Eligibility to treatment and economic effect of the implementation of the new U.S. or European Society of Hypertension/European Society of Cardiology hypertension guidelines.

OBJECTIVE: To evaluate the population and economic impact of implementing the new Joint National Committee (JNC) or European Society of Hypertension (ESH)/European Society of Cardiology (ESC) hypertension guidelines in the Swiss population. METHODS: Cross-sectional, population-based sample (6708 participants) collected between 2003 and 2006 in the city of Lausanne, Switzerland. Blood pressure categories were defined according to both the JNC (JNC-7 and JNC-8) and the ESH/ESC (2007 and 2013) guidelines. RESULTS: The proportion of participants aged 35-60 years eligible for drug treatment was 25.6% [95% confidence interval (CI) 24.4-26.9%] and 24.8% (95% CI 23.6-26.0%) for the JNC-7 and the JNC-8 guidelines, respectively; for participants aged 60-75 years, the values were 62.3% (95% CI 60.1-64.5%) and 46.8% (95% CI 44.5-49.0%), respectively. Shifting from the JNC-7 to the JNC-8 guidelines would lead to an annual saving of 163.6 million Swiss francs (187.7 million US dollars or 134.5 million European euro). The proportion of participants aged 35-75 years without chronic kidney disease, diabetes mellitus or reported history of cardiovascular disease and eligible for treatment was 30.2% (95% CI 29.0-31.4%) for the ESH/ESC 2007 and 2013 guidelines. For participants with chronic kidney disease, diabetes mellitus or reported history of cardiovascular disease, the values were 73.6% (95% CI 70.8-76.3%) and 55.6% (95% CI 52.5-58.8%), respectively. Shifting from the ESH/ESC 2007 to the ESH/ESC 2013 guidelines would lead to an annual saving of 86.9 million Swiss francs (99.5 million US dollars or 71.4 million European euro). CONCLUSION: In Switzerland, shifting from the JNC-7 to the JNC-8 guidelines or from the ESH/ESC 2007 to the ESH/ESC 2013 guidelines would decrease the prevalence of patients eligible for treatment and increase the percentage of treated patients within blood pressure goals. Both strategies lead to potential savings in antihypertensive drug treatment.

Graduating 4th year radiology residents' perception of optimal imaging modalities for neoplasm and trauma: a pilot study from four U.S. universities

OBJECTIVE: Our purpose was to assess 4th year radiology residents' perception of the optimal imaging modality to investigate neoplasm and trauma. MATERIALS AND METHODS: Twenty-seven 4th year radiology residents from four residency programs were surveyed. They were asked about the best imaging modality to evaluate the brain and spine, lungs, abdomen, and the musculoskeletal system. Imaging modalities available were MRI, CT, ultrasound, PET, and X-ray. All findings were compared to the ACR appropriateness criteria. RESULTS: MRI was chosen as the best imaging modality to evaluate brain, spine, abdominal, and musculoskeletal neoplasm in 96.3%, 100%, 70.4%, and 63% of residents, respectively. CT was chosen by 88.9% to evaluate neoplasm of the lung. Optimal imaging modality to evaluate trauma was CT for brain injuries (100%), spine (92.6%), lung (96.3%), abdomen (92.6%), and major musculoskeletal trauma (74.1%); MRI was chosen for sports injury (96.3%). There was agreement with ACR appropriateness criteria. CONCLUSION: Residents' perception of the best imaging modalities for neoplasm and trauma concurred with the appropriateness criteria by the ACR.

El Món funerari antic, tardoantic i altomedieval a la ciutat de Girona: u n estat de la qüestió

Article que estudia els cementiris antics i altomedievals de la ciutat de Girona ubicats a l'entorn immediat de la ciutat, a la riba esquerra del riu Onyar i intra muros

Instal·lació wiki S.A.U.

Estudi d'una solució i implantació d'un sistema centralitzat per gestionar el coneixement de l'equip del servei d'atenció a l'usuari de l'empresa TIC a la que treballem. Basant-nos a la nostra experiència, considerem que la majoria de les tasques a desenvolupar es poden transmetre de manera eficient com a coneixement explícit dins d'un format documental, amb una evident millora en cas de recolzar-se en recursos multimèdia, per això hem seleccionat l'entorn wiki com a una eina apropiada per a aquesta finalitat.

The determinants of capital intensity in Japan and the U.S

We estimate the determinants of capital intensity in Japan and the US, characterized by striking different paths. We augment an otherwise standard Constant Elasticity of Substitution (CES) model with demand-side considerations, which we find especially relevant in the US. In this augmented setting, the elasticity of substitution between capital and labor is placed around 0.85 in Japan, and 0.30 in the US. We also find evidence of biased technical change, which is capital-saving in Japan but labor-saving in the US. These differences help us explain the diverse experience in the capital deepening process of these economies, and lead us to conclude that demand-side drivers may also be relevant to account for different growth experiences. A close look at the nature of technological change is also needed before designing one-size-fits-all industrial, economic growth, and/or labor market policies.

Debat sobre la desigualtat sexe/gènere i propostes u(dis)tòpiques: veus de dones

Realitat de les dones que viuen a Girona que tenen en comú, per una banda, la seva condició de dona, i per una altra banda, la de viure en una societat marcada per una diferència sexual i de gènere que es tradueix en desigualtat social. La tipologia de dones és molt diversa i inclou les que treballen a casa, les que treballen fora de casa, les feministes, les que no ho són, etc

Introducción de la simulación de alta fidelidad en el Grado de Enfermería U.B.

Simulación es la creación de una situación donde experimentar un evento con el fin de practicar, evaluar o adquirir conocimientos de sistemas o actuaciones humanas.La simulación de alta fidelidad se introduce en el curso 2012-2013 como proyecto piloto en el grado de Enfermería de la UB, está dirigida a alumnos de 4º de grado de Enfermería, pretende reforzar contenidos de la asignatura “Pràcticum” en el entorno del aula de alta simulación, potenciando la toma de decisiones en equipo ante situaciones de riesgo vital. La experiencia permite analizar, evaluar y reflexionar sobre la práctica, posibilita la mejora o replanteamiento del aprendizaje sin riesgo para el paciente. Durante la observación, alumnos y docentes cumplimentan la plantilla del caso: reflexiones y chequeo de la práctica simulada. Terminada la simulación, la reflexión final o "debriefing" pone en común aspectos emocionales, de interrelación y formativos, susceptibles de mejorar. La metodología permite evaluar competencias básicas y específicas, utilizando un marco de valoración.

Partie septentrionale de la Russie Européenne òu sont distinguées éxactement toutes les Provinces, d’aprés le détail de l’Atlas Russien. Par le Sr. Robert de Vaugondy fils. géog. ordin? du roi

Venäjän Euroopan puoleisen pohjoisosan kartta, jossa Suomen alue näkyy Venäjän luoteisena naapurina. - 1 kartta : vär. ; 47,8 x 58,5 cm, lehti 50,5 x 62,7 cm. - Mittakaava [N. 1: 3350000]. - Myös teoksessa: Atlas Universel, Par M. Robert Geographe ordinaire du Roy, et Par M. Robert De Vaugondy son fils Geographe ord. du Roy, et de S. M. Polonoise, Duc de Lorraine et de Bar, et Associe de L’Academie Royale des Sciences et belles Lettres de Nancy ... 1757. A Paris, Chez Les Auteurs ... Boudet Libraire Imprimeur du Roi

Skandinaviens fiskar. Förra delen, Text / målade af Wilh. von Wright ; med text af B. Fries, C. U. Ekström och C. Sundevall.

Von Wrightin taitelijaveljeksistä Wilhelm v. Wright (1810-1887) muutti Ruotsiin 18-vuotiaana avustaakseen vanhempaa veljeään Magnusta SKANDINAVIENS FÅGLAR -teoksen (ks. kohde 258) valmistamisessa. Wilhelm jäi pysyvästi Ruotsiin ja ryhtyi työskentelemään Kuninkaallisen tiedeakatemian piirtäjänä. Vuonna 1836 alkoi ilmestyä laaja kalakuvasto SKANDINAVIENS FISKAR, johon hän oli laatinut kuvat ja eläintieteilijät C. U. Ekström, B. F. Fries ja C. J. Sundevall kirjoittaneet tekstit. Tästä teoksesta tuli v. Wrightin kuvitustöistä merkittävin ja korkeatasoisin. Myöhemmin v. Wright toimi Bohuslänin kalastuksentarkastajan virassa, mutta halvaantui loppuelämäkseen yli kolmenkymmenen vuoden ajaksi.

Espécies de Uromyces em leguminosas do Cerrado com descrição de U. galactiae sp. nov.

Foram estudadas cinco espécies de Uromyces sobre Bauhinia spp. e uma espécie nova em Galactia peduncularis. Uromyces bauhiniae foi encontrada pela primeira vez sobre B. holophylla, onde somente Uromyces floralis havia sido descrita. Uromyces floralis foi estudada sobre B. curvula, hospedeiro inédito no Brasil para esta espécie. Uromyces foveolatus, comum em B. acuruana var. nitida, no cerrado do Mato Grosso e U. goyazensis sobre B. dumosa var. viscidula foram encontradas somente na fase telial em todas as exsicatas examinadas. Uromyces viegasii foi estudada em B. forficata. Uromyces galactiae sp. nov. é o primeiro fungo fitopatogênico associado ao gênero Galactia.

Suite f. Orgel, Violine u. Vcello op. 149

Soitinnus: urut, viulu, sello.