The IRYSS-COPD appropriateness study: objectives, methodology, and description of the prospective cohort

Background: Patients with chronic obstructive pulmonary disease (COPD) often experience exacerbations of the disease that require hospitalization. Current guidelines offer little guidance for identifying patients whose clinical situation is appropriate for admission to the hospital, and properly developed and validated severity scores for COPD exacerbations are lacking. To address these important gaps in clinical care, we created the IRYSS-COPD Appropriateness Study. Methods/Design: The RAND/UCLA Appropriateness Methodology was used to identify appropriate and inappropriate scenarios for hospital admission for patients experiencing COPD exacerbations. These scenarios were then applied to a prospective cohort of patients attending the emergency departments (ED) of 16 participating hospitals. Information was recorded during the time the patient was evaluated in the ED, at the time a decision was made to admit the patient to the hospital or discharge home, and during follow-up after admission or discharge home. While complete data were generally available at the time of ED admission, data were often missing at the time of decision making. Predefined assumptions were used to impute much of the missing data. Discussion: The IRYSS-COPD Appropriateness Study will validate the appropriateness criteria developed by the RAND/UCLA Appropriateness Methodology and thus better delineate the requirements for admission or discharge of patients experiencing exacerbations of COPD. The study will also provide a better understanding of the determinants of outcomes of COPD exacerbations, and evaluate the equity and variability in access and outcomes in these patients.

The Computer Input/Output Subsystem Education in an undergraduate introductory course: a Multiperspective Study

240 p.

Planta de generación de energía eléctrica de 5MWe mediante lodos de EDAR

[ES]Este proyecto pretende plantear una solución viable y que, por tanto, resulte económicamente rentable, para la gestión de los lodos de depuradora generados en una estación de tratamiento de aguas residuales. Así, este documento se centrará, por una parte, en realizar un acercamiento al mundo de la depuración de aguas residuales y en estudiar los distintos procesos y tratamientos que se llevan a cabo en una depuradora, y por otra, planteará la valorización energética de los lodos mediante su combustión en una planta de generación de energía eléctrica como la solución al problema de gestión que suponen, no sin antes haber valorado las distintas alternativas posibles en cuanto a la salida que se les podría dar a estos fangos. De esta forma, la base del proyecto, una vez se haya optado por la alternativa de la valorización energética como la opción a desarrollar, consistirá en plantear los principios y fundamentos necesarios para el diseño de la planta de generación de energía eléctrica mediante lodos de depuradora que se pretenderá instalar. Se realizará, por tanto, una descripción de la planta generadora de electricidad detallándose el proceso que se llevará a cabo en la misma. Asimismo, se realizará el dimensionamiento de los diferentes equipos que tomarán parte en dicho proceso. Para finalizar, se planteará el estudio económico y de rentabilidad del proyecto que constituirá la creación de una planta de generación eléctrica mediante lodos, con el fin de comprobar el grado de viabilidad del mismo, y se analizarán los posibles riesgos a los que puede exponerse un proyecto de este tipo.

La enseñanza del euskera en Argentina durante el 'Renacimiento Vasco': el 'Curso primero del idioma basko en dialecto guipuzkuano' (1912) de Soloeta-Dima

Buena parte de lo expuesto en este artículo fue presentado por el autor en las IV Jornadas de Lingüística Vasco-Románica (Universidad de Deusto, Bilbao, 29 de noviembre de 2013)

Addressing students' difficulties with Faraday's law: A guided problem solving approach

In traditional teaching, the fundamental concepts of electromagnetic induction are usually quickly analyzed, spending most of the time solving problems in a more or less rote manner. However, physics education research has shown that the fundamental concepts of the electromagnetic induction theory are barely understood by students. This article proposes an interactive teaching sequence introducing the topic of electromagnetic induction. The sequence has been designed based on contributions from physics education research. Particular attention is paid to the relationship between experimental findings (macroscopic level) and theoretical interpretation (microscopic level). An example of the activities that have been designed will also be presented, describing the implementation context and the corresponding findings. Since implementing the sequence, a considerable number of students have a more satisfactory grasp of the electromagnetic induction explicative model. However, difficulties are manifested in aspects that require a multilevel explanation, referring to deep structures where the system description is better defined.