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OBJECTIVES Our objective was to design and develop a mobile clinical decision support system for emergency triage of different acute pain presentations. The system should interact with existing hospital information systems, run on mobile computing devices (handheld computers) and be suitable for operation in weak-connectivity conditions (with unstable(More)
OBJECTIVES The objective of this research was to design a clinical decision support system (CDSS) that supports heterogeneous clinical decision problems and runs on multiple computing platforms. Meeting this objective required a novel design to create an extendable and easy to maintain clinical CDSS for point of care support. The proposed solution was(More)
A review of 904 unilateral hernia repairs was conducted at the Children's Hospital of Eastern Ontario over the period of January 1985 to December 1987. Repairs were done in 758 boys and 89 girls. Repairs of 57 contralateral inguinal hernias were completed following prior unilateral repair (52 boys, 5 girls). Occurrence of contralateral hernias was 5.6%(More)
The acute scrotum is a clinical condition in boys and adolescent males that is normally first assessed in the Emergency Department of a hospital. We used data from the patients' charts and applied knowledge discovery technique based on rough set theory to develop a clinical decision algorithm for triaging patients with this condition. As demonstrated by a(More)
Alterations in interstitial cells of Cajal (ICC) distribution and density may seriously influence gut motility. We and others have documented a disturbance of ICC and neurons in Hirschsprung's disease (HD), intestinal ischemia, and inflammation. The ability to remove intestine with permanent dysmotility improves significantly the prognosis. This may be(More)
Fetal tumors are being diagnosed with increasing frequency and great accuracy by antenatal ultrasound. High-output cardiac failure and hydrops indicate fetal distress. Management may be limited by the gestational age of the fetus. Our experience with three fetal tumors demonstrates the dilemma with respect to timing of delivery and prognosis. Following the(More)
BACKGROUND Children with acute abdominal pain (AP) are frequently assessed in the Emergency Department (ED). Though the majority of patients have benign causes, uncertainty during the physician's initial assessment may result in unnecessary tests and prolonged observation before a definitive disposition decision can be made. A rule-based mobile clinical(More)
PURPOSE Normal gut muscular function depends on the coordinated activity of both the enteric nervous system (ENS) and the interstitial cells of Cajal (ICC). Hirschsprung's disease (HD) has long been considered a purely neuronal deficit but recent data point to abnormalities in ICC in the proximal ganglionated HD colon. We examined the labeling of ICC and(More)