Patient/carers' recollection of medicines related information from an out-patient clinic appointment

AIM: To identify what medicines related information children/young people or their parents/carers are able to recall following an out-patient clinic appointment. METHOD: A convenience sample of patients' prescribed at least one new long-term (>6 weeks) medicine were recruited from a single UK paediatric hospital out-patient pharmacy. A face-to-face semi-structured questionnaire was administered to participants when they presented with their prescription. The questionnaire included the following themes: names of the medicines, therapeutic indication, dose regimen, duration of treatment and adverse effects.The results were analysed using Microsoft Excel 2013. RESULTS: One hundred participants consented and were included in the study. One hundred and forty-five medicines were prescribed in total. Participants were able to recall the names of 96 (66%) medicines and were aware of the therapeutic indication for 142 (97.9%) medicines. The dose regimen was accurately described for 120 (82.8%) medicines with the duration of treatment known for 132 (91%). Participants mentioned that they had been advised about side effects for 44 (30.3%) medicines. Specific counselling points recommended by the BNFc1, were either omitted or not recalled by participants for the following systemic treatments: cetirizine (1), chlorphenamine (1), desmopressin (2), hydroxyzine (2), itraconazole (1), piroxicam (2), methotrexate (1), stiripentol (1) and topiramate (1). CONCLUSION: Following an out-patient consultation, where a new medicine is prescribed, children and their parents/carers are usually able to recall the indication, dose regimen and duration of treatment. Few were able to recall, or were told about, possible adverse effects. This may include some important drug specific effects that require vigilance during treatment.Patients, along with families and carers, should be involved in the decision to prescribe a medicine.2 This includes a discussion about the benefits of the medicine on the patient's condition and possible adverse effects.2 Treatment side effects have been shown to be a factor in treatment non-adherence in paediatric long-term medical conditions.3 Practitioners should explain to patients, and their family members or carers where appropriate, how to identify and report medicines-related patient safety incidents.4 However, this study suggests that medical staff may not be comfortable discussing the adverse effects of medicines with patients or their parents/carers.Further research in to the shared decision making process in the paediatric out-patient clinic when a new long-term medicine is prescribed is required to further support medicines adherence and the patient safety agenda.

A microbiology study of the surgical site infection, at a hospital in northern Portugal

Surgical site infections (SSIs) remain a major clinical problem in terms of morbidity, mortality, time spent in hospital and overall direct and indirect costs. Objectives: To measure the prevalence of the SSI, by type of surgery and microbiologically characterization, in adult patients undergoing surgery during 2015 at a public hospital in northern Portugal. Methods: A prospective study, attended by 609 adult patients, undergoing surgery. The sociodemographic and clinical data of the population, as well as the surgical procedure and microbiological study were analyzed using Microsoft Access 2013. Results: In the sample of 609 adults undergoing surgery, it was found that 62.89% of surgical wound were cleaned, 15.8% were clean-contaminated, 8.70% were contaminated and 9.36% infected. About 62.52% of the intervened patients had antibiotic prophylaxis prior to surgery. Out of all surgeries, 33.3% were laparoscopic. The percentage of SSI was 5.74%; In these positive cases, only 3.61% was identiied the responsible bacteria. The urgent surgeries have more infections when compared to the programmed ones. In colon surgery the number of infections was 60% after cholecystectomy (22.86%). In hernioplasty, infection occurred in only 2.86% of the patients. The most isolated bacteria was Escherichia coli with 59%, in which 30% are -producing-lactamases of extended spectrum, followed by Pseudomonas aeruginosa (13.6%) and Serratia marcescens (13.6%). The mortality rate was 14.8%. Pseudomonas aeruginosa was isolated in 3 of 4 patients who died. Conclusions: The most microorganisms belong to the group of Gram-negative and are usually linked to infections associated with health care.

Analisis bromatológico inter-laboratorio de harina de centeno a ser utilizado como patrón secundario de análisis

El objetivo de esta investigación fue realizar un estudio inter-laboratorio bromatológico a partir de un patrón secundario de harina de centeno. Los laboratorios participantes de este estudio comparativo fueron el Laboratorio de Análisis Bromatológico para atención al público de la Universidad de Cuenca y el Laboratorio de Alimentos y Nutrición (VLIR-IUC) del Departamento de Biociencias. Los parámetros del análisis fueron: humedad, materia seca, cenizas, proteína bruta total, grasa total y carbohidratos totales. También el contenido de sal (cloruros) se analizó en uno de los laboratorios. Para los análisis de los diferentes parámetros se utilizaron las metodologías establecidas en cada laboratorio.Con los datos generados se realizaron gráficas de controlLevey-Jennings para cada parámetro y laboratoriopara el posterior control de análisis utilizando el patrón secundario dentro de los dos laboratorios participantes. Los resultados fueron evaluados estadísticamente mediante pruebas T de Student de una cola utilizando un nivel de significancia del 5%. Además se determinó la precisión intra- e inter-día siguiendo el método ANOVA y se expresó como porcentaje de coeficiente de variación (% CV). Todos los análisis fueron realizados en los programas Microsoft Excel 2013 y STATA 10.0. Para ambos laboratorios, los coeficientes de variación inter- e intra-día no sobrepasaron el 15%, que es lo recomendado para análisis proximal. Por otro lado, se encontraron diferencias significativas en los análisis de grasas, humedad-materia seca y carbohidratos, que pueden atribuirse a las diferencias metodológicas, temperatura y equipos de análisis, y en menor grado a los analistas y al azar.

Características de la esclerosis sistémica, en pacientes de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga durante el período enero 2008 – junio 2015

Antecedentes: La esclerosis sistémica es una enfermedad crónica del tejido conectivo, de etiología desconocida; caracterizada por presentar vasculopatía, autoinmunidad y fibrosis. Genera importantes repercusiones socio sanitarias y hasta la actualidad no tiene cura. Objetivo: Determinar las características demográficas, clínicas e inmunológicas de la Esclerosis Sistémica en pacientes de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Metodología: Es un estudio cuantitativo, descriptivo y retrospectivo. El universo está constituido por los pacientes diagnosticados de esclerosis sistémica en ambos hospitales. La información se recopiló de las historias clínicas y se analizó en Microsoft Excel 2013 y SPSS 19. Se utilizaron variables cuantitativas y cualitativas, mostrándose a través de frecuencias y porcentajes. Se consideró un nivel de asociación estadística para p<0.05. Resultados: La esclerosis sistémica es más común en mujeres. La forma limitada es la predominante. Las manifestaciones clínicas más comunes son las cutáneas, seguida de las osteomusculares y el Síndrome de Raynaud. El grupo de 50-64 años es el que muestra mayor grado de afectación general; en los más jóvenes las afectaciones cutáneas y osteomusculares son las de mayor frecuencia. Los anticuerpos antinucleares resultaron los de mejor valor diagnóstico, siendo positivos en más del 70% de los pacientes. Los tratamientos más comunes se basan en controlar los síntomas, siendo el paracetamol el más utilizado (80,4%). Conclusiones: La Esclerosis Sistémica afecta más a mujeres que a hombres, el grupo etario más frecuente está entre los 25-64 años. La forma limitada predomina sobre la difusa. Sus principales manifestaciones clínicas son las cutáneas

Kuormitustestausvälineen valinta Microsoft Office SharePoint Server 2007 – toteutuksessa

Kuormitustestaus on osa web-sovellusten kehitystä ja käyttöönottoa. Sillä varmistetaan sovellusten toimivuus ennalta määrätyn kuorman alla. Microsoft Office SharePoint Server 2007 (MOSS) on palvelintuote nykyaikaisten web-sovellusten luontiin ja ylläpitoon. Työssä vertaillaan kahta eri uormitustestaustyökalua: SilkPerformer 2008 ja Visual Studio Team System 2008 Test Edition ja valitaan MOSS – web-sovelluksille paremmin sopiva työkalu. Työssä vertaillaan työkaluja niiden ominaisuuksien perusteella sekä suorittamalla kuormitustestausta testausta varten luodulle MOSS – web-sovellukselle. Vaikuttavien tekijöiden perusteella työkaluja arvioidaan ja tämän perusteella saadaan tulos vertailulle. Työn tuloksena Visual Studio Team System 2008 Test Edition sopii paremmin MOSS – web-sovelluksen kuormitustestausvälineeksi. Vertailussa kuitenkin havaittiin, että työkalut ovat melko tasavertaisia, ja käytännön tilanteesta riippuu, kumpi sopii paremmin. Tämä työ auttaa valinnan teossa.

SharePoint-sovellusten käytettävyys ja sen kehittäminen

Tässä työssä tutkitaan SharePoint-sovellusten käytettävyyden kehittämistä. Käytettävyyden kehittämiselle etsitään keinoja kirjallisuudessa esitetyistä teoreettisista keinoista. Lisäksi selvitetään monipuolisten Internet-sovellusten käytön vaikutuksia SharePoint-sovellusten käytettävyyteen. Tässä työssä toteutetaan SharePoint-ohjelmisto, joka sisältää kaksi erilaista käyttöliittymää. Näitä käyttöliittymiä vertaillaan keskenään käytettävyyden näkökulmasta ja havaitaan, että käyttäjäpalautteen ja monipuolisten Internet-sovellusten ansiosta saadaan toteutettua laadukkaampaa käytettävyyttä. Työssä tehdään kyselytutkimus SharePointia käyttäville yrityksille, jossa selvitetään SharePoint-sovellusten käytettävyyden merkitystä ja laatua. Kyselyyn saadaan vain vähän vastauksia, jonka takia sen pohjalta ei pystytä tekemään yleistäviä johtopäätöksiä.

Multitenant-arkkitehtuurin mukainen Microsoft BizTalk Server palveluna virtuaaliympäristöstä

Tässä työssä selvitettiin Microsoft BizTalk Server -tuotteen sopivuutta moniasiakasjärjestelmänä toimivan sovellusintegraatioympäristön toteuttamiseen. Työssä ei otettu kantaa ympäristössä suoritettaviin integraatioihin, niihin liittyviin asiakkuuksiin tai integraatioympäristöön liittyviin järjestelmiin ja sovelluksiin. Selvityksessä ilmeni, että Microsoft BizTalk Server -tuotetta on mahdollista käyttää moniasiakasjärjestelmänä, sillä lisenssiehdot eivät rajoita tuotteen käyttömahdollisuuksia. Moniasiakasjärjestelmän haasteet liittyvät tietoturvaan ja sovellustietojen näkyvyyteen. Toisaalta haasteena on moniasiakasjärjestelmän kannattavuus liiketoiminnan näkökulmasta.

Módulo de gestión de proyectos para Microsoft Dynamics CRM

El projecte consistirà en instal·lar Microsoft CRM 3.0 en un servidor amb Wndows Server 2003, configurar l'aplicació (establir permisos, introduir la informació de l'empresa...), parametritzar-la (modificacions que es realitzen dintre del propi CRM per tal d'adaptar-lo al negoci com ara crear camps, taules, relacions, vistes...) i desenvolupar nova funcionalitat (callout). A més Microsoft CRM estarà integrat amb Microsoft Office Outlook.

Tietovaraston latausprosessin kehittämisen osittainen automatisointi Microsoft SQL Server 2008 -ympäristössä

Tässä työssä tutkitaan tietovaraston latausprosessin kehittämisen nopeuttamista Mic-rosoft SQL Server 2008 -ympäristössä. Työn teoriaosuudet on tarkoitettu tukemaan sekä työn tutkimus- että käytännönosia. Aiheeseen liittyviä tutkimuksia käytiin läpi parhaiden latausprosessin kehittämiseen kuluvaa aikaa vähentävien tapojen selvittä-miseksi. Nykytutkimus keskittyy valmistajasta riippumattomien mallien kehittämiseen ja valmistajakohtaisen latausprosessin luomiseen näiden mallien pohjalta. Yleinen konsensus parhaan mallin suhteen kuitenkin puuttuu. Aiheeseen liittyvien tutkimusten pohjalta esitetään arkkitehtuuri, joka saattaisi tule-vaisuudessa vähentää latausprosessin kehittämiseen kuluvaa aikaa huomattavasti. Tästä arkkitehtuurista luotiin yksinkertaistettu versio sekä siihen pohjautuva sovellus nopeuttamaan latausprosessin kehittämistä Microsoftin ETL-työkalulla.

Riprogettazione del processo di sviluppo nuovo prodotto - il caso Umbra Cuscinetti S.p.A

Questo lavoro di tesi nasce dall’opportunità di un tirocinio della durata di sei mesi presso Umbra Cuscinetti S.p.A., importante azienda leader nel settore aeronautico e industriale per la realizzazione di Cuscinetti a sfera, Viti a ricircolo di sfere e Attuatori Elettromeccanici (EMA). L’ambito di riferimento è quello del Processo di Sviluppo Nuovo Prodotto per la linea di Business EMA. La linea ha completato la fase “pionieristica” che ne ha segnato l’ingresso in un nuovo settore industriale e, oggi, ha la necessità di procedere ad una razionalizzazione delle proprie attività allo scopo di supportare al meglio i programmi di sviluppo. I prodotti della linea presentano un elevato grado di innovazione e non essendo standardizzati, richiedono una gestione oculata in tutti gli aspetti di costo, tempo e qualità. I progetti finora intrapresi non hanno soddisfatto appieno le aspettative per questa linea, le cui potenzialità sono molto elevate; da qui la necessità di una riprogettazione di tutto il processo. L’analisi è stata condotta mediante la metodologia DMAIC e prevede come obiettivo l’inserimento del Project Management come nuova metodologia di gestione del processo.

Private cloud computing platforms. Analysis and implementation in a Higher Education Institution

The constant evolution of the Internet and its increasing use and subsequent entailing to private and public activities, resulting in a strong impact on their survival, originates an emerging technology. Through cloud computing, it is possible to abstract users from the lower layers to the business, focusing only on what is most important to manage and with the advantage of being able to grow (or degrades) resources as needed. The paradigm of cloud arises from the necessity of optimization of IT resources evolving in an emergent and rapidly expanding and technology. In this regard, after a study of the most common cloud platforms and the tactic of the current implementation of the technologies applied at the Institute of Biomedical Sciences of Abel Salazar and Faculty of Pharmacy of Oporto University a proposed evolution is suggested in order adorn certain requirements in the context of cloud computing.

Transfering data from a server to an Android Mobile application: a case study

Nowadays, due to the incredible grow of the mobile devices market, when we want to implement a client-server applications we must consider mobile devices limitations. In this paper we discuss which can be the more reliable and fast way to exchange information between a server and an Android mobile application. This is an important issue because with a responsive application the user experience is more enjoyable. In this paper we present a study that test and evaluate two data transfer protocols, socket and HTTP, and three data serialization formats (XML, JSON and Protocol Buffers) using different environments and mobile devices to realize which is the most practical and fast to use.

Server to Mobile Device Communication: A Case Study

Develop a client-server application for a mobile environment can bring many challenges because of the mobile devices limitations. So, in this paper is discussed what can be the more reliable way to exchange information between a server and an Android mobile application, since it is important for users to have an application that really works in a responsive way and preferably without any errors. In this discussion two data transfer protocols (Socket and HTTP) and three serialization data formats (XML, JSON and Protocol Buffers) were tested using some metrics to evaluate which is the most practical and fast to use.

Creating and optimizing client-server applications on mobile devices

Mobile devices are embedded systems with very limited capacities that need to be considered when developing a client-server application, mainly due to technical, ergonomic and economic implications to the mobile user. With the increasing popularity of mobile computing, many developers have faced problems due to low performance of devices. In this paper, we discuss how to optimize and create client-server applications for in wireless/mobile environments, presenting techniques to improve overall performance.