In scheduling medical residents, the objective is often to maximize resident satisfaction across the space of feasible schedules, relative to the many hard constraints that ensure appropriate patient coverage, adequate training opportunities, etc. A common metric of resident satisfaction is the number of time-off requests that are granted. Simply maximizing this total, however, may lead to unde...

OBJECTIVE Turkey is a developing country undergoing a system change in the prehospital emergency medical services (EMS). The purpose of this study was to evaluate the effects of the institutional structure and legislative framework on the number of ambulance accidents in Turkey. METHODS During the first phase of the study, ambulance accident data was requested and obtained from the Ministry o...

BACKGROUND Confirmation of malaria and appropriate treatment are keys to malaria control. OBJECTIVE To determine the practice of malaria diagnosis and treatment in a Nigerian tertiary hospital. MATERIALS AND METHODS Retrospective review of patients' records at the Children's Clinic in UNTH. RESULTS Out of 6,684 children seen within the one year reviewed period, children diagnosed with mal...

BACKGROUND Emergency department (ED) delays have multiple causes and create frustration for patients and staff alike. METHODS New adult psychiatric ED consultations were studied. Elapsed time between workflow stages was tested as a predictor of total time from triage to disposition. To expedite interviews a one-page form was provided for interested patients to complete before psychiatric eval...

In this paper, we propose an information exchange framework suited for operating in time-critical environments where diverse heterogeneous sources may be involved. We utilize a request-response type of communication in order to eliminate the need for local collection of distributed information. We then introduce an ontological knowledge representation with a semantic reasoner that operates on a...

The Problem: The idea of ubiquitous a computing environment where sensors and devices exist everywhere around us has opened up interesting security and privacy issues. Imagine a scenario in which Ben is working in an intelligent room. He does not want to be disturbed by anyone, so he tells the intelligent room that he does not want to be reached by anyone in the next two hours unless it is an e...

objective: this study assessed the influence of maternal request on elective cesarean rate and related factors in maternity hospitals in tehran. materials and method: this cross sectional descriptive analytic study was performed via a two-step random sampling technique, using data from 824 pregnant women who attended the maternity hospitals in tehran in 2001. a questionnaire covering past and p...

OBJECTIVE To assess primary health care and emergency medical services performance for tuberculosis diagnosis. METHODS Cross-sectional study were conducted with 90 health professionals from primary health care and 68 from emergency medical services, in Ribeirao Preto, SP, Southeastern Brazil, in 2009. A structured questionnaire based on an instrument of tuberculosis care assessment was used. ...

All the way through cooperative behaviour of the vehicular nodes information dissemination in VANETs occurs. Vital information like traffic jam, emergency brake procedures, road conditions, accident warnings, bad weather conditions, etc are messages transmitted in vehicular network. Misbehaviours and false hindering is a serious issue in VANET if any vehicles maliciously send messages. Deviatio...

OBJECTIVES To study and to establish the overall trends of computed tomography (CT) use and associated outcomes in the pediatric emergency department (PED) at Royal Hospital, Oman, from 2010 to 2014. METHODS The hospital electronic medical record was retrospectively searched to find children (from birth to 12 years old) who had visited the PED and the number of CT requests between 1 January 2...