Carroll Gardens

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February 15, 2018 / 6:25 AM
Owing to the increase in the widespread use of mobile phones and improvements in wireless networks, the role of mobile health is growing. By using this service, patients can be cared for by health care providers at any location and at any time, thus overcoming the limitations of time and space. Can help to realize the advantages of health information technology in point-of-care settings. In particular, this service can provide information on drugs and diseases and can support clinical decisions. Moreover—a useful tool for both patients and health care providers—can serve as a tool to overcome the limitations of conventional medical services. The services available via include monitoring of an individual’s condition, collection of health data, and prediction of health problems. Can also affect the decisions of physicians based on certain algorithms and can provide them with patient data. Thus, this service enables clinicians to make rapid and precise decisions by reducing errors and facilitates convenience in data access. Furthermore, can be used for quality improvement at tertiary hospitals, wherein considerable information and recommendations are exchanged between patients and clinicians. To evaluate patients with fever of unknown origin or those with suspected bacteremia, the precision of blood culture tests is critical. The processes and parameters for blood culturing should strictly adhere to the guidelines of blood culture tests. Among the parameters for blood cultures, sample volume, sampling site, and sampling time are the most important factors affecting the sensitivity and specificity for detecting organisms in the bloodstream. An inappropriate step in the test process or error in a parameter could also lead to a false-positive result, which could then affect the direction of treatment in critical conditions. As many clinicians are unaware of these guidelines, it is important to monitor the test process for better management and improved quality. Apps can be used to resolve problems with blood culture tests, and such apps can hence ensure that the point-of-care guidelines are followed and the processes are monitored for blood culture test. The checking of clinical information, such as the patient’s identity or doctor’s order, by using a mobile phone has been shown to improve workflow efficiency in clinicians. However, to our knowledge, there is no mobile app that indicates the correct methods for blood sampling, monitors the process of sampling, and accordingly recommends quality improvement measures in blood culture tests. Recently, a mobile phone app for blood culture testing was developed at Asan Medical Center, a tertiary hospital in South Korea [30]. The “Blood Culture” app provides the information of patients who require blood culture tests and monitors the tests by recording the time of sampling, amount of blood sampled, and sampling sites. Before this, such data were not collected in the hospital. In this feasibility study, we implemented the app in medical intensive care units (MICUs) to assess the potential for its utilization in a clinical environment, by reviewing the usage data among a small group of users and by assessing their feedback and the data related to blood culture sampling. Introduction to the Blood Culture App The Blood Culture app was developed for iPod touch and iPhone (iOS; Apple Inc) from June to June by a team of doctors from the departments of laboratory medicine, infectious diseases, emergency medicine, and biomedical informatics; a nurse; and 2 technicians from the medical information office. First, through an analysis of the process of blood culture test sampling, blood culture sampling parameters were defined to guide clinicians in the use of the Blood Culture app. The blood culture sampling parameters were defined based on 2 purposes: to monitor the process of blood culture test sampling (such as blood sampling sites, blood sampling volume, sampling time, and samplers’ names) and to support streamlined workflow at the point of care by checking the patient’s identity and doctor’s order in real time (such as the names of patients who needed blood culture tests, patient identification numbers, and blood culture test numbers). The processes of scanning the bar codes of the blood culture bottle and the patient identification band, as well as the process of entering the sampling parameters, were newly added to the blood culture sampling protocol. With regard to features, more apps, you can find here, example the app enables matching between the prescribed blood culture test and the information of patients who need the test in real time, and it facilitates the entry of blood culture sampling parameters. Using a certified clinician’s identification number and password, participants could download the app from the research hospital’s app store via the research hospital intranet (Wi-Fi network). The app could be used on 3G (third-generation) and Wi-Fi networks. Using JavaScript Object Notation, the app communicates with the hospital gateway server, which prohibits direct access to the legacy database via device certification and encryption functions. Thereafter, the gateway server communicates with the legacy system.

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November 29, 2016 / 4:54 PM
Brad Lander and his sidekick Antonio Reynoso have done it again. When will these two clowns start growing up and acting their ages? What did these clowns accomplish this morning? They joined with professional agitators to disrupt both street and pedestrian traffic this money while closing a bunch of stores. These clowns are shown were a plastic throw away rain poncho - why didn't they wear a reusable cloth rain coat. This shows that they are hypocrites as these two jerks voted to tax each and every of our shopping bags a nickel because plastic is not environmental but they go ahead and wear a disposable plastic poncho. And who cleaned up the mess Landers and the agitators left behind - did the Sanitation Dept give out littering tickets? Who paid for the extra police - Lander? This rally was unnecessary and instead of representing a cause which will hurt people in the short and long run, why don't these two repeal the nickel bag tax before it starts in March?

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