检索结果-南通市图书馆

Challenges and improvement strategies in the hospitalization of chronic multimorbid patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World journal of Clinical Cases 2025年第3期13卷 35-41页

作者： Andres Fontalba-Navas francisco Pozo Muñoz Rogelio Garcia Cisneros Maria jose Garcia Larrosa Maria del Mar Callejon Gil Ignacio Garcia delgado Maria Belen jimenez Martinez Antequera Hospital Northern Málaga Integrated Healthcare AreaAntequera 29200AndalusiaSpain Department of Public Health and Psychiatry University of MálagaMálaga 29010Spain Antequera Hospital Northern Málaga Antequera Integrated Healthcare AreaAntequera 29200MálagaSpain

BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot *** diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient *** proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid *** To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital *** The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary *** coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient *** superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of ca

关键词： High complexity unit Chronic multimorbidity Patient-centered care Integrated care Healthcare management

A facile one-pot hydrothermal synthesis as an efficient method to modulate the potassium content of cryptomelane and its effects on the redox and catalytic properties

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese journal of Catalysis 2019年第6期40卷 940-952页

作者： Huiyan Pan Xiaowei Chen Oihane Sanz Miguel A.Cauquia jose M.Rodriguez-Izquierdoa juan j.delgado Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica y Química Inorgánica Facultad de CienciasUniversidad de CádizCampus Río San PedroPuerto Real(Cádiz)E-11510Spain Applied Chemistry Department University of Basque Country(UPV-EHU)Apdo.1072San Sebastian20080Spain

Cryptomelane has been widely applied as catalyst in oxidation reactions due to its excellent redox properties and low ***,a novel one-pot hydrothermal synthesis using a potassium permanganate aqueous solution as precursor and ethanol as reducing agent has successfully been developed to obtain cryptomelane *** synthetic route makes it possible to control the amount of potassium incorporated into the structure of the cryptomelane by selecting the appropriate synthesis temperature and ethanol initial *** advantage of this approach,the effect of potassium concentration on the structural stability and reducibility of the cryptomelane,which are poorly discussed in the literature,has been *** have observed that samples with low content of potassium(~11%)show high conversions of CO to CO2 especially at low *** lower activity of the samples with high K contents(~16%)can be ascribed to the beneficial effect of K on the structural stability of cryptomelane in detriment of labile oxygen on cryptomelane surface.

关键词： Cryptomelane Pyrolusite Catalytic CO oxidation Hydrothermal synthesis Potassium content

Ferrofluid moving thin films for active flow control

在线全文

学校读者我要写书评

暂无评论

Chinese journal of Aeronautics 2021年第5期34卷 115-119页

作者： francisco j.ARIAS Department of Fluid Mechanics Polytechnic University of CataloniaESEIAATC/Colom 1108222 BarcelonaSpain

Ferrofluid moving thin films and their possible significance with regard to active flow control for lift and attack angle enhancement are *** this strategy,a very thin film of ferrofluid is strongly attached at the wall of the wing by a normal magnetic field from below and pumped tangentially along the *** a simplified physical model and from the available experimental data on moving walls,the expected lift enhancement and effect on the attack angle were *** research and design is required in order to explore the possibilities in the use of ferrofluid moving thin films.

关键词： Active flow control Boundary layer separation Ferrofluid

Local Fourier Analysis for Edge-Based Discretizations on Triangular Grids

在线全文

学校读者我要写书评

暂无评论

Numerical Mathematics(Theory,Methods and Applications) 2015年第1期8卷 78-96页

作者： Carmen Rodrigo francisco Sanz francisco j.Gaspar francisco j.Lisbona Department of Applied Mathematics University of ZaragozaC/Maria de Luna 350018ZaragozaSpain BIFI University of Zaragoza C/Pedro Cerbuna 1250009ZaragozaSpain Department of Applied Mathematics University of ZaragozaC/Pedro Cerbuna 1250009ZaragozaSpain

In this paper,we present a local Fourier analysis framework for analyzing the different components within multigrid solvers for edge-based discretizations on triangular *** different stencils associated with edges of different orientation in a triangular mesh make this analysis *** resulting tool is demonstrated for the vector Laplace problem discretized by mimetic finite difference *** from the local Fourier analysis,as well as experimentally obtained results,are presented to validate the proposed analysis.

关键词： Multigrid local Fourier analysis edge-based discretizations mimetic finite differences

Possible implications of dysregulated nicotinic acetylcholine receptor diffusion and nanocluster formation in myasthenia gravis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Neural Regeneration Research 2021年第2期16卷 242-246页

作者： francisco j.Barrantes Biomedical Research Institute(BIOMED)UCA-CONICET Buenos AiresArgentina

Myasthenia gravis is a rare and invalidating disease affecting the neuromuscular junction of voluntary *** classical form of this autoimmune disease is characterized by the presence of antibodies against the most abundant protein in the neuromuscular junction,the nicotinic acetylcholine *** variants of the disease involve autoimmune attack of non-receptor scaffolding proteins or enzymes essential for building or maintaining the integrity of this peripheral *** review summarizes the participation of the above proteins in building the neuromuscular junction and the destruction of this cholinergic synapse by autoimmune aggression in myasthenia *** review also covers the application of a powerful biophysical technique,superresolution optical microscopy,to image the nicotinic receptor in live cells and follow its motional *** hypothesis is entertained that anomalous nanocluster formation by antibody crosslinking may lead to accelerated endocytic internalization and elevated turnover of the receptor,as observed in myasthenia gravis.

关键词： agrin autoimmune diseases muscle end-plate muscle specific kinase MuSK myasthenia gravis nanoscopy neuromuscular junction nicotinic acetylcholine receptor rapsyn superresolution microscopy

ON CONSERVATIVE APPROXIMATION BY LINEAR POLYNOMIAL OPERATORS AN EXTENSION OF THE BERNSTEIN'S OPERATOR

在线全文

学校读者我要写书评

暂无评论

Analysis in Theory and Applications 1995年第1期11卷 62-71页

作者： francisco-javier Munoz-delgado Victoriano Ramirez-Gonzalez Paul Sablonniere Universidad de jaen SpainUniversidad de Granada SpainInstitut National des Sciences Appliquees France

In this work we slwly linear polynomial operators preserving some consecutive i-convexities and leaving in-verant the polynomtals up to a certain degree. First we study the existence of an incompatibility between the conservation of cenain i-cotivexities and the invariance of a space of polynomials. Interpolation properties are obtained and a theorem by Berens and DcVore about the Bernstein's operator ts extended. Finally, from these results a genera'ized Bernstein's operator is obtained.

关键词： LPO ON CONSERVATIVE APPROXIMATION BY LINEAR POLYNOMIAL OPERATORS AN EXTENSION OF THE BERNSTEIN’S OPERATOR

Controversies around the treatment of peritoneal metastases of colorectal cancer

在线全文

学校读者我要写书评

暂无评论

World journal of Gastrointestinal Oncology 2025年第1期17卷 260-264页

作者： francisco j Morera-Ocon Clara Navarro-Campoy Ticiano Guastella francisco Landete-Molina Department of General Surgery Hospital General de RequenaRequena 46340Spain Department of Gynecology and Obstetrics Hospital 9 OctubreValencia 46015Spain Department of Pathology Hospital General de RequenaRequena 46340Spain

In this editorial we examine the article by Wu et al published in the World journal of Gastrointestinal *** resection for peritoneal metastases from colorectal cancer(CRC)has been gradually accepted in the medical oncology community.A randomized trial(PRODIGE 7)on cytoreductive surgery(CRS)with hyperthermic intraperitoneal chemotherapy(HIPEC)failed to prove any benefit of oxaliplatin in the overall survival of patients with peritoneal metastases from colorectal ***,isolated systemic chemotherapy for CRC stage IV has demonstrated a reduced response in peritoneal metastases than that obtained in other metastatic sites such as the *** tool is required in those patients to achieve more local control of the *** groups in peritoneal surgery continue to use HIPEC in their procedures,using other agents than oxaliplatin for peritoneal cavity infusion,such as mitomycin *** patients present with complex surgical issues to manage,and consequently a large burden of complications has to be ***,identifying patients who will benefit from CRS with or without HIPEC would be of great interest.

关键词： Colorectal cancer Peritoneal metastasis Hyperthermic intraoperative chemotherapy Treatment strategies Peritoneal Surface Oncology GroupInternational

Simplicial Indicator Kriging

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

journal of China University of Geosciences 2008年第1期19卷 65-71页

作者： R Tolosana-delgado V Pawlowsky-Glahn j j Egozcue Department of Sedimentology and Environmental Geology Georg-August-Universitt Gttingen D-37077 Gttingen Germany Department of Computer Science and Applied Mathematics University of Girona Girona Spain Department of Applied Mathematics III Universidad Politécnica de Catalunya Barcelona Spain

Indicator kriging （IK） is a spatial interpolation technique devised for estimating a conditional cumulative distribution function at an unsampled location. The result is a discrete approximation, and its corresponding estimated probability density function can be viewed as a composition in the simplex. This fact suggested a compositional approach to IK which, by construction, avoids all its standard drawbacks （negative predictions, not-ordered or larger than one）. Here, a simple algorithm to develop the procedure is presented.

关键词： Aitchison geometry compositional data disjunctive kriging log-ratio approach simplex.

Shear velocity criterion for incipient motion of sediment

在线全文

学校读者我要写书评

暂无评论

Water Science and Engineering 2014年第2期7卷 183-193页

作者： francisco j.M.SIMOES U.S. Geological Survey Geomorphology and Sediment Transport LaboratoryGolden CO 80403 USA

The prediction of incipient motion has had great importance to the theory of sediment transport. The most commonly used methods are based on the concept of critical shear stress and employ an approach similar, or identical, to the Shields diagram. An alternative method that uses the movability number, defined as the ratio of the shear velocity to the particle＇s settling velocity, was employed in this study. A large amount of experimental data were used to develop an empirical incipient motion criterion based on the movability number. It is shown that this approach can provide a simple and accurate method of computing the threshold condition for sediment motion.

关键词： incipient motion sediment transport Shields diagram critical shear stress criticalshear velocity movability number