O processo comunicativo no serviço de atendimento móvel de urgência (SAMU-192)

Este trabalho objetiva caracterizar o processo comunicativo entre os auxiliares de enfermagem das viaturas de Suporte Básico de Vida do Serviço de Atendimento Móvel de Urgência, a coordenação deste serviço e a Central Única de Regulação Médica de um município do Estado de São Paulo. Trata-se de uma pesquisa descritivo-qualitativa que utilizou a análise temática de conteúdo para a análise dos dados. Usou-se entrevista semi-estruturada para a coleta de dados que foi realizada em janeiro de 2010. Os resultados obtidos mostram dificuldades de comunicação tanto com a Central de Regulação Médica quanto com a coordenação. Os aspectos que mais se destacaram foram as falhas durante a transmissão via rádio, falta de capacitação dos operadores de rádio, acesso à coordenação dificultado e ausência da supervisão dos enfermeiros. No entanto, foi possível detectar soluções que visam à melhoria da comunicação e, consequentemente, do atendimento ofertado pelo Serviço de Atendimento Móvel de Urgência.

Tafat-Profiler: una herramienta para la generación automática de modelos de simulación a partir de perfiles

Máster Universitario en Sistemas Inteligentes y Aplicaciones Numéricas en Ingeniería (SIANI)

Desarrollo de una aplicación que facilita la enseñanza y el estudio del póker en su variante Texas Hold'em

[ES] PokerTrainer es una aplicación para dispósitivos móviles con Android como sistema operativo. Está dirigida a aquellos jugadores de póker en su variante Texas Hold'em que quieran aprender ciertos conceptos básicos que les van a ayudar a mejorar su juego. Se basa en la gamificación mediante un sistema de quiz de contenidos teóricos referidos al póker.

Entorno de desarrollo integral para el lenguaje de modelado Tara

Máster Universitario en Sistemas Inteligentes y Aplicaciones Numéricas en Ingeniería (SIANI)

Proteo : lenguaje para la especificación de lenguajes específicos de dominio

Máster Universitario en Sistemas Inteligentes y Aplicaciones Numéricas en Ingeniería (SIANI)

Cabo Verde, "Pousada" nos Caminhos do Atlântico. Interinluências culturais num arquipélago miscigenado

[POR] Descoberto entre 1460 e 1462, o Arquipélago de Cabo Verde, situado no Oceano Atlântico, constituiu ao longo de vários séculos, escala obrigatória dos navios que faziam as ligações atlânticas entre os portos das Américas, da Europa e da África Graças a sua situação privilegiada, o espaço cabo-verdiano não foi um mero ponto de reabastecimento, mas também um importante ponto de cruzamento de culturas e de raças. Pretende-se, neste texto, abordar o papel que Cabo Verde teve no Atlântico incidindo, particularmente, na dimensão cultural resultante do contacto entre povos e culturas provenientes de diferentes paragens que se fixaram no arquipélago ou que por aqui passaram. Procurar-se-á evidenciar não só a importância que Cabo Verde teve enquanto ponto de passagem obrigatória mas, sobretudo, as contribuições que mais marcadamente se denunciaram, isto é, os apports culturais que mais se acentuaram em Cabo Verde, como processos recebidos dos estrangeiros que por estas ilhas se cruzaram.

Arquitectura para la interoperabilidad de unidades de simulación basadas en FMU

[ES] El estándar Functional Mockup Interface (FMI), es un estándar abierto e independiente de cualquier aplicación o herramienta que permite compartir modelos de sistemas dinámicos entre aplicaciones. En FMI, se define una interfaz común (API) que permite la distribución e interoperabilidad de simulaciones. Así, una simulación puede transformarse en un formato ejecutable para su distribución con una interfaz pública conocida. En este estándar, una simulación se empaqueta en un formato de fichero llamado Functional Mock-up Unit (FMU). La ejecución de una simulación compleja en la que intervienen muchas FMUs es una necesidad que puede ser inviable de realizar en un sólo ordenador por la cantidad de recursos que consume.

A methodological research on software engineering applied to design of smart grids using a complex system approach

[ES] El reto de conseguir una red eléctrica más eficiente pasa por la introducción masiva de energías renovables en la red eléctrica, disminuyendo así las emisiones de CO2. Por ello, se propone no sólo controlar la producción, como se ha hecho hasta ahora, sino que también se propone controlar la demanda. Por ello, en esta investigación se evalúa el uso de la Ingeniería Dirigida por Modelos para gestionar la complejidad en el modelado de redes eléctricas, la Inteligencia de Negocio para analizar la gran cantidad de datos de simulaciones y la Inteligencia Colectiva para optimizar el reparto de energía entre los millones de dispositivos que se encuentran en el lado de la demanda.

Servicios y visualización web para el control de simulaciones

[ES] La realización de los nuevos estudios de gestión de la demanda requiere nuevas aproximaciones en las que la red eléctrica se analiza como un sistema complejo. Estos están formados por un gran número de entidades fuertemente enlazadas entre sí. Se afronta el reto de añadir la capacidad de interacción sobre una simulación de sistemas complejos en tiempo de ejecución. Pero, ¿Cómo abordar la representación de un sistema complejo de tal manera que sea fácilmente gestionable por una persona?, o ¿Cómo ofrecer una manera sencilla de alterar la simulación?. Con esta idea nace Simulation Gateway Interface, un framework que permite hacer accesibles las simulaciones a través de una interfaz gráfica.

Connect2, Launcher Android configurable desde una interfaz web

[ES] Este proyecto se ha orientado a crear un Launcher que permite la configuración remota a través de una web, se puede cambiaren tiempo real la pantalla de inicio del teléfono, puesto que desde la web se puede : enviar mensajes, añadir aplicaciones y contactos. La pantalla de inicio ha sido simplificada, Además la aplicación elimina de la vista del usuario los elementos que no son importantes. En resumen se puede adaptar la pantalla de inicio de manera fácil a cada usuario.

Treatment and prognosis of AIDS-related lymphoma in the era of highly active antiretroviral therapy: findings from the Swiss HIV Cohort Study

OBJECTIVE: To assess the characteristics of combination antiretroviral therapy (cART) administered concomitantly with chemotherapy and to establish prognostic determinants of patients with AIDS-related non-Hodgkin's lymphoma. METHODS: The study included 91 patients with AIDS-related non-Hodgkin's lymphoma from the Swiss HIV Cohort Study enrolled between January 1997 and October 2003, excluding lymphomas of the brain. We extracted AIDS-related non-Hodgkin's lymphoma- and HIV-specific variables at the time of lymphoma diagnosis as well as treatment changes over time from charts and from the Swiss HIV Cohort Study database. Cox regression analyses were performed to study predictors of overall and progression-free survival. RESULTS: During a median follow up of 1.6 years, 57 patients died or progressed. Thirty-five patients stopped chemotherapy prematurely (before the sixth cycle) usually due to disease progression; these patients had a shorter median survival than those who completed six or more cycles (14 versus 28 months). Interruptions of cART decreased from 35% before chemotherapy to 5% during chemotherapy. Factors associated with overall survival were CD4+ T-cell count (<100 cells/microl) (hazard ratio [HR] 2.95 [95% confidence interval (CI) 1.53-5.67], hepatitis C seropositivity (HR 2.39 [95% CI 1.01-5.67]), the international prognostic index score (HR 1.98-3.62 across categories) and Burkitt histological subtypes (HR 2.56 [95% CI 1.13-5.78]). CONCLUSIONS: Interruptions of cART were usually not induced by chemotherapy. The effect of cART interruptions on AIDS-related non-Hodgkin's lymphoma prognosis remains unclear, however, hepatitis C seropositivity emerged-as a predictor of death beyond the well-known international prognostic index score and CD4+ T-cell count.

Similar outcome of upfront-unrelated and matched sibling stem cell transplantation in idiopathic paediatric aplastic anaemia. A study on behalf of the UK Paediatric BMT Working Party, Paediatric Diseases Working Party and Severe Aplastic Anaemia Working Party of EBMT

Abstract We explored the feasibility of unrelated donor haematopoietic stem cell transplant (HSCT) upfront without prior immunosuppressive therapy (IST) in paediatric idiopathic severe aplastic anaemia (SAA). This cohort was then compared to matched historical controls who had undergone first-line therapy with a matched sibling/family donor (MSD) HSCT (n = 87) or IST with horse antithymocyte globulin and ciclosporin (n = 58) or second-line therapy with unrelated donor HSCT post-failed IST (n = 24). The 2-year overall survival in the upfront cohort was 96 ± 4% compared to 91 ± 3% in the MSD controls (P = 0·30) and 94 ± 3% in the IST controls (P = 0·68) and 74 ± 9% in the unrelated donor HSCT post-IST failure controls (P = 0·02).The 2-year event-free survival in the upfront cohort was 92 ± 5% compared to 87 ± 4% in MSD controls (P = 0·37), 40 ± 7% in IST controls (P = 0·0001) and 74 ± 9% in the unrelated donor HSCT post-IST failure controls (n = 24) (P = 0·02). Outcomes for upfront-unrelated donor HSCT in paediatric idiopathic SAA were similar to MSD HSCT and superior to IST and unrelated donor HSCT post-IST failure. Front-line therapy with matched unrelated donor HSCT is a novel treatment approach and could be considered as first-line therapy in selected paediatric patients who lack a MSD. © 2015 John Wiley & Sons Ltd.

Social and economically influenced factors associated with breast cancer treatment among blacks and whites. A qualitative study

Background: Despite the fact breast cancer mortality has declined in recent years, the mortality gap between African-American and white women continues to grow. A part of these disparities may be due to either inadequately following guideline recommended treatment or treatment delays. Although racial/ethnic disparities in breast cancer treatment and mortality have been extensively documented, the mechanisms by which these disparities occur remain largely unknown. Social and economically influenced factors such as choice of providers, distance of treatment facility, transportation, health insurance, and job related factors may also contribute to racial differences in breast cancer treatment; however, these have not been explored sufficiently in previous research. ^ Aim: The purpose of this study was to evaluate the role of social and economically influenced factors that may contribute to racial disparities in the receipt of guideline recommended treatment using the Health Disparities Model. ^ Methods: In this qualitative comparative case study, data from medical records, structured telephone interviews, and in-depth patient interviews explored the relationship between social and economically influenced factors and breast cancer treatment. Transcripts were analyzed using standard iterative process followed by immersion/crystallization approach. Participants were identified through rapid ascertainment from the New Jersey Cancer Registry and this study included 8 African-American and 8 white women aged 20-85 years old diagnosed with early stage breast cancer between 2003-2007, matched on age, race, and physician recommended treatment. ^ Results: We did not identify differences by race in factors that influenced the receipt of breast cancer treatment among the individual matched pairs. Four prominent themes emerged among women from both groups who experienced similar difficulties influenced by socioeconomic factors. Choice of providers, distance of facility, health insurance, and job related factors all contributed to breast cancer treatment experience among these women. Conclusions: We identified common issues influenced by socioeconomic factors and its relation with the receipt of breast cancer treatment, regardless of race. However, more research is needed to study the additional factors conveying racial differences affecting breast cancer treatment. ^

Determinación del coeficiente de rozamiento grano-pared en silos de pared corrugada mediante el método de los elementos discretos

El comportamiento de los materiales granulares almacenados en silos se ve afectado por varios parámetros, tanto aquellos característicos del material como de la geometría del silo. La determinación del coeficiente de rozamiento pared-partícula es uno de los parámetros de mayor importancia, siendo habituales en su determinación el uso de ensayos de corte directo. En el presente trabajo se estudia dicho coeficiente para el supuesto de una pared corrugada, el cual, teóricamente, debe representar a un valor efectivo que depende tanto del coeficiente de rozamiento grano-pared (para el caso de una pared lisa) y el ángulo de rozamiento interno del material. La determinación del rozamiento efectivo se ha realizado a través de la simulación por elementos discretos de un ensayo de corte sobre una pared corrugada. Los valores obtenidos han sido comparados con las prescripciones expuestas en la normativa vigente. La potencialidad del método de los elementos discretos permite el estudio de diversas configuraciones geométricas de la pared corrugada de los silos sin necesidad de realizar ensayos de laboratorio. Esto permitirá, en trabajos sucesivos, investigar la influencia de muy diversos factores en el valor del rozamiento efectivo grano-pared en este tipo de paredes. The mechanical behaviour of granular materials stored in silos is affected by numerous parameters, some of them being related to the characteristic of the stored materials and others to the geometry of the silo. The determination of the particle-wall friction coefficient (or wall friction) is of great importance and direct shear tests are usually conducted in order to obtain its value. In this work this variable is analysed for the case of a corrugated wall. This value is expected to be an effective value between the particle-wall friction coefficient (obtained for a flat wall) and the internal friction coefficient of the material under study. The effective wall friction determination has been carried out by using a discrete element model to simulate a direct shear test on a corrugated wall. The values obtained have been compared with prescriptions given in the current standards. The potential of the discrete element method allows different geometries of the silo corrugated wall to be considered without the necessity of developing laboratory tests. In future works it will allow the influence of numerous parameters on the effective wall friction in corrugated walls to be studied.