2,671 research outputs found
Preliminary results of prevalence study of obstructive sleep apnoea in middle-aged Chinese in Hong Kong
published_or_final_versio
Ketamine abuse and apoptosis in the cortex in monkeys and mice
International Journal of Neuropsychopharmacology, 2008, v. 11, suppl. 1, p. 236-237, abstract no. P-06.11published_or_final_versionThe 26th CINP Congress, Munich, Germany, 13-17 July 2008
Attitudes and perceived competence of residential care homes staff about dementia care
published_or_final_versio
Characterization of proton irradiated copolymer thin films for microelectromechanical system applications
2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe
Differential regulation of cytokine-and phorbol ester-induced activation of nuclear factor kappa B by Pseudomonas aeruginosa pyocyanin in human airway epithelial cells
published_or_final_versio
Serum superoxide dismutase levels correlate with disease activity markers in stable bronchiectasis
published_or_final_versio
Healthcare resource utilisation and related costs of patients with CKD from the UK: a report from the DISCOVER CKD retrospective cohort
Background
Chronic kidney disease (CKD) is widely reported to decrease quality of life, increase morbidity and mortality and cause increased healthcare resource utilisation (HCRU) as the disease progresses. However, there is a relative paucity of accurate and recent estimates of HCRU in this patient population. Our aim was to address this evidence gap by reporting HCRU and related costs in patients with CKD from the UK primary and secondary care settings.
Methods
HCRU and cost estimates of CKD were derived for UK patients included in the DISCOVER CKD cohort study using clinical records from the Clinical Practice Research Datalink linked to external databases. Patients with a history of transplant or undergoing dialysis were not included. HCRU and costs were stratified by CKD severity using the urinary albumin:creatinine ratio (UACR) and estimated glomerular filtration rate.
Results
Hospitalisation rates more than tripled between low (A1) and high (A3) UACR categories and the mean annual per-patient costs ranged from £4966 (A1) to £9196 (A3) and from £4997 (G2) to £7595 (G5), demonstrating that a large healthcare burden can be attributed to a relatively small number of patients with later stage CKD, including those with kidney failure and/or albuminuria.
Conclusions
HCRU and costs associated with CKD impose a substantial burden on the healthcare system, particularly in the more advanced stages of CKD. New interventions that can delay the progression of CKD to kidney failure may not only prolong the patient’s life, but would also provide significant resource and cost savings to healthcare providers
Decentralized Estimation over Orthogonal Multiple-access Fading Channels in Wireless Sensor Networks - Optimal and Suboptimal Estimators
Optimal and suboptimal decentralized estimators in wireless sensor networks
(WSNs) over orthogonal multiple-access fading channels are studied in this
paper. Considering multiple-bit quantization before digital transmission, we
develop maximum likelihood estimators (MLEs) with both known and unknown
channel state information (CSI). When training symbols are available, we derive
a MLE that is a special case of the MLE with unknown CSI. It implicitly uses
the training symbols to estimate the channel coefficients and exploits the
estimated CSI in an optimal way. To reduce the computational complexity, we
propose suboptimal estimators. These estimators exploit both signal and data
level redundant information to improve the estimation performance. The proposed
MLEs reduce to traditional fusion based or diversity based estimators when
communications or observations are perfect. By introducing a general message
function, the proposed estimators can be applied when various analog or digital
transmission schemes are used. The simulations show that the estimators using
digital communications with multiple-bit quantization outperform the estimator
using analog-and-forwarding transmission in fading channels. When considering
the total bandwidth and energy constraints, the MLE using multiple-bit
quantization is superior to that using binary quantization at medium and high
observation signal-to-noise ratio levels
The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial
Study Design: Pilot randomised controlled trial.
Objectives: The aims of this study were to evaluate the effectiveness and participant satisfaction of web-based physiotherapy for people with Spinal Cord Injury (SCI).
Setting: Community patients of a national spinal injury unit in a university teaching hospital, Scotland, UK.
Methods: Twenty-four participants were recruited and randomised to receive eight weeks of web-based physiotherapy (intervention), twice per week, or usual care (control). Individual exercise programmes were prescribed based upon participant’s abilities. The intervention was delivered via a website (www.webbasedphysio.com) and monitored and progressed remotely by the physiotherapist.
Results: Participants logged on to the website an average of 1.4±0.8 times per week. Between-group differences, although not significant were more pronounced for the 6 minute walk test. Participants were positive about using web-based physiotherapy and stated they would be happy to use it again and would recommend it to others. Overall it was rated as either good or excellent.
Conclusions: Web-based physiotherapy was feasible and acceptable for people with SCI. Participants achieved good compliance with the intervention, rated the programme highly and beneficial for health and well-being at various states post injury. The results of this study warrant further work with a more homogenous sample
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