Clinical pathway intervention compliance and effectiveness when used in the treatment of patients with severe sepsis and septic shock at an Intensive Care Unit in Spain

The purpose of this quasi-experimental study was to assess levels of compliance with the intervention bundles contained in a clinical pathway used in the treatment of patients with severe sepsis and septic shock, and to analyze the pathway’s impact on survival and duration of hospital stays. We used data on 125 patients in an Intensive Care Unit, divided into a control group (N=84) and an intervention group (N=41). Levels of compliance increased from 13.1% to 29.3% in 5 resuscitation bundle interventions and from 14.3% to 22% in 3 monitoring bundle interventions. In-hospital mortality at 28 days decreased by 11.2% and the duration of hospital stay was reduced by 5 days. Although compliance was low, the intervention enhanced adherence to the instructions given in the clinical pathway and we observed a decline in mortality at 28 days and shorter hospital stays.

Social Changes Reflected in Specialized Languages: Lexical Re-/deconstruction in Lesbian Studies

One of the most important factors of recognition, belonging and identification in scientific communities is their specialized language: doctors, mathematicians and anthropologists feel they are part of a group with which they can interact because they share a common “language”. While ideology is present in all academic registers, it is in human sciences where its presence (or absence) leads to more visible linguistic phenomena. An interesting example is that of lesbian studies: as non-heterosexual members of society have become less stigmatized, lesbian studies have developed a language of their own. In our paper, we shall explore the mechanisms used in the creation of specific vocabulary in this academic area, paying special attention to the refashioning or deconstruction of meaning of established terms as a result of changes in social perception or the challenging of pre-determined meanings.