Endocarditis por Trichoderma longibrachiatum en paciente con nutrición parenteral domiciliaria.

Home parenteral nutrition (HPN) improves the quality of life of the patients although it has complications. Catheter-related infections and mechanical complications are the most frequent ones. We report the case of endocarditis over catheter in a man suffering from short bowel and receiving HPN. The special features of the case are firstly the catheter was a remaining fragment on the right atrial and secondly the infection was caused by Trichoderma longibrachiatum, an isolated fact regarding this pathology so far. Conventional surgery was applied to take the catheter out. Staphylococcus epidermidis, Ochrobactrum anthropi and Trichoderma longibrachiatum were isolated from the surgical specimen. The extraction of the infected catheter along with antibiotic therapy led to the complete recovery of the subject. Ochrobactrum anthropi and Trichoderma longibrachiatum are unusual microorganisms but they are acquiring more relevance. Although there is no agreement about intravascular retained catheter management, the most recommended approach consists on monitoring them and removing the device in case of complications.

Bibliotecaris de recerca en un entorn virtual: noves habilitats, nous serveis

En aquest article es posen de manifest tant les noves funcions adquirides pels bibliotecaris de recerca de la UOC com les noves competències que requereix aquest perfil professional, partint de l'experiència de la Biblioteca Virtual (BV) de la UOC. En un context de creació d'unitats de bibliometria, la BV de la UOC també ha trobat la seva manera d'integrar-se dins la Universitat a través dels seus estudis bibliomètrics i altres serveis de suport a la recerca. Un grup de bibliotecaris de recerca dóna suport als investigadors des de l'inici del procés de recerca fins a l'avaluació de la seva producció científica i, d'altra banda, també dóna suport en l'anàlisi de dades bibliomètriques per a la presa de decisions estratègiques de la Universitat.

Bibliotecarios de investigación en un entorno virtual: nuevas habilidades, nuevos servicios

En aquest article es posen de manifest tant les noves funcions adquirides pels bibliotecaris de recerca de la UOC com les noves competències que requereix aquest perfil professional, partint de l'experiència de la Biblioteca Virtual (BV) de la UOC. En un context de creació d'unitats de bibliometria, la BV de la UOC també ha trobat la seva manera d'integrar-se dins la Universitat a través dels seus estudis bibliomètrics i altres serveis de suport a la recerca. Un grup de bibliotecaris de recerca dóna suport als investigadors des de l'inici del procés de recerca fins a l'avaluació de la seva producció científica i, d'altra banda, també dóna suport en l'anàlisi de dades bibliomètriques per a la presa de decisions estratègiques de la Universitat.

Un Camí del SAD al SED

L’objectiu principal del treball és exposar una alternativa a la institucionalització que fomenti l’autonomia, el desenvolupament i el benestar de les persones que es troben en situació de dependència, partint d’un recurs ja existent: el Servei d’Atenció Domiciliària (SAD). Va dirigit en especial al col•lectiu de persones amb problemàtiques de salut mental. Proposa la nomenclatura SED (Suport Educatiu Domiciliari) què no existeix com a tal, per anomenar una branca o una part del SAD que sí existeix

Prevention of recurrent hip fracture.

Our objective was to describe the interventions aimed at preventing a recurrent hip fracture, and other injurious falls, which were provided during hospitalization for a first hip fracture and during the two following years. A secondary objective was to study some potential determinants of these preventive interventions. The design of the study was an observational, two-year follow-up of patients hospitalized for a first hip fracture at the University Hospital of Lausanne, Switzerland. The participants were 163 patients (median age 82 years, 83% women) hospitalized in 1991 for a first hip fracture, among 263 consecutively admitted patients (84 did not meet inclusion criteria, e.g., age>50, no cancer, no high energy trauma, and 16 refused to participate). Preventive interventions included: medical investigations performed during the first hospitalization and aimed at revealing modifiable pathologies that raise the risk of injurious falls; use of medications acting on the risk of falls and fractures; preventive recommendations given by medical staff; suppression of environmental hazards; and use of home assistance services. The information was obtained from a baseline questionnaire, the medical record filled during the index hospitalization, and an interview conducted 2 years after the fracture. Potential predictors of the use of preventive interventions were: age; gender; destination after discharge from hospital; comorbidity; cognitive functioning; and activities of daily living. Bi- and multivariate associations between the preventive interventions and the potential predictors were measured. In hospital investigations to rule out medical pathologies raising the risk of fracture were performed in only 20 patients (12%). Drugs raising the risk of falls were reduced in only 17 patients (16%). Preventive procedures not requiring active collaboration by the patient (e.g., modifications of the environment) were applied in 68 patients (42%), and home assistance was provided to 67 patients (85% of the patients living at home). Bivariate analyses indicated that prevention was less often provided to patients in poor general conditions, but no ascertainment of this association was found in multivariate analyses. In conclusion, this study indicates that, in the study setting, measures aimed at preventing recurrent falls and injuries were rarely provided to patients hospitalized for a first hip fracture at the time of the study. Tertiary prevention could be improved if a comprehensive geriatric assessment were systematically provided to the elderly patient hospitalized for a first hip fracture, and passive preventive measures implemented.

Qualidade de Serviço numa unidade Hoteleira em São Vicente

A satisfação dos clientes é uma forma das empresas se manterem no mercado a partir da conquista dos seus parceiros comerciais, por isso o tema satisfação ganhou maior importância no contexto da administração de empresas. Dado o crescente fenómeno competitivo da indústria hoteleira, o objectivo deste estudo foi aumentar a compreensão das percepções sobre a qualidade do serviço de um hotel, da perspectiva dos seus consumidores. Além disso, este estudo também pretendeu explorar a relação entre a satisfação global e nove factores de qualidade num serviço sendo eles: “higiene e limpeza”, “decoração”, “conforto”, “funcionários”, “alimentação”, “animação”, “serviços de apoio”, “quarto”, e “relação qualidade/preço”. Esta pesquisa acedeu as percepções da qualidade do serviço no hotel através da aplicação de um questionário abrangendo uma amostra de 16 respondentes (hospedes que de livre vontade responderam ao questionário). Os dados recolhidos foram analisados em SPSS (Statistical Package for Social Sciences). Verificamos os seguintes resultados: São o conforto (primeiro lugar), a higiene e limpeza (em segundo) e os serviços de apoio (em terceiro) que mais influenciam a satisfação global no hotel. Costumer’s satisfaction is one way for companies to keep in the market by the conquest of its trading partners; hence, the theme of satisfaction gained greater importance in the context of business administration lately. Given the increasing competitive phenomenon in the touristic industry, the aim of this study was to increase the comprehension of perceptions towards hotel service quality from the hotel customer’s perspective. Besides, this study also intended to explore the relationship between the overall satisfaction and nine service quality factors, namely: “cleanness”, “decoration”, “comfort”, “staff”, and “food/beverage”, “entertainment” “support services”, “rooms and “relation quality/price”. This research assessed the ‘perceptions of service quality’ by applying a questionnaire comprising a sample of 16 guests that responded it correctly. Data collected was analyzed using SPSS - (Statistical Package for Social Sciences). The results indicated the following: comfort (in the first place), cleanness (in the second) and support services (in the third) are the factors that most influence the overall satisfaction in a hotel.

Les biblioteques universitàries i el suport a la recerca

The European Higher Education Area and the European Research Area are currently two key objectives for university learning, teaching and research in all European universities. University libraries must meet the challenges by offering the best library services to the academic community. In drafting the second strategic plan, Rebiun (Network of University Libraries) gathered comments and suggestions from professionals in Spanish university libraries. This article presents the reflections and suggestions contributed by the author regarding the support services that university libraries could offer for university research.

Sustainable Concrete Pavements: A Manual of Practice, January 2012

Sustainable Concrete Pavements: A Manual of Practice is a product of the National Concrete Pavement Technology Center at Iowa State University’s Institute for Transportation, with funding from the Federal Highway Administration (DTFH61-06-H-00011, Work Plan 23). Developed as a more detailed follow-up to a 2009 briefing document, Building Sustainable Pavement with Concrete, this guide provides a clear, concise, and cohesive discussion of pavement sustainability concepts and of recommended practices for maximizing the sustainability of concrete pavements. The intended audience includes decision makers and practitioners in both owner-agencies and supply, manufacturing, consulting, and contractor businesses. Readers will find individual chapters with the most recent technical information and best practices related to concrete pavement design, materials, construction, use/operations, renewal, and recycling. In addition, they will find chapters addressing issues specific to pavement sustainability in the urban environment and to the evaluation of pavement sustainability. Development of this guide satisfies a critical need identified in the Sustainability Track (Track 12) of the Long-Term Plan for Concrete Pavement Research and Technology (CP Road Map). The CP Road Map is a national research plan jointly developed by the concrete pavement stakeholder community, including Federal Highway Administration, academic institutions, state departments of transportation, and concrete pavement–related industries. It outlines 12 tracks of priority research needs related to concrete pavements. CP Road Map publications and other operations support services are provided by the National Concrete Pavement Technology Center at Iowa State University. For details about the CP Road Map, see www.cproadmap. org/index.cfm.

Punts forts i punts febles en la recerca infermera realitzada a l’ atenció domiciliària

L'atenció domiciliària és el sector de salut que ha experimentat un major increment en els darrers anys al nostre país. No obstant això, la recerca en atenció domiciliària està encara poc desenvolupada. Objectiu: identificar els punts forts i els punts febles de la recerca infermera en l'àmbit domiciliari. Mètode: Un primer anàlisi realitzat per la investigadora principal permet conèixer les necessitats de les persones que són ateses per l'atenció domiciliària així com els aspectes de cures lligats a una major qualitat de vida. En un segon anàlisi es va realitzar un grup de discussió sobre els punts febles i els punts forts de la investigació infermera. Resultats: els punts forts estan relacionats amb la satisfacció professional, el millor coneixement de l'entorn i necessitats del pacient, els punts febles estan vinculats a la manca de recursos, a la manca de temps i formació, i a la falta de grups i línies d" investigació. Conclusions: Les dades obtingudes mitjançant l'anàlisi dels aspectes que envolten la investigació infermera en l'àmbit de l'atenció primària suggereixen una sèrie de propostes amb l'objectiu de disminuir les dificultats observades a més de potenciar la recerca. Les propostes són: en l'àmbit de la formació universitària, en l'àmbit de la gestió sanitària i en l'àmbit professional. Pensem que això pot servir de punt de reflexió a futures investigacions, de manera que augmenti el nombre d'infermeres que investiguin en els seus camps de treball.

Pathways for Academic Career and Employment (PACE) Program, FY 2014 Report,

The pathways for academic career and employment program (PACE) is established to provide funding to community colleges for the development of projects that will lead to gainful, quality, in-state employment for members of target populations by providing them with both effective academic and employment training to ensure gainful employment and customized support services.

Open Educational Resources: an opportunity for virtual learning institutions

The Universitat Oberta de Catalunya (UOC, Open University of Catalonia) is involved inseveral research projects and educational activities related to the use of Open Educational Resources (OER). Some of the discussed issues in the concept of OER are research issues which are being tackled in two EC projects (OLCOS and SELF). Besides the research part, the UOC aims at developing a virtual centre for analysing and promoting the concept of OERin Europe in the sector of Higher and Further Education. The objectives are to makeinformation and learning services available to provide university management staff,eLearning support centres, faculty and learners with practical information required to create, share and re-use such interoperable digital content, tools and licensing schemes. In the realisation of these objectives, the main activities are the following: to provide organisationaland individual e-learning end-users with orientation; to develop perspectives and useful recommendations in the form of a medium-term Roadmap 2010 for OER in Higher and Further Education in Europe; to offer practical information and support services about how to create, share and re-use open educational content by means of tutorials, guidelines, best practices, and specimen of exemplary open e-learning content; to establish a larger group ofcommitted experts throughout Europe and other continents who not only share theirexpertise but also steer networking, workshops, and clustering efforts; and to foster and support a community of practice in open e-learning content know-how and experiences.

OpenApp: experiencias y herramientas docentes y de gestión en abierto

La Universitat Oberta de Catalunya (UOC) es una universidad en línea que realiza un uso intensivo de las tecnologías de la información y la comunicación para proporcionar una educación y aprendizaje a lo largo de la vida. Des de sus inicios la universidad ha desarrollado y testeado metodologías y tecnologías con el objetivo de proporcionar soluciones a los retos de aprendizaje y docentes ofrecidos por la comunidad de estudiantes, académicos y personal de gestión.Fundamentado en este saber hacer, nace la plataforma OpenApps con la finalidad principal de poner a disposición de la comunidad la experiencia acumulada en la UOC durante más de 15 años en docencia, aprendizaje y gestión para que pueda ser aplicado, adaptado o evolucionado por terceros. En este artículo se presentan las características esenciales para que una innovación pueda formar parte de esta plataforma institucional, las especificaciones y usuarios de la plataforma, la finalidad del servicio y las futuras líneas de trabajo.

Open Apps: Opening Teaching Experiences and Applications

The Universitat Oberta de Catalunya (Open University of Catalonia, UOC) is an online university that makes extensive use of information and communication technologies to provide education. Ever since its establishment in 1995, the UOC has developed and tested methodologies and technological support services to meet the educational challenges posed by its student community and its teaching and management staff. The know-how it has acquired in doing so is the basis on which it has created the Open Apps platform, which is designed to provide access to open source technical applications, information on successful learning and teaching experiences, resources and other solutions, all in a single environment. Open Apps is an open, online catalogue, the content of which is available to all students for learning purposes, all IT professionals for downloading and all teachers for reusing.To contribute to the transfer of knowledge, experience and technology, each of the platform¿s apps comes with full documentation, plus information on cases in which it has been used and related tools. It is hoped that such transfer will lead to the growth of an external partner network, and that this, in turn, will result in improvements to the applications and teaching/learning practices, and in greater scope for collaboration.Open Apps is a strategic project that has arisen from the UOC's commitment to the open access movement and to giving knowledge and technology back to society, as well as its firm belief that sustainability depends on communities of interest.

Kansainvälistymistukien vertailututkimus

Tutkimuksen tarkoituksenaoli selvittää kansainvälistymistukien käyttöä eri Euroopan maissa. Tarkempaan tutkimukseen otettiin Saksan kaikki osavaltiot ja Ruotsi. Samalla selvitettiin myös niitä kansainvälisen kaupan sääntöjä ja määräyksiä, joita asetetaan, jotta tuet eivät vääristä kilpailua. Tällä tavalla oli tarkoitus löytää uusia 'hyviä käytäntöjä, Suomen seuraavan EU-ohjelmakauden ohjelmien kehittämiseksi. Tutkimuksessa kävi ilmi, että eri maat ja alueet painottavat yritystensä viennin- tai kansainvälistymisen tukemista eri lailla. Joillain alueille ei ole juuri minkäänlaista tukiohjelmaa, kun taas varsinkin Saksassa tukiohjelmatovat laajoja. Yhteistä kaikille ohjelmille on, että tukipäätökset ovat usein pienempiä kuin Suomessa. Toisaalta Suomessakin päätöksien koot ovat yleensä huomattavasti pienempiä kuin olisi mahdollista lain perusteella tehdä. Kokonaisuutena Suomen järjestelmä toimii hyvin ja sen avulla voidaan nytkin saavuttaa hyviä tuloksia. Jatkossa on kuitenkin kiinnitettävä huomiota siihen, että kehitämme ohjelmia erityisesti pienimpien yritysten kansainvälistymistä varten.

Tietojärjestelmien tukipalveluprosessien kehittäminen - case Helsoft

Tässä diplomityössä on käsitelty tietojärjestelmien tukipalveluun liittyviä prosesseja ja toimintoja. Tukipalvelutoiminnot ovat tietojärjestelmäteollisuuden merkittävä osa-alue ja siihen nähden aiheen tutkimus on ollut hyvin vähäistä. Viimeaikoina aihe on herättänyt kiinnostusta varsinkin asiakaskohtaisia ohjelmistoja toimittavien ohjelmistoyritysten keskuudessa. Diplomityön tarkoituksena oli suunnitella ja kehittää Helsoft Oy:n asiakaskohtaisten ohjelmistojen tukipalvelutoimintoja. Tämän työn näkökulmasta tukipalveluun kuuluu tietojärjestelmän toimituksen jälkeinen asiakkaiden neuvontapalvelu sekä ohjelmiston muutos- ja ylläpitopalvelu. Tukipalvelun sisältö vaihtelee usein asiakaskohtaisesti. Tämän vuoksi tukipalvelusta on syytä tehdä asianmukainen toimittajan ja asiakkaan välinen sopimus. Sopimuksen lisäksi tässä työssä on käsitelty myös muita tukipalvelun työkaluja kuten esimerkiksi tukipalveluohjetta, joka muodostetaan tukipalveluun ottamisvaiheessa. Työn teoriaosassa on käsitelty tietojärjestelmien tukipalvelun perusasioita sekä edellytyksiä tukipalveluprosessin onnistuneen kuvauksen muodostamiselle. Prosessin kuvauskieleksi on valittu UML. Työn soveltavan osuuden sisältö koostuu Helsoftin tukipalvelun nykytilanteen kartoituksesta, uuden yhtenäisemmän prosessimallin suunnittelusta (vaihe 1) sekä tukipalveluprosessin jatkokehityksen ja tehostamisen (vaihe 2) suunnittelusta. Uusi yhtenäinen prosessimalli on suhteellisen helposti käyttöönotettavissa ja standardinmukaisen kuvaustavan johdosta sitä voidaan kehittää jatkossa jatkuvan parantamisen periaatteella.