Screening for latent tuberculosis infection among undocumented immigrants in Swiss healthcare centres; a descriptive exploratory study.

BACKGROUND: Migration is one of the major causes of tuberculosis in developed countries. Undocumented patients are usually not screened at the border and are not covered by a health insurance increasing their risk of developing the disease unnoticed. Urban health centres could help identify this population at risk. The objective of this study is to assess the prevalence of latent tuberculosis infection (LTBI) and adherence to preventive treatment in a population of undocumented immigrant patients. METHODS: All consecutive undocumented patients that visited two urban healthcare centres for vulnerable populations in Lausanne, Switzerland for the first time were offered tuberculosis screening with an interferon-gamma assay. Preventive treatment was offered if indicated. Adherence to treatment was evaluated monthly over a nine month period. RESULTS: Of the 161 participants, 131 (81.4%) agreed to screening and 125 had complete examinations. Twenty-four of the 125 patients (19.2%; CI95% 12.7;27.2) had positive interferon-gamma assay results, two of which had active tuberculosis. Only five patients with LTBI completed full preventive treatments. Five others initiated the treatment but did not follow through. CONCLUSION: Screening for tuberculosis infection in this hard-to-reach population is feasible in dedicated urban clinics, and the prevalence of LTBI is high in this vulnerable population. However, the low adherence to treatment is an important public health concern, and new strategies are needed to address this problem.

The role of auditory cortices in the retrieval of single-trial auditory-visual object memories.

Single-trial encounters with multisensory stimuli affect both memory performance and early-latency brain responses to visual stimuli. Whether and how auditory cortices support memory processes based on single-trial multisensory learning is unknown and may differ qualitatively and quantitatively from comparable processes within visual cortices due to purported differences in memory capacities across the senses. We recorded event-related potentials (ERPs) as healthy adults (n = 18) performed a continuous recognition task in the auditory modality, discriminating initial (new) from repeated (old) sounds of environmental objects. Initial presentations were either unisensory or multisensory; the latter entailed synchronous presentation of a semantically congruent or a meaningless image. Repeated presentations were exclusively auditory, thus differing only according to the context in which the sound was initially encountered. Discrimination abilities (indexed by d') were increased for repeated sounds that were initially encountered with a semantically congruent image versus sounds initially encountered with either a meaningless or no image. Analyses of ERPs within an electrical neuroimaging framework revealed that early stages of auditory processing of repeated sounds were affected by prior single-trial multisensory contexts. These effects followed from significantly reduced activity within a distributed network, including the right superior temporal cortex, suggesting an inverse relationship between brain activity and behavioural outcome on this task. The present findings demonstrate how auditory cortices contribute to long-term effects of multisensory experiences on auditory object discrimination. We propose a new framework for the efficacy of multisensory processes to impact both current multisensory stimulus processing and unisensory discrimination abilities later in time.

Julkisen osakeyhtiön omien osakkeiden hankinta ja niiden kirjanpidollinen käsittely. Case HEXTech - Indeksin yhtiöt

Tavoitteena on selvittää ja kuvata lainsäädännön kehitys julkisen osakeyhtiön omien osakkeiden hankinnassa ja esittämisessä tilinpäätöksessä sekä miten teoriaa sovelletaan käytännössä julkisiin osakeyhtiöihin. Lähestymistapa on teoriasidonnainen, säädöstaustaan perustuva ja analyysin perustana ovat dokumentoidut säädökset. Tutkimusmenetelmä on deskriptiivinen tapaustutkimus, jonka analyysi rajoittuu vuoteen 2005. Tutkimustyön sisältö koostuu julkisesti noteerattujen osakeyhtiöiden omien osakkeiden hankkimisesta ja esittämisestä tilinpäätöksessä koskevista EuroopanUnionin direktiivien sisällön käsittelystä, niiden vaikutuksesta osakeyhtiö-, kirjanpito- ja arvopaperimarkkinalakiin sekä HEXTech - Indeksin yhtiöiden käytäntöön. Tätä käytäntöä selvitetään ja kuvataan tutkimusosuudessa. Tutkimustuloksena voidaan todeta, että lait on harmonisoitu Euroopan Yhteisöjen direktiivejä vastaavaksi. HEXTech - Indeksin yhtiöt ovat noudattaneet kirjanpito-, osakeyhtiö- ja arvopaperimarkkinalain ohjeita ja määräyksiä käytännöissään. Yhtiökokoukselta on saatu valtuutuksia hankkia omia osakkeita.Kymmenestä yhtiöstä seitsemän oli saanut valtuutuksen ja vain neljä toteutti käytännössä saamansa valtuutuksen. Kaksi yhtiötä mitätöi, yksi kannusti avainhenkilöitään hankkimillaan omilla osakkeilla ja yksi toteutti takaisinostotarjouksella omien osakkeiden hankinnan.

Local and Global Feature Extraction for Invariant Object Recognition

Perceiving the world visually is a basic act for humans, but for computers it is still an unsolved problem. The variability present innatural environments is an obstacle for effective computer vision. The goal of invariant object recognition is to recognise objects in a digital image despite variations in, for example, pose, lighting or occlusion. In this study, invariant object recognition is considered from the viewpoint of feature extraction. Thedifferences between local and global features are studied with emphasis on Hough transform and Gabor filtering based feature extraction. The methods are examined with respect to four capabilities: generality, invariance, stability, and efficiency. Invariant features are presented using both Hough transform and Gabor filtering. A modified Hough transform technique is also presented where the distortion tolerance is increased by incorporating local information. In addition, methods for decreasing the computational costs of the Hough transform employing parallel processing and local information are introduced.

Single-trial multisensory memories affect later auditory and visual object discrimination.

Multisensory memory traces established via single-trial exposures can impact subsequent visual object recognition. This impact appears to depend on the meaningfulness of the initial multisensory pairing, implying that multisensory exposures establish distinct object representations that are accessible during later unisensory processing. Multisensory contexts may be particularly effective in influencing auditory discrimination, given the purportedly inferior recognition memory in this sensory modality. The possibility of this generalization and the equivalence of effects when memory discrimination was being performed in the visual vs. auditory modality were at the focus of this study. First, we demonstrate that visual object discrimination is affected by the context of prior multisensory encounters, replicating and extending previous findings by controlling for the probability of multisensory contexts during initial as well as repeated object presentations. Second, we provide the first evidence that single-trial multisensory memories impact subsequent auditory object discrimination. Auditory object discrimination was enhanced when initial presentations entailed semantically congruent multisensory pairs and was impaired after semantically incongruent multisensory encounters, compared to sounds that had been encountered only in a unisensory manner. Third, the impact of single-trial multisensory memories upon unisensory object discrimination was greater when the task was performed in the auditory vs. visual modality. Fourth, there was no evidence for correlation between effects of past multisensory experiences on visual and auditory processing, suggestive of largely independent object processing mechanisms between modalities. We discuss these findings in terms of the conceptual short term memory (CSTM) model and predictive coding. Our results suggest differential recruitment and modulation of conceptual memory networks according to the sensory task at hand.

Duration and compliance with antidepressant treatment in immigrant and native-born populations in Spain: a four year follow-up descriptive study

Background: Non-compliance with antidepressant treatment continues to be a complex problem in mental health care. In immigrant populations non-compliance is one of several barriers to adequate management of mental illness; some data suggest greater difficulties in adhering to pharmacological treatment in these groups and an increased risk of therapeutic failure. The aim of this study is to assess differences in the duration and compliance with antidepressant treatment among immigrants and natives in a Spanish health region. Methods: Population-based (n = 206,603), retrospective cohort study including all subjects prescribed ADT between 2007 and 2009 and recorded in the national pharmacy claims database. Compliance was considered adequate when the duration was longer than 4 months and when patients withdrew more than 80% of the packs required. Results: 5334 subjects (8.5% of them being immigrants) initiated ADT. Half of the immigrants abandoned treatment during the second month (median for natives = 3 months). Of the immigrants who continued, only 29.5% presented good compliance (compared with 38.8% in natives). The estimated risk of abandoning/ending treatment in the immigrant group compared with the native group, adjusted for age and sex, was 1.28 (95%CI 1.16-1.42). Conclusions: In the region under study, immigrants of all origins present higher percentages of early discontinuation of ADT and lower median treatment durations than the native population. Although this is a complex, multifactor situation, the finding of differences between natives and immigrants in the same region suggests the need to investigate the causes in greater depth and to introduce new strategies and interventions in this population group.

Web-pohjaisen videoeditorin toteutus ja Object-Relational Mapping

Tässä insinöörityössä esitellään Stadian verkkoviestinnän VIDEOS-hankkeeseen liittyvän web-pohjaisen videoeditorin kehitys ja käytetyt teknologiat. Fooga-nimiseksi nimetty videoeditorin käyttämät tekniikat ovat Ruby, Ruby on Rails, FFmpeg, Mencoder, ImageMagick ja FLVTool2. Ruby on olio-pohjainen skriptikieli, Ruby on Rails on websovelluskehys ja muut tekniikat ovat komentorivipohjaisia työkaluja, jotka tarjoavat tärkeimmät toiminnallisuudet Foogalle. Tavoitteina oli tämän työn yhteydessä ohjelmoida Foogaan perustoiminnallisuudet, jotka mahdollistavat minimaaliset käyttömahdollisuudet kevääseen 2007 mennessä. Kehitystyö jatkuu vuoteen 2009 asti tarjoamalla samalla mahdollisuuden usealle insinöörityölle tekniikan ja liikenteen koulutusohjelmasta. Tämän lisäksi tässä insinöörityössä perehdytään Object-Relational Mapping-tekniikan perusteisiiin ja verrataan Ruby on Railsin ja Javan ORM-ominaisuuksia. Ruby on Railsin osalta esitellään ActiveRecord-luokka ja Javan osalta Hibernate, jonka johdantona on DAO/DTO-sunnittelumalli.

Expert clinical reasoning and pain assessment in mechanically ventilated patients: A descriptive study.

BACKGROUND: Pain assessment in mechanically ventilated patients is challenging, because nurses need to decode pain behaviour, interpret pain scores, and make appropriate decisions. This clinical reasoning process is inherent to advanced nursing practice, but is poorly understood. A better understanding of this process could contribute to improved pain assessment and management. OBJECTIVE: This study aimed to describe the indicators that influence expert nurses' clinical reasoning when assessing pain in critically ill nonverbal patients. METHODS: This descriptive observational study was conducted in the adult intensive care unit (ICU) of a tertiary referral hospital in Western Switzerland. A purposive sample of expert nurses, caring for nonverbal ventilated patients who received sedation and analgesia, were invited to participate in the study. Data were collected in "real life" using recorded think-aloud combined with direct non-participant observation and brief interviews. Data were analysed using deductive and inductive content analyses using a theoretical framework related to clinical reasoning and pain. RESULTS: Seven expert nurses with an average of 7.85 (±3.1) years of critical care experience participated in the study. The patients had respiratory distress (n=2), cardiac arrest (n=2), sub-arachnoid bleeding (n=1), and multi-trauma (n=2). A total of 1344 quotes in five categories were identified. Patients' physiological stability was the principal indicator for making decision in relation to pain management. Results also showed that it is a permanent challenge for nurses to discriminate situations requiring sedation from situations requiring analgesia. Expert nurses mainly used working knowledge and patterns to anticipate and prevent pain. CONCLUSIONS: Patient's clinical condition is important for making decision about pain in critically ill nonverbal patients. The concept of pain cannot be assessed in isolation and its assessment should take the patient's clinical stability and sedation into account. Further research is warranted to confirm these results.

Short communication.Wood identification based on their common name and their transversal surface anatomy. Application to the batch from the expedition of Ruiz and Pavon

Aim of study: To identify species of wood samples based on common names and anatomical analyses of their transversal surfaces (without microscopic preparations). Area of study: Spain and South America Material and methods: The test was carried out on a batch of 15 lumber samples deposited in the Royal Botanical Garden in Madrid, from the expedition by Ruiz and Pavon (1777-1811). The first stage of the methodology is to search and to make a critical analysis of the databases which list common nomenclature along with scientific nomenclature. A geographic filter was then applied to the information resulting from the samples with a more restricted distribution. Finally an anatomical verification was carried out with a pocket microscope with a magnification of x40, equipped with a 50 micrometers resolution scale. Main results: The identification of the wood based exclusively on the common name is not useful due to the high number of alternative possibilities (14 for “naranjo”, 10 for “ébano”, etc.). The common name of one of the samples (“huachapelí mulato”) enabled the geographic origin of the samples to be accurately located to the shipyard area in Guayaquil (Ecuador). Given that Ruiz y Pavon did not travel to Ecuador, the specimens must have been obtained by Tafalla. It was possible to determine correctly 67% of the lumber samples from the batch. In 17% of the cases the methodology did not provide a reliable identification. Research highlights: It was possible to determine correctly 67% of the lumber samples from the batch and their geographic provenance. The identification of the wood based exclusively on the common name is not useful.

Liikearvon arvonalentumistestaus IAS 36:n mukaan

The main object of this Master´s Thesis was to study the goodwill impairment testing under IAS 36. The aim was also to study the process of impairment testing in companies. The definition, treatment and impairment testing of goodwill were based on the interpretative literature of the standard, articles in trade papers and in international journals. Research methodology was descriptive, qualitative and normative. The empirical data was gathered from focused interviews of companies, consultant and auditor. In the impairment testing of goodwill under IAS 36 carrying amount of cash-generating unit is compared with unit´s recoverable amount, which is defined by either fair value less costs to sell or value in use. Value in use, which is based on unit´s net present value of the future cash flows, is clearly more generally used. The greatest black spots of testing are determination of cash-generating units and allocation of goodwill to them and determination of the discount rate. These black spots enable covering-up goodwill impairment. Companies testing processes differed, which makes comparison more difficult. The documentation of testing should also be invested more in companies.

Object-oriented development of client / server application: case study of service control software

Tässä työssä on esitetty sen ohjelmiston kehittämisen prosessi, joka on tarkoitettu annettavien palveluiden valvottavaksi käyttäen prototyyppimallia. Raportti sisältää vaatimusten, kohteisiin suunnatun analyysin ja suunnittelun, realisointiprosessien kuvauksen ja prototyypin testauksen. Ohjelmiston käyttöala – antavien palveluiden valvonta. Vaatimukset sovellukselle analysoitiin ohjelmistomarkkinoiden perusteella sekä ohjelmiston engineeringin periaatteiden mukaisesti. Ohjelmiston prototyyppi on realisoitu käyttäen asiakas-/palvelinhybridimallia sekä ralaatiokantaa. Kehitetty ohjelmisto on tarkoitettu venäläisille tietokonekerhoille, jotka erikoistuvat pelipalvelinten antamiseen.

Object-Oriented Modelling of Multilayer Networks

Tämä diplomityökuuluu tietoliikenneverkkojen suunnittelun tutkimukseen ja pohjimmiltaan kohdistuu verkon mallintamiseen. Tietoliikenneverkkojen suunnittelu on monimutkainen ja vaativa ongelma, joka sisältää mutkikkaita ja aikaa vieviä tehtäviä. Tämä diplomityö esittelee ”monikerroksisen verkkomallin”, jonka tarkoitus on auttaa verkon suunnittelijoita selviytymään ongelmien monimutkaisuudesta ja vähentää verkkojen suunnitteluun kuluvaa aikaa. Monikerroksinen verkkomalli perustuu yleisille objekteille, jotka ovat yhteisiä kaikille tietoliikenneverkoille. Tämä tekee mallista soveltuvan mielivaltaisille verkoille, välittämättä verkkokohtaisista ominaisuuksista tai verkon toteutuksessa käytetyistä teknologioista. Malli määrittelee tarkan terminologian ja käyttää kolmea käsitettä: verkon jakaminen tasoihin (plane separation), kerrosten muodostaminen (layering) ja osittaminen (partitioning). Nämä käsitteet kuvataan yksityiskohtaisesti tässä työssä. Monikerroksisen verkkomallin sisäinen rakenne ja toiminnallisuus ovat määritelty käyttäen Unified Modelling Language (UML) -notaatiota. Tämä työ esittelee mallin use case- , paketti- ja luokkakaaviot. Diplomityö esittelee myös tulokset, jotka on saatu vertailemalla monikerroksista verkkomallia muihin verkkomalleihin. Tulokset osoittavat, että monikerroksisella verkkomallilla on etuja muihin malleihin verrattuna.