Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.

Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.

John Dewey i l’educació democràtica = John Dewey and democratic education

In Dewey, philosophy and education are inseparable. It is often forgotten that Dewey’s conception of school and education has only been possible because he conceived thought in terms of lived experience, of constantly tested experience, of incessant research; in other words, of 'continuous search' of 'effective means of action'. In addition, according to Dewey, true education is an education in democracy, and that means investing in an education that deals with thought. The service to democratic progress is done precisely through an education in reasonability and taking into account the experience

Aportació de les traduccions rosselloneses del segle XIX a la construcció del sistema lingüísticoliterari català

Les traduccions catalanes impreses al Rosselló en el segle XIX són cinc; totes de temàtica religiosa. Rafael Crusat traduí la Novena al glorios patriarca Sant Josep, Digne Espos de la Sempre Verge Maria (1711) reimpresa al segle XIX; Pere Marcè i Sentaló traduí Los set salms penitencials en versos catalans segons lo sentit literal (1802); d'autor desconegut són el Compendi del catecisme al us de totas las iglesias del imperi francès (1807) i els Cantichs catalans, traduits dels cantichs de Sant Sulpici (1826); Joan Miquel Aymar traduí­ la Carta apostolica de N.S. Pare Pio per la providencia divina papa sobre la definicio dogmatica de la immaculada concepció (1889). Aquestes traduccions es justifiquen per la necessitat comunicativa del català  a la diòcesi d'Elna Perpinyà : els catecismes, les pregàries, els cants i les novenes s'hi feien en català . Ara bé, aquestes traduccions apareixen en un moment en què la llengua catalana roman abandonada a l'oralitat familiar i és precisament arran d'això que tenen un gran mèrit en la construcció de la nostra llengua nacional a la Catalunya Nord. En el segle XIX, el del triomf de la "catalanada", quan el país s'hagués pogut decantar cap al secessionisme lingüístic, tot entronitzant el parlar rossellonès com a llengua local, els traductors d'obres religioses utilitzen una ortografia etimològica i una varietat de llengua supradialectal.

Natalici nadalenc

Sí, ja ho sé, el títol d'aquest article és redundant, atès que Nadal prové de natalici. Però és que vull parlar justament d'això, de naixements, coincidint amb la festa dedicada a aquest fet, el Nadal, malgrat que, segons la tradició, en la concepció de l'infant el naixement del qual es commemora no hi intervingué cap progenitor masculí. Potser és una manera poètica de fer referència al que tot sovint s'anomena "guerra de sexes", de la qual també parlaré tot seguit [...].

Effects of the sewage pollution in the structure and dynamics of the community of Cystoseira mediterranea (Fucales, Phaeophyceae)

We performed a study on the specific composition, structure, and dynamics of two Cystoseira mediterranea communities from the north-western Mediterranean submitted to different degrees of pollution. The structural complexity (species richness, specific distribution, and species and pattern diversity) and biomass production were lower in the polluted site. In this station, opportunistic algae (mainly Ulva rigida) loomed, and Mesophyllum lichenoides and some encrusting brown algae increased their cover. Other species (Jania rubens, and some Ceramiales) decreased their abundance when compared with the polluted site

Deep-water macroalgal-dominated coastal detritic assemblages on the continental shelf off Mallorca and Menorca (Balearic Islands, Western Mediterranean)

We present a quantitative physiognomic characterization of major macroalgal-dominated assemblages on coastal detritic bottoms of the continental shelf off Mallorca and Menorca (Balearic Islands, Western Mediterranean). In late spring of 2007 and 2008, 29 samples were collected by bottom trawling at depths between -52 and -93 m. These samples were then sorted and identified to their lowest taxonomic level. Statistical analyses distinguished six different assemblage types: shallower water environments (-52 to -65 m in depth) were characterized by Osmundaria volubilis and Phyllophora crispa meadows and two types of Peyssonnelia beds; two assemblage types, Laminaria rodriguezii beds and maërl beds, were only present in deep-water environments (-77 to -81 m); and an assemblage dominated by P. crispa and Halopteris filicina was found in both shallow and deep waters (-57 to -93 m). We assess the distribution of these six assemblage types through the studied area.

Cures infermeres per la prevenció primària del tromboembolisme pulmonar agut en el malalt crític: treball de revisió bibliogràfica

El tromboembolisme pulmonar és una malaltia greu que presenta una elevada morbimortalitat. Sol ser una complicació de la trombosi venosa profunda, i tots dos desordres formen part d’una mateixa malaltia anomenada tromboembolisme venós.Els pacients ingressats a la unitat de cures intensives tenen un elevat risc de patirtromboembolisme venós. La forma de presentació clínica del tromboembolismepulmonar és molt variable, cosa que dificulta i retarda el diagnòstic. Per aquests motius, una adequada prevenció de la malaltia és fonamental per reduir-ne la incidència i la mortalitat Objectiu: Descriure les cures que poden realitzar els professionals d'infermeria perprevenir el tromboembolisme pulmonar en els malalts críticsConclusions: Les cures que poden realitzar els professionals d’infermeria per laprevenció del tromboembolisme pulmonar són l’administració d’anticoagulants,col·locació de dispositius mecànics i mobilització precoç. Quan estigui indicat, el metgepot col·locar filtres de la vena cava inferior. També és important tenir coneixementsactuals i avaluar l’estat del pacient. Cal més investigació, sobretot d’infermeria, per trobar nous mètodes preventius més efectius i segurs

Complicacions en la fase aguda del iamest derivades de la hiperglicèmia : revisió bibliogràfica

La hiperglicèmia elevada en la fase aguda de l’Infart Agut de Miocardi amb Elevació del segment ST, està estretament relacionada amb l’elevat risc de complicacions i mal pronòstic dels pacients, independentment que presentin Diabetis Mellitus prèviament coneguda. Hi ha evidències que en pacients que han rebut teràpia de reperfusió coronària, la hiperglicèmia major de 140mg/dL en el moment de l’ingrés està associada a esdeveniments tant perjudicials com és el desenvolupament d’una Diabetis Mellitus post Infart Agut de Miocardi. El control glicèmic a llarg termini s’associa a millores en els resultats cardiovasculars. L’objectiu d’aquesta revisió ésdeterminar la influència de la hiperglicèmia en les complicacions d’un malaltamb Infart Agut de Miocardi

Novena para celebrar el mysterio de la immaculada concepcion de María Ssma. Patrona baxo de el glorioso título de su purissima concepción...

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Opusculo thaophilosophicum de principatu seu antelatione Marianae gratia, illud s. Joannis...

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Disertationes scholasticae de Sacratissima Virgine Maria Genitrice Dei, Nostra qve etiam dilectissima Matre, ac domina, brevi, et perspicva methodo ad scolasticorum captum accomodatissima dispositae, atque eidem Beatissimae Virgini obsequenti animo consecratae

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De ortu, et progréssu cultus ac festi inmaculati conceptus beate dei genitricis urginis Mariae

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Theologica disquisitio in gua, mens ecclesiae in definitione dogmatica de immaculata beatae virginis Maríae conceptione cum mentedivi Thomae de eadem re diligentissime comparataevidenter monstratur...

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Theologica de inmaculata conneptione B.V. Maríae dissertatio auctore Josepho María Diez de Sollano.

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