Modell zur Arbeitsplatzwahl als Grundlage für ein Relationship-Marketing-Konzept im Bereich high-potentials

Recruitment, high potentials, job choice, relationship marketing, employer image, trust, familiarity, segmentation, logistic regression, structural equation models

Transcatheter Aortic Valve Implantation and Morbidity and Mortality-Related Factors: a 5-Year Experience in Brazil

Abstract Background: Transcatheter aortic valve implantation has become an option for high-surgical-risk patients with aortic valve disease. Objective: To evaluate the in-hospital and one-year follow-up outcomes of transcatheter aortic valve implantation. Methods: Prospective cohort study of transcatheter aortic valve implantation cases from July 2009 to February 2015. Analysis of clinical and procedural variables, correlating them with in-hospital and one-year mortality. Results: A total of 136 patients with a mean age of 83 years (80-87) underwent heart valve implantation; of these, 49% were women, 131 (96.3%) had aortic stenosis, one (0.7%) had aortic regurgitation and four (2.9%) had prosthetic valve dysfunction. NYHA functional class was III or IV in 129 cases (94.8%). The baseline orifice area was 0.67 ± 0.17 cm2 and the mean left ventricular-aortic pressure gradient was 47.3±18.2 mmHg, with an STS score of 9.3% (4.8%-22.3%). The prostheses implanted were self-expanding in 97% of cases. Perioperative mortality was 1.5%; 30-day mortality, 5.9%; in-hospital mortality, 8.1%; and one-year mortality, 15.5%. Blood transfusion (relative risk of 54; p = 0.0003) and pulmonary arterial hypertension (relative risk of 5.3; p = 0.036) were predictive of in-hospital mortality. Peak C-reactive protein (relative risk of 1.8; p = 0.013) and blood transfusion (relative risk of 8.3; p = 0.0009) were predictive of 1-year mortality. At 30 days, 97% of patients were in NYHA functional class I/II; at one year, this figure reached 96%. Conclusion: Transcatheter aortic valve implantation was performed with a high success rate and low mortality. Blood transfusion was associated with higher in-hospital and one-year mortality. Peak C-reactive protein was associated with one-year mortality.

Kinderwunsch und Familienplanung bei Klientinnen der Jugendhilfe

[s.c.]

Estudos bionômicos de Dipetalogaster Maximus (Ihler, 1894) (Hemiptera, Triatominae) I. influência da dieta sobre ritmo de postura, viabilidade dos ovos, curva de fertilidade e moetalidade das fêmeas

A dieta alimentar teve influência marcante na bionomia de Dipetalogaster maximus. Os registros obtidos, são resultantes de observações diárias durante dez meses em relação à postura e à mortalidade dos adultos. Utilizaram-se dois grupos de dez casais da mesma idade (A e B), alimentados semanalmente em sangue de camundongos normais e dois grupos de dez casais (C e D) que nas mesmas condições se alimentaram em sangue de pombo. Todos os grupos mantidos em estufa B.O.D a 28ºC e 65% ± 2,5% U.R, condições consideradas adequadas ao seu desenvolvimento. No grupo A registraram-se 101 posturas com total de 1.018 ovos; em B observaram-se 118 posturas, totalizando 1.318 ovos. Nos grupos alimentados em pombo observou-se produtividade inferior: 70 posturas em C, com 398 ovos e 66 posturas em D com 495 ovos. Não foram observadas diferenças significativas na curva de motalidade das fêmeas.

Training medical students to conduct motivational interviewing: a randomized controlled trial.

OBJECTIVE: To examine the effectiveness of motivational interviewing (MI) training among medical students. METHODS: All students (n=131) (year 5) at Lausanne Medical School, Switzerland were randomized into an experimental or a control group. After a training in basic communication skills (control condition), an 8-h MI training was completed by 84.8% students in the exprimental group. One week later, students in both groups were invited to meet with two standardized patients. MI skills were coded by blinded research assistants using the Motivational Interviewing Treatment Integrity 3.0. RESULTS: Superior MI performance was shown for trained versus control students, as demonstrated by higher scores for "Empathy" [p<0.001] and "MI Spirit" [p<0.001]. Scores were similar between groups for "Direction", indicating that students in both groups invited the patient to talk about behavior change. Behavior counts assessment demonstrated better performance in MI in trained versus untrained students regarding occurences of MI-adherent behavior [p<0.001], MI non-adherent behavior [p<0.001], Closed questions [p<0.001], Open questions [p=0.001], simple reflections [p=0.03], and Complex reflections [p<0.001]. Occurrences were similar between groups regarding "Giving information". CONCLUSION: An 8-h training workshop was associated with improved MI performance. PRACTICE IMPLICATIONS: These findings lend support for the implementation of MI training in medical schools.

Myoclonies chez une personne très âgée; une cause fréquente et réversible [Myoclonia in an oldest old woman: a frequent and reversible etiology]

A 98-year-old woman was referred to our hospital because of myoclonia. The concentration of calcium and vitamin D in the serum was low. In this context, we concluded of neuromuscular irritability secondary to hypocalcaemia. The symptoms disappeared after a treatment of intravenous calcium. This case shows how important it is to investigate electrolytes in case of neuromuscular irritability symptoms in elderly people.

The United Nations Educational, Scientific and Cultural Organisation: Pawn or Global Player?,

This contribution aims at exploring the significance of the new generation of UNESCO conventions for the recognition of higher education qualifications. It discusses three possible scenarios and links them to the empirical findings of a study that compares the enabling conditions of the first generation of recognition conventions established in the 1970s and 1980s with the ones establishing the second generation today. Taking an interdisciplinary approach, the paper argues that the changes illustrate a more general shift in the architecture of the global order and highlights a new role of UNESCO.

Market Familiarity and the Location of South and North MNEs

We use a systematic empirical analysis of the determinants of South-South (SS) and North-South (NS) foreign direct investment (FDI) as a canvas to explore how multinational enterprises’ (MNEs) location decisions are shaped by better acquaintance with a foreign market resulting from bilateral ties, experience of international expansion, and knowledge of how to deal with poor governance. We find that these various aspects of market familiarity, which can interact together, are important to explain and differentiate the location behaviours of South MNEs (S-MNEs) and North MNEs (N-MNEs) in developing countries.

Which subgroup of patients with rheumatoid arthritis benefits from switching to rituximab versus alternative anti-tumour necrosis factor (TNF) agents after previous failure of an anti-TNF agent?

BACKGROUND: Patients with rheumatoid arthritis (RA) with an inadequate response to TNF antagonists (aTNFs) may switch to an alternative aTNF or start treatment from a different class of drugs, such as rituximab (RTX). It remains unclear in which clinical settings these therapeutic strategies offer most benefit. OBJECTIVE: To analyse the effectiveness of RTX versus alternative aTNFs on RA disease activity in different subgroups of patients. METHODS: A prospective cohort study of patients with RA who discontinued at least one aTNF and subsequently received either RTX or an alternative aTNF, nested within the Swiss RA registry (SCQM-RA) was carried out. The primary outcome, longitudinal improvement in 28-joint count Disease Activity Score (DAS28), was analysed using multivariate regression models for longitudinal data and adjusted for potential confounders. RESULTS: Of the 318 patients with RA included; 155 received RTX and 163 received an alternative aTNF. The relative benefit of RTX varied with the type of prior aTNF failure: when the motive for switching was ineffectiveness to previous aTNFs, the longitudinal improvement in DAS28 was significantly better with RTX than with an alternative aTNF (p = 0.03; at 6 months, -1.34 (95% CI -1.54 to -1.15) vs -0.93 (95% CI -1.28 to -0.59), respectively). When the motive for switching was other causes, the longitudinal improvement in DAS28 was similar for RTX and alternative aTNFs (p = 0.40). These results were not significantly modified by the number of previous aTNF failures, the type of aTNF switches, or the presence of co-treatment with a disease-modifying antirheumatic drug. CONCLUSION: This observational study suggests that in patients with RA who have stopped a previous aTNF treatment because of ineffectiveness changing to RTX is more effective than switching to an alternative aTNF.

Els arbres singulars del Parc Natural de l'Alt Pirineu: estudi i proposta d'educació ambiental

Aquest estudi s’ha realitzat amb el principal objectiu de localitzar, analitzar i diagnosticar els arbres singulars subjectes a ser declarats monumentals dins el Parc Natural de l’Alt Pirineu. Concretament s’han inventariat la Vall Ferrera i la Vall de Cardós. L’objectiu secundari ha estat fer una proposta innovadora d’educació ambiental, utilitzant l’arbre com a un instrument pedagògic. S’han inventariat vint-i-tres arbres sent un d’ells ja declarat Arbre Monumental, “l’Avet del Pla de la Selva”. Primerament s’han localitzats els arbres amb l’ajuda dels tècnics del Parc, el coneixement popular i documentació. S’ha utilitzat una metodologia basada en estudis anteriors, mitjançant uns formularis de camp que recullen totes les característiques ecològiques i socioculturals de cada arbre. Posteriorment s’han analitzat les dades obtingudes i s’ha realitzat la diagnosi. S’ha proposat un mètode quantitatiu i un mètode qualitatiu (Rànquing d’Arbres Monumentals). Aquest últim valora cada arbre comparant-lo amb un llistat de tots aquells arbres monumentals de la mateixa espècie en el territori català realitzat per la Generalitat de Catalunya, segons tres paràmetres, l’alçada, el volt de canó i el diàmetre de la capçada. Finalment es proposa a cada arbre la protecció corresponent segons el seu estat de conservació i altres paràmetres. Un dels resultats obtinguts d’aquest estudi ha estat la realització d’una carpeta de material divulgatiu utilitzant cada arbre com a eix central per explicar el medi natural que l’envolta. Amb aquesta iniciativa es vol destacar l’important paper dels arbres monumentals com a connectors amb el medi natural i sociocultural i la necessitat de protegir en tots els Parcs Naturals els arbres singulars.

Should hypertensive patients take vitamin d?

The prevalence of both hypertension and vitamin D deficiency is high. The discovery of the vitamin D receptor and its possible effects on components of the cardiovascular system influencing blood pressure, such as the renin angiotensin system, the heart, the kidney and the blood vessels, has generated the hope that vitamin D therapy could be a new target for the treatment for hypertensive patients. Cross-sectional studies have clearly shown an association between low levels of vitamin D and hypertension. This association is not as clear in longitudinal studies. Finally, evidence from randomized controlled trials specifically designed to test the hypothesis of a blood pressure lowering effect of vitamin D is weak. Therefore, there is actually not enough evidence to recommend giving vitamin D to reduce blood pressure in hypertensive patients.

Quality of life: a potentially useful measure to indicate subclinical flares in Crohn disease.

Background:  While quality of life (QoL) is a well-recognised outcome measure of Crohn disease (CD) activity, its influence on other outcome measures, including exacerbation of CD is poorly understood. If QoL measures were to be associated with intestinal inflammatory activity, they might be useful for early detection of subclinical flares. Aims:  We hypothesised that low QoL might be associated with subsequent CD flares. Methods:  A cohort of 318 adult CD patients was observed for 1 year after assessment of baseline characteristics. Data were collected in Swiss university hospitals, regional hospitals and private practices. At inclusion, patients completed the Inflammatory Bowel Disease QoL Questionnaire (gastrointestinal QoL; range: 32 to 224 points) and the Short Form-36 Health Survey (general QoL; range: 35 to 145 points). During follow up, flares were recorded. Binary logistic regression was performed to estimate the relation between QoL and the odds of subsequent flares. Results:  A twofold decrease in the odds of flares (99% CI: 1.1; 4.0) per standard deviation of gastrointestinal QoL and a threefold decrease (99% CI: 1.5; 6.2) per standard deviation of general QoL were observed. Conclusions:  The close association between QoL and subsequent flares suggests that QoL measures might be useful in detecting upcoming flares before they become clinically apparent.

La mémoire et le temps. Mélanges offerts à Pierre Bonnard

Vingt-et-un biblistes de Suisse, de France, d'Allemagne et d'Italie se rassemblent autour d'un thème qui n'est pas seule­ment très actuel. Ce thème a été aperçu par Pierre Bonnard comme une structure fondamentale dans la théologie du Nou­veau Testament: le souvenir, l'anamnèse. Faire mémoire de Jésus pour comprendre le temps présent. La mémoire du Jésus terrestre est cette structure qui gouverne la vie et la pensée des premiers chrétiens ; elle est le lieu des combats théologiques de Paul, de Luc, de Matthieu, de Jean... Lieu de toutes les fidélités et de toutes les déviances. Vingt-et-un exégètes reprennent ce thème, pour en mesurer la fécondité dans le champ textuel qui leur est familier. Quel rôle joue au premier siècle la mémoire de l'histoire originaire, au gré du temps qui passe? Comment décrire, et apprécier théologiquement, la relecture de l'histoire de Jésus à laquelle procèdent les auteurs du Nouveau Testament? Ces contri­butions sont un hommage à Pierre Bonnard et à son oeuvre d'exégète du Nouveau Testament.

The Rio de Janeiro HIV Vaccine Site: I. Recruitment Strategies and Socio-demographic Data of a HIV Negative Homosexual and Bisexual Male Cohort in Rio de Janeiro, Brazil

The initial effort of the Brazilian Ministry of Health to be an active partner in the world effort in the preparation of future accurate human immune deficiency virus (HIV) efficacy trials was the establishment of a multi-centered cohort of homosexual and bisexual men. An open cohort was established to determine the HIV incidence and the socio-behavioral aspects involved in Rio de Janeiro. A total of 318 potential participants, originated from multiple sources (health units, public information, snowball recruitment), were screened and recruitment became effective through the direct involvement of target communities (with the support of Non Governmental Organizations) and the population. Among this group, seropositivity for sexually transmitted diseases was high with 23, 32 and 46% for HIV, syphilis and hepatitis B, respectively. The socio-demographic data from the first 200 participants of this HIV negative cohort suggests that the cohort volunteers are an appropriate sample of the general male population of the State of Rio de Janeiro

La sintaxis del lenguaje de los textos científicos: los tipos oracionales y los giros de participio y gerundio: estudio de un corpus ruso-español de textos médicos

Aquest treball analitza, mitjançant un petit corpus de textos mèdics especialitzats publicats en llengua espanyola d'Espanya (13.470 paraules) i llengua russa (12.318 paraules), els usos i freqüències dels tipus oracionals i dels girs de participi i gerundi en el llenguatge científic. L'objectiu del treball és descriure aquests aspectes sintàctics de la prosa científica original en aquestes dues llengües per tal de conèixer i evitar els calcs sintàctics en la traducció dels textos mèdics. Una sintaxi sense calcs ajuda a adequar el text meta a les expectatives del lector, en aquest cas l'especialista mèdic