Electronic monitoring of compliance to lipid-lowering therapy in clinical practice

Nonadherence to treatment is a common problem in the clinical management of hypercholesterolemic patients. This study was carried out with the aim of monitoring the daily compliance to a 6-month course of lipid-lowering therapy, using a microelectronic device, the Medication Event Monitoring System (MEMS), versus pill count. Forty men with primary hypercholesterolemia were prescribed fluvastatin 1 x 40 mg daily, provided in a MEMS package to record the date and time of each opening of the pillbox. Thirty-nine of 40 patients (98%) completed the study. Total cholesterol and LDL cholesterol levels decreased significantly (18% and 25%, p < 0.001) during the 6-month therapy period. A high mean rate of compliance was achieved by MEMS using the following three indexes--compliance to total prescribed dose (88.8% +/- 13.5%), compliance to prescribed days (82.4% +/- 19.5%), and compliance to prescribed time of day (81.86% +/- 19.5%)--and by pill count (93.4% +/- 9.5%). In addition, the MEMS provided some patterns of nonadherence to medication, undetectable by pill count alone, such as a drug holiday in 38% of cases, a drug omission for more than 7 consecutive days in 9% of cases, and, conversely, use of more than the one prescribed daily dose in 47% of cases. A significant correlation between the rate of compliance and the decrease in LDL cholesterol was observed only when the compliance was assessed by MEMS. The results indicate that MEMS is a useful tool for monitoring compliance in clinical practice and may possibly increase adherence to long-term lipid-lowering therapy.

HSC R&D Commissioned Research Framework

Framework for commissioning needs-led and opportunity-led research

Disseny i implementació d'un marc de treball (Framework) de presentació per aplicacions J2EE

El projecte consisteix en l'estudi i avaluació de diferents alternatives existents al mercat per a realitzar l'anàlisi i desenvolupament d'un conjunt de components que constitueixin un marc de treball per a simplificar i agilitzar el desenvolupament de la capa de presentació per a les aplicacions de client prim d'un determinat Framework desenvolupades amb la plataforma J2EE i basats en el patró de disseny Model-Vista-Controlador.

Molecular approaches for the detection of Schistosoma mansoni: possible applications in the detection of snail infection, monitoring of transmission sites, and diagnosis of human infection

The detection of specific DNA sequences by polymerase chain reaction (PCR) has proved extremely valuable for the analysis of genetic disorders and the diagnosis of a variety of infectious disease pathogens. However, the application to the detection of Schistosoma mansoni is rare, despite a recommendation of the World Health Organization that a major focus of research on schistosomiasis should be on the development and evaluation of new strategies and tools for control of the disease. In this context, a few studies were published for the detection of the parasite in snails, monitoring of cercariae in water bodies, and diagnosis of human infection. The present minireview describes sensitive and specific PCR based systems to detect S. mansoni, indicating possible applications in the detection of snail infection, monitoring of transmission sites, and diagnosis of human infection.

Disseny i implementació d'un marc de treball (framework) de presentació per aplicacions J2EE

En aquest projecte he dissenyat i implementat un marc de treball (framework) de presentació per aplicacions J2EE. Avui en dia, per desenvolupar aplicacions web, estem obligats a que segueixin una sèrie de qualitats per tal de fer-les útils. Aquestes són eficiència, extensibilitat, reutilització i portabilitat. De no ser així, el nostre programari no tindrà lloc al mercat. Per tal d' aconseguir aquestes qualitats, cal seguir les regles establertes i utilitzar frameworks.

NetEye - Network Monitoring, Zabbix implementation

Trabajo de presentación en formato PowerPoint del TFC NetEye- Zabbix, network monitoring implementation.

Phase 1 Delivering care "A framework for nursing and Midwifery Workforce planning to support person centred care in Northern Ireland"

Delivering Care - Nurse staffing in Northern Ireland is the outcome of a commission undertaken by the PHA Director of Nursing from the DHSSPS Chief Nursing Officer and approved by the Minister of Health in 2014.� The aim of the Delivering Care project is to support the provision of quality care which is safe and effective in hospital and community settings.

Análisis, diseño e implementación de un mini gestor de contenidos en un Framework Spring

Memoria del trabajo de fin de carrera donde se detalla la implementación de un mini gestor de contenidos utilizando el framework Spring.

Diseño e implementación de un framework de presentación para J2EE

Diseño de d'jNeko, un framework basado en acciones para la capa de presentación de aplicaciones J2EE.

Disseny i implementació d'un marc de treball (framework) de presentació per aplicacions J2EE

Aquest document cobrirà diferents aspectes relacionats amb el disseny d'un framework de presentació orientat a aplicacions web. Començarem analitzant quins serien els aspectes o característiques esperades d'una solució d'aquest tipus, sempre des de la subjectivitat i l'experiència, com pot ser el concepte de zero configuration, el qual intenta reduir el nombre de fitxers de configuració necessaris per a la posada en marxa, o el de convention over configuration, el qual intenta reduir el nombre de decisions que els desenvolupadors hagin de prendre, guanyant en flexibilitat però sense perdre flexibilitat, i sobretot permetent al desenvolupador concentrar-se en aquells aspectes que són particulars a la seva solució.

Diseño e implementación de un framework de persistencia

Los Frameworks constituyen el nuevo paradigma en cuanto al desarrollo de software se refiere. Entre sus principales características se encuentran la facilidad para la reutilización de código. En este marco específico proporcionados por la tecnología usaremos la tecnología JAVA y su extensión en cuanto a la persistencia de datos. El Framework de persistencia es el responsable de gestionar la lógica de acceso a los datos en un SGBD (Sistema de Gestión de Bases de Datos), ya sea de entrada o salida, y ocultando los detalles más pesados relativos a la estructura propia de la Base de Datos utilizada, de manera completa y transparentemente. En conclusión, este proyecto se basa en un análisis del los Frameworks existentes, analizando sus características y profundizando en los detalles concretos de su actividad y manejo en cuanto a la persistencia.

Regulatory assessment of in vitro skin corrosion and irritation data within the European framework: Workshop recommendations

Validated in vitro methods for skin corrosion and irritation were adopted by the OECD and by the European Union during the last decade. In the EU, Switzerland and countries adopting the EU legislation, these assays may allow the full replacement of animal testing for identifying and classifying compounds as skin corrosives, skin irritants, and non irritants. In order to develop harmonised recommendations on the use of in vitro data for regulatory assessment purposes within the European framework, a workshop was organized by the Swiss Federal Office of Public Health together with ECVAM and the BfR. It comprised stakeholders from various European countries involved in the process from in vitro testing to the regulatory assessment of in vitro data. Discussions addressed the following questions: (1) the information requirements considered useful for regulatory assessment; (2) the applicability of in vitro skin corrosion data to assign the corrosive subcategories as implemented by the EU Classification, Labelling and Packaging Regulation; (3) the applicability of testing strategies for determining skin corrosion and irritation hazards; and (4) the applicability of the adopted in vitro assays to test mixtures, preparations and dilutions. Overall, a number of agreements and recommendations were achieved in order to clarify and facilitate the assessment and use of in vitro data from regulatory accepted methods, and ultimately help regulators and scientists facing with the new in vitro approaches to evaluate skin irritation and corrosion hazards and risks without animal data.

Using flow cytometry for in situ monitoring of antimicrobial compound production in the biocontrol bacterium Pseudomonas fluorescens CHA0.

Pseudomonas fluorescens strain CHA0 is able to protect plants against a variety of pathogens, notably by producing the two antimicrobial compounds 2,4-diacetylphloroglucinol (DAPG) and pyoluteorin (PLT). The regulation of the expression of these compounds is affected by many biotic factors, such as fungal pathogens, rhizosphere bacteria as well as plant species. Therefore, the influence of some plant phenolic compounds on the expression of DAPG and PLT biosynthetic genes has been tested using GFP-based reporter, monitored by standard fluometry and flow cytometry. In situ experiments were also performed with cucumber plants. We found that several plant metabolites such as IAA and umbelliferone are able to modify significantly the expression of DAPG and PLT. The use of flow cytometry with autofluorescents proteins seems to be a promising method to study rhizobacteria-plant interactions.