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- Remme, Willem J, et al.
(författare)
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Awareness and perception of heart failure among European cardiologists, internists, geriatricians, and primary care physicians.
- 2008
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Ingår i: European Heart Journal. - : Oxford University Press (OUP). - 0195-668X .- 1522-9645. ; 29:14, s. 1739-52
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: To assess awareness of heart failure (HF) management recommendations in Europe among cardiologists (C), internists and geriatricians (I/G), and primary care physicians (PCPs). METHODS AND RESULTS: The Study group on HF Awareness and Perception in Europe (SHAPE) surveyed randomly selected C (2041), I/G (1881), and PCP (2965) in France, Germany, Italy, the Netherlands, Poland, Romania, Spain, Sweden, and the UK. Each physician completed a 32-item questionnaire about the diagnosis and treatment of HF (left ventricular ejection fraction <40%). This report provides an analysis of HF awareness among C, I/G, and PCP. Seventy-one per cent I/G and 92% C use echocardiography, and 43% I/G and 82% C use echo-Doppler as a routine diagnostic test (both P < 0.0001). In contrast, 75% PCP use signs and symptoms to diagnose HF. Fewer I/G would use an angiotensin-converting enzyme (ACE)-inhibitor in >90% of their patients (64 vs. 82% C, P < 0.0001), whereas only 47% PCP would routinely prescribe an ACE-inhibitor. Worsening HF was considered a risk of ACE-inhibitor therapy by 35% PCP. I/G and PCP consistently do not prescribe target ACE-inhibitor doses (P < 0.0001 vs. C). Only 39% I/G would use a beta-blocker in >50% of their patients (vs. 73% C, P < 0.0001). Also, only 5% PCP would always, and 35% often, prescribe a beta-blocker and reach target doses in only 7-29%. Moreover, 34% PCP and 26% I/G vs. 11% C (P < 0.0001) do not start a beta-blocker in patients with mild HF, who are already on an ACE-inhibitor and are on diuretic. In mild, stable HF, 39% PCP and 18% I/G would only prescribe diuretics, vs. 7% C (P < 0.0001). In patients with worsening HF in sinus rhythm and on an optimal ACE-inhibitor, beta-blockade and diuretics, significantly more C would add spironolactone, but I/G would more often add digoxin. CONCLUSION: Although each physician group lacks complete adherence to guideline-recommended management strategies, these are used significantly less well by I, G, and PCPs, indicating the need for education of these essential healthcare providers.
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| 2. |
- Kleiner, Alexander, et al.
(författare)
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RFID Technology-based Exploration and SLAM for Search And Rescue
- 2006
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Ingår i: <em>Proc. of the IEEE/RSJ Int. Conf. on Intelligent Robots and Systems (IROS)</em>. - : IEEE conference proceedings. - 1424402581 ; , s. 4054-4059
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Konferensbidrag (refereegranskat)abstract
- Robot search and rescue is a time critical task, i.e. a large terrain has to be explored by multiple robots within a short amount of time. The efficiency of exploration depends mainly on the coordination between the robots and hence on the reliability of communication, which considerably suffers under the hostile conditions encountered after a disaster. Furthermore, rescue robots have to generate a map of the environment which has to be sufficiently accurate for reporting the locations of victims to human task forces. Basically, the robots have to solve autonomously in real-time the problem of Simultaneous Localization and Mapping (SLAM). This paper proposes a novel method for real-time exploration and SLAM based on RFID tags that are autonomously distributed in the environment. We utilized the algorithm of Lu and Milios for calculating globally consistent maps from detected RFID tags. Furthermore we show how RFID tags can be used for coordinating the exploration of multiple robots. Results from experiments conducted in the simulation and on a robot show that our approach allows the computationally efficient construction of a map within harsh environments, and coordinated exploration of a team of robots.
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