Inventory and description of disease management programs in Switzerland

Background: Disease management, a system of coordinated health care interventions for populations with chronic diseases in which patient self-care is a key aspect, has been shown to be effective for several conditions. Little is known on the supply of disease management programs in Switzerland. Objectives: To systematically search, record and evaluate data on existing disease management programs in Switzerland. Methods: Programs met our operational definition of disease management if their interventions targeted a chronic disease, included a multidisciplinary team and lasted at least 6 months. To find existing programs, we searched Swiss official websites, Swiss web-pages using Google, medical electronic database (Medline), and checked references from selected documents. We also contacted personally known individuals, those identified as possibly working in the field, individuals working in major Swiss health insurance companies and people recommended by previously contacted persons (snow ball strategy). We developed an extraction grid and collected information pertaining to the following 8 domains: patient population, intervention recipient, intervention content, delivery personnel, method of communication, intensity and complexity, environment and clinical outcomes (measures?). Results: We identified 8 programs fulfilling our operational definition of disease management. Programs targeted patients with diabetes, hypertension, heart failure, obesity, alcohol dependence, psychiatric disorders or breast cancer, and were mainly directed towards patients. The interventions were multifaceted and included education in almost all cases. Half of the programs included regularly scheduled follow-up, by phone in 3 instances. Healthcare professionals involved were physicians, nurses, case managers, social workers, psychologists and dietitians. None fulfilled the 6 criteria established by the Disease Management Association of America. Conclusions: Our study shows that disease management programs, in a country with universal health insurance coverage and little incentive to develop new healthcare strategies, are scarce, although we may have missed existing programs. Nonetheless, those already implemented are very interesting and rather comprehensive. Appropriate evaluation of these programs should be performed in order to build upon them and try to design a generic disease management framework suited to the Swiss healthcare system.

Phenotypic characterization of three clinical isolates of Burkholderia pseudomallei in Ceará, Brazil

Burkholderia pseudomallei, the causative agent of melioidosis was found in a small cluster of cases in Tejuçuoca, Ceará, Brazil. Tests were carried out to determine its phenotypic characteristics: colony morphology on Ashdown agar and MacConkey agar, biochemical profile in conventional biochemical tests and API 20NE, arabinose assimilation and susceptibility testing by disk diffusion, comparing with data in the literature. This study confirms the presence of B. pseudomallei in Brazil and describes its characteristics.

SQL-Server 2008 i les noves característiques espacials

La finalitat d'aquest treball és analitzar les noves característiques espacials que ofereix SQLServer 2008. A continuació, com cas pràctic, desenvolupar una aplicació per Windows Mobile on una sèrie de dispositius mòbils puguin indicar la seva ubicació i poder consultar en un mapa, mitjançant el servei en línia Google Maps, la ubicació de la resta de dispositius.

Quality of Web-based information on obsessive compulsive disorder.

BACKGROUND: The Internet is increasingly used as a source of information for mental health issues. The burden of obsessive compulsive disorder (OCD) may lead persons with diagnosed or undiagnosed OCD, and their relatives, to search for good quality information on the Web. This study aimed to evaluate the quality of Web-based information on English-language sites dealing with OCD and to compare the quality of websites found through a general and a medically specialized search engine. METHODS: Keywords related to OCD were entered into Google and OmniMedicalSearch. Websites were assessed on the basis of accountability, interactivity, readability, and content quality. The "Health on the Net" (HON) quality label and the Brief DISCERN scale score were used as possible content quality indicators. Of the 235 links identified, 53 websites were analyzed. RESULTS: The content quality of the OCD websites examined was relatively good. The use of a specialized search engine did not offer an advantage in finding websites with better content quality. A score ≥16 on the Brief DISCERN scale is associated with better content quality. CONCLUSION: This study shows the acceptability of the content quality of OCD websites. There is no advantage in searching for information with a specialized search engine rather than a general one. Practical implications: The Internet offers a number of high quality OCD websites. It remains critical, however, to have a provider-patient talk about the information found on the Web.

Slime production and antibiotic susceptibility in staphylococci isolated from clinical samples

A total of 187 isolates from several clinical specimens were identified to species level as 129 Staphylococcus aureus strains and 58 coagulase-negative staphylococci (CNS) strains by the API Staph System (Biomerieux). Slime production was detected both by the conventional Christensen's method as well as by the Congo red agar method. Seventy-two strains of staphylococci isolates (38.5%) were found to be slime producers by Christensen's test tube method whereas 58 strains (31%) were slime positive with Congo red agar method. There was no statistically significant difference between the two methods for the detection of slime production (P > 0.05). Susceptibility of isolates against antimicrobial agents was tested by the disk diffusion method. Staphylococcal species had resistance to one or more antibiotics. Among the various antimicrobial agents, oxacillin (71.1%) and erythromycin (47.1%) showed higher resistance than most of the agents used against all isolates. Oxacillin resistant S. aureus (ORSA) and oxacillin resistant coagulase-negative staphylococci (ORCNS), 97 (75.2%) and 36 (62.1%) respectively were frequently observed in strains isolated from clinical materials. Among the ORSA strains, two strains were resistant to vancomycin. Moreover, 96 (74.4%) of 129 S. aureus strains were positive for blactamase enzyme. However, 78 (81.25%) of 96 b-lactamase positive S. aureus strains were b-lactamase positive ORSA isolates, but none of them had vancomycin resistance.

Rutes amb iOS

Projecte de l'implementació d'una aplicació per registrar i gestionar recorreguts basada al sistema operatiu iOS amb la possibilitat de sincronitzar amb un servei web sobre la plataforma Google App Engine.

Gestió dels arxius duplicats distribuïts

El treball diari en diferents entorns, tant pel que fa a sistemes operatius, com maquinariscom llocs físics diferents fa que la informació hagi d'estar a tot arreu. Aquesta informacióha d'estar actualitzada. A més a més, hi ha la possibilitat de l'ús de les diferentspossibilitats d'emmagatzematge (local, disc extern, núvol...).Tot i que les eines de treball al núvol (per exemple, Google Docs, EyeOS...) són moltcompletes, el fet d'utilitzar els programaris instal·lats als ordinadors encara segueix sentnecessari, per les seves capacitats i rapidesa. Més quan, estem treballant amb gransvolums d'informació (com grans documents, imatges, audio...).

Implantación de plataforma de visualización de Worldsensing en dispositivos con sistema operativo Android

El documento muestra el desarrollo de una aplicación para móviles con Sistema Operativo Android. Esta aplicación muestra, por medio de Google Maps, la localización de plazas de aparcamiento con ayuda del sistema de sensores instalado por Worldsensing.

Web de control de tráfico marítimo

El proyecto Web de Control de Tráfico Marítimo (WCTM) un proyecto Web que va a gestionar información útil para el Control del Tráfico Marítimo de una determinada zona del mundo. Usa el concepto de arquitectura SOA, una arquitectura que se basa en los servicios Web, proporciona en tiempo real información sobre los buques usando los mapas de Google.

L'OPAC de la Biblioteca de la UOC, avançant cap a l'OPAC social

La Biblioteca de la UOC ha añadido una serie de mejoras a su OPAC. El objetivo ha sido incorporar las ventajas del OPAC social a un producto comercial cercado, como es Millennium.Estas mejoras permiten enriquecer la información proporcionada por el registro y dotar a los usuarios de herramientas que los permitan compartir la Biblioteca, sus servicios y sus contenidos.En este póster se detalla la implementación de las herramientas de Wikipedia, Google Libros, Addthis y LibraryThing for Libraries en el OPACO de Millennium.

Granada Virus: a Natural Phlebovirus Reassortant of the Sandfly Fever Naples Serocomplex with Low Seroprevalence in Humans

A new member of the phlebovirus genus, tentatively named Granada virus, was detected in sandflies collected in Spain. By showing the presence of specific neutralizing antibodies in human serum collected in Granada, we show that Granada virus infects humans. The analysis of the complete genome of Granada virus revealed that this agent is likely to be a natural reassortant of the recently described Massilia virus (donor of the long and short segments) with ayet unidentified phlebovirus (donor of the medium segment)

Inventory and perspectives of chronic disease management programs in Switzerland: an exploratory survey.

OBJECTIVE: To describe chronic disease management programs active in Switzerland in 2007, using an exploratory survey. METHODS: We searched the internet (Swiss official websites and Swiss web-pages, using Google), a medical electronic database (Medline), reference lists of pertinent articles, and contacted key informants. Programs met our operational definition of chronic disease management if their interventions targeted a chronic disease, included a multidisciplinary team (>/=2 healthcare professionals), lasted at least six months, and had already been implemented and were active in December 2007. We developed an extraction grid and collected data pertaining to eight domains (patient population, intervention recipient, intervention content, delivery personnel, method of communication, intensity and complexity, environment, clinical outcomes). RESULTS: We identified seven programs fulfilling our operational definition of chronic disease management. Programs targeted patients with diabetes, hypertension, heart failure, obesity, psychosis and breast cancer. Interventions were multifaceted; all included education and half considered planned follow-ups. The recipients of the interventions were patients, and healthcare professionals involved were physicians, nurses, social workers, psychologists and case managers of various backgrounds. CONCLUSIONS: In Switzerland, a country with universal healthcare insurance coverage and little incentive to develop new healthcare strategies, chronic disease management programs are scarce. For future developments, appropriate evaluations of existing programs, involvement of all healthcare stakeholders, strong leadership and political will are, at least, desirable.

An ATM distributed simulator for network management research

Due to the high cost of a large ATM network working up to full strength to apply our ideas about network management, i.e., dynamic virtual path (VP) management and fault restoration, we developed a distributed simulation platform for performing our experiments. This platform also had to be capable of other sorts of tests, such as connection admission control (CAC) algorithms, routing algorithms, and accounting and charging methods. The platform was posed as a very simple, event-oriented and scalable simulation. The main goal was the simulation of a working ATM backbone network with a potentially large number of nodes (hundreds). As research into control algorithms and low-level, or rather cell-level methods, was beyond the scope of this study, the simulation took place at a connection level, i.e., there was no real traffic of cells. The simulated network behaved like a real network accepting and rejecting SNMP ones, or experimental tools using the API node

Disseny i implementació d'un sistema web de geolocalització i promoció d'events

Degut a la falta d'informació, de temps, no saber a on buscar. . . moltes vegades no ens assabentem, o ho fem massa tard, d'events als que ens hauria agradat assistir, com podrien ser concerts,conferències, activitats esportives, etc. L'objectiu d'aquest projecte serà aprofitar les capacitats de les xarxes socials per crear un lloc web que permeti enviar i geolocalitzar events que podran ser revisats i promoguts pels usuaris, de forma que es pugui suplir aquesta mancança. La solució implementada haurà de proporcionar les següents funcionalitats: enviament d'events (permetrà afegir les dades principals d'un event i geolocalitzar-lo en el mapa); organització de la informació (es disposarà de categories i metacategories per agrupar els events, a més d'un sistema d'etiquetes que facilitarà les cerques en el contingut del web); exploració dels events existents (mitjançant el mapa es podrà veure les dades de qualsevol event); sistema de votació (atorgarà la capacitat per poder decidir quina informació és més rellevant); agenda personal (servirà per registrar events i d'aquesta manera poder rebre notificacions que informin de canvis o simplement que serveixin com a recordatori); comunicació entre usuaris (es realitzarà a través de comentaris al peu dels events i/o d'un xat intern); sindicació web (distribuirà el contingut utilitzant l'estàndard RSS; disponibilitat d'una API simple (permetrà l'accés a certa informació des d'aplicacions externes)

New tools for epidemiology: a space odyssey

Geographical Information Systems (GIS) facilitate access to epidemiological data through visualization and may be consulted for the development of mathematical models and analysis by spatial statistics. Variables such as land-cover, land-use, elevations, surface temperatures, rainfall etc. emanating from earth-observing satellites, complement GIS as this information allows the analysis of disease distribution based on environmental characteristics. The strength of this approach issues from the specific environmental requirements of those causative infectious agents, which depend on intermediate hosts for their transmission. The distribution of these diseases is restricted, both by the environmental requirements of their intermediate hosts/vectors and by the ambient temperature inside these hosts, which effectively govern the speed of maturation of the parasite. This paper discusses the current capabilities with regard to satellite data collection in terms of resolution (spatial, temporal and spectral) of the sensor instruments on board drawing attention to the utility of computer-based models of the Earth for epidemiological research. Virtual globes, available from Google and other commercial firms, are superior to conventional maps as they do not only show geographical and man-made features, but also allow instant import of data-sets of specific interest, e.g. environmental parameters, demographic information etc., from the Internet.