Search results for " unit"
showing 10 items of 1311 documents
Stikla pakešu konstruktīvo parametru automatizēta noteikšana
2021
Maģistra darba mērķis ir izstrādāt programmatūru, kas pēc ievades datiem spēj būvinženierim parādīt vairākus iespējamos stikla paketes uzbūves variantus, kas atbilst konstruktīvajām prasībām normatīvos. Darbā implementēti vadlīnijās aprakstīti vienkāršojumi, lai izveidotu ātri aprēķināmus galīgo elementu modeļus. Uz ~2 miljonu galīgo elementu modeļu aprēķinu bāzes ir trenēti neironu tīklu “surogāta modeļi”. Iegūta >98% precizitāte, izmantojot Google piedāvātu automatizētu mašīnmācīšanās risinājumu. Izveidotie neironu tīklu modeļi sasniedz ~160-kārtīgu ātruma palielinājumu salīdzinot ar galīgo elementu aprēķiniem, vienu pilnu stiklu paketes izvērtējumu paātrinot līdz ~300 milisekundēm. Šāds …
Palliative Care and End-of-Life Issues in Patients with Brain Cancer Admitted to ICU
2023
Background and Objectives: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. Materials and Methods: We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). Results: We identified 967 articles and, after excluding 952 articles in accordance with the PRISMA flow chart, we included a total of 15 articles in the final selection. The potential role of palliative care in neuro-oncology appears necessary to ensure comprehensive end-of-life patient care. However, this seems under…
Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study
2022
Background: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intensive care unit (ICU). Methods: A model was created for setting up a new ECMO referral center within the structure of an existing mixed ICU in a tertiary hospital. A retrospective analysis was carried out of the first 33 patients treated in the initial period of the center’s activity, from mid 2018 to the end of 2020. Results: An ECMO center was established and developed entirely based on the resou…
Proximal versus distal contextual factors: which impact on meal pleasure and food intake in the elderly living in a nursing home?
2014
Poster présenté lors de la conférence; Introduction: Several authors pointed out the importance of meal context on food intake in nursing home. Some authors assessed the impact of context improvement on food intake in nursing home, but they assessed ‘holistic’ strategies by improving physical environment, increasing choice level, changing staff organization… (Abbott et al. 2013). Despite some of these interventions were effective, these strategies are costly and thus difficult to be implemented in nursing home. The aim of the present experiment was to assess the impact of single contextual factors, three proximal factors (food contextual factors) and three distal factors (non-food contextua…
The commitment of the GISIO-SItI to contrast Healthcare- Associated Infections and the experience of the prevalence studies in Sicily
2018
Surveillance of Healthcare-Associated Infections (HAIs) is essential to improve the quality of health services. The aim of this paper is to report the commitment of the Italian Study Group of Hospital Hygiene (GISIO) of the Italian Society of Hygiene, Preventive Medicine and Public Health (SItI) describing some experiences to contrast HAIs and antimicrobial resistance. Particularly, the commitment to contrast HAIs in intensive care with the SPIN-UTI project - Italian Nosocomial Infections Surveillance in ICUs, and in surgery with the ISCHIA project - Infections of Surgical Site in Arthroplasty Interventions - were described. Furthermore, some activities conducted in Sicily using repeated pr…
Synchrotron x-ray transmission measurements and modeling of filters investigated for Athena
2020
International audience; Advanced Telescope for High-Energy Astrophysics is a large-class astrophysics space mission selected by the European Space Agency to study the theme "Hot and Energetic Universe." The mission essentially consists of a large effective area x-ray telescope and two detectors: the X-ray Integral Field Unit (X-IFU) and the Wide Field Imager (WFI). Both instruments require filters to shield from out-of-band radiation while providing high transparency to x-rays. The mission is presently in phase B; thus, to consolidate the preliminary design, investigated filter materials need to be properly characterized by experimental test campaigns. We report results from high-resolution…
Un significativo arresto della giurisprudenza di merito sull’opaco confine tra affitto d’azienda e locazione di immobile c.d. commerciale con pertine…
2022
Author analyzes an interesting decision concerning a traditional topic of business law: the recognition of the distinguishing features between a tenancy of a business unit, on the one hand, and a lease of immovable property for nonresidential use, having a productive purpose, on the other. The dispute concerns the judicial qualification of a contract between a company managing a shopping centre and a company operating therein. In particular, according to the case law of legitimacy, there is a lease of urban property for commercial use instead of a lease (of a business branch) pursuant to article 2562 of the Italian Civil Code, where there is no pre-existing business complex, consisting of i…
Evolution des pratiques de soins dans les services de psychiatrie publique
2021
The document proposes a methodological device and some theoretical approaches to build a sociology of clinical practices in the "poles" (basic territorial units) of adult public psychiatry in France, based on a qualitative and quantitative exploratory survey in seven sites. It shows that the territorial offer of care presents aspects of homogenization throughout France: a decline of psychotherapies in favour of a myriad of "psychic interventions", the generalized development of eclecticism and pragmatism. However, the range of care on offer remains diversified both technically and ethically. In addition to the history of each site and the ideology of its leader, these differences are relate…
Exergoeconomics as a Cost-Accounting Method in Thermal Grids with the Presence of Renewable Energy Producers
2022
Thermal grids are efficient, reliable, and sustainable technologies for satisfying the thermal demands of buildings. The capability to operate at a low temperature allows not only for the integration of heat produced by renewable energy sources but also for the storage of surplus electricity from the grid via “power to heat” technologies. Besides, in the future, heat consumers are expected to behave increasingly as “prosumers”, supplying in some periods heat produced by renewable energy plants on site. In this scenario, it is important to propose a method for the cost allocation among producers connected to the grid. In this regard, this paper proposes Exergoeconomic…
Thrombolysis Followed by Apixaban for Massive Pulmonary Embolism and Free-floating Thrombus in Right Ventricle in a Patient with Breast Cancer
2018
Free-floating thrombus in the right ventricle, associated with a massive acute pulmonary embolism (PE), is a rare phenomenon. PE is an important clinical entity with considerable mortality despite advances in diagnosis and treatment. The prognosis of PE depends on right ventricular dysfunction, myocardial injury markers, and early treatment. In this report, we present the case of a 71-year-old woman with a history of breast cancer admitted to intensive care unit for PE complicated by syncope. Although our case may seem complex because it is not represented in the guidelines, the result was satisfactory and showed how treatment with new anticoagulants (in this case apixaban) after massive th…