Burnout levels among Portuguese family doctors: a nationwide survey

AIM: To characterise the prevalence of burnout syndrome in a sample of family doctors (FDs) working in the Portuguese National Health System. DESIGN: Cross-sectional survey. SETTING: Primary healthcare centres from the 18 continental districts and two archipelagos of Portugal. METHOD: The Portuguese version of the Maslach Burnout Inventory-Human Services Survey was sent to 40 randomly selected healthcare centres and distributed to the FDs employed. Socio-demographic and work-related data were also collected. Participants were classified as having high, average or low levels of emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA) dimensions of burnout. RESULTS: 371 questionnaires were sent, of which 153 (83 women, age range 29-64 years; response rate 41%) returned. One-quarter (25.3%, 95% CI 18.6% to 33.1%) of FDs scored high for EE, 16.2% (10.7% to 23.2%) for DP and 16.7% (11.1% to 23.6%) for lack of PA. On multivariate analysis, being married, of older age, having many years of practice or working in a personalised healthcare unit tended to be associated with increased burnout components. Men tended to present higher EE and DP but lower lack of PA than women. Finally, the prevalence (95% CI) of burnout ranged between 4.1% (1.5% to 8.6%) and 32.4% (25.0% to 40.6%), depending on the definition used. CONCLUSIONS: High burnout is relatively common among Portuguese FDs. Burnout relief measures should be developed in order to prevent a further increase of burnout syndrome among Portuguese FDs.

Diseño de libros para dispositivos de tinta electrónica

Las tecnologías multiplataforma y multicanal permiten la movilidad de la información, cosa que tiene una incidencia directa sobre la evolución del libro electrónico. El cambio viene dado por la aparición de una nueva generación de dispositivos de tinta electrónica, así como por los propios modelos de gestión de la información. En el presente trabajo se revisa el concepto de libro electrónico y se presentan las características básicas de los dispositivos que se pueden encontrar en el mercado, para a continuación exponer los elementos necesarios para la ejecución de proyectos de producción de obras para dispositivos de tinta electrónica.

The effect of non-medical factors on variations in the performance of colonoscopy among different health care settings

BACKGROUND: Previous published studies have shown significant variations in colonoscopy performance, even when medical factors are taken into account. This study aimed to examine the role of nonmedical factors (ie, embodied in health care system design) as possible contributors to variations in colonoscopy performance. METHODS: Patient data from a multicenter observational study conducted between 2000 and 2002 in 21 centers in 11 western countries were used. Variability was captured through 2 performance outcomes (diagnostic yield and colonoscopy withdrawal time), jointly studied as dependent variables, using a multilevel 2-equation system. RESULTS: Results showed that open-access systems and high-volume colonoscopy centers were independently associated with a higher likelihood of detecting significant lesions and longer withdrawal durations. Fee for service (FFS) payment was associated with shorter withdrawal durations, and so had an indirect negative impact on the diagnostic yield. Teaching centers exhibited lower detection rates and longer withdrawal times. CONCLUSIONS: Our results suggest that gatekeeping colonoscopy is likely to miss patients with significant lesions and that developing specialized colonoscopy units is important to improve performance. Results also suggest that FFS may result in a lower quality of care in colonoscopy practice and highlight the fact that longer withdrawal times do not necessarily indicate higher quality in teaching centers.

Rapid and selective surveillance of Arabidopsis thaliana genome annotations with Centrifuge.

Centrifuge is a user-friendly system to simultaneously access Arabidopsis gene annotations and intra- and inter-organism sequence comparison data. The tool allows rapid retrieval of user-selected data for each annotated Arabidopsis gene providing, in any combination, data on the following features: predicted protein properties such as mass, pI, cellular location and transmembrane domains; SWISS-PROT annotations; Interpro domains; Gene Ontology records; verified transcription; BLAST matches to the proteomes of A.thaliana, Oryza sativa (rice), Caenorhabditis elegans, Drosophila melanogaster and Homo sapiens. The tool lends itself particularly well to the rapid analysis of contigs or of tens or hundreds of genes identified by high-throughput gene expression experiments. In these cases, a summary table of principal predicted protein features for all genes is given followed by more detailed reports for each individual gene. Centrifuge can also be used for single gene analysis or in a word search mode. AVAILABILITY: http://centrifuge.unil.ch/ CONTACT: edward.farmer@unil.ch.

2014 Iowa Woodland Suitability Recommendations, February 6, 2014

In 2005, the Iowa NRCS and Iowa DNR agreed to create new groupings of soils and revise the recommendations for tree and shrub species for those soil groups in Iowa. There were several reasons for this revision: there were errors in the previous recommendations; there were new soils identified and mapped; and both agencies wanted a user-friendly system for employees and the public to use.

Comparativa entre dues BD semàntiques : OWLIM-Lite i Virtuoso

L'objectiu fonamental d'aquest treball és estudiar els conceptes bàsics de la web semàntica mitjançant l'estudi de dos sistemes de gestió de bases de dades (SGBD) utilitzats en el context de la web semàntica, OWLIM-Lite i Virtuoso, que ens permetran dissenyar i implementar una ontologia.

Introducció de la web mòbil al Servei de Biblioteca i Documentació de la Universitat de Lleida : Proposta de web adaptada per a dispositius mòbils basada en l'usuari

Aquest treball presenta una proposta de web del Servei de Biblioteca i Documentació (SBD) de la Universitat de Lleida adaptada per a dispositius mòbils.

Sistema de control de registros sanitarios de productos cosméticos

El presente TFG versa sobre el análisis, diseño e implementación en Oracle de una base de datos y almacén de datos (actualizable en tiempo real) para gestionar un sistema de control de registros sanitarios de productos cosméticos.

Disseny i implementació de la base de dades d'un sistema centralitzat de control de despesa pública dels parlaments europeus

Disseny d'una base de dades per controlar la despesa pública dels parlaments i dels parlamentaris dels diferents països membres, i poder mostrar-la de forma on-line en un exercici de transparència que ajudi a reduir la corrupció.

Disseny i implementació d'una base de dades per a un sistema centralitzat de control de la despesa pública de les cambres parlamentàries europees

Disseny i implementació d'una base de dades per a un sistema centralitzat de control de la despesa pública de les cambres parlamentàries europees.

Disseny i implementació d'una base de dades relacional per a la gestió d'un videojoc

Projecte de final de carrera d'enginyeria en informàtica. Consisteix en la creació d'una base de dades relacional per donar suport a un videojoc. La base de dades inclou la implementació de tots els procediments emmagatzemats per accedir i gestionar la informació. El projecte també inclou el disseny d'un magatzem de dades per explotar estadísticament la informació continguda.

Disseny i implementació d'una base de dades relacional per a la gestió d'un videojoc

El projecte ha consistit en el disseny, implementació i desenvolupament d'un videojoc en el qual s'ha d'incorporat un sistema per obtenir dades d'ús dels usuaris. En aquest treball s'ha utilitzat el llenguatge PL/SQL i l'eina Oracle, versió 10, que és un modern SGBD. En aquest TFC s'han exposat els passos que s'han dut a terme per a l'elaboració del projecte.

Diseño e implementación de una base de datos relacional para la gestión de un videojuego

Diseño e implementación de una base de datos relacional para la gestión de un videojuego. Diseño de un almacén de datos a partir de dicha base de datos.

Automated Traffic/Truck Weight Monitoring Equipment (Weigh-in-Motion), HR-282, 1988

This report documents work undertaken in the demonstration of a low-cost Automatic Weight and Classification System (AWACS). An AWACS procurement specification and details of the results of the project are also included. The intent of the project is to support and encourage transferring research knowledge to state and local agencies and manufacturers through field demonstrations. Presently available, Weigh-in-Motion and Classification Systems are typically too expensive to permit the wide deployment necessary to obtain representative vehicle data. Piezo electric technology has been used in the United Kingdom and Europe and is believed to be the basic element in a low-cost AWACS. Low-cost systems have been installed at two sites, one in Portland Cement Concrete (PCC) pavement in Iowa and the other in Asphaltic Cement Concrete (ACC) pavement in Minnesota to provide experience with both types of pavement. The systems provide axle weights, gross vehicle weight, axle spacing, vehicle classification, vehicle speed, vehicle count, and time of arrival. In addition, system self-calibration and a method to predict contact tire pressure is included in the system design. The study has shown that in the PCC pavement, the AWACS is capable of meeting the needs of state and federal highway agencies, producing accuracies comparable to many current commercial WIM devices. This is being achieved at a procurement cost of substantially less than currently available equipment. In the ACC pavement the accuracies were less than those observed in the PCC pavement which is concluded to result from a low pavement rigidity at this site. Further work is needed to assess the AWACS performance at a range of sites in ACC pavements.

Disseny i implementació de la base de dades d'un sistema centralitzat de control de despesa pública dels parlaments europeus

La Comunitat Europea ha decidit realitzar una base de dades per controlar la despesa pública parlamentària, tant dels parlaments com dels seus parlamentaris, i que les dades puguin ser consultades on line. L'objectiu del present treball és realitzar la base de dades on es guardarà la informació indicada pel client, així com un seguit de consultes i dades estadístiques que es podran consultar a través d'una plana web.