80 research outputs found

    Predictor variables and screening protocol for depressive and anxiety disorders in cancer outpatients

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    Background Cancer patients are at increased risk of persistent depressive and anxiety symptoms and disorders compared to the general population. However, these issues are not always identified, which may worsen the prognosis and increase morbidity and mortality. Therefore, the objectives of this study are to identify predictor variables (demographic and clinical) for the development of mood and anxiety disorders in cancer outpatients and to propose a probabilistic screening protocol considering these variables and certain standardized screening instruments. Methods A total of 1,385 adults, of both genders, receiving outpatient cancer care were evaluated using a questionnaire and screening instruments. Thereafter, 400 of these subjects responded to the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-IV) by telephone to confirm or rule out the presence of a Current Major Depressive Episode (CMDE) or Anxiety Disorder (AD). Results Of the patients surveyed, 64% met the criteria for CMDE and 41% for AD. Female gender was found to be a risk factor for both disorders, and the presence of previous psychiatric history and marital status (divorced and widowed) were risk factors for anxiety disorders. When scoring above the recommended cutoff score, the screening instruments also indicated a risk of the studied disorders. Based on these findings, a screening protocol and nomograms were created for the quantification, combination and probabilistic estimate of risk, with accuracy indicators >0.68. Conclusion The prevalence rates for the disorders under study are extremely high in cancer patients. The use of the proposed protocol and nomogram can facilitate rapid and wide screening, thus refining triage and supporting the establishment of criteria for referral to mental health professionals, so that patients can be properly diagnosed and treated.info:eu-repo/semantics/publishedVersio

    The burden and spatial distribution of bovine African trypanosomes in small holder crop-livestock production systems in Tororo District, south-eastern Uganda

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    African animal trypanosomiasis (AAT) is considered to be one of the greatest constraints to livestock production and livestock-crop integration in most African countries. South-eastern Uganda has suffered for more than two decades from outbreaks of zoonotic Human African Trypanosomiasis (HAT), adding to the burden faced by communities from AAT. There is insufficient AAT and HAT data available (in the animal reservoir) to guide and prioritize AAT control programs that has been generated using contemporary, sensitive and specific molecular techniques. This study was undertaken to evaluate the burden that AAT presents to the small-scale cattle production systems in south-eastern Uganda. Randomised cluster sampling was used to select 14% (57/401) of all cattle containing villages across Tororo District. Blood samples were taken from all cattle in the selected villages between September-December 2011; preserved on FTA cards and analysed for different trypanosomes using a suite of molecular techniques. Generalized estimating equation and Rogen-Gladen estimator models were used to calculate apparent and true prevalences of different trypanosomes while intra cluster correlations were estimated using a 1-way mixed effect analysis of variance (ANOVA) in R statistical software version 3.0.2.ResultsThe prevalence of all trypanosome species in cattle was 15.3% (95% CI; 12.2-19.1) while herd level trypanosome species prevalence varied greatly between 0-43%. Trypanosoma vivax (17.4%, 95% CI; 10.6-16.8) and Trypanosoma brucei rhodesiense (0.03%) were respectively, the most, and least prevalent trypanosome species identified. The prevalence of bovine trypanosomes in this study indicates that AAT remains a significant constraint to livestock health and livestock production. There is need to implement tsetse and trypanosomiasis control efforts across Tororo District by employing effective, cheap and sustainable tsetse and trypanosomiasis control method that could be integrated in the control of other endemic vector borne diseases like tick-borne diseases

    On reliable collaborative mobility services

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    Current approaches for development of collaborative business process automation, when requiring the participation of multiple stakeholders, lack proper formalization in terms of the required informatics systems landscape. Existing solutions depend on specific technology strategies and do not offer a suitable model for the fast-growing collaborative services. In this paper, we present the concept of an open informatics system of systems (ISoS), as a holistic framework that can be applied to a European wide payment system for collaborative multimodal mobility services. To illustrate how the ISoS framework could be applied in practice, we consider the payment service to support public transports, motorway and bridges tolling, payment in parking lots, bicycle renting and payment in a fueling station, all under a single contract. While each participating organization (any infrastructure operator) is free to adopt any applicable technology, the proposed ECoNet collaboration infrastructure is aimed to support a multi-supplier (open) informatics system technology landscape. Based on results from previous research, the paper introduces a strategy to allow effective and reliable EU wide collaborative mobility services.info:eu-repo/semantics/publishedVersio

    Potential benefits of ECG screening in young athletes

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    Connected and Multimodal Passenger Transport Through Big Data Analytics : Case Tampere City Region, Finland.

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    Passenger transport is becoming more and more connected and multimodal. Instead of just taking a series of vehicles to complete a journey, the passenger is actually interacting with a connected cyber-physical social (CPS) transport system. In this study, we present a case study where big data from various sources is combined and analyzed to support and enhance the transport system in the Tampere region. Different types of static and real-time data sources and transportation related APIs are investigated. The goal is to find ways in which big data and collaborative networks can be used to improve the CPS transport system itself and the passenger satisfaction related to it. The study shows that even though the exploitation of big data does not directly improve the state of the physical transport infrastructure, it helps in utilizing more of its capacity. Secondly, the use of big data makes it more attractive to passengers
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