La pau en moviment. Protestes, polítiques, impactes. Les experiències del moviment per la pau a Itàlia i Espanya. Barcelona, 29-30 d'octubre de 2010

Relatoria del seminario internacional “La paz en movimiento. Protestas, políticas, impactos. Las experiencias del movimiento por la paz en Italia y en España” celebrado en Barcelona en octubre de 2010 y organizado por el Instituto Catalán Internacional para la Paz (ICIP). El seminario tuvo como objetivo propiciar un espacio de intercambio de ideas en el que confluyeran tanto los activistas como los estudiosos del movimiento por la paz italiano y español. La publicación recoge tanto un resumen de las presentaciones realizadas como de los debates generados.

La traducció de llibres japonesos a Espanya : revisió bibliogràfica de textos i paratextos (1930-2005)

Aquesta investigació és un primer pas per a una anàlisi del paper de la traducció en la construcció de la imatge de l'Altre japonès. Aquesta tesina consta d'un corpus de literatura japonesa traduïda a Espanya entre el 1930 i el 2005, incloent els gèneres d'assaig i tècnico-científics, i una anàlisi de les dades principalment quantitativa. S'analitza el tipus de traducció (directa o indirecta) de forma diacrònica i per gèneres, i també la selecció temàtica per observar si es tendeix a l'"exotisme", així com la utilitat dels paratextos per a aconseguir informació sobre el procés traductor

A longitudinal study on delirium in nursing homes.

OBJECTIVE: To investigate the evolution of delirium of nursing home (NH) residents and their possible predictors. DESIGN: Post-hoc analysis of a prospective cohort assessment. SETTING: Ninety NHs in Switzerland. PARTICIPANTS: Included 14,771 NH residents. MEASUREMENTS: The Resident Assessment Instrument Minimum Data Set and the Nursing Home Confusion Assessment Method were used to determine follow-up of subsyndromal or full delirium in NH residents using discrete Markov chain modeling to describe long-term trajectories and multiple logistic regression analyses to determine predictors of the trajectories. RESULTS: We identified four major types of delirium time courses in NH. Increasing severity of cognitive impairment and of depressive symptoms at the initial assessment predicted the different delirium time courses. CONCLUSION: More pronounced cognitive impairment and depressive symptoms at the initial assessment are associated with different subsequent evolutions of delirium. The presence and evolution of delirium in the first year after NH admission predicted the subsequent course of delirium until death.

IPH response to DSD Consultation 'Warmer healthier homes'

Fuel Poverty remains a huge concern across the island with growing numbers of people at risk of being unable to heat their homes. Recession is placing more people at risk of being unable to heat their homes. IPH welcomed DSD commitment to review the 2004 Strategy and the emphasis placed on public health impacts in the consultation, recommending that improving the health of fuel-poor householders is explicitly recognised as a key outcome of the new strategy.

VFM Aduit of Statutory Residential Homes for Older People - Executive Summary - March 2007 (PDF 430 KB)

VFM Audit of Statutory Residential Homes for Older People - Executive Summary (March 2007)

VFM Audit of Statutory Residential Homes for Older People - March 2007 (PDF 1314 KB)

VFM Audit of Statutory Residential Homes for Older People - Final Report (March 2007)

La nación de "los otros". Afrodescendientes porteños y la construcción de la nación argentina a fines del siglo XIX

Investigación producida a partir de una estancia en Buenos Aires en septiembre del 2007. Los procesos de consolidación de las naciones-estado llevan consigo una serie de políticas y prácticas que se focalizan en la construcción del "pueblo". Particularmente, la construcción del estado nacional argentino en el siglo XIX implicó la definición -por parte de los grupos de poder- de un pueblo que cumpliera con las expectativas que se esperaban de una joven nación que se encaminaba hacia la civilización y el progreso, es decir, lo que en esa época se correspondía con un imaginario de pueblo blanco y europeo. Así, se propiciaron políticas de erosión de quienes habitaban en el territorio nacional pero que no cumplían con aquellos mandatos, promoviendo su “invisibilización”. Nosotros trabajamos una de estas comunidades erosionadas de la memoria y de la historia nacional argentina, la comunidad de afrodescendientes de Buenos Aires. El objeto de la investigación que se está llevando a cabo es justamente el análisis de la población afroargentina de Buenos Aires en las últimas décadas del siglo XIX, un momento en que su presencia e historia estaban siendo negadas de los discursos y de las prácticas. Esta investigación de corte histórico-antropológico necesita para su consecución de un trabajo exhaustivo de archivos, objetivo principal de la beca de investigación fuera de Cataluña. Lo que se intentó en el viaje fue encontrar y rescatar fuentes que permitieran entrever las dinámicas de esta comunidad, sus formas de resistir y/o de negociar un estado nacional cada vez más fuerte y que sentaba las bases de lo que debía ser el “pueblo argentino”.

Criminología positivista y anarqusimo en la España de entresiglos (XIX-XX): un debate sobre la naturaleza, la ciencia y el progreso

El estudio hasta el momento de la relación entre positivismo criminológico e ideario anarquista de entre siglos (XIX-XX), ha evidenciado la trascendencia del estudio de aquellos dos pensamiento en esa etapa histórica. El desarrollo de la Criminología como ciencia, así como del verdadero núcleo teórico y práctico del anarquismo español, se encuentra en aquel momento histórico de cambio de siglo. La construcción del tipo criminal anarquista, la política criminal desarrollada al efecto, así como las críticas, propuesta y posturas acerca de la cuestión criminal por parte de los anarquistas, revelan un auge discursivo y científico de ambas partes que estaban discutiendo sobre temas verdaderamente de fondo: aquellos sobre la naturaleza, el progreso y la forma de sociedad y Estado. Más allá de las disputas con aquellos autores de la Scuola Italiana, los anarquistas españoles, avivaron un interés decisivo en otro tipo de teorías como el darwinismo o el neomalthusianismo. Más allá del vehemente rechazo a la cárcel y al sistema estatal y capitalista en su conjunto, el desarrollo y utilización en propio sentido de la Ciencia, se fundamentó como herramienta política básica para el pensamiento anarquista. Por su parte, esa misma Ciencia positiva, era el comodín “objetivo” que se usaba de herramienta para una criminalización y persecución política de numerosas disidencias. Desentrañar, por un lado, cómo se articuló cada uno de esos discursos y qué implicaciones y relaciones tuvo, y por otro, qué herencia pervive de aquellas construcciones en nuestro sistema penal y político, son los puntos centrales de esta Tesis.

¿Som realment diferents els homes i les dones? Anàlisi de les diferències entre ambdós sexes en pacients amb malaltia vascular cerebral.

Es recullen les dades dels pacients amb ictus agut (isquèmic i hemorràgic) que ingressen al nostre servei i es comparen les dades epidemiològiques, clíniques i de pronòstic de dones i homes. En l'anàlisi comparatiu s’objectiven diferències en quant als factors de risc entre ambdós sexes. I es troben factors independents de mal pronòstic en els pacients amb un ictus isquèmic: l'antecedent de cardiopatia isquèmica, l’escala de rankin previ i l'escala canadenca a l'ingrés. En l'anàlisi de regressió logística es troben factors independents de mal pronòstic en els pacients amb una hemorràgia cerebral l'edat i l'escala canadenca a l'ingrés.

Evaluation of an Inspection Model: Homes are for Living in (1991)

Evaluation of an Inspection Model: Homes are for Living in (1991)

Towards a Restraint Free Environment in Nursing Homes

Towards a Restraint Free Environment in Nursing Homes Equality, fairness, respect, dignity, autonomy and participation are core values that underpin human rights. In residential care settings for older people we require that human rights are positively incorporated into the reality of people's lives.In 2009 the National Quality Standards for Residential Care Settings for Older People were approved. At the heart of these standards, and the regulations underpinning them, is the belief that these residential settings are peoples homes, and every possible effort must be made to ensure that the residents can live their lives to the fullest extent possible and enjoy their time there. Click here to download PDF 898KB

Review of the Nursing Homes Support Scheme - Summary of Submissions

When the Nursing Homes Support Scheme, A Fair Deal, was introduced in October 2009, a commitment was made that it would be reviewed after three years. The reason for allowing this period to elapse was to ensure that the Scheme had bedded in and that established and validated trends and statistics would be available in order to inform the work. Public consultation is a key component.   Click here to download PDF 743kb

Universal screening and decolonization for control of MRSA in nursing homes : a cluster randomized controlled study

OBJECTIVE The risk of carrying methicillin-resistant Staphylococcus aureus (MRSA) is higher among nursing home (NH) residents than in the general population. However, control strategies are not clearly defined in this setting. In this study, we compared the impact of standard precautions either alone (control) or combined with screening of residents and decolonization of carriers (intervention) to control MRSA in NHs. DESIGN Cluster randomized controlled trial SETTING NHs of the state of Vaud, Switzerland PARTICIPANTS Of 157 total NHs in Vaud, 104 (67%) participated in the study. INTERVENTION Standard precautions were enforced in all participating NHs, and residents underwent MRSA screening at baseline and 12 months thereafter. All carriers identified in intervention NHs, either at study entry or among newly admitted residents, underwent topical decolonization combined with environmental disinfection, except in cases of MRSA infection, MRSA bacteriuria, or deep skin ulcers. RESULTS NHs were randomly allocated to a control group (51 NHs, 2,412 residents) or an intervention group (53 NHs, 2,338 residents). Characteristics of NHs and residents were similar in both groups. The mean screening rates were 86% (range, 27%-100%) in control NHs and 87% (20%-100%) in intervention NHs. Prevalence of MRSA carriage averaged 8.9% in both control NHs (range, 0%-43%) and intervention NHs (range, 0%-38%) at baseline, and this rate significantly declined to 6.6% in control NHs and to 5.8% in intervention NHs after 12 months. However, the decline did not differ between groups (P=.66). CONCLUSION Universal screening followed by decolonization of carriers did not significantly reduce the prevalence of the MRSA carriage rate at 1 year compared with standard precautions

A Cluster Randomised Controlled Trial to Evaluate a Policy of Making Hip Protectors Available to Residents of Nursing Homes

Objectives: to evaluate the effectiveness of a policy of making hip protectors available to residents of nursing homes. Design: a cluster randomised controlled trial of the policy in nursing and residential homes, with the home as the unit of randomisation. Setting: 127 nursing and residential homes in the greater Belfast area of Northern Ireland. Participants: 40 homes in the intervention group (representing 1,366 occupied beds) and 87 homes in the control group (representing 2,751 occupied beds). Interventions: a policy of making hip protectors available free of charge to residents of nursing homes and supporting the implementation process by employing a nurse facilitator to encourage staff in the homes to promote their use, over a 72-week period. Main outcome measures: the rate of hip fractures in intervention and control homes, and the level of adherence to use of hip protectors. Results: there were 85 hip fractures in the intervention homes and 163 in the control homes. The mean fracture rate per 100 residents was 6.22 in the intervention homes and 5.92 in the control homes, giving an adjusted rate ratio for the intervention group compared to the control group of 1.05 (95% CI 0.77, 1.43, P = 0.76). Initial acceptance of the hip protectors was 37.2% (508/1,366) with adherence falling to 19.9% (272/1,366) at 72 weeks.Conclusions: making hip protectors available to residents of nursing and residential homes did not reduce the rate of hip fracture. This research does not support the introduction of a policy of providing hip protectors to residents of nursing homes.

The last taboo: A guide to dementia, sexuality, intimacy and sexual behaviour in care homes ILC-UK

The International Longevity Centre - UK��launched a new paper (Wednesday, 6th July 2011). The last taboo: A guide to dementia, sexuality, intimacy and sexual behaviour in care homes, provides care home workers and managers with information and practical advice on this complex, controversial and sensitive issue.The need for affection, intimacy and relationships for people with dementia in care homes has too often been ignored and side-lined in policy and practice. The onset of old age or a cognitive impairment does not erase the need for affection, intimacy and/or relationships. While the issues involved can be complex, controversial and sensitive and may challenge our own beliefs and value system, it is essential that we understand more about them to foster a more person-centred approach to dementia care. Care home residents with dementia often have complex care needs and trying to understand and respond to the more intimate and sexual aspects of a resident’s personality can be challenging.Aimed at care home workers and managers, the guide not only provides essential information on this aspect of dementia care but offers practical advice to support current work-based practices. Set out in an accessible and easy-to-read format, this guide includes case studies, questions, suggestions and a self assessment quiz to promote easy learning. It also provides a possible pathway for care home managers to develop a guiding policy on sexual expression in dementia.The guide for care staff is summarised in 10 key points:1. Some residents with dementia will have sexual or sensual needs.2. Affection and intimacy contribute to overall health and wellbeing for residents.3. Some residents with dementia will have the capacity to make decisions about their needs.4. If an individual in care is not competent to decide, the home has a duty of care towards the individual to ensure they are protected from harm.5. There are no hard and fast rules. Assess each situation on an individual basis6. Remember not everyone with dementia is heterosexual.7. Inappropriate sexual behaviour is not particularly common in dementia.8. Confront your own attitudes and behaviour towards older people and sex generally.9. Communicate – look at how you can improve communication with your colleagues, managers, residents and carers on this subject10. Look after yourself and remember your own needs as a care professional��The full paper is available: The Last Taboo