60 research outputs found
National Poets, the Status of the Epic and the Strange Case of Master William Shakespeare
This essay contextualises Shakespeare as product of a field of forces encapsulating national identity and relative cultural status. It begins by historicising the production of national poets in Romantic and Nationalist terms. Lefevereâs conceptual grid is then used to characterise the system that underpins the production of Shakespeare as British national poet, and his place within the canon of world literature. The article defines this context first before moving onto the figure of Shakespeare, by referring to various high status texts such as the Kalevala, the Aeneid, The Faerie Queene and Paradise Lost. The position accorded Shakespeare at the apex is therefore contingent upon a series of prior operations on other texts, and their writers. Shakespeare is not conceived as attaining pre-eminence because of his own innate literary qualities. Rather, a process of elimination occurs by which the common ascription of the position of national poet to a writer of epic is shown to be a cultural impossibility for the British. Instead, via Aristotleâs privileging of tragedy over epic, the rise of Shakespeare is seen as almost a second choice because of the inappropriateness of Spenser and Milton for the position
Codage réseau pour des applications multimédias avancées
Network coding is a paradigm that allows an efficient use of the capacity of communication networks. It maximizes the throughput in a multi-hop multicast communication and reduces the delay. In this thesis, we focus our attention to the integration of the network coding framework to multimedia applications, and in particular to advanced systems that provide enhanced video services to the users. Our contributions concern several instances of advanced multimedia communications: an efficient framework for transmission of a live stream making joint use of network coding and multiple description coding; a novel transmission strategy for lossy wireless networks that guarantees a trade-off between loss resilience and short delay based on a rate-distortion optimized scheduling of the video frames, that we also extended to the case of interactive multi-view streaming; a distributed social caching system that, using network coding in conjunction with the knowledge of the users' preferences in terms of views, is able to select a replication scheme such that to provide a high video quality by accessing only other members of the social group without incurring the access cost associated with a connection to a central server and without exchanging large tables of metadata to keep track of the replicated parts; and, finally, a study on using blind source separation techniques to reduce the overhead incurred by network coding schemes based on error-detecting techniques such as parity coding and message digest generation. All our contributions are aimed at using network coding to enhance the quality of video transmission in terms of distortion and delay perceivedLe codage rĂ©seau est un paradigme qui permet une utilisation efficace du rĂ©seau. Il maximise le dĂ©bit dans un rĂ©seau multi-saut en multicast et rĂ©duit le retard. Dans cette thĂšse, nous concentrons notre attention sur lâintĂ©gration du codage rĂ©seau aux applications multimĂ©dias, et en particulier aux systĂšmes avancĂšs qui fournissent un service vidĂ©o amĂ©liorĂ© pour les utilisateurs. Nos contributions concernent plusieurs scĂ©narios : un cadre de fonctions efficace pour la transmission de flux en directe qui utilise Ă la fois le codage rĂ©seau et le codage par description multiple, une nouvelle stratĂ©gie de transmission pour les rĂ©seaux sans fil avec perte qui garantit un compromis entre la rĂ©silience vis-Ă -vis des perte et la reduction du retard sur la base dâune optimisation dĂ©bit-distorsion de l'ordonnancement des images vidĂ©o, que nous avons Ă©galement Ă©tendu au cas du streaming multi-vue interactive, un systĂšme replication sociale distribuĂ©e qui, en utilisant le rĂ©seau codage en relation et la connaissance des prĂ©fĂ©rences des utilisateurs en termes de vue, est en mesure de sĂ©lectionner un schĂ©ma de rĂ©plication capable de fournir une vidĂ©o de haute qualitĂ© en accĂ©dant seulement aux autres membres du groupe social, sans encourir le coĂ»t dâaccĂšs associĂ© Ă une connexion Ă un serveur central et sans Ă©changer des larges tables de mĂ©tadonnĂ©es pour tenir trace des Ă©lĂ©ments rĂ©pliquĂ©s, et, finalement, une Ă©tude sur lâutilisation de techniques de sĂ©paration aveugle de source -pour rĂ©duire lâoverhead encouru par les schĂ©mas de codage rĂ©seau- basĂ© sur des techniques de dĂ©tection dâerreur telles que le codage de paritĂ© et la gĂ©nĂ©ration de message digest
Characterizing primary care for patients with major depressive disorder using electronic health records of a US-based healthcare provider
Background: Major depressive disorder (MDD) is predominantly managed in primary care. However, primary care providers (PCPs) may not consistently follow evidence-based treatment algorithms, leading to variable patient management that can impact outcomes.
Methods: We retrospectively analyzed adult patients with MDD seen at Geisinger, an integrated health system. Utilizing electronic health record (EHR) data, we classified patients as having MDD based on International Classification of Disease (ICD)-9/10 codes or a Patient Health Questionnaire (PHQ)-9 score â„5. Outcomes assessed included time to first visit with a PCP or behavioral health specialist following diagnosis, antidepressant medication switching, persistence, healthcare resource utilization (HRU), and treatment costs.
Results: Among the 38,321 patients with MDD managed in primary care in this study, significant delays between diagnosis with antidepressant prescribing and follow-up PCP visits were observed. There was also considerable variation in care following diagnosis. Overall, 34.9% of patients with an ICD-9/10 diagnosis of MDD and 41.3% with a PHQ-9 score â„15 switched antidepressants. An ICD-9/10 diagnosis, but not moderately severe to severe depression, was associated with higher costs and HRU. More than 75% of patients with MDD discontinued antidepressant medication within 6 months.
Limitations: The study population was comparable with other real-world studies of MDD, but study limitations include its retrospective nature and reliance on the accuracy of EHRs.
Conclusions: Management of patients with MDD in a primary care setting is variable. Addressing these gaps will have important implications for ensuring optimal patient management, which may reduce HRU and treatment medication costs, and improve treatment persistence
Ardealul Èi Banatul dupÄ unire
Cluj : Imprimeria Dr. Sebastian Bornemisa, 192
The transfer of cultural values : from Walter Scott to Waugh and JĂŒnger
The point of my explanation is simply that in its "deep-structure" even 'A Handful of Dust' (and 'a fortiori', as we shall see, other novels by Waugh) attaches itself to the mode of the historical novel, which is only in a very qualified way the descendant of the epic, as Lukacs would have us believe
Sondajul arheologic de la CÄlineĆti (judeÈul MaramureĆ)
Nemoianu Larisa. Sondajul arheologic de la CÄlineĆti (judeÈul MaramureĆ). In: Materiale Ći cercetÄri arheologice, N°13 1979. A XIII - A sesiune anualÄ de rapoarte. pp. 133-134
Network coding for advanced video applications
Le codage rĂ©seau est un paradigme qui permet une utilisation efficace du rĂ©seau. Il maximise le dĂ©bit dans un rĂ©seau multi-saut en multicast et rĂ©duit le retard. Dans cette thĂšse, nous concentrons notre attention sur lâintĂ©gration du codage rĂ©seau aux applications multimĂ©dias, et en particulier aux systĂšmes avancĂšs qui fournissent un service vidĂ©o amĂ©liorĂ© pour les utilisateurs. Nos contributions concernent plusieurs scĂ©narios : un cadre de fonctions efficace pour la transmission de flux en directe qui utilise Ă la fois le codage rĂ©seau et le codage par description multiple, une nouvelle stratĂ©gie de transmission pour les rĂ©seaux sans fil avec perte qui garantit un compromis entre la rĂ©silience vis-Ă -vis des perte et la reduction du retard sur la base dâune optimisation dĂ©bit-distorsion de l'ordonnancement des images vidĂ©o, que nous avons Ă©galement Ă©tendu au cas du streaming multi-vue interactive, un systĂšme replication sociale distribuĂ©e qui, en utilisant le rĂ©seau codage en relation et la connaissance des prĂ©fĂ©rences des utilisateurs en termes de vue, est en mesure de sĂ©lectionner un schĂ©ma de rĂ©plication capable de fournir une vidĂ©o de haute qualitĂ© en accĂ©dant seulement aux autres membres du groupe social, sans encourir le coĂ»t dâaccĂšs associĂ© Ă une connexion Ă un serveur central et sans Ă©changer des larges tables de mĂ©tadonnĂ©es pour tenir trace des Ă©lĂ©ments rĂ©pliquĂ©s, et, finalement, une Ă©tude sur lâutilisation de techniques de sĂ©paration aveugle de source -pour rĂ©duire lâoverhead encouru par les schĂ©mas de codage rĂ©seau- basĂ© sur des techniques de dĂ©tection dâerreur telles que le codage de paritĂ© et la gĂ©nĂ©ration de message digest.Network coding is a paradigm that allows an efficient use of the capacity of communication networks. It maximizes the throughput in a multi-hop multicast communication and reduces the delay. In this thesis, we focus our attention to the integration of the network coding framework to multimedia applications, and in particular to advanced systems that provide enhanced video services to the users. Our contributions concern several instances of advanced multimedia communications: an efficient framework for transmission of a live stream making joint use of network coding and multiple description coding; a novel transmission strategy for lossy wireless networks that guarantees a trade-off between loss resilience and short delay based on a rate-distortion optimized scheduling of the video frames, that we also extended to the case of interactive multi-view streaming; a distributed social caching system that, using network coding in conjunction with the knowledge of the users' preferences in terms of views, is able to select a replication scheme such that to provide a high video quality by accessing only other members of the social group without incurring the access cost associated with a connection to a central server and without exchanging large tables of metadata to keep track of the replicated parts; and, finally, a study on using blind source separation techniques to reduce the overhead incurred by network coding schemes based on error-detecting techniques such as parity coding and message digest generation. All our contributions are aimed at using network coding to enhance the quality of video transmission in terms of distortion and delay perceive
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