1000 resultados para digital illness
Resumo:
The Andalusian eHealth Library (BV-SSPA) was set up in 2006, but the region already had 42 librarians who worked at hospitals or other centers and were in charge of their libraries. The Digital library meant for all of them the availability of a greater amount of scientific resources and also the challenge of adapting to this new environment which brought new tasks and responsibilities to their daily work, and required the development of new skills. The time has arrived to analyze how they have implemented this change and how it has transformed their professional profile within the Andalusian Health System. Nowadays, the Andalusian eHealth Library establishes the librarian’s targets and their work is evaluated according to the fulfillment of these targets. This evaluation is carried out by the director of the BV-SSPA, taking into account the performance related to the general stated targets, as well as their level of commitment to the Digital Library through the performing of specific assigned tasks.
Resumo:
The influenza A(H3N2) virus has circulated worldwide for almost five decades and is the dominant subtype in most seasonal influenza epidemics, as occurred in the 2014 season in South America. In this study we evaluate five whole genome sequences of influenza A(H3N2) viruses detected in patients with mild illness collected from January-March 2014. To sequence the genomes, a new generation sequencing (NGS) protocol was performed using the Ion Torrent PGM platform. In addition to analysing the common genes, haemagglutinin, neuraminidase and matrix, our work also comprised internal genes. This was the first report of a whole genome analysis with Brazilian influenza A(H3N2) samples. Considerable amino acid variability was encountered in all gene segments, demonstrating the importance of studying the internal genes. NGS of whole genomes in this study will facilitate deeper virus characterisation, contributing to the improvement of influenza strain surveillance in Brazil.
Resumo:
Els gèneres periodístics tradicionals s’estan adaptant acceleradament al periodisme digital. De fet, arran dels fenòmens de mitosi mediàtica i mediamorfosi, l’adaptació és mútua: un nou entorn, amb més rapidesa, una nova tipologia de lector i unes noves maneres de produir estan provocant unes sinergies que solquen tot el mitjà i, sobretot, els continguts, els gèneres. És per això que el Grup de Recerca i Anàlisi sobre Periodisme Digital, creat pel Centre d’Estudis sobre el Cable (CECABLE) el 2008, està portant a terme un estudi científic de comparació empírica entre diaris digitals i tradicionals del qual es desprenen unes perspectives d’adaptació i desenvolupament encoratjadores per als gèneres clàssics i oportunitats per als gèneres sorgits de l’onada digital.
Resumo:
Hermes Comunicacions és el primer grup de comunicació escrita en català, quecompta amb 54.000 exemplars cada dia al carrer i prop de 600.000 lectors ainternet. És la responsable de les publicacions: El Punt Avui (edicions Nacionali Comarques Gironines), Presència, L’Econòmic, Sortim, Catalonia Today i El 9Esportiu.Actualment, es disposa de tres vies per difondre les diferents publicacions: paper, web i El quiosc (web d’accés a subscriptors). Aquest projecte pretén desenvolupar l’aplicació i entorn necessaris per lacreació d’una quarta via de difusió dels diferents productes, facilitant-ne lavisualització mitjançant dispositius mòbils. Concretament ens centrarem en elsdispositius mòbils d’Apple basats en el sistema operatiu iOS.Degut a que ens trobem davant d’un nou entorn per als desenvolupadors i peral client, preveiem que aniran sorgint canvis durant el transcurs del projecte.Per tant decidim utilitzar una metodologia flexible als canvis de requeriments.Les metodologies àgils són les que millor s’ajusten al desenvolupament que esvol fer. Dins el conjunt de metodologies àgils, hem escollit Scrum. Tot i que és unametodologia pensada per a treball en equip, l’adaptem al nostre cas
Resumo:
The musicians are seen in daily neurological practice facing various problems sometimes simple such as skeletal or tendon pain or even compression of a nerve trunk and sometimes more complicated such as focal dystonia. Dystonia often has a dramatic impact on the career of a musician given the complexity of the clinical and therapeutic approach and the results are often disappointing. The history of the German Romantic composer Robert Schumann illustrates this reality; through his story a discussion of both the different pathophysiological hypotheses responsible for focal dystonia, a disorder of brain plasticity, and of the multimodal therapeutic approaches, revisited in the light of neurophysiological findings will be described.
Resumo:
El Servei de Biblioteques de la UAB gestiona un dipòsit digital que cobreix les expectatives generades per un dipòsit institucional a la vegada que actua facilitant la consulta de la biblioteca digital pròpia. La naturalesa diversa de les col·leccions, quant a origen i format ens ha obligat a utilitzar eines de gestió específiques per establir els circuits, mètodes i procediments de treball. Volem compartir la nostra experiència, tant a nivell de creació d'un únic dipòsit capaç de gestionar tot el nostre fons digital, com de les opcions de treball intern escollides.
Resumo:
Realitzar una proposta per a millorar la competència digital a la ESO mitjançant un estudi d'altres sistemes educatius i realitzar una proposta de treball per projectes interdisciplinaris.
Resumo:
While one of the main objectives of adolescence is to achieve autonomy, for the specific population of adolescents with a chronic illness (CI), the struggle for autonomy is accentuated by the limits implied by their illness. However, little is known concerning the way their parents manage and cope with their children's autonomy acquisition. Our aim was to identify the needs and preoccupations of parents of adolescents with CI in coping with their children's autonomy acquisition and to determine whether mothers and fathers coped differently. Using a qualitative approach, 30 parents of adolescents with CI participated in five focus groups. Recruitment took place in five specialized pediatric clinics from our university hospital. Thematic analysis was conducted. Transcript analyses suggested four major categories of preoccupations, those regarding autonomy acquisition, giving or taking on autonomy, shared management of treatment and child's future. Some aspects implied differences between mothers' and fathers' viewpoints and ways of experiencing this period of life. Letting go can be hard for the father, mother, adolescent or all three. Helping one or the other can in turn improve family functioning as a whole. Reported findings may help health professionals better assist parents in managing their child's acquisition of autonomy.
Resumo:
BACKGROUND: Most clinical guidelines recommend that AIDS-free, HIV-infected persons with CD4 cell counts below 0.350 × 10(9) cells/L initiate combined antiretroviral therapy (cART), but the optimal CD4 cell count at which cART should be initiated remains a matter of debate. OBJECTIVE: To identify the optimal CD4 cell count at which cART should be initiated. DESIGN: Prospective observational data from the HIV-CAUSAL Collaboration and dynamic marginal structural models were used to compare cART initiation strategies for CD4 thresholds between 0.200 and 0.500 × 10(9) cells/L. SETTING: HIV clinics in Europe and the Veterans Health Administration system in the United States. PATIENTS: 20, 971 HIV-infected, therapy-naive persons with baseline CD4 cell counts at or above 0.500 × 10(9) cells/L and no previous AIDS-defining illnesses, of whom 8392 had a CD4 cell count that decreased into the range of 0.200 to 0.499 × 10(9) cells/L and were included in the analysis. MEASUREMENTS: Hazard ratios and survival proportions for all-cause mortality and a combined end point of AIDS-defining illness or death. RESULTS: Compared with initiating cART at the CD4 cell count threshold of 0.500 × 10(9) cells/L, the mortality hazard ratio was 1.01 (95% CI, 0.84 to 1.22) for the 0.350 threshold and 1.20 (CI, 0.97 to 1.48) for the 0.200 threshold. The corresponding hazard ratios were 1.38 (CI, 1.23 to 1.56) and 1.90 (CI, 1.67 to 2.15), respectively, for the combined end point of AIDS-defining illness or death. Limitations: CD4 cell count at cART initiation was not randomized. Residual confounding may exist. CONCLUSION: Initiation of cART at a threshold CD4 count of 0.500 × 10(9) cells/L increases AIDS-free survival. However, mortality did not vary substantially with the use of CD4 thresholds between 0.300 and 0.500 × 10(9) cells/L.
Resumo:
The use of social media as a communication tool is rapidly growing in the community, and more specifically in patients, through illness blogs. This has been true for several years in North America, but is becoming a reality in Europe as well. We report here the first results of studies on the putative psychological benefits and risks of illness blogs for their authors. We also explore the possible impact of blogging on the patient-caregiver relationship. Social media are expected to have a growing influence in certain areas of health care. Physicians should therefore stay informed about them, take advantage of their benefits, and anticipate their risks.
Resumo:
Aquest document és un esborrany. Amb l'objectiu d'aprofundir en el procés d'institucionalització, vam dissenyar una investigació empírica que permetés visualitzar les tendències discursives i àmbits d'activitats de les pràctiques relacionades amb les interseccions entre l'art, la ciència i la tecnologia. La metodologia va consistir en la implementació de tres bases de dades que recullen l'activitat dels últims anys en relació a: 1) els congressos (i festivals associats) realitzats a nivell internacional 2) les publicacions acadèmiques i divulgatives centrades en aquest àmbit interdisciplinar 3) els programes acadèmics.
Resumo:
Els objectius del projecte “Les traduccions de Carles Riba i Marià Manent al Corpus Literari Digital” són diversos: d’una banda, digitalitzar totes les edicions originals de les traduccions publicades per Carles Riba i Marià Manent; d’altra banda, fer un inventari de tots els textos continguts en aquestes traduccions (de poesia, de narrativa i de teatre); i finalment, introduir els registres dins la plataforma del Corpus Literari Digital de la Càtedra Màrius Torres. La digitalització ha permès de preservar digitalment el patrimoni literari constituït per aquestes traduccions de dos dels autors i traductors més importants de la literatura catalana del segle XX. L’inventari dels textos de cadascun dels seus volums de traduccions (poemes, narracions i obres de teatre) ha permès de constituir una base de dades en la qual es registren totes les versions diferents de cadascun dels textos traduïts que Riba i Manent van anar revisant al llarg de la seva vida. Finalment, la inclusió d’aquests registres bibliogràfics dins la plataforma del Corpus Literari Digital de la Càtedra Màrius Torres permet la seva consulta en línia i la possibilitat de trobar, per a cada text, totes les seves versions i de visualitzar la imatge del document original, la qual cosa facilitarà als investigadors l’estudi de la història textual de les traduccions, la de l’evolució de la llengua literària dels autors, entre altres possibilitats.
Resumo:
In many European countries, image quality for digital x-ray systems used in screening mammography is currently specified using a threshold-detail detectability method. This is a two-part study that proposes an alternative method based on calculated detectability for a model observer: the first part of the work presents a characterization of the systems. Eleven digital mammography systems were included in the study; four computed radiography (CR) systems, and a group of seven digital radiography (DR) detectors, composed of three amorphous selenium-based detectors, three caesium iodide scintillator systems and a silicon wafer-based photon counting system. The technical parameters assessed included the system response curve, detector uniformity error, pre-sampling modulation transfer function (MTF), normalized noise power spectrum (NNPS) and detective quantum efficiency (DQE). Approximate quantum noise limited exposure range was examined using a separation of noise sources based upon standard deviation. Noise separation showed that electronic noise was the dominant noise at low detector air kerma for three systems; the remaining systems showed quantum noise limited behaviour between 12.5 and 380 µGy. Greater variation in detector MTF was found for the DR group compared to the CR systems; MTF at 5 mm(-1) varied from 0.08 to 0.23 for the CR detectors against a range of 0.16-0.64 for the DR units. The needle CR detector had a higher MTF, lower NNPS and higher DQE at 5 mm(-1) than the powder CR phosphors. DQE at 5 mm(-1) ranged from 0.02 to 0.20 for the CR systems, while DQE at 5 mm(-1) for the DR group ranged from 0.04 to 0.41, indicating higher DQE for the DR detectors and needle CR system than for the powder CR phosphor systems. The technical evaluation section of the study showed that the digital mammography systems were well set up and exhibiting typical performance for the detector technology employed in the respective systems.
Resumo:
Fitness to drive in elderly drivers is most commonly discussed with a focus on cognitive impairment. Therefore, this article is focussing on mental illness and the use of psychotropic drugs in elderly drivers, which can both interfere with fitness to drive. Based on a detailed literature review and on clinical judgement, we propose signposts and "red flags" to judge the individual risks. Health professionals dealing with elderly patients should in particular be aware of the dangers related to cumulative risks and need to inform the patients appropriately. For medico-legal reasons the information provided to patients must be written down in the medical record. Individual counselling is important as fitness to drive is a complex topic.