1,361 research outputs found
Complex systems modeling for supply and demand in health and social care
No full textThis paper introduces a major new cross-disciplinary research project that looks at the UK health and social care system, as part of an ambitious, broader initiative to apply methods from complexity science to a range of key global challenges. This particular project aims to develop new, integrated models for the supply and demand of both health and social care, in the context of the societal change brought about by migration, mobility and the ageing population. We discuss the background to the work, and the broad way in which we intend to leverage complexity science. This is made more specific with a brief discussion on existing demographic models, and some examples of model-building in progress. We conclude with a glimpse into the subtly difficult problems of fostering such innovative interdisciplinarity
Vaginal metastasis from uterine leiomyosarcoma: Magnetic resonance imaging features with pathological correlation
No full textVaginal metastases, though more frequent than primary vaginal tumors, are rare. Except for isolated reports of metastatic disease arising from extragenital organs, the vagina is typically a site for metastatic disease from genitourinary tract sites, especially cervix, endometrium, and kidney. We present herein a case of a 68-year-old woman presenting with a vaginal metastasis as the first manifestation of a uterine leiomyosarcoma. The magnetic resonance imaging features are described and correlated with the pathological findings. To the best of our knowledge, this is the first case of vaginal metastasis from uterine leiomyosarcoma described in the literature
Linked lives: the utility of an agent-based approach to modelling partnership and household formation in the context of social care
No full textThe UK’s population is aging, which presents a challenge as older people are the primary users of health and social care services. We present an agent-based model of the basic demographic processes that impinge on the supply of, and demand for, social care: namely mortality, fertility, health-status transitions, internal migration, and the formation and dissolution of partnerships and households. Agent-based modeling is used to capture the idea of “linked lives” and thus to represent hypotheses that are impossible to express in alternative formalisms. Simulation runs suggest that the per-taxpayer cost of state-funded social care could double over the next forty years. A key benefit of the approach is that we can treat the average cost of state-funded care as an outcome variable, and examine the projected effect of different sets of assumptions about the relevant social processes
MR Imaging features of solid pseudopapillary tumor of the pancreas in adult and pediatric patients
No full textOBJECTIVE. This study was conducted to describe the MR imaging features of solid pseudopapillary tumor of the pancreas. CONCLUSION. Solid pseudopapillary tumor of the pancreas, a tumor typically seen in young women, is a large, well-defined, encapsulated lesion with heterogeneous high or low signal intensity on T1-weighted, heterogeneous high signal intensity on T2-weighted, and early peripheral heterogeneous enhancement with progressive fill-in on gadolinium-enhanced dynamic MR imaging. These features help differentiate this rare tumor from other pancreatic neoplasms
Temporal and spatial variability in speakers with Parkinson's Disease and Friedreich's Ataxia
No full textSpeech variability in groups of speakers with Parkinson's disease (PD) and with Friedreich's ataxia was compared with healthy controls. Speakers repeated the same phrase 20 times at one of two rates (fast or habitual). A non-linear analysis of variability was performed which used some of the principles behind the spatio-temporal index (STI). The STI usually employs variation in lip displacement over repetitions of the same utterance and a linear analysis of such signals is conducted to represent the combined variation in spatial and temporal control. When working with patients, audio measures (here we used speech energy) are preferred over kinematics ones as they are minimally disruptive to speech. Non-linear methods allow spatial variability to be estimated separately from temporal variability. The results are tentatively interpreted as showing that PD speakers were distinguished from healthy control speakers in spatial variability and ataxic speakers were distinguished from controls in temporal variability. These findings are consistent with the speech symptoms reported for these disorders. We conclude that the non-linear analysis using the speech energy measure is worth investigating further as it is potentially revealing of the differences underlying these two pathologies
Hybrid simulation for health and social care: the way forward, or more trouble than it’s worth?
No full textPart II/1 Group "A": 41. Articles & papers: published & unpublished. Part 3
No full textIncludes several published and unpublished Anthropology papers. Those are: 'The Banabans of Rabi Island and their Economic Affairs' (author unknown), 'Non-unilinear Kin Groups in the Gilbert Islands' by Ward H. Goodenough, 'Category and Group in Gilbertese Kinship: an Updating of Goodenough's analysis' by Henry P. Lundsgaarde and Martin G. Silverman, 'Boti' a preliminary draft of that same paper by Lundsgaarde and Silverman, 'Banaban Adoption' by Silverman, 'The Evolution of Polynesian Chiefdoms and the Tungaru Transformations' by Jean-Paul Latouch
. 87 (2014) enero-abril. Historias. Revista de la Dirección de Estudios Históricos
No full text- Muerto otra vez. Del libro, cada generación reescribe el epitafio por Leah Price. - El libro vive por Gillian Silverman. - Las Mesas Redondas de Palenque por Merle Greene Robertson. - Comentario sobre una omisión por Julia Tuñón. - La participación de los linajes de Malinalco en la congregación de 1600 por Felipe Santiago Cortez. - Bonanza minera en los reales de San Nicolás de Croix y San José, según el Informe de Melchor Noriega, 1768-1772 por Alejandro Mandujano. - Milicias en El Carrizal: los hombres bravíos y el miedo a los indios, 1825-1836 por Cuauhtémoc Velasco. - El discurso económico y la acción política de El Mercurio en la coyuntura presidencial de Chile en 1970 por Leonardo Mazzei de Grazia y Danny Monsálvez Araneda. - La Biblioteca “Luis González Obregón” por Brenda María Valdez y Rocío González. - La grulla y el cordero: ejemplares nociones por Rebeca Monroy Nasr. - La prensa, la política porfiriana y “los rebeldes de la bandera roja” por Fausta Gantús. - Crestomanía por José Mariano Leyva
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