Med Decis Making - Time lost by driving fast in the United States.

Tópicos

{ time(1939) patient(1703) rate(768) }
{ algorithm(1844) comput(1787) effici(935) }
{ cost(1906) reduc(1198) effect(832) }
{ inform(2794) health(2639) internet(1427) }
{ chang(1828) time(1643) increas(1301) }
{ method(1219) similar(1157) match(930) }
{ can(774) often(719) complex(702) }
{ research(1085) discuss(1038) issu(1018) }
{ studi(1119) effect(1106) posit(819) }
{ state(1844) use(1261) util(961) }
{ control(1307) perform(991) simul(935) }
{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ decis(3086) make(1611) patient(1517) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ sampl(1606) size(1419) use(1276) }
{ first(2504) two(1366) second(1323) }
{ analysi(2126) use(1163) compon(1037) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Motor vehicle drivers make decisions about speed while traveling and thereby trade off a potential saving from shorter travel time (if the trip is uneventful) against a potential loss of time (if the trip results in a crash).METHODS: The authors used computerized modeling based on national data to examine the benefits from small changes in average driver speed on public health in the United States. Lost time due to both travel and crashing was calculated, along with optimal speed to minimize net time lost.RESULTS: The baseline analysis suggested that 1 hour spent driving was associated with approximately 20 minutes of additional lost time in life expectancy due to the potential of a crash. A approximately 1-km/h (0.6-mph) increase in speed for the average driver yielded a approximately 26-second approximate increase (not decrease) in total expected lost time because the savings from reduced travel time were more than offset by the increased prospect of a crash. A 3.0-km/h (1.8-mph) decrease in average driving speed yielded the least amount of total time lost (95% confidence interval [CI]: 2.5-4.1 km/ h [1.5-2.5 mph]). This speed yielded about 11,000 fewer crashes each day, saved about 3.6 hours per year for the average driver (95% CI: 2.0-6.2 hours), and conserved about 199 cumulative life years for society annually.CONCLUSIONS: As a nation, drivers in the United States travel slightly too fast and could improve overall life expectancy by decreasing their average speed slightly.

Resumo Limpo

ckground motor vehicl driver make decis speed travel therebi trade potenti save shorter travel time trip unev potenti loss time trip result crashmethod author use computer model base nation data examin benefit small chang averag driver speed public health unit state lost time due travel crash calcul along optim speed minim net time lostresult baselin analysi suggest hour spent drive associ approxim minut addit lost time life expect due potenti crash approxim kmh mph increas speed averag driver yield approxim second approxim increas decreas total expect lost time save reduc travel time offset increas prospect crash kmh mph decreas averag drive speed yield least amount total time lost confid interv ci km h mph speed yield fewer crash day save hour per year averag driver ci hour conserv cumul life year societi annuallyconclus nation driver unit state travel slight fast improv overal life expect decreas averag speed slight

Resumos Similares

Med Decis Making - Patient time costs associated with sensor-augmented insulin pump therapy for type 1 diabetes: results from the STAR 3 randomized trial. ( 0,784291570347943 )
Int J Med Inform - Effects of electronic medical record in a Chinese hospital: a time series study. ( 0,768351526616243 )
J. Med. Internet Res. - Clinical outcome and cost-effectiveness of a synchronous telehealth service for seniors and nonseniors with cardiovascular diseases: quasi-experimental study. ( 0,726658568282745 )
Telemed J E Health - Detection of asymptomatic paroxysmal atrial fibrillation with the trans-telephonic electrocardiograph system. ( 0,713573073577074 )
J. Med. Internet Res. - An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument. ( 0,701051191256478 )
J Telemed Telecare - Using telemonitoring to construct knowledge about homebound patient populations: vital-signs alert rates. ( 0,696142060438704 )
Med Decis Making - Trends in medical end-of-life decision making in Flanders, Belgium 1998-2001-2007. ( 0,683328087997221 )
J Telemed Telecare - A pilot project for improving paediatric diabetes outcomes using a website: the Pediatric Diabetes Education Portal. ( 0,681483908043254 )
J. Med. Internet Res. - Online social network use by health care providers in a high traffic patient care environment. ( 0,677718743108751 )
J Clin Monit Comput - The effect of preoperative consumption of potatoes on succinylcholine-induced block and recovery from anesthesia. ( 0,677088909117126 )
Telemed J E Health - Robotic telepresence versus standardly supervised stroke alert team assessments. ( 0,668577979112225 )
J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,668496533583842 )
J Med Syst - A novel medium access control protocol with low delay and traffic adaptivity for wireless body area networks. ( 0,66833943815544 )
J Telemed Telecare - Telemedicine-supported insulin optimisation in primary care. ( 0,666362702227919 )
Telemed J E Health - Improved access and cycle time with an in-house patient-centered teleglaucoma program versus traditional in-person assessment. ( 0,661864775183901 )
Int J Med Inform - Effects of a short text message reminder system on emergency department length of stay. ( 0,659092259339946 )
J. Med. Internet Res. - A novel evaluation of World No Tobacco day in Latin America. ( 0,658096170688319 )
J. Med. Internet Res. - Web-based cognitive training: patient adherence and intensity of treatment in an outpatient memory clinic. ( 0,654912800935431 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,654640141591125 )
Appl Clin Inform - Evaluating the impact of the electronic health record on patient flow in a pediatric emergency department. ( 0,651031680312765 )
J Telemed Telecare - Evaluation of a telemedical care programme for patients with Parkinson's disease. ( 0,646432757110955 )
J. Med. Internet Res. - Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study. ( 0,642915413245121 )
J. Med. Internet Res. - Online doctor reviews: do they track surgeon volume, a proxy for quality of care? ( 0,640857080624312 )
J Am Med Inform Assoc - Effectiveness of an automated surveillance system for intensive care unit-acquired infections. ( 0,639973056754186 )
Comput Methods Programs Biomed - Cross-Approximate Entropy parallel computation on GPUs for biomedical signal analysis. Application to MEG recordings. ( 0,637768655440205 )
Comput Methods Programs Biomed - Influenza vaccination and reduction in risk of ischemic heart disease among chronic obstructive pulmonary elderly. ( 0,634341912586806 )
J. Comput. Biol. - Easy identification of generalized common and conserved nested intervals. ( 0,627322117645916 )
Int J Med Robot - Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases. ( 0,624828525333258 )
J Telemed Telecare - A telepsychiatry transition clinic: the first 12 months experience. ( 0,624385206543754 )
J Telemed Telecare - Non-response in telephone surveys of COPD patients does not introduce bias. ( 0,617898706236445 )
Spat Spatiotemporal Epidemiol - Incorporating retrospective clustering into a prospective Cusum methodology for anthrax: evaluating the effects of disease expectation. ( 0,617639025071697 )
Comput. Biol. Med. - Recurring patterns of atrial fibrillation in surface ECG predict restoration of sinus rhythm by catheter ablation. ( 0,61579360287976 )
J Telemed Telecare - A longitudinal study of health service utilization for diabetes patients in a care coordination home-telehealth programme. ( 0,615750007088696 )
J Telemed Telecare - Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. ( 0,615492101370719 )
J Telemed Telecare - Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. ( 0,611325161228165 )
J Telemed Telecare - A pilot trial of telemedicine-assisted, integrated care for patients with advanced amyotrophic lateral sclerosis and their caregivers. ( 0,610480425587634 )
J Telemed Telecare - A hybrid approach to telepathology in Cambodia. ( 0,603392579923746 )
Telemed J E Health - Telestroke in an urban setting. ( 0,597704503793009 )
Int J Med Robot - Totally robotic right colectomy: a preliminary case series and an overview of the literature. ( 0,594693063397971 )
Int J Med Inform - Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow. ( 0,593985140290233 )
Comput Methods Programs Biomed - Pharmacokinetics of insulin lispro in type 2 diabetes during closed-loop insulin delivery. ( 0,591817708218743 )
Telemed J E Health - Hot spot: impact of July 2011 heat wave in southern Italy (Apulia) on cardiovascular disease assessed by emergency medical service and telemedicine support. ( 0,591494160168345 )
J Clin Monit Comput - Noninvasive assessment of peripheral microcirculation by near-infrared spectroscopy: a comparative study in healthy smoking and nonsmoking volunteers. ( 0,589403229417561 )
J Clin Monit Comput - Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring. ( 0,586358516732804 )
Int J Med Robot - Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. ( 0,584807868600865 )
J Clin Monit Comput - Validity and reliability of the Cold Discomfort Scale: a subjective judgement scale for the assessment of patient thermal state in a cold environment. ( 0,583059193560508 )
Neural Comput - Approximate, computationally efficient online learning in Bayesian spiking neurons. ( 0,580377460017437 )
Comput Methods Programs Biomed - Fast box-counting algorithm on GPU. ( 0,575848628391051 )
J. Med. Internet Res. - Patients' continuing use of an online health record: a quantitative evaluation of 14,000 patient years of access data. ( 0,575798942174709 )
J Clin Monit Comput - Intraoperative ICG plasma disappearance rate helps to predict absence of early postoperative complications after orthotopic liver transplantation. ( 0,575446276928788 )
Med Decis Making - Health care costs for state transition models in prostate cancer. ( 0,57387866866789 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,57354786387161 )
J Am Med Inform Assoc - Use of electronic clinical documentation: time spent and team interactions. ( 0,573259631719455 )
Telemed J E Health - Emergency department physician telemedical triage. ( 0,570472235977663 )
Int J Neural Syst - Cortical excitability and refractory epilepsy: a three-year longitudinal transcranial magnetic stimulation study. ( 0,569022901116123 )
J Telemed Telecare - A pilot test of a new tool for remote blood pressure monitoring. ( 0,568896005094969 )
Int J Med Inform - The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit. ( 0,568753131560621 )
J. Med. Internet Res. - Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease. ( 0,568105862029206 )
J Telemed Telecare - User engagement with and attitudes towards an interactive SMS reminder system for patients with tuberculosis. ( 0,566713004897682 )
J Biomed Inform - Comparison of geographic methods to assess travel patterns of persons diagnosed with HIV in Philadelphia: how close is close enough? ( 0,565783681565177 )
Int J Med Inform - Prospective pilot study of a tablet computer in an Emergency Department. ( 0,565331763636457 )
Neural Comput - Efficient calculation of the Gauss-Newton approximation of the Hessian matrix in neural networks. ( 0,564869143488851 )
BMC Med Inform Decis Mak - Relationship between the population incidence of pertussis in children in New South Wales, Australia and emergency department visits with cough: a time series analysis. ( 0,563322427171863 )
J Telemed Telecare - Development of a first-responder dispatch system using a smartphone. ( 0,561207003092165 )
Telemed J E Health - Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction? ( 0,559367188054643 )
Int J Health Geogr - Monitoring the impact of decentralised chronic care services on patient travel time in rural Africa--methods and results in Northern Malawi. ( 0,555839113614599 )
Healthc (Amst) - Effects of implementing a protocol for arterial blood gas use on ordering practices and diagnostic yield. ( 0,555577766516053 )
Int J Med Robot - Robotic-assisted pancreatic resection: a report of 47 cases. ( 0,553902873191474 )
Int J Health Geogr - A validation of ground ambulance pre-hospital times modeled using geographic information systems. ( 0,552876020078358 )
J Telemed Telecare - Telemonitoring in chronic obstructive airway disease and adult patients with cystic fibrosis. ( 0,552385531929008 )
Int J Neural Syst - A decade of experience with deep brain stimulation for patients with refractory medial temporal lobe epilepsy. ( 0,552207137984884 )
Appl Clin Inform - Effects of automated immunization registry reporting via an electronic health record deployed in community practice settings. ( 0,549790100012844 )
Appl Clin Inform - A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality. ( 0,549617818460699 )
Telemed J E Health - Streamlining HIV testing in the emergency department-leveraging kiosks to provide true universal screening: a usability study. ( 0,54931049589156 )
Int J Med Robot - Robotic-assisted laparoscopic abdominoperineal resection for anal cancer: feasibility and technical considerations. ( 0,547583237757766 )
J Clin Monit Comput - Titration of sevoflurane in elderly patients: blinded, randomized clinical trial, in non-cardiac surgery after beta-adrenergic blockade. ( 0,54692008522985 )
Int J Med Robot - Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer: a pilot surgery. ( 0,546805489243043 )
J Telemed Telecare - Relation between telecare implementation and number of treatment days in a Japanese town. ( 0,5434149207511 )
Med Decis Making - Too much of a good thing? When to stop catch-up vaccination. ( 0,543168576280384 )
Int J Med Robot - Analysis of the learning curve for robotic hysterectomy for benign gynaecological disease. ( 0,543151615978221 )
Sci Data - Microclim: Global estimates of hourly microclimate based on long-term monthly climate averages. ( 0,542427447647281 )
J Clin Monit Comput - Composite-, plain-auditory evoked potentials index and bispectral index to measure the effects of sevoflurane. ( 0,542020266463965 )
IEEE Trans Image Process - A 124 Mpixels/s VLSI design for histogram-based joint bilateral filtering. ( 0,540362199127091 )
J Clin Monit Comput - Skin conductance for monitoring of acute pain in adult postoperative patients: influence of electrode surface area and sampling time. ( 0,540320000198802 )
Comput. Biol. Med. - Quantification of the acute effect of a low dose of red wine by nonlinear measures of RR and QT interval series in healthy subjects. ( 0,53971752100576 )
Int J Med Robot - Robot-assisted adrenalectomy: a technical option for the surgeon? ( 0,538944746178641 )
Med Decis Making - Optimizing statin treatment decisions for diabetes patients in the presence of uncertain future adherence. ( 0,538646501303557 )
Int J Med Robot - Comparison of the initial surgical experience with robotic and laparoscopic myomectomy. ( 0,535548708230998 )
Int J Med Robot - Docking of the da Vinci Si Surgical System? with single-site technology. ( 0,535310649980397 )
J. Med. Internet Res. - Daily collection of self-reporting sleep disturbance data via a smartphone app in breast cancer patients receiving chemotherapy: a feasibility study. ( 0,535083662440112 )
J Clin Monit Comput - The impact of induction of general anesthesia and a vascular occlusion test on tissue oxygen saturation derived parameters in high-risk surgical patients. ( 0,53492408373722 )
J Telemed Telecare - An emergency department registration kiosk can increase HIV screening in high risk patients. ( 0,533747124150961 )
Comput. Biol. Med. - Sensitivity analysis of state-transition models: how to deal with a large number of inputs. ( 0,533267631723727 )
J Clin Monit Comput - Ultrasound-guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches? ( 0,531390087375052 )
J Clin Monit Comput - Electrocardiogram characteristics prior to in-hospital cardiac arrest. ( 0,531203090840298 )
J. Med. Internet Res. - Importance of Internet surveillance in public health emergency control and prevention: evidence from a digital epidemiologic study during avian influenza A H7N9 outbreaks. ( 0,530738346216648 )
Appl Clin Inform - Decay of references to Web sites in articles published in general medical journals: mainstream vs small journals. ( 0,530595839734732 )
Appl Clin Inform - Healthcare Information Systems to Assess Influenza Outbreaks: An analysis of the 2009 H1N1 Epidemic in Buenos Aires. ( 0,528945964331705 )
Int J Med Robot - Cerebral oxygenation measured by near-infrared spectroscopy and jugular vein oxygen saturation during robotic-assisted laparoscopic radical prostatectomy under total intravenous anaesthesia. ( 0,528429301251276 )
Med Biol Eng Comput - Quantitative measurement of hip protector use and compliance. ( 0,528030039896762 )