To determine the procedure-related factors that affect sedation satisfaction and to make a suggestion to improve it.METHODSWe prospectively enrolled a total of 456 patients who underwent outpatient endoscopy procedure...To determine the procedure-related factors that affect sedation satisfaction and to make a suggestion to improve it.METHODSWe prospectively enrolled a total of 456 patients who underwent outpatient endoscopy procedures with midazolam sedation between March 2014 and August 2014. All patients completed both pre- and post-endoscopy questionnaires about sedation expectations and satisfaction.RESULTSThe study cohort included 167 (36.6%) patients who underwent esophagogastroduodenoscopy (EGD), 167 (36.6%) who underwent colonoscopy, and 122 (26.8%) who underwent a combined procedure (EGD and colonoscopy). Over 80% of all patients were satisfied with sedation using midazolam. In univariate and multivariate analyses, total procedure time in the EGD group, younger age (≤ 50 years), and longer colonoscopy withdrawal time in the colonoscopy group were related to decreased satisfaction with sedation. However, in active monitoring and intervention group, there was no decrease in grade of satisfaction despite longer procedure time due to more procedures during colonoscopy. Younger age (≤ 50 years), longer inter-procedure time gap, and colonoscopy withdrawal time were related to decreased satisfaction in the combined EGD and colonoscopy group.CONCLUSIONMidazolam is still a safe and effective sedative for gastrointestinal endoscopy. Satisfaction with sedation depends on several factors including age (≤ 50 years) and procedure time duration. To improve patient satisfaction with sedation, active monitoring of sedation status by the endoscopist should be considered for patients who require long procedure time.展开更多
With the emergence of high-bitrate applications, cross stratum optimization （CSO） attracts the interest of network operators because of its application in the joint optimization of optical networks and application s...With the emergence of high-bitrate applications, cross stratum optimization （CSO） attracts the interest of network operators because of its application in the joint optimization of optical networks and application stratum resources. Given the large-scale growth and high complexity of optical networks, achieving a more effective, accurate, and practical CSO becomes an important research focus. In this letter, we present a CSO-oriented, unified control architecture for OpenFlow-enabled triple-M optical networks. A novel dynamic global load balancing （DGLB） strategy with dynamic resource rating for CSO is presented based on the proposed architecture. The DGLB strategy is then compared with four other strategies by conducting experiments on a SOFT-based testbed with 1000 virtual nodes.展开更多
文摘To determine the procedure-related factors that affect sedation satisfaction and to make a suggestion to improve it.METHODSWe prospectively enrolled a total of 456 patients who underwent outpatient endoscopy procedures with midazolam sedation between March 2014 and August 2014. All patients completed both pre- and post-endoscopy questionnaires about sedation expectations and satisfaction.RESULTSThe study cohort included 167 (36.6%) patients who underwent esophagogastroduodenoscopy (EGD), 167 (36.6%) who underwent colonoscopy, and 122 (26.8%) who underwent a combined procedure (EGD and colonoscopy). Over 80% of all patients were satisfied with sedation using midazolam. In univariate and multivariate analyses, total procedure time in the EGD group, younger age (≤ 50 years), and longer colonoscopy withdrawal time in the colonoscopy group were related to decreased satisfaction with sedation. However, in active monitoring and intervention group, there was no decrease in grade of satisfaction despite longer procedure time due to more procedures during colonoscopy. Younger age (≤ 50 years), longer inter-procedure time gap, and colonoscopy withdrawal time were related to decreased satisfaction in the combined EGD and colonoscopy group.CONCLUSIONMidazolam is still a safe and effective sedative for gastrointestinal endoscopy. Satisfaction with sedation depends on several factors including age (≤ 50 years) and procedure time duration. To improve patient satisfaction with sedation, active monitoring of sedation status by the endoscopist should be considered for patients who require long procedure time.
基金supported by the National"863"Program of China(No.2012AA011301)the National"973"Program of China(No.2010CB328204)+3 种基金the National Natural Science Foundation of China(Nos.61271189,61201154,and 60932004)the Research Fund for the Doctoral Program of Higher Education of China(No.20120005120019)the Fundamental Research Funds for the Central Universities(No.2013RC1201)the Fund of State Key Laborotory of Information Photonics and Optical Communications(BUPT)
文摘With the emergence of high-bitrate applications, cross stratum optimization （CSO） attracts the interest of network operators because of its application in the joint optimization of optical networks and application stratum resources. Given the large-scale growth and high complexity of optical networks, achieving a more effective, accurate, and practical CSO becomes an important research focus. In this letter, we present a CSO-oriented, unified control architecture for OpenFlow-enabled triple-M optical networks. A novel dynamic global load balancing （DGLB） strategy with dynamic resource rating for CSO is presented based on the proposed architecture. The DGLB strategy is then compared with four other strategies by conducting experiments on a SOFT-based testbed with 1000 virtual nodes.
