Logo

Publikacije (46726)

Nazad
N. Dordević, S. Janković

BACKGROUND/AIM The process of precribing decision-making by general practitioners requires numerous consultations in order to obtain maximal effects, minimal risks, and cost-effectiveness with the full appreciation of a patient's right to choose. The aim of our study was to describe the process of decision-making by general practitioners who decide on the treatment for an individual patient, and to relate the scope and nature of this process to the quality of the outcome of the decision. METHODS The study involved 53 general practitioners who worked in the Health Center, Kragujevac at the time of investigation (September-December 2002.). General practitioners made prescribing decisions, thinking aloud, for five patients with urinary tract infections (n = 2), or stomach complaints (n = 3). The resulting 265 transcripts were analyzed to determine the scope and nature of the decision-making processes. Differences in prescribing were related to the case or the practitioners' working experience, and to their educational background. RESULTS Our results showed that the more years of practice the practitioners had the less treatments they prescribed, and the less additional aspects before prescribing they considered. The doctors with less experience, in most of the cases, considered the core aspects, while those with more experience more often considered the contextual and habitual aspects. Educational background of the general practitioners, and the type of a considered disease, had an influence on the decision-making process. The most optimal method for decision-making (marked as type F) was mostly used by the practitioners with the least experience, while the those with more experience mainly made their decisions in the ways considered the least acceptable. The optimal method for decision-making process does not necessarily provide the optimal therapy, so the least acceptable decision-making might not result in an inappropriate treatment. CONCLUSIONS The observed prescribing decisions were mostly in disagreement with the Good Clinical Practice. Our study pointed out the need for the obligatory continuation of medical education of general practitioners in decision-making process during prescribing.

V. Bruni, D. Vitulano, P. A. De, A. Piva, G. Ramponi, E. Ardizzone, H. Dindo, V. Cappellini et al.

A. Chella, H. Dindo, Ignazio Infantino

The paper deals with a system for simultaneous people tracking and posture recognition in cluttered environments in the context of human-robot interaction. We adopt no particular assumptions on the movement of a person nor on its appearance, making the system suitable to several real-world applications. The system can be roughly subdivided into two highly correlated phases: tracking and recognition. The tracking is concerned with establishing coherent relations of the same subject between frames. We adopted a version of particle filters known as Condensation algorithm due to its robustness in highly cluttered environments. The recognition phase adopts a modified eigenspace technique in order to classify between several different postures. The system has demonstrated to be robust in different working conditions and permits to exploit a rich interaction between a human user and a robotic system by means of a set of natural gestures.

A. Bajraktarevic, F. Alendar, F. Fočo, G. Todosijevic, A. Čeljo, S. Vuk, T. Hajro, A. Kos et al.

Nema pronađenih rezultata, molimo da izmjenite uslove pretrage i pokušate ponovo!

Pretplatite se na novosti o BH Akademskom Imeniku

Ova stranica koristi kolačiće da bi vam pružila najbolje iskustvo

Saznaj više