Search results for "Integrated"
showing 10 items of 1783 documents
Case Management for Patients with Complex Multimorbidity: Development and Validation of a Coordinated Intervention between Primary and Hospital Care
2017
In the past few years, healthcare systems have been facing a growing demand related to the high prevalence of chronic diseases. Case management programs have emerged as an integrated care approach for the management of chronic disease. Nevertheless, there is little scientific evidence on the impact of using a case management program for patients with complex multimorbidity regarding hospital resource utilisation. We evaluated an integrated case management intervention set up by community-based care at outpatient clinics with nurse case managers from a telemedicine unit. The hypothesis to be tested was whether improved continuity of care resulting from the integration of community-based and …
Use of telemedicine in inflammatory bowel disease: a real monitoring option?
2016
Inflammatory bowel disease (IBD), which includes ulcerative colitis (UC) and Crohn’s disease (CD), is a chronic and relapsing disorder characterized by inflammation of the gastrointestinal tract. The natural progression includes periods of flares and remission, requiring continuous and personalized follow-up to achieve long remission and minimize short and long term damage. In fact, IBD patients show significantly higher rates of utilization of healthcare resources than patients with other conditions [1]. It is important to emphasize that 30-45% of adults are nonadherents [2], making these patients five times more likely to suffer relapses and consequently increasing health care costs [3]. …
COVID-19 Infection Process in Italy and Spain: Are Data Talking? Evidence From ARMA and Vector Autoregression Models
2020
COVID-19 (coronavirus disease 2019) has spread successfully worldwide in a matter of weeks. After the example of China, all the affected countries are taking hard-confinement measures to control the infection and to gain some time to reduce the significant amount of cases that arrive at the hospital. Although the measures in China reduced the percentages of new cases, this is not seen in other countries that have taken similar measures, such as Italy and Spain. After the first weeks, the worry was whether or not the healthcare system would collapse rather than its response to the patient's needs who are infected and require hospitalization. Using China as a mirror of what could happen in ou…
Intravascular Ultrasound-based Imaging Modalities for Tissue Characterisation
2014
Atherosclerosis is the leading cause of cardiovascular mortality and morbidity in the developed world. Intravascular ultrasound (IVUS) is a widely used imaging modality providing complementary diagnostic information to angiography regarding the vessel wall of the coronary arteries. IVUS has been used for assessment of ambiguous angiographic lesions, evaluation of new interventional devices and in atherosclerosis progression-regression trials. However, the standard gray-scale IVUS has limited value for the accurate identification of specific plaque components. This limitation has been partially over- come by introduction of new IVUS-based imaging methods such as: virtual histology IVUS, iMAP…
Single Event Transients and Pulse Quenching Effects in Bandgap Reference Topologies for Space Applications
2016
An architectural performance comparison of bandgap voltage reference variants, designed in a $0.18~\mu \text {m}$ CMOS process, is performed with respect to single event transients. These are commonly induced in microelectronics in the space radiation environment. Heavy ion tests (Silicon, Krypton, Xenon) are used to explore the analog single-event transients and have revealed pulse quenching mechanisms in analogue circuits. The different topologies are compared, in terms of cross-section, pulse duration and pulse amplitude. The measured results, and the explanations behind the findings, reveal important guidelines for designing analog integrated circuits, which are intended for space appli…
Integrated Urban Water Modeling with Uncertainty Analysis
2005
In the last 20th years, the scientific world has got particular care towards the problems that involve the respect of the environment. According to this point, several researches were developed to describe the phenomena that take place during both wet and dry period and to increase the knowledge in this field. In particular, the attention was addressed towards the problems linked with the pollution of the water body because of the pollution carried by rainfall waters in the urban environment. In order to obtain a good description of the problem, it is important, of course, to analyze both quantity and quality aspects connected with all the transformation phases that characterize the urban w…
The Role of Instruments of the Common Agricultural Policy to Ensure Stability of Commercial Agricultural Holdins and Development of Rual Areas A Case…
2018
The aim of the paper is to show the role of users of commercial agricultural holdings in the development of local areas and to select instruments of the Common Agricultural Policy (CAP), which are significant in building developmental potentials of agriculture and rural areas in Opole Province. The modernization processes going on in commercial agriculture result in its de-placement. Thanks to instruments of the Common Agricultural Policy (CAP) there follows a re-rooting of agriculture in the territory. On the basis of survey research carried out in 2014 in 100 commercial agricultural holdings based in Opole Province, which were selected for the purpose, the authors present an analysis of f…
Physical Activity in Peri-Urban Communities: Testing Intentional and Implicit Processes within an Ecological Framework.
2020
Background Given the substantive health inequalities in peri‐urban communities and the potential for physical activity to promote health in these communities, identifying modifiable physical activity determinants in this population is important. This study explored effects of the peri‐urban environment and psychological constructs on physical activity intentions and behavioural automaticity guided by an integrated theoretical framework. Methods Peri‐urban Australians (N = 271) completed self‐report measures of environmental (i.e. physical/social environment, and neighbourhood selection), motivational (i.e. autonomous motivation), and social cognition (i.e. attitudes, norms, and perceived be…
Mise en œuvre d’une architecture de gestion de collision pour le déploiement efficace d’un NoC sur multi-FPGA
2015
International audience; Le déploiement d’un NoC (Network On Chip) sur plusieurs FPGA nécessite que des routeurs partagent un même lien de communication entre FPGAs, créant des goulots d’étranglement [1]. Dans ce papier, nous proposons une structure de gestion de collision intégrée entre le NoC et le point d’accès du protocole FPGA. Cette structure est basée sur les algorithmes utilisés dans les réseaux informatiques et adaptée aux NoC [2].
Paving the way of systems biology and precision medicine in allergic diseases: The MeDALL success story
2016
MeDALL Mechanisms of the Development of ALLergy; EU FP7-CP-IP; Project No: 261357; 20 (10) -2015 proposed an innovative approach to develop early indicators for the prediction, diagnosis, prevention and targets for therapy(.) MeDALL linked epidemiological, clinical and basic research using a stepwise, large-scale and integrative approach: precisely phenotyped children followed in 14 birth cohorts spread across Europe were combined with systems biology omics, IgE measurement using micro-arrays and environmental data(.) Multimorbidity in the same child is more common than expected by chance alone, suggesting that these diseases share causal mechanisms irrespective of IgE sensitisation(.) IgE …