L'hypnose intégrée aux soins de patients brûlés: impact sur le niveau de stress de l'equipe soignante [Hypnosis integrated in burn care: impact on the healthcare team's stress].

Hypnosis for burn care was introduced in 2004 in the CHUV burn center showing great benefit for burned patients. Whereas advantages of hypnosis for the patient are well established, the impact on the medical staff remains poorly assessed. This manuscrit reviews current attested benefits of hypnosis for patients, specially for burned patients. The results of a recent study assessing the impact of hypnosis on the staffs level of stress caused by burn treatment, will also be introduced.

Residència universitària al Campus de Ciències de la Salut de Bellvitge

Award-winning

Documentació arqueològica del Fortí del Rei (S. XVIII): intervenció en el solar núm. 54 de l'Avinguda de la Reina Maria Cristina de Tarragona

L'exercici de l'arqueologia urbana a Tarragona ha permès la documentació de restes arquitectòniques del fortí del Rei, bastit en el context de la Guerra de Successió. L'element més significatiu és la documentació d'una galeria i/o camí protegit que connectava aquest fortí amb el de l'Oliva.

Estimating the contribution of occupational solar ultraviolet exposure to skin cancer

BACKGROUND: Exposure to solar ultraviolet (UV) light is the main causative factor for skin cancer. Outdoor workers are at particular risk because they spend long working hours outside, may have little shade available and be bound to take their lunch at their workplace. Despite epidemiological evidence of a doubling in risk of squamous cell carcinoma in outdoor workers, the recognition of skin cancer as an occupational disease remains scarce. OBJECTIVE: To assess occupational solar UV doses and its contribution to skin cancer risk. METHODS: A numerical model (SimUVEx) was used to assess occupational and lunch break exposures, characterize exposure patterns and anatomical distribution. Risk of squamous cell carcinoma (SCC) was estimated from an existing epidemiological model. RESULTS: Horizontal body locations received 2.0-2.5 times more UV than vertical locations. Dose associated to lunch outdoor every day was similar to outdoor work one day per week but only half of a seasonal worker. Outdoor workers are associated with an increased risk of SCC but also of frequent acute episodes. CONCLUSION: Occupational solar exposure contributes largely to the overall lifetime UV dose, resulting in an excess risk of SCC. The magnitude of the estimated excess in risk supports the recognition of SCC as an occupational disease.

Team Effectiveness in Patient Health Management: An Overview of Reviews

Background: The desire to improve the quality of health care for an aging population with multiple chronic diseases is fostering a rapid growth in inter-professional team care, supported by health professionals, governments, businesses and public institutions. However, the weight of evidence measuring the impact of team care on patient and health system outcomes has not, heretofore, been clear. To address this deficiency, we evaluated published evidence for the clinical effectiveness of team care within a chronic disease management context in a systematic overview. Methods: A search strategy was built for Medline using medical subject headings and other relevant keywords. After testing for perform- ance, the search strategy was adapted to other databases (Cinhal, Cochrane, Embase, PsychInfo) using their specific descriptors. The searches were limited to reviews published between 1996 and 2011, in English and French languages. The results were analyzed by the number of studies favouring team intervention, based on the direction of effect and statistical significance for all reported outcomes. Results: Sixteen systematic and 7 narrative reviews were included. Diseases most frequently targeted were depression, followed by heart failure, diabetes and mental disorders. Effective- ness outcome measures most commonly used were clinical endpoints, resource utilization (e.g., emergency room visits, hospital admissions), costs, quality of life and medication adherence. Briefly, while improved clinical and resource utilization endpoints were commonly reported as positive outcomes, mixed directional results were often found among costs, medication adherence, mortality and patient satisfaction outcomes. Conclusions: We conclude that, although suggestive of some specific benefits, the overall weight of evidence for team care efficacy remains equivocal. Further studies that examine the causal interactions between multidisciplinary team care and clinical and economic outcomes of disease management are needed to more accurately assess its net program efficacy and population effectiveness.

The last days of dying stroke patients referred to a palliative care consult team in an acute hospital.

BACKGROUND AND PURPOSE: Needs of patients dying from stroke are poorly investigated. We aim to assess symptoms of these patients referred to a palliative care consult team, and to review their treatment strategies. METHODS: All charts of patients dying from stroke in a tertiary hospital, and referred consecutively to a palliative care consultant team from 2000 to 2005, were reviewed retrospectively. Symptoms, ability to communicate, treatments, circumstances and causes of death were collected. RESULTS: Forty-two patients were identified. Median NIH Stroke Scale on admission was 21. The most prevalent symptoms were dyspnoea (81%), and pain (69%). Difficulties or inability to communicate because of aphasia or altered level of consciousness were present in 93% of patients. Pharmacological respiratory treatments consisted of anti-muscarinic drugs (52%), and opioids (33%). Pain was mainly treated by opioids (69%). During the last 48 h of life, 81% of patients were free of pain and 48% of respiratory distress. The main causes of death were neurological complications in 38% of patients, multiple medical complications in 36%, and specific medical causes in 26%. CONCLUSIONS: Patients dying from stroke and referred to a palliative care consult team have multiple symptoms, mainly dyspnoea and pain. Studies are warranted to develop specific symptoms assessment tools in non-verbal stroke patients, to accurately assess patients' needs, and to measure effectiveness of palliative treatments.

Campus Virtual UAB

El projecte Campus Virtual UAB pretén ser una eina pels futurs estudiants de la UAB, destinat per la plataforma Android, amb l'objectiu de facilitar l'estudi dels alumnes. En aquesta memòria es descriu el desenvolupament del projecte indicant quines han estat les parts més importants per a la realització de l'aplicació.

Diversity management and team leadership in a nonprofit organization. Case: AIESEC in Finland

Tutkimuksen tarkoituksena on selvittää kuinka moninaisuus ja sen johtaminen näkyvät voittoa tavoittelemattoman järjestön tiimityössä, kuinka moninaisuus ja tiimityö pystyvät selittämään motiiveja työskennellä voittoa tavoittelemattomassa järjestössä ja mitä tulisi huomioida tiimityön ja tiimin johtajuuden osalta, kun moninaisuus ja voittoa tavoittelemattoman järjestön luonne otetaan huomioon. Tämä tutkielma on laadullinen tutkimus, jossa tutkimusmenetelminä on käytetty yhdeksää teemahaastattelua, edellisen tutkimuksen tuloksia (Astikainen, 2005) sekä havainnointia. Tutkimuksen perusteellavoidaan todeta, että voittoa tavoittelemattoman järjestön luonne, tiimityö tai moninaisuus eivät sinällään merkitse paljoakaan tulosten kannalta, vaan niiden keskinäiset yhteydet. Nämä yhdessä, oikein hyödynnettynä, vaikuttavat työntekijöiden motivaatioon ja sitä kautta organisaation tuloksiin.

Análise físico-química, microbiológica e sensorial de frutos de manga submetidos à desidratação osmótico-solar

Polpas de mangas foram submetidas a um processo de secagem solar após pré-tratamento osmótico, com o intuito de obter-se produtos de umidade intermediária. Foram testados quatro pré-tratamentos osmóticos, ou seja, imersão em xaropes de sacarose com 45º Brix, 55º Brix, 65º Brix e imersão seqüenciada em xaropes de 45; 55 e 65º Brix. O processamento envolveu os seguintes passos: desidratação osmótica nas soluções de sacarose adicionadas de substâncias conservantes e secagem solar. Após a secagem, os tratamentos com 45 e 65º Brix foram selecionados através de análise sensorial para avaliação da estabilidade durante 180 dias de armazenamento à temperatura ambiente (28º C). Durante todo o processamento e/ou após a obtenção dos produtos finais, três tipos de avaliações foram realizadas: determinações físico-químicas (atividade de água, pH, acidez total, vitamina C, sólidos solúveis, umidade, açúcar total e açúcares redutores), análises microbiológicas e testes sensoriais. De acordo com os resultados obtidos, os dois produtos apresentaram boa estabilidade no que se refere às propriedades microbiológicas e sensoriais durante o armazenamento.

Cardiorespiratory and Cardiac Autonomic Responses to 30-15 Intermittent Fitness Test in Team Sport Players

Buchheit, M, Al Haddad, H, Millet GP, Lepretre, PM, Newton, M, and Ahmaidi, S. Cardiorespiratory and cardiac autonomic responses to 30-15 Intermittent Fitness Test in team sport players. J Strength Cond Res 23(1): xxx-xxx, 2009-The 30-15 Intermittent Fitness Test (30-15IFT) is an attractive alternative to classic continuous incremental field tests for defining a reference velocity for interval training prescription in team sport athletes. The aim of the present study was to compare cardiorespiratory and autonomic responses to 30-15IFT with those observed during a standard continuous test (CT). In 20 team sport players (20.9 +/- 2.2 years), cardiopulmonary parameters were measured during exercise and for 10 minutes after both tests. Final running velocity, peak lactate ([La]peak), and rating of perceived exertion (RPE) were also measured. Parasympathetic function was assessed during the postexercise recovery phase via heart rate (HR) recovery time constant (HRRtau) and HR variability (HRV) vagal-related indices. At exhaustion, no difference was observed in peak oxygen uptake (&OV0312;o2peak), respiratory exchange ratio, HR, or RPE between 30-15IFT and CT. In contrast, 30-15IFT led to significantly higher minute ventilation, [La]peak, and final velocity than CT (p < 0.05 for all parameters). All maximal cardiorespiratory variables observed during both tests were moderately to well correlated (e.g., r = 0.76, p = 0.001 for &OV0312;o2peak). Regarding ventilatory thresholds (VThs), all cardiorespiratory measurements were similar and well correlated between the 2 tests. Parasympathetic function was lower after 30-15IFT than after CT, as indicated by significantly longer HHRtau (81.9 +/- 18.2 vs. 60.5 +/- 19.5 for 30-15IFT and CT, respectively, p < 0.001) and lower HRV vagal-related indices (i.e., the root mean square of successive R-R intervals differences [rMSSD]: 4.1 +/- 2.4 and 7.0 +/- 4.9 milliseconds, p < 0.05). In conclusion, the 30-15IFT is accurate for assessing VThs and &OV0312;o2peak, but it alters postexercise parasympathetic function more than a continuous incremental protocol.

Projecte per la instal·lació de calefacció i A.C.S. solar en una vivenda unifamiliar

Es té una vivenda unifamiliar, de nova construcció, en la que s'ha elaborat un projecte per proporcionar-li un sistema de calefacció, i aprofitant l'energia solar produir ACS. S'han calculat les necessitats tèrmiques de la vivenda considerant que s'ha construit l'envolvent tèrmic de la vivenda segons CTE. S'han estudiat els possibles sistemes de calefacció i s'ha escollit el de radiadors d'aigua calenta amb distribució bitubular i caldera de gasoil. S'han determinat les necessitats d'ACS i s'ha projectat la instal·lació solar amb captadors de tubs de buit i recolzament auxiliar de la pròpia caldera de calefacció. Les instal·lacions s'han projectat complint els requisits de la normativa d'obligat compliment.

Projecte d'una instal·lació elèctrica i una instal·lació solar fotovoltaica connectada a la xarxa de baixa tensió, en una nau industrial

Dissenyar la xarxa elèctrica d'una nau industrial i dissenyar una instal·lació solar fotovoltaica connectada a la xarxa de baixa tensió. Per a la instal·lació de la nova xarxa elèctrica s'ha aprofitat tot l'enllumenat, els endolls i els interruptors existents en la nau, de l'anterior instal·lació, que s'ha quedat obsoleta degut a la instal·lació de noves màquines. S'ha escollit una instal·lació solar fotovoltaica connectada a la xarxa elèctrica perquè s'utilitza una energia purament neta i inesgotable, perquè té una bona rentabilitat.

Disseny d'una instal·lació solar tèrmica per A.C.S. i calefacció en una casa prefabricada

Disseny d'una instal·lació solar tèrmica capaç d'abastir les necessitats d'A.C.S. i representar un suport a les necessitats de calefacció amb sistema de recolzament per garantir una funcionalitat continua. La instal·lació es calcula per instal·lar-la en una casa prefabricada, unifamiliar a Lleida.

Disseny de la instal·lació solar tèrmica d'aigua calenta sanitària, en una casa del municipi d'Alpicat

Aquest projecte té per objecte justificar les condicions tècniques i econòmiques d'una instal·lació de col·lectors solars tèrmics que aprofitaran l'energia irradiada pel Sol per escalfar l'aigua sanitària que s'utilitzarà en una casa unifamiliar. Aquest projecte inclourà un estudi de viabilitat econòmica sobre l'estalvi energètic i la inversió inicial realitzada i el temps d'amortització de la mateixa instal·lació.

Avantprojecte d'una instal·lació solar tèrmica de baixa temperatura a la província de Lleida

Disseny d'una instal·lació de col·lectors solars tèrmics per aigua calenta sanitaria i calefacció en una casa de Lleida. Aprofitant l'instal·lació de calefacció existent, modificant-la per adaptar-la a la nova instal·lació d'energia solar. Realització d'un estudi de viabilitat per determinar el període de retorn de l'instal·lació. Tot seguint les pautes que indica la norma UNE 157001.