Are prescribing doctors sensitive to the price that their patients have to pay in the Spanish National Health System?

[EN] Background This study aims to design an empirical test on the sensitivity of the prescribing doctors to the price afforded for the patient, and to apply it to the population data of primary care dispensations for cardiovascular disease and mental illness in the Spanish National Health System (NHS). Implications for drug policies are discussed. Methods We used population data of 17 therapeutic groups of cardiovascular and mental illness drugs aggregated by health areas to obtain 1424 observations ((8 cardiovascular groups * 70 areas) + (9 psychotropics groups * 96 areas)). All drugs are free for pensioners. For non-pensioner patients 10 of the 17 therapeutic groups have a reduced copayment (RC) status of only 10% of the price with a ceiling of €2.64 per pack, while the remaining 7 groups have a full copayment (FC) rate of 40%. Differences in the average price among dispensations for pensioners and non-pensioners were modelled with multilevel regression models to test the following hypothesis: 1) in FC drugs there is a significant positive difference between the average prices of drugs prescribed to pensioners and non-pensioners; 2) in RC drugs there is no significant price differential between pensioner and non-pensioner patients; 3) the price differential of FC drugs prescribed to pensioners and non-pensioners is greater the higher the price of the drugs. Results The average monthly price of dispensations to pensioners and non-pensioners does not differ for RC drugs, but for FC drugs pensioners get more expensive dispensations than non-pensioners (estimated difference of €9.74 by DDD and month). There is a positive and significant effect of the drug price on the differential price between pensioners and non-pensioners. For FC drugs, each additional euro of the drug price increases the differential by nearly half a euro (0.492). We did not find any significant differences in the intensity of the price effect among FC therapeutic groups. Conclusions Doctors working in the Spanish NHS seem to be sensitive to the price that can be afforded by patients when they fill in prescriptions, although alternative hypothesis could also explain the results found.

TV-L1 optical flow estimation

[EN] This article describes an implementation of the optical flow estimation method introduced by Zach, Pock and Bischof. This method is based on the minimization of a functional containing a data term using the L norm and a regularization term using the total variation of the flow. The main feature of this formulation is that it allows discontinuities in the flow field, while being more robust to noise than the classical approach. The algorithm is an efficient numerical scheme, which solves a relaxed version of the problem by alternate minimization.

Discontinuity preserving in TV-L1 optical flow methods

[EN] We analyze the discontinuity preserving problem in TV-L1 optical flow methods. This type of methods typically creates rounded effects at flow boundaries, which usually do not coincide with object contours. A simple strategy to overcome this problem consists in inhibiting the diffusion at high image gradients. In this work, we first introduce a general framework for TV regularizers in optical flow and relate it with some standard approaches. Our survey takes into account several methods that use decreasing functions for mitigating the diffusion at image contours. Consequently, this kind of strategies may produce instabilities in the estimation of the optical flows. Hence, we study the problem of instabilities and show that it actually arises from an ill-posed formulation. From this study, it is possible to come across with different schemes to solve this problem. One of these consists in separating the pure TV process from the mitigating strategy. This has been used in another work and we demonstrate here that it has a good performance. Furthermore, we propose two alternatives to avoid the instability problems: (i) we study a fully automatic approach that solves the problem based on the information of the whole image; (ii) we derive a semi-automatic approach that takes into account the image gradients in a close neighborhood adapting the parameter in each position. In the experimental results, we present a detailed study and comparison between the different alternatives. These methods provide very good results, especially for sequences with a few dominant gradients. Additionally, a surprising effect of these approaches is that they can cope with occlusions. This can be easily achieved by using strong regularizations and high penalizations at image contours.

Experiencia de uso de un canal de difusión de contenidos corporativos en un entorno universitario Canal EITE.TV

[ES]En este artículo describimos la experiencia llevada a cabo en la Escuela de Ingeniería de Telecomunicación y Electrónica (EITE) de la Universidad de Las Palmas de Gran Canaria (ULPGC) con la puesta en marcha de un canal de Televisión Corporativa basado en Digital Signage (DS). Explicamos el devenir de la experiencia durante dos cursos académicos (bienio 2012-2014), su implementación técnica, así como el modelo de gestión de contenidos que se ha implantado para permitir un uso eficiente del sistema como herramienta de comunicación para su comunidad de usuarios.