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A A Arroyo

Publications and source records attributed to A A Arroyo.

6 recordsLinked to original sources
PubMed1994

The efficiency of preoperative evaluation: a comparison of computerized and paper recording systems.

OBJECTIVE: We designed and implemented a preoperative evaluation record system with seven networked computers for use by physicians and other medical staff. This study compared the efficiency of the new computerized system with that of the paper system. METHODS: We reviewed data from preoperative evaluations completed from November 1990 through December 1992. Data were analyzed automatically (Borland C program) for two intervals: (1) the waiting period, defined as the time the patient entered the waiting room until he or she entered the examination room; and (2) the examination period, defined as the time the patient entered the examination room until an evaluation form was printed. Data were obtained for 2,511 evaluations on paper and 8,342 by computer. RESULTS: The average waiting period with the paper system was 56.1 +/- 44.8 min; the average waiting period with the computerized system was 59.1 +/- 47.0 min. The average examination period was nearly identical for both systems: 27.5 +/- 23.6 min for the paper system; 28.5 +/- 22.7 min for the computerized system. CONCLUSION: The computerized system required no more examination time than the manual system. In addition, we speculate that time is saved at other points of patient care by the legible, instantly retrievable preoperative evaluations that the computerized system produces.

Hospital Information Systems↗
PubMed1990

Open pelviperineal trauma.

The authors present their results in the management of 48 patients with complex pelviperineal injuries treated at the Surgical Emergency Ward of the University of São Paulo School of Medicine General Hospital. The distinct factors influencing the morbidity and mortality rates are discussed as well as the importance of an aggressive treatment in the initial approach of these patients. The following steps are virtually essential for the achievement of results comparable to those presented in the present protocol: exhaustive irrigation of the perineal wound with saline solution followed by surgical debridement and removal of all devitalized areas, maintenance of the wound open, early maturation transverse colostomy with total fecal flow diversion, periodic surgical revisions at intervals of 24 to 72 hours, large doses of antibiotic therapy, nutritional support with full parenteral feeding, and appropriate management of bone injuries and skin grafts. Adopting of measures proposed in this protocol yielded a decrease in mortality rate from 70% to 31.5%.

Adolescent↗
PubMed1987

Event-related potentials: a critical review of methods for single-trial detection.

The analysis of ERP data has followed several lines over the last 20 years. The most prevalent method is simply to average ERPs for a given class of stimuli. The ERPs are compared for differences across classes of stimuli. Little other special data processing is used. The ERP comparisons are usually performed using visual examination of the wave-shapes. Sometimes statistics are calculated such as means, variances, and confidence limits. Linear filtering is used to reduce interference. Another approach is to model or analyze the ERP as a sequence of vectors or frames of data samples. These samples may be of the ERP time waveform or they may be of the frequency transform of the ERP waveform. The frames of data vary in length from the entire ERP waveform (500 to 1000 msec) to frames as short as ten sample points (100 msec). Recognition of an event in the ERP is achieved by computing a distance measure between parameter vectors for one class of stimuli and corresponding parameter vectors for another class of stimuli. Recognition is achieved by selecting the ERP with the lowest distance score. This approach is "pattern matching" and relies on two assumptions: adjacent frames of data are uncorrelated, and the variability of the data can be accounted for by the distance measured for all stimuli in the classes presented. Subject variability is generally not accounted for, other than to assume it is the same for all classes of stimuli. The data are clustered into a variety of reference patterns that represent particular manifestations of a particular stimulus. Another approach is "feature-based" recognition. The idea is to identify and automatically extract features of the data that can provide a characterization of stimuli. The features selected may be abstract. They are calculated from the data or transforms of the data.

Biometry↗
PubMed1984

Brain potentials during sentence verification: late negativity and long-term memory strength.

Subjects decided whether self-referential statements were true or false. Event-related potentials (ERPs) associated with final words creating false statements displayed a late negativity (N340) relative to ERPs for true completions. The size of this difference between true and false statements was greater for highly familiar statements (e.g. "My name is Ira") than for less familiar ones (e.g. "I go to bed late") even after all the statements had been practised a number of times. The late negativity appears to be associated with a discrepancy between presented and remembered information, and its magnitude reflects the long-term familiarity or strength of the remembered information.

Adult↗