105,082 research outputs found
Estudio de los costes directos sanitarios de los pacientes con diabetes mellitus en España
No full textObjetivo. Estimar el consumo de recursos sanitarios empleados en prevención y el tratamiento de pacientes con Diabetes Mellitus (DM) en España en el año 2002. Métodos. Estudio de coste de la enfermedad. Los costes directos sanitarios se estimaron mediante un enfoque de prevalencia recurriendo a fuentes tanto primarias como secundarias. Se estableció un arco de prevalencia que oscila entre el 5% y el 6% de la población adulta española. El coste total se desagregó en seis partidas: coste de insulinas y antidiabéticos orales; coste de otros fármacos; coste de consumibles (tiras reactivas más agujas y jeringuillas); coste de las hospitalizaciones; consultas de las consultas de Atención Primaria; coste de las consultas de Atención Especializada. Resultados. El coste directo estimado de los pacientes con DM oscila entre los 2.400 y los 2.675 millones de euros. Las partidas de mayor peso fueron los gastos hospitalarios (933 millones de euros) seguidos del coste de otros fármacos distintos de insulina y antidiabéticos orales (777-932 millones de euros). A continuación figura el coste de insulina y antidiabéticos orales (311 millones de euros), consultas de Atención Primaria (181-272 millones de euros), consultas de Atención Especializada (127-145 millones de euros) y consumibles (70-81 millones de euros). El coste por paciente y año varía, en función de los supuestos asumidos, entre los 1.289 y los 1.476 euros anuales. Discusión. A pesar de haber sido adoptado un enfoque conservador, se demuestra que en torno a los pacientes diabéticos se concentra un elevado coste directo sanitario. Asimismo, se pone de manifiesto la importancia del coste de la prevención y el tratamiento de las complicaciones crónicas asociadas a la diabetes
Rinaudo Jean, Coste Robert — Initiation aux sciences économiques
No full textT. G. Rinaudo Jean, Coste Robert — Initiation aux sciences économiques. In: Population, 24ᵉ année, n°3, 1969. pp. 583-584
Life-Cycle Performance and Cost Analysis of Sand Mitigation Measures: Toward a Hybrid Experimental-Computational Approach
No full textWindblown sand action affects civil structures and infrastructures in sandy environments, such as deserts and coasts. The wind interacts with human built structures of any kind leading to harmful effects, endangering their serviceability and users' safety. To counter it, a number of sand mitigation measures (SMM) have been proposed, primarily through the trial-and-error empirical approach. As such, innovative approaches to properly quantify windblown sand action and to design SMM are needed in the current state-of-art and practice. In this study, the authors propose a novel hybrid approach to derive the life-cycle performance of SMM based on the combination of reliable wind-sand tunnel tests and innovative wind-sand computational simulations. Wind-sand tunnel tests are carried out to characterize the incoming sand flux in open field conditions. In a hybrid approach perspective, wind-sand tunnel measurements allow to properly tuned cheaper wind-sand computational simulations of the full-scale SMM performance. A probabilistic approach for determining windblown sand action and frequencies of sand removal maintenance is applied to a case study on a desert railway. Finally, a life-cycle cost analysis is carried out to assess extra-costs and savings derived from the implementation of the SMM. The proposed approach paves the way toward a comprehensive hybrid approach to the performance assessment of SMM
Using Cost-Based Solution Densities from TSP Relaxations to Solve Routing Problems
No full textThe Traveling Salesman Problem, at the heart of many routing applications, has a few well-known relaxations that have been very effective to compute lower bounds on the objective function or even to perform cost-based domain filtering in constraint programming models. We investigate other ways of using such relaxations based on computing the frequency of edges in near-optimal solutions to a relaxation. We report early empirical results on symmetric instances from tsplib
Atlas historique: Provence, comté de Nice, Comtat Venaissin, principauté d'Orange, principauté de Monaco. Ouvrage collectif éd. sous la dir. de E. Baratier, G. Duby, E. Hildesheimer
No full textCoste Jean-Paul. Atlas historique: Provence, comté de Nice, Comtat Venaissin, principauté d'Orange, principauté de Monaco. Ouvrage collectif éd. sous la dir. de E. Baratier, G. Duby, E. Hildesheimer. In: Cahiers de civilisation médiévale, 14e année (n°53), Janvier-mars 1971. pp. 77-79
Parte I. Coste e waterfront
No full textCoste e waterfronts: nella tradizione disciplinare e nelle pratiche
consolidate dell’urbanistica i due termini sono stati tenuti spesso separati.
Da un lato la pianificazione delle coste principalmente impegnata
– ai diversi livelli territoriali – sui temi della difesa e dello sviluppo turistico-
balneare, dall’altro i numerosi progetti di waterfront cui le amministrazioni
locali hanno fatto spesso ricorso negli ultimi decenni per
tentare di promuovere il rinnovamento puntuale dei rispettivi fronti
d’acqua (marittimi, fluviali e lacuali). Quasi mai tra pianificazione costiera
e progettazione dei waterfronts è possibile rintracciare politiche
e strategie coordinate.
La frammentazione delle esperienze coincide con la settorializzazione
degli approcci. Comunemente, infatti, lungo la costa si riconoscono
differenti tipologie di waterfront cui associare tecniche, competenze
e saperi distinti. In questa direzione il waterfront costiero e il waterfront
portuale sono stati sempre pensati come domini istituzionali e
culturali differenti.
Il saggio sottolinea come le nozioni di coste e di waterfront
coincidano con la medesima matrice ecologica il cui stato di
salute è sempre più minacciato dai processi di trasformazione in corso
e dagli impatti multipli dei cambiamenti climatici. A tale matrice ecologica
vanno ricondotti i piani e i progetti sulla linea d’acqua
Bibliographie Hilarion G. Petzold 1958 – 2009 mit Anhang als Einführung
No full textDieses Archiv enthält die Gesamtbibliographie der Werke des Autors nebst einiger Texte „Über H. G. Petzold“ im Schlussteil der Bibliographie sowie einen Anhang mit einer Einführung in die Architektur des Werkes in seinem wissenslogischen Aufbau als Ausarbeitung seines „Tree of Science Modells“ (2007).This archive contains the complete bibliography of the author and some texts about H. G. Petzold, moreover an epilogue with an introduction to the architecture of the works in its epistemological structure and composition and as an elaborations of Petzold’s „Tree of Science Modell (2007).https://www.fpi-publikation.de/polyloge/01-2009-petzold-h-g-gesamtbibliographie-h-g-petzold-1958-2009-updating-november2009/peerReviewedpublishedVersio
Dispelling the Myths Behind First-author Citation Counts
No full textWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
Resezione di 4 coste per displasia fibro-cistica controllo a 8 anni. 1975.
No full textSi descrive la resezione di più coste per displasia fibro-cistic
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