scholarly journals The discharge of patients with diabetes from Internal Medicine Units: a clinical audit

2015 ◽  
Vol 9 (2) ◽  
pp. 141
Author(s):  
Andrea Montagnani ◽  
Laura Moribidoni ◽  
Tiziana Attardo ◽  
Davide Brancato ◽  
Maurizia Gambacorta ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Data Collection ◽  
Clinical Audit ◽  
Italian Regions ◽  
Patients With Diabetes ◽  
Medical Reports ◽  
Discharged Patients ◽  
The Moment ◽  
Definition Of ◽  
Discharge From Hospital

The aim of the present study was to address it by conducting a clinical audit, one that focused on the quality evaluation of the assistance given to patients with diabetes at the moment of their discharge from hospital. The clinical audit was structured in 5 phases: i) preparation; ii) definition of criteria, indicators and standards; iii) retrospective data collection; iv) data analysis, identification of main deviations from standards; v) implementation of corrective measures. Twenty Departments of Internal Medicine from 10 Italian regions retrospectively reviewed medical reports obtaining a data collection from 1332 discharged patients with diabetes. Patients receiving instructions for home glycemic control/discharged patients, showed a mean performance =41.6% (range: 5.0-89.9); patients receiving instructions for hypoglycemic treatment/discharged patients, =32.4% (range: 0.0-92.1); patients receiving instructions for subcutaneous insulin administration/discharged patients, =60.4% (range: 56.5-100.0); patients receiving nutritional scheme or advice/discharged patients, =24.8 (range: 25.4-76.6); patients addressed to ambulatory control/discharged patients, =60.7% (range: 65.6-100.0); and finally patients with HbA1c reported in discharge report/discharged patients, =40.6% (range: 1.75-98.0). Results confirmed that all the levels are well below 70%, the acceptable level of quality. The clinical audit provided data that allows for better identification of deficient clinical behaviors and the addressing of them with specific ameliorative actions; a continuing process of check, re-check and feedback in order to further enhance the quality of assistance given to patients with diabetes discharged from hospital.

Navigating research methods: clinical audit

2016 ◽  
Keyword(s):  
Clinical Practice ◽  
Data Analysis ◽  
Data Collection ◽  
Research Methods ◽  
Clinical Audit ◽  
Practice Improvement ◽  
Audit Cycle ◽  
Definition Of ◽  
Audit Reports ◽  
Key Steps

This chapter discusses the principles of clinical audit and explains the reasons for conducting audit in clinical practice settings. The six key steps of the clinical audit cycle are outlined: 1. Identification of the problem, 2. Definition of the standard, 3. Data collection, 4. Data analysis, 5. Practice improvement, and 6. Sustainability and re-audit. The chapter also provides an overview of how the audit reports should be written. Finally, the main differences between clinical audit and research are summarised.

Clinical decisions in patients with diabetes and other cardiovascular risk factors. A statement of the Spanish Society of Internal Medicine

2014 ◽  
Vol 214 (4) ◽  
pp. 209-215
Author(s):  
R. Gómez-Huelgas ◽  
F. Pérez-Jiménez ◽  
M. Serrano-Ríos ◽  
P. González-Santos ◽  
P. Román ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Clinical Decisions ◽  
Spanish Society ◽  
Patients With Diabetes

The Home at the core of Modernity, an optimistic architecture

2021 ◽  
pp. 2-3
Author(s):  
Ana Tostões
Keyword(s):  
Daily Life ◽  
Single Family ◽  
The Core ◽  
The Moment ◽  
Definition Of ◽  
The Ideal ◽  
Modern Movement

Devoted to the theme of single-family houses, given the key role they played in the ideal definition of the Modern Movement architecture, as a symbolic and functional affirmation of the utopian turning of dreams into reality, the aim of this issue is to consider the transformation of daily life, and to address the architectural challenges that arose from the joy contained in what we might call the “architecture of happiness.” As we continue to endure a pandemic that has now lasted for more than a year, docomomo wishes to declare that “till the moment, the best vaccine to prevent contagion was invented by architects: the house”. Thus, in response to the question “How should we live?”, it is intended to debate the house and the home agenda as an important topic at the core of Modern Movement architecture. Nowadays, the growing emphasis on wellbeing goes beyond the seminal ideas that modern houses were “machines à habiter” and is closer to an idealistic vision of a stimulating shell for humans, which is shaped by imagination, experimentation, efficiency, and knowledge.

scholarly journals Stochastic Non-Pharmaceutical Optimal Control Strategies to Mitigate COVID-19

2021 ◽  
Author(s):  
Paolo Scarabaggio ◽  
Raffaele Carli ◽  
Graziana Cavone ◽  
Nicola Epicoco ◽  
Mariagrazia Dotoli
Keyword(s):  
Control Strategies ◽  
Optimal Strategies ◽  
Real Data ◽  
Chance Constraint ◽  
Control Actions ◽  
Regional Strategies ◽  
Italian Regions ◽  
Predictive Controller ◽  
Definition Of ◽  
Constraint Approach

This paper proposes a stochastic non-linear model predictive controller to support policy-makers in determining robust optimal strategies to tackle the COVID-19 secondary waves. First, a time-varying <i>SIRCQTHE </i>epidemiological model (considering Susceptible, Infected, Removed, Contagious, Quarantined, Threatened, Healed, and Extinct compartments of individuals) is defined to get reliable predictions on the pandemic dynamics on a regional basis. A stochastic Model Predictive Control problem is then formulated to select the necessary control actions to minimize the arising socio-economic costs. <br>In particular, considering the unavoidable uncertainty characterizing this decision-making process, we ensure that the capacity of the network of regional healthcare systems is not violated in accordance with a chance constraint approach.<br>Furthermore, since the infection rate depends on people’s mobility, differently from the related literature, we model the control actions as interventions affecting the mobility levels associated to different socio-economic categories.<br><div>The effectiveness of the presented method in properly supporting the definition of diversified regional strategies for tackling the COVID-19 spread is tested on the network of Italian regions using real data from the Italian Civil Protection Department. However, provided the availability of reliable data, the proposed approach can be easily extended to cope with other countries' characteristics and different levels of the spatial scale.</div><div><br></div><div>Preprint of paper submitted to IEEE Transactions on Automation Science and Engineering (<em>T-ASE</em>)</div>

scholarly journals Sobre os mecanismos lingüísticos subjacentes ao gesto de rasurar

2011 ◽  
Vol 50 (1) ◽  
pp. 91-102 ◽  
Author(s):  
Cristina Filipeto
Keyword(s):  
Data Collection ◽  
What Is Said ◽  
The Moment

The aim of this work is to investigate the movements subjacent to the act of the erasure produced by pairs of students in the scholar context when they were discussing and writing a made-up story. In this work, the focused erasures attested the presence of the equivocalness as a language constitutive and the sense produced thereby. The methodological procedure of data collection consisted in filming a pair of students from the moment in which they discussed an invented a story to the moment of writing and concluding it. The registers named by Lacan as Real, Symbolic and Imaginary revealed themselves to be essential in the development of this work, since they combine unconsciousness, subjecthood, language and discourse. This work shows that the erasure is not, in spite of the student’s intentions, an instrument of “correction”. We show that the erasures made by the students point to a movement that searches for the similarity, for the recognition between what is said/written and what “should” be said/written. However, the “listening” effect of this recognition does not flow in the same direction, because there are erasure cases that encompass not only the “listening” but also what here is named “equivocal-listening”: the student, when searching for similarity, the unity of chunks of language, sometimes erases what is already “correct”, producing in this way an ambiguity/equivocalness.

scholarly journals Economic assessment of energy efficiency investments in dwellings = Evaluación económica de inversiones de eficiencia energética en viviendas

2017 ◽  
Vol 1 (2) ◽  
pp. 36 ◽  
Author(s):  
Hector Hernández
Keyword(s):  
Energy Efficiency ◽  
Energy Savings ◽  
Economic Assessment ◽  
Energy Performance ◽  
Point Of View ◽  
Economic Modelling ◽  
Evaluación Económica ◽  
Energy Performance Of Buildings ◽  
The Moment ◽  
Definition Of

In order to improve the energy performance of buildings, the need to value economically investments of energy efficiency associated with the rehabilitation of dwellings arises. This point of view provides an useful tool for analysts who start in the economic appraisal of energy efficiency investments. The present research gives a conceptual framework for the economic assessment of these types of investments in dwellings. As a result, it is possible to identify two techniques in the appraisals of this nature: dynamic and static approaches. Both methods contrast the benefits (energy savings) with the costs of investments over time. However, they differentiate the opportunity and the moment when investment must be carried out given an uncertainty scenario. This conceptual precision allows the study of several publications where different alternatives in retrofitting houses where evaluated, confirming the considerations that must be taken into account when economic modelling is made: the type of approach to be used (dynamic or static) and; at the definition of the investment alternatives and scenarios, the aspects of time, irrevocability and uncertainty.ResumenEn pro de la mejora del desempeño energético de los edificios, surge la necesidad de evaluar económicamente las inversiones de eficiencia energética asociadas a la rehabilitación de viviendas. Este punto de vista trata de ser una herramienta útil para analistas que se inicien en la evaluación económica de inversiones en eficiencia energética. La presente investigación muestra un marco conceptual de la evaluación económica de este tipo de inversiones en viviendas. Como resultado, es posible identificar dos enfoques presentes en los análisis económicos de esta naturaleza: el dinámico y el estático. Ambos métodos contrastan los beneficios (ahorros energéticos) con los costes de las inversiones en el tiempo. Sin embargo, diferencian la oportunidad y el momento en que la inversión debe realizarse dado un escenario de incertidumbre. Esta precisión conceptual permite estudiar varias publicaciones donde se evaluaron diferentes alternativas de reacondicionamiento en viviendas, confirmándose las consideraciones que deben tenerse presentes en momento de realizar la modelación económica: el tipo de enfoque a usar (dinámico o estático) y, en la definición de las alternativas de inversión y escenarios, los aspectos de tiempo, irrevocabilidad e incertidumbre.

scholarly journals Penerapan Bahasa Yang Baik Dan Benar Serta Sopan Santun Saat Melakukan Bimbingan Kelompok

2019 ◽  
Author(s):  
YuliaKurniasari
Keyword(s):  
Data Analysis ◽  
Data Collection ◽  
Qualitative Methods ◽  
Group Counseling ◽  
Human Interaction ◽  
The World ◽  
Collection Data ◽  
The Moment ◽  
Group Guidance ◽  
Descriptive Qualitative

Language is a human interaction tool to facilitate humans to communicate with one another, language also has benefits that are very important for life as an introduction in the world of education. But what happens, the fact is that at the moment in carrying out group guidance conducted by some people, they have not been able to use good and correct grammar, but have already behaved politely when communicating with other interlocutors and some people still assume that when communicating only requires language simple or improvised. This study aims to teach that people need to apply true and wise communication, especially in the use of good and correct language systems when conducting group guidance. This study uses descriptive qualitative methods that refer to data collection, data analysis, interpretation of the data concerned with the situation. The results of this study indicate that in conducting group counseling they have not been able to apply good and correct language but have applied good manners. This research has various benefits, namely making people able to understand and realize that the importance of communication when guidance uses good and correct language so that it is easy to understand and easily accepted.

scholarly journals Prevalensi periodontitis pada pasien diabetes mellitus (Studi observasional di poliklinik penyakit dalam RSUP Dr. Sardjito)

2017 ◽  
Vol 3 (2) ◽  
pp. 98 ◽  
Author(s):  
Rezmelia Sari ◽  
Dahlia Herawati ◽  
Rizky Nurcahyanti ◽  
Pramudita Kusuma Wardani
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Informed Consent ◽  
Observational Study ◽  
General Hospital ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Central Java ◽  
Patients With Diabetes ◽  
Tissue Attachment

Prevalence of periodontal diseases in patients with  diabetes mellitus (An observational study     at internal medicine polyclinic in  Dr.  Sardjito General Hospital). Diabetes Mellitus (DM) is a  chronic disease    with an increasing prevalence and causes complications. The most frequent complication found in the oral cavity of patients with diabetes mellitus is periodontal diseases is characterized by the loss of tissue attachment. There have been numerous studies on the association of DM with periodontal diseases but there has not been any data on the prevalence of periodontal diseases in diabetic group, especially in Yogyakarta and Central Java. Dr. Sardjito General Hospital is a referral hospital in DIY and Central Java, so this study is expected to provide a picture regarding the level of periodontal tissue health among people in Yogyakarta and Central Java. This research was an observational study, involving 36 patients with DM according to criteria of the subjects: suffering from type 2 diabetes, being cooperative  and willing to sign an informed consent. The controlled variables: being 40 – 60 years of age, having good oral hygiene (OHI) according to Green and Vermillion, taking neither antibiotics nor anti-inammatory drugs in the last 3 months, not having a history of other systemic diseases. Oral hygiene exams were carried out, followed by examination using probe WHO to determine if there is CAL. The data were presented descriptively. The results showed that the prevalence of periodontal diseases in patients with DM at Internal Medicine Polyclinic in Dr. Sardjito General Hospital is 88.24% with a mean of CAL distance of 4.6 mm. The conclusion of this study is that the prevalence of periodontal diseases in patients with DM is high although the oral hygiene status is good. ABSTRAKDiabetes Mellitus (DM) adalah penyakit kronis menahun dengan prevalensi yang semakin meningkat dan menimbulkan komplikasi. Komplikasi yang paling sering terjadi di rongga mulut pasien DM adalah periodontitis yang ditandai dengan kehilangan perlekatan jaringan. Penelitian tentang hubungan DM dengan periodontitis banyak dilakukan namun belum ditemukan data mengenai prevalensi periodontitis pada kelompok  DM  khususnya di DIY dan  Jawa Tengah.  RSUP Dr. Sardjito merupakan rumah sakit rujukan DIY dan Jawa Tengah sehingga penelitian ini diharapkan dapat memberi gambaran mengenai tingkat kesehatan jaringan periodontal di masyarakat DIY dan Jawa Tengah. Jenis penelitian ini adalah observasional dengan melibatkan 36 orang pasien DM sesuai kriteria subjek yaitu menderita DM tipe II, kooperatif dan bersedia menandatangani informed consent. Variabel terkendali yaitu usia 40 – 60 tahun, kebersihan mulut (OHI) menurut Green and Vermillion dalam kriteria baik, tidak menggunakan antibiotik dan antiinamasi dalam 3 bulan terakhir dan tidak memiliki riwayat penyakit sistemik lain. Dilakukan pemeriksaan kebersihan mulut dilanjutkan dengan pemeriksaan menggunakan probe WHO untuk menentukan ada tidaknya CAL. Data disajikan secara deskriptif. Hasil penelitian menunjukkan bahwa prevalensi periodontitis pada pasien DM di Poli Klinik Penyakit Dalam RSUP Dr. Sardjito adalah 88,24% dengan rata-rata jarak CAL adalah 4,6 mm. Kesimpulan penelitian ini adalah prevalensi periodontitis pada pasien DM tinggi walaupun status kebersihan mulut tergolong dalam kriteria baik.

scholarly journals Avoiding potential pitfalls in visual search and eye-movement experiments: A tutorial review

2021 ◽  
Author(s):  
Hayward J. Godwin ◽  
Michael C. Hout ◽  
Katrín J. Alexdóttir ◽  
Stephen C. Walenchok ◽  
Anthony S. Barnhart
Keyword(s):  
Visual Search ◽  
Data Collection ◽  
Eye Movement ◽  
Movement Behavior ◽  
Popular Approach ◽  
Research Cycle ◽  
Dependent Variables ◽  
Potential Problems ◽  
The Moment ◽  
The Right

AbstractExamining eye-movement behavior during visual search is an increasingly popular approach for gaining insights into the moment-to-moment processing that takes place when we look for targets in our environment. In this tutorial review, we describe a set of pitfalls and considerations that are important for researchers – both experienced and new to the field – when engaging in eye-movement and visual search experiments. We walk the reader through the research cycle of a visual search and eye-movement experiment, from choosing the right predictions, through to data collection, reporting of methodology, analytic approaches, the different dependent variables to analyze, and drawing conclusions from patterns of results. Overall, our hope is that this review can serve as a guide, a talking point, a reflection on the practices and potential problems with the current literature on this topic, and ultimately a first step towards standardizing research practices in the field.

scholarly journals O SKUTKOWOŚCI PRZESTĘPSTW FORMALNYCH

2016 ◽  
Vol 14 (1) ◽  
pp. 159
Author(s):  
Paweł Nowak
Keyword(s):  
Criminal Law ◽  
Polish Law ◽  
The Moment ◽  
Definition Of

CRIMINAL CONSEQUENCES OF FORMAL OFFENCESSummaryThe author discusses the concept of criminal consequence in Polish law. Debate is still going on in the theory and jurisdiction of Polish criminal law on whether a particular crime or offence should be classified as formal (przestępstwa formalne) or as consequential (przestępstwa skutkowe – viz. crimes/offences incurring criminal consequences; cf. inchoate crimes or offences). A point which turns out to be particularly problematic in this respect is the definition of criminal consequence, to enable a distinction to be drawn between formal and consequential (inchoate) offences/crimes. The author concludes that in practice all offences and crimes have a consequence. If a state in which a specific danger has emerged may be treated as a criminal consequence, it should also be admissible to treat a state in which an abstract danger has been created as a criminal consequence. Viewed from this aspect, all crimes are formal; for instance incitement is committed the moment when its perpetrator addresses words encouraging the commission of a crime to another person.

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