Depression as a Clinical Determinant of Dependence and Low Quality of Life in Elderly Patients with Cardiovascular Disease

Background:The aging process promotes a progressive increase in chronic-degenerative diseases. The effect of these diseases on the functional capacity has been well recognized. Another health parameter concerns “quality of life related to health”. Among the elderly population, cardiovascular diseases stand out due to the epidemiological and clinical impact. Usually, these diseases have been associated with others. This set of problems may compromise both independence and quality of life in elderly patients who seek cardiologic treatment. These health parameters have not been well contemplated by cardiologists.Objective:Evaluating, among the elderly population with cardiovascular disease, which are the most relevant clinical determinants regarding dependence and quality of life.Methods:This group was randomly and consecutively selected and four questionnaires were applied: HAQ, SF-36, PRIME-MD e Mini Mental State.Results:The study included 1,020 elderly patients, 63.3% women. The group had been between 60 and 97 years-old (mean: 75.56 ± 6.62 years-old). 61.4% were independent or mild dependence. The quality of life total score was high (HAQ: 88.66 ± 2.68). 87.8% of patients had a SF-36 total score > 66. In the multivariate analysis, the association between diagnoses and high degrees of dependence was significant only for previous stroke (p = 0.014), obesity (p < 0.001), lack of physical activity (p = 0.016), osteoarthritis (p < 0.001), cognitive impairment (p < 0.001), and major depression (p < 0.001). Analyzing the quality of life, major depression and physical illness for depression was significantly associated with all domains of the SF-36.Conclusion:Among an elderly outpatient cardiology population, dependence and quality of life clinical determinants are not cardiovascular comorbidities, especially the depression.

Estimation of nonparametric probability density functions with applications to automatic speech recognition

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2007

Reproducibility and Reliability of the Quality of Life Questionnaire in Patients With Atrial Fibrillation

Abstract Background: Studies have shown the impact of atrial fibrillation (AF) on the patients' quality of life. Specific questionnaires enable the evaluation of relevant events. We previously developed a questionnaire to assess the quality of life of patients with AF (AFQLQ version 1), which was reviewed in this study, and new domains were added. Objective: To demonstrate the reproducibility of the AFQLQ version 2 (AFQLQ v.2), which included the domains of fatigue, illness perception and well-being. Methods: We applied 160 questionnaires (AFQLQ v.2 and SF-36) to 40 patients, at baseline and 15 days after, to measure inter- and intraobserver reproducibility. The analysis of quality of life stability was determined by test-retest, applying the Bartko intraclass correlation coefficient (ICC). Internal consistency was assessed by Cronbach's alpha test. Results: The total score of the test-retest (n = 40) had an ICC of 0.98 in the AFQLQ v.2, and of 0.94 in the SF36. In assessing the intra- and interobserver reproducibility of the AFQLQ v.2, the ICC reliability was 0.98 and 0.97, respectively. The internal consistency had a Cronbach's alpha coefficient of 0.82, compatible with good agreement of the AFQLQ v.2. Conclusion: The AFQLQ v.2 performed better than its previous version. Similarly, the domains added contributed to make it more comprehensive and robust to assess the quality of life of patients with AF.

Channel estimation and ICI cancellation for adaptive OFDM systems in doubly selective channels

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2010

Framework of quality measurement in CASE tool based software development

Magdeburg, Univ., Fak. für Informatik, Diss., 2010

Influence of water quality and kind of metal in the secondary cooling zone of casting process

Magdeburg, Univ., Fak. für Verfahrens- und Systemtechnik, Diss., 2012

International trade, technical change and the demand for skills : how important is trade in quality differential products?

Magdeburg, Univ., Fak. für Wirtschaftswiss., Diss., 2012

AvBandTest – a Testing Tool for Implementations of Available Band width Estimation Algorithms

This work describes a test tool that allows to make performance tests of different end-to-end available bandwidth estimation algorithms along with their different implementations. The goal of such tests is to find the best-performing algorithm and its implementation and use it in congestion control mechanism for high-performance reliable transport protocols. The main idea of this paper is to describe the options which provide available bandwidth estimation mechanism for highspeed data transport protocols and to develop basic functionality of such test tool with which it will be possible to manage entities of test application on all involved testing hosts, aided by some middleware.

Integrated consideration of product quality within factory automation systems

Magdeburg, Univ., Fak. für Maschinenbau, Diss., 2013

A Model of Video Traffic Transmission in IP Networks

Telecommunications and network technology is now the driving force that ensures continued progress of world civilization. Design of new and expansion of existing network infrastructures requires improving the quality of service(QoS). Modeling probabilistic and time characteristics of telecommunication systems is an integral part of modern algorithms of administration of quality of service. At present, for the assessment of quality parameters except simulation models analytical models in the form of systems and queuing networks are widely used. Because of the limited mathematical tools of models of these classes the corresponding parameter estimation of parameters of quality of service are inadequate by definition. Especially concerning the models of telecommunication systems with packet transmission of multimedia real-time traffic.

Assessment of the VoIP Transmission Quality over Digital Power Line Carrier Channels

This article is devoted to the research of VoIP transmission quality over Digital Power Line Carrier channels. Assessment of quality transmission is performed using E-model. Paper considers the possibility of joint using of Digital Power Line carrier equipment with different architecture in one network. As a result of the research, the rule for constructing of multi-segment Digital Power Line Carrier channels was formulated. This rule allows minimizing the transmission delay and saving frequency resources of high voltage Power Line Carrier range.

New solutions for an old challenge : chances and limitations of optical, non-invasive acquisition and digital processing techniques for the age estimation of latent fingerprints

Magdeburg, Univ., Fak. für Informatik, Diss., 2014

Wireless indoor positioning based on TDOA and DOA estimation techniques using IEEE 802.11 standards

Magdeburg, Univ., Fak. für Elektrotechnik und Informationstechnik, Diss., 2015

Production and quality of cotton fibers in relation to solar radiation

The present paper refers to a research work carried out at the Dept. of Agriculture and Horticulture of ESALQ, University of São Paulo, in Piracicaba, State of São Paulo (latitude 22º42'S, longitude 47º33' WG and altitude 546 m). Sowing at different times and using artificial cover, an attempt was made to evaluate the behavior of cultivar IAC 17 of cotton (Gossypium hirsutum L.) as to production and quality of fiber relating to incident solar radiation. Incident solar radiation, as well as insolation during the trial period, were tabulated and compared with yelds and agricultural and technological characters of fibers. The treatment under cover showed a mean level of incident solar radiation equivalent to less than 20% of that at clear sky, causing a decrease in cotton production and in the agricultural and technological characters of fibers.

Effects of environment on quality of tomato transplanting plants

In order to study the effects of shading and unshading combined with N fertilizing on tomato transplanting plants, an experiment in greenhouse conditions was carried on. It was concluded that N is important to produce healthy and strong plants. Under shading plus N fertilization, plants are taller and have high nitrate contents, while under unshading plus N fertilization, plants have higher diameter and more developed root system.