Prevenda

Aquest projecte es base en una aplicació de prevenda per terminals amb Sistema Operatiu Windows CE 4.3 i plataforma Pocket PC 2003. L'aplicació permetrà al terminal conectar-se amb un ordenador central (PC) per tal de descarregar la informació dels clients, artícles, rutes, etc. Una vegada s'hagi rebut la informació, el comercial podrà anar visitant els diferents clients seguint una ruta i introduint les comandes. En qualsevol moment del dia el comercial podrà enviar les comandes a la central mitjançant una conecció remota o bé mitjançant una comunicació directa.

Saving Mothers' Lives 2003-2005

This, the seventh Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom (UK) enquires into maternal deaths and has a new title, "Saving Mothers' Lives". The change has been made to more accurately reflect the purpose of this, the longest running example of a maternal death review in the world. The Enquiry's aim is to stimulate and promote beneficial clinical actions and health and social service changes that will save yet more mothers' and babies' lives in future. By acting on the recommendations and results contained in the Report, the inequalities in pregnancy outcomes that currently exist between the most advantaged and most vulnerable and excluded mothers and babies in society should reduce, as should the numbers of those who suffer the consequences of severe morbidity.In addition, and perhaps of most importance, all mothers, infants and families will benefit from accessiblematernity services whose staff are proud to provide them with the safest and best possible individualised care that meets all their medical and other needs.

Tegumentary leishmaniasis outbreak in Bella Vista City, Corrientes, Argentina during 2003

Bella Vista City, Corrientes, Argentina, reported an epidemic outbreak of tegumentary leishmaniasis during 2003. The mean age of the 31 cases was 25.0 ± 13.7 years old, with a sex ratio male:female 1.8, and without mucosal involvement. They clustered in two contiguous neighbourhoods, 96% in the periurban border and 4% in the peripheral outskirts. The transmission peak was estimated to have occurred during April 2003. Four species (3608 sand flies) were captured in nine sites: Lutzomyia neivai (90.1%), Lu. pessoai (8.9%), Lu. migonei (0.8 %), and Brumptomyia avellari (0.2 %). The outskirts/rural capture ratio of Lu. neivai was up to 3, and the outskirts/periurban up to 200. Therefore, the 'urban' transmission in this southernmost known focus is still an ecotone-border associated risk. The changes in human distribution or activities, patches of the secondary vegetation, periurban streams, rainfall of the previous year, and river period floods could all contribute to 'urban' outbreaks in the region. Tegumentary leishmaniasis risk should be assessed for any project that involves changes in land use throughout an endemic area.

Trends in the main diseases in an internal medicine ward, 2003-2011

Introduction : Population aging leads to a considerable increase in the prevalence of specific diseases. We aimed to assess if those changes were already reflected in an Internal Medicine ward. Methods : Anonymous data was obtained from the administrative database of the department of internal medicine of the Lausanne University Hospital (CHUV). All hospitalizations of adult (>=18 years) patients occurring between 2003 and 2011 were included. Infections, cancers and diseases according to body system (heart, lung...) were defined by the first letter of the ICD-10 code for the main cause of hospitalization. Specific diseases (myocardial infarction, heart failure...) were defined by the first three letters of the ICD-10 codes for the main cause of hospitalization. Results : Data from 32,741 hospitalizations occurring between 2003 and 2011 was analyzed. Cardiovascular (ICD-10 code I) and respiratory (ICD-10 code J) diseases ranked first and second, respectively, and their ranks did not change during the study period (figure). Digestive and endocrine diseases decreased while psychiatric diseases increased from rank 9 in 2003 to rank 6 in 2011 (figure). Among specific diseases, pneumonia (organism unspecified, code J18) ranked first in 2003 and second in 2011. Acute myocardial infarction (code I21) ranked second in 2003 and third in 2011. Chronic obstructive pulmonary disease with acute lower respiratory infection (code J44) ranked third in 2003 and decreased to rank 8 in 2011. Conversely, heart failure (code I50) increased from rank 8 in 2003 to rank 1 in 2011 and delirium (not induced by alcohol and other psychoactive substances, code F05) increased from below rank 20 in 2003 to rank 4 in 2011. For more details, see table. Conclusion : In less than 10 years, considerable changes occurred in the presentation of patients attending an Internal Medicine ward. The changes in diseases call for adaptations in hospital staff and logistics.

Description of Culicoides pseudoheliconiae sp.n. from Peruvian Amazon and revalidation of Culicoides contubernalis Ortiz & Leon (Diptera: Ceratopogonidae)

A new species of the Culicoides hylas species group, Culicoides pseudoheliconiae Felippe-Bauer is described and illustrated based on female specimens from Peruvian Amazon, and Culicoides contubernalis Ortiz & Leon from Ecuador is resurrected and redescribed as a valid species. A systematic key, table with numerical characters of females of species of the Culicoides hylas group are given.

Influencia de las características individuales y de las condiciones laborales en la gravedad de las lesiones por accidente de trabajo registradas en Andalucía en 2003

Background. The study of the severity of occupational injuries is very important for the establishment of prevention plans. The aim of this paper is to analyze the distribution of occupational injuries by a) individual factors b) work place characteristics and c) working conditions and to analyze the severity of occupational injuries by this characteristics in men and women in Andalusia. Methods. Injury data came from the accident registry of the Ministry of Labor and Social Issues in 2003. Dependent variable: the severity of the injury: slight, serious, very serious and fatal; the independent variables: the characteristics of the worker, company data, and the accident itself. Bivariate and multivariate analysis were done to estimate the probability of serious, very serious and fatal injury, related to other variables, through odds ratio (OR), and using a 95% confidence interval (CI 95%). Results. The 82,4% of the records were men and 17,6% were women, of whom the 78,1% are unskilled manual workers, compared to 44,9% of men. The men belonging to class I have a higher probability of more severe lesions (OR = 1,67, 95% CI = 1,17 – 2,38). Conclusions. The severity of the injury is associated with sex, age and type of injury. In men it is also related with the professional situation, the place where the accident happened, an unusual job, the size and the characteristics of the company and the social class, and in women with the sector

Indicadors bibliomètrics de l'activitat científica de Catalunya (Scopus, 2003-2008) : síntesi

L'enfocament principal d'aquest informe elaborat per Scimago, una de les principals fonts d'informació estadística, se centra en el sistema de producció científica de Catalunya i la seva relació amb l'Estat espanyol i amb el món. L'estudi conté un conjunt d'indicadors de macroanàlisi basada en comparacions amb altres comunitats autònomes; una anàlisi sobre el rendiment segons categories temàtiques i de manera comparada amb l'Estat espanyol i el món, i aportacions per a una microanàlisi. Les anàlisis comprenen la producció científica de tota mena d'institucions agrupades en els sectors universitari, sanitari, d'ens públics de recerca i ens privats. Les conclusions de l'estudi revelen que l'impacte científic de la recerca catalana és semblant al del Canadà, Singapur o Finlàndia. L'informe situa Catalunya com la primera comunitat espanyola pel que fa a l'impacte científic internacional. Matemàtiques, química, immunologia, ciències mediambientals, física, informàtica, ciències dels materials, medicina i agricultura són les àrees de recerca a Catalunya amb un impacte superior a la mitjana mundial. Les enginyeries registren un dèficit de producció científica si es compara amb l'activitat mundial.

Indicadores bibliométricos de la actividad científica de Cataluña (Scopus, 2003-2008) : síntesis

L'enfocament principal d'aquest informe elaborat per Scimago, una de les principals fonts d'informació estadística, se centra en el sistema de producció científica de Catalunya i la seva relació amb l'Estat espanyol i amb el món. L'estudi conté un conjunt d'indicadors de macroanàlisi basada en comparacions amb altres comunitats autònomes; una anàlisi sobre el rendiment segons categories temàtiques i de manera comparada amb l'Estat espanyol i el món, i aportacions per a una microanàlisi. Les anàlisis comprenen la producció científica de tota mena d'institucions agrupades en els sectors universitari, sanitari, d'ens públics de recerca i ens privats. Les conclusions de l'estudi revelen que l'impacte científic de la recerca catalana és semblant al del Canadà, Singapur o Finlàndia. L'informe situa Catalunya com la primera comunitat espanyola pel que fa a l'impacte científic internacional. Matemàtiques, química, immunologia, ciències mediambientals, física, informàtica, ciències dels materials, medicina i agricultura són les àrees de recerca a Catalunya amb un impacte superior a la mitjana mundial. Les enginyeries registren un dèficit de producció científica si es compara amb l'activitat mundial.

XVI Olimpíada Nacional de Química 2002-2003

Article que es refereix a la XVI Olimpíada Nacional de Química (2002 – 2003), celebrada el 9-12 de maig de 2003, al Seminari Menor de Tarazona (Saragossa). L’ olimpíada consisteix en dues proves: la primera consisteix en la resolució de 4 problemes llargs, i la segona en 45 preguntes de resposta múltiple (tipus test) que contenen qüestions teòriques i problemes curt. En aquest article s’ esmenten els alumnes que han obtingut alguna mena de distinció, els classificats per a la Fase Nacional, els problemes proposats i les característiques de les preguntes del test

Proceso INFORNUT: validación de la fase de filtro-FILNUT--y comparación con otros métodos de detección precoz de desnutrición hospitalaria.

INTRODUCTION According to several series, hospital hyponutrition involves 30-50% of hospitalized patients. The high prevalence justifies the need for early detection from admission. There several classical screening tools that show important limitations in their systematic application in daily clinical practice. OBJECTIVES To analyze the relationship between hyponutrition, detected by our screening method, and mortality, hospital stay, or re-admissions. To analyze, as well, the relationship between hyponutrition and prescription of nutritional support. To compare different nutritional screening methods at admission on a random sample of hospitalized patients. Validation of the INFORNUT method for nutritional screening. MATERIAL AND METHODS In a previous phase from the study design, a retrospective analysis with data from the year 2003 was carried out in order to know the situation of hyponutrition in Virgen de la Victoria Hospital, at Malaga, gathering data from the MBDS (Minimal Basic Data Set), laboratory analysis of nutritional risk (FILNUT filter), and prescription of nutritional support. In the experimental phase, a cross-sectional cohort study was done with a random sample of 255 patients, on May of 2004. Anthropometrical study, Subjective Global Assessment (SGA), Mini-Nutritional Assessment (MNA), Nutritional Risk Screening (NRS), Gassull's method, CONUT and INFORNUT were done. The settings of the INFORNUT filter were: albumin < 3.5 g/dL, and/or total proteins <5 g/dL, and/or prealbumin <18 mg/dL, with or without total lymphocyte count < 1.600 cells/mm3 and/or total cholesterol <180 mg/dL. In order to compare the different methods, a gold standard is created based on the recommendations of the SENPE on anthropometrical and laboratory data. The statistical association analysis was done by the chi-squared test (a: 0.05) and agreement by the k index. RESULTS In the study performed in the previous phase, it is observed that the prevalence of hospital hyponutrition is 53.9%. One thousand six hundred and forty four patients received nutritional support, of which 66.9% suffered from hyponutrition. We also observed that hyponutrition is one of the factors favoring the increase in mortality (hyponourished patients 15.19% vs. non-hyponourished 2.58%), hospital stay (hyponourished patients 20.95 days vs. non-hyponourished 8.75 days), and re-admissions (hyponourished patients 14.30% vs. non-hyponourished 6%). The results from the experimental study are as follows: the prevalence of hyponutrition obtained by the gold standard was 61%, INFORNUT 60%. Agreement levels between INFORNUT, CONUT, and GASSULL are good or very good between them (k: 0.67 INFORNUT with CONUT, and k: 0.94 INFORNUT and GASSULL) and wit the gold standard (k: 0.83; k: 0.64 CONUT; k: 0.89 GASSULL). However, structured tests (SGA, MNA, NRS) show low agreement indexes with the gold standard and laboratory or mixed tests (Gassull), although they show a low to intermediate level of agreement when compared one to each other (k: 0.489 NRS with SGA). INFORNUT shows sensitivity of 92.3%, a positive predictive value of 94.1%, and specificity of 91.2%. After the filer phase, a preliminary report is sent, on which anthropometrical and intake data are added and a Nutritional Risk Report is done. CONCLUSIONS Hyponutrition prevalence in our study (60%) is similar to that found by other authors. Hyponutrition is associated to increased mortality, hospital stay, and re-admission rate. There are no tools that have proven to be effective to show early hyponutrition at the hospital setting without important applicability limitations. FILNUT, as the first phase of the filter process of INFORNUT represents a valid tool: it has sensitivity and specificity for nutritional screening at admission. The main advantages of the process would be early detection of patients with risk for hyponutrition, having a teaching and sensitization function to health care staff implicating them in nutritional assessment of their patients, and doing a hyponutrition diagnosis and nutritional support need in the discharge report that would be registered by the Clinical Documentation Department. Therefore, INFORNUT would be a universal screening method with a good cost-effectiveness ratio.