RESUMO
Objective@#To explore the application effect of intelligent assistant decision-making in the five-level triage of pediatric emergency department.@*Methods@#The patients treated in the pediatric emergency department of Xiamen Children′s Hospital using the intelligent assistant decision-making system were divided into two groups before and after one month.In March 2018, 17 900 cases were in the traditional group, and in April 2018, 18 590 cases were in the intelligent group.The traditional group conducted manual triage according to the five-level pre-screening and triage standard.The intelligent group conducted triage based on the self-developed intelligent assistant decision-making system.Intelligent assistant decision-making included automatic identification of whether vital signs data was abnormal and automatic provision of basis for triage level to help nurses confirm two major functions.The patients′ information were collected according to the established content, and the system would automatically identify and present according to the corresponding triage basis to determine the triage level.The two groups of children were compared and analyzed in terms of disease distribution, triage level, triage accuracy.The clinical application effect of the emergency pediatric pre-check triage system was evaluated.@*Results@#There was no significant difference in disease distribution between the two groups.The top three were respiratory diseases, infectious diseases and digestive diseases.In the comparison of waiting time between the two groups, the waiting time of grade Ⅲ, Ⅳ and Ⅴ patients in the intelligent group was shorter than that in the traditional group, the difference was statistically significant (P<0.05). The consistency of triage grade in the intelligent group was higher than that in the traditional group.The family satisfaction of children in the intelligent group of Ⅲ, Ⅳ, and Ⅴ grade was higher than that in the traditional group.@*Conclusion@#The application of intelligent assistant decision-making could improve the efficiency and accuracy of the pre-examination of the nurses, ensure the effectiveness of the triage and the safety of the children, and improve the satisfaction of family members.
RESUMO
Objective To explore the application effect of intelligent assistant decision-making in the five-level triage of pediatric emergency department. Methods The patients treated in the pediatric emergency department of Xiamen Children′s Hospital using the intelligent assistant decision-making system were divided into two groups before and after one month. In March 2018,17 900 cases were in the traditional group,and in April 2018,18 590 cases were in the intelligent group. The traditional group conducted manual triage accord-ing to the five-level pre-screening and triage standard. The intelligent group conducted triage based on the self-developed intelligent assistant decision-making system. Intelligent assistant decision-making included au-tomatic identification of whether vital signs data was abnormal and automatic provision of basis for triage lev-el to help nurses confirm two major functions. The patients′information were collected according to the estab-lished content,and the system would automatically identify and present according to the corresponding triage basis to determine the triage level. The two groups of children were compared and analyzed in terms of dis-ease distribution,triage level,triage accuracy. The clinical application effect of the emergency pediatric pre-check triage system was evaluated. Results There was no significant difference in disease distribution be-tween the two groups. The top three were respiratory diseases,infectious diseases and digestive diseases. In the comparison of waiting time between the two groups,the waiting time of grade Ⅲ,Ⅳ and Ⅴ patients in the intelligent group was shorter than that in the traditional group,the difference was statistically significant (P<0. 05). The consistency of triage grade in the intelligent group was higher than that in the traditional group. The family satisfaction of children in the intelligent group ofⅢ,Ⅳ,andⅤgrade was higher than that in the traditional group. Conclusion The application of intelligent assistant decision-making could improve the efficiency and accuracy of the pre-examination of the nurses,ensure the effectiveness of the triage and the safety of the children,and improve the satisfaction of family members.
RESUMO
Objective To observe the effect of the in vitro isolation, culture and identification of rabbit bone marrow-derived mesenchymal stem cells (BMSCs) and explore the differentiation potentials of BMSCs. Methods BMSCs were isolated and purified by density gradient centrifugation combined with attachment culture method. The biological characteristics of BMSCs were observed under an inverted microscope. The BMSCs were identified with HE staining and CD34/CD44 immunohistochemical staining. The biological activity of BMSCs was detected by osteogenic induction and steatogenic induction. Results BMSCs were isolated successfully in vitro and had good homogenicity. Immunohistochemical staining of CD34/CD44 showed strong positive expression of CD44 and negative expression of CD34. Fortis osteogenic ability and positive staining of ALP could be detected by osteogenic induction, and fortis steatogenic ability and positive staining of axungia could be detected by steatogenic induction. Conclusion BMSCs have the capability of multi-directional differentiation in vitro.