Which components of heart failure programs are effective? A meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of heart failure management in 9,560 patients (Abridged Cochrane Review)

Aims--Telemonitoring (TM) and structured telephone support (STS) have the potential to deliver specialised management to more patients with chronic heart failure (CHF), but their efficacy is still to be proven. Objectives To review randomised controlled trials (RCTs) of TM or STS on all- cause mortality and all-cause and CHF-related hospitalisations in patients with CHF, as a non-invasive remote model of specialised disease-management intervention.--Methods and Results--Data sources:We searched 15 electronic databases and hand-searched bibliographies of relevant studies, systematic reviews, and meeting abstracts. Two reviewers independently extracted all data. Study eligibility and participants: We included any randomised controlled trials (RCT) comparing TM or STS to usual care of patients with CHF. Studies that included intensified management with additional home or clinic visits were excluded. Synthesis: Primary outcomes (mortality and hospitalisations) were analysed; secondary outcomes (cost, length of stay, quality of life) were tabulated.--Results: Thirty RCTs of STS and TM were identified (25 peer-reviewed publications (n=8,323) and five abstracts (n=1,482)). Of the 25 peer-reviewed studies, 11 evaluated TM (2,710 participants), 16 evaluated STS (5,613 participants) and two tested both interventions. TM reduced all-cause mortality (risk ratio (RR 0•66 [95% CI 0•54-0•81], p<0•0001) and STS showed similar trends (RR 0•88 [95% CI 0•76-1•01], p=0•08). Both TM (RR 0•79 [95% CI 0•67-0•94], p=0•008) and STS (RR 0•77 [95% CI 0•68-0•87], p<0•0001) reduced CHF-related hospitalisations. Both interventions improved quality of life, reduced costs, and were acceptable to patients. Improvements in prescribing, patient-knowledge and self-care, and functional class were observed.--Conclusion: TM and STS both appear effective interventions to improve outcomes in patients with CHF.

Predictive computed-torque control of a PUMA 560 manipulator robot

This paper describes the integration of constrained predictive control and computed-torque control, and its application on a six degree-of-freedom PUMA 560 manipulator arm. The real-time implementation was based on SIMULINK, with the predictive controller and the computed-torque control law implemented in the C programming language. The constrained predictive controller solved a quadratic programming problem at every sampling interval, which was as short as 10 ms, using a prediction horizon of 150 steps and an 18th order state space model.

Transputer control of a Puma 560 robot via the virtual bus

The robot control problem is discussed with regard to controller implementation on a multitransputer array. Some high-performance aspects required of such controllers are described, with particular reference to robot force control. The implications for the architecture required for controllers based on computed torque are discussed and an example is described. The idea of treating a transputer array as a virtual bus is put forward for the implementation of fast real-time controllers. An example is given of controlling a Puma 560 industrial robot. Some of the practical considerations for using transputers for such control are described.

A questão da possibilidade da liberdade na Crítica da Razão Pura : uma interpretação de B 560 e B 586

É inegável que as passagens B 560 e B 586 da Crítica da Razão Pura sejam paradoxais. Isso porque, embora Kant tenha afirmado haver uma possibilidade da liberdade na solução da terceira antinomia (B 560), de forma aparentemente contraditória a esse resultado, alega, numa passagem da nona seção do segundo capítulo do segundo livro da dialética transcendental, sequer ter tido o problema de demonstrar a possibilidade daquele conceito. Esse problema, correlato à dificuldade de compatibilizar- se aquelas passagens, é a causa motriz do engendramento deste texto dissertativo. Logo, por meio dele, busca-se explicar por que razão tais passagens não são contraditórias. Não o são, porque a acepção do termo “possibilidade” nelas empregadas é ambígua, ou seja, possui mais de um significado. Como veremos, distinguindo o significado dos conceitos de possibilidade aí envolvidos, pode-se defender uma possibilidade lógica da idéia transcendental da liberdade enquanto númeno. Mas seria tal possibilidade lógica do conceito da liberdade transcendental um princípio regulativo? Que princípio regulativo seria ele? Ao se analisar esse segundo problema dissertativo, delimitando-se a segunda questão à relação da possibilidade da liberdade com os princípios regulativos em seu uso empírico, conclui-se que estes conceitos têm acepções totalmente distintas. Isso porque, uma vez que eles possuem diferentes funções no itinerário da razão: enquanto um procura deixar em aberto um espaço numênico, o outro, abre espaço para o regresso empírico das inferências, a fim de que a razão especulativa não se atenha indevidamente a um incondicionado ilusório.

Na 50 Nachlass Arthur Schopenhauer - 'Schopenhauer-Archiv', 560 - Entgegnung von Abraham Ludwig Muhl auf das abgelehnte Vergleichsangebot

u.a.: Friedrich Soermans;

Ms.Ff.F.Stoltze 3. 560 - Brief von Friedrich Stoltze und Laura Stoltze an Lyda Stoltze und Alice Stoltze

Glückwünsche zu Lydas Geburtstag, Jacques Snatich, Erbschaft, Franz Schreiber, Königstein: Kur, Frankfurter Latern: Produktion

Na 1 Nachlass Max Horkheimer, 560 - Korrespondenzen mit Leo Löwenthal (p. VI 25, 249-402)

124 Briefe zwischen Leo Löwenthal und Max Horkheimer; 2 Briefe von Leo Löwenthal an The Trustes of Hermann Weil Memorial Foundation (New York), 27.04.1955; 4 Briefe zwischen Leo Löwenthal und Chauncy D. Harris, 1954/1955; 1 Brief von L. R. Little an Leo Löwenthal, 09.06.1955; 2 Briefe zwischen Leo Löwenthal und Ralph Tyler, 1955; 1 Brief von Richard Hofstadter an Paul F. Lazarsfeld, 05.01.1955;