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- Chronic heart failure (1)
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Background Heart failure (HF) is a complex, chronic condition that is associated with debilitating symptoms, all of which necessitate close follow-up by health care providers. Lack of disease monitoring may result in increased mortality and more frequent hospital readmissions for decompensated HF. Remote patient management (RPM) in this patient population may help to detect early signs and symptoms of cardiac decompensation, thus enabling a prompt initiation of the appropriate treatment and care before a manifestation of HF decompensation. Objective The objective of the present article is to describe the design of a new trial investigating the impact of RPM on unplanned cardiovascular hospitalisations and mortality in HF patients. Methods The TIM-HF2 trial is designed as a prospective, randomised, controlled, parallel group, open (with randomisation concealment), multicentre trial with pragmatic elements introduced for data collection. Eligible patients with HF are randomised (1:1) to either RPM + usual care or to usual care only and are followed for 12 months. The primary outcome is the percentage of days lost due to unplanned cardiovascular hospitalisations or all-cause death. The main secondary outcomes are all-cause and cardiovascular mortality. Conclusion The TIM-HF2 trial will provide important prospective data on the potential beneficial effect of telemedical monitoring and RPM on unplanned cardiovascular hospitalisations and mortality in HF patients.
The overhead of moving data is the major limiting factor in todays hardware, especially in heterogeneous systems where data needs to be transferred frequently between host and accelerator memory. With the increasing availability of hardware-based compression facilities in modern computer architectures, this paper investigates the potential of hardware-accelerated I/O Link Compression as a promising approach to reduce data volumes and transfer time, thus improving the overall efficiency of accelerators in heterogeneous systems. Our considerations are focused on On-the-Fly compression in both Single-Node and Scale-Out deployments. Based on a theoretical analysis, this paper demonstrates the feasibility of hardware-accelerated On-the-Fly I/O Link Compression for many workloads in a Scale-Out scenario, and for some even in a Single-Node scenario. These findings are confirmed in a preliminary evaluation using software-and hardware-based implementations of the 842 compression algorithm.