Search results for " HOSPITAL"
showing 10 items of 1158 documents
Prevalence and characteristics of antidepressant drug prescriptions in older Italian patients.
2012
ABSTRACTBackground: During last few decades, the proportion of elderly persons prescribed with antidepressants for the treatment of depression and anxiety has increased. The aim of this study was to evaluate prevalence of antidepressant prescription and related factors in elderly in-patients, as well as the consistency between prescription of antidepressants and specific diagnoses requiring these medications.Methods: Thirty-four internal medicine and four geriatric wards in Italy participated in the Registro Politerapie SIMI–REPOSI study during 2008. In all, 1,155 in-patients, 65 years or older, were enrolled. Prevalence of the use of antidepressants was calculated at both admission and dis…
Association between clusters of diseases and polypharmacy in hospitalized elderly patients: results from the REPOSI study.
2011
BACKGROUND: Although the association between multimorbidity and polypharmacy has been clearly documented, no study has analyzed whether or not specific combinations of diseases influence the prescription of polypharmacy in older persons. We assessed which clusters of diseases are associated with polypharmacy in acute-care elderly in-patients. METHODS: This cross-sectional study was held in 38 Italian internal medicine and geriatric wards participating in the Registro Politerapie SIMI (REPOSI) study during 2008. The study sample included 1155 in-patients aged 65 years or older. Clusters of diseases, defined as two or more co-occurring specific chronic diseases, were identified using the odds…
Experimental and numerical investigation on a new FSW based metal to composite joining technique
2018
Abstract In the last decades, different techniques were proposed to join aluminum sheets with composites materials. Each of them has advantages and weak points over the others and new techniques and patents are continuously developed to overcome these difficulties. In this paper an experimental and numerical investigation on a new Friction Stir Welding based approach to mechanically join AA6082-T6 to self-reinforced polypropylene is presented. The aluminum sheet is pre-holed along both the sides of the weld line and a pinless tool generates the heat and pressure needed to prompt back-extrusion of the composite. New experimental fixtures and hole designs were investigated in order to enhance…
Causas y consecuencias del crecimiento urbanístico en el litoral valenciano a través de la evolución de los usos del suelo. El caso de Oliva.
2019
Mediante la fotointerpretación de imágenes aéreas con la utilización de técnicas SIG y a través de un intenso trabajo bibliográfico y de campo, se realiza un análisis diacrónico (1956, 1991 y 2015) de la evolución de los usos del suelo en Oliva (València, España). A partir de este análisis multimetodológico se estudia la evolución de la situación urbanística y de las dinámicas territoriales en un municipio paradigmático para explicar la evolución urbanística del litoral valenciano en las últimas décadas. In this paper we have carried out a diachronic analysis about land uses evolution in Olive through a mixed method of research, based on photo-interpretation of aerial images (years 1956, 19…
Comparison of input data with different spatial resolution in landscape pattern analysis – A case study from northern Latvia
2017
A suitable spatial scale needs to be selected in geographical and landscape ecological research, and this requires great consideration as different scales have profound effect on derived landscape spatial patterns. Numerous studies have investigated the effects of different scales on landscape metrics using simulated patterns, but few have been conducted to compare different data sources with variable scale for regional- and landscape-scale assessments. Possibly this has occurred because researchers have been prone to use the best available source, a well-known standard, and easiest to use. This study was conducted to assess the impact of input data resolution on values of landscape pattern…
Land-use and climate related drivers of change in the reindeer management system in Finland: geography of perceptions
2021
Drivers of change in the reindeer management system are rather well-known. But when developing the gover-nance to support the traditional livelihoods, it is crucial to understand also practitioner perceptions. Systematic research on these is lacking. We analyzed the land-use and climate related drivers within the reindeer man-agement area (RMA) in Finland, and, using a perception geography approach, studied the herder perceptions towards these. We conducted an on-site questionnaire survey with herders from 51 herding districts. Factors directly affecting the welfare of reindeer were perceived as crucial by herders, for example basal icing affecting the forage availability, and land-use rela…
Evaluating the material resource efficiency of secondary aluminium production: A Monte Carlo-based decision-support tool
2019
The contamination of aluminium streams during the different life cycle stages by alloy mixing and/or accumulation of foreign elements, in combination with the limited melt purification options during remelting, represents an important limiting factor in recycling. Consequently, in secondary aluminium production, primary aluminium is used to dilute the concentration of the residual elements, and alloying elements are added to adjust the composition to the target alloy specifications. However, adding elements, for which their refinement in a subsequent recycling step is problematic, results in permanent down-cycling or ‘quality losses’. Hence, it is crucial to more efficiently control the com…
Towards criteria for sustainable process selection: On the modelling of pure subtractive versus additive/subtractive integrated manufacturing approac…
2017
Additive Manufacturing (AM) processes can be counted among the disruptive technologies that are capable of transforming conventional manufacturing routes. The ability to create complex geometries, the reduction in material scraps during manufacturing, and the light-weighting due to the think-additive redesign of the components represent the main points of strength of AM. However, for some applications (such as the production of metal components for the automotive and aerospace industries), the surface finishing and dimensional/geometrical part tolerancing that can be achieved via AM processes might not be adequate to satisfy the imposed product specifications, and finish machining operation…
Process mechanics in Friction Stir Extrusion of magnesium alloys chips through experiments and numerical simulation
2017
Abstract Friction Stir Extrusion (FSE) is a novel process designed to directly recycle machining chips. An experimental campaign was carried out on AZ31 milling chips using variations in extrusion ratio, force and tool rotation rate. The process mechanics were studied and correlated to the material flow, which was elucidated through use of a copper marker. A 3D, Lagrangian, thermo-mechanically coupled dedicated numerical model was set up and validated through temperature measurements. The combination of experimental and numerical results permitted to reconstruct the complex 3D material flow induced by tool rotation and plunge into the extrusion billet chamber.
Enhancement of mechanical properties of FSWed AA7075 lap joints through in-situ fabrication of MMC
2017
Abstract Friction Stir Processing (FSP) has been demonstrated feasible to create local Metal Matrix Composites (MMCs) in light alloys matrix. In this research, local MMCs were produced contextually to the weld using Friction Stir Welding (FSW). SiC particles were added to AA7075 lap joints by creating a proper groove on the top surface of the bottom sheet. Different welds were produced with increasing number of tool passes. The effect of the multiple passes was investigated through shear tests, macro and micro observations, average grain size and microhardness measurements. The welded joints were compared to a reference weld produced with no reinforcements. It was found that poor mixing bet…