Process management in healthcare.Sant Camil Hospital case study

Nowadays due to the crisis, some government measures are aimed at reducing healthcare spending, affecting in some level or another the quality offered. Process management is said to be a useful tool for reducing healthcare costs by improving management without any additional economic investment. That is doing more with the same resources and without reducing the quality offered. In this study an empirical case of a Catalan hospital is presented. Overall, the usefulness of process management in the healthcare sector is shown and some tips are provided for those managers that want to implement this management system in their hospitals. This work is also interesting for those managers responsible for the National Healthcare System due to a big question is stated: what would happen if process management was implemented in the whole healthcare system?

Nourriture et santé dans la médecine grecque ancienne

Presentado en el IIe Colloque International de l'IEHA: « Un aliment sain dans un corps sain ». Perspectives historiques - «Healthy Food in a Healthy Body», organizado por el Institut Européen d'Histoire de l'Alimentation y celebrado en Tours los días 14 y 15 de diciembre de 2002.

Francesc Gusi i Jener (1942-2012): in memoriam

Homenaje a Georges Laplace, realizado en Vitoria-Gasteiz el 13,14 y 15 de noviembre de 2012. Edición a cargo de Aitor Calvo, Aitor Sánchez, Maite García-Rojas y Mónica Alonso-Eguíluz.

Rapid determination of total CLA concentration in beef fat

[EN]Conjugated linoleic acid (CLA) has many potential healthful properties, and beef is naturally enriched with CLA. Simple and rapid methods to measure total CLA were investigated to enable sorting of beef carcasses with potential enhanced economic value. Direct alcohol extraction combined with measuring absorbance was simple, accurate and perhaps the most viable method for rapid carcass sorting compared to methods using saponification or methylation followed by extraction.

Subcutaneous fat composition of youthful and mature Canadian beef: emphasis on individual conjugated linoleic acid and trans-18:1 isomers

[EN]A comprehensive evaluation of the fatty acid composition of subcutaneous adipose tissue from beef cattle produced in western Canada was undertaken to determine if the current Canadian grading system is able to distinguish classes of animals with value added potential due to their fatty acid composition. Grades included youthful Canadian Yield Grade 1 A/AA beef, under (YUTM) and over (YOTM) 30 mo of age and the four mature grades (D1, D2, D2 and D4). Subcutaneous fat between the 12th and 13th ribs over the longissimus muscle was obtained from 18_21 animals per grade. Fatty acids were analyzed using a combination of silver-ion HPLC and GC with a highly polar 100 m column. There were no differences in total trans-18:1 content amongst grades, but adipose tissue from grade D1, D2 and D4 had more 11t-18:1 than YUTM (PB0.05), whereas adipose tissue from YUTM carcasses had more 10t-18:1 than all other grades (PB0.05). Adipose tissue from YUTM carcasses also had less total CLA (PB0.05) than the D grades, mainly due to a lower level of 9c,11t-CLA, but they had slightly more 7t,9c-CLA and 10t,12c-CLA (PB0.05). Adipose tissue from YOTM and D grades contained more n-3 fatty acids relative to YUTM (0.56% vs. 0.29%; PB0.05) and lower n-6:n-3 ratios (PB0.05). Overall, older animals (YOTM and D grades) had adipose tissue compositions with higher levels of fatty acids with reported health benefits. Taken together, these higher levels may provide opportunities for value added marketing if regulatory authorities allow claims for their enrichment based on demonstrated health benefits. Higher concentrations of beneficial fatty acids, however, need to be considered within the context of the complete fatty acid profile and it would be important to demonstrate their advantages in the presence of relatively high levels of saturated fatty acids.

Survey of the fatty acid composition of Canadian beef: Backfat and longissimus lumborum muscle

[EN]A survey of Canadian retail beef was undertaken with emphasis on the trans fatty acid (TFA) and conjugated linoleic acid (CLA) isomers, and compared with current health recommendations. Thirty striploin steaks were collected in the winter and summer from major grocery stores in Calgary (Alberta, Canada). Steak fatty acid compositions (backfat and longissimus lumborum muscle analysed separately) showed minor seasonal differences with lower total saturates (PB0.05) and higher total monounsaturates (PB 0.01) in winter, but no differences in total polyunsaturated fatty acids. The ratio of n-6 and n-3 polyunsaturated fatty acid in longissimus lumborum averaged 5.8. The average TFA content in longissimus lumborum was 0.128 g 100 g_1 serving size, and 10t-18:1 was found to be the predominant isomer (32% of total trans), while vaccenic acid was second most abundant (15% of total trans). The CLA content in longissimus lumborum was similar to that of backfat, ranging from 0.43 to 0.60% of total fatty acids and rumenic acid represented 60% of total isomers. Overall, there is still room for improvement in the saturated, mono- and polyunsaturated fatty acid composition of Canadian beef to meet general dietary guidelines for human consumption and additional targets should include reducing 10t-18:1 while increasing both rumenic and vaccenic acids.

Dietary vitamin E inhibits the trans 10-18:1 shift in beef backfat

[EN]Forty feedlot steers were fed a barleygrain-based finishing diet typical for western Canada, with two levels of supplementary vitamin E (468 or 1068 IU head_1 d_1) and the effect on backfat trans-18:1 isomeric profile was determined. Feeding 1068 IU vitamin E reduced the total trans-18:1 content in backfat (P<0.01), as well as the percentage of trans 10-18:1 (P<0.001), which are related to an increased risk for cardiovascular diseases. On the other hand, trans 11-18:1 (vaccenic acid) the precursor for cis 9,trans 11- 18:2 (rumenic acid), which have several purported health benefits, increased (P<0.01). Vitamin E could, therefore, be used to decrease trans-18:1 in beef and improve its isomeric profile.

Review: Trans-forming beef to provide healthier fatty acid profiles

[EN]Trans fatty acids are found naturally in foods, particularly in those derived from ruminant animals, such as beef and dairy cattle. Over the past few decades, human consumption of trans fatty acids has increased, but this has been mainly from products containing partially hydrogenated vegetable oils. The correlation of trans fatty acid consumption with diseases such as coronary heart disease has been cause for concern, and led to recommendations to reduce their consumption. Trans fatty acids, however, have differing effects on human health. Therefore, in foods produced from ruminant animals, it is important to know their trans fatty acid composition, and how to enrich or deplete fatty acids that have positive or negative health effects. This review will cover the analysis of trans fatty acids in beef, their origin, how to manipulate their concentrations, and give a brief overview of their health effects.

Short communication: Rapid separation of cis9, trans11- and trans7,cis9-18:2 (CLA) isomers from ruminant tissue using a 30 m SLB-IL111 ionic column

[EN]Rumenic acid (cis9,trans11-18:2) is the main natural isomer of conjugated linoleic acid (CLA). Rumenic acid has many purported health benefits, but effects of most other CLA isomers are unknown. Typically trans7,cis9-18:2 is the second most abundant CLA isomer, but it co-elutes with rumenic acid on conventional polar gas chromatography (GC) columns, requiring complimentary analysis with silver-ion high performance liquid chromatography (Ag(+)-HPLC). Herein we report a rapid method for analyzing rumenic acid and trans7,cis9-18:2 using a 30 m ionic-liquid GC column. Optimal resolution of the two CLA isomers was at 145 degrees C and analysis of backfat from barley-fed cattle compared well with GC/Ag(+)-HPLC (y =0.978x - 0.031, r =0.985, P <0.001).

Clasificadores supervisados para predecir la abstinencia a 12 meses en fumadores tratados con vareniclina

Tesis leida dentro del Master de "Ingeniería Computacional y Sistemas Inteligentes"

Cliente UCH para smartphones sobre Android

El objetivo del proyecto consiste en la creación de una aplicación cliente de UCH para Android, capaz de controlar “dispositivos objetivos”. Teniendo como base el PFC de Borja Gamecho, titulado “Estudio del estándar URC y su aplicación a sistemas embebidos usando una implementación Java del UCH”, proyecto que pertenece al campo de la inteligencia ambiental (AmI). La construcción de un sistema capaz de controlar dispositivos de manera sencilla y ubicua fue la motivación para la realización de este proyecto, ya que con él, se puede conseguir un control universal de nuestro entorno, permitiendo eliminar barreras por ejemplo, para personas con discapacidad. En este proyecto se ha estudiado el centro de control universal (UCH) junto con el protocolo URC-HTTP. También se ha investigado sobre la plataforma Android, para posteriormente usarlo como base para el desarrollo de un URC (cliente para el control del UCH y del entorno). Como principal conclusión, el presente trabajo permite avanzar en la propuesta de encontrar un estándar capaz de controlar nuestro entorno desde cualquier smartphone, tablet,... de forma ubicua y sencilla.

Programa fomento de la deportividad y prevención de la violencia en el deporte escolar

La presente documentación recoge una propuesta de intervención, complementaria al programa “Deportividad y Violencia en el Fútbol Base” del Consejo Superior de Deportes (03/SAL30/04 y 03/SAL30/05) que durante cuatro años se ha realizado en la Provincia de Álava. En este proyecto, gracias al apoyo de la Diputación Foral de Álava, se ha pretendido implicar a la mayoría de agentes (profesores de Educación Física, entrenadores, padres/madres, árbitros, representantes institucionales, deportistas de élite, medios de comunicación) que de manera directa o indirecta rodean a los jóvenes deportistas en los contextos deportivos escolares. Además, señalar que las actuaciones propuestas en el programa que se presenta, se fundamentan en el Programa multicomponente “Juguemos Limpio en el Deporte Base”, dirigido desde el Departamento de Psicología y Sociología de la Universidad de Zaragoza.

La actividad del World Café, una herramienta para la evaluación y desarrollo de los valores en el deporte escolar

[ES] El presente trabajo presenta una experiencia aplicada que pretende conocer las opiniones, de los agentes sociales que rodean a los jóvenes deportistas, para la promoción de valores. A través de la actividad del World Café, los agentes sociales implicados en el deporte escolar aportaron orientaciones enfocadas a mejorar la calidad educativa del deporte. Un grupo de 56 participantes [padres/madres (8), árbitros (8), profesores de educación física (8), entrenadores (8), deportistas de élite (8), deportistas escolares (8) y representantes institucionales (8)] debatieron, desde su perspectiva, cómo consideraban que podían ayudar en la promoción de valores en los contextos deportivos escolares en los que participan. Entre los resultados más relevantes destacan, la necesidad de concretar desde el propio centro escolar los valores que se pretenden promocionar a través del deporte; en segundo lugar, la importancia de llevar a cabo una coordinación entre los agentes directos que rodean a los jóvenes deportistas; y finalmente, llevar a cabo una formación dirigida a monitores y padres/madres, que les permita adquirir herramientas adecuadas para la promoción de valores.