15 resultados para Best Possible Medication History (BPMH)

em Consorci de Serveis Universitaris de Catalunya (CSUC), Spain


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We study the optimal public intervention in setting minimum standards of formation for specialized medical care. The abilities the physicians obtain by means of their training allow them to improve their performance as providers of cure and earn some monopoly rents.. Our aim is to characterize the most efficient regulation in this field taking into account different regulatory frameworks. We find that the existing situation in some countries, in which the amount of specialization is controlled, and the costs of this process of specialization are publicly financed, can be supported as the best possible intervention.

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Projecte de recerca elaborat a partir d’una estada al Department de Matemàtica Aplicada de la Montanuniversität Leoben, Àustria, entre agost i desembre del 2006. L’ objectiu ha estat fer recerca sobre digrafs infinits amb dos finals, connexos i localment finits, i, en particular, en digrafs amb dos finals i altament arc-transitius. Malnic, Marusic et al. van introduir un nou tipus de relació d’equivalència en els vèrtexs d’un dígraf, anomenades relacions d’assolibilitat, que generalitzen i tenen el seu origen en un problema posat per Cameron et al., on les classes de la relació d’equivalència eren vèrtexs que pertanyien a un camí alternat del dígraf . Malnic et al. en el mencionat article van establir connexions ben estretes entre aquestes relacions d’assolibilitat i l'estructura de finals i creixement dels digrafs localment finits i transitius. En aquest treball, s’ha caracteritzat per complet aquestes relacions d’assolibitat en el cas de dígrafs localment finits i transitius amb exactament dos finals, en termes de la descomposició en números primers del número de línies que genera el digraf amb dos finals. A més, es nega la Conjectura 1 sostinguda per Seifter que afirmava que un digraf connex localment finit amb més d’un final era necessàriament o be 0-, 1- o altament arc-transitiu. Seifer havia donat una solució parcial a la conjectura pel cas de digrafs regulars amb grau primer que tinguin un conjunt de tall connex. En aquest treball, es descriu una família infinita de dígrafs regulars de grau dos, amb dos finals, exactament 2-arc transitius i no 3-arc transitius. Així, es nega la Conjectura de Seifter en el cas general, fins i tot per grau primer. Tot i així, la solució parcial donada per Seifter en el seu article és en cert sentit la millor possible i l'existència un conjunt de tall connex essencial.

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Architectural design and deployment of Peer-to-Peer Video-on-Demand (P2PVoD) systems which support VCR functionalities is attracting the interest of an increasing number of research groups within the scientific community; especially due to the intrinsic characteristics of such systems and the benefits that peers could provide at reducing the server load. This work focuses on the performance analysis of a P2P-VoD system considering user behaviors obtained from real traces together with other synthetic user patterns. The experiments performed show that it is feasible to achieve a performance close to the best possible. Future work will consider monitoring the physical characteristics of the network in order to improve the design of different aspects of a VoD system.

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Este proyecto está destinado a proporcionar herramientas que ayuden en la configuración de cámaras para uso industrial pero también se pueden exportar a otros campos relacionados con el vídeo y la fotografía digital. Las herramientas desarrolladas ayudan a la configuración del balance de blancos, el grado de exposición al que está sometida la escena capturada por la cámara y a calcular el mejor enfoque posible. Además, se ha desarrollado una herramienta que permita al usuario una configuración más cómoda de los parámetros de la cámara. Estos módulos se han desarrollado sobre el software VisionOkII.

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Aquest estudi forma part del projecte eLene-TLC1 Virtual Campus (2007-2008) recolzat pel programa eLearning de la Comissió Europea. L'objectiu d'aquest projecte és que els professors i els estudiants facin el millor ús possible de les TIC en l'educació superior, preparant als professors per als estudiants de la generació xarxa, permetent als estudiants a la transferència de coneixements i pràctiques de la vida quotidiana per al seu aprenentatge i estimular tant la integració plena de pràctiques innovadores d'ensenyament i d'aprenentatge possibilitades per un entorn tecnològic en constant evolució. Per tal de cobrir part d'aquest objectiu general, es va concebre un estudi per examinar les competències en TIC professors d'Educació Superior en entorns d'aprenentatge en línia.

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En els darrers anys, els sistemes de telemetria per a aplicacions mèdiques han crescut significativament en el diagnòstic i en la monitorització de, per exemple, la glucosa, la pressió de la sang, la temperatura, el ritme cardíac... Els dispositius implantats amplien les aplicacions en medicina i incorpora una millora de qualitat de vida per a l’usuari. Per aquest motiu, en aquest projecte s’estudien dues de les antenes més comuns, com son l’antena dipol i el patch, aquesta última és especialment utilitzada en aplicacions implantades. En l’anàlisi d’aquestes antenes s’han parametritzat característiques relacionades amb l’entorn de l’aplicació, així com també de la pròpia antena, explicant el comportament que, a diferencia amb l’espai lliure, les antenes presenten a canvis d’aquests paràmetres. Al mateix temps, s’ha implementat una configuració per a la mesura d’antenes implantades basat en el model del cos humà d’una capa. Comparant amb els resultats de les simulacions realitzades mitjançant el software FEKO, s’ha obtingut gran correspondència en la mesura empírica d’adaptació i de guany de les antenes microstrip. Gràcies a l’anàlisi paramètric, aquest projecte també presenta diversos dissenys de les antenes optimitzant el guany realitzable amb l’objectiu d’aconseguir la millor comunicació possible amb el dispositiu extern o estació base.

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We investigate on-line prediction of individual sequences. Given a class of predictors, the goal is to predict as well as the best predictor in the class, where the loss is measured by the self information (logarithmic) loss function. The excess loss (regret) is closely related to the redundancy of the associated lossless universal code. Using Shtarkov's theorem and tools from empirical process theory, we prove a general upper bound on the best possible (minimax) regret. The bound depends on certain metric properties of the class of predictors. We apply the bound to both parametric and nonparametric classes ofpredictors. Finally, we point out a suboptimal behavior of the popular Bayesian weighted average algorithm.

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We continue the development of a method for the selection of a bandwidth or a number of design parameters in density estimation. We provideexplicit non-asymptotic density-free inequalities that relate the $L_1$ error of the selected estimate with that of the best possible estimate,and study in particular the connection between the richness of the classof density estimates and the performance bound. For example, our methodallows one to pick the bandwidth and kernel order in the kernel estimatesimultaneously and still assure that for {\it all densities}, the $L_1$error of the corresponding kernel estimate is not larger than aboutthree times the error of the estimate with the optimal smoothing factor and kernel plus a constant times $\sqrt{\log n/n}$, where $n$ is the sample size, and the constant only depends on the complexity of the family of kernels used in the estimate. Further applications include multivariate kernel estimates, transformed kernel estimates, and variablekernel estimates.

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Objective: Health status measures usually have an asymmetric distribution and present a highpercentage of respondents with the best possible score (ceiling effect), specially when they areassessed in the overall population. Different methods to model this type of variables have beenproposed that take into account the ceiling effect: the tobit models, the Censored Least AbsoluteDeviations (CLAD) models or the two-part models, among others. The objective of this workwas to describe the tobit model, and compare it with the Ordinary Least Squares (OLS) model,that ignores the ceiling effect.Methods: Two different data sets have been used in order to compare both models: a) real datacomming from the European Study of Mental Disorders (ESEMeD), in order to model theEQ5D index, one of the measures of utilities most commonly used for the evaluation of healthstatus; and b) data obtained from simulation. Cross-validation was used to compare thepredicted values of the tobit model and the OLS models. The following estimators werecompared: the percentage of absolute error (R1), the percentage of squared error (R2), the MeanSquared Error (MSE) and the Mean Absolute Prediction Error (MAPE). Different datasets werecreated for different values of the error variance and different percentages of individuals withceiling effect. The estimations of the coefficients, the percentage of explained variance and theplots of residuals versus predicted values obtained under each model were compared.Results: With regard to the results of the ESEMeD study, the predicted values obtained with theOLS model and those obtained with the tobit models were very similar. The regressioncoefficients of the linear model were consistently smaller than those from the tobit model. In thesimulation study, we observed that when the error variance was small (s=1), the tobit modelpresented unbiased estimations of the coefficients and accurate predicted values, specially whenthe percentage of individuals wiht the highest possible score was small. However, when theerrror variance was greater (s=10 or s=20), the percentage of explained variance for the tobitmodel and the predicted values were more similar to those obtained with an OLS model.Conclusions: The proportion of variability accounted for the models and the percentage ofindividuals with the highest possible score have an important effect in the performance of thetobit model in comparison with the linear model.

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A change in paradigm is needed in the prevention of toxic effects on the nervous system, moving from its present reliance solely on data from animal testing to a prediction model mostly based on in vitro toxicity testing and in silico modeling. According to the report published by the National Research Council (NRC) of the US National Academies of Science, high-throughput in vitro tests will provide evidence for alterations in"toxicity pathways" as the best possible method of large scale toxicity prediction. The challenges to implement this proposal are enormous, and provide much room for debate. While many efforts address the technical aspects of implementing the vision, many questions around it need also to be addressed. Is the overall strategy the only one to be pursued? How can we move from current to future paradigms? Will we ever be able to reliably model for chronic and developmental neurotoxicity in vitro? This paper summarizes four presentations from a symposium held at the International Neurotoxicology Conference held in Xi"an, China, in June 2011. A. Li reviewed the current guidelines for neurotoxicity and developmental neurotoxicity testing, and discussed the major challenges existing to realize the NCR vision for toxicity testing. J. Llorens reviewed the biology of mammalian toxic avoidance in view of present knowledge on the physiology and molecular biology of the chemical senses, taste and smell. This background information supports the hypothesis that relating in vivo toxicity to chemical epitope descriptors that mimic the chemical encoding performed by the olfactory system may provide a way to the long term future of complete in silico toxicity prediction. S. Ceccatelli reviewed the implementation of rodent and human neural stem cells (NSCs) as models for in vitro toxicity testing that measures parameters such as cell proliferation, differentiation and migration. These appear to be sensitive endpoints that can identify substances with developmental neurotoxic potential. C. Sun ol reviewed the use of primary neuronal cultures in testing for neurotoxicity of environmental pollutants, including the study of the effects of persistent exposures and/or in differentiating cells, which allow recording of effects that can be extrapolated to human developmental neurotoxicity.

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La llegada del tren de alta velocidad genera oportunidades de dinamización que deben de ser ante todo concretadas a escala local. Los lugares suelen reaccionar desplegando medidas de planificación y gestión para garantizar la mejor integración de la nueva infraestructura, procurar su coherencia con el modelo territorial y el mejor aprovechamiento de la accesibilidad que genera el nuevo tren. En este artículo se estudian las medidas desarrolladas en Segovia a raíz de la implantación del tren de alta velocidad con una estación localizada en la periferia, por lo que tuvieron que desplegarse un buen número de acciones de planificación territorial y gestión de la movilidad. A través del planeamiento municipal se trata de integrar la estación y su entorno al conjunto urbano, con el desarrollo de suelo urbanizable y nueva infraestructura viaria. La gestión de la movilidad pasa inicialmente por la articulación de la estación con el centro urbano a través de servicios de autobuses coordinados con los horarios de los trenes.

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This paper describes Question Waves, an algorithm that can be applied to social search protocols, such as Asknext or Sixearch. In this model, the queries are propagated through the social network, with faster propagation through more trustable acquaintances. Question Waves uses local information to make decisions and obtain an answer ranking. With Question Waves, the answers that arrive first are the most likely to be relevant, and we computed the correlation of answer relevance with the order of arrival to demonstrate this result. We obtained correlations equivalent to the heuristics that use global knowledge, such as profile similarity among users or the expertise value of an agent. Because Question Waves is compatible with the social search protocol Asknext, it is possible to stop a search when enough relevant answers have been found; additionally, stopping the search early only introduces a minimal risk of not obtaining the best possible answer. Furthermore, Question Waves does not require a re-ranking algorithm because the results arrive sorted

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The aim of this paper is to suggest a method to find endogenously the points that group the individuals of a given distribution in k clusters, where k is endogenously determined. These points are the cut-points. Thus, we need to determine a partition of the N individuals into a number k of groups, in such way that individuals in the same group are as alike as possible, but as distinct as possible from individuals in other groups. This method can be applied to endogenously identify k groups in income distributions: possible applications can be poverty

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In light of the fact that several studies indicate that students can benefit from deeper understandings of the processes by which historical accounts are constructed, history educators have increasingly been focused on finding ways to teach students how to read and reason about events in the same manner as professional historians (Wineburg, 2001; Spoehr & Spoehr, 1994; Hynd, Holschuh, & Hubbard, 2004; Wiley & Voss, 1996). One possible resource for supporting this development may come out of emerging web-based technologies. New technologies and increased access to historical records and artifacts posted the Internet may be precisely the tools that can help students (Bass, Rosenzweig, & Mason, 1999). Given the right context, we believe it is possible to combine such resources and tools to create an environment for students that could strengthen their abilities to read and reason about historical events. Moreover, we believe that social media, specifically, microblogging (Nardi, Schiano, Gumbrecht, & Swartz, 2004) could play a key role.

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Nuclear DNA content in gametophytes and sporophytes or the prostrate phases of the following species of Bonnemaisoniaceae (Asparagopsis armata, Asparagopsis taxiformis, Bonnemaisonia asparagoides, Bonnemaisonia clavata and Bonnemaisonia hamifera) were estimated by image analysis and static microspectrophotometry using the DNA-localizing fluorochrome DAPI (4′, 6-diamidino-2-phenylindole, dilactate) and the chicken erythrocytes standard. These estimates expand on the Kew database of DNA nuclear content. DNA content values for 1C nuclei in the gametophytes (spermatia and vegetative cells) range from 0.5 pg to 0.8 pg, and for 2C nuclei in the sporophytes or the prostrate phases range from 1.15-1.7 pg. Although only the 2C and 4C values were observed in the sporophyte or the prostrate phase, in the vegetative cells of the gametophyte the values oscillated from 1C to 4C, showing the possible start of endopolyploidy. The results confirm the alternation of nuclear phases in these Bonnemaisoniaceae species, in those that have tetrasporogenesis, as well as those that have somatic meiosis. The availability of a consensus phylogenetic tree for Bonnemaisoniaceae has opened the way to determine evolutionary trends in DNA contents. Both the estimated genome sizes and the published chromosome numbers for Bonnemaisoniaceae suggest a narrow range of values consistent with the conservation of an ancestral genome.