6 research outputs found

    XMPP and iDTV or how to make television a social medium

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    Instant Messaging (IM) has the potential to become one of the killer applications for interactive Digital Television (iDTV) [12]. However, several factors make it difficult to provide a good implementation of IM services, among which the limited resources of a set-top box and the different user experience compared to computer environments. This paper proposes the XMPP (Extensible Messaging and Presence Protocol) standard as a solution for implementing IM. When we compare XMPP with other technologies, it reveals itself to be very well adapted to the specific needs of iDTV middleware platforms like the Multimedia Home Platform (MHP) [5]. Moreover, the use of XMPP doesn't limit itself to IM The flexible architecture of XMPP opens a window of opportunities like the ease of adding new interactive services. To demonstrate the possibilities of XMPP on MHP, an IM client -IM4MHP- is presented in this paper

    Consumption context and personalization

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    The burden of mild asthma: Clinical burden and healthcare resource utilisation in the NOVELTY study

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    Background: Patients with mild asthma represent a substantial proportion of the population with asthma, yet there are limited data on their true burden of disease. We aimed to describe the clinical and healthcare resource utilisation (HCRU) burden of physician-assessed mild asthma.Methods: Patients with mild asthma were included from the NOVEL observational longiTudinal studY (NOVELTY; NCT02760329), a global, 3-year, real-world prospective study of patients with asthma and/or chronic obstructive pulmonary disease from community practice (specialised and primary care). Diagnosis and severity were based on physician discretion. Clinical burden included physician-reported exacerbations and patient-reported measures. HCRU included inpatient and outpatient visits.Results: Overall, 2004 patients with mild asthma were included; 22.8% experienced ≄1 exacerbation in the previous 12 months, of whom 72.3% experienced ≄1 severe exacerbation. Of 625 exacerbations reported, 48.0% lasted >1 week, 27.7% were preceded by symptomatic worsening lasting >3 days, and 50.1% required oral corticosteroid treatment. Health status was moderately impacted (St George's Respiratory Questionnaire score: 23.5 [standard deviation ± 17.9]). At baseline, 29.7% of patients had asthma symptoms that were not well controlled or very poorly controlled (Asthma Control Test score <20), increasing to 55.6% for those with ≄2 exacerbations in the previous year. In terms of HCRU, at least one unscheduled ambulatory visit for exacerbations was required by 9.5% of patients, including 9.2% requiring ≄1 emergency department visit and 1.1% requiring ≄1 hospital admission.Conclusions: In this global sample representing community practice, a significant proportion of patients with physician-assessed mild asthma had considerable clinical burden and HCRU

    Treatable traits in the NOVELTY study

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    CorrigendumVolume 27, Issue 12, Respirology, pages: 1095-1095. First Published online: November 6, 2022 10.1111/resp.14406International audienceAsthma and chronic obstructive pulmonary disease (COPD) are two prevalent and complex diseases that require personalized management. Although a strategy based on treatable traits (TTs) has been proposed, the prevalence and relationship of TTs to the diagnostic label and disease severity established by the attending physician in a real-world setting are unknown. We assessed how the presence/absence of specific TTs relate to the diagnosis and severity of 'asthma', 'COPD' or 'asthma + COPD'
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