Precipitating factors and decision-making processes of short-term worsening heart failure despite “optimal” treatment (from the IN-CHF Registry)

2001 ◽  
Vol 88 (4) ◽  
pp. 382-387 ◽  
Author(s):  
Cristina Opasich ◽  
Claudio Rapezzi ◽  
Donata Lucci ◽  
Marco Gorini ◽  
Francesco Pozzar ◽  
...  
2021 ◽  
Vol 13 (13) ◽  
pp. 7007
Author(s):  
Habtamu Nebere ◽  
Degefa Tolossa ◽  
Amare Bantider

In Ethiopia, the practice of land management started three decades ago in order to address the problem of land degradation and to further boost agricultural production. However, the impact of land management practices in curbing land degradation problems and improving the productivity of the agricultural sector is insignificant. Various empirical works have previously identified the determinants of the adoption rate of land management practices. However, the sustainability of land management practices after adoption, and the various factors that control the sustainability of implemented land management practices, are not well addressed. This study analyzed the factors affecting the sustainability of land management practices after implementation in Mecha Woreda, northwestern Ethiopia. The study used 378 sample respondents, selected by a systematic random sampling technique. Binary logistic regression was used to analyze the quantitative data, while the qualitative data were qualitatively and concurrently analyzed with the quantitative data. The sustained supply of fodder from the implemented land management practices, as well as improved cattle breed, increases the sustainability of the implemented land management practices. While lack of agreement in the community, lack of enforcing community bylaws, open cattle grazing, lack of benefits of implemented land management practices, acting as barrier for farming practices, poor participation of household heads during planning and decision-making processes, as well as the lack of short-term benefits, reduce the sustainability of the implemented land management practices. Thus, it is better to allow for the full participation of household heads in planning and decision-making processes to bring practical and visible results in land management practices. In addition, recognizing short-term benefits to compensate the land lost in constructing land management structures must be the strategy in land management practices. Finally, reducing the number of cattle and practicing stall feeding is helpful both for the sustainability of land management practices and the productivity of cattle. In line with this, fast-growing fodder grass species have to be introduced for household heads to grow on land management structures and communal grazing fields for stall feeding.


2020 ◽  
Vol 38 (4) ◽  
pp. 473-480
Author(s):  
José María Verdu-Rotellar ◽  
Helene Vaillant-Roussel ◽  
Rosa Abellana ◽  
Lea Gril Jevsek ◽  
Radost Assenova ◽  
...  

Author(s):  
Farris K. Timimi

Heart failure is a clinical syndrome characterized by inability of the heart to maintain adequate cardiac output to meet the metabolic demands of the body while still maintaining normal or near-normal ventricular filling pressures. Heart failure may be present at rest, but often it is symptomatic only during exertion due to the dynamic nature of cardiac demands. For the optimal treatment of heart failure, the mechanism, underlying cause, and any reversible precipitating factors must be identified. Typical manifestations of heart failure are dyspnea and fatigue limiting activity tolerance and fluid retention leading to pulmonary or peripheral edema.


2021 ◽  
pp. 3-26
Author(s):  
Michael K. MacKenzie

This chapter outlines four interrelated but conceptually distinct claims that have been made by proponents of the democratic myopia thesis. It has been argued that democratic systems are functionally short-sighted because of (1) the myopic preferences of voters; (2) the political dynamics of short electoral cycles; (3) the fact that future others who will be affected by our decisions cannot be included in our decision-making processes; and (4) the reality that democratic processes are often captured by powerful actors with dominant short-term objectives. When taken together these four arguments make a persuasive case for why democracies might be functionally short-sighted. This chapter—and the book as a whole—argues that we do not need to choose between our normative commitments to democracy and the well-being of our future selves and future others, because there are democratic responses to each of these components of the democratic myopia thesis.


2020 ◽  
Vol 12 (8) ◽  
pp. 3349 ◽  
Author(s):  
Mirco Peron ◽  
Giuseppe Fragapane ◽  
Fabio Sgarbossa ◽  
Michael Kay

In recent years, companies have increased their focus on sustainability to achieve environmental-friendly improvements, to manage pressures from society and regulations, and to attract customers that appreciate sustainability efforts. While companies have mainly aimed short-term/operational improvements, long-term improvements are difficult to reach. One of the fundamental, strategical decision-making processes for a company is facility layout planning. The layout of a facility can have a significant impact on daily operations. Aiming for the goal of sustainability, a dynamic layout decision-making process can support in achieving it. However, the technologies used currently enable only the design of a static layout due to the time-consuming operations involved. In this paper, the introduction of emerging technologies such as 3D mapping, Indoor Positioning System (IPS), Motion Capture System (MoCap), and Immersive Reality (IR) for dynamic layout planning are assessed and discussed. The results obtained clearly demonstrate that the usage of these technologies favor a reconfigurable layout, positively affecting all the three pillars constituting the sustainability concept: the costs involved are reduced, social aspects are improved, and the environment is safeguarded.


2020 ◽  
Author(s):  
Thomas Carriere ◽  
Georges Kariniotakis

<p>Trading of photovoltaic (PV) energy generation involves several decision making processes at different times with different objectives. For example, a PV power plant coupled with a Battery Energy Storage System (BESS) has to provide bids in the day-ahead electricity market, but can also provide ancillary services. On the delivery day, it can also participate in intra-day trading sessions, and must decide which quantity to charge or discharge from the BESS in real-time. These successive decision-making processes all require forecasts of the energy production level for different forecast horizons. Besides, such decisions are generally not taken for a single plant at a single location but for a collection of several geographically distributed plants.</p><p>However, the models and the inputs used for the different forecast horizons are often different. In situ measurements are more accurate for very-short term forecasts (real-time to one hour ahead forecasts), satellite data is used for short-term forecasts (up to 6 hours ahead), and Numerical Weather Predictions (NWP) are used for long-term forecasts (day-ahead and longer). Models also vary, with auto-regressive approaches being commonly used for very-short term forecasts, while longer forecast horizons use a wide range of machine learning models. PV producers have thus to develop and maintain numerous forecasting models for the different decision-making processes they are involved in, usually fitted for each power plant. This increases further the complexity of the decision-making processes.</p><p>In this work we propose a forecasting model that can use all the inputs mentioned before, and weights them according to the forecasting horizon. It can thus operate from very short-term to day-ahead forecast horizons with state-of-the-art performance. It can also directly provide probabilistic forecasts for an aggregation of power plants, thus allowing having a single forecasting model for managing a virtual power plant. The model follows the “lazy learning” paradigm, where generalization from the training set is only computed when a forecast is requested. Thus, the model is resilient to changes in the neighborhood of the plant (surrounding environment, partial outage, soiling, etc.). The model is based on the Analog Ensemble (AnEn) method. However it is structurally expanded to allow the method to use an arbitrary large number of inputs. Each input is then weighted depending on the forecast horizon, which allows dynamically selecting the most relevant inputs depending on the horizon.</p><p>The model is evaluated for short-term and day-ahead forecasts, and compared with a Quantile Regression Forest (QRF) and Bayesian Automatic Relevance Determination (ARD) for day-ahead forecasts, and a linear Auto-Regressive Integrated Moving Average (ARIMA) model for short term forecasts. Results show that the AnEn model is competitive with the QRF and ARD models in day-ahead forecasting, while requiring less computational resources and without a need for regular retraining. It is also better than the ARIMA model for short-term forecasting. An evaluation conditional to the the weather variability allow to assess the model performance in the best and worst condition.</p>


Author(s):  
Jennifer M. Roche ◽  
Arkady Zgonnikov ◽  
Laura M. Morett

Purpose The purpose of the current study was to evaluate the social and cognitive underpinnings of miscommunication during an interactive listening task. Method An eye and computer mouse–tracking visual-world paradigm was used to investigate how a listener's cognitive effort (local and global) and decision-making processes were affected by a speaker's use of ambiguity that led to a miscommunication. Results Experiments 1 and 2 found that an environmental cue that made a miscommunication more or less salient impacted listener language processing effort (eye-tracking). Experiment 2 also indicated that listeners may develop different processing heuristics dependent upon the speaker's use of ambiguity that led to a miscommunication, exerting a significant impact on cognition and decision making. We also found that perspective-taking effort and decision-making complexity metrics (computer mouse tracking) predict language processing effort, indicating that instances of miscommunication produced cognitive consequences of indecision, thinking, and cognitive pull. Conclusion Together, these results indicate that listeners behave both reciprocally and adaptively when miscommunications occur, but the way they respond is largely dependent upon the type of ambiguity and how often it is produced by the speaker.


2015 ◽  
Vol 22 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Erinn Finke ◽  
Kathryn Drager ◽  
Elizabeth C. Serpentine

Purpose The purpose of this investigation was to understand the decision-making processes used by parents of children with autism spectrum disorder (ASD) related to communication-based interventions. Method Qualitative interview methodology was used. Data were gathered through interviews. Each parent had a child with ASD who was at least four-years-old; lived with their child with ASD; had a child with ASD without functional speech for communication; and used at least two different communication interventions. Results Parents considered several sources of information for learning about interventions and provided various reasons to initiate and discontinue a communication intervention. Parents also discussed challenges introduced once opinions of the school individualized education program (IEP) team had to be considered. Conclusions Parents of children with ASD primarily use individual decision-making processes to select interventions. This discrepancy speaks to the need for parents and professionals to share a common “language” about interventions and the decision-making process.


2015 ◽  
Vol 24 (4) ◽  
pp. 140-145
Author(s):  
Kevin R. Patterson

Decision-making capacity is a fundamental consideration in working with patients in a clinical setting. One of the most common conditions affecting decision-making capacity in patients in the inpatient or long-term care setting is a form of acute, transient cognitive change known as delirium. A thorough understanding of delirium — how it can present, its predisposing and precipitating factors, and how it can be managed — will improve a speech-language pathologist's (SLPs) ability to make treatment recommendations, and to advise the treatment team on issues related to communication and patient autonomy.


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