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Implementing a closed loop clinical decision support system for sustainable preoperative care.
NPJ Digit Med
January 2025
Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain.
Unnecessary preoperative testing poses a risk to patient safety, causes surgical delays, and increases healthcare costs. We describe the effects of implementing a fully EHR-integrated closed-loop clinical decision support system (CDSS) for placing automatic preprocedural test orders at two teaching hospitals in Madrid, Spain. Interrupted time series analysis was performed to evaluate changes in rates of preoperative testing after CDSS implementation, which took place from September 2019 to December 2019.
View Article and Find Full Text PDFpyAKI-An open source solution to automated acute kidney injury classification.
PLoS One
January 2025
Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital Müunster, Müunster, Germany.
Article Synopsis
- Acute kidney injury (AKI) affects a significant number of critically ill patients, with the lack of standardized tools for implementing KDIGO criteria creating challenges for researchers.
- The pyAKI pipeline was developed to address these issues, using the MIMIC-IV database to establish a standardized model for consistent AKI diagnosis.
- Validation tests showed that pyAKI performs better than human annotations, achieving perfect accuracy and offering a valuable resource for clinicians and data scientists in AKI research.
Introduction: Ethiopia has made notable progress in reducing maternal and perinatal mortality, yet challenges remain in meeting the 2030 Sustainable Development Goals. Persistent issues such as low service utilization, coupled with poor quality, fragmented care, and ineffective referral systems hinder progress. The "Improve Primary Health Care Service Delivery (IPHCSD)" project, implemented by JSI and Amref Health Africa since April 2022, seeks to address these gaps through a Networks of Care (NoCs) approach.
View Article and Find Full Text PDFExpanded Negative Electrostatic Network-Assisted Seawater Oxidation and High-Salinity Seawater Reutilization.
ACS Nano
January 2025
College of Chemistry Chemical Engineering and Materials Science, Shandong Normal University, Jinan, Shandong 250014, China.
Coastal/offshore renewable energy sources combined with seawater splitting offer an attractive means for large-scale H electrosynthesis in the future. However, designing anodes proves rather challenging, as surface chlorine chemistry must be blocked, particularly at high current densities (). Additionally, waste seawater with increased salinity produced after long-term electrolysis would impair the whole process sustainability.
View Article and Find Full Text PDFRobotic sugarbaker parastomal hernia repair: updated series and outcomes.
Hernia
January 2025
Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive Suite 300, Charlotte, NC, 28204, USA.
Purpose: To present updated outcomes after previously describing a novel technique for the robotic repair of parastomal hernias.
Methods: Patients who underwent parastomal hernia repair with a robotic Sugarbaker technique at a tertiary hernia center were identified from an institutional database. The approach involves mesh placement in the intraperitoneal or preperitoneal position after closure of the fascial defect.
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