965 resultados para Query fever


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[ES] Uno de los cinco componentes de la arquitectura triskel,  una base de datos NoSQL que trata de dar solución al problema de Big data de la web semántica, el  gran número de identificadores de recursos que se necesitarían debido al creciente número de sitios web, concretamente el motor de gestión de ejecución de patrones basados en tripletas y en la tecnología RDF. Se encarga de recoger la petición de consulta por parte del intérprete, analizar los patrones que intervienen en la consulta en busca de dependencias explotables entre ellos, y así poder realizar la consulta con mayor rapidez además de ir resolviendo los diferentes patrones contra el almacenamiento, un TripleStore, y devolver el resultado de la petición en una tabla.

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The central objective of research in Information Retrieval (IR) is to discover new techniques to retrieve relevant information in order to satisfy an Information Need. The Information Need is satisfied when relevant information can be provided to the user. In IR, relevance is a fundamental concept which has changed over time, from popular to personal, i.e., what was considered relevant before was information for the whole population, but what is considered relevant now is specific information for each user. Hence, there is a need to connect the behavior of the system to the condition of a particular person and his social context; thereby an interdisciplinary sector called Human-Centered Computing was born. For the modern search engine, the information extracted for the individual user is crucial. According to the Personalized Search (PS), two different techniques are necessary to personalize a search: contextualization (interconnected conditions that occur in an activity), and individualization (characteristics that distinguish an individual). This movement of focus to the individual's need undermines the rigid linearity of the classical model overtaken the ``berry picking'' model which explains that the terms change thanks to the informational feedback received from the search activity introducing the concept of evolution of search terms. The development of Information Foraging theory, which observed the correlations between animal foraging and human information foraging, also contributed to this transformation through attempts to optimize the cost-benefit ratio. This thesis arose from the need to satisfy human individuality when searching for information, and it develops a synergistic collaboration between the frontiers of technological innovation and the recent advances in IR. The search method developed exploits what is relevant for the user by changing radically the way in which an Information Need is expressed, because now it is expressed through the generation of the query and its own context. As a matter of fact the method was born under the pretense to improve the quality of search by rewriting the query based on the contexts automatically generated from a local knowledge base. Furthermore, the idea of optimizing each IR system has led to develop it as a middleware of interaction between the user and the IR system. Thereby the system has just two possible actions: rewriting the query, and reordering the result. Equivalent actions to the approach was described from the PS that generally exploits information derived from analysis of user behavior, while the proposed approach exploits knowledge provided by the user. The thesis went further to generate a novel method for an assessment procedure, according to the "Cranfield paradigm", in order to evaluate this type of IR systems. The results achieved are interesting considering both the effectiveness achieved and the innovative approach undertaken together with the several applications inspired using a local knowledge base.

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I sistemi mobili rappresentano una classe di sistemi distribuiti caratterizzata dalla presenza di dispositivi portatili eterogenei quali PDA, laptop e telefoni cellulari che interagiscono tra loro mediante una rete di interconnessione wireless. Una classe di sistemi mobili di particolare interesse è costituita dai sistemi basati sul modello di interazione publish/subscribe. Secondo tale schema, i nodi all'interno di una rete possono assumere due ruoli differenti: i produttori di informazione, chiamati publisher, ed i consumatori di informazione, chiamati subscriber. Tipicamente, l'interazione tra essi è mediata da un gestore di eventi che indirizza correttamente le informazioni ricevute dai publisher verso i subscriber interessati, sulla base degli interessi espressi da questi ultimi tramite sottoscrizioni. Nella progettazione di sistemi mobili, a differenza di quelli tradizionali basati su nodi fissi, bisogna tenere conto di problemi quali la scarsa capacità computazionale dei dispositivi e la limitata larghezza di banda delle reti wireless. All'interno di tale ambito, stanno recentemente assumendo sempre maggiore importanza i sistemi context-aware, ovvero sistemi mobili che sfruttano i dati provenienti dall'ambiente circostante e dai dispositivi stessi per adattare il proprio comportamento e notificare agli utenti la presenza di informazioni potenzialmente utili. Nello studio di questi sistemi, si è notato che i nodi che si trovano nella stessa area geografica generano tipicamente delle sottoscrizioni che presentano tra loro un certo grado di similarità e coperture parziali o totali. Il gruppo di ricerca del DEIS dell’Università di Bologna ha sviluppato un'infrastruttura di supporto per sistemi mobili context-aware, chiamata SALES. Attualmente il sistema progettato non considera le similarità delle sottoscrizioni e quindi non sfrutta opportunamente tale informazione. In questo contesto si rende necessario l'adozione di opportune tecniche di aggregazione delle sottoscrizioni atte ad alleggerire la computazione dei nodi mobili e le comunicazioni tra loro. Il lavoro presentato in questa tesi sarà finalizzato alla ricerca, all'adattamento ed all'implementazione di una tecnica di aggregazione delle sottoscrizioni. Tale tecnica avrà lo scopo di rilevare e sfruttare le similarità delle sottoscrizioni ricevute dal sistema al fine di ridurne il numero; in questo modo, quando un nodo riceverà un dato, il processo di confronto tra l'insieme delle sottoscrizioni memorizzate e il dato ricevuto sarà più leggero, consentendo un risparmio di risorse computazionali. Inoltre, adattando tali tecniche, sarà possibile modulare anche il traffico dati scaturito dalle risposte alle sottoscrizioni. La struttura di questa tesi prevede un primo capitolo sui sistemi context-aware, descrivendone le principali caratteristiche e mettendo in luce le problematiche ad essi associate. Il secondo capitolo illustra il modello di comunicazione Publish/Subscribe, modello di riferimento per i moderni sistemi context-aware e per i sistemi mobili in generale. Il terzo capitolo descrive l'infrastruttura SALES sulla quale si è progettata, implementata e testata la soluzione proposta in questa tesi. Il quarto capitolo presenta le principali tecniche di aggregazione delle sottoscrizioni e spiega come possono essere adattate al contesto di questa tesi. Il quinto capitolo effettua l'analisi dei requisiti per comprendere meglio il comportamento della soluzione; seguono la progettazione e l’implementazione della soluzione su SALES. Infine, il sesto capitolo riporta in dettaglio i risultati ottenuti da alcuni degli esperimenti effettuati e vengono messi a confronto con quelli rilevati dal sistema di partenza.

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PURPOSE To develop a score predicting the risk of adverse events (AEs) in pediatric patients with cancer who experience fever and neutropenia (FN) and to evaluate its performance. PATIENTS AND METHODS Pediatric patients with cancer presenting with FN induced by nonmyeloablative chemotherapy were observed in a prospective multicenter study. A score predicting the risk of future AEs (ie, serious medical complication, microbiologically defined infection, radiologically confirmed pneumonia) was developed from a multivariate mixed logistic regression model. Its cross-validated predictive performance was compared with that of published risk prediction rules. Results An AE was reported in 122 (29%) of 423 FN episodes. In 57 episodes (13%), the first AE was known only after reassessment after 8 to 24 hours of inpatient management. Predicting AE at reassessment was better than prediction at presentation with FN. A differential leukocyte count did not increase the predictive performance. The score predicting future AE in 358 episodes without known AE at reassessment used the following four variables: preceding chemotherapy more intensive than acute lymphoblastic leukemia maintenance (weight = 4), hemoglobin > or = 90 g/L (weight = 5), leukocyte count less than 0.3 G/L (weight = 3), and platelet count less than 50 G/L (weight = 3). A score (sum of weights) > or = 9 predicted future AEs. The cross-validated performance of this score exceeded the performance of published risk prediction rules. At an overall sensitivity of 92%, 35% of the episodes were classified as low risk, with a specificity of 45% and a negative predictive value of 93%. CONCLUSION This score, based on four routinely accessible characteristics, accurately identifies pediatric patients with cancer with FN at risk for AEs after reassessment.

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We report the case of a 39-year old patient with septicemia treated for pharyngitis with antibiotics since a few days. She wasn't able to swallow her antibiotics anymore because of dysphagia. Radiologic examination revealed pulmonary infiltrates and Vena iugularis interna-thrombosis. These findings and anamnesis led to the diagnosis of Lemierre syndrome inspite of lacking detection of bacteria. After changing the antibiotic therapy and start of anticoagulation further course of illness was favorable. The long duration of hospitalization was indepted to high morbidity typically seen in Lemierre syndrome.

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We report the case of a 68 year old immuncompetent woman with persisting fever. Symptomatic acute CMV infection with a partial thrombosis of the left portal vein branch was diagnosed.

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To develop a score predicting the risk of bacteremia in cancer patients with fever and neutropenia (FN), and to evaluate its performance.

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Fever and chemotherapy-induced neutropenia (FN) is the most frequent potentially lethal complication of therapy in children with cancer. This study aimed to describe serious medical complications (SMC) in children with FN regarding incidence, clinical spectrum, and associated characteristics.

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Background. The definition of fever, and thus fever and neutropenia (FN), varies between different pediatric oncology centers. Higher temperature limit should reduce FN rates, but may increase rates of FN with complications by delaying therapy. This study determined if different fever definitions are associated with different FN rates. Procedure. Two pediatric oncology centers had used three fever definitions in 2004–2011: ear temperature >=38.5°C persisting >=2 hours (low definition); axillary temperature >=38.5°C >=2 hours or >=39.0°C once (middle); and ear temperature >=39.0°C once (high). Clinical information was retrospectively extracted from charts. FN rates were compared using mixed Poisson regression. Results. In 521 pediatric patients with cancer, 783 FN were recorded during 6,009 months cumulative chemotherapy exposure time (501 years; rate, 0.13/month [95% CI, 0.12–0.14]), 124 of them with bacteremia (16%; 0.021/month [0.017–0.025]). In univariate analysis, the high versus low fever definition was associated with a lower FN rate (0.10/month [0.08–0.11] vs. 0.15/month [0.13–0.16]; rate ratio, 0.66 [0.45–0.97]; P ¼ 0.036), the middle definition was intermediate (0.13/month [0.11–0.15]). This difference was not confirmed in multivariate analysis (rate ratio, 0.94 [0.67–1.33]; P ¼ 0.74). The high versus low definition was not associated with an increased rate of FN with bacteremia (multivariate rate ratio, 1.39 [0.53–3.62]; P ¼ 0.50). Conclusion. A higher fever definition was not associated with a lower FN rate, nor with an increased rate of FN with bacteremia. These may be false negative findings due to methodological limitations. These questions, with their potential impact on health-related quality of life, and on costs, need to be assessed in prospective studies.

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Fever in neutropenia is the most frequent potentially life-threatening complication of chemotherapy in children and adolescents with cancer. This review summarizes recent studies that refine our knowledge of how to manage pediatric fever in neutropenia, and their implications for clinical practice and research.

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The standard treatment of fever in chemotherapy-induced neutropenia (FN) includes emergency hospitalization and empirical intravenous antimicrobial therapy. This study determined if first-day step-down to oral outpatient treatment is not inferior to continued standard regarding safety and efficacy in children with low-risk FN.

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Symptomatic management is often all that is recommended in children with fever. To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published.