Estudio piloto sobre el manejo de la fluidoterapia intravenosa en pacientes adultos de un hospital de tercer nivel.

The purpose of intravenous fluid therapy (IFT) is to maintain or restore internal equilibrium by administering fluids and/or different electrolyte components. Its correct use and the prevention of complications arising from their misuse depend on the knowledge of the medical team on this subject. We analyzed this issue in different clinical areas of a tertiary hospital. MATERIAL AND METHODS We performed a descriptive cross-sectional pilot study via a questionnaire given to physicians specializing in internal medicine (IM) and digestive system surgery (SDS) who perform clinical practice in hospital units with unit dose drug dispensing system. We designed an anonymous questionnaire with 25 questions relative to knowledge of theory and practices, as well as the opinion of physicians regarding IFT. We evaluated the association between nominal qualitative variables with the Chi-square or Fisher's exact test. The behavior of the quantitative variables was assessed using the t-student test. The analysis of the data was generated using SAS/STAT, Version 9. RESULTS 28 questionnaires were collected from 13 surgeons and 15 digestive interns. Over 40% of specialists considered further education in IFT a necessity , especially regarding its prescription (SDS: 61.54%, IM: 71.43%). No statistically significant differences were found between the specialties in terms of perceived frequency of complications associated with IFT or in the frequency indication with the exception of hypovolemic shock, which is considered to be more prevalent in gastrointestinal surgery (p = 0.046). 90% of professionals prefer an individualized prescription. Statistically significant differences in terms of scores in the area of knowledge, with IM physicians achieving the highest scores (p = 0.014). There were also differences in attitude but they are not significant (p = 0.162). Knowledge of intravenous fluid increases with years of clinical experience (Spearman correlation coefficient = 0.386, p = 0.047). CONCLUSIONS The professionals who prescribe IFT perceive the need to design IFT training programs, together with the production of guides and consensus protocols.

Análisis de contenidos de páginas web sobre servicios de control de plagas en salud pública

Introduction: Our goal was to know the web contents and examine the technical information pest control services available to users through their webpages. Method: A total of 70 webpages from biocides services in the province of Málaga (Spain) were analyzed. We used 15 evaluation indicators grouped into 5 parameters relating to data of the service provider; information’s reliability and services; accuracy of content and writing style; technical resources and interaction with the users. As test instruments were used sectoral legislation, official records of products and deliveries, standards and technical guides. Results: Companies showed a remarkable degree of awareness with the implementation and use of new technologies. Aspects negative that they can have an impact on the confidence of users, relating to the reliability of the information and deficiencies associated with the description of the services portfolio and credentials of the companies were identified. The integration and use of collaborative platforms 2.0 was poorly developed and squandered. Discussion: It is possible to improve the trust of users intervening in those aspects that affect the reliability of the information provided on the web.

Multiculturalitat i interculturalitat en la Història de Catalunya

La finalitat de la recerca, concebuda com a recerca aplicada ha consistit en confegir un manual d’història de Catalunya (Catalunya+suma) especialment destinat a la immigració. El treball havia de contextualizar aspectes generals d’història política, social i cultural (endògenes), amb les aportacions, ètniques i culturals (exògenes) rebudes a Catalunya al llarg del temps i que han configurat al capdavall la societat catalana, entesa com a formació cultural i socio-política, les variables de la qual han estat en contínua coevolució. Per tant tractar la dialèctica de com, en un període de temps, les aportacions exògenes és converteixen en endògenes, i sempre en una perspectiva temporal i històrica, ha estat l’objectiu del treball. La recerca bibliogràfica i la transposició didàctica han estat les principals components metodològiques. S’han tingut especialment en compte les aportacions de la historiografia contemporània, tot i que s’ha fet un esforç per integrar coneixement generat dels del punt de vista de l’arqueologia i l’antropologia, història de l’art, sociologia, etc. Pel que fa a la recerca didàctica el tret més important ha estat, precisament, el procés de transposició didàctica destinat a convertir el saber disciplinar en saber comprensible. El projecte “Multiculturalitat i interculturalitat en la Història de Catalunya” ha generat un estudi històric i didàctic de síntesi sobre història del país que es concreta en el manual “Catalunya+Suma”. Es tracta d’un manual d‘història de Catalunya dirigit a un horitzó d’ampli espectre i de manera molt especial als immigrants. Cal destacar també que el treball te un caràcter inicial i iniciàtic i que te possibilitats de desenvolupament posterior a partir de l’elaboració de materials didàctics i guies patrimonials expressament adreçada a la immigració i entorns afins. El manual “Catalunya+suma" vol incidir, prioritàriament en la formació inicial i permanent de la immigració, i en els espais formals, i no formals, d’ensenyament i aprenentatge.

Free-and open source software for a course on network management: authoring and enactment of scripts based on collaborative learning strategies

This paper describes a Computer-Supported Collaborative Learning (CSCL) case study in engineering education carried out within the context of a network management course. The case study shows that the use of two computing tools developed by the authors and based on Free- and Open-Source Software (FOSS) provide significant educational benefits over traditional engineering pedagogical approaches in terms of both concepts and engineering competencies acquisition. First, the Collage authoring tool guides and supports the course teacher in the process of authoring computer-interpretable representations (using the IMS Learning Design standard notation) of effective collaborative pedagogical designs. Besides, the Gridcole system supports the enactment of that design by guiding the students throughout the prescribed sequence of learning activities. The paper introduces the goals and context of the case study, elaborates onhow Collage and Gridcole were employed, describes the applied evaluation methodology, anddiscusses the most significant findings derived from the case study.

Development of the Iowa Drainage Law Manual, March 2005

Although Iowa has some of the most productive agricultural land in the nation, it also maintains a very extensive road network.Consequently, landowners and roadway officials often must deal with drainage issues affecting private lands and public highways. However, many individuals are unfamiliar with legal drainage requirements, practices, and procedures, which can result in misunderstandings concerning maintenance responsibilities for drainage facilities, sometimes leading to litigation. To assist propertyowners, public agencies, and others with interest in better understanding drainage maintenance responsibilities, a reference manual was developed to describe Iowa’s drainage laws and offer interpretations in a clear and concise manner. To develop a comprehensive drainage manual, researchers identified and reviewed current available literature. These resources described pertinent drainage issues and presented explanations of legal responsibilities. The literature review included manuals and guides from Iowa, surrounding states, and federal agencies. Researchers developed a survey to assess the needs and interestsof potential users of an Iowa drainage law manual. Survey responses were used to identify common problems and concerns among individuals who encounter drainage issues on a regular basis. Issues mentioned in the survey responses included interpretation of drainage laws and commonly encountered questions relating to public improvements and private interests. Many individuals, including county engineers, stated interest in specific topics such as maintenance and/or diversion of drainage, landowner issues, and upstream and downstream impacts. Overall, the survey provided researchers with valuable information regarding drainage issues, problems, current policies, and concerns. A comprehensive manual of Iowa drainage law will assist agencies and individuals in interpreting current code requirements and in implementing effective and beneficial solutions when dealing with drainage issues.

ASSIST With Windows Newsletter, Spring 2005

The purpose of Project ASSIST is to provide computer training to individuals who are blind, visually-impaired or deaf-blind. Our training materials address all levels of users, from beginners to advanced users. We have tutorials, keyboard guides and diagrams, and course packets. These materials can be used by individuals who want to learn popular computer programs on their own and by professional trainers for their organization's computer training program. We also offer instructor-led training through our ASSIST Online distance learning program.

Successful Interviewing Guide, September 2007

Most employers want to treat job applicants fairly and without prejudice. All employers want to hire the most qualified person for the job. Both goals can be met when the employer is versed in effective techniques for interviewing job applicants. In regard to fairness, it’s easy to recite the reasons why fair and effective interviewing can ometimes seem elusive. Laws and regulations, and their interpretation by courts and egulators, are constantly changing. A quick review of the “Do's and Don’ts” of equal employment opportunity interviewing appears at the end of this booklet, and is titled, “Summary Guide to Pre-Employment Inquiries.” Consistent with the guide’s placement at the close of this booklet, it is most effectively used after reading the more detailed material preceding it. The thought provoking questions on pages 4 and 5 examine the applicant’s qualifications, work attitudes, and career plans. They will help the interviewer discover the most qualified person for the job. The “Successful Interviewing Guide” was developed by Iowa Workforce Development based on information provided by the Iowa Civil Rights Commission and the U.S. Equal Employment Opportunity Commission, the agencies charged with enforcing discrimination laws.

Key to the Australasian and Oceanian genera of Muscidae (Diptera)

A key to 51 Australasian and Oceanian genera of Muscidae is given. The Catalogue of Australasian and Oceanian Diptera and its on line version last reviewed in May 2007 were used as taxonomic guides. Some more recently synonyms and taxonomic changes were updated. For each genus, a brief diagnosis, number of valid species in these regions and comments, when pertinent, are also included. Some morphological diagnostic characteres are illustrated in order to help the use of the key.

Thyroid hormone enhances transected axonal regeneration and muscle reinnervation following rat sciatic nerve injury.

Improvement of nerve regeneration and functional recovery following nerve injury is a challenging problem in clinical research. We have already shown that following rat sciatic nerve transection, the local administration of triiodothyronine (T3) significantly increased the number and the myelination of regenerated axons. Functional recovery is a sum of the number of regenerated axons and reinnervation of denervated peripheral targets. In the present study, we investigated whether the increased number of regenerated axons by T3-treatment is linked to improved reinnervation of hind limb muscles. After transection of rat sciatic nerves, silicone or biodegradable nerve guides were implanted and filled with either T3 or phosphate buffer solution (PBS). Neuromuscular junctions (NMJs) were analyzed on gastrocnemius and plantar muscle sections stained with rhodamine alpha-bungarotoxin and neurofilament antibody. Four weeks after surgery, most end-plates (EPs) of operated limbs were still denervated and no effect of T3 on muscle reinnervation was detected at this stage of nerve repair. In contrast, after 14 weeks of nerve regeneration, T3 clearly enhanced the reinnervation of gastrocnemius and plantar EPs, demonstrated by significantly higher recovery of size and shape complexity of reinnervated EPs and also by increased acetylcholine receptor (AChRs) density on post synaptic membranes compared to PBS-treated EPs. The stimulating effect of T3 on EP reinnervation is confirmed by a higher index of compound muscle action potentials recorded in gastrocnemius muscles. In conclusion, our results provide for the first time strong evidence that T3 enhances the restoration of NMJ structure and improves synaptic transmission.

La resiliència

El present treball és un aprofundiment teòric sobre la resiliència, un concepte transgressor en les ciències socials que invita a tenir una nova visió de les situacions concretes, a un canvi de perspectiva que ens guia a refermar maneres d’intervenció diferents. Precisament, perquè ens porta a canviar la nostra mirada vers les persones i sobre la vida. Aquest projecte s’emmarca en els orígens del concepte, en quin moment es troba avui dia, aquelles teories explicatives i una aportació sobre la seva visió pràctica; tenint present en tot moment tant la dimensió individual com la dimensió comunitària del mateix. La resiliència, reconeix el valor de la imperfecció de l’espècia humana. No és una resposta immediata a l’adversitat sinó un procés que està en constant construcció, canvi i/o evolució en el transcurs del temps. No és un concepte absolut ni total, sinó que està lligat als conceptes dinàmics i complexos de desenvolupament i creixement humà i va més enllà de l’actitud passiva de resistir qualsevol cop; implica l’actitud proactiva d’aprendre/reapendre a viure i construir/reconstruir la vida.

La carrière forestière

Collection : Guides des carrières Carus ; C. 35

Les carrières de l'agriculture

Collection : Guides des carrières Carus ; C. 9