Venous Thromboembolism (vte) Harm Measurement And Risk Assessment In Real-Time Using Electronic Health Records(ehr)

Venous Thromboembolism (VTE) is a deadly disease and is considered as one of the top reasons for avoidable hospital deaths in the United States and around the world. Patients who survive this disease often must face life-long complications such as Post-thrombotic syndrome (PTS), Chronic thromboembolic pulmonary hypertension (CTPH), etc. Therefore, it is important to monitor and reduce the number of VTE instances in hospitals. This study shows how Electronic Health Records (EHRs) can be utilized to achieve this goal. First, a new near real-time VTE harm measurement model was developed. Not only the developed model can deliver near real-time results, but also it can outperform the existing PSI12 measurement model that uses administrative data (sensitivity 84% vs. 38% and NPV 99% vs. 95%). In the next step, Padua VTE risk assessment model was developed inside the EHR to deliver real-time VTE risk assessment. Retrospective data analysis was also performed to show how another risk assessment model (IMPROVE) can be developed inside EHR. Analysis were completed to show and compare the effectiveness of each model. Finally, the results of utilizing the developed models are presented in terms of contributions to savings for the health system as well as the number of lives saved

Report on Establishing Telemedicine Services in Iran

The speed of technological changes, the advent of new innovations, and the increasing competition have made the use of new technologies as the focus of the business firms and government. Information technology has had a great impact on health as one of the areas in human social life by forming the information societies. Currently, all the health care processes are highly depending on technology. Whereas its management, transmission, the distance elimination, the diagnosis speed, and the disease treatment are necessary issues. These two major subjects have led to the formation of a new branch in medical sciences called telemedicine technology. Considering numerous advantages of telemedicine technology, the necessity of applying this technology in developing countries, including our country- Iran- is inevitable (1). Providing telemedicine healthcare services essentially involves extensive implications in both ICT and medical services. The range of these concepts is so broad that it may be probable to consider telemedicine as a cultural issue applying the features of communication concepts in health care offer, beyond considering it as a service. It is necessary to a simple telephone communication to establish a psychotherapeutic service, to use smart agents in a trans-continental relationship, using vital signs and various medical images to identify and even treat a patient (2). Remote patient monitoring or telemedicine provides appropriate solutions in urgent medical assistance, long distance monitoring, the management and logistics, the quality assurance and supervision, as well as preparation and training of health care professionals. Telemedicine plays an important role even in the fight against communicable diseases, as well as in helping injured people in disasters and accidents (2,5). Telemedicine has been most beneficial to various healthcare services in some countries, particularly in developing countries such as Iran which faces unbalanced distribution of resources and specialists in various fields of medical sciences, and to make it available in all over the country. Telemedicine services provide the opportunity to improve both the quality and the availability of health care services regardless of the geographical limitations. These services also present numerous socio-economic benefits considering the significant return of resources to investors, service providers and equipment providers can be highly effective in optimizing the use of existing financial and human facilities and resources (7,6). Telemedicine requires careful planning and precise management to perform and develop the goals. Therefore, to achieve the above-mentioned objectives and using telemedicine in a large scale, it is required to evaluate the problems and the performance of this system periodically by planning and making useful changes to overcome them and thereby improve the status quo. Although remote patient monitoring or telemedicine services have great potentials and provide significant long-term benefits to the healthcare system, especially in a country such as Iran that it’s not possible to uniformly distribute power and health services in all areas, the optimal use of this system requires the provision of resources and essential infrastructures in addition to resolve the problems and eliminating the shortcomings. It is also worth noting that for the useful and continuous application of this system, the geographical facilities and limitations of each satellite center should be considered as the reference when deciding to provide the necessary infrastructure. To increase the efficiency and purpose of this system, it is better to first investigate the requirements and shortages of each region in the fields of medical specialties as well as the prevalent diseases and health problems of the region, considering which disease and consultation with which of the specialized and technical services are considered. Besides, due to the recent advent of telemedicine consultation system in our country's health care system and its failure to implement routinely as a result of the inadequate acceptance by physicians, and the consulting hospitals' personnel, it is better to select the satellite centers ensured that there were sufficient psychological acceptance and the willingness to cooperate in the project and to prevent the imposition of this system on recipient counseling centers, which has a deterrent role in helping physicians and nurses work together to advance this plan. In the end, it is necessary to spend sufficient funds and using experiences obtained from the present plan, increasing the number and quality of this type of counseling to be more accurate than the evaluation of the medical consulting system, especially in terms of cost-effectiveness

The Effect of Working Memory Tra

Working memory plays an important role in learning since it serves as the buffer between past sensations and future behavior, making it essential to understand not only how we encode and recall sensory information in memory but also how we plan for its upcoming use. This study examined the effect of working memory training on vocabulary recall and retention of Iranian EFL learners using the dual N-back task technique. N-back requires the individual to remember an item that was presented a certain number of items previously. To this end, 50 EFL learners were randomly assigned to the experimental (n = 25) and control (n = 25) groups. The participants were taught 100 English words in 20 sessions. In each session, the experimental group also received a dual n-back task. After the treatment, immediate and delayed vocabulary posttests were administered. The obtained data were analyzed through two-way repeated-measures ANOVA and independent samples t-tests. The results showed that the experimental group outperformed the control group in target words’ recall and retention

The Architectural Formation of Stadiums in Different Periods of Time

Stadiums are places that can bring thousands of people together and create a very sensational architectural atmosphere. Unfortunately, they are seen as monumental objects in big cities and it is as if they were used as sculptures but it has to mention that they are durable volumes but have remained unknown in architectural studies. Looking at stadiums shows that their interior and exterior spaces should be interlocked and makes harmony as the exterior walls can create a city façade and the interior can make balance in people’s emotion, providing that the same regulations and codes should be applied to stadiums in order to increase the coherence with the city

The Architectural Formation of Stadiums in Different Periods of Time

Stadiums are places that can bring thousands of people together and create a very sensational architectural atmosphere. Unfortunately, they are seen as monumental objects in big cities and it is as if they were used as sculptures but it has to mention that they are durable volumes but have remained unknown in architectural studies. Looking at stadiums shows that their interior and exterior spaces should be interlocked and makes harmony as the exterior walls can create a city façade and the interior can make balance in people’s emotion, providing that the same regulations and codes should be applied to stadiums in order to increase the coherence with the city

Transmission electron microscopy study of nanostructured Nd-Fe-B hard magnetic materials.

In the present study the effect of melt spinning roll speed on mean grain size and magnetic properties of near stoichiometric Nd-Fe-B alloy ribbons is investigated. A decrease in the ribbon thickness and mean Nd2Fe14B grain size and improvement in magnetic properties, including remanence enhancement, were observed on increasing the roll speed, prior to vitrification and consequent collapse of properties at higher speeds. The effect of roll speed and also annealing temperature on the microstructure and the magnetic properties and hysteresis loops of the stoichiometric alloy were studied and it was found that optimum nanostructure and magnetic properties could be achieved for a range of roll speeds and annealing temperatures which makes it an attractive route for commercial production of this alloy. The effect of 0-3 at.% Ga substitution for Fe in the stoichiometric alloy of composition Fe82.3Nd11.8B5.9, produced by both optimally quenching and over-quenching and annealing were studied and compared. Broadly, comparable results for both sets with some improvement in coercivity were observed for up to 2 at.% Ga addition. The effect of 0-3 at.% Ga substitution for Fe were also investigated in over-quenched and optimally annealed substoichiometric alloy of composition Fe85.1Nd9B5.9 and were compared with those achieved for ribbons prepared by optimally quenched route. Inferior magnetic properties especially for jHc and (BH)max, were observed for over-quenched and annealed alloys compared with those prepared by directly quenching. The Ga addition did however result in some improvement in jHc and (BH)max, especially for the directly quenched alloy containing 1.5 at.% Ga. The microstructure of ribbon samples were studied extensively by TEM and, in addition to normal polygonal Nd2Fe14B grains, other more unusual morphologies such as spherical and plate like grains, were found in a number of samples. Various grain size distributions were also observed. Texture and the orientation relationship between a-Fe precipitates and Nd2Fe14B matrix were studied in the near stoichiometric sample containing 3 at.% Ga, melt spun at low roll speeds, and an attempt was made to identify additional phases observed in this sample. Some dislocation-type features found in some samples were also studied