LAKE SHOREZONE FUNCTIONALITY INDEX (SFI) A tool for the definition of ecological quality as indicated by Directive 2000/60/CE

www.appa.provincia.tn.it/binary/pat_appa/pubblicazioni/IFP_Manual_english_ver2.1310115028.pd

LAKE SHOREZONE FUNCTIONALITY INDEX (SFI) A tool for the definition of ecological quality as indicated by Directive 2000/60/CE

www.appa.provincia.tn.it/binary/pat_appa/pubblicazioni/IFP_Manual_english_ver2.1310115028.pd

Effectiveness of cardiac resynchronization therapy in heart failure patients with valvular heart disease: comparison with patients affected by ischaemic heart disease or dilated cardiomyopathy. The InSync/InSync ICD Italian Registry

AimsTo analyse the effectiveness of cardiac resynchronization therapy (CRT) in patients with valvular heart disease (a subset not specifically investigated in randomized controlled trials) in comparison with ischaemic heart disease or dilated cardiomyopathy patients.Methods and resultsPatients enrolled in a national registry were evaluated during a median follow-up of 16 months after CRT implant. Patients with valvular heart disease treated with CRT (n = 108) in comparison with ischaemic heart disease (n = 737) and dilated cardiomyopathy (n = 635) patients presented: (i) a higher prevalence of chronic atrial fibrillation, with atrioventricular node ablation performed in around half of the cases; (ii) a similar clinical and echocardiographic profile at baseline; (iii) a similar improvement of LVEF and a similar reduction in ventricular volumes at 6-12 months; (iv) a favourable clinical response at 12 months with an improvement of the clinical composite score similar to that occurring in patients with dilated cardiomyopathy and more pronounced than that observed in patients with ischaemic heart disease; (v) a long-term outcome, in term of freedom from death or heart transplantation, similar to patients affected by ischaemic heart disease and basically more severe than that of patients affected by dilated cardiomyopathy.ConclusionIn 'real world' clinical practice, CRT appears to be effective also in patients with valvular heart disease. However, in this group of patients the outcome after CRT does not precisely overlap any of the two other groups of patients, for which much more data are currently available

Scheda di campo integrativa per l'applicazione dell'Indice di Funzionalità Fluviale I.F.F. 2007

Viene proposta una scheda integrativa per l’applicazione del metodo Indice di Funzionalità Fluviale (I.F.F. 2007) che, pur strettamente attinente all’applicazione della metodica, consente di tener traccia delle informazioni acquisite, necessarie alla corretta compilazione della scheda e, allo stesso tempo, permette l’immediata consultazione di alcune tabelle e casistiche riportate nel manuale

Indice di funzionalità perilacuale (IFP)

It is inevitable that information system (IS) has been the essential role in the management and academic functions of the higher education institutions (HEIs) in developing countries, like Indonesia. In this country, despite the IS project developments have been performed since 1980s, but its performances tended still low. The efforts have been performed for responding this issue, but the studies have been remained in limited number. Accordingly, this study was carried out to know what factors that influence the satisfactions, in respect of its significant effects towards the project performances. The internal stakeholders were the population, which was sampled using the purpose random sampling. The 52 (87%) paper based data and the 61 (9%) online ones were then used in the data analysis stage with the partial least squares-structural equation modeling (PLS-SEM) method. The results revealed that, besides the system and service qualities directly affected the endogenous variable, the institutional contexts also indirectly influenced the variable. The study remained limitations, but its findings may theoretically and practically contributes towards the user satisfaction measurement, especially from the perspectives of the Islamic HEIs in Indonesia

Follow-up of CRT-ICD: implications for the use of remote follow-up systems. Data from the InSync ICD italian Registry.

Background: Launch of remote follow-up systems in Europe is currently underway. However, there is insufficient understanding of postimplant practices with respect to device follow-up, reprogramming of device features, and postshock clinic visits. Methods: We analyzed device-stored data from patients implanted with biventricular defibrillators (CRT-ICD) to characterize the management of patients in current clinical practice and the potential impact of remote follow-up systems. Results: Two hundred and seventeen patients were identified, all with complete device-data for at least one year. Over a follow-up period of 570 +/- 158 days, 1,959 device interrogations were performed. Of these, the majority (1,280, 65%) involved the reprogramming of device parameters. The mean time interval between interrogations was 70 +/- 25 days. Overall, a marked reduction of interrogations requiring reprogramming was observed between the first six months of follow-up and subsequent periods (from 3.6 +/- 1.8 to 1.1 +/- 1.0 interrogations/six months). A mean of 6.0 +/- 5.9 device parameters was reprogrammed during the first six months of follow-up, versus 4.4 +/- 5.6 (P = 0.000) during the subsequent period. From multivariate analysis, a higher-than-median number of interrogations was found to be significantly associated with defibrillator shocks (OR:2.51; 95%CI:1.42-4.42). Following a shock, a total of 133 interrogations in 60 patients were performed with 80% of these occurring within five days of the shock, and 49% did not require device reprogramming. Conclusion: Six months after implant, reprogramming of device parameters is significantly less frequent, making the use of remote follow-up systems a practical alternative for patients and physicians. Moreover, a considerable portion of post-shock interrogations does not involve reprogramming and may therefore be performed remotely