Search results for "stratification"
showing 10 items of 210 documents
Planning integrated care at primary care centres: lessons learnt through research in stratification tools in the Valencian Healthcare System
2018
Introduction and policy context: In the Valencian Region social services and the healthcare system are not connected. Also there is not any normative jointly regulating resources, services or aid benefits that would mean an integrated care IC portfolio. Primary care PC centres are the closest and most trustworthy care facility for patients in the Spanish context. Also, PC is one of the most suitable resources to address needs of complex patients, as elderly and/or those with chronic conditions, through an IC approach, but there are some barriers that block its real and effective deployment. Objective and target population: Authors have studied the viability, implementation and development …
Influence du vieillissement hygrothermique sur la tenue à l'impact de stratifiés quasi-isotropes/quasi homogènes
2011
International audience; La présente étude a pour objectif de déterminer l'influence du vieillissement hygrothermique sur la tolérance à l'impact de stratifiés possédant des propriétés particulières d'isotropie. Trois stratifications de 24 plis carbone/époxy ont été étudiées. Deux d'entre elles conduisent à des propriétés d'isotropie en membrane et en flexion, la troisième est isotrope en membrane et anisotrope en flexion. Les stratifiés obtenus après cuisson suivant le cycle préconisé par le fabricant ont été découpés pour obtenir des éprouvettes carrées destinées au vieillissement et à l'impact. Le vieillissement a été réalisé grâce à une enceinte climatique à une température de 70 °C sous…
Home treatment of patients with low-risk pulmonary embolism with the oral factor Xa inhibitor rivaroxaban: Rationale and design of the HoT-PE Trial
2016
SummaryPulmonary embolism (PE) is a potentially life-threatening acute cardiovascular syndrome. However, more than 95 % of patients are haemodynamically stable at presentation, and among them are patients at truly low risk who may qualify for immediate or early discharge. The Home Treatment of Pulmonary Embolism (HoT-PE) study is a prospective international multicentre single-arm phase 4 management (cohort) trial aiming to determine whether home treatment of acute lowrisk PE with the oral factor Xa inhibitor rivaroxaban is feasible, effective, and safe. Patients with confirmed PE, who have no right ventricular dysfunction or free floating thrombi in the right atrium or ventricle, are eligib…
Opportunistic Germination Behaviour of Gypsophila (Caryophyllaceae) in Two Priority Habitats from Semi-arid Mediterranean Steppes
2011
Gypsophila tomentosa and G. struthium are closely related species, characteristic of two European priority habitats, salt and gypsum inland steppes, respectively. Germination strategies of the two taxa were investigated in plants from two nearby populations, growing under the same climatic conditions but on different types of soil, and belonging to different plant communities. Their germination patterns were studied at five constant temperatures in darkness: 5oC, 10oC, 15oC, 20oC and 25oC, and the base temperature and the thermal time requirement were calculated. As the distribution area of both species is subjected to a Mediterranean continental climate with significant differences between…
D-dimer for risk stratification in haemodynamically stable patients with acute pulmonary embolism
2015
Patients with submassive pulmonary embolism (PE) have a higher short-term mortality than those with low-risk PE. Rapid identification of submassive PE is important for adequate treatment of non-massive PE. We aimed to investigate the utility of D-dimer for the prediction of submassive PE stadium in normotensive PE patients.Normotensive PE patients were classified into submassive or low-risk PE groups. In addition to the comparison of the groups, area under the curve (AUC) and D-dimer cut-off for the prediction of submassive PE stadium, multi-variate logistic regression for association between D-dimer values above this cut-off and submassive PE stadium were also calculated.The data of 129 no…
Controversial issues in soft tissue solitary fibrous tumors: A pathological and molecular review
2019
The clinical evolution of solitary fibrous tumor (SFT) remains unclear. Although various clinical, morphological and molecular criteria may indicate increased risk of malignancy, some SFT can still progress despite having a clearly benign appearance. Various risk stratification systems have been proposed, but unfortunately they are not sufficient to precisely determine the malignant potential. In this review, we discuss current knowledge on SFT, focusing on the following controversial issues: (i) the diverse morphologic spectrum: 'the great simulator;' (ii) malignant transformation or dedifferentiation; (iii) current risk stratification systems; and (iv) molecular factors associated with cl…
From limit to centrality. Regeneration of the Genoa's port area through architectural and urban design
2012
This survey’s core is the case study of the regeneration of the port area and of the urban waterfront of the city of Genoa, as an emblematic example where the architectural and urban design plays an important role, oriented to the transformation of the port area and to the modification of the relationship that exists between the harbour and the city. In particular this will deepen the possibility, to reverse the condition of limit that characterizes the port area into a new centrality, through the design, passing by intermediate steps that redefine the modalities of access and of connection between city and port, breaking the condition of isolation that ports usually present. As a matter of…
The Role of Mobile Health Technologies in Stratifying Patients for AIT and Its Cessation: The ARIA-EAACI Perspective.
2020
Allergen immunotherapy (AIT) is a proven therapeutic option for the treatment of allergic rhinitis and/or asthma. Many international or national practice guidelines have been produced, but the evidence-based method varies and they do not usually propose care pathways. The present article considers the possible role of mobile health in AIT for allergic rhinitis/asthma. There are no currently available validated biologic biomarkers that can predict AIT success, and mobile health biomarkers have some relevance. In the current article, the following aspects will be discussed: patient stratification for AIT, symptom-medication scores for the follow-up of patients, clinical trials, as well as the…
THE EXPLORED ARCHITECTURE. THE VIRTUAL MODEL OF A HISTORICAL STRATIFICATION
2010
The present study deepens -through documents of historical iconography and critical studies on morphological, geometrical and structural aspects- spatial and volumetric relationships between the medieval Torre Pisana of Palazzo Reale to Palermo (also known as Palazzo dei Normanni) and the Astronomical Observatory, site on the summit of the tower. A brief historical and architectural description of the evolution of the tightly correlated structure to the historical-cultural vicissitudes, to the advancement of the scientific theories and to the innovation of the tools of observation and of survey, is a deepening of knowledge for the conservation and safeguard of the architectural testimony. T…
Risk factors for central nervous system tumors in children: New findings from a case-control study
2017
BACKGROUND: Central nervous system tumors (CNS) are the most frequent solid tumor in children. Causes of CNS tumors are mainly unknown and only 5% of the cases can be explained by genetic predisposition. We studied the effects of environmental exposure on the incidence of CNS tumors in children by subtype, according to exposure to industrial and/or urban environment, exposure to crops and according to socio-economic status of the child. METHODS: We carried out a population-based case-control study of CNS tumors in Spain, covering 714 incident cases collected from the Spanish Registry of Childhood Tumors (period 1996-2011) and 4284 controls, individually matched by year of birth, sex, and au…