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Requirements Triage - Challenges and Solutions [  [PDF]
Sairam Vakkalanka,Ranjith Engu
International Journal of Software Engineering & Applications , 2012,
Abstract: This paper presents a discussion on the process of requirements triage in market driven requirements engineering and also reports the challenges, consequences, solutions and the experiences with the proposed solutions. Analyses of the observed results are also presented by the authors before conclusion.
Heroes’ Dilemma and Believers’ Dilemma  [PDF]
Ismael Tabu?ar Fortunado
Open Journal of Philosophy (OJPP) , 2016, DOI: 10.4236/ojpp.2016.63024
Abstract: Based on our knowledge, understanding, and wisdom, we choose. We sometimes cannot choose both, two or more and nothing. We either believe what we choose or not because of our intentions. Heroes’ dilemma and Believers’ dilemma are about two choices that both have negative results when chosen, but the person may choose the one better than the other based on his character. The author gave twelve examples, eight examples for heroes’ dilemma and four examples for believers’ dilemma. The choice is the good. Heroes’ dilemma requires an act of heroism and believers’ dilemma requires an act of courage. Actions analyses and textual analyses are observed.
START Triage Scale in Disasters
Galip Usta, Kemal Torpus, Ucar Kucuk
Dogal Afetler ve Cevre Dergisi , 2017, DOI: 10.21324/dacd.320067
Abstract: Disasters are events that occur since the beginning of time. When previous records are investigated, information on various types of disasters occurred in different parts of the World are encountered. Disasters occur unexpectedly and require constant state of preparedness. No matter how extensive the precautions are, disasters cannot be prevented, but the precautions significantly contribute to the reduction of negative consequences to a minimum. In this context, response plans to events that may occur are as important as the preparedness plans. Responding to disaster victims on time, correctly and efficiently reduces the mortality rate to a minimum as well as increasing the survival rate. Correct classification of the victims based on the life threatening events or the priority of their injuries, providing transport, and ensuring each individual receives emergency aid should be the main goals of triage. That is, to be the most helpful to as many injured people as one can by using the limited opportunities available. A successfully performed triage not only increases the success of the healthcare team’s response, it also enables healthy execution of scene management. In this study, the aim is to provide information about START scale composed of the first letters of “Simple Triage And Rapid Treatment” that has been developed and accepted to be used in mass events.
An Ever Expanding Universe?  [PDF]
B. G. Sidharth
Physics , 1998,
Abstract: It is pointed out that very recent results based on supernovae observations that the universe will accelerate and expand for ever with ever decreasing density have been predicted in a recent cosmological model which also deduces hitherto purely empirical features like the mysterious relation between the pion mass and the Hubble Constant.
Emergency department triage: an ethical analysis
Ramesh P Aacharya, Chris Gastmans, Yvonne Denier
BMC Emergency Medicine , 2011, DOI: 10.1186/1471-227x-11-16
Abstract: In emergency department triage, medical care might lead to adverse consequences like delay in providing care, compromise in privacy and confidentiality, poor physician-patient communication, failing to provide the necessary care altogether, or even having to decide whose life to save when not everyone can be saved. These consequences challenge the ethical quality of emergency care. This article provides an ethical analysis of "routine" emergency department triage. The four principles of biomedical ethics - viz. respect for autonomy, beneficence, nonmaleficence and justice provide the starting point and help us to identify the ethical challenges of emergency department triage. However, they do not offer a comprehensive ethical view. To address the ethical issues of emergency department triage from a more comprehensive ethical view, the care ethics perspective offers additional insights.We integrate the results from the analysis using four principles of biomedical ethics into care ethics perspective on triage and propose an integrated clinically and ethically based framework of emergency department triage planning, as seen from a comprehensive ethics perspective that incorporates both the principles-based and care-oriented approach.Emergency care is one of the most sensitive areas of health care. This sensitivity is commonly based on a combination of factors such as urgency and crowding [1]. Urgency of care results from a combination of physical and psychological distress, which appears in all emergency situations in which a sudden, unexpected, agonizing and at times life threatening condition leads a patient to the emergency department (ED).The Australasian College for Emergency Medicine (ACEM) defines ED overcrowding as the situation where ED function is impeded primarily because the number of patients waiting to be seen, undergoing assessment and treatment, or waiting to leave exceeds the physical and/or staffing capacity of the ED [2]. ED overcrowding is a common
Opening the Field of Nanoethics (editorial)
Bernadette Bensaude-Vincent
Hyle : International Journal for Philosophy of Chemistry , 2010,
Abstract: editorial of Opening the Field of Nanoethics
Can a course modify the quality of triage in ER?
Nicola Parenti,Andrea Zardi,Roberta Manfredi,Diego Sangiorgi
Emergency Care Journal , 2009, DOI: 10.4081/ecj.2009.3.16
Abstract: All international Societies of Emergency Medicine have developed and promote courses on triage methods and guidelines, given their fundamental role in improving initial evaluation of patients in Emergency Department settings. However, as far as we know, few studies analyse the effect of triage courses on the allocation of priority codes. Since 2001, the Intra-Hospital Triage Guidelines have been implemented in Imola, where they are disseminated and illustrated in two-day courses. In this study, we analysed the effect of a two-day triage course on the quality of priority code allocation to patients evaluated at our ER. The Triage Guidelines course appears to improve two of the quality indicators analysed: observance of documentation standards and compliance with Triage Guidelines.
Guidelines for Field Triage of Injuried Patients
Chakravarthy, Bharath,McCoy, Christopher Eric,Lotfipour, Shahram
Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health , 2013,
Abstract: The Centers for Disease Control and Prevention (CDC) has published significant data and trends related to the national public health burden associated with trauma and injury. In the United States (U.S.), injury is the leading cause of death for persons aged 1-44 years. In 2008, approximately 30 million injuries resulted in an emergency department (ED) evaluation; 5.4 million (18%) of these patients were transported by Emergency Medical Services (EMS).1 EMS providers determine the severity of injury and begin initial management at the scene. The decisions to transport injured patients to the appropriate hospital are made through a process known as “field triage.” Since 1986, the American College of Surgeons Committee on Trauma (ACS-COT) has provided guidance for the field triage process though its “Field Triage Decision Scheme.” In 2005, the CDC, with financial support from the National Highway Traffic Safety Administration (NHTSA), collaborated with ASC-COT to convene the initial meeting of the National Expert Panel on Field Triage (the Panel) to revise the decision scheme. This revised version was published in 2006 by ASC-COT, and in 2009 the CDC published a detailed description of the scientific rational for revising the field triage criteria entitled, “Guidelines for FieldTriage of Injured Patients.”2-3 In 2011, the CDC reconvened the Panel to review the 2006 Guidelines and recommend any needed changes. We present the methodology, findings and updated guidelines from the Morbidity & Mortality Weekly Report (MMWR) from the 2011 Panel along with commentary on the burden of injury in the U.S., and the role emergency physicians have in impacting morbidity and mortality at the population level. [West J Emerg Med. 2013;14(1):69-76.]
Reliability and effectiveness of a 4-level emergency triage
Nicola Parenti,Maria Letizia Bacchi Reggiani,Diego Sangiorgi,Tiziano Lenzi
Emergency Care Journal , 2008, DOI: 10.4081/ecj.2008.5.30
Abstract: Italian guidelines require a 4-level in hospital triage based on an acuity scale measurement, but they don’t suggest common guidelines neither which triage models to adopt. Thus each hospital developed own triage guidelines based on consensus. But, to our knowledge, there aren’t data on the reliability and predictive validity of triage systems adopted by Italian Emergency Department. Also in the ED of Imola, a triage working group developed Guidelines on triage in 2001. In this study we measured the reliability and predictive validity of the Imola Triage Guidelines (LGTI).
Slowly Oscillating Continuity  [PDF]
H. akalli
Abstract and Applied Analysis , 2008, DOI: 10.1155/2008/485706
Abstract: A function is continuous if and only if, for each point 0 in the domain, lim→∞()=(0), whenever lim→∞=0. This is equivalent to the statement that (()) is a convergent sequence whenever () is convergent. The concept of slowly oscillating continuity is defined in the sense that a function is slowly oscillating continuous if it transforms slowly oscillating sequences to slowly oscillating sequences, that is, (()) is slowly oscillating whenever () is slowly oscillating. A sequence () of points in is slowly oscillating if lim→1
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