scholarly journals Building Regional Circular and Ecological Sphere in Aso, Kumamoto Pref., as a model region

2021 ◽  
Vol 85 (2) ◽  
pp. 134-137
Author(s):  
Tomohiro ICHINOSE
Keyword(s):  
Model Region

scholarly journals Impact of COVID-19 pandemic lockdown on myocardial infarction care

2021 ◽  
Author(s):  
Timo Schmitz ◽  
Christa Meisinger ◽  
Inge Kirchberger ◽  
Christian Thilo ◽  
Ute Amann ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hot Spot ◽  
Population Based ◽  
Downward Trend ◽  
German Model ◽  
Model Region ◽  
The Impact ◽  
The City

AbstractThe aim of this study was to evaluate the impact of the COVID-19 pandemic lockdown on acute myocardial infarction (AMI) care, and to identify underlying stressors in the German model region for complete AMI registration. The analysis was based on data from the population-based KORA Myocardial Infarction Registry located in the region of Augsburg, Germany. All cases of AMI (n = 210) admitted to one of four hospitals in the city of Augsburg or the county of Augsburg from February 10th, 2020, to May 19, 2020, were included. Patients were divided into three groups, namely pre-lockdown, strict lockdown, and attenuated lockdown period. An additional survey was conducted asking the patients for stress and fears in the 4 weeks prior to their AMI. The AMI rate declined by 44% in the strict lockdown period; in the attenuated lockdown period the rate was 17% lower compared to the pre-lockdown period. The downward trend in AMI rates during lockdown was seen in STEMI and NSTEMI patients, and independent of sex and age. The door-to-device time decreased by 70–80% in the lockdown-periods. In the time prior to the infarction, patients felt stressed mainly due to fear of infection with Sars-CoV-2 and less because of the restrictions and consequences of the lockdown. A strict lockdown due to the Covid-19 pandemic had a marked impact on AMI care even in a non-hot-spot region with relatively few cases of COVID-19. Fear of infection with the virus is presumably the main reason for the drop in hospitalizations due to AMI.

scholarly journals Bayesian modeling and prediction of accrual in multi-regional clinical trials

2014 ◽  
Vol 26 (2) ◽  
pp. 752-765 ◽  
Author(s):  
Yi Deng ◽  
Xiaoxi Zhang ◽  
Qi Long
Keyword(s):  
Clinical Trials ◽  
Poisson Process ◽  
Process Model ◽  
Nonhomogeneous Poisson Process ◽  
Modeling And Prediction ◽  
Accuracy And Precision ◽  
Start Up ◽  
Accrual Rate ◽  
Model Region ◽  
Over Time

In multi-regional trials, the underlying overall and region-specific accrual rates often do not hold constant over time and different regions could have different start-up times, which combined with initial jump in accrual within each region often leads to a discontinuous overall accrual rate, and these issues associated with multi-regional trials have not been adequately investigated. In this paper, we clarify the implication of the multi-regional nature on modeling and prediction of accrual in clinical trials and investigate a Bayesian approach for accrual modeling and prediction, which models region-specific accrual using a nonhomogeneous Poisson process and allows the underlying Poisson rate in each region to vary over time. The proposed approach can accommodate staggered start-up times and different initial accrual rates across regions/centers. Our numerical studies show that the proposed method improves accuracy and precision of accrual prediction compared to existing methods including the nonhomogeneous Poisson process model that does not model region-specific accrual.

Consumer Co-operation and Economic Crisis: The 1936 Roosevelt Inquiry on Co-operative Enterprise and the Emergence of the Nordic ‘Middle Way’

2013 ◽  
Vol 22 (2) ◽  
pp. 181-198 ◽  
Author(s):  
MARY HILSON
Keyword(s):  
Great Depression ◽  
Economic Crisis ◽  
Nordic Countries ◽  
The Other ◽  
The Great Depression ◽  
Middle Way ◽  
Model Region

AbstractIn the wake of the Great Depression, Sweden and the other Nordic countries were widely perceived as a model region, a successful example of the ‘middle way’ between socialism and capitalism. Central to this idea were the Nordic co-operative movements, which became the focus of President Roosevelt's Inquiry on Co-operative Enterprise in Europe, conducted in 1936–7. Drawing mainly on the records of the Inquiry, the article explores the construction of the ‘middle way’ idea and examines the role of the Nordic co-operators in shaping international perceptions of the region, while also shedding new light on differences within the international co-operative movement during the same period.

Basic Study on TCEs Behavior in Subsurface Environment

1990 ◽  
Vol 22 (6) ◽  
pp. 79-86 ◽  
Author(s):  
K. Muraoka ◽  
T. Hirata
Keyword(s):  
Water Level ◽  
Groundwater Pollution ◽  
Solution Process ◽  
Gas Analysis ◽  
The State ◽  
Soil Gas ◽  
Basic Study ◽  
Subsurface Environment ◽  
Initial Stage ◽  
Model Region

In order to clarify the aspects of initial stage of groundwater pollution due to organochlorines in the subsurface, some experiments on the movement of contaminants near the groundwater surface and solution process into groundwater were conducted. As one result, the oscillation of water level is assumed to support the solubility and the durability of contamination of groundwater. As the second subject of this work, the monitoring in a model region was pursued for the purpose of explaining the distribution of contamination. The method of soil gas analysis was then used to investigate the state of groundwater pollution.

scholarly journals Identifying and describing a model region to evaluate the impact of telemedicine

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Harst ◽  
S Oswald ◽  
P Timpel
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Focus Groups ◽  
Health Care Providers ◽  
Rural Areas ◽  
Demographic Data ◽  
Care Providers ◽  
Age Related ◽  
Model Region ◽  
The Impact

Abstract Background Telemedicine solutions providing patient-centered care over distance need to be integrated into the regional setting. The acceptance by both providers and patients hat to be continuously evaluated using methods of participatory implementation research. In controlled trials, often taking place in laboratory settings, these methods cannot be applied. In the following, research in progress is presented. Methods Based on socio-demographic data, epidemiology prevalence of age-related chronic diseases and data on the value of health care provision in Saxony, Germany a model region was chosen. Then, a focus group (n = 6) was conducted to differentiate the results and analyze the health networks of patients. For this, network maps putting the individual in the middle and his/her sources of information and support in case of illness in concentric circles around it, were used. The focus group was audiotaped, transcribed and analyzed by two researchers using MaxQDA. Results With a mean age of 47.8 years (n = 17,431), high prevalence of diabetes (>15.85 %) and hypertension (>39.1%) and an expected shortage of primary physicians in 2030, the town of Kamenz is a mirror image of the current health care challenges in rural areas of Saxony. Participants of the focus groups also stated problems in finding a primary physician or a dentist. Compensatory behavior, such as traveling large distances, relying on self-researched online diagnoses and immediately going to the emergency room for medical support was described. According to the network maps, primary sources of support in case of illness are partners and relatives, yet there is little connection between those and health care providers, as well as between different medical specialists. Conclusions The results will lead to potential use cases of telemedicine to be included into a standardized questionnaire for the assessment of telemedicine readiness in the model region. Key messages Telemedicine implementation in a rural area can be studied using a participatory approach. Focus groups and network maps are useful qualitative methods for participatory research and can inform the design of quantitative measurements.

Experiments in segmentation using a facet model region grower

1984 ◽  
Vol 25 (1) ◽  
pp. 1-23 ◽  
Author(s):  
Ting-Chuen Pong ◽  
Linda G Shapiro ◽  
Layne T Watson ◽  
Robert M Haralick
Keyword(s):  
Model Region ◽  
Facet Model

scholarly journals Minimum Cost Estimation of a Baseline Survey for a Molecular Epidemiology Cohort Study: Collecting Participants in a Model Region in Japan

2016 ◽  
Vol 26 (10) ◽  
pp. 522-529 ◽  
Author(s):  
Izumi Mishiro ◽  
Norie Sawada ◽  
Motoki Iwasaki ◽  
Kayo Ohashi ◽  
Shoichiro Tsugane
Keyword(s):  
Cohort Study ◽  
Molecular Epidemiology ◽  
Cost Estimation ◽  
Minimum Cost ◽  
Baseline Survey ◽  
Model Region

scholarly journals ON THE POSSIBILITY OF LONG-TERM FORECASTING OF SEASONAL HYDROMETEOROLOGICAL PHENOMENA

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Svetlana Morozova ◽  
Mariya Alimpieva
Keyword(s):  
Statistical Methods ◽  
European Part ◽  
The South ◽  
Term Forecast ◽  
Long Term Forecasting ◽  
Model Region ◽  
Three Phases

In present paper the expanding application possibility of physical-statistical methods in long-term forecast are viewed.A nonparametric discriminate analyzing model has been constructed on the South-East of EPR (European part ofRussia). The model is based on consideration of asynchronous bonds between the condition of circulating systems of theAtlantic-Eurasian hemisphere sector and the period of seasonal hydrotermeological events onset on South-East of ЕPR.This model allows distinguishing three cluster areas which associate with three phases of predicted event; commonly,only two cluster areas are distinguished. We would like to present results of predictions testing of training and controlsets. The conclusion of our model region appliance effectiveness is also represented in paper.

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