A New Multidisciplinary Home Care Telemedicine System to Monitor Stable Chronic Human Immunodeficiency Virus-Infected Patients: A Randomized Study

BACKGROUND: Antiretroviral therapy has changed the natural history of human immunodeficiency virus (HIV) infection in developed countries, where it has become a chronic disease. This clinical scenario requires a new approach to simplify follow-up appointments and facilitate access to healthcare professionals. METHODOLOGY: We developed a new internet-based home care model covering the entire management of chronic HIV-infected patients. This was called Virtual Hospital. We report the results of a prospective randomised study performed over two years, comparing standard care received by HIV-infected patients with Virtual Hospital care. HIV-infected patients with access to a computer and broadband were randomised to be monitored either through Virtual Hospital (Arm I) or through standard care at the day hospital (Arm II). After one year of follow up, patients switched their care to the other arm. Virtual Hospital offered four main services: Virtual Consultations, Telepharmacy, Virtual Library and Virtual Community. A technical and clinical evaluation of Virtual Hospital was carried out. FINDINGS: Of the 83 randomised patients, 42 were monitored during the first year through Virtual Hospital (Arm I) and 41 through standard care (Arm II). Baseline characteristics of patients were similar in the two arms. The level of technical satisfaction with the virtual system was high: 85% of patients considered that Virtual Hospital improved their access to clinical data and they felt comfortable with the videoconference system. Neither clinical parameters [level of CD4+ T lymphocytes, proportion of patients with an undetectable level of viral load (p = 0.21) and compliance levels >90% (p = 0.58)] nor the evaluation of quality of life or psychological questionnaires changed significantly between the two types of care. CONCLUSIONS: Virtual Hospital is a feasible and safe tool for the multidisciplinary home care of chronic HIV patients. Telemedicine should be considered as an appropriate support service for the management of chronic HIV infection. TRIAL REGISTRATION: Clinical-Trials.gov: NCT01117675.

A Video-Aware FEC-Based Unequal Loss Protection Scheme for RTP Video Streaming

A video-aware unequal loss protection (ULP) system for protecting RTP video streaming in bursty packet loss networks is proposed. Just considering the relevance of the frame, the state of the channel and the bitrate constraints of the protection bitstream, our algorithm selects in real time the most suitable frames to be protected through forward error correction (FEC) techniques. It benefits from a wise RTP encapsulation that allows working at a frame level without requiring any further process than that of parsing RTP headers, so it is perfectly suitable to be included in commercial transmitters. The simulation results show how our proposed ULP technique outperforms non-smart schemes.

A New Collaboration Between Josep Lluís Sert and Joan Miró on Their Return to Spain: From the Republic Pavilion to Joan Miró Studio

Ponencia publicada en las Actas del Congreso Internacional de la EAHN (EUROPEAN ARCHITECTURAL HISTORY NETWORK), celebrado en Bruselas del 31 Mayo -3 Junio 2012.

Adaptive protection scheme for MVC-encoded stereoscopic video streaming in IP-based networks

We present an adaptive unequal error protection (UEP) strategy built on the 1-D interleaved parity Application Layer Forward Error Correction (AL-FEC) code for protecting the transmission of stereoscopic 3D video content encoded with Multiview Video Coding (MVC) through IP-based networks. Our scheme targets the minimization of quality degradation produced by packet losses during video transmission in time-sensitive application scenarios. To that end, based on a novel packet-level distortion model, it selects in real time the most suitable packets within each Group of Pictures (GOP) to be protected and the most convenient FEC technique parameters, i.e., the size of the FEC generator matrix. In order to make these decisions, it considers the relevance of the packet, the behavior of the channel, and the available bitrate for protection purposes. Simulation results validate both the distortion model introduced to estimate the importance of packets and the optimization of the FEC technique parameter values.

Alfredo Payá. Alicante, Spain

In his retreat in Alicante, where he gives calm and deliverate classes at the city's new architecture school , ALFREDO PAYA ls a serene and centered architect who transmits these qualities through the buildings he constructs .

Una architettura come me (sobre la arquitectura de César Ruiz-Larrea)

Una architettura come me (sobre la arquitectura de César Ruiz-Larrea): VIVIENDA EN EL HIERRO, OFICINAS EN ALCALA GALIANO, LAS PIRAMIDES DE GÜIMAR, CANAL PLUS, UN ARQUITECTO EN SAZON

Perceptual distortion modeling for side-by-side 3D video delivery

A frame-level distortion model based on perceptual features of the human visual system is proposed to improve the performance of unequal error protection strategies and provide better quality of experience to users in Side-by-Side 3D video delivery systems.

Josep Lluis Sert y Joan Miró

Conferencia en la ETSA de Valencia

Participación directa de los trabajadores en la Siderúrgica del Orinoco 'Alfredo Maneiro', Venezuela

Esta investigación, en progreso, se propone caracterizar la participación de los trabajadores promovida en la industria siderúrgica de la región Guayana, Venezuela. Los referentes que sustentan esta investigación se orientan a las categorías de participación de los trabajadores en la toma de decisiones en empresas bajo dos vertientes principales en estudio: la democracia industrial y la gestión o dirección participativa. La investigación se desarrolla bajo una estrategia de acompañamiento a los trabajadores de las mesas de trabajo, en el marco de la Investigación Acción Participativa (IAP), en particular la Sistematización de Experiencias. La ejecución de talleres de formación – investigación con la estrategia de grupos focales facilitó el intercambio de información. El período considerado, para esta fase, se refiere a los encuentros e intercambios entre octubre 2011 y marzo 2012. Los resultados de la sistematización de experiencias de participación en la Siderúrgica del Orinoco (SIDOR) se enmarcan en dimensiones asociadas al origen de la participación, las formas de participación y niveles alcanzados, distinguiendo la participación directa de la indirecta. Los productos de la sistematización comprenden el diseño del taller sobre Participación Directa, un documento síntesis y una presentación para comunicar la experiencia.