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International Journal of Healthcare Systems Engineering最新文献

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Analytical Solution of the Stationary Subcritical Flow of a Gaseous Coolant in the Branches of the Heat Exchange Pipelines of the Apparatus 气体冷却剂在装置热交换管道分支中稳定亚临界流动的解析解
Pub Date : 2021-12-31 DOI: 10.35840/2633-8939/7207
Lobanov Ie
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引用次数: 0
Decreases in COVID-19 are Related to Levels of Vaccination in 2947 Counties in the US COVID-19的下降与美国2947个县的疫苗接种水平有关
Pub Date : 2021-12-31 DOI: 10.35840/2633-8939/7210
Craine Roger
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引用次数: 0
Theoretical and Conceptual Issues in Research Related to Health System Readiness and Response in Pandemic Outbreaks 大流行爆发时卫生系统准备和反应研究中的理论和概念问题
Pub Date : 2021-12-31 DOI: 10.35840/2633-8939/7206
N MkantaWilliam, Sanyang Edrisa, Lartey Grace
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引用次数: 0
Analysis of Workflow in Chemotherapy Clinical Practice 化疗临床工作流程分析
Pub Date : 2021-12-31 DOI: 10.35840/2633-8939/7208
Boloori Alireza, F. John, M. Srimathy, Gopalakrishnan Mohan, A BetcherJeffrey, M AltmanKristin, G CollinsJames, H BryceAlan, Mesa Ruben
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引用次数: 0
Design Feasibility Study of PET/CT Facility in Iraq 伊拉克PET/CT设施设计可行性研究
Pub Date : 2021-12-31 DOI: 10.35840/2633-8939/7209
Lafta Hassanain Ali, Zamil Shatha Yaseen
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引用次数: 0
Generating Additional Innovation and Research Opportunities during COVID 19 in Device and Technology Development and Associated Clinical, Patient, and Research Activity Benefits through a Clinical Engineering Innovation and Research Team (CEIR) 在2019冠状病毒病期间,通过临床工程创新和研究团队(CEIR)在设备和技术开发以及相关临床、患者和研究活动方面创造更多创新和研究机会
Pub Date : 2021-03-06 DOI: 10.35840/2633-8939/7205
Hopkins Chris
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引用次数: 0
Identification of Criteria for Patient Prioritization in Two Specialized Rehabilitation Programs: A Consensus-Seeking Method 确定两种专业康复方案中患者优先顺序的标准:一种寻求共识的方法
Pub Date : 2020-12-31 DOI: 10.35840/ijhse/7204
D. Julien, R. Ángel, Routhier François, G. Marie-Pierre, Côté André, Ait-Kadi Daoud, Bélanger Valérie, Lamontagne Marie-Eve
Patient prioritization, which is the process of ranking in a certain order based on various criteria, might be a good strategy to help manage access to healthcare services in a fair and equitable manner. It implies a decision-making process about prioritization criteria, and diverges substantially across programs. This process should thus be performed using a rigorous process that considers the various needs of the patients and evaluates them in a valid and reliable manner using prioritization tools carefully designed. In such tools, the prioritization criteria are often not standardized, not evidence-based or only based on individual clinical judgment. There is a need to document the criteria in rehabilitation programs. The aim of our study is to use a group method to obtain a consensus about patient prioritization criteria in two rehabilitation programs. We performed a group consensus-seeking method, Technique for Research of Information by Animation of a Group of Experts aiming to select prioritization criteria, which combines an individual and a group phase. Experts of both programs selected 10 criteria during a group discussion to prioritize patients in their respective programs. A group consensus method could promote a shared decision-making process between stakeholders to develop a prioritization tool in rehabilitation settings.
患者优先排序是根据各种标准按一定顺序排序的过程,这可能是一个很好的策略,有助于以公平和公平的方式管理获得医疗保健服务的机会。它意味着一个关于优先级标准的决策过程,并且在各个项目之间存在很大的分歧。因此,这一过程应采用严格的程序,考虑患者的各种需求,并使用精心设计的优先排序工具以有效和可靠的方式对其进行评估。在这些工具中,优先级标准往往没有标准化,没有证据或仅基于个人临床判断。有必要在康复项目中记录这些标准。本研究的目的是采用分组方法,在两种康复方案中获得关于患者优先级标准的共识。我们执行了一种群体共识寻求方法,一组专家的动画信息研究技术,旨在选择优先级标准,它结合了个人和群体阶段。两个项目的专家在小组讨论中选择了10个标准,以优先考虑各自项目的患者。群体共识方法可以促进利益相关者之间的共同决策过程,以开发康复环境中的优先排序工具。
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引用次数: 4
Designing Dementia Caregiver Empowerment Interventions through a Simulation: A Conceptualization Study 通过模拟设计痴呆照顾者赋权干预:一项概念化研究
Pub Date : 2019-12-31 DOI: 10.35840/IJHSE/7201
N. Rohith, S. Jackson, Seong Younho, McCullough Matthew, Lach John, B. Azziza, Anderson Martha, Newbold Temple
Agitation episodes influence the quality of life of both the person with dementia (PWD) and caregivers. Caregiving is challenging, with high workloads and barriers such as fatigue, lack of sleep, and unpredictable episodes of agitation among PWD. Advanced technologies such as cyber-human systems are increasingly considered as means to alleviate some of the stress experienced by caregivers of PWD. To ensure user-centered design of cyber-human systems, it is important to conceptualize the sociotechnical challenges using a cybersociophysical framework and problem space within the context of dementia caregiving, especially as it relates PWD agitation, a major contributor to psychosocial stress. An interdisciplinary collaboration was implemented to use a scaled world, and behavioral and computational simulation as a beginning step to conceptualize the cybersociophysical systems space and the complex interplay between physical space, environmental factors, and the dyad of study (caregiver + PWD). In this research, a simulation study was conducted to test a structural equation model (SEM) that demonstrated the influence of behavioral and environmental factors as well as caregiver disempowerment on agitation propensity. The outcomes of the SEM presented the possibility of developing interventions using simulated data and provided information to deploy a more effective approach in actual residential dwellings. Recommendations for future studies are to obtain frequent caregiver observations, apply a means to prioritize the most important environmental factors, and combine both psychometric measures and behavioral measures to identify antecedents to agitation.
躁动发作影响痴呆症患者(PWD)和护理者的生活质量。护理工作具有挑战性,工作量大,障碍重重,如疲劳、睡眠不足和不可预测的躁动发作。先进的技术,如网络-人类系统,越来越多地被认为是减轻残疾患者照顾者所经历的一些压力的手段。为了确保以用户为中心的网络-人类系统设计,在痴呆症护理的背景下,使用网络社会物理框架和问题空间来概念化社会技术挑战是很重要的,特别是因为它涉及到残疾患者的躁动,这是造成社会心理压力的主要因素。我们实施了一项跨学科的合作,使用一个缩放的世界,并将行为和计算模拟作为概念化网络社会物理系统空间以及物理空间、环境因素和研究二元(护理者+ PWD)之间复杂相互作用的第一步。本研究采用结构方程模型(SEM)进行模拟实验,验证了行为因素、环境因素以及照顾者失能对躁动倾向的影响。SEM的结果展示了利用模拟数据开发干预措施的可能性,并提供了在实际住宅中部署更有效方法的信息。对未来研究的建议是获得频繁的照顾者观察,应用一种方法来优先考虑最重要的环境因素,并结合心理测量和行为测量来确定躁动的前因。
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引用次数: 1
Assessment of Obstetric Fistula and Factors Associated among Women admitted to Jimma Medical Center, South West Ethiopia 埃塞俄比亚西南部吉马医疗中心收治的妇女产科瘘及其相关因素的评估
Pub Date : 2019-12-31 DOI: 10.35840/ijhse/7203
D. Bikila, A. Elisabeth
Background: Obstetric fistula is an injury that occurs during prolonged and obstructed labor causing tissue damage to organs inside the pelvis and result in urine and Fecal incontinence or both. It remains a major public health problem in areas where unattended obstructed labor is common. Methods: An institutional based cross sectional study design was used from February 1 to March 30-2016 to assess obstetric fistula and its associated factors among women. Convenient sampling technique was used for total sample size. Data was collected using structured interviewed questionnaire by 3 trained data collectors. Descriptive statistics was computed to summarize the data. Result: The total of 62 women was admitted to JUSTH gynecology ward from Feb-Apr 2013. Out of the total respondent 90.32% were developed Vesicovaginal fistula, 22.25% were developed Rectovaginal fistula and 3.2% were developed Recto-vesicovaginal fistula. Majority of the respondents were from the rural area and 50% were in age group 20-24. 66.12% of the respondents had no regular antenatal care follow-up. Among the respondents 87.09% were primiparous. About 56.45% of the cases were caused by obstructed labor and 22.58% were caused prolonged labor. Conclusion: Generally, prevention is better than cure. Preventing and managing fistula will contribute to achieving improving maternal and child health.
背景:产科瘘是在长时间难产过程中发生的一种损伤,引起骨盆内器官的组织损伤,并导致尿和大便失禁或两者兼有。在无人照料的难产现象普遍存在的地区,这仍然是一个重大的公共卫生问题。方法:采用基于机构的横断面研究设计,于2016年2月1日至3月30日评估女性产科瘘及其相关因素。总样本量采用方便抽样技术。数据收集采用结构化访谈问卷,由3名训练有素的数据收集人员进行。计算描述性统计来总结数据。结果:2013年2 - 4月,我院妇科共收治62例患者。其中膀胱阴道瘘90.32%,直肠阴道瘘22.25%,直肠膀胱阴道瘘3.2%。大多数受访者来自农村地区,50%的人年龄在20-24岁之间。66.12%的被调查者没有定期的产前保健随访。其中87.09%为初产妇。因难产所致占56.45%,因产程延长所致占22.58%。结论:一般情况下,预防胜于治疗。预防和管理瘘管病将有助于改善孕产妇和儿童健康。
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引用次数: 1
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International Journal of Healthcare Systems Engineering
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