Search results for "Resource use"
showing 10 items of 20 documents
Control of hypertension in patients at high risk of cardiovascular disease.
2005
Background: Hypertension is a major cardiovascular risk factor, but knowledge about the real magnitude of the problem and its determinants is lacking. Aim: To assess control of hypertension and evaluate medical resource use, in patients at high risk of cardiovascular disease. Design: Multicentric cross-sectional study. Methods: We collected data for 2205 adult patients from 36 centres, representative of all regions of Spain. Patients had attended out-patient clinics from July 2002 to August 2003, had an absolute cardiovascular risk ⩾20% at 10 years (according to the Framingham guidelines), and had a diagnosis of hypertension. Pregnant and terminally ill patients were excluded. Results: Hype…
Do Reduced Hospital Mortality Rates Lead to Increased Utilization of Inpatient Emergency Care?:A Population-Based Cohort Study
2018
OBJECTIVES: To measure the impact of the improvement in hospital survival rates on patients' subsequent utilization of unplanned (emergency) admissions.DATA SOURCES/STUDY SETTING: Unplanned admissions occurring in all acute hospitals of the National Health Service in England between 2000 and 2009, including 286,027 hip fractures, 375,880 AMI, 387,761 strokes, and 9,966,246 any cause admissions.STUDY DESIGN: Population-based retrospective cohort study. Unplanned admissions experienced by patients within 28 days, 1 year, and 2 years of discharge from the index admission are modeled as a function of hospital risk-adjusted survival rates using patient-level probit and negative binomial models. …
Carbon Amendments Induce Shifts in Nutrient Use, Inhibitory, and Resistance Phenotypes Among Soilborne Streptomyces
2019
Carbon amendments are used in agriculture for increasing microbial activity and biomass in the soil. Changes in microbial community composition and function in response to carbon additions to soil have been associated with biological suppression of soilborne diseases. However, the specific selective impacts of carbon amendments on microbial antagonistic populations are not well understood. We investigated the effects of soil carbon amendments on nutrient use profiles, and antibiotic inhibitory and resistance phenotypes of Streptomyces populations from agricultural soils. Soil mesocosms were amended at intervals over 9 months with low or high dose solutions of glucose, fructose, a complex am…
DOMESTIC MATERIAL CONSUMPTION INDICATOR AND NATURAL RESOURCES: A EUROPEAN ANALYSIS OF THE ENVIRONMENTAL KUZNETS CURVE
2014
The study investigates the relation between per capita Domestic Material Consumption indicator (DMC) and per capita income. Economic literature focuses mainly on air, water and land pollution while we consider as environmental degradation the consumption on natural resources extracted from the environment. Using a cross– European panel of countries over the period 2000-2011, our results confirm the absence of an Environmental Kuznets Curve (EKC) between per capita DMC and per capita GDP both for EU-27 vs. 30 European countries and for Western vs. Eastern European countries. The turning points are so high that it is present a monotonic increasing relation between DMC indicator and GDP.
An analysis of the price escalation of non-linear water tariffs for domestic uses in Spain
2015
Abstract Efficient and sustainable water resource use and management is becoming increasingly important, especially in regions under water stress. The use of increasing block pricing involving an escalation or progressivity of unit prices in tariff systems is an economic instrument that contributes to achieving this objective. More progressive tariffs are expected to contribute to a better allocation of resources and avoid their wastage. This article analyses the determinants of the price escalation of water supply tariffs in Spain, a country subject to a high water stress throughout most of its territory. The main objective is to discern whether differences in the degree of progressivity i…
Stable isotopes in monitoring terrestrial arthropods
2022
Monitoring of arthropods focuses typically on changes in population and range size over time. Yet, there are a myriad of other aspects that could and should be monitored under the ongoing global and local environmental change. Stable isotope analysis, widely employed in short-term ecological studies, has potential in long-term monitoring of arthropods. Here we discuss the use of stable isotopes in monitoring terrestrial arthropods, provide some empirical examples of the use of bulk tissue samples in stable isotope analysis, and outline future directions in using compound-specific stable isotope analysis in monitoring. We performed a literature search for 2012–2021 to see if stable isotopes …
Telemedicine in the treatment of patients with inflammatory bowel disease.
2017
Inflammatory bowel disease (IBD) is a chronic and relapsing disorder with significant medical, social and financial impacts. IBD patients require continuous follow-up, and healthcare resource use in this context increases over time. In the last decade, telemedicine has influenced the treatment of chronic diseases like IBD via the application of information and communication technologies to provide healthcare services remotely. Telemedicine and its various applications (telemanagement, teleconsulting and tele-education) enable closer follow-up and provide education resources that promote patient empowerment, encouraging treatment optimisation over the entire course of the disease. We describ…
PS8:160 Health care resource use (hru) and medical cost analyses as a function of systemic lupus erythematosus (sle) disease severity: analysis of cl…
2018
Purpose Real-world HRU and medical cost analyses support drug development in SLE. The economic burden of SLE as a function of disease severity was quantified for a German cohort. Methods HRU and cost analyses were performed for patients (≥18 years old) with SLE and compared with those of matched controls for 2009–2014 using the Betriebskrankenkassen (BKK) German Sickness Fund Database. BKK is a branch of the statutory German health insurance. SLE was confirmed in 2009 using the diagnosing physician’s specialty, repeated SLE-related claims, co-diagnosis codes, laboratory tests, or prescriptions. At least 3 years’ data was also required prior to 2009. SLE cases were control matched by age, se…
Treatment-resistant depression in a real-world setting: first interim analysis of characteristics, healthcare resource use, and utility values of the…
2020
Background: Major depressive disorder (MDD) is among the most common psychiatric disorders. One-third of patients are usually unresponsive to several lines of treatment. This study aimed to describe the FondaMental French cohort of patients with treatment-resistant depression (TRD) and to estimate utility and healthcare resource use outcomes. Methods: Patients with TRD were evaluated prospectively over four years (baseline, 6, 12, 18, 24, 36 and 48 months) in a real-world clinical setting. Interim analyses focused on the first two consecutive years. Four MDD-related states (major depressive episode (MDE), response, remission, recovery) were defined based on the MADRS (Montgomery&ndash
Unraveling environmental histories from skeletal diaries — Advances in sclerochronology
2013
High-resolution proxy archives from aquatic settings are essential to better understand processes and mechanisms of global change. During the last decade, it has become increasingly evident that calcified tissues of bivalve mollusks and cold-water corals, in particular, can significantly increase our knowledge of seasonal to multi-decadal paleoclimate and paleoenvironmental variability in the extratropical oceans and coastal marine settings. Daily, tidal, fortnightly and annual growth patterns of periodically formed skeletal hard parts provide a means to place the proxy record in a precise temporal context. Their extreme longevity coupled with the running similarity between growth increment…