HERMES - High Efficiency Roads with Rerouteing Methods and Traffic Signal Control.

HERMES is one of the projects in the European ATT Programme. The ATT Programme (or DRIVE II as it is frequently referred to) is an application oriented Community Research and Technological Development Programme that has been conceived and implemented with the objective of contributing to the competitiveness of Europe and to its social and economic cohesion. An important means toward this end is the direct collaboration between different European sector actors: road authorities, fleet operators, road user representatives, industry, and research institutions. DRIVE I has already achieved an important step into this direction. DRIVE II aims at providing a framework that encourages even closer cooperation through large scale international pilot projects that will require common functional and technical specifications for the systems to be implemented at least between the partners directly involved in any project. HERMES is one of the so-called "supporting R&D projects" that provides strategies, algorithms and systems for the pilot applications

Self-management of coronary heart disease in angina patients after percutaneous coronary intervention: A mixed methods study.

After having elective percutaneous coronary intervention (PCI) patients are expected to self-manage their coronary heart disease (CHD) by modifying their risk factors, adhering to medication and effectively managing any recurring angina symptoms but that may be ineffective. Objective: Explore how patients self-manage their coronary heart disease (CHD) after elective PCI and identify any factors that may infl uence that. Design and method: This mixed methods study recruited a convenience sample of patients (n=93) approximately three months after elective PCI. Quantitative data were collected using a survey and were subject to univariate, bivariate and multi-variate analysis. Qualitative data from participant interviews was analysed using thematic analysis. Findings: After PCI, 74% of participants managed their angina symptoms inappropriately. Younger participants and those with threatening perceptions of their CHD were more likely to know how to effectively manage their angina symptoms. Few patients adopted a healthier lifestyle after PCI. Qualitative analysis revealed that intentional non-adherence to some medicines was an issue. Some participants felt unsupported by healthcare providers and social networks in relation to their self-management. Participants reported strong emotional responses to CHD and this had a detrimental effect on their self-management. Few patients accessed cardiac rehabilitation.