Indicadors de responsabilitat social de les organitzacions

El fet que les finances socials estiguin íntimament lligades a les organitzacions que volen ser socialment responsables provoca la pregunta sobre quines característiques tenen i de quina manera es poden mesurar. Atès que no existeix una concepció unànime de RS ha estat imprescindible proposar una nova definició centrada en els aspectes fonamentals del concepte, per tal de poder avançar en la cerca d’indicadors. La línia d’investigació escollida es concreta en la conceptualització del terme RSO, que permet identificar-ne les dimensions i components, i així delimitar l’estudi a una aproximació als indicadors de la RSO concretament per a l’àmbit del treball.

Serum Leptin Concentration, Body Mass Index and Incident Heart Failure: The Health, Aging, and Body Composition Study

Background: Leptin is produced primarily by adipocytes. Although originally associated with the central regulation of satiety and energy metabolism, increasing evidence indicates that leptin may be an important factor for congestive heart faire (CHF). In the study, we aimed to test the hypothesis that leptin may influence CHF pathophysiology via a pathway of increasing body mass index (BMI). Methods: We studied 2,389 elderly participants aged 70 and older (M; 1161, F: 1228) without CHF and with serum leptin measures at the Health Aging, and Body Composition study. We analyzed the association between serum leptin level and risk of incident CHF using Cox hazard proportional regression models. Elevated leptin level was defined as more than the highest quartile (Q4) of leptin distribution in the total sample for each gender. Adjusted-covariates included demographic, behavior, lipid and inflammation variables (partially-adjusted models), and further included BMI (fully-adjusted models). Results: In a mean 9-year follow-up, 316 participants (13.2%) developed CHF. The partially-adjusted models indicated that men and women with elevated serum leptin levels (>=9.89 ng/ml in men and >=25 ng/ml in women) had significantly higher risks of developing CHF than those with leptin level of less than Q4. The adjusted hazard ratios (95%CI) for incident CHF was 1.49 (1.04 -2.13) in men and 1.71 (1.12 -2.58) in women. However, these associations became non-significant after adjustment for including BMI for each gender. The fully-adjusted hazard ratios (95%CI) were 1.43 (0.94 -2.18) in men and 1.24 (0.77-1.99) in women. Conclusion: Subjects with elevated leptin levels have a higher risk of CHF. The study supports the hypothesis that the influence of leptin level on risk of CHF may be through a pathway related to increasing BMI.

Establishing an association between a peri-operative perfusion score system (PerfSCORE) and post-operative patient morbidity/mortality during CPB cardiac surgery.

BACKGROUND: To date, there is no quality assurance program that correlates patient outcome to perfusion service provided during cardiopulmonary bypass (CPB). A score was devised, incorporating objective parameters that would reflect the likelihood to influence patient outcome. The purpose was to create a new method for evaluating the quality of care the perfusionist provides during CPB procedures and to deduce whether it predicts patient morbidity and mortality. METHODS: We analysed 295 consecutive elective patients. We chose 10 parameters: fluid balance, blood transfused, Hct, ACT, PaO2, PaCO2, pH, BE, potassium and CPB time. Distribution analysis was performed using the Shapiro-Wilcoxon test. This made up the PerfSCORE and we tried to find a correlation to mortality rate, patient stay in the ICU and length of mechanical ventilation. Univariate analysis (UA) using linear regression was established for each parameter. Statistical significance was established when p < 0.05. Multivariate analysis (MA) was performed with the same parameters. RESULTS: The mean age was 63.8 +/- 12.6 years with 70% males. There were 180 CABG, 88 valves, and 27 combined CABG/valve procedures. The PerfSCORE of 6.6 +/- 2.4 (0-20), mortality of 2.7% (8/295), CPB time 100 +/- 41 min (19-313), ICU stay 52 +/- 62 hrs (7-564) and mechanical ventilation of 10.5 +/- 14.8 hrs (0-564) was calculated. CPB time, fluid balance, PaO2, PerfSCORE and blood transfused were significantly correlated to mortality (UA, p < 0.05). Also, CPB time, blood transfused and PaO2 were parameters predicting mortality (MA, p < 0.01). Only pH was significantly correlated for predicting ICU stay (UA). Ultrafiltration (UF) and CPB time were significantly correlated (UA, p < 0.01) while UF (p < 0.05) was the only parameter predicting mechanical ventilation duration (MA). CONCLUSIONS: CPB time, blood transfused and PaO2 are independent risk factors of mortality. Fluid balance, blood transfusion, PaO2, PerfSCORE and CPB time are independent parameters for predicting morbidity. PerfSCORE is a quality of perfusion measure that objectively quantifies perfusion performance.

Brianna, un camí hippie

Treball de recerca realitzat per una alumna d’ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit científic del Jovent l’any 2008. El hippysme és un moviment sociològic arrelat i justificat per les mentalitats dels anys 60 i que encara té amplies repercussions avui dia. Els seus gèrmens es troben en processos històrics dels segles XIX i XX en què s’adverteix la influència de personatges, d’ideologies i de moviments estètics. La revisió d’aquesta genèsi històrica i les seves extensions fins avuí han portat a concloure que si bé el moviment hippy ha influït en estètiques, en ergologia, en el llenguatge, ha acabat devaluat pels interessos del capitalisme, que l’han transformat en un nou simbolisme per al comerç.

El culte al cos: què sap la ciència que la publicitat no diu?

Treball de recerca realitzat per una alumna d’ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit científic del Jovent l’any 2008. La pressió social viscuda actualment imposa insistentment un model únic de cos ideal prim, amb el conseqüent rebuig de l’obesitat. Maldar per aconseguir aquest ideal és el que s’anomena “culte al cos”, qualificat per molts especialistes d’epidèmia que afecta totes les capes socials. Els objectius del treball han estat: saber quines són les dificultats que hi ha per a moltes persones per arribar o mantenir l’ideal; corroborar el model d’imatge corporal que transmeten les revistes femenines; i demostrar que la informació dels anuncis publicitaris relacionats amb els productes de bellesa ometen informació imprescindible per a la salut o falsegen l’eficàcia dels productes en qüestió.

L'oferta cultural en les polítiques de màrqueting de les ciutats

Estudi realitzat a partir d’una estada a la Université René Descarte - Sorbonne Paric V, França, des d’agost fins desembre del 2006. Les diferents activitats culturals de caràcter temporal s’utilitzen, cada cop més, com una eina clau en la promoció turística, econòmica o social de les ciutats. Sovint, aquests ús es fa sense tenir uns objectius clars ni unes eines d’avaluació reals dels resultats obtinguts, fet que condiciona l’efectivitat de les polítiques. S’ha analitzat quins tipus de polítiques s’utilitzen a nivell europeu i valorar-ne la seva efectivitat. Concretament, s’ha establert contacte amb una cinquantena d’establiments culturals –alguns d’ells dels més importants del món -, que han mostrat la seva experiència en el camp. Així mateix s’ha pogut parlar amb responsables de grans esdeveniments culturals. Tot i l’augment de la preocupació per part dels diferents equipaments culturals per la imatge que projecten, aquest fet no es tradueix en canvis destacables en les seves polítiques. Actualment, únicament els grans museus nacionals disposen dels instruments financers i de personal necessaris per portar a terme actuacions que influeixin en la imatge que projecten. Tot i així hi ha una preocupació generalitzada del conjunt d’equipaments per la seva imatge, preocupació que es tradueix en algunes iniciatives innovadores, portades a terme amb pocs mitjans, però amb uns resultats molt satisfactoris.

Eosinophilie sanguine: quel bilan, quel cheminement diagnostique [Peripheral blood eosinophilia: diagnostic value and further assessment].

Although not specific, an increased in peripheral blood eosinophils may contribute substantially to the diagnosis of numerous infectious, allergic and inflammatory diseases. The scope of this article is to detail pathologies associated with peripheral eosinophilia by order of frequency and to guide further investigations.

Memòria justificativa del treball realitzat durant l’estada al departament de Women`s Studies (Universitat de Wisconsin-Madison )

Projecte de recerca elaborat a partir d’una estada al departament de Women’s Studies de la Universitat de Wisconsin, Estats Units, entre agost i novembre del 2007. Aquesta recerca està directament relacionada amb el desenvolupament d’una tesi doctoral sobre la socialització de les dones víctimes de violència de gènere. En el transcurs d’aquesta estada es van analitzar investigacions de qualitat científica sobre socialització de les dones víctimes de violència de gènere realitzades als Estats Units; es va participar en jornades, seminaris i conferències sobre violència de gènere; i es van recollir recursos i mesures, proposats per diferents moviments socials, per atendre a les víctimes i prevenir la violència de gènere. Entre els resultats obtinguts de la recerca cal destacar que les investigacions més recents sobre violència de gènere coincideixen en afirmar que es tracta d’una problemàtica vinculada als nostres aprenentatges socials. Trobem un gran nombre de recerques que han treballat sobre les causes per les quals les dones romanen en relacions de violència o reincideixen. Generalment aquestes son causes estructurals (factors econòmics, fills o filles en comú, falta de recolzament social, etc.), o bé emocionals (el fet d’estar enamorades). Aquestes recerques mostren un buit, el qual serà treballat en una tesi doctoral, un cop superades les barreres estructurals quins son els motius que dificulten la finalització de la relació de violència? Quins aspectes hem de treballar per trencar els vincles afectius i l’enamorament?

Polynomial functors and trees

We explore the relationship between polynomial functors and trees. In the first part we characterise trees as certain polynomial functors and obtain a completely formal but at the same time conceptual and explicit construction of two categories of rooted trees, whose main properties we describe in terms of some factorisation systems. The second category is the category Ω of Moerdijk and Weiss. Although the constructions are motivated and explained in terms of polynomial functors, they all amount to elementary manipulations with finite sets. Included in Part 1 is also an explicit construction of the free monad on a polynomial endofunctor, given in terms of trees. In the second part we describe polynomial endofunctors and monads as structures built from trees, characterising the images of several nerve functors from polynomial endofunctors and monads into presheaves on categories of trees. Polynomial endofunctors and monads over a base are characterised by a sheaf condition on categories of decorated trees. In the absolute case, one further condition is needed, a projectivity condition, which serves also to characterise polynomial endofunctors and monads among (coloured) collections and operads.

Estimating United States Phillips Curves With Expectations Consistent With The Statistical Process Of Inflation

‘Modern’ Phillips curve theories predict inflation is an integrated, or near integrated, process. However, inflation appears bounded above and below in developed economies and so cannot be ‘truly’ integrated and more likely stationary around a shifting mean. If agents believe inflation is integrated as in the ‘modern’ theories then they are making systematic errors concerning the statistical process of inflation. An alternative theory of the Phillips curve is developed that is consistent with the ‘true’ statistical process of inflation. It is demonstrated that United States inflation data is consistent with the alternative theory but not with the existing ‘modern’ theories.

Evaluation of prenatal ultrasound diagnosis of fetal abdominal wall defects by 19 European registries.

OBJECTIVES: To evaluate the current effectiveness of routine prenatal ultrasound screening in detecting gastroschisis and omphalocele in Europe. DESIGN: Data were collected by 19 congenital malformation registries from 11 European countries. The registries used the same epidemiological methodology and registration system. The study period was 30 months (July 1st 1996-December 31st 1998) and the total number of monitored pregnancies was 690,123. RESULTS: The sensitivity of antenatal ultrasound examination in detecting omphalocele was 75% (103/137). The mean gestational age at the first detection of an anomaly was 18 +/- 6.0 gestational weeks. The overall prenatal detection rate for gastroschisis was 83% (88/106) and the mean gestational age at diagnosis was 20 +/- 7.0 gestational weeks. Detection rates varied between registries from 25 to 100% for omphalocele and from 18 to 100% for gastroschisis. Of the 137 cases of omphalocele less than half of the cases were live births (n = 56; 41%). A high number of cases resulted in fetal deaths (n = 30; 22%) and termination of pregnancy (n = 51; 37%). Of the 106 cases of gastroschisis there were 62 (59%) live births, 13 (12%) ended with intrauterine fetal death and 31 (29%) had the pregnancies terminated. CONCLUSIONS: There is significant regional variation in detection rates in Europe reflecting different policies, equipment and the operators' experience. A high proportion of abdominal wall defects is associated with concurrent malformations, syndromes or chromosomal abnormalities, stressing the need for the introduction of repeated detailed ultrasound examination as a standard procedure. There is still a relatively high rate of elective termination of pregnancies for both defects, even in isolated cases which generally have a good prognosis after surgical repair.

Surfactant protein-D and exposure to bioaerosols in wastewater and garbage workers.

PURPOSE: Bioaerosols and their constituents, such as endotoxins, are capable of causing an inflammatory reaction at the level of the lung-blood barrier, which becomes more permeable. Thus, it was hypothesized that occupational exposure to bioaerosols can increase leakage of surfactant protein-D (SP-D), a lung-specific protein, into the bloodstream. METHODS: SP-D was determined by ELISA in 316 wastewater workers, 67 garbage collectors, and 395 control subjects. Exposure was assessed with four interview-based indicators and by preliminary endotoxin measurements using the Limulus amoebocyte lysate assay. Influence of exposure on serum SP-D was assessed by multiple linear regression considering smoking, glomerular function, lung diseases, obesity, and other confounders. RESULTS: Overall, mean exposure levels to endotoxins were below 100 EU/m(3). However, special tasks of wastewater workers caused higher endotoxin exposure. SP-D concentration was slightly increased in this occupational group and associated with the occurrence of splashes and contact to raw sewage. No effect was found in garbage collectors. Smoking increased serum SP-D. No clinically relevant correlation between spirometry results and SP-D concentrations appeared. CONCLUSIONS: These results support the hypothesis that inhalation of bioaerosols, even at low concentrations, has a subclinical effect on the lung-blood barrier, the permeability of which increases without associated spirometric changes.

El paper de l'esport en la integració de la població adulta immigrant d'origen internacional a Catalunya

Amb l’establiment de grups d’immigrants a Catalunya, l’abast de les polítiques socials s’ha vist ampliat per tal d’afrontar els reptes d'integració i cohesió social. Tot i que la Generalitat de Catalunya i la Diputació de Barcelona identifiquen t l’esport com a vehicle positiu per a la integració dels immigrants, el desenvolupament de polítiques en aquest àmbit encara està en una fase preliminar. La manca de recerca i l’absència d’aproximació política dificulten aquest procés. Comprendre la realitat de la participació esportiva entre la població adulta immigrant pot servir per millorar els processos de formulació i implementació de polítiques per part de les administracions públiques catalanes. S’ha realitzat una aproximació exploratòria a aquesta necessitat. La recollida de dades s’ha fet mitjançant observació i entrevistes semi-estructurades sobre experiències esportives organitzades o semi-organitzades rellevants. Els resultats revelen la importància de l’esport per a l’immigrant en el procés d’establiment de xarxes socials, i per al manteniment, la reproducció i la negociació de les identitats culturals i, en particular, nacionals. Hi ha una divisió entre el sistema esportiu formal català i els sistemes informals i fragmentats que utilitzen els immigrants per organitzar activitats esportives. Les entrevistes realitzades a actors clau en els diferents nivells de l’administració pública i el cas d’estudi d’un municipi han proporcionat una visió general de la resposta política. Es proposen un conjunt de recomanacions referents a la necessitat de gestionar les xarxes socials de forma més sistemàtica, la necessitat d’incrementar les accions de transversalitat horitzontal i vertical entre els actors públics i d’establir un conjunt d’indicadors socials per mesurar l’efectivitat de la intervenció política en aquest àmbit, així com la identificació de bones pràctiques i activitats per compartir coneixements.

The twist, writhe and overall shape of supercoiled DNA change during counterion-induced transition from a loosely to a tightly interwound superhelix. Possible implications for DNA structure in vivo.

A cryo-electron microscopy study of supercoiled DNA molecules freely suspended in cryo-vitrified buffer was combined with Monte Carlo simulations and gel electrophoretic analysis to investigate the role of intersegmental electrostatic repulsion in determining the shape of supercoiled DNA molecules. It is demonstrated here that a decrease of DNA-DNA repulsion by increasing concentrations of counterions causes a higher fraction of the linking number deficit to be partitioned into writhe. When counterions reach concentrations likely to be present under in vivo conditions, naturally supercoiled plasmids adopt a tightly interwound conformation. In these tightly supercoiled DNA molecules the opposing segments of interwound superhelix seem to directly contact each other. This form of supercoiling, where two DNA helices interact laterally, may represent an important functional state of DNA. In the particular case of supercoiled minicircles (178 bp) the delta Lk = -2 topoisomers undergo a sharp structural transition from almost planar circles in low salt buffers to strongly writhed "figure-eight" conformations in buffers containing neutralizing concentrations of counterions. Possible implications of this observed structural transition in DNA are discussed.

T1-weighted MRI as a substitute to CT for refocusing planning in MR-guided focused ultrasound.

Precise focusing is essential for transcranial MRI-guided focused ultrasound (TcMRgFUS) to minimize collateral damage to non-diseased tissues and to achieve temperatures capable of inducing coagulative necrosis at acceptable power deposition levels. CT is usually used for this refocusing but requires a separate study (CT) ahead of the TcMRgFUS procedure. The goal of this study was to determine whether MRI using an appropriate sequence would be a viable alternative to CT for planning ultrasound refocusing in TcMRgFUS. We tested three MRI pulse sequences (3D T1 weighted 3D volume interpolated breath hold examination (VIBE), proton density weighted 3D sampling perfection with applications optimized contrasts using different flip angle evolution and 3D true fast imaging with steady state precision T2-weighted imaging) on patients who have already had a CT scan performed. We made detailed measurements of the calvarial structure based on the MRI data and compared those so-called 'virtual CT' to detailed measurements of the calvarial structure based on the CT data, used as a reference standard. We then loaded both standard and virtual CT in a TcMRgFUS device and compared the calculated phase correction values, as well as the temperature elevation in a phantom. A series of Bland-Altman measurement agreement analyses showed T1 3D VIBE as the optimal MRI sequence, with respect to minimizing the measurement discrepancy between the MRI derived total skull thickness measurement and the CT derived total skull thickness measurement (mean measurement discrepancy: 0.025; 95% CL (-0.22-0.27); p = 0.825). The T1-weighted sequence was also optimal in estimating skull CT density and skull layer thickness. The mean difference between the phase shifts calculated with the standard CT and the virtual CT reconstructed from the T1 dataset was 0.08 ± 1.2 rad on patients and 0.1 ± 0.9 rad on phantom. Compared to the real CT, the MR-based correction showed a 1 °C drop on the maximum temperature elevation in the phantom (7% relative drop). Without any correction, the maximum temperature was down 6 °C (43% relative drop). We have developed an approach that allows for a reconstruction of a virtual CT dataset from MRI to perform phase correction in TcMRgFUS.