169,770 research outputs found

    HEALTH TECHNOLOGY ASSESSMENT EVIDENCE on E-HEALTH/M-HEALTH TECHNOLOGIES: EVALUATING the TRANSPARENCY and THOROUGHNESS

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    Objectives: Evaluation is crucial for integration of e-Health/m-Health into healthcare systems and health technology assessment (HTA) could offer sound methodological basis for these evaluations. Aim of this study was to look for HTA reports on e-Health/m-Health technologies and to analyze their transparency, consistency and thoroughness, with the goal to detect areas that need improvement. Methods: PubMed, ISI-WOS, and University of York - Centre for Reviews and Dissemination-electronic databases were searched to identify reports on e-Health/m-Health technologies, published up until April 1, 2016. The International Network of Agencies for Health Technology Assessment (INAHTA) checklist was used to evaluate transparency and consistency of included reports. Thoroughness was assessed by checking the presence of domains suggested by the European network for Health Technology Assessment (EUnetHTA) HTA Core Model. Results: Twenty-eight reports published between 1999 and 2015 were included. Most were delivered by non-European countries (71.4 percent) and only 35.7 percent were classified as full reports. All the HTA reports defined the scope of research whereas more than 80 percent provided author details, summary, discussed findings, and conclusion. On the contrary, policy and research questions were clearly defined in around 30 percent and 50 percent of reports. With respect to the EUnetHTA Core Model, around 70 percent of reports dealt with effectiveness and economic evaluation, more than 50 percent described health problem and approximately 40 percent organizational and social aspects. Conclusions: E-Health/m-Health technologies are increasingly present in the field of HTA. Yet, our review identified several missing elements. Most of the reports failed to respond to relevant assessment components, especially ethical, social and organizational implications

    Aspetti innovativi nella miscelazione in situ di limo e argilla per la copertura di discariche controllate

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    Il reimpiego dei limi di risulta dagli scavi, o dal lavaggio di inerti da attività estrattive, nei sistemi barriera di discariche controllate e nella messa in sicurezza di siti contaminati, non è sempre possibile a causa delle loro modeste proprietà geotecniche. Nell’articolo viene illustrata la possibilità di riutilizzo di un siffatto terreno, poco plastico, nella realizzazione della barriera minerale superficiale di una discarica per rifiuti solidi non pericolosi, tramite distinta miscelazione o con bentonite sodica (almeno 5% in peso), o con un’argilla plastica (almeno 20%). E’ stata testata l’efficacia della miscelazione in situ di miscele limo-bentonite e limo-argilla plastica nell’intero volume della copertura, ottenuta impiegando una particolare macchina operatrice, la stabilizzatrice Wirtgen WR2000. E’ stato conseguito un duplice obiettivo: il raggiungimento della plasticità minima di progetto (Ip ≥ 10%) e una significativa diminuzione della conducibilità idraulica. Innegabile, infine, il risvolto strategico connesso al reimpiego di notevolissimi volumi di terreni di risulta che, allo stato naturale, non troverebbero proficua collocazione

    Galen and the Early Moderns

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    This book explores the presence of Galen of Pergamon (129 – c. 216 AD) in early modern philosophy, science, and medicine. After a short revival due to the humanistic rediscovery of his works, the influence of the great ancient physician on Western thought seemed to decline rapidly as new discoveries made his anatomy, physiology, and therapeutics more and more obsolete. In fact, even though Galenism was gradually dismissed as a system, several of his ideas spread through the modern world and left their mark on natural philosophy, rational theology, teleology, physiology, biology, botany, and the philosophy of medicine. Without Galen, none of these modern disciplines would have been the same. Linking Renaissance with the Enlightenment, the eleven chapters of this book offer a unique and detailed survey of both scientific and philosophical Galenisms from the sixteenth to the late eighteenth century. Figures discussed include Julius Caesar Scaliger, Giambattista Da Monte, Hyeronimus Fabricius ab Aquapendente, Andrea Cesalpino, Thomas Browne, Kenelm Digby, Henry More, Ralph Cudworth, Robert Boyle, John Locke, Guillaume Lamy, Jean-Baptiste Verduc, Gottfried Wilhelm Leibniz, Christian Wolff, Julien Offray de La Mettrie, Denis Diderot, and Kurt Sprengel

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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