1,949 research outputs found
Identifying healthcare actors involved in the adoption of information systems
The adoption of information systems in healthcare is no less significant than in
any other commercial or caring organisation. The literature on IS adoption in
healthcare, makes it clear that the actors involved in the adoption process are
almost universally seen as crucial, which matches our research results too.
However, how such actors should be identified remains a topic for investigatory
work since these are early days in achieving this. We derive and propose a
structured method to model how actors might be identified: structured
because such a rationale is explicable and such a method is more readily usable
when transferred to others. Our structured method, named IGOHcaps, uses a
static and then a dynamic step to pull out the individual, group, organisational
and human determinants of the critical actors. In this process, the individual
actors’ differing views emerge which could enable decision-making bodies to
produce more robust proposals if they incorporated some of the appropriate
views. We discuss the application of IGOHcaps through a hospital case study.
While a single case study cannot be a proof, the engagement of the actors was
encouraging
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Altered Kv2.1 functioning promotes increased excitability in hippocampal neurons of an Alzheimer's disease mouse model.
Altered neuronal excitability is emerging as an important feature in Alzheimer's disease (AD). Kv2.1 potassium channels are important modulators of neuronal excitability and synaptic activity. We investigated Kv2.1 currents and its relation to the intrinsic synaptic activity of hippocampal neurons from 3xTg-AD (triple transgenic mouse model of Alzheimer's disease) mice, a widely employed preclinical AD model. Synaptic activity was also investigated by analyzing spontaneous [Ca(2+)]i spikes. Compared with wild-type (Non-Tg (non-transgenic mouse model)) cultures, 3xTg-AD neurons showed enhanced spike frequency and decreased intensity. Compared with Non-Tg cultures, 3xTg-AD hippocampal neurons revealed reduced Kv2.1-dependent Ik current densities as well as normalized conductances. 3xTg-AD cultures also exhibited an overall decrease in the number of functional Kv2.1 channels. Immunofluorescence assay revealed an increase in Kv2.1 channel oligomerization, a condition associated with blockade of channel function. In Non-Tg neurons, pharmacological blockade of Kv2.1 channels reproduced the altered pattern found in the 3xTg-AD cultures. Moreover, compared with untreated sister cultures, pharmacological inhibition of Kv2.1 in 3xTg-AD neurons did not produce any significant modification in Ik current densities. Reactive oxygen species (ROS) promote Kv2.1 oligomerization, thereby acting as negative modulator of the channel activity. Glutamate receptor activation produced higher ROS levels in hippocampal 3xTg-AD cultures compared with Non-Tg neurons. Antioxidant treatment with N-Acetyl-Cysteine was found to rescue Kv2.1-dependent currents and decreased spontaneous hyperexcitability in 3xTg-AD neurons. Analogous results regarding spontaneous synaptic activity were observed in neuronal cultures treated with the antioxidant 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (Trolox). Our study indicates that AD-related mutations may promote enhanced ROS generation, oxidative-dependent oligomerization, and loss of function of Kv2.1 channels. These processes can be part on the increased neuronal excitability of these neurons. These steps may set a deleterious vicious circle that eventually helps to promote excitotoxic damage found in the AD brain
Public crowdsensing of heat waves by social media data
Abstract. Investigating on society-related heat wave hazards is a global issue concerning the people health. In the last two decades, Europe experienced several severe heat wave episodes with catastrophic effects in term of human mortality (2003, 2010 and 2015). Recent climate investigations confirm that this threat will represent a key issue for the resiliency of urban communities in next decades. Several important mitigation actions (Heat-Health Action Plans) against heat hazards have been already implemented in some WHO (World Health Organization) European region member states to encourage preparedness and response to extreme heat events. Nowadays, social media (SM) offer new opportunities to indirectly measure the impact of heat waves on society. Using the crowdsensing concept, a micro-blogging platform like Twitter may be used as a distributed network of mobile sensors that react to external events by exchanging messages (tweets). This work presents a preliminary analysis of tweets related to heat waves that occurred in Italy in summer 2015. Using TwitterVigilance dashboard, developed by the University of Florence, a sample of tweets related to heat conditions was retrieved, stored and analyzed for main features. Significant associations between the daily increase in tweets and extreme temperatures were presented. The daily volume of Twitter users and messages revealed to be a valuable indicator of heat wave impact at the local level, in urban areas. Furthermore, with the help of Generalized Additive Model (GAM), the volume of tweets in certain locations has been used to estimate thresholds of local discomfort conditions. These city-specific thresholds are the result of dissimilar climatic conditions and risk cultures
Characterization of an emergent clone of enteroinvasive Escherichia coli circulating in Europe
Enteroinvasive Escherichia coli (EIEC) cause intestinal illness indistinguishable from that caused by Shigella, mainly in developing countries.
Recently an upsurge of cases of EIEC infections has been observed in Europe, with two large outbreaks occurring in Italy and in the
United Kingdom. We have characterized phenotypically and genotypically the strains responsible for these epidemics together with an
additional isolate from a sporadic case isolated in Spain. The three isolates belonged to the same rare serotype O96:H19 and were of
sequence type ST-99, never reported before in EIEC or Shigella. The EIEC strains investigated possessed all the virulence genes
harboured on the large plasmid conferring the invasive phenotype to EIEC and Shigella while showing only some of the known
chromosomal virulence genes and none of the described pathoadaptative mutations. At the same time, they displayed motility abilities
and biochemical requirements resembling more closely those of the non-pathogenic E. coli rather than the EIEC and Shigella strains used
as reference. Our observations suggested that the O96:H19 strains belong to an emerging EIEC clone, which could be the result of a
recent event of acquisition of the invasion plasmid by commensal E. coli
Reflectance-Based Pulse Oximetry for the Chest and Wrist
Reflectance-based pulse oximetry is a technique used for noninvasively monitoring the oxygen saturation (SpO2) and pulse rate (PR). However, there is little supporting evidence that it can accurately collect measurements from the chest and wrist. In this project, a reflectance-based pulse oximeter was built and used to collect measurements while sitting, standing, during self-induced hypoxia, and during self-induced hyperventilation then compared to the measurements taken by a HOMEDIC Deluxe Pulse Oximeter. The prototype was able to accurately measure within an error of + 1% and ±3% for SpO2 and PR respectively from the wrist while an error of ±1% and +4% for SpO2 and PR respectively from the chest
Predictive Values of Transcutaneous Oxygen Tension for Above-the-ankle Amputation in Diabetic Patients with Critical Limb Ischemia
ObjectiveTo assess the values of transcutaneous oxygen tension (TcPO2) capable of predicting above-the-ankle amputation in diabetic patients diagnosed for critical limb ischemia (CLI) according to the criteria of the TransAtlantic Inter-Society Consensus.DesignRetrospective study.MethodsFrom January 1999 to December 2003, 564 diabetic patients were consecutively hospitalized for CLI in one limb. Revascularization with angioplasty or bypass graft was performed when possible and, if not possible, prostanoid therapy was used. In patients in whom therapies did not relieve the rest pain or the gangrene was extended above the Chopart joint, an above-the-ankle-amputation was performed. After treatment TcPO2 values were evaluated in all patients at the dorsum of the foot.ResultsFifty-five (9.8%) patients underwent an above-the-ankle amputation: 22 of 420 patients who underwent angioplasty, 17 of 117 patients who underwent bypass (14.5%) and 16 of 27 patients in whom revascularization was not possible. Post-treatment TcPO2, measured by a receiver operating characteristic (ROC) curve, showed a value 34mmHg as the best threshold for determining the need for revascularization, with an area under the curve of 0.89 (95%CI 0.85–0.94).Using logistic regression analysis the probability of above-the-ankle amputation for this threshold is 9.7% and reduces to 3% for TcPO2>40mmHg.ConclusionTcPO2 levels<34mmHg indicate the need for revascularization, while for values ≥ 34<40mmHg this need appears less pressing, although there remains a considerable probability of amputation. TcPO2 levels greater than 40mmHg suggest that revascularization is dependent on the severity of tissue loss and possible morbidity caused by the procedure
Ship Routing with Pickup and Delivery for a Maritime Oil Transportation System: MIP Modeland Heuristics
This paper examines a ship routing problem with pickup and delivery and time windows for maritime oil transportation, motivated by the production and logistics activities of an oil company operating in the Brazilian coast. The transportation costs from offshore platforms to coastal terminals are an important issue in the search for operational excellence in the oil industry, involving operations that demand agile and effective decision support systems. This paper presents an optimization approach to address this problem, based on a mixed integer programming (MIP) model and a novel and exploratory application of two tailor-made MIP heuristics, based on relax-and-fix and time decomposition procedures. The model minimizes fuel costs of a heterogeneous fleet of oil tankers and costs related to freighting contracts. The model also considers company-specific constraints for offshore oil transportation. Computational experiments based on the mathematical models and the related MIP heuristics are presented for a set of real data provided by the company, which confirm the potential of optimization-based methods to find good solutions for problems of moderate sizes
Coarse Grained Density Functional Theories for Metallic Alloys: Generalized Coherent Potential Approximations and Charge Excess Functional Theory
The class of the Generalized Coherent Potential Approximations (GCPA) to the
Density Functional Theory (DFT) is introduced within the Multiple Scattering
Theory formalism for dealing with, ordered or disordered, metallic alloys. All
GCPA theories are based on a common ansatz for the kinetic part of the
Hohenberg-Kohn functional and each theory of the class is specified by an
external model concerning the potential reconstruction. The GCPA density
functional consists of marginally coupled local contributions, does not depend
on the details of the charge density and can be exactly rewritten as a function
of the appropriate charge multipole moments associated with each lattice site.
A general procedure based on the integration of the 'qV' laws is described that
allows for the explicit construction the same function. The coarse grained
nature of the GCPA density functional implies great computational advantages
and is connected with the O(N) scalability of GCPA algorithms. Moreover, it is
shown that a convenient truncated series expansion of the GCPA functional leads
to the Charge Excess Functional (CEF) theory [E. Bruno, L. Zingales and Y.
Wang, Phys. Rev. Lett. {\bf 91}, 166401 (2003)] which here is offered in a
generalized version that includes multipolar interactions. CEF and the GCPA
numerical results are compared with status of art LAPW full-potential density
functional calculations for 62, bcc- and fcc-based, ordered CuZn alloys, in all
the range of concentrations. These extensive tests show that the discrepancies
between GCPA and CEF are always within the numerical accuracy of the
calculations, both for the site charges and the total energies. Furthermore,
GCPA and CEF very carefully reproduce the LAPW site charges and the total
energy trends.Comment: 19 pages, 11 figure
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