The Application of RFID in Emergency Medicine

Recently natural disasters and man-made calamities happened very frequently in Taiwan, some of which caused hundreds of inhabitants died and injured. The most important thing that makes the emergency medical treatment system work effectively during these catastrophes is dependent on the accuracy and immediacy of the information among ambulances, hospitals, fire bureaus, public health bureaus or offices, and emergency executive centers. With this information, the medical system can arrange the resources efficiently. Radio frequency identification (RFID) is a kind of wireless technology that it uses radio frequency (RF) to identify target objects. The characteristics of RFID are its identification and orientation. Through tracing electronic signals, RFID is able to identify, orientate and trace patients or medical materials directly and continuously. Thus, RFID can help managers of medical institutions to promote emergency medical treatment quality, reduce medical mistakes effectively, and increase efficiency and effectiveness in hospitals. A series of emergency medical delivery applications that use 915MHz RFID rings is developed in this paper. Through the help of RFID, the paper integrates the information of the whole emergency medical supply chain, and establishes a new model of emergency medical activities to solve the problems of information blocking among different medical rescue units. By solving these problems, the new model can enhance the rescue quality, reduce the damage of the disaster and strengthen the patient-oriented emergency care system

Analysis and Development of Emergency Management Information System for Railway Systems in Taiwan

Railway is one of the most efficient, convenient, and comfortable ways with maximum mobility to meet people. Railway accidents or disasters often cause delays and service interruptions, resulting in operational and other loss. Despite many railway systems in Taiwan having a variety of monitoring systems for natural disasters, they still need an efficient platform for the emergency management of disasters and accidents since time and efficiency are the keys to emergency management. This study aims to fill in this gap by developing an emergency management information system for Railway Systems in Taiwan, i.e. “Railway Emergency Management Information System”, to support railway emergency management center and its sub-divisions in resource management, communication, messaging, and information sharing among different groups. The system includes many features that will improve communications between emergency management center and the mobile emergency management center to facilitate the progress of the disaster control units and dispatching at the disaster site. The study’s information system has been designated by local railway administration as the core system and starts trial since February 2012. Information requirement analysis, framework and design of the aforementioned information system will be discussed in this paper. It is hoped that the present study's information system research will help improve the emergency response of railway administration and provide safer rail transport service for the passengers

(2,2 '-Bipyridine)(2-{1- 2-(dimethylamino)ethylimino ethyl}-4-methoxyphenolat o)copper(II) perchlorate

The Cu atom of the title complex, [Cu(C(13)H(19)N(2)O(2))(C(10)H(8)N(2))]ClO(4), has a distorted square-pyramidal geometry with all three of the donor atoms from the N, N', O-tridentate Schiff base ligand in the equatorial positions and the bipyridine N atoms in an equatorial-axial binding mode. The Cu atom is 0.1801 (11) angstrom above the N(3)O mean basal plane

Estrogen receptor alpha polymorphism is associated with pelvic organ prolapse risk

Estrogen and estrogen receptors are known to play important roles in the pathophysiology of pelvic organ prolapse (POP). We investigated whether estrogen receptor alpha (ER alpha) gene polymorphisms were associated with POP risk by conducting a case-control association study in 88 women with POP and 153 women without POP. Genotypes of the ER alpha (ESR1) gene polymorphisms (rs17847075, rs2207647, rs2234693, rs3798577, and rs2228480) were determined by polymerase chain reaction, followed by restriction fragment length polymorphism analysis. There was significant difference between women with and those without POP in the distribution of the ESR1 rs2228480 genotypes evaluated. By using multivariable logistic regression, age and ESR1 rs2228480 genotype GA were significantly associated with POP risk. Although the sample size of women with POP studied is small, the present study shows that ER alpha genotype may be associated with POP risk

Cost-effectiveness of Clinical Pathway in Coronary Artery Bypass Surgery

Few studies have been devoted to the exploration of the effect of clinical pathways on coronary artery diseases treated with coronary artery bypass (CAB) surgery. This study was aimed to investigate the cost and effectiveness of the clinical pathway on CAB surgery in a medical center. With a retrospective dataset in 2003-2007, 212 CAB surgery patients were included. Data of the costs and postoperative complication occurrence and length of stays were the focus and patient demographics, surgical risk indicator EuroSCORE, surgical conditions were collected. It revealed that there was differentiation across specified cost items in beating heart CAB surgery patients, but not for heart arrest CAB surgery patients with and without clinical pathways enrolled. In addition, there was no difference in postoperative complication occurrence in CAB surgery patients enrolled into clinical pathways. However, robotic beating heart CAB surgery patients enrolled clinical pathways were shown to have less postoperative ordinary ward stay than those not enrolled clinical pathways. CAB surgery patients' age and surgical risks were related to their postoperative lengths of stay to some extent

A high performance dye-sensitized solar cell with a novel nanocomposite film of PtNP/MWCNT on the counter electrode

An imide-functionalized material, poly(oxyethylene)-segmented polymer, was synthesized from the reaction of poly(oxyethylene) diamine of 2000 g mol(-1) M(w) and 4,4'-oxydiphthalic anhydride and used to disperse hybrid nanomaterials of platinum nanoparticles and multi-wall carbon nanotubes (PtNP/MWCNT). The composite material was spin-coated into film and further prepared as the counter electrode (PtNP/MWCNT-CE) for a dye-sensitized solar cell (DSSC). The short-circuit current density (J(SC)) and power-conversion efficiency (eta) of the DSSC with PtNP/MWCNT-CE were found to be 18.01 +/- 0.91 mA cm(-2) and 8.00 +/- 0.23%, respectively, while the corresponding values were 14.62 +/- 0.19 mA cm(-2) and 6.92 +/- 0.07% for a DSSC with a bare platinum counter electrode (Pt-CE). The presence and distribution of PtNP/MWCNT on the CE were characterized by using scanning electron microscopy (SEM), atomic force microscopy (AFM), energy dispersive spectroscopy (EDS), and X-ray diffraction (XRD). The attachment of PtNPs on MWCNTs was observed by transmission electron microscopy (TEM). Cyclic voltammetry (CV), incident-photo-to-current efficiency (IPCE) and electrochemical impedance spectra (EIS) were correlated to explain the efficacy of this nanocomposite system

The effects of the bacterial interaction with visible-light responsive titania photocatalyst on the bactericidal performance

Bactericidal activity of traditional titanium dioxide (TiO2) photocatalyst is effective only upon irradiation by ultraviolet light, which restricts the potential applications of TiO2 for use in our living environments. Recently carbon-containing TiO2 was found to be photoactive at visible-light illumination that affords the potential to overcome this problem; although, the bactericidal activity of these photocatalysts is relatively lower than conventional disinfectants. Evidenced from scanning electron microscopy and confocal Raman spectral mapping analysis, we found the interaction with bacteria was significantly enhanced in these anatase/rutile mixed-phase carbon-containing TiO2. Bacteria-killing experiments indicate that a significantly higher proportion of all tested pathogens including Staphylococcus aureus, Shigella flexneri and Acinetobacter baumannii, were eliminated by the new nanoparticle with higher bacterial interaction property. These findings suggest the created materials with high bacterial interaction ability might be a useful strategy to improve the antimicrobial activity of visible-light-activated TiO2

Role of Gallium-67 scintigraphy in the evaluation of occult sepsis in the medical ICU

Patients in intensive care units (ICUs) frequently have multiple infections or persistent fever despite management. The aim of this study was to evaluate the diagnostic contribution of gallium-67 scintigraphy in ICU patients with suspected occult sepsis. One hundred and seventeen patients (> 18 years) who had undergone gallium-67 scintigraphy in the ICU of our medical center over a 3-year period were retrospectively reviewed and analyzed. Patients were categorized into Group 1 (n = 84), those with a known infectious source, but who still had persistent fever or sepsis despite antibiotic treatment or abscess drainage; or Group 2 (n = 33), those without an evident infectious source after clinical, physical, and imaging studies. Among the 117 patients, 19 (16.2%) had a new diagnosis. In Group 1, 12 patients (14%) had a new infection, including pneumonia (4 patients), bed sore infection (2 patients), pulmonary tuberculosis (2 patients), leg cellulitis (1 patient), psoas muscle abscess (1 patient), osteomyelitis (1 patient), and infective endocarditis (1 patient). In Group 2, seven patients (21.2%) had a new infectious source, including septic arthritis (3 patients), osteomyelitis (2 patients), neck abscess (1 patient), and cholecystitis (1 patient). Significant differences were not observed between patients with positive and negative findings on gallium-67 scintigraphy in characteristics, underlying diseases, laboratory data, and outcomes. Gallium-67 scintigraphy helped to detect new or additional infectious sites, particularly bone, joint, and soft tissues. However, differences in hospital stay and mortality were not observed between patients with positive and negative findings

EGFR L858R Mutation and Polymorphisms of Genes Related to Estrogen Biosynthesis and Metabolism in Never-Smoking Female Lung Adenocarcinoma Patients

Purpose: To assess whether polymorphisms of genes related to estrogen biosynthesis and metabolism are associated with EGFR mutations. Experimental Design: We studied 617 patients with lung adenocarcinoma, including 302 never-smoking women. On the basis of multiple candidate genes approach, the effects of polymorphisms of CYP17, CYP19A1, ER alpha, and COMT in association with the occurrence of EGFR mutations were evaluated using logistic regression analysis. Results: In female never-smokers, significant associations with EGFR L858R mutation were found for the tetranucleotide (TTTA)(n) repeats in CYP19A1 (odds ratio, 2.6; 95%CI, 1.2-5.7 for 1 or 2 alleles with (TTTA)(n) repeats > 7 compared with both alleles with (TTTA) n repeats <= 7), and the rs2234693 in ERa (OR, 2.1; 95% CI, 1.1-4.0 for C/T and C/C genotypes compared with T/T genotype). The C/C genotype (vs. T/T genotype) of ERa was significantly associated with EGFR L858R mutation (OR, 3.0; 95% CI, 1.1-8.1), in-frame deletion (OR, 2.9; 95% CI, 1.1-7.6) and other mutations (OR, 4.3; 95% CI, 1.3-14.0). The genotype of COMT rs4680 was significantly associated with EGFR L858R mutation in female and male never-smokers showing OR's (95% CI) of 1.8 (1.0-3.2) and 3.6 (1.1-11.3), respectively, for genotypes G/A and G/G compared with genotype A/A. The number of risk alleles of CYP17, CYP19A1, ERa, and COMT was associated with an increasing OR of EGFR L858R mutation in female never-smokers (P = 0.0002 for trend). Conclusions: The L858R mutation of EGFR is associated with polymorphisms of genes related to estrogen biosynthesis and metabolism in never-smoking female lung adenocarcinoma patients. Clin Cancer Res; 17(8); 2149-58. (C) 2011 AACR