169 research outputs found

    Matching Lenses: Alignment and View Update

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    Bidirectional programming languages have been proposed as a practical approach to the view update problem. Programs in these languages, often called lenses, can be read in two ways— from left to right as functions mapping sources to views, and from right to left as functions mapping updated views back to updated sources. Lenses address the view update problem by making it possible to define a view and its associated update policy together. One issue that has not received sufficient attention in the design of bidirectional languages is alignment. In general, to correctly propagate an update to a view, a lens needs to match up the pieces of the edited view with corresponding pieces of the underlying source. Unfortunately, existing bidirectional languages are extremely limited in their treatment of alignment—they only support simple strategies that do not suffice for many examples of practical interest. In this paper, we propose a novel framework of matching lenses that extends basic lenses with new mechanisms for calculating and using alignments. We enrich the types of lenses with “chunks” that identify the locations of data that should be re-aligned after updates, and we formulate refined behavioral laws that capture essential constraints on the handling of chunks. To demonstrate the utility of our approach, we develop a core language of matching lenses for string data, and we extend it with primitives for describing a number of useful alignment heuristics

    NERA project - Deliverable D11.4: Array measurements

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    The aim of this Task is to present the seismological data and some preliminary empirical results related to two deployed specific arrays; (a) the Argostoli seismological array and (b) the Fucino seismological array. Both experiment arrays provided high quality data that along with corresponding geological and geophysical measurements may serve to critical evaluation of site effects and basin effects. In addition, work on modelling of basin effects may be significantly benefited by the observed acquired in both sites. Given that the analyses of the data obtained during the aforementioned experimental arrays will be performed in close link with activity of NERA-JRA3, the following goals are set: To investigate the link between ground motion spatial variability, strains, seismic wavefield and subsurface properties To compare numerical estimates of ground strain with actual measurements To investigate the capability of estimating ground strains from noise correlation studies. In order to organize and accomplish the work according to the initial schedule, several meetings (actual or/and Skype) among the participants took place during the 2nd year of the NERA-JRA1 project. Minutes of these meetings are given in Appendices 1, 2, 3 and 4.Network of European Research Infrastructures for Earthquake Risk Assessment and Mitigation Project, Seventh Framework Programme EC project number: 262330Published4T. Sismologia, geofisica e geologia per l'ingegneria sismic

    Neural correlates of visual hallucinations in dementia with Lewy bodies.

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    NTRODUCTION: The aim of this study was to investigate the association between visual hallucinations in dementia with Lewy bodies (DLB) and brain perfusion using single-photon emission computed tomography. METHODS: We retrospectively included 66 patients with DLB, 36 of whom were having visual hallucinations (DLB-hallu) and 30 of whom were not (DLB-c). We assessed visual hallucination severity on a 3-point scale of increasing severity: illusions, simple visual hallucinations and complex visual hallucinations. We performed voxel-level comparisons between the two groups and assessed correlations between perfusion and visual hallucinations severity. RESULTS: We found a significant decrease in perfusion in the left anterior cingulate cortex, the left orbitofrontal cortex and the left cuneus in the DLB-hallu group compared with the DLB-c group. We also found a significant correlation between decreased bilateral anterior cingulate cortex, left orbitofrontal cortex, right parahippocampal gyrus, right inferior temporal cortex and left cuneus perfusion with the severity of hallucinations. CONCLUSIONS: Visual hallucinations seem to be associated with the impairment of anterior and posterior regions (secondary visual areas, orbitofrontal cortex and anterior cingulate cortex) involved in a top-down and bottom-up mechanism, respectively. Furthermore, involvement of the bilateral anterior cingulate cortex and right parahippocampal gyrus seems to lead to more complex hallucinations.journal article20152015 02 17importe

    A community-integrated home based depression intervention for older African Americans: descripton of the Beat the Blues randomized trial and intervention costs

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    ABSTRACT: BACKGROUND: Primary care is the principle setting for depression treatment; yet many older African Americans in the United States fail to report depressive symptoms or receive the recommended standard of care. Older African Americans are at high risk for depression due to elevated rates of chronic illness, disability and socioeconomic distress. There is an urgent need to develop and test new depression treatments that resonate with minority populations that are hard-to-reach and underserved and to evaluate their cost and cost-effectiveness. METHODS/DESIGN: Beat the Blues (BTB) is a single-blind parallel randomized trial to assess efficacy of a non-pharmacological intervention to reduce depressive symptoms and improve quality of life in 208 African Americans 55+ years old. It involves a collaboration with a senior center whose care management staff screen for depressive symptoms (telephone or in-person) using the Patient Health Questionnaire (PHQ-9). Individuals screened positive (PHQ-9 ≥ 5) on two separate occasions over 2 weeks are referred to local mental health resources and BTB. Interested and eligible participants who consent receive a baseline home interview and then are randomly assigned to receive BTB immediately or 4 months later (wait-list control). All participants are interviewed at 4 (main study endpoint) and 8 months at home by assessors masked to study assignment. Licensed senior center social workers trained in BTB meet with participants at home for up to 10 sessions over 4 months to assess care needs, make referrals/linkages, provide depression education, instruct in stress reduction techniques, and use behavioral activation to identify goals and steps to achieve them. Key outcomes include reduced depressive symptoms (primary), reduced anxiety and functional disability, improved quality of life, and enhanced depression knowledge and behavioral activation (secondary). Fidelity is enhanced through procedure manuals and staff training and monitored by face-to-face supervision and review of taped sessions. Cost and cost effectiveness is being evaluated. DISCUSSION: BTB is designed to bridge gaps in mental health service access and treatments for older African Americans. Treatment components are tailored to specific care needs, depression knowledge, preference for stress reduction techniques, and personal activity goals. Total costs are 584.64/4months;or584.64/4 months; or 146.16 per participant/per month. TRIAL REGISTRATION: ClinicalTrials.gov #NCT00511680

    Differences in patient outcomes and chronic care management of oral anticoagulant therapy: an explorative study

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    Contains fulltext : 96817.pdf (publisher's version ) (Open Access)BACKGROUND: The oral anticoagulant therapy - provided to prevent thrombosis - is known to be associated with substantial avoidable hospitalization. Improving the quality of the oral anticoagulant therapy could avoid drug related hospitalizations. Therefore, this study compared the patient outcomes between Dutch anticoagulant clinic (AC) regions taking the variation in chronic care management into account in order to explore whether chronic care management elements could improve the quality of oral anticoagulant therapy. METHODS: Two data sources were combined. The first source was a questionnaire that was send to all ACs in the Netherlands in 2008 (response = 100%) to identify the application of chronic care management elements in the AC regions. The Chronic Care Model of Wagner was used to make the concept of chronic care management operational. The second source was the report of the Dutch National Network of ACs which contains patient outcomes of the ACs. RESULTS: Patient outcomes achieved by the ACs were good, yet differences existed; for instance the percentage of patients in the appropriate therapeutic ranges varied from 67 to 87% between AC regions. Moreover, differences existed in the use of chronic care management elements of the chronic care model, for example 12% of the ACs had multidisciplinary meetings and 58% of the ACs had formal agreements with at least one hospital within their region. Patient outcomes were significantly associated with patient orientation and the number of specialized nurses versus doctors (p-values < 0.05). Furthermore, the overall extent to which chronic care management elements were applied was positively associated with patient outcomes (p-values < 0.05). CONCLUSIONS: Substantial differences in the patient outcomes as well as chronic care management of oral anticoagulant therapy existed. Since our results showed a positive association between overall application of chronic care management and patient outcomes, additional research is needed to fully understand the working mechanism of chronic care management
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