Search results for "DMIS"
showing 10 items of 286 documents
Biweights on Partial *-Algebras
2000
This chapter is devoted to the systematic investigation of biweights on partial *-algebras. These are a generalization of invariant positive sesquilinear forms that still allows a Gel’fand—Naĭmark—Segal (GNS) construction of representations. In Section 9.1, we apply this GNS construction for biweights and we obtain *-representations and cyclic vector representations of partial *-algebras, and we give some examples of biweights. Section 9.2 is devoted to the investigation of the Radon—Nikodým theorem and the Lebesgue decomposition theorem for biweights on partial *-algebras. In Section 9.3, we define regular and singular biweights on partial *-algebras and we characterize them with help of t…
Improving the management of potentially predictable hospital readmissions of the elderly and their quality of life through new icts
2013
3rd International Conference on the Elderly and New Technologies. III Jornadas Internacionales de Mayores y Nuevas Tecnologías. The ageing population is currently beginning to create economic repercussions, as ageing often implies an increase of health expenditure related to, specially, hospital admissions and/or unplanned readmissions and long term care services. The present paper deals with two strategies that could be implemented through the establishment and use of new technologies to avoid these increasing costs: 1) screening tools of health information systems aimed at identifying patients at risk of hospital readmissions or repeated use of health resources; and 2) new icts at elderly…
Building a continuous multicenter infection surveillance system in the intensive care unit: findings from the initial data set of 9,493 patients from…
2008
OBJECTIVE: To describe the epidemiology of infections in intensive care units (ICUs), whether present at admission or acquired during the stay. METHODS: Prospective data collection lasting 6 months in 71 Italian adult ICUs. Patients were screened for infections and risk factors at ICU admission and daily during their stay. MAIN RESULTS: Out of 9,493 consecutive patients admitted to the 71 ICUs, 11.6% had a community-acquired infection, 7.4% a hospital-acquired infection, and 11.4% an ICU-acquired infection. The risk curve of acquiring infection in the ICU was higher in patients who entered without infection than in those already infected (log-rank test, p < .0001; at 15 days, 44.0% vs. 34.6…
Guideline-adherence and perspectives in the acute management of unstable angina - Initial results from the German chest pain unit registry.
2015
Abstract Background We investigated the current management of unstable angina pectoris (UAP) in certified chest pain units (CPUs) in Germany and focused on the European Society of Cardiology (ESC) guideline-adherence in the timing of invasive strategies or choice of conservative treatment options. More specifically, we analyzed differences in clinical outcome with respect to guideline-adherence. Method Prospective data from 1400 UAP patients were collected. Analyses of high-risk criteria with indication for invasive management and 3-month clinical outcome data were performed. Guideline-adherence was tested for a primarily conservative strategy as well as for percutaneous coronary interventi…
Iron deficiency and risk of early readmission following hospitalization for acute heart failure. Reply
2016
Aims Early rehospitalization after an episode of acute heart failure (AHF) remains excessively high and its prediction a contemporary challenge. Iron deficiency (ID) is a frequent finding in AHF, but its prognostic implications remain unclear. We sought to evaluate the association between ID and risk of 30-day readmission in an unselected cohort of patients discharged for AHF. Methods and results Serum ferritin and transferrin saturation (TSAT) were measured before discharge in 626 consecutive patients with AHF in a single teaching centre. ID was defined as serum ferritin 50%. ID was identified in 463 patients (74%): 302 (48.2%) as absolute ID and 161 (25.7%) as functional ID. At 30-day pos…
Asthma Visits to Emergency Rooms and Soybean Unloading in the Harbors of Valencia and A Coruna, Spain
1999
Soybean unloading in the harbor of Barcelona, Spain, has been associated with large increases in the numbers of asthma patients treated in emergency departments between 1981 and 1987. in this study, the association between asthma and soybean unloading in two other Spanish cities, Valencia and A Coruna, was assessed, Asthma admissions were retrospectively identified for the period 1993-1995, and harbor activities were investigated in each location. Two approaches were used to assess the association between asthma and soybean unloading: One used unusual asthma days (days with an unusually high number of emergency room asthma visits) as an effect measure, and the other estimated the relative i…
Packet management techniques for measurement based end-to-end admission control in IP networks
2000
End-to-end Measurement Based connection Admission Control (EMBAC) mechanisms have been proposed to support real-time flows quality of service requirements over a Differentiated Services Internet architecture. The EMBAC basic idea is to decentralize the admission control decision, by requiring each individual user to probe the network path during flow setup, and by basing the accept/reject decision on the probing traffic statistics measured at the destination. In conformance with the differentiated services framework, routers are oblivious to individual flows and only need to serve data packets with a higher priority than probing traffic. In this paper, we build upon the observation that som…
An API for Advanced Traffic Control in Diffserv Routers
2003
Distributed per-flow admission control is a promising solution for Differentiated Services networks. Its deployment in DiffSery domains requires the ability to suitably configure, in each network router, low-level packet forwarding mechanisms, such as packet dropping algorithms driven by traffic measurements. In this paper we first show that performance effectiveness is achieved by means of non traditional configuration of the forwarding mechanisms. Hence, we propose a modular Application Program Interface that allows to flexibly and adaptively configure the forwarding/dropping behavior associated to a router’s output queue, well beyond the traditional RED/RIO active queue management scheme…
Endpoint Admission Control with Delay Variation Measurements for QoS in IP Networks.
2002
In this paper we describe a novel Endpoint Admission Control scheme (EAC) for IP telephony. EAC mechanisms are driven by independent measurements taken by the edge nodes on a flow of packets injected in the network to probe the source to destination path. Our scheme is characterized by two fundamental features. First, it does not rely on any additional procedure in internal network routers other than the capability to apply different service priorities to probing and data packets. Second, the connection admission decision is based on the analysis of the probing flow delay variation statistics. Simulation results, which focus on a IP telephony scenario, show that, despite the lack of core ro…
PCP-DV: An End-to end Admission Control Mechanism for IP Telephony
2001
In this paper we describe a novel endpoint admission control mechanism for IP telephony:the PCP-DV which is characterized by two fundamental features. First, it does not rely on any additional procedure in internal network routers other than the capability to apply different service priority to probing and data packets. Second, the triggering mechanism for the connection admission decision is based on the analysis of the delay variation statistics over the probing flow. Numerical results for an IP telephony traffic scenario prove that 99th delay percentiles not greater than few ms per router are guaranteed even in overload conditions.