a statistical model to describe the
relationship between the number of dengue cases and a range of
explanatory variables and secondly, to identify the lag operator for
explanatory variables which affect the dengue incidence the most.
The explanatory variables involved include the level of cloud cover,
percentage of relative humidity, amount of rainfall, maximum
temperature, minimum temperature and wind speed. The Poisson and
Negative Binomial regression analyses were used in this study. The
results of the analyses on the 915 observations (daily data taken from
July 2006 to Dec 2008), reveal that the climatic factors comprising of
daily temperature and wind speed were found to significantly
influence the incidence of dengue fever after 2 and 3 weeks of their
occurrences. The effect of humidity, on the other hand, appears to be
significant only after 2 weeks.
Abstract: The National Blood Center, Thai Red Cross Society is
responsible for providing blood to hospitals all over the country.
When any hospital needs blood, it will have to send the vehicle to
pick up at the NBC. There are a lot of vehicles to pick up blood at the
NBC every day. Each vehicle is usually empty for inbound trip and a
little loaded for outbound. The NBC realized such waste or loss and
there have been the third party offered to distribute blood and charge
for fee. This paper proposes to apply the vehicle routing problem
(VRP) for estimating the fair price. The idea is tested with the real
data during seven-day period of 6 – 12 July 2010 to estimate the fair
price for transporting blood in Bangkok Metropolitan Region.
Abstract: The sanitary sewerage connection rate becomes an
important indicator of advanced cities. Following the construction of
sanitary sewerages, the maintenance and management systems are
required for keeping pipelines and facilities functioning well. These
maintenance tasks often require sewer workers to enter the manholes
and the pipelines, which are confined spaces short of natural
ventilation and full of hazardous substances. Working in sewers could
be easily exposed to a risk of adverse health effects. This paper
proposes the use of Bayesian belief networks (BBN) as a higher level
of noncarcinogenic health risk assessment of sewer workers. On the
basis of the epidemiological studies, the actual hospital attendance
records and expert experiences, the BBN is capable of capturing the
probabilistic relationships between the hazardous substances in sewers
and their adverse health effects, and accordingly inferring the
morbidity and mortality of the adverse health effects. The provision of
the morbidity and mortality rates of the related diseases is more
informative and can alleviate the drawbacks of conventional methods.
Abstract: Abstract–The objectives of the current study are to determine the
prevalence, etiological agents, drug susceptibility pattern and plasmid
profile of Acinetobacter baumannii isolates from Hospital-Acquired
Infections (HAI) at Community Hospital, Al Jouf Province, Saudi
Arabia. A total of 1890 patients had developed infection during
hospital admission and were included in the study. Among those who
developed nosocomial infections, 15(9.4), 10(2.7) and 118 (12.7) had
respiratory tract infection (RTI), blood stream infections (BSI) and
urinary tract (UTI) respectively. A total of 268 bacterial isolates were
isolated from nosocomial infection. S. aureus was reported in 23.5%
for of the total isolates followed by Klebsiella pneumoniae (17.5%), E.
coli (17.2%), P. aeruginosa (11.9%), coagulase negative
staphylococcus (9%), A. baumannii (7.1%), Enterobacter spp.
(3.4%), Citrobacter freundii (3%), Proteus mirabilis (2.6%), and
Proteus vulgaris and Enterococcous faecalis (0.7%). Isolated
organisms are multi-drug resistant, predominantly Gram-positive
pathogens with a high incidence of methicillin-resistant S. aureus,
extended spectrum beta lactamase and vancomycin resistant
enterococci organisms. The RFLP (Fragment Length Polymorphisms)
patterns of plasmid preparations from isolated A. baumannii isolates
had altered RFLP patterns, possibly due to the presence of plasmid(s).
Five A. baumannii isolates harbored plasmids all of which were not
less than 2.71kbp in molecular weight. Hence, it showed that the gene
coding for the isolates were located on the plasmid DNA while the
remaining isolates which have no plasmid might showed gene coding
for antibiotic resistance being located on chromosomal DNA.
Nosocomial infections represent a current problem in Community
Hospital, Al Jouf Province, Saudi Arabia. Problems associated with
SSI include infection with multidrug resistant pathogens which are
difficult to treat and are associated with increased mortality.
Abstract: Our Medicine-oriented research is based on a medical
data set of real patients. It is a security problem to share
patient private data with peoples other than clinician or hospital
staff. We have to remove person identification information
from medical data. The medical data without private data
are available after a de-identification process for any research
purposes. In this paper, we introduce an universal automatic
rule-based de-identification application to do all this stuff on an
heterogeneous medical data. A patient private identification is
replaced by an unique identification number, even in burnedin
annotation in pixel data. The identical identification is used
for all patient medical data, so it keeps relationships in a data.
Hospital can take an advantage of a research feedback based
on results.
Abstract: Nurses in an Armed Force Hospital (AFH) expose to stronger stress than those in a civil hospital, especially in an emergency department (ED). Ironically, stresses of these nurses received few if any attention in academic research in the past. This study collects 227 samples from the emergency departments of four armed force hospitals in central and southern Taiwan. The research indicates that the top five stressors are a massive casualty event, delayed physician support, overloads of routine work, overloads of assignments, and annoying paper work. Excessive work loading was found to be the primary source of stress. Nurses who were perceived to have greater stress levels were more inclined to deploy emotion-oriented approaches and more likely to seek job rotations. Professional stressors and problem-oriented approaches were positively correlated. Unlike other local studies, this study concludes that the excessive work-loading is more stressful in an AFH.
Abstract: This paper describes a novel and effective approach to content-based image retrieval (CBIR) that represents each image in the database by a vector of feature values called “Standard deviation of mean vectors of color distribution of rows and columns of images for CBIR". In many areas of commerce, government, academia, and hospitals, large collections of digital images are being created. This paper describes the approach that uses contents as feature vector for retrieval of similar images. There are several classes of features that are used to specify queries: colour, texture, shape, spatial layout. Colour features are often easily obtained directly from the pixel intensities. In this paper feature extraction is done for the texture descriptor that is 'variance' and 'Variance of Variances'. First standard deviation of each row and column mean is calculated for R, G, and B planes. These six values are obtained for one image which acts as a feature vector. Secondly we calculate variance of the row and column of R, G and B planes of an image. Then six standard deviations of these variance sequences are calculated to form a feature vector of dimension six. We applied our approach to a database of 300 BMP images. We have determined the capability of automatic indexing by analyzing image content: color and texture as features and by applying a similarity measure Euclidean distance.
Abstract: Object: Review recent publications of patient safety
culture to investigate the relationship between leadership behavior,
safety culture, and safety performance in the healthcare industry.
Method: This study is a cross-sectional study, 350 questionnaires were
mailed to hospital workers with 195 valid responses obtained, and a
55.7% valid response rate. Confirmatory factor analysis (CFA) was
carried out to test the factor structure and determine if the composite
reliability was significant with a factor loading of >0.5, resulting in an
acceptable model fit. Results: Through the analysis of One-way
ANOVA, the results showed that physicians significantly have more
negative patient safety culture perceptions and safety performance
perceptions than non- physicians. Conclusions: The path analysis
results show that leadership behavior affects safety culture and safety
performance in the health care industry. Safety performance was
affected and improved with contingency leadership and a positive
patient safety organization culture. The study suggests improving
safety performance by providing a well-managed system that
includes: consideration of leadership, hospital worker training
courses, and a solid safety reporting system.
Abstract: Management Systems are powerful tools for businesses
to manage quality , environmental and occupational health and safety
requirements . where once these systems were considered as stand
alone control mechanisms , industry is now opting to increase the
efficiency of these documented systems through a more integrated
approach . System integration offers a significant step forward, where
there are similarities between system components , reducing
duplication and adminstration costs and increasing efficiency .
At first , this paper reviews integrated management system structure
and its benefits. The second part of this paper focuses on the one
example implementation of such a system at Imam Khomeini
Hospital and in final part of the paper will be discuss outcomes of
that proccess .