Browsing by Subject "puits"

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    Open Access
    ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle
    (2016) Bousquet, J; Hellings, P W; Agache, I; Bedbrook, A; Bachert, C; Bergmann, K C; Bewick, M; Bindslev-Jensen, C; Bosnic-Anticevitch, S; Bucca, C; Caimmi, D P; Camargos, P A M; Canonica, G W; Casale, T; Chavannes, N H; Cruz, A A; De Carlo, G; Dahl, R; Demoly, P; Devillier, P; Fonseca, J; Fokkens, W J; Guldemond, N A; Haahtela, T; Illario, M; Just, J; Keil, T; Klimek, L; Kuna, P; Larenas-Linnemann, D; Morais-Almeida, M; Mullol, J
    Abstract The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA—disseminated and implemented in over 70 countries globally—is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease.
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    Open Access
    H i kinematics, mass distribution and star formation threshold in NGC 6822, using the SKA pathfinder KAT-7
    (2017) Namumba, B; Carignan, C; Passmoor, S; de Blok, W J G
    We present high sensitivity H I observations of NGC 6822, obtained with the Karoo Array Telescope (KAT-7). We study the kinematics, the mass distribution and the star formation thresholds. The KAT-7 short baselines and low system temperature make it sensitive to large-scale, low surface brightness emission. The observations detected ∼ 23 per cent more flux than previous Australian Telescope Compact Array observations. We fit a tilted ring model to the H I velocity field to derive the rotation curve (RC). The KAT-7 observations allow the measurement of the rotation curve of NGC 6822 out to 5.8 kpc, ∼1 kpc further than existing measurements. NGC 6822 is seen to be dark matter dominated at all radii. The observationally motivated pseudo-isothermal dark matter (DM) halo model reproduces well the observed RC while the Navarro Frank-White DM model gives a poor fit to the data. We find the best-fitting mass-to-light ratio (M/L) of 0.12 ± 0.01 which is consistent with the literature. The modified Newtonian dynamics gives a poor fit to our data. We derive the star formation threshold in NGC 6822 using the H I and H α data. The critical gas densities were calculated for gravitational instabilities using the Toomre-Q criterion and the cloud-growth criterion. We found that in regions of star formation, the cloud-growth criterion explains star formation better than the Toomre-Q criterion. This shows that the local shear rate could be a key player in cloud formation for irregular galaxies such as NGC 6822.
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    Information systems for mental health in six low and middle income countries: cross country situation analysis
    (2016) Upadhaya, Nawaraj; Jordans, Mark J D; Abdulmalik, Jibril; Ahuja, Shalini; Alem, Atalay; Hanlon, Charlotte; Kigozi, Fred; Kizza, Dorothy; Lund, Crick; Semrau, Maya; Shidhaye, Rahul; Thornicroft, Graham; Komproe, Ivan H; Gureje, Oye
    Abstract Background Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. Methods With the aim of informing the development and implementation of a mental health information sub-system that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the ‘Emerging mental health systems in low and middle income countries’ (Emerald) research programme. A situation analysis tool was developed to obtain and chart information from documents in the public domain. In circumstances when information was inadequate, key government officials were contacted to verify the data collected. In this paper we compare the baseline policy context, human resources situation as well as the processes and mechanisms of collecting, verifying, reporting and disseminating mental health related HMIS data. Results The findings suggest that countries face substantial policy, human resource and health governance challenges for mental health HMIS, many of which are common across sites. In particular, the specific policies and plans for the governance and implementation of mental health data collection, reporting and dissemination are absent. Across sites there is inadequate infrastructure, few HMIS experts, and inadequate technical support and supervision to junior staff, particularly in the area of mental health. Nonetheless there are also strengths in existing HMIS where a few mental health morbidity, mortality, and system level indicators are collected and reported. Conclusions Our study indicates the need for greater technical and resources input to strengthen routine HMIS and develop standardized HMIS indicators for mental health, focusing in particular on indicators of coverage and quality to facilitate the implementation of the WHO mental health action plan 2013–2020.