137 resultados para AK26A-2622


Relevância:

10.00% 10.00%

Publicador:

Resumo:

"Western Laboratories ; Arthur D. Little, Inc ; San Francisco, Calif."

Relevância:

10.00% 10.00%

Publicador:

Resumo:

2000 Mathematics Subject Classification: 05B25, 51E20.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

Results of radiocarbon dating of bottom sediments from the Baltic Sea are presented for four areas investigated during Cruises 16 and 26A of R/V Akademik Kurchatov. The dating was based mainly on organic matter from the sediments. At marine Holocene stage sedimentation rate was 0.2-1.0 mm/yr, with a sharp increase at the Sub-Atlantic Holocene phase. Considerable re-deposited sediment strata present in deep-water troughs. Material from bottom deposits of the stage of glacier-associated Baltic lakes, inherited from moraine deposits according to radiocarbon dating, represents sediments from a basin that existed at the site of the present-day Baltic Sea in the second half of Middle Würm and re-worked by a glacier.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

An automated system is described for collecting and processing information from radiometric devices used in determination of isotopic age and sedimentation rate by radiocarbon and lead-210 methods. The system is used in a day-and-night continuous measuring mode, with six radiocarbon liquid counters and two low-background beta-counters. Examples are given of use of the system to determine average sedimentation rates in the Baltic Sea.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

The primary objective is to investigate the main factors contributing to GMS expenditure on pharmaceutical prescribing and projecting this expenditure to 2026. This study is located in the area of pharmacoeconomic cost containment and projections literature. The thesis has five main aims: 1. To determine the main factors contributing to GMS expenditure on pharmaceutical prescribing. 2. To develop a model to project GMS prescribing expenditure in five year intervals to 2026, using 2006 Central Statistics Office (CSO) Census data and 2007 Health Service Executive{Primary Care Reimbursement Service (HSE{PCRS) sample data. 3. To develop a model to project GMS prescribing expenditure in five year intervals to 2026, using 2012 HSE{PCRS population data, incorporating cost containment measures, and 2011 CSO Census data. 4. To investigate the impact of demographic factors and the pharmacology of drugs (Anatomical Therapeutic Chemical (ATC)) on GMS expenditure. 5. To explore the consequences of GMS policy changes on prescribing expenditure and behaviour between 2008 and 2014. The thesis is centered around three published articles and is located between the end of a booming Irish economy in 2007, a recession from 2008{2013, to the beginning of a recovery in 2014. The literature identified a number of factors influencing pharmaceutical expenditure, including population growth, population aging, changes in drug utilisation and drug therapies, age, gender and location. The literature identified the methods previously used in predictive modelling and consequently, the Monte Carlo Simulation (MCS) model was used to simulate projected expenditures to 2026. Also, the literature guided the use of Ordinary Least Squares (OLS) regression in determining demographic and pharmacology factors influencing prescribing expenditure. The study commences against a backdrop of growing GMS prescribing costs, which has risen from e250 million in 1998 to over e1 billion by 2007. Using a sample 2007 HSE{PCRS prescribing data (n=192,000) and CSO population data from 2008, (Conway et al., 2014) estimated GMS prescribing expenditure could rise to e2 billion by2026. The cogency of these findings was impacted by the global economic crisis of 2008, which resulted in a sharp contraction in the Irish economy, mounting fiscal deficits resulting in Ireland's entry to a bailout programme. The sustainability of funding community drug schemes, such as the GMS, came under the spotlight of the EU, IMF, ECB (Trioka), who set stringent targets for reducing drug costs, as conditions of the bailout programme. Cost containment measures included: the introduction of income eligibility limits for GP visit cards and medical cards for those aged 70 and over, introduction of co{payments for prescription items, reductions in wholesale mark{up and pharmacy dispensing fees. Projections for GMS expenditure were reevaluated using 2012 HSE{PCRS prescribing population data and CSO population data based on Census 2011. Taking into account both cost containment measures and revised population predictions, GMS expenditure is estimated to increase by 64%, from e1.1 billion in 2016 to e1.8 billion by 2026, (ConwayLenihan and Woods, 2015). In the final paper, a cross{sectional study was carried out on HSE{PCRS population prescribing database (n=1.63 million claimants) to investigate the impact of demographic factors, and the pharmacology of the drugs, on GMS prescribing expenditure. Those aged over 75 (ẞ = 1:195) and cardiovascular prescribing (ẞ = 1:193) were the greatest contributors to annual GMS prescribing costs. Respiratory drugs (Montelukast) recorded the highest proportion and expenditure for GMS claimants under the age of 15. Drugs prescribed for the nervous system (Escitalopram, Olanzapine and Pregabalin) were highest for those between 16 and 64 years with cardiovascular drugs (Statins) were highest for those aged over 65. Females are more expensive than males and are prescribed more items across the four ATC groups, except among children under 11, (ConwayLenihan et al., 2016). This research indicates that growth in the proportion of the elderly claimants and associated levels of cardiovascular prescribing, particularly for statins, will present difficulties for Ireland in terms of cost containment. Whilst policies aimed at cost containment (co{payment charges, generic substitution, reference pricing, adjustments to GMS eligibility) can be used to curtail expenditure, health promotional programs and educational interventions should be given equal emphasis. Also policies intended to affect physicians prescribing behaviour include guidelines, information (about price and less expensive alternatives) and feedback, and the use of budgetary restrictions could yield savings.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

Lipid contents in the upper layer of bottom sediments in the Baltic Sea range from 0.37 to 2.66 mg/g (1.2-25.8% Corg). It is shown that the main factors determining composition of lipids in bottom precipitates are relative roles of different sources of lipids in sediments and conditions of sediment accumulation. Runoff of the Daugava River into the Gulf of Riga contributes simple low-polarity lipids. Sterols and certain bound fatty acids originate in living organic matter. Polar lipids are formed by inheritance of complex phospholipids and glycolipids from plankton and/or by formation of polycondensates.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

In this paper a new type of architecture for secure wireless key establishment is proposed. A retrodirective array (RDA) that is configured to receive and re-transmit at different frequencies is utilized as a relay node. The RDA is able to respond in ‘real-time’, reducing the required number of time slots to two. More importantly, in this architecture equivalent reciprocal wireless channels between legitimate keying nodes can be randomly updated within one channel coherence time period, leading to greatly increased key generation rates (KGRs) in slow fading environment. The secrecy performance of this RDA assisted key generation system is evaluated under several eavesdropping strategies and it is shown that it outperforms previous relay key generation systems.

Relevância:

10.00% 10.00%

Publicador:

Relevância:

10.00% 10.00%

Publicador:

Resumo:

Since the emergence of software engineering in the late 1960's as a response to the software crisis, researchers throughout the world are trying to give theoretical support to this discipline. Several points of view have to be reviewed in order to complete this task. In the middle 70's Frederick Brooks Jr. coined the term "silver bullet" suggesting the solution to several problems rela-ted to software engineering and, hence, we adopted such a metaphor as a symbol for this book. Methods, modeling, and teaching are the insights reviewed in this book. Some work related to these topies is presented by software engineering researchers, led by Ivar Jacobson, one of the most remarkable researchers in this area. We hope our work will contribute to advance in giving the theoretieal support that software engineering needs.

Relevância:

10.00% 10.00%

Publicador:

Resumo:

Enquadramento: A diabetes mellitus tipo 1 (DM1) é uma doença cada vez mais prevalente na adolescência. Intervir no autocuidado é determinante para o seu controlo. Objetivos: Determinar as dificuldades no autocuidado dos adolescentes com DM1. Analisar a relação das dificuldades no autocuidado dos adolescentes com DM1 com a idade e o género. Metodologia: Estudo descritivo-analítico e transversal. Participaram 51 adolescentes entre os 12 e os 18 anos, seguidos em hospitais distritais da zona centro de Portugal. Foi construído um questionário de dificuldades adaptado de um modelo de papéis de autocuidado, constituído por 18 itens distribuídos por 4 dimensões: Manutenção da saúde; Controlo da doença; Diagnóstico, tratamento e Medicação na DM1 e, participação nos serviços de saúde. Resultados: Referem ter pouca dificuldade em gerir o autocuidado (96,1%), bastante dificuldade no ajuste de insulina mediante a avaliação de glicemia capilar (29,4%), bastante dificuldade em reconhecer a importância da hemoglobina glicosilada (17,6%). Conclusão: Os adolescentes revelaram níveis de dificuldade relevantes no ajuste de insulina e na compreensão da hemoglobina glicosilada.