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  • Article
  • Open Access
2 Citations
1,014 Views
19 Pages

Fine-Tuning LLaMA2 for Summarizing Discharge Notes: Evaluating the Role of Highlighted Information

  • Mahshad Koohi Habibi Dehkordi,
  • Yehoshua Perl,
  • Fadi P. Deek and
  • Hao Liu

This study investigates whether incorporating highlighted information in discharge notes improves the quality of the summaries generated by Large Language Models (LLMs). Specifically, it evaluates the effect of using highlighted versus unhighlighted...

  • Article
  • Open Access
3 Citations
2,055 Views
24 Pages

27 September 2024

Early hospital readmission refers to unplanned emergency admission of patients within 30 days of discharge. Predicting early readmission risk before discharge can help to reduce the cost of readmissions for hospitals and decrease the death rate for I...

  • Article
  • Open Access
1 Citations
5,362 Views
15 Pages

Geographical Variation in Mental Hospital Discharges in Greece: A Nationwide Study (1999–2012)

  • Katerina Dadouli,
  • Apostolia Hatziefthimiou,
  • Varvara A. Mouchtouri,
  • Panagiotis Ntellas,
  • Lemonia Anagnostopoulos,
  • Michalis Koureas,
  • Konstantinos Bonotis,
  • Nikolaos Christodoulou and
  • Christos Hadjichristodoulou

30 March 2022

Background: The primary goal of this study is to estimate the pattern of hospital discharges throughout Greece due to mental disorders between 1999 and 2012. Methods: Data for discharges were obtained from the Hellenic Statistical Authority. A sex- a...

  • Article
  • Open Access
3 Citations
2,528 Views
20 Pages

31 May 2024

Recycling lithium-ion batteries provides sustainable raw materials. Crushing and separation are necessary for extracting metals, like lithium, from batteries. Crushing a battery carries a risk of fire or explosion. Fully discharging the battery is cr...

  • Article
  • Open Access
1,443 Views
18 Pages

A Comparative Study of Structured and Narrative EHR Data for 30-Day Readmission Risk Assessment

  • Zhengxiao He,
  • Huayu Li,
  • Siyuan Tian,
  • Jinghao Wen,
  • Geng Yuan and
  • Ao Li

14 October 2025

Hospital readmissions within 30 days of discharge are a key metric of healthcare quality and a major driver of cost. Accurate risk stratification enables targeted home care interventions, such as remote monitoring, timely nurse follow-up, and medicat...

  • Article
  • Open Access
3 Citations
3,615 Views
15 Pages

19 March 2023

Fishways are essential hydraulic structures to ensure the migration of fish and other aquatic organisms in the area of cross structures in river systems. In this context, the present study focuses on vertical slot fishways with specific geometries an...

  • Protocol
  • Open Access
2 Citations
3,166 Views
14 Pages

12 August 2023

Exercise training participation of patients with stroke in the community after discharge from the hospital has many benefits for physical, social, and psychological rehabilitation and improves their quality of life. However, in the Republic of Korea,...

  • Article
  • Open Access
3 Citations
4,469 Views
12 Pages

21 August 2021

Despite the use of vaccines and various antibiotics, approximately 30% of the South Korean population is treated for pneumonia each year, and the number of deaths from pneumonia continues to increase. The present study used information on discharged...

  • Article
  • Open Access
9 Citations
4,772 Views
9 Pages

Serum Chloride Levels at Hospital Discharge and One-Year Mortality among Hospitalized Patients

  • Tananchai Petnak,
  • Charat Thongprayoon,
  • Wisit Cheungpasitporn,
  • Tarun Bathini,
  • Saraschandra Vallabhajosyula,
  • Api Chewcharat and
  • Kianoush Kashani

This study aimed to assess the one-year mortality risk based on discharge serum chloride among the hospital survivors. We analyzed a cohort of adult hospital survivors at a tertiary referral hospital from 2011 through 2013. We categorized discharge s...

  • Article
  • Open Access
2 Citations
2,156 Views
11 Pages

Impact of Patient, Surgical, and Perioperative Factors on Discharge Disposition after Radical Cystectomy

  • Giovanni E. Cacciamani,
  • Ryan S. Lee,
  • Daniel I. Sanford,
  • Wesley Yip,
  • Jie Cai,
  • Gus Miranda,
  • Siamak Daneshmand,
  • Monish Aron,
  • Hooman Djaladat and
  • Mihir Desai
  • + 1 author

27 October 2022

Radical cystectomy (RC) is a complex procedure associated with lengthy hospital stays and high complication and readmission rates. We evaluated the impact of patient, surgical, and perioperative factors on discharge disposition following RC at a tert...

  • Article
  • Open Access
2,235 Views
18 Pages

21 October 2021

Flow characteristics and pollutant dispersion characteristics of a mechanical upper vent of a tunnel under various discharge patterns and ambient wind were studied by using the computational fluid dynamics (CFD) numerical method and an experimental m...

  • Case Report
  • Open Access
3 Citations
12,157 Views
8 Pages

Metastatic Cardiac Hemangiosarcoma in a 6 Year Old Wheaten Terrier Mix

  • Shiori Arai,
  • Ellen P Milley,
  • Jonathan Lichtenberger,
  • Christine Savidge,
  • Jessica Lawrence and
  • Etienne Côté

A 6 year old Wheaten Terrier mix with a history of collapse and lethargy was referred for evaluation of pericardial effusion. The echocardiogram identified pericardial effusion and a right auricular mass. No sign of metastasis was noted at this time...

  • Article
  • Open Access
14 Citations
10,790 Views
14 Pages

Discharge Planning of Older Persons from Hospital: Comparison of Observed Practice to Recommended Best Practice

  • Elise M. Gane,
  • Veronika Schoeb,
  • Petrea Cornwell,
  • Cassandra Ranatunga Cooray,
  • Brooke Cowie and
  • Tracy A. Comans

20 January 2022

Older people are particularly vulnerable to hospital re-presentation following discharge. Ideal discharge planning processes facilitate the transition from hospital to home and prevent subsequent re-presentations to hospital. The objective of this st...

  • Article
  • Open Access
5 Citations
2,188 Views
21 Pages

Investigating the Behavior of Thin-Film Formation over Time as a Function of Precursor Concentration and Gas Residence Time in Nitrogen Dielectric Barrier Discharge

  • Faegheh Fotouhiardakani,
  • Alex Destrieux,
  • Jacopo Profili,
  • Morgane Laurent,
  • Sethumadhavan Ravichandran,
  • Gowri Dorairaju and
  • Gaetan Laroche

14 February 2024

This study aims to establish a correlation between the fragmentation process and the growth mechanisms of a coating deposited on a fluoropolymer. Deposition was carried out using dielectric barrier discharge at atmospheric pressure, employing an oxyg...

  • Article
  • Open Access
8 Citations
3,870 Views
12 Pages

Morbidity and Mortality Analysis in the Treatment of Intertrochanteric Hip Fracture with Two Fixation Systems: Dynamic Hip Screw (DHS) or Trochanteric Fixation Nail Advance (TFNA)

  • Alvaro López-Hualda,
  • Elsa Arruti-Pérez,
  • Fátima N. Bebea-Zamorano,
  • María Dolores Sosa-Reina,
  • Jorge Hugo Villafañe and
  • Javier Martínez-Martin

Background: The aim of this study was to compare the clinical outcomes, complications, and mortality of patients with intertrochanteric hip fracture treated with dynamic hip screw (DHS) vs. trochanteric fixation nail advance (TFNA). Methods: We evalu...

  • Article
  • Open Access
2 Citations
4,193 Views
9 Pages

Fall Prevention Program Using Home Floor Plans in an Acute-Care Hospital: A Preliminary Randomized Controlled Trial

  • Tetsuya Ueda,
  • Yumi Higuchi,
  • Tatsunori Murakami,
  • Wataru Kozuki,
  • Gentoku Hattori and
  • Hiromi Nomura

We provided fall prevention programs using home floor plans for older adult patients discharged from an acute-care hospital and verified the fall prevention measures’ effectiveness six months after discharge. The research design was a prelimina...

  • Article
  • Open Access
15 Citations
2,923 Views
17 Pages

Longitudinal DC Discharge in a Supersonic Flow: Numerical Simulation and Experiment

  • Alexander Firsov,
  • Valentin Bityurin,
  • Dmitriy Tarasov,
  • Anastasia Dobrovolskaya,
  • Roman Troshkin and
  • Aleksey Bocharov

24 September 2022

This work focuses on detailed descriptions of DC discharge properties in supersonic airflow and its applicability in combustion simulations. Due to the complexity of obtaining most of the data in the experiment, our experimental research was suppleme...

  • Communication
  • Open Access
1 Citations
2,032 Views
9 Pages

The possibility of using Si-based anodes in lithium-ion batteries is actively investigated due to the increased lithium capacity of silicon. The paper reports the preparation of submicron silicon fibers on glassy carbon in the KI–KF–KCl&n...

  • Article
  • Open Access
18 Citations
4,249 Views
24 Pages

Anthropization and Climate Change: Impact on the Discharges of Forest Watersheds in Central Africa

  • Valentin Brice Ebodé,
  • Gil Mahé,
  • Jean Guy Dzana and
  • Joseph Armathé Amougou

29 September 2020

Climate change and anthropization are major drivers of river flows variability. However, understanding their simultaneous impact on discharges is limited. As a contribution to address this limitation, the objective of this study is to assess the impa...

  • Article
  • Open Access
8 Citations
3,039 Views
20 Pages

Analysis of Small Hydropower Generation Potential: (1) Estimation of the Potential in Ungaged Basins

  • Sungeun Jung,
  • Younghye Bae,
  • Jongsung Kim,
  • Hongjun Joo,
  • Hung Soo Kim and
  • Jaewon Jung

21 May 2021

Small hydropower (SHP) plants are advantageous as they have a short construction period and can be easily maintained. They also have a higher energy density than other alternative energy sources as environmentally-friendly energy sources. In gen...

  • Article
  • Open Access
3 Citations
2,586 Views
14 Pages

Burden of Mental Illness among Primary HIV Discharges: A Retrospective Analysis of Inpatient Data

  • Robert M. Avina,
  • Jim E. Banta,
  • Ronald Mataya,
  • Benjamin J. Becerra and
  • Monideepa B. Becerra

Background: Empirical evidence demonstrates the substantial burden of mental illness among people living with HIV and AIDS (PLWHA). Current literature also notes the co-morbidity of these two illnesses and its impact on quality of life and mortality....

  • Feature Paper
  • Article
  • Open Access
6 Citations
2,320 Views
15 Pages

22 January 2021

The article presents the impact of sawdust conditioning from coniferous trees with a pulsed electric field (PEF) on the characteristics of the combustion heat. The study used four variants of electric field parameters, i.e., (I) 300 discharges with a...

  • Article
  • Open Access
18 Citations
7,608 Views
12 Pages

Impact of Main Pipe Flow Velocity on Leakage and Intrusion Flow: An Experimental Study

  • Yu Shao,
  • Tian Yao,
  • Jinzhe Gong,
  • Jinjie Liu,
  • Tuqiao Zhang and
  • Tingchao Yu

10 January 2019

The classic orifice equation is commonly used to calculate the leakage and intrusion rate for pressurized pipelines with cracks on the pipe wall. The conventional orifice equation does not consider the effect of the flow velocity in the main pipe, an...

  • Article
  • Open Access
16 Citations
7,973 Views
24 Pages

7 October 2013

Collection and investigation of flood information are essential to understand the nature of floods, but this has proved difficult in data-poor environments, or in developing or under-developed countries due to economic and technological limitations....

  • Article
  • Open Access
3,429 Views
7 Pages

Emergency Department Management of Asthma Patients in a Regional Hospital: A Cohort Study

  • Pranav Kumar,
  • Matthew Hiskens,
  • Yi Tat Lo,
  • Muhammad Jawwad Nazmi,
  • Sarah Wright and
  • Lauren McGrath

8 September 2025

Background/Objectives: Asthma remains a prevalent cause of emergency department (ED) visits worldwide, necessitating prompt and effective intervention to prevent severe morbidity and mortality. This study evaluates the management of asthma patients p...

  • Article
  • Open Access
12 Citations
3,391 Views
13 Pages

Wastewater Discharge through a Stream into a Mediterranean Ramsar Wetland: Evaluation and Proposal of a Nature-Based Treatment System

  • Jesús de-los-Ríos-Mérida,
  • Francisco Guerrero,
  • Salvador Arijo,
  • María Muñoz,
  • Inmaculada Álvarez-Manzaneda,
  • Jorge García-Márquez,
  • Begoña Bautista,
  • Manuel Rendón-Martos and
  • Andreas Reul

23 March 2021

Impacts on wetlands are becoming more pressing every day. Among them, habitat loss, overexploitation of aquifers and changes in land use are considered the most important. However, the impacts linked to wastewater discharges are increasing worldwide....

  • Protocol
  • Open Access
10 Citations
4,252 Views
13 Pages

26 November 2023

It is essential for stroke patients to maintain their therapy even after discharging inpatient rehabilitation. This is because recovery is an ongoing process that requires consistent effort. Virtual reality exergame training (VRET) is becoming widely...

  • Article
  • Open Access
4 Citations
3,563 Views
13 Pages

Fecal Incontinence after Severe Brain Injury: A Barrier to Discharge after Inpatient Rehabilitation?

  • Laura Pelizzari,
  • Elena Antoniono,
  • Donatella Giraudo,
  • Gianluca Ciardi and
  • Gianfranco Lamberti

31 October 2023

Background: In this study, we aimed to investigate the incidence of fecal incontinence (FI) after severe acquired brain injuries (sABIs) and to determine whether this symptom can lead to an inability to return home after rehabilitation. Methods: This...

  • Feature Paper
  • Article
  • Open Access
17 Citations
9,362 Views
8 Pages

Tele-Follow-Up of Older Adult Patients from the Geriatric Emergency Department Innovation (GEDI) Program

  • Lucy Morse,
  • Linda Xiong,
  • Vanessa Ramirez-Zohfeld,
  • Scott Dresden and
  • Lee A. Lindquist

The objective of this study was to characterize the content and interventions performed during follow-up phone calls made to patients discharged from the Geriatrics Emergency Department Innovation (GEDI) Program and to demonstrate the benefit of thes...

  • Article
  • Open Access
10 Citations
8,519 Views
13 Pages

23 April 2018

River discharge, which represents the accumulation of surface water flowing into rivers and ultimately into the ocean or other water bodies, may have great impacts on water quality and the living organisms in rivers. However, the global knowledge of...

  • Article
  • Open Access
6 Citations
4,859 Views
16 Pages

Short-Course High-Intensity Statin Treatment during Admission for Myocardial Infarction and LDL-Cholesterol Reduction—Impact on Tailored Lipid-Lowering Therapy at Discharge

  • Víctor Marcos-Garcés,
  • Héctor Merenciano-González,
  • María Luz Martínez Mas,
  • Patricia Palau,
  • Josefa Inés Climent Alberola,
  • Nerea Perez,
  • Laura López-Bueno,
  • María Concepción Esteban Argente,
  • María Valls Reig and
  • Vicente Bodi
  • + 9 authors

25 December 2023

We hypothesized that a short-course high-intensity statin treatment during admission for myocardial infarction (MI) could rapidly reduce LDL-C and thus impact the choice of lipid-lowering therapy (LLT) at discharge. Our cohort comprised 133 MI patien...

  • Article
  • Open Access
15 Citations
5,018 Views
17 Pages

19 November 2021

A numerical simulation of a pulsed floating electrode dielectric barrier discharge (FE-DBD) at atmospheric pressure, used for melanoma cancer cell therapy, is performed using a plasma model in COMSOL Multiphysics software. Distributions of electron d...

  • Article
  • Open Access
15 Citations
3,273 Views
12 Pages

Telomere Length Changes during Critical Illness: A Prospective, Observational Study

  • Benjamin Zribi,
  • Orit Uziel,
  • Meir Lahav,
  • Ronit Mesilati Stahy and
  • Pierre Singer

27 September 2019

Objective: evaluation of telomere length change in acutely ill adult patients. Design: Blood samples were drawn on the first and seventh day of intensive care unit (ICU) stay to assess telomere length using a polymerase chain reaction (PCR)-based tec...

  • Article
  • Open Access
17 Citations
3,430 Views
18 Pages

15 September 2020

In high-voltage equipment, it is vital to detect any failure in advance. To do this, a determination of the partial discharges occurring at different voltage types as well as at different electrode configurations is essential for observing the oil co...

  • Article
  • Open Access
10 Citations
5,165 Views
17 Pages

Construction of flow duration curves (FDCs) is a challenge for hydrologists as most streams and rivers worldwide are ungauged. Regionalization methods are commonly followed to solve the problem of discharge data scarcity by transforming hydrological...

  • Article
  • Open Access
13 Citations
3,837 Views
21 Pages

27 September 2021

Forest fires from lightnings create a tense situation in various regions of states with forested areas. It is noted that in mountainous areas this is especially important in view of the geophysical processes of lightning activity. The aim of the stud...

  • Article
  • Open Access
3 Citations
1,659 Views
12 Pages

10 August 2023

Background: This study investigated the incidence, characteristics and functional outcomes associated with unplanned Acute Care Unit Readmissions (ACUR) during inpatient traumatic brain injury (TBI) rehabilitation in an Asian cohort. Methods: A retro...

  • Review
  • Open Access
1 Citations
329 Views
24 Pages

Advances in Plant Mediated Iron Oxide Nanoparticles for Dye Colorant Degradation—A Review

  • Louisah Mmabaki Mahlaule-Glory and
  • Nomso Charmaine Hintsho-Mbita

Water polluted by dye colorants has been on the rise in the last decade. This is due to the over reliance on the textile industry, and it is holding a high economic value in most countries. This industry is the highest consumer of fresh water whilst...

  • Article
  • Open Access
4 Citations
4,634 Views
9 Pages

10 December 2018

Limited studies exist regarding the timing, location, or physicians involved in do-not-resuscitate (DNR) order placement in pediatrics. Prior pediatric studies have noted great variations in practice during end-of-life (EOL) care. This study aims to...

  • Article
  • Open Access
5 Citations
4,572 Views
14 Pages

Study on Thermal Effect of Aluminum-Air Battery

  • Yajun Cai,
  • Yunwei Tong,
  • Yingjie Liu,
  • Xinyu Li,
  • Beiyang Chen,
  • Feng Liu,
  • Baowei Zhou,
  • Yichun Liu,
  • Zhenbo Qin and
  • Wenbin Hu
  • + 1 author

6 February 2023

The heat released from an aluminum-air battery has a great effect on its performance and operating life during the discharge process. A theoretical model was proposed to evaluate the resulting thermal effect, and the generated heat was divided into t...

  • Article
  • Open Access
488 Views
9 Pages

3 November 2025

Objectives: Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) offers significant benefits in hysterectomy, including reduced postoperative pain, minimal scarring, and faster recovery. However, the cost and accessibility of surgica...

  • Article
  • Open Access
9 Citations
5,586 Views
14 Pages

A hydrological ensemble prediction system is running operationally at the Royal Meteorological Institute of Belgium (RMI) for ten catchments in the Meuse basin. It makes use of the conceptual semi-distributed hydrological model SCHEME and the Europea...

  • Article
  • Open Access
30 Citations
4,783 Views
7 Pages

Singapore is one of the first known countries to implement an individual-centric discharge process across all public hospitals to manage frequent admissions—a perennial challenge for public healthcare, especially in an aging population. Specifically,...

  • Proceeding Paper
  • Open Access
1 Citations
2,603 Views
17 Pages

Access to digital health data collections such as clinical notes, discharge summaries, or medical charts has increased in the last few years due to the increased use of electronic health records, which provide instant access to patients’ clinic...

  • Article
  • Open Access
9 Citations
5,027 Views
18 Pages

Predicting ICD-9 Codes Using Self-Report of Patients

  • Anandakumar Singaravelan,
  • Chung-Ho Hsieh,
  • Yi-Kai Liao and
  • Jia-Lien Hsu

27 October 2021

The International Classification of Diseases (ICD) is a globally recognized medical classification system that aids in the identification of diseases and the regulation of health trends. The ICD framework makes it easy to keep track of records and ev...

  • Article
  • Open Access
11 Citations
4,969 Views
15 Pages

Improving the Clinical Outcome in Stroke Patients Receiving Thrombolytic or Endovascular Treatment in Korea: from the SECRET Study

  • Young Dae Kim,
  • Ji Hoe Heo,
  • Joonsang Yoo,
  • Hyungjong Park,
  • Byung Moon Kim,
  • Oh Young Bang,
  • Hyeon Chang Kim,
  • Euna Han,
  • Dong Joon Kim and
  • Hyo Suk Nam
  • + 23 authors

We investigated whether there was an annual change in outcomes in patients who received the thrombolytic therapy or endovascular treatment (EVT) in Korea. This analysis was performed using data from a nationwide multicenter registry for exploring the...

  • Article
  • Open Access
8 Citations
2,599 Views
14 Pages

Double-Layer SOC and SOH Equalization Scheme for LiFePO4 Battery Energy Storage System Using MAS Blackboard System

  • Zhongda Lu,
  • Qilong Wang,
  • Fengxia Xu,
  • Mingqing Fan,
  • Chuanshui Peng and
  • Shiwei Yan

18 July 2023

26650 LiFePO4 battery, as an ideal energy storage battery for the smart grid system, has the shortcomings of fast aging speed and large dispersion of aging trend, which is the reason for accelerating the 26650 battery system aging. However, it is not...

  • Article
  • Open Access
4 Citations
1,134 Views
7 Pages

Admission hyperglycemia and abnormal glucose tolerance at discharge in patients with acute myocardial infarction and no previous history of diabetes mellitus

  • Irena Milvidaitė,
  • Rimvydas Šlapikas,
  • Audronė Statkevičienė,
  • Marija Rūta Babarskienė,
  • Dalia Lukšienė and
  • Birutė Šlapikienė

11 December 2007

The objective of this study was to determine frequency of admission hyperglycemia and abnormal glucose tolerance at discharge in patients with acute myocardial infarction and no previous history of diabetes mellitus.

Methods and results. Data on 1522...

  • Article
  • Open Access
1 Citations
1,445 Views
23 Pages

Optimal Conversion of Food Packaging Waste to Liquid Fuel via Nonthermal Plasma Treatment: A Model-Centric Approach

  • Mohammad Jakir Hossain Khan,
  • Zilvinas Kryzevicius,
  • Audrius Senulis,
  • Audrone Zukauskaite,
  • Paulius Rapalis and
  • Jochen Uebe

25 October 2024

The efficiency of employing a multifactorial approach to enhance the nonthermal plasma (NTP) chemical conversion of solid waste food packaging materials into liquid petroleum hydrocarbons was assessed for the first time in this study. The researchers...

  • Article
  • Open Access
13 Citations
10,636 Views
28 Pages

It is necessary to maintain safe, efficient, and compatible energy storage systems to meet the high demand for electric vehicles (EVs). Lithium manganese nickel cobalt (NMC) and lithium ferro phosphate (LFP) batteries are the most commonly used lithi...

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