{"id":32878,"date":"2024-10-17T13:17:57","date_gmt":"2024-10-17T12:17:57","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=32878"},"modified":"2025-03-12T14:16:13","modified_gmt":"2025-03-12T14:16:13","slug":"icb-led-applied-research-projects","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/icb-led-applied-research-projects\/","title":{"rendered":"Projektet e K\u00ebrkimit t\u00eb Aplikuar t\u00eb udh\u00ebhequra nga ICB"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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Projektet e K\u00ebrkimit t\u00eb Aplikuar t\u00eb udh\u00ebhequra nga ICB<\/h1>\n

K\u00ebto projekte k\u00ebrkimore udh\u00ebhiqen nga koleg\u00ebt e ICB-s\u00eb, t\u00eb mb\u00ebshtetur nga studiuesit, p\u00ebr t\u00eb synuar fushat prioritare t\u00eb ICB-s\u00eb.<\/p>\n

Gjetja e projekteve:<\/strong> P\u00ebrdorni \u201cCtrl + F\u201d p\u00ebr t\u00eb p\u00ebrdorur funksionin e k\u00ebrkimit n\u00eb shfletuesin tuaj. Pastaj p\u00ebrdorni terma ky\u00e7 p\u00ebr t\u00eb k\u00ebrkuar projekte n\u00eb tem\u00ebn q\u00eb ju intereson. \u00cbsht\u00eb m\u00eb mir\u00eb t\u00eb provoni disa fjal\u00eb alternative, p.sh. \u201cLindje\u201d ose \u201cMaternitet\u201d ose \u201cMaternal\u201d ose \u201cNatal\u201d.<\/p>\n

Testosteroni n\u00eb menopauz\u00eb: nj\u00eb rishikim i provave dhe praktik\u00ebs s\u00eb p\u00ebrshkrimit \u2013 The Pharmaceutical Journal<\/a><\/h3>\n

Nj\u00eb v\u00ebshtrim m\u00eb i af\u00ebrt mbi baz\u00ebn e provave rreth p\u00ebrshkrimit t\u00eb testosteronit p\u00ebr grat\u00eb me menopauz\u00eb, duke analizuar ndikimin e formular\u00ebve rajonal\u00eb dhe rritjen e k\u00ebrkes\u00ebs n\u00eb vitet e fundit.<\/p>\n

P\u00ebrmir\u00ebsimi i p\u00ebrdorimit t\u00eb simulimit n\u00eb kujdesin sh\u00ebndet\u00ebsor: Zhvillimi i nxitur nga p\u00ebrdoruesit i nj\u00eb mjeti me burim t\u00eb hapur p\u00ebr modelimin e rrjedh\u00ebs s\u00eb pacient\u00ebve<\/a>\u00a0<\/strong><\/h3>\n

Modeli PathSimR \u00ebsht\u00eb nj\u00eb model simulimi i gjithansh\u00ebm, i krijuar posa\u00e7\u00ebrisht n\u00eb BNSSG p\u00ebr modelimin e rrug\u00ebve t\u00eb pacient\u00ebve n\u00eb kujdesin sh\u00ebndet\u00ebsor. Duke ofruar nj\u00eb zgjidhje falas dhe fleksib\u00ebl, softueri \u00ebsht\u00eb p\u00ebrdorur n\u00eb BNSSG dhe m\u00eb gjer\u00eb n\u00eb sisteme t\u00eb tjera t\u00eb NHS-s\u00eb p\u00ebr projekte dhe detyra t\u00eb ndryshme. Ky artikull tregon historin\u00eb e zhvillimit t\u00eb softuerit dhe ofron detaje t\u00eb plota mbi funksionimin dhe ve\u00e7orit\u00eb e tij.<\/p>\n

Optimizimi i ekuilibrit t\u00eb kapacitetit t\u00eb kujdesit akut dhe atij t\u00eb mes\u00ebm p\u00ebr rrug\u00ebn komplekse t\u00eb shkarkimit<\/strong><\/a><\/h3>\n

Balancimi i kapacitetit dhe rrjedh\u00ebs s\u00eb pacient\u00ebve midis spitalit akut dhe kujdesit komunitar \u00ebsht\u00eb nj\u00eb problem i v\u00ebshtir\u00eb planifikimi, q\u00eb p\u00ebrfshin marrjen n\u00eb konsiderat\u00eb t\u00eb mb\u00ebrritjeve t\u00eb pasigurta t\u00eb pacient\u00ebve dhe t\u00eb gjat\u00ebsive t\u00eb ndryshueshme t\u00eb q\u00ebndrimit. P\u00ebrmes skenar\u00ebve t\u00eb ndrysh\u00ebm, modelimi yn\u00eb ka ndihmuar n\u00eb zbulimin e alokimeve optimale t\u00eb kapacitetit p\u00ebrgjat\u00eb k\u00ebsaj rruge. Modelimi u krye n\u00eb muajt e menj\u00ebhersh\u00ebm pas COVID-19.<\/p>\n

Eksplorimi i nismave financiarisht t\u00eb q\u00ebndrueshme p\u00ebr t\u00eb adresuar vendosjet jasht\u00eb zon\u00ebs n\u00eb nj\u00ebsit\u00eb intensive psikiatrike<\/strong><\/a><\/h3>\n

Vendosjet jasht\u00eb zon\u00ebs ndodhin kur nuk ka kapacitet t\u00eb disponuesh\u00ebm p\u00ebr t\u00eb p\u00ebrmbushur k\u00ebrkes\u00ebn brenda zon\u00ebs lokale. Kjo shpesh ndodh p\u00ebr kujdesin e sh\u00ebndetit mendor me intensitet t\u00eb lart\u00eb, ku pacient\u00ebt d\u00ebrgohen n\u00eb distanca potencialisht t\u00eb m\u00ebdha drejt qendrave t\u00eb tjera. Modelet tona, duke p\u00ebrdorur modelin PathSimR, konsideruan skenar\u00eb t\u00eb ndrysh\u00ebm t\u00eb kapacitetit p\u00ebr t\u00eb zbutur k\u00ebto raste.<\/p>\n

Modeling i rim\u00ebk\u00ebmbjes s\u00eb listave t\u00eb pritjes elektive pas COVID-19<\/strong><\/a><\/h3>\n

Listat e pritjes p\u00ebr operacione elektive ishin rritur ndjesh\u00ebm pas pandemis\u00eb COVID-19 dhe, n\u00eb fazat e hershme t\u00eb rim\u00ebk\u00ebmbjes nga pandemia, nuk ishte e sigurt se sa nga shum\u00eb \u2018referime t\u00eb humbura\u2019 do t\u00eb ktheheshin. U krye modelim n\u00eb nivel lokal p\u00ebr t\u00eb kuptuar madh\u00ebsin\u00eb e mundshme t\u00eb list\u00ebs s\u00eb pritjes dhe koh\u00ebt e pritjes n\u00ebse do t\u00eb ktheheshin p\u00ebrqindje t\u00eb ndryshme. Modeli u aplikua gjithashtu n\u00eb nivel komb\u00ebtar n\u00eb t\u00eb gjith\u00eb Anglin\u00eb.<\/p>\n

Optimizimi i rrug\u00ebve t\u00eb trajtimit t\u00eb goditjes akute n\u00eb tru p\u00ebrmes p\u00ebrdorimit fleksib\u00ebl t\u00eb kapacitetit t\u00eb shtret\u00ebrve<\/a>\u00a0<\/strong><\/h3>\n

Modeli yn\u00eb PathSimR u p\u00ebrdor p\u00ebr t\u00eb modeluar rrjedh\u00ebn e centralizuar t\u00eb trajtimit t\u00eb goditjes cerebrale t\u00eb planifikuar n\u00eb BNSSG. Modeluimi p\u00ebrfshiu kalibrimin e modelit t\u00eb rrjedh\u00ebs dhe p\u00ebrdorimin e tij p\u00ebr t'u p\u00ebrgjigjur pyetjeve se sa kapacitet fleksib\u00ebl do t\u00eb nevojitej n\u00eb koh\u00eb t\u00eb ndryshme, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb sigurohej q\u00eb shumica d\u00ebrrmuese e pacient\u00ebve t\u00eb mos p\u00ebrjetonin vonesa n\u00eb pranimin n\u00eb nj\u00ebsin\u00eb hiper-akute t\u00eb goditjes cerebrale.<\/p>\n

Mb\u00ebshtetja e rikuperimit elektiv nga COVID-19 p\u00ebrmes modelimit t\u00eb shkall\u00ebzuesh\u00ebm t\u00eb list\u00ebs s\u00eb pritjes<\/strong><\/a><\/h3>\n

Ky artikull raporton mbi qasjen e modelimit t\u00eb ndjekur n\u00eb BNSSG p\u00ebr t\u00eb vler\u00ebsuar madh\u00ebsin\u00eb e list\u00ebs s\u00eb pritjes n\u00eb t\u00eb ardhmen n\u00eb nivel trusti dhe specialiteti, bazuar n\u00eb supozime t\u00eb ndryshme lidhur me k\u00ebrkes\u00ebn dhe kapacitetin e ardhsh\u00ebm. Duke qen\u00eb i thjesht\u00eb dhe i shkall\u00ebzuesh\u00ebm, modeli \u00ebsht\u00eb aplikuar q\u00eb at\u00ebher\u00eb n\u00eb \u00e7do trust spitalor dhe specialitet n\u00eb Angli, me k\u00ebto projeksione t\u00eb p\u00ebrdit\u00ebsuara \u00e7do muaj.<\/p>\n

Ekonomia e rreme e p\u00ebrpjekjes p\u00ebr t\u00eb eliminuar transferimet e vonuara t\u00eb kujdesit: disa m\u00ebsime nga teoria e radh\u00ebve<\/strong><\/a><\/h3>\n

Ky punim sfidoi mendimin e pranuar gjer\u00ebsisht se n\u00eb sistemet sh\u00ebndet\u00ebsore me performanc\u00eb t\u00eb mir\u00eb \u00ebsht\u00eb e nevojshme t\u00eb \u201celiminuar\u201d transferimet e vonuara t\u00eb kujdesit (ndonj\u00ebher\u00eb t\u00eb quajtura \u2018bllokim i shtret\u00ebrve\u2019). Studimi, duke p\u00ebrdorur metoda nga disiplina matematikore e teoris\u00eb s\u00eb radh\u00ebve, zbuloi se ndjekja e nj\u00eb politike t\u00eb till\u00eb ka t\u00eb ngjar\u00eb t\u00eb jet\u00eb joekonomike, pasi do t\u00eb k\u00ebrkonte sasi t\u00eb m\u00ebdha kapaciteti komunitar p\u00ebr t\u00eb akomoduar edhe majat m\u00eb t\u00eb rralla t\u00eb k\u00ebrkes\u00ebs, duke l\u00ebn\u00eb shum\u00eb kapacitet t\u00eb pap\u00ebrdorur p\u00ebr pjes\u00ebn m\u00eb t\u00eb madhe t\u00eb koh\u00ebs.<\/p>\n

Zbatimi i Planit t\u00eb P\u00ebrmbledhur t\u00eb Rekomanduar p\u00ebr Kujdesin dhe Trajtimin e Emergjenc\u00ebs (ReSPECT)<\/h3>\n

Procesi ReSPECT \u00ebsht\u00eb nj\u00eb iniciativ\u00eb q\u00eb krijon rekomandime t\u00eb personalizuara p\u00ebr kujdesin dhe trajtimin klinik t\u00eb nj\u00eb personi n\u00eb nj\u00eb emergjenc\u00eb t\u00eb ardhshme, kur ai nuk \u00ebsht\u00eb n\u00eb gjendje t\u00eb marr\u00eb ose t\u00eb shpreh\u00eb zgjedhje.\u00a0Kjo nism\u00eb u zbatua n\u00eb zon\u00ebn lokale gjat\u00eb pandemis\u00eb. Q\u00ebllimi i analiz\u00ebs \u00ebsht\u00eb t\u00eb p\u00ebrcaktoj\u00eb barazin\u00eb n\u00eb procesin e zbatimit t\u00eb formularit ReSPECT (gjat\u00eb val\u00ebs s\u00eb par\u00eb t\u00eb Covid-19) dhe \u00e7do ndryshim t\u00eb lidhur me m\u00ebnyr\u00ebn se si pacient\u00ebt dhe organet e tyre lokale t\u00eb kujdesit sh\u00ebndet\u00ebsor nd\u00ebrveprojn\u00eb m\u00eb pas. Kjo do t\u00eb ndihmoj\u00eb n\u00eb informimin e vendimeve t\u00eb ardhshme t\u00eb komisionimit n\u00eb lidhje me p\u00ebrdorimin e formularit ReSPECT.<\/span><\/span><\/span><\/p>\n

P\u00ebrdorimi i menaxhimit hiper-lokal t\u00eb sh\u00ebndetit t\u00eb popullat\u00ebs p\u00ebr t\u00eb rritur numrin e njer\u00ebzve q\u00eb vaksinohen kund\u00ebr COVID-19<\/a><\/h3>\n

IBNSSG ICB ngarkoi fushata lokale p\u00ebr t\u00eb inkurajuar njer\u00ebzit q\u00eb kan\u00eb m\u00eb pak gjasa t\u00eb vaksinohen q\u00eb t\u00eb marrin vaksin\u00ebn COVID-19. Kjo analiz\u00eb do t\u00eb na ndihmoj\u00eb t\u00eb kuptojm\u00eb sa efektive ishin k\u00ebto fushata, n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb p\u00ebrmir\u00ebsojm\u00eb organizimin e programeve sh\u00ebndet\u00ebsore lokale dhe komb\u00ebtare q\u00eb p\u00ebrfshijn\u00eb num\u00ebr t\u00eb madh njer\u00ebzish n\u00eb t\u00eb ardhmen.<\/span><\/span><\/p>\n

P-NEWS: Skor\u00ebt e paralajm\u00ebrimit t\u00eb hersh\u00ebm t\u00eb personalizuara p\u00ebr pacient\u00ebt kritik\u00eb q\u00eb priten n\u00eb spital<\/h3>\n

Ky projekt synon t\u00eb reduktoj\u00eb pranimet n\u00eb kujdesin intensiv duke nd\u00ebrhyr\u00eb m\u00eb her\u00ebt p\u00ebr t\u00eb korrigjuar problemet para se t\u00eb b\u00ebhen kritike. Ata planifikojn\u00eb ta b\u00ebjn\u00eb k\u00ebt\u00eb duke p\u00ebrdorur v\u00ebzhgimet e pacient\u00ebve dhe analitikat e avancuara p\u00ebr t\u00eb prodhuar nj\u00eb vler\u00ebsim t\u00eb sakt\u00eb t\u00eb rrezikut t\u00eb p\u00ebrkeq\u00ebsimit p\u00ebr \u00e7do pacient individual. Pik\u00ebzimi Komb\u00ebtar i Paralajm\u00ebrimit t\u00eb Hersh\u00ebm (NEWS) \u00ebsht\u00eb nj\u00eb pik\u00ebzim \u201cnj\u00eb madh\u00ebsi p\u00ebr t\u00eb gjith\u00eb\u201d q\u00eb thekson sa i s\u00ebmur\u00eb \u00ebsht\u00eb nj\u00eb pacient. Fatkeq\u00ebsisht, NEWS nuk merr parasysh ve\u00e7ori t\u00eb r\u00ebnd\u00ebsishme si diagnoza dhe historia mjek\u00ebsore e m\u00ebparshme. Ky projekt synon t\u00eb p\u00ebrmir\u00ebsoj\u00eb pik\u00ebzimin dhe t\u00eb parashikoj\u00eb p\u00ebrkeq\u00ebsimin m\u00eb her\u00ebt.<\/span><\/span><\/p>\n

Ky projekt \u00ebsht\u00eb pjes\u00eb e Partneritetit p\u00ebr Kujdes m\u00eb t\u00eb Mir\u00eb t\u00eb Health Data Research UK South.<\/span><\/p>\n

Nj\u00eb krahasim i metodave t\u00eb segmentimit t\u00eb popullsis\u00eb<\/a><\/h3>\n

Segmentimi i popullsis\u00eb n\u00eb grupe t\u00eb ve\u00e7anta bazuar n\u00eb atributet individuale dhe\/ose aktivitetin e kujdesit sh\u00ebndet\u00ebsor \u00ebsht\u00eb nj\u00eb komponent ky\u00e7 i Menaxhimit t\u00eb Sh\u00ebndetit t\u00eb Popullsis\u00eb (PHM). Megjithat\u00eb, ekziston nj\u00eb shum\u00ebllojshm\u00ebri metodash t\u00eb mundshme p\u00ebr t\u00eb kryer segmentimin e popullsis\u00eb, secila me avantazhet dhe disavantazhet e veta. Ky projekt rishikoi 16 nga qasjet m\u00eb t\u00eb p\u00ebrdorura p\u00ebr t\u00eb p\u00ebrcaktuar se cila metod\u00eb \u00ebsht\u00eb m\u00eb e p\u00ebrshtatshme p\u00ebr t'iu p\u00ebrgjigjur llojeve t\u00eb caktuara t\u00eb pyetjeve. Gjetjet kan\u00eb informuar q\u00eb at\u00ebher\u00eb zgjedhjen ton\u00eb t\u00eb metod\u00ebs s\u00eb segmentimit kur punojm\u00eb n\u00eb projekte brenda programit ton\u00eb t\u00eb PHM.<\/p>\n

Zb\u00ebrthimi i dinamik\u00ebs s\u00eb referimit p\u00ebr trajtim n\u00eb NHS<\/a><\/h3>\n

Referimi p\u00ebr trajtim (RTT), q\u00eb mat p\u00ebrqindjen e pacient\u00ebve q\u00eb presin m\u00eb pak se 18 jav\u00eb, \u00ebsht\u00eb barometri kryesore e performanc\u00ebs elektorale n\u00eb NHS dhe p\u00ebrdoret p\u00ebr t\u00eb monitoruar sa gjat\u00eb pacient\u00ebt presin p\u00ebr trajtimin e planifikuar. P\u00ebr sistemet e kujdesit sh\u00ebndet\u00ebsor, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb kuptohen dhe t\u00eb modelohen dinamikat e rrug\u00ebs RTT, n\u00eb m\u00ebnyr\u00eb q\u00eb koh\u00ebt e ardhshme t\u00eb pritjes t\u00eb mund t\u00eb parashikohen me besueshm\u00ebri dhe t\u00eb vler\u00ebsohet efekti i ndryshimeve n\u00eb referime dhe kapacitet. Modeli yn\u00eb i simulimit kompjuterik \u00ebsht\u00eb p\u00ebrdorur rregullisht p\u00ebr k\u00ebt\u00eb q\u00ebllim, si p\u00ebr trust-e t\u00eb ndryshme spitalore ashtu edhe p\u00ebr specialitete klinike t\u00eb ndryshme.<\/p>\n

Modeli i kapacitetit p\u00ebrgjat\u00eb rrug\u00ebs s\u00eb pacientit me vonesa n\u00eb transferim dhe n\u00eb shkarkim<\/a><\/h3>\n

Pa kapacitet t\u00eb mjaftuesh\u00ebm, rrug\u00ebt klinike mund t\u00eb bllokohen, me pacient\u00eb gati p\u00ebr t'u shkarkuar, por t\u00eb paaft\u00eb p\u00ebr t'u transferuar m\u00eb tej. Kjo \u00ebsht\u00eb e d\u00ebmshme si p\u00ebr pacient\u00ebt ashtu edhe p\u00ebr spitalet. Megjithat\u00eb, vler\u00ebsimi i kapacitetit optimal t\u00eb nevojsh\u00ebm nuk \u00ebsht\u00eb i thjesht\u00eb. Nd\u00ebrsa qasjet me flet\u00ebllogaritje jan\u00eb t\u00eb shpejta dhe t\u00eb lehta, ato zakonisht n\u00ebnvler\u00ebsojn\u00eb numrin e shtret\u00ebrve q\u00eb duhet t\u00eb vihen n\u00eb dispozicion. K\u00ebtu zhvillojm\u00eb nj\u00eb qasje m\u00eb t\u00eb q\u00ebndrueshme duke ofruar nj\u00eb model kompjuterik t\u00eb personalizuesh\u00ebm dhe t\u00eb rip\u00ebrdorsh\u00ebm, i cili aplikohet p\u00ebr t\u00eb vler\u00ebsuar kapacitetin e rrug\u00ebs s\u00eb trajtimit t\u00eb goditjes n\u00eb tru n\u00eb t\u00eb ardhmen.<\/p>\n

Menaxhimi i Sh\u00ebndetit t\u00eb Popullsis\u00eb p\u00ebr t\u00eb identifikuar dhe karakterizuar nevoj\u00ebn e vazhdueshme sh\u00ebndet\u00ebsore p\u00ebr individ\u00ebt me rrezik t\u00eb lart\u00eb t\u00eb mbrojtur nga COVID-19: nj\u00eb studim kohort\u00eb transverzal<\/a><\/h3>\n

N\u00eb fazat e hershme t\u00eb pandemis\u00eb COVID-19, rreth 30,000 banor\u00eb t\u00eb cenuesh\u00ebm t\u00eb BNSSG-s\u00eb u k\u00ebrkua t\u00eb \u2018mbrohen\u2019 p\u00ebr t'u mbrojtur nga rreziqet e infektimit me COVID-19. Megjithat\u00eb, dihej pak p\u00ebr k\u00ebt\u00eb grup individ\u00ebsh. Duke p\u00ebrdorur t\u00eb dh\u00ebna t\u00eb lidhura, u identifikuan gjasht\u00eb segmente t\u00eb ndryshme brenda popullsis\u00eb q\u00eb mbrohej. Njohja e k\u00ebtyre na ndihmoi t\u00eb p\u00ebrshtatnim m\u00eb mir\u00eb k\u00ebshillat p\u00ebr pacient\u00ebt dhe t\u00eb mb\u00ebshtesnim ekipet lokale t\u00eb kujdesit par\u00ebsor n\u00eb menaxhimin e gjendjeve t\u00eb tyre gjat\u00eb periudh\u00ebs s\u00eb mbrojtjes.<\/p>\n

Modeliimi i skenarive t\u00eb COVID-19 p\u00ebr zbutjen e vdekjeve t\u00eb varura nga kapaciteti n\u00eb kujdesin intensiv<\/a><\/h3>\n

Q\u00eb n\u00eb fillim t\u00eb pandemis\u00eb, kishte shum\u00eb pak informacion p\u00ebr t'i ndihmuar menaxher\u00ebt dhe klinicist\u00ebt t\u00eb kuptonin sasin\u00eb e shtret\u00ebrve t\u00eb kujdesit intensiv t\u00eb nevojsh\u00ebm p\u00ebr t'iu p\u00ebrshtatur k\u00ebrkes\u00ebs s\u00eb mundshme q\u00eb do t\u00eb vinte. Kjo ishte e r\u00ebnd\u00ebsishme, pasi ishte e v\u00ebshtir\u00eb t'i konvertoje shtret\u00ebrit n\u00eb specifikimet e kujdesit intensiv. Megjithat\u00eb, n\u00ebse konvertoheshin shum\u00eb pak, kjo mund t\u00eb rezultonte n\u00eb pacient\u00eb q\u00eb nuk mund t\u00eb kishin qasje n\u00eb nivelin e kujdesit q\u00eb u nevojitej. P\u00ebr t\u00eb adresuar k\u00ebt\u00eb \u00e7\u00ebshtje, u zhvillua me shpejt\u00ebsi nj\u00eb model simulimi kompjuterik i rrjedh\u00ebs s\u00eb pacient\u00ebve me COVID-19 dhe u p\u00ebrdor si pjes\u00eb e reagimit fillestar thelb\u00ebsor ndaj numrit t\u00eb lart\u00eb t\u00eb rasteve n\u00eb pranver\u00ebn e vitit 2020.<\/p>\n

Modeling i ndikimit t\u00eb COVID-19 n\u00eb koh\u00ebt e pritjes p\u00ebr operacione zgjedhore<\/a><\/h3>\n

Nd\u00ebrsa efektet e menj\u00ebhershme t\u00eb COVID-19 ishin n\u00eb kujdesin spitalor t\u00eb emergjenc\u00ebs, shpejt u b\u00eb e qart\u00eb se vendimi p\u00ebr t\u00eb shtyr\u00eb trajtimet elektive n\u00eb pranver\u00ebn e vitit 2020 do t\u00eb kishte nj\u00eb ndikim t\u00eb r\u00ebnd\u00eb n\u00eb koh\u00ebt e pritjes. Pyetjet ishin: sa i madh do t\u00eb ishte ky efekt dhe sa shpejt mund t\u00eb rikuperonim? P\u00ebr t'i p\u00ebrgjigjur k\u00ebtyre, nj\u00eb mjet ekzistues i p\u00ebrdorur p\u00ebr modelimin e dinamik\u00ebs s\u00eb referimit n\u00eb trajtim (RTT) u rikalibrua dhe u p\u00ebrdor p\u00ebr t\u00eb parashikuar koh\u00ebt e pritjes n\u00ebn skenar\u00eb t\u00eb ndrysh\u00ebm t\u00eb konsideruar t\u00eb besuesh\u00ebm n\u00eb fillim t\u00eb pandemis\u00eb.<\/p>\n

Parashikimi p\u00ebr menaxhim t\u00eb p\u00ebrmir\u00ebsuar t\u00eb kapacitetit t\u00eb shtret\u00ebrve akut\u00eb p\u00ebr COVID-19<\/a><\/h3>\n

Nd\u00ebrsa z\u00ebnia e shtret\u00ebrve u rrit shpejt n\u00eb val\u00ebn e dyt\u00eb t\u00eb pandemis\u00eb, planifikuesit e spitalit kishin nevoj\u00eb p\u00ebr vler\u00ebsime t\u00eb numrit t\u00eb pritsh\u00ebm t\u00eb pranimeve n\u00eb dit\u00ebt n\u00eb vijim. U nd\u00ebrtua dhe u vendos n\u00eb p\u00ebrdorim nj\u00eb model i thjesht\u00eb parashikimi me seri kohore p\u00ebr p\u00ebrdorim ditor n\u00eb parashikimin e z\u00ebnies s\u00eb shtret\u00ebrve t\u00eb kujdesit akut dhe intensiv p\u00ebr t\u00eb gjith\u00eb spitalet lokale. Kjo ndihmoi n\u00eb sigurimin q\u00eb numri i duhur i shtret\u00ebrve t\u00eb p\u00ebrgatitej dhe t\u00eb hapeshin pavione t\u00eb reja infektive sipas nevoj\u00ebs.<\/p>\n

Ndikimi i rritjes s\u00eb tele-sh\u00ebndet\u00ebsis\u00eb ambulatore gjat\u00eb COVID-19: Analiz\u00eb retrospektive e t\u00eb dh\u00ebnave nga sondazhet e pacient\u00ebve dhe aktivitetet rutin\u00eb nga nj\u00eb sistem i madh sh\u00ebndet\u00ebsor n\u00eb Angli<\/a><\/h3>\n

P\u00ebr t\u00eb ndihmuar n\u00eb kufizimin e infeksioneve spitalore, nj\u00eb pjes\u00eb e konsiderueshme e konsultimeve ambulatore u zhvendos\u00ebn nga mjedisi fizik n\u00eb at\u00eb virtual n\u00eb fazat e hershme t\u00eb pandemis\u00eb. Duke shqyrtuar nj\u00eb num\u00ebr t\u00eb madh sondazhesh t\u00eb pacient\u00ebve, u zbulua se m\u00eb shum\u00eb t\u00eb anketuar \u2018preferonin\u2019 takimet virtuale sesa ato fizike, dhe shtat\u00eb her\u00eb m\u00eb shum\u00eb i gjet\u00ebn ato \u2018m\u00eb pak stresuese\u2019 sesa \u2018m\u00eb stresuese\u2019. Rezultatet kan\u00eb ndihmuar n\u00eb informimin e p\u00ebrshtatshm\u00ebris\u00eb s\u00eb mundshme t\u00eb konsultimeve me video n\u00eb t\u00eb ardhmen.<\/p>\n

Vlera e triazhit gjat\u00eb periudhave t\u00eb k\u00ebrkes\u00ebs intensive p\u00ebr COVID-19: Studim me modelim simulimi<\/a><\/h3>\n

Edhe pse fatmir\u00ebsisht NHS nuk ka pasur nevoj\u00eb t\u00eb vendos\u00eb triazhin p\u00ebr pranimet n\u00eb kujdesin intensiv gjat\u00eb vitit t\u00eb par\u00eb t\u00eb pandemis\u00eb, her\u00eb pas here ka qen\u00eb shum\u00eb pran\u00eb k\u00ebsaj. Kur k\u00ebrkesa p\u00ebr nj\u00eb burim t\u00eb till\u00eb tejkalon ofert\u00ebn, mund t\u00eb thuhet se \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb promovohet qasje m\u00eb e mir\u00eb p\u00ebr ata q\u00eb kan\u00eb m\u00eb shum\u00eb p\u00ebr t\u00eb p\u00ebrfituar. Megjithat\u00eb, ka pak prova q\u00eb mb\u00ebshtesin se sa shum\u00eb mund t\u00eb fitohet nga zbatimi i triazhit. Puna jon\u00eb trajtoi k\u00ebt\u00eb boshll\u00ebk, duke zbuluar se triazhi mund t\u00eb reduktoj\u00eb vitet totale t\u00eb jet\u00ebs s\u00eb humbura me 12%, n\u00ebse k\u00ebrkesa ndonj\u00ebher\u00eb tejkalon ofert\u00ebn.<\/p>\n

Hulumtim operativ p\u00ebr dizajnin e sigurt dhe efektiv t\u00eb qendrave t\u00eb vaksinimit masiv kund\u00ebr COVID-19<\/a><\/h3>\n

Qendrat e vaksinimit ishin thelb\u00ebsore p\u00ebr zgjerimin e vaksinimit masiv t\u00eb popullat\u00ebs kund\u00ebr COVID-19. Megjithat\u00eb, planifikuesit kishin shum\u00eb pak informacion p\u00ebr t\u00eb udh\u00ebhequr konfigurimin e k\u00ebtyre qendrave, t\u00eb cilat duhej t\u00eb ngriheshin brenda pak jav\u00ebsh. N\u00eb vendin e Bristol Ashton Gate u p\u00ebrdor modelim me simulim kompjuterik p\u00ebr t\u00eb informuar kapacitetin maksimal t\u00eb qendr\u00ebs, n\u00eb aspektin e numrit t\u00eb njer\u00ebzve q\u00eb mund t\u00eb vaksinoheshin \u00e7do dit\u00eb. Rezultatet e modelit u p\u00ebrdor\u00ebn gjat\u00eb muajve t\u00eb par\u00eb thelb\u00ebsor\u00eb t\u00eb operimit.<\/p>\n

Parashikimi i efektit t\u00eb leht\u00ebsimit t\u00eb kufizimeve shoq\u00ebrore mbi k\u00ebrkes\u00ebn p\u00ebr urgjenca jo-COVID-19 n\u00eb Mbret\u00ebrin\u00eb e Bashkuar: Inferenc\u00eb statistikore duke p\u00ebrdorur t\u00eb dh\u00ebnat e l\u00ebvizshm\u00ebris\u00eb publike<\/a><\/h3>\n

Nd\u00ebrsa shumica e v\u00ebmendjes ishte p\u00ebrqendruar te rastet e COVID-19, kufizimet shoq\u00ebrore ndikuan gjithashtu n\u00eb m\u00ebnyr\u00eb t\u00eb konsiderueshme n\u00eb pranimet n\u00eb spital p\u00ebr shkaqe jo-COVID-19. P\u00ebr shembull, me m\u00eb pak l\u00ebndime sportive dhe aksidente rrugore, k\u00ebrkesa p\u00ebr sh\u00ebrbime urgjente n\u00eb spitalet lokale u ul. N\u00eb muajt e par\u00eb t\u00eb vitit 2021, nd\u00ebrsa bllokimi po leht\u00ebsohej gradualisht, u p\u00ebrdor nj\u00eb model regresioni p\u00ebr t\u00eb parashikuar, bazuar n\u00eb rritjet e pritshme t\u00eb l\u00ebvizshm\u00ebris\u00eb publike, n\u00eb \u00e7far\u00eb mase mund t\u00eb rritej numri i pranimeve n\u00eb spital.<\/p>\n

Adresimi i mbinxjerrjes dhe i munges\u00ebs s\u00eb ndjeshm\u00ebris\u00eb n\u00eb objektivin 85% p\u00ebr z\u00ebnien mesatare t\u00eb shtret\u00ebrve<\/a><\/h3>\n

Nj\u00eb rezultat afatgjat\u00eb dhe gjer\u00ebsisht i paprekur tregon se spitalet duhet t\u00eb synojn\u00eb nj\u00eb mesatare prej 85% t\u00eb z\u00ebnies s\u00eb shtret\u00ebrve p\u00ebr t\u00eb balancuar rreziqet p\u00ebr sigurin\u00eb e pacientit nga kapaciteti i pamjaftuesh\u00ebm me pasojat financiare t\u00eb kapacitetit t\u00eb tep\u00ebrt. Megjithat\u00eb, nj\u00eb mas\u00eb e vetme nuk \u00ebsht\u00eb e ndjeshme ndaj gam\u00ebs s\u00eb kushteve q\u00eb ekzistojn\u00eb realisht n\u00eb terren. Duke hartuar nj\u00eb tabel\u00eb referimi bazuar n\u00eb madh\u00ebsin\u00eb e pavionit dhe specialitetin, modelimi yn\u00eb zbulon nj\u00eb grup objektivash m\u00eb t\u00eb sakta q\u00eb mund t\u00eb p\u00ebrdoren nga menaxher\u00ebt e spitalit dhe komisioner\u00ebt.<\/p>\n

Modelingu i efektit t\u00eb val\u00ebs s\u00eb par\u00eb t\u00eb COVID-19 n\u00eb sh\u00ebrbimet e sh\u00ebndetit mendor<\/a><\/h3>\n

Gjat\u00eb val\u00ebs s\u00eb par\u00eb t\u00eb pandemis\u00eb, kishte shum\u00eb pasiguri n\u00eb lidhje me sasin\u00eb e k\u00ebrkes\u00ebs s\u00eb grumbulluar p\u00ebr sh\u00ebrbimet e sh\u00ebndetit mendor, e cila mund t\u00eb \u00e7onte n\u00eb presion pas heqjes s\u00eb karantin\u00ebs. Nj\u00eb model i gjithansh\u00ebm i radh\u00ebsimit me koh\u00eb diskrete u hartua shpejt dhe u p\u00ebrdor p\u00ebr t\u00eb shqyrtuar efektin e mundsh\u00ebm t\u00eb disa trajektoreve t\u00eb ndryshme t\u00eb k\u00ebrkes\u00ebs dhe nd\u00ebrhyrjeve t\u00eb sh\u00ebrbimit t\u00eb hartuara p\u00ebr t\u00eb zbutur presionin e r\u00ebnd\u00eb n\u00eb sistem.<\/p>\n

Vendosja e nj\u00eb kornize t\u00eb bazuar n\u00eb SEIR p\u00ebr modelimin lokal t\u00eb infeksioneve, hospitalizimeve dhe vdekjeve nga COVID-19<\/a><\/h3>\n

Nd\u00ebrsa modelimi epidemiologjik \u00ebsht\u00eb p\u00ebrdorur rutin\u00eb p\u00ebr t\u00eb informuar marrjen e vendimeve n\u00eb nivel komb\u00ebtar, ka pasur shum\u00eb pak p\u00ebr t\u00eb udh\u00ebhequr planifikimin n\u00eb nivel lokal. N\u00eb fund t\u00eb fundit, masa kryesore e interesit ka qen\u00eb numri i pritsh\u00ebm i ardhsh\u00ebm i pranimeve akute me COVID-19. Duke p\u00ebrdorur nj\u00eb model kompartimental t\u00eb tipit \u2018SEIR\u2019, u krijua nj\u00eb grup pune nd\u00ebrdisiplinor nd\u00ebr-sistemik p\u00ebr t\u00eb konfiguruar skenar\u00eb t\u00eb ndrysh\u00ebm t\u00eb besuesh\u00ebm, me rezultatet q\u00eb form\u00ebsuan reagimin lokal n\u00eb p\u00ebrcaktimin e numrit t\u00eb shtret\u00ebrve t\u00eb nevojsh\u00ebm p\u00ebr t\u00eb p\u00ebrballuar n\u00eb m\u00ebnyr\u00eb t\u00eb sigurt k\u00ebrkes\u00ebn e ardhshme.<\/p>\n

Modeling i efektit t\u00eb vaksinimit masiv kund\u00ebr COVID-19 n\u00eb pranimet spitalore akute<\/a><\/h3>\n

Duke u bazuar n\u00eb pun\u00ebn e m\u00ebparshme q\u00eb p\u00ebrfshinte nj\u00eb model t\u00eb tipit \u2018SEIR\u2019 t\u00eb ndar\u00eb n\u00eb kompartamente, u b\u00ebn\u00eb nj\u00eb s\u00ebr\u00eb p\u00ebrmir\u00ebsimesh teknike p\u00ebr t\u00eb marr\u00eb parasysh efektin e vaksinimit n\u00eb dinamik\u00ebn e transmetimit. M\u00eb pas modeli u p\u00ebrdor p\u00ebr t\u00eb shqyrtuar disa skenar\u00eb q\u00eb lidhen me hart\u00ebn e relaksimit t\u00eb masave t\u00eb karantin\u00ebs n\u00eb fillim t\u00eb vitit 2021. Parashikimet u validuan kur rritja e rasteve spitalore n\u00eb vjesht\u00ebn e vitit 2021 ra rehatsh\u00ebm brenda intervalit nd\u00ebrkuartil t\u00eb modeluar.<\/p>\n

P\u00ebrdorimi i t\u00eb dh\u00ebnave t\u00eb lidhura t\u00eb pacient\u00ebve p\u00ebr t\u00eb vler\u00ebsuar efektin e Long-COVID n\u00eb p\u00ebrdorimin e kujdesit sh\u00ebndet\u00ebsor n\u00eb t\u00eb gjith\u00eb sistemin<\/a><\/h3>\n

P\u00ebrve\u00e7 ndikimit t\u00eb menj\u00ebhersh\u00ebm t\u00eb infeksionit COVID-19 n\u00eb sh\u00ebrbimet e kujdesit sh\u00ebndet\u00ebsor akut, kishte shqet\u00ebsim se efektet afatgjata (t\u00eb ashtuquajturat \u2018Long-COVID\u2019) mund t\u00eb vendosnin k\u00ebrkesa shtes\u00eb n\u00eb mjedise t\u00eb tjera t\u00eb kujdesit sh\u00ebndet\u00ebsor. Baza t\u00eb dh\u00ebnash e t\u00ebr\u00eb sistemit BNSSG u p\u00ebrdor p\u00ebr t\u00eb identifikuar prova t\u00eb rritjeve statistikisht t\u00eb r\u00ebnd\u00ebsishme n\u00eb aktivitetin e kujdesit sh\u00ebndet\u00ebsor brenda tre muajsh nga diagnostikimi me COVID-19.<\/p>\n <\/div>\n

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Faqe t\u00eb tjera n\u00eb seksionin Portofoli yn\u00eb i k\u00ebrkimeve:<\/p>\n

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