Search results for "integrated"
showing 10 items of 1783 documents
Sociodemographic factors as determinants of quality of life and quality of social interactions among heterosexual couples undergoing assisted reprodu…
2021
Introduction When facing with stressful physical and psychosocial events, sociodemographic factors can be an important factor for quality of life and quality of social interactions [1]. The experience of infertile couples undergoing ART is a complex and stressful process that may have a negative effect on quality of life [2]. There is a need to better understand how certain sociodemographic factors impact on the quality of life and in the quality of social interactions of patients undergoing ART, in order to be able to anticipate the consequences from an integrated care perspective.MethodsThis study aims to assess the relationship between sociodemographic factors (sex, marital status and em…
Effectiveness of appropriate care pathways for frail older adults: a pilot study in Valencia (Spain)
2021
Introduction Frail older adults often have multiple health and social problems [1] but experience reduced care coordination due to fragmented service provision [2], and therefore are in need of integrated care. A comprehensive model integrating the provision of health and psychosocial care can promote health and wellbeing among frail older adults. This study explored the effects of a comprehensive model (APPCARE model) on health and wellbeing, and the healthcare resources use, of +75 frail older adults with complex and co-morbid clinical situations after their hospitalization. Methods Within the APPCARE model, two specific care pathways were designed and piloted in the city of Valencia (Spa…
Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe
2017
ABSTRACTInnovative methods to manage frailty are critical to managing the needs of an ageing population. Evidence suggests there are opportunities to reverse or prevent frailty through early intervention. However, little is known about older adults’, families’ and practitioners’ beliefs about the malleability of frailty. This study examined European stakeholders’ accounts of the acceptability and feasibility of frailty screening and prevention to inform future intervention development. Semi-structured focus groups and individual interviews were conducted in three European Union countries (Italy, Poland and the United Kingdom) with key stakeholders – frail and non-frail older adults, family …
Activation of Stratification Strategies and Results of the interventions on frail patients of Healthcare Services (ASSEHS) DG Sanco Project No. 2013 …
2014
Abstract To face the challenge of active and healthy ageing (AHA), European Health Systems and services should move towards proactive, anticipatory and integrated care. Health care systems thus need to personalize services, put patients at the centre of care and provide services using the adequate resources. Population health risk management is emphasized through the use of tools to stratify people with chronic diseases according to their risk. Effective screening of frailty is vital for optimizing the care of frail populations at risk. The Activation of Stratification Strategies and Results of the interventions on frail patients of Healthcare Services (ASSEHS) EU project (N° 2013 12 04) is…
Management and research on plastic debris in Uruguayan Aquatic Systems: update and perspectives
2015
Synthetic plastics have become an indispensable component of modern life, and the amount of plastics disposal has increased dramatically as a result. With human population increasing, it is expected that the prevalence of plastic debris in the environment will also increase, unless sustainable daily habits are incorporated, waste management improved, and new alternative materials are discovered and popularized. To date, several reports show negative effects of plastic debris on marine and freshwater fauna (e.g. invertebrates, birds, turtles, marine mammals). Plastic are ubiquitous in the water column, deposited in fine sediments and enter the guts, respiratory structures and tissues of diff…
An integrated care pathway for cancer patients with diabetes: A proposal from the Italian experience
2020
Diabetes and cancer frequently coexist in the same subject, often with relevant clinical effects on the management and prognosis of the comorbid patient. The existing guidelines, however, do not appropriately address many clinical issues in this setting. Although collaboration between diabetologists and oncologists should play an important role in achieving appropriate levels of care, close coordination or agreement between these specialists is seldom offered. There is an urgent need for greater interdisciplinary integration between all specialists involved in this setting, for a shared approach ensuring that organisational silos are overcome. To this end, the Italian Associations of Medica…
Global distributions of diazotrophs nitrogen fixation rates - Depth integrated values computed from a collection of source datasets - Contribution to…
2013
The MAREDAT atlas covers 11 types of plankton, ranging in size from bacteria to jellyfish. Together, these plankton groups determine the health and productivity of the global ocean and play a vital role in the global carbon cycle. Working within a uniform and consistent spatial and depth grid (map) of the global ocean, the researchers compiled thousands and tens of thousands of data points to identify regions of plankton abundance and scarcity as well as areas of data abundance and scarcity. At many of the grid points, the MAREDAT team accomplished the difficult conversion from abundance (numbers of organisms) to biomass (carbon mass of organisms). The MAREDAT atlas provides an unprecedente…
THE ROLE OF ACCOUNTABILITY WITHIN A ZERO WASTE STRATEGY: EVIDENCES FROM A SICILIAN SMALL MUNICIPALITY
2017
Building a sustainable city model comprising an integrated waste management system has become an indispensable choice, also in the light of increasingly stringent regulatory constraints. The core point of the paper is the implementation of a zero waste strategy in a small municipality in Sicily. Given that only the unceasing participation of citizens may ensure the persistence over time of such a policy, accountability process works letting citizens approach directly the end-results of their ongoing good practices. By building up a SD model framed by a DPM chart, it is possible to figure out how disclosure of public saving resulting from the decreasing amount of waste piled up in the landfi…
Search for high-mass resonances decaying to dimuons at CDF.
2009
We present a search for high-mass neutral resonances using dimuon data corresponding to an integrated luminosity of 2.3 fb(-1) collected in pp collisions at s=1.96 TeV by the CDF II detector at the Fermilab Tevatron. No significant excess above the standard model expectation is observed in the dimuon invariant-mass spectrum. We set 95% confidence level upper limits on sigma BR(pp -> X ->mu mu), where X is a boson with spin-0, 1, or 2. Using these cross section limits, we determine lower mass limits on sneutrinos in R-parity-violating supersymmetric models, Z(') bosons, and Kaluza-Klein gravitons in the Randall-Sundrum model.
Hot Impression Die Forging Process: An Approach to Flash Design for Tool Life Improvement
2005
In impression die forging the role of the flash geometry is fundamental since a proper design of the flash land strongly influences both the complete die filling and the die wear (i.e. the die life and the related costs). In this paper an integrated approach between numerical simulations and statistical tools was developed with the aim to optimize flash thickness in order to reduce die wear and to minimize material wasting. As wear is regarded, an analytical model depending on sliding velocity, temperature, die hardness and contact pressure was utilized during the numerical simulations of the process in order to reach a wear evaluation for different values of the flash design variables. Thu…