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.

Marcel Breuer y el sueño de la cabaña americana

Marcel Breuer arquitecto húngaro y afamado diseñador de mobiliario procedente de la Bauhaus, emigra a Estados Unidos en 1937, invitado por Gropius como profesor en Harvard. Allí comienzan, Breuer y Gropius, una nueva etapa basada en la experimentación de la casa como revisión de los postulados de la arquitectura moderna: la casa como máquina de habitar, propuesta por Le Corbusier, procedente de la vieja Europa; versus la humanización de la máquina a través del efecto del material sobre la estructura y la forma extendidas y en contacto con el territorio, propuesta por Frank Lloyd Wright procedente de la nueva América. Sus experimentos domésticos sobre la casa-cabaña acercaron los métodos tradicionales de la construcción americana a una visión renovada abstracta y pura, donde los modos de vida, los requerimientos básicos, prácticos y funcionales se transformaron en la conexión del "Arte de Construir" a través del material y su puesta en obra. La búsqueda de una respuesta clara del habitar que satisfacía objetivos opuestos y necesidades humanas, llevó a su arquitectura de la abstracción a reconciliar al hombre con la naturaleza, dotarla de arte y vida, arquitectura y paisaje que pasaron a convertirse en los ideales modernos de la cabaña americana. ABSTRACT. Marcel Breuer, Hungarian architect and famed to furniture's designer of the Bauhaus emigrated to America in 1937, invited by Gropius as a professor at Harvard. Breuer and Gropius, there begin a new stage based on the experimentation of the house as a revision to the postulates of modern architecture: the house as a dwell machine proposed by Le Corbusier from old Europe; versus the humanization of the machine through the effect of material on the structure and form extended and in contact with the territory, proposed by Frank LI. Wright from the new America. His experiments on the house-cottage approached traditional methods of the American construction methods to a new vision, abstract and pure, where ways of life, and basic, practical and functional requirements became the connection to "Art of Building" trough the material and its placing. The search for a clear answer of dwelling that satisfied conflicting objectives and human needs, led to the architecture of abstraction to reconcile man with nature, endow it with life and art, an architecture and a landscape that became the modern ideals of American cottage.

Integración en la plataforma 4mobile de mecanismos de atención en redes sociales

El presente texto se ha desarrollado como Proyecto Fin de Grado en la Escuela Técnica Superior de Ingeniería y Sistemas de Telecomunicación de la Universidad Politécnica de Madrid en colaboración con la Consultora Tecnológica everis. El mismo tiene como objetivo realizar un estudio de los requisitos necesarios para poder desplegar un servicio que permita ofrecer a las Operadoras Móviles Virtuales (OMV) soporte técnico a sus clientes a través de las redes sociales. Este módulo establecerá una nueva vía de comunicación entre el consumidor y el cliente de la OMV con la propia OMV, el cual se caracterizará por una alta accesibilidad y una gran rapidez en el servicio permitiendo de este modo, una mayor satisfacción del cliente con su operador móvil y por tanto de una nueva vía para conseguir la fidelización del mismo y la captación de nuevos clientes. Para ello, este proyecto se lleva a cabo sobre el sistema de información 4mobile el cual es comercializado por la mencionada Consultora Tecnológica. Este sistema consiste en una plataforma web la cual permite cubrir todos los procesos de negocio comunes que un OMV necesita gestionar. Es por ello, que el mencionado estudio se centra en la evaluación de los aspectos necesarios para la integración de un módulo de estas características dentro de la plataforma de 4mobile. Este módulo, estará basado en una herramienta software que permitirá gestionar el ciclo de vida completo del comentario realizado por el cliente a través de una red social, desde que es publicado por el cliente, hasta que se haya respondido al mismo y su solución sea considerada como satisfactoria por el cliente. Por ello, y de cara a definir correctamente esta herramienta, será necesario un detallado análisis el cual recoja diversos aspectos y que a lo largo del texto, será denominado como Plan de Marketing de Medios Sociales (PMMS). Estos aspectos versarán tanto de las necesidades tecnológicas para su mencionada integración, como de la serie de características funcionales que una solución basada en servicio técnico a través de las redes sociales deberá poseer con el objetivo de ofrecer un servicio técnico de calidad. Finalmente, estas funcionalidades y necesidades tecnológicas se expondrán en forma de propuesta a everis para su integración en la plataforma 4mobile junto con un análisis de diseño a alto nivel software de la solución a desarrollar. ABSTRACT. This text has been developed as Final Degree Project in the Escuela Técnica Superior de Ingeniería y Sistemas de Telecomunicación de la Universidad Politécnica de Madrid in collaboration with the Technology Consultant everis, aims to conduct a study of how to provide technical support through social networks and the evaluation of the integration of a social support module within the system platform 4mobile, which cover all business processes that need to manage a Mobile Virtual Network Operator (MVNO), which is marketed by above-mentioned consultant . This module will establish a new communication channel between the consumer and the client with the OMV and itself, which is characterized by high accessibility and great fast service. Thus will allow a higher customer satisfaction with him service and thus a new way to get the same loyalty and attract new customers To this end, this project is performed on the information system 4mobile which is marketed by the consulting part thereof everis. This system is a platform to cover all business processes that need to manage an MVNO. Therefore, the mentioned study focuses on the evaluation of the elements necessary for integrating module these features within the platform 4mobile. This module will be based on a software tool for managing the entire lifecycle of the comment made by the customer via social networking, from the moment it is published, until it has been respond and their solution is considered satisfactory for the customer. So, in order to properly define this tool, a detailed analysis which will be necessary to collect various aspects and throughout the text, it will be referred to as Plan of Social Media Marketing (PMMS). These aspects will be address both: the technological needs for the mentioned integration, and the number of functional characteristics-based service through social networking solution, as this must in order to provide a quality service Finally, these goals and requirements will be discussed as everis offer for integration into the platform 4mobile analysis along with a high level of software design to develop the solution.

Josef Albers : la Interacción de la Matière en el arte y en la arquitectura

La materia se presenta ante nosotros en multiplicidad de formas o “apariencias”. A lo largo de la historia se ha reflexionado sobre la relación entre la materia y la forma en distintos campos desde la filosofía hasta la ciencia, pasando por el arte y la arquitectura, moviéndose entre disciplinas desde las más prácticas a las más artísticas, generando posicionamientos opuestos, como el materialismo-idealismo. El concepto de materia a su vez ha ido cambiando a medida que la conciencia humana y la ciencia han ido evolucionando, pasando de considerarse materia como un ente con “masa” a la materia vacía, donde la “masa” es una ilusión que se nos “aparece” dependiendo de la frecuencia con la que vibra su sistema energético. A partir del concepto de “matière” , Josef Albers desarrolla su metodología docente. La matière es más que el aspecto, la “apariencia” que va más allá de la forma cristalizada. Es la forma cambiante que puede adoptar la materia cuando es transformada por el ser humano, dejando su huella sobre ella. Las tres cualidades de la “matière” que el profesor Albers propone en sus ejercicios del Curso Preliminar para desarrollar la “visión” con la “matière” desde la Bauhaus hasta la Universidad de Yale son: Estructural, Factural y Textural. Al desarrollar la observación, teniendo en cuenta estas tres referencias, se descubriá la desvinculación entre lo material y su apariencia desde la honradez. “La discrepancia entre los hechos físicos y el efecto psíquico”. En un proceso constante de ensayo y error se desarrollará la sensibilización individual hacia el material y la evaluación y critica gracias a la dinámica del taller que permite por comparación, aprender y evolucionar como individuo dentro de una sociedad. Esa metodología inductiva regulada por la economía de recursos, promueve el pensamiento creativo, fundamental para producir a través de la articulación un nuevo lenguaje que por medio de la formulación visual exprese nuestra relación con el mundo, con la vida. La vida que constantemente fluye y oscila entre dos polos opuestos, generando interrelaciones que tejen el mundo. Esas interacciones son las que dan vida a la obra artísitica de Albers. PALABRAS CLAVE: materia y matière, estructural factural y textural, vision, hecho físico y efectos psiquico, pensamiento creativo, vida. The matter stands before us in multiple ways or "appearances". Throughout history the relationship between matter and form has been thought out from different fields, from philosophy to science, including art and architecture, moving between disciplines from the most practical to the most artistic generating positions opposites, as materialism-idealism . The concept of matter in turn has changed as the humna consciousness and science have evolved, from being considered as a matter of "mass" to the empty field where the "mass" is an illusion that we "appears" depending on the frequency with which vibrates its energy system. Using the concept of "matière", Josef Albers develops its teaching methodology. The matière is more than the look, the "appearance" that goes beyond the crystallized form. It is the changing form that may take the matter when it is transformed by humans, leaving their mark on it. The three qualities of "matière" that Professor Albers exercises proposed in the Preliminary Course to develop a "vision" with the "matière" from the Bauhaus to Yale are: Structural, Factural and Textural. To develop observation, taking into account these three references, the separation between the material and its appearance was discovered from honesty. "The discrepancy between physical fact and psychic effect." In an ongoing process by trial and error to develop individual sensitzing towards material and critical evaluation through dynamic workshop. The workshop allows for comparison, learn and evolve as an individual within a society. That inductive methodology regulated by the economy of resources, promotes creative thinking, essential to produce through articulation a new language through visual formulation expresses our relationship with the world, with life. Life constantly flowing, oscillates between two opposite poles, creating relationships that weave the world. These interactions are what give life to the artistic work of Albers. KEYWORDS:

Justice, emotions and satisfaction in complaint behavior in services

This study proposes a marketing approach to service recovery (SR) models in order to help to explain what factors affect cumulative satisfaction, loyalty and word-of-mouth following complaint behavior. The model has its base on the definition of perceived justice and its influence on satisfaction with service recovery (SSR) and on emotions (positive and negative). Trust acts as a central construct in the model, receiving influence from the affective and cognitive aspect and mediating the relationship between SSR and cumulative satisfaction and between positive/negative emotions and loyalty. The sample for this study consists of 303 Spanish B2C-EC users who made a complaint after an electronic transaction. Results from the analysis show the influence of perceived justice ?mainly interactional justice and procedural justice? on SSR, and the relevance of positive emotions as a key factor in SSR processes, in contrast to the major role which negative emotions have traditionally played in these models. Furthermore, trust mediates the relation between SSR and cumulative satisfaction, and is the factor which has a higher influence on loyalty, whilst cumulative satisfaction becomes the more relevant factor affecting WOM.