Notice bibliographique
Résumé
Introduction and aim: To examine unusually high numbers of respiratory related presentations over a ten day period during late spring and early summer in 2010, coinciding with local thunderstorm activity. The impact to business continuity in the emergency department, secondary to a related surge in presentations, was also examined. This analysis will build on existing knowledge and literature around thunderstorm asthma. Design and method: A retrospective cross-sectional descriptive approach was taken to analyse the event. Data was analysed retrospectively covering the period 08-17 November, trending respiratory presentations, with reference to seasonal variations experienced in the Australian Capital Territory (ACT), for the years 2009, 2010 and 2011. The study period was selected in accordance with a peak activity episode noted on the emergency department information system database. Participants were identified as per their presenting complaint and discharge diagnosis. The meteorological seasonal patterns, occurring over the same period, were observed in conjunction with patient presentation patterns. Result: In 2010 the emergency department experienced an increase in the number of asthma related presentations during early November, coinciding with thunderstorm activity, when compared with the same period in 2009. Thunderstorm activity was identified as a related factor in this surge of presentations. The data showed a fourfold increase in asthma presentations during the observed period in 2010 compared to 2009. In 2011, whilst no thunderstorm activity was recorded, heavy rainfall was recorded, as with a sustained rise in respiratory presentations. During the observed period the number of daily respiratory related presentations increased by 13% (n = 135) during 2011. Discussion and conclusion: Historically, spring sees a greater number of respiratory related presentations associated with a high pollen count and an increase in general airborne allergens. Despite this regional seasonal variation in respiratory presentations, when combined with meteorological events, especially thunderstorm activity, there is the potential for a significant surge in respiratory presentations to emergency departments, potentially leading to an impact on business continuity. Whilst the link between thunderstorm activity during the period of spring to early summer and asthma has been demonstrated in the literature, the impact of this acute respiratory response, on business continuity in regional, metropolitan and tertiary health care centers is not yet well recognized/understood. Ethics approval: The authors declare that they have no conflict of interest related to the topic of this paper. This study has not been funded nor has it been commissioned. Ethics approval for this paper has been issued through the authors employing organisation (CHCACT HREC ETRN: 1-2014).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,157 | 0,051 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».