Search results for "decision support"
showing 10 items of 377 documents
A score model for the continuous grading of early allograft dysfunction severity
2014
Early allograft dysfunction (EAD) dramatically influences graft and patient outcomes. A lack of consensus on an EAD definition hinders comparisons of liver transplant outcomes and management of recipients among and within centers. We sought to develop a model for the quantitative assessment of early allograft function [Model for Early Allograft Function Scoring (MEAF)] after transplantation. A retrospective study including 1026 consecutive liver transplants was performed for MEAF score development. Multivariate data analysis was used to select a small number of postoperative variables that adequately describe EAD. Then, the distribution of these variables was mathematically modeled to assig…
Simultaneous cardiocerebral embolization in patients with atrial fibrillation
2020
Current Strategies to Identify Patients That Will Benefit from TACE Treatment and Future Directions a Practical Step-by-Step Guide
2021
Abstract Treatment of hepatocellular carcinoma (HCC) depends on the stage of disease. In the Western Hemisphere, the Barcelona Clinic Liver Cancer classification (BCLC) is the preferred staging system. Approximately one-third of patients initially present with intermediate-stage disease. For these patients, transarterial chemoembolization (TACE) is the treatment of choice. However, the intermediate-stage comprises a heterogeneous subgroup of patients with considerable differences in tumor burden and liver function. In addition, differences in individual factors that are not captured by the BCLC framework, such as the tumor growth pattern, degree of hypervascularity, and vascular supply, com…
Towards a reduction of greenhouse gas emission from wastewater treatment plants: a new plant wide experimental and modelling approach
2016
The increasing interest in greenhouse gas (GHG) emissions from wastewater treatment plants (WWTPs) has led to the development of new tools for their design and management. Studies about gas emissions show that the sewer collection and the wastewater treatment plant are anthropogenic GHG potential sources, so they contribute to the climate change and air pollution. A wastewater treatment plant receives wastewater from sewers and, while produces treated water for discharge into surface water, emits the three major greenhouse gases, CO2, CH4, and N2O, during the treatment processes, and additional amounts of CO2 and CH4 from the energy demands (Bani Shahabadi et al., 2009). Indeed, energy cons…
Overvåking av vitale parametere i sykehus : En sammenligning av manuelle og elektroniske overvåkingssystemer
2018
Masteroppgave i helse- og sosialinformatikk HSI500 - Universitetet i Agder 2018 Adverse events can be avoided by timely recognition of derangements in vital signs. Sørlandet Hospital HF (SSHF) has implemented an Early Warning Score System named "TILT"; 2Early identification of life-threatening conditions”. In 2017 SSHF started a project that tested wireless sensors for continuous monitoring of vital signs on wards. Patients were monitored by sensors and vital signs were also measured by traditional means during the project period. The aim of this study was to examine compliance with the vital signs monitoring protocol, and to examine the benefits of an electronic system. The following quest…
Improving Economic Management Decisions in Forestry with the SorSim Assortment Model
2020
The sustainable supply of timber is one of the most important forest ecosystem services and a decisive factor determining the long-term profitability of forest enterprises. If timber production is to be economically viable, there must always be a way to analyse forest stands and trees felled for exploitation with regard to the wood assortments they contain. Only then can the expected timber yields, achieved by various silvicultural strategies or actions and different sorting options, be quantified with sufficient accuracy. The SorSim assortment simulator was developed for forest practitioners and forest scientists in Switzerland to realistically simulate the sorting of individual trees and …
Interactive multiobjective optimization for finding the most preferred exercise therapy modality in knee osteoarthritis
2022
Abstract Background There are no explicit guidelines or tools available to support clinicians in selecting exercise therapy modalities according to the characteristics of individual patients despite the apparent need. Objective This study develops a methodology based on a novel multiobjective optimization model and examines its feasibility as a decision support tool to support healthcare professionals in comparing different modalities and identifying the most preferred one based on a patient’s needs. Methods Thirty-one exercise therapy modalities were considered from 21 randomized controlled trials. A novel interactive multiobjective optimization model was designed to characterize the effic…
Development of prediction models for container traffic
2010
The purpose of the work described in this paper is to construct and implement prediction models for optimizing container handling in particular at Cagliari’s Terminal Container. Prediction models are based on heuristic algorithms such as neural networks and classification and regression trees and evolutionary algorithms such as Genetic Algorithms (GA) and Ant Colony Optimization (ACO). These models form part of a Web Oriented Decision Support System, for real time external data acquisition (GPS information, weather information, etc.), providing operators with the information processed in real time. The most commonly used parameter for assessing terminal performance is productivity, namely t…
Towards a New System for the Assessment of the Quality in Care Pathways: An Overview of Systematic Reviews.
2020
Clinical or care pathways are developed by a multidisciplinary team of healthcare practitioners, based on clinical evidence, and standardized processes. The evaluation of their framework/content quality is unclear. The aim of this study was to describe which tools and domains are able to critically evaluate the quality of clinical/care pathways. An overview of systematic reviews was conducted, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, using Medline, Embase, Science Citation Index, PsychInfo, CINAHL, and Cochrane Library, from 2015 to 2020, and with snowballing methods. The quality of the reviews was assessed with Assessment the Methodology of Systemati…