ABSTRACT
<b>Objective: </b>Numerous new drugs have been developed in recent years, making the available types of prescription drugs quite diverse, with increasingly more complex drug interactions. From an operations support system perspective, hospitals that cannot incorporate a large-scale custom-order system because of financial or use-efficiency limitations have no choice but to rely on commercial products. However, this leaves many problems unsolved, such as functional restrictions and limited specifications. In this study, we used Microsoft®Visual Basic®for Application (VBA) to develop an economical drug discrimination system suited to our situation and equipped with original function from the perspective of clinical pharmacists.<br><b>Design: </b>System design and development.<br><b>Methods: </b>We prototyped the system in VBA and used Microsoft®Excel®to create Query Tables. The utility of the new system was evaluated based on drug discrimination output and time required in each process.<br><b>Results: </b>The new system is capable of inter-database communication and automated data analysis and uses drop-down lists of pre-defined options for data input in many places. Compared with the conventional method, the new system enabled us to significantly reduce the average time needed to input and confirm data by as much as 61.9%. This indicates that the new system can considerably reduce the time required for completing time-intensive processes and is also useful in preparing highly precise drug discrimination reports.<br><b>Conclusion: </b>Based on the results obtained so far, the new, original system, developed with zero design or development costs, is more efficient and offers more reliable information in the clinical setting than the conventional system. As a result, we are able to maintain operational quality and reduce the amount of time required for drug discrimination.
ABSTRACT
Between 1986 and 1992, 7 patients underwent 8 operations for isolated femoral arterial aneurysms. Three patients with iatrogenic pseudoaneurysms underwent direct closures of the punctured hole. Three patients with either arteriosclerotic or mucoid-degenerative aneurysms underwent aneurysmectomy and reconstruction of the femoral artery by means of the graft. One patient with anastomotic false aneurysm underwent aneurysmectomy and patch-plasty. Four years after the surgery, the same patient had a recurrent anastomotic aneurysm, which was resected and replaced by means of the graft. The results were good in all 7 patients, while 3 had minor complications. It is most important to select the appropriate procedure for the isolated femoral aneurysms which develop due to various causes.