scholarly journals Implementation and validation of the C3-Cloud system: a new generation for integrated care tool developed with and for multimorbid patients

2021 ◽  
Vol 21 (S1) ◽  
pp. 57
Author(s):  
Delores Verdoy
2007 ◽  
Vol 14 (2) ◽  
pp. 271-280
Author(s):  
Christian Stipanović ◽  
Suzana Bareša

Croatian hotel and tourism companies are failing to keep abreast of modern tourism trends in the globalised marketplace of the twenty-first century. The imperative is to innovate the development design model based on a new value system. A precondition to success is transforming sluggish, inert companies that live according to the mindset of the past century into high-growth intelligent organisations capable of actively creating the future.The intelligent business organisation, founded on a new generation of managers, employee empowerment, software solutions and expert systems, needs to manage data and information to generate new development trends. The aim is to valorise intellectual capital and information in making innovations and creating new solutions in order to be able to stand up to rivals and more fully meet the needs of clients.


IEEE Access ◽  
2020 ◽  
Vol 8 ◽  
pp. 96468-96486
Author(s):  
Chunlei Sun ◽  
Xiangming Wen ◽  
Zhaoming Lu ◽  
Wenpeng Jing ◽  
Michele Zorzi

Author(s):  
Preeti Rani ◽  
◽  
Tejbir Singh ◽  
Meenu Kaushik ◽  
Vishant Gahlaut

The advancement of wireless communication is markedly accountable from the past two decades. A variety of designs and techniques have been established in the domain of reconfigurable multiband antennas for different wireless services. Now a days, a high quality of communication with reduced size is required for new generation wireless system. A multiband reconfigurable functionality offers a flexible and high-performance design by single antenna only. A brief review on multiband antenna with different reconfigurable techniques is presented in this paper. Moreover, the new possibilities for future wireless communication system have been demonstrated. A reconfigurable system along with minimal interference level over the fixed or non-reconfigurable transceivers has been discussed in detail.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Blessings Gausi ◽  
Natacha Berkowitz ◽  
Nisha Jacob ◽  
Tolu Oni

Abstract Background The growing burden of the HIV and non-communicable disease (NCD) syndemic in Sub- Saharan Africa has necessitated introduction of integrated models of care in order to leverage existing HIV care infrastructure for NCDs. However, there is paucity of literature on treatment outcomes for multimorbid patients attending integrated care. We describe 12-month treatment outcomes among multimorbid patients attending integrated antiretroviral treatment (ART) and NCD clubs in Cape Town, South Africa. Methods As part of an integrated clubs (IC) model pilot implemented in 2016 by the local government at two primary health care clinics in Cape Town, we identified all multimorbid patients who were enrolled for IC for at least 12 months by August 2017. Mean adherence percentages (using proxy of medication collection and attendance of club visits) and optimal disease control (defined as the proportion of participants achieving optimal blood pressure, glycosylated haemoglobin control and HIV viral load suppression where appropriate) were calculated at 12 months before, at the point of IC enrolment and 12 months after IC enrolment. Predictors of NCD control 12 months post IC enrolment were investigated using multivariable logistic regression. Results As of 31 August 2017, 247 HIV-infected patients in total had been enrolled into IC for at least 12 months. Of these, 221 (89.5%) had hypertension, 4 (1.6%) had diabetes mellitus and 22 (8.9%) had both diseases. Adherence was maintained before and after IC enrolment with mean adherence percentages of 92.2% and 94.2% respectively. HIV viral suppression rates were 98.6%, 99.5% and 99.4% at the three time points respectively. Retention in care was high with 6.9% lost to follow up at 12 months post IC enrolment. Across the 3 time-points, optimal blood pressure control was achieved in 43.1%, 58.9% and 49.4% of participants while optimal glycaemic control was achieved in 47.4%, 87.5% and 53.3% of participants with diabetes respectively. Multivariable logistic analyses showed no independent variables significantly associated with NCD control. Conclusion Multimorbid adults living with HIV achieved high levels of HIV control in integrated HIV and NCD clubs. However, intensified interventions are needed to maintain NCD control in the long term.


2019 ◽  
Vol 12 (4) ◽  
pp. 2139-2153
Author(s):  
Tarjei Antonsen ◽  
Ove Havnes ◽  
Andres Spicher

Abstract. We present in situ measurements of small-scale fluctuations in aerosol populations as recorded through a mesospheric cloud system from the Faraday cups DUSTY and MUDD during on the MAXIDUSTY-1 and 1B sounding rocket payloads launched in the summer of 2016. Two mechanically identical DUSTY probes mounted with an inter-spacing of ∼10 cm recorded very different currents, with strong spin modulation, in certain regions of the cloud system. A comparison to auxiliary measurement show similar tendencies in the MUDD data. Fluctuations in the electron density are found to be generally anti-correlated to the negative aerosol charge density on all length scales; however, in certain smaller regions the correlation turns positive. We have also compared the spectral properties of the dust fluctuations, as extracted by wavelet analysis, to polar mesospheric summer echo (PMSE) strength. In this analysis, we find a relatively good agreement between the power spectral density (PSD) at the radar Bragg scale inside the cloud system; however the PMSE edge is not well represented by the PSD. A comparison of proxies for PMSE strength, constructed from a combination of derived dusty plasma parameters, shows that no simple proxy can reproduce PMSE strength well throughout the cloud system. Edge effects are especially poorly represented by the proxies addressed here.


Author(s):  
A. V. Strukova

The article deals with the tasks of detection and prevention of dangerous encounters as part of a prospective air traffic management system. A systematic description of the introduction of a new generation of communication, navigation and surveillance systems that provides technical capabilities for the modernization of the air traffic management system is given. 


Author(s):  
Angela Koverech ◽  
Valeriano Soldati ◽  
Vittoria Polidori ◽  
Leda Pomes ◽  
Luana Lionetto ◽  
...  

The ageing of the world population has resulted in an increase in the number of older patients with multimorbid conditions receiving multiple therapies. This emerging clinical scenario poses new challenges, which are mostly related to the increased incidence of adverse effects. This translates into poor clinical care, reduced cost-effectiveness of drug therapies, and social isolation of multimorbid patients due to reduced autonomy. A strategy to address these emerging challenges could involve the personalization of therapies based on the clinical, molecular, and genetic characterization of multimorbid patients. Anticoagulation therapy is a feasible model to implement personalized medicine since it generally involves older multimorbid patients receiving multiple drugs. In this study, in patients with atrial fibrillation, the use of the new generation of anticoagulation therapy, i.e., direct oral anti-coagulants (DOACs), is based on a preliminary assessment of the molecular targets of DOACS and any possible drug–drug interactions. Then, the genetic polymorphism of enzymes metabolizing DOACs is studied. After DOAC prescription, its circulating levels are measured. Clinical data are being collected to assess whether this personalized approach improves the safety and efficacy profiles of anticoagulation therapy using DOACs, thereby reducing the costs of healthcare for ageing multimorbid patients.


Energies ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 983
Author(s):  
Ali Tavsanoglu ◽  
César Briso ◽  
Diego Carmena-Cabanillas ◽  
Rafael B. Arancibia

The new generation of capsules that circulate through vacuum tubes at speeds up to 1200 km/h, which is being developed, demands communication systems that can operate at these speeds with high capacity and quality of service. Currently, the two technologies available are the new generation of 802.11ax networks and 5G NR. Using these technologies at such high speeds in a confined environment requires a careful study and design of the configuration of the network and optimization of the physical interface. This paper describes the requirements for critical and business communications, proposing a WLAN and 5G network design based on the analysis of the propagation characteristics and constraints of vacuum tubes and using propagation measurements and simulations made in similar environments at frequencies of 2.5/5.7/24 GHz. These measurements and simulations show that propagation losses in this environment are low (4–5 dB/100 m), as a consequence of the guided propagation, so that the use of bands is preferred. Finally, considering the propagation constraints and requirements of a Hyperloop system, a complete wireless communication system is proposed using two networks with 802.11 and 5G technology.


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