Briefing material provided to Minister Varadkar upon his appointment

Briefing material provided to Minister Varadkar upon his appointment as Minister for Health. Due to the volume of this document it is divided into 5 parts. Part 1 Part 2 Part 3 Part 4 Part 5  

Anàlisi i disseny d'una aplicació de gestió de material d'emergències

El projecte escollit és la Gestió de Material d'Emergències amb la finalitat de gestionar l'aprovisionament de les diferents unitats que formen una organització en estructura jeràrquica de bombers, aquesta gestió permet portar un control individualitzat del consum de cada unitat i també pot oferir la informació sobre els estocs per ajudar a la presa de decisions davant una emergència.

Gestió de devolucions de material

El projecte vol donar una solució integral que cobreixi el circuit prèviament descrit i permeti la consecució eficient del mateix des dels punts de vista del client i del personal intern.

Manufacturing and characterization of a recombinant adeno-associated virus type 8 reference standard material.

Gene therapy approaches using recombinant adeno-associated virus serotype 2 (rAAV2) and serotype 8 (rAAV8) have achieved significant clinical benefits. The generation of rAAV Reference Standard Materials (RSM) is key to providing points of reference for particle titer, vector genome titer, and infectious titer for gene transfer vectors. Following the example of the rAAV2RSM, here we have generated and characterized a novel RSM based on rAAV serotype 8. The rAAV8RSM was produced using transient transfection, and the purification was based on density gradient ultracentrifugation. The rAAV8RSM was distributed for characterization along with standard assay protocols to 16 laboratories worldwide. Mean titers and 95% confidence intervals were determined for capsid particles (mean, 5.50×10(11) pt/ml; CI, 4.26×10(11) to 6.75×10(11) pt/ml), vector genomes (mean, 5.75×10(11) vg/ml; CI, 3.05×10(11) to 1.09×10(12) vg/ml), and infectious units (mean, 1.26×10(9) IU/ml; CI, 6.46×10(8) to 2.51×10(9) IU/ml). Notably, there was a significant degree of variation between institutions for each assay despite the relatively tight correlation of assay results within an institution. This outcome emphasizes the need to use RSMs to calibrate the titers of rAAV vectors in preclinical and clinical studies at a time when the field is maturing rapidly. The rAAV8RSM has been deposited at the American Type Culture Collection (VR-1816) and is available to the scientific community.

Material didáctico de educación ambiental no formal para el programa “yo, sí puedo cuidar el ambiente”, en Nicaragua

El presente trabajo ha consistido en elaborar el material didáctico para la educación ambiental no formal de los ciudadanos de Nicaragua, con nivel escolar equivalente a sexto grado. Este material en un futuro cercano será la base del programa de alfabetización ambiental “Yo, Sí Puedo Cuidar el Ambiente”,coordinado por la “Red Universitaria Yo, Sí Puedo” en distintas partes de Nicaragua. El resultado del proyecto es una cartilla destinada al alumno y una Guía Metodológica para el educador. Para la realización de este proyecto ha sido necesaria una estancia de tres meses y medio para la recopilación de información y la elaboración de material didáctico. El principal objetivo del material elaborado es contribuir en la sensibilización y la formación de valotres ambientales de los participantes, mejorando asi su calidad de vida y su entorno

Confirmation of Anopheles (Anopheles) calderoni Wilkerson, 1991 (Diptera: Culicidae) in Colombia and Ecuador through molecular and morphological correlation with topotypic material

The morphologically similar taxa Anopheles calderoni, Anopheles punctimacula, Anopheles malefactor and Anopheles guarao are commonly misidentified. Isofamilies collected in Valle de Cauca, Colombia, showed morphological characters most similar to An. calderoni, a species which has never previously been reported in Colombia. Although discontinuity of the postsubcostal pale spots on the costa (C) and first radial (R1) wing veins is purportedly diagnostic for An. calderoni, the degree of overlap of the distal postsubcostal spot on C and R1 were variable in Colombian specimens (0.003-0.024). In addition, in 98.2% of larvae, seta 1-X was located off the saddle and seta 3-C had 4-7 branches in 86.7% of specimens examined. Correlation of DNA sequences of the second internal transcribed spacer and mtDNA cytochrome c oxidase subunit I gene (COI) barcodes (658 bp of the COI gene) generated from Colombian progeny material and wild-caught mosquitoes from Ecuador with those from the Peruvian type series of An. calderoni confirmed new country records. DNA barcodes generated for the closely related taxa, An. malefactor and An. punctimacula are also presented for the first time. Examination of museum specimens at the University of the Valle, Colombia, revealed the presence of An. calderoni in inland localities across Colombia and at elevations up to 1113 m.

El Bambú como material estructural:análisis de un caso práctico

Esta investigación quiere participar en la búsqueda de encontrar nuevas formas para el uso del bambú porque creciendo rápido y siendo muy resistente, el bambú es muy competitivo con respecto a otros materiales. La idea principal de esa investigación es aplicar al bambú las técnicas modernas deestructuras livianas, espaciales y flexibles del acero o la madera. De allí que decidieramos investigar sistemas estructurales que respondan a las siguientes pautas de diseño: aprovechamiento de la longitud y flexibilidad natural del bambú; control de su curvatura; aumento de la rigidez flexional; superación de la escala natural del material para salvar grandes luces; posibilidad de generación de diferentes configuraciones espaciales; utilización de materiales de bajo costo y fácil obtención y empleo de mano de obra no especializada

Anàlisi paramètrica de l'assaig a compressió d'un panell de material compost rigiditzat amb tres nervis

L’objectiu d’aquest treball és desenvolupar una metodologia per realitzar l’anàlisiparamètrica de l’assaig de compressió d’un panell de material compost rigiditzat ambtres nervis. En primer lloc és necessari desenvolupar un sistema automatitzat per generar i avaluar el conjunt de parametritzacions. A continuació, s’estudiaran quines variables d’estat són les més adequades per representar el vinclament local, la flexió global, la càrrega crítica de desestabilització i l’índex de fallada en l’anàlisi paramètrica. La modelització amb el mètode dels elements finits serveix per simular l’assaig a compressió del panell. La simulació es realitza mitjançant un càlcul no lineal, per estudiar la desestabilització i els fenòmens no lineals que pateix el panell. L’estudi es complementa amb una anàlisi modal i una anàlisi lineal

Bòbila d’Ermedàs: Estudi del material arqueològic de la UE-115

Estudi del material trobat a l’interior d’una de les tres canals presents en el jaciment d’Ermedàs recuperat durant la 6a i 7a campanyes d’excavació, al 2004 i 2006, en què es va excavar l’estructura. El conjunt a analitzar correspon al moment de l’abandó de la canalització, indicatiu que ens trobem davant un conjunt tancat. L’objectiu és analitzar un grup de material ceràmic que serveix per datar i contextualitzar la canalització dins el funcionament global de la bòbila d’Ermedàs, per tal de poder conèixer una part més del seu funcionament

Del artículo de revisión a la recomendación profesional: La uniformación y material de protección individual para los equipos del ámbito prehospitalario de urgencias y emergencias

The Spanish Society of Nursing Emergency (SEEUE) has several lines documentaries that can be consulted on its web page and that have been spread through various publications: Statutes, scientific recommendations, professional recommendations, statements and allegations, grounds for nursing emergency, guarantees and rules, documents of interest and legislation. Set this that composed the regulatory environment, legal and recommendations which society poses to the collective nurse from the area of the emergency, as well as the rest of actors associated with urgent assistance (institutional and administratively) and through what has been the work of conceptualization and definition in our area the past few years. Part of this documentation offer possibilities for scientific endorsement and professional and invites to continue building knowledge and evidence. It is in this sense in which this work can and should be defined from a literature review approach and under the scheme of "review article". The working Group in Primary Care (PC) of the SEEUE, decided to build a Professional Recommendation (PR) in one of the areas of "uncertainty/variability" in the employment context and historical demand of nurses and other emergency care team on security issues: "The uniform and personal protective equipment for professional teams on prehospital emergency areas”.

Endoscopic off-pump aortic valve replacement: does the pericardial cuff improve the sutureless closure of left ventricular access?

OBJECTIVE: Off-pump trans left ventricular approach provides more precise deployment of stented aortic valve of any size with respect to the endovascular replacement. One of the key steps of this procedure is the ventricle repair after catheter withdrawing. We designed an animal study to compare the consistency of a sutureless repair of the left ventricle access using nitinol occluder with and without pericardial cuff on the ventricular side. METHODS: Material description: The Amplatz-nitinol occluder consists of two square heads squeezing ventricle wall in between them, sealing the defect. To improve its sealing property, a pericardial patch was sutured to the ventricular head of the occluder. Animal study setup: In adult pigs, a 30F sheath was inserted into the epigastric area through the cardiac apex, up to the left ventricle, simulating the approach for off-pump aortic valve replacement. The sheath was then removed and the ventricle closed with standard occluder in half of the animals, and cuffed occluder in the other half. Animals were followed-up for 3h, collecting haemodynamics data and pericardial bleeding. RESULTS: Device was successfully deployed in 12 animals in less than 1min. In the group where the standard occluder was used, bleeding during the deployment was 80+/-20ml and after the deployment was 800+/-20ml over 3h. In the group where the cuffed occluder was used, bleeding during the deployment was 85+/-20ml and after the deployment was 100+/-5ml over 3h. In the cuffed group, bleeding was significantly lower than the standard group, p-value being <0.001. CONCLUSIONS: The occluder is easy to use and the pericardial cuff dramatically increases its efficacy as demonstrated by a significant reduction of blood loss. The cuffed occluder opens the way for endoscopic, off-pump, transventricular aortic valve replacement.

Càlcul, disseny i fabricació d'una carrosseria autoportant en material compòsit per al vehicle de baix consum Àliga

El projecte és l’inici de la creació d’un nou prototip per a poder competir la temporada 2008 a la cursa de vehicles de baix consum Shell Eco-Marathon. El principal objectiu és aconseguir un xassís que redueixi, en la mesura del possible, el pes del prototip a la vegada que asseguri una millor rigidesa i millori l’ergonomia de tot el conjunt. Es dissenyarà tota la part estructural de la carrosseria, que serà sotmesa a càlcul mitjançant la tècnica dels elements finits i posteriorment es realitzarà una guia de producció per tal de guiar els membres de l’equip que en realitzin la producció

Fracturas femorales periprotésicas de rodilla tratadas con clavo intramedular retrógrado y osteosíntesis con placa: comparación de resultados a medio-largo plazo

INTRODUCTION: The femoral periprosthetic fracture of the knee is one of the most feared complications because of its repercussions. Incidence are more and more likely due to the increase of total implanted arthroplasty of the knee, due to the increasing lifespan among the general population. The objective of this study is to analyze some of the perioperative aspects of the treatment of these fractures, comparing the use of osteosynthesis with plates and the retrograde nailing in those patients with femoral periprosthetic knee fractures with a stable implant. MATERIAL AND METODS: The study retrospectively examines 18 cases treated consecutively in our hospital (3 men and 15 women, average age of 72.7 years) between the years of 2000 and 2009. All fractures were located in the distal femur and on a stable implant. Eight were treated through retrograde nailing (Group I) and ten with plates (Group II). The cases are analyzed through the tests of the University of Mann-Withney and the exact Fischer test, with significant values of p≤0.05, the variables of median hospital stay, necessity of transfusion indicated with values of hemoglobin less than 8 mg/ml, preoperative radiological alignment and postoperative alignment of the total knee prosthesis (TKR), measured following the anatomical tibiofemoral axis, time of consolidation and incidence of localized complications in both groups. RESULTS: We did not find any statistically significant differences between the two groups in any of the variables analyzed. Localized complications are more frequent in Group I (62.5 percent of patients) than in Group II (10 percent of patients). The need for transfusion is greater in Group II (40 percent) than in Group I (12.5 percent). CONCLUSIONS: The type of implant used in treatment of femoral periprosthetic knee fracture does not significantly influence perioperative factors. The treatment for this type of fractures should be individually chosen in relation to the type of fracture, characteristics of the patient and stability and prosthesis model of the primary knee.