Medical students' skills and needs for training in breaking bad news.

This study assessed medical students' perception of individual vs. group training in breaking bad news (BBN) and explored training needs in BBN. Master-level students (N = 124) were randomised to group training (GT)-where only one or two students per group conducted a simulated patient (SP) interview, which was discussed collectively with the faculty-or individual training (IT)-where each student conducted an SP interview, which was discussed during individual supervision. Training evaluation was based on questionnaires, and the videotaped interviews were rated using the Roter Interaction Analysis System. Students were globally satisfied with the training. Still, there were noticeable differences between students performing an interview (GT/IT) and students observing interviews (GT). The analysis of the interviews showed significant differences according to scenarios and to gender. Active involvement through SP interviews seems required for students to feel able to reach training objectives. The evaluation of communication skills, revealing a baseline heterogeneity, supports individualised training.

Signatura digital

Aquest projecte tracta la Signatura Digital des del punt de vista d'un Enginyer de Software que ha d'iniciar un projecte que doni serveis de Signatura Digital a un projecte més ampli d'Administració Electrònica. El projecte contempla: els conceptes bàsics de la Signatura Digital, les particularitats de la Signatura Digital, les funcionalitats i serveis que pot proporcionar a una plataforma de tramitació electrònica, els requeriments de Signatura Electrònica per l'AE, la selecció d'un proveïdor de serveis de Signatura que cobreixi els nostres requeriments i els de l'AE, les funcionalitats del proveïdor CATCert (plataforma PSIS); i a través d'aquests estudis, la realització de l'anàlisi, disseny i construcció d'un mòdul que pugui subministrar autenticació, identificació i signatura digital a una plataforma d'AE.

Evaluation à l'aide d'un livre de bord des compétences cliniques acquises par des stagiaires en médecine. [Evaluation using a logbook of mastering of clinical skills by medical students]

La maîtrise des compétences cliniques est extrêmement importante pour le médecin. Leur enseignement est aujourd'hui facilité grâce à la disponibilité du «Swiss Catalogue of Learning Objectives for Undergraduate Medical Training» où sont décrits les niveaux de compétence à atteindre au terme des études de médecine. Un carnet de bord a été préparé à la Faculté de biologie et de médecine de Lausanne à partir de ce document. Il a permis de mettre en évidence chez les étudiants une très nette amélioration de la maîtrise des compétences cliniques entre le début et la fin des stages en médecine interne, chirurgie/orthopédie, pédiatrie, gynécologie/obstétrique et psychiatrie. Un tel outil devrait permettre dans l'avenir de mieux guider l'apprentissage des étudiants et de suivre leurs progrès à chaque étape du curriculum. [Abstract] The mastering of the clinical skills is of utmost importance for the physician. The teaching of the skills is nowadays made easier with the <<Swiss Catalogue of Learning Objectives for Undergraduate Medical Training>> which lists all the skills and their respective level of expected mastering at graduation. In order to do a survey on how good the students are at those skills, a logbook based on this document has been setup at the Faculty of biology and medicine of the University of Lausanne. This has shown that students went through a clear progression of the mastering of the skills during their elective year in internal medicine, surgery/orthopaedics, paediatric, obstetric and gynaecology as well as psychiatry. Such an instrument should in the future help to better guide the learning process of the clinical skills and to do a better follow-up of their progress.

Implantación de una Plataforma GNU/Linux en la gestión del hogar digital focalizada a la domótica,multimedia-ocio y las TICs.

In the near future, access to data and home automation systems in the home supported by the implementation of GNU-Linux operating systems in our homes, a reality of the first order for the implementation of real homes and automated digital awarding a cost reduction by the intensive use of the resources provided directly by the Open Software Community. The future possibilities seem almost endless: telecommuting, centralized household accounts, software distributed online training for young people in the house, multimedia at all levels, design and artistic creation (particularly through electronic digital displays are spreading rapidly in our homes), targeted towards home automation automated digital, integrated control of home security, digital entertainment ... and with free applications at no additional cost that can be easily downloaded from the usual repositories, ensuring the online update of these tools. In short, new ways of understanding in the home automation, telecommuting and digital entertainment within the broader framework of our Information Society.

Una aproximació a l'alfabetització digital en l'àmbit educatiu no universitari de Catalunya (a partir de la recerca PIC escoles de la UOC)

Aquest treball s'estructura en tres parts. En la primera hi ha el projecte de treball. La segona part vol reflectir tot el marc conceptual elaborat i reelaborat amb profunditat entorn de la recerca, el qual és necessari per a estructurar, entendre i autoavaluar-la. El marc conceptual se centra bàsicament en tres aspectes: en primer lloc, el mètode de recerca emprat en la recerca PIC a les escoles; en segon lloc, l'evolució de les tecnologies en l'ensenyament paral·lelament a la mateixa concepció de l'ensenyament-aprenentatge, i, com a conseqüència dels dos anteriors, finalment, s'hi analitza l'evolució del concepte d'alfabetització, concretant l'estudi en l'alfabetització digital, com també la possibilitat ampliada per a les TIC de fomentar l'aprenentatge col·laboratiu. La tercera part del treball analitza la funció social de l'escola en la societat del coneixement.

When the mummy is digital : preservation and dissemination

Most educational institutions include nowadays a digital repository as part of their development and positioning strategy. The main goals of a digital repository are preservation and dissemination, which are some how contradictory, especially if the repository follows an open approach, as it is designed, built and managed from an institutional perspective, although it is intended to be used by teachers and learners. This fact may lead to a low level of usage, as final users are not able to integrate the learning object repository into their learning process. In this paper we will discuss how to promote open educational resources by connecting open repositories with open social networks, bridging the gap between resources and final users (teachers and learners).

Determinants of the educational use of digital learning materials: The mediating role of self-efficacy, perceived norm and attitude

Initiatives to stimulate the development and propagation of open educational resources (OER) need a sufficiently large community that can be mobilized to participate in this endeavour. Failure to achieve this could lead to underuse of OER. In the context of the Wikiwijs initiative a large scale survey was undertaken amongst primary and secondary school teachers to explore possible determinants of the educational use of digital learning materials (DLMs). Basing on the Integrative Model of Behaviour Prediction it was conjectured that self-efficacy, attitude and perceived norm would take a central role in explaining the intention to use DLMs. Several other predictors were added to the model as well whose effects were hypothesized to be mediated by the three central variables.All conjectured relationships were found using path analysis on survey data from 1484 teachers. Intention to DLMs was most strongly determined by self-efficacy, followed by attitude. ICT proficiency was in its turn the strongest predictor of self-efficacy. Perceived norm played only a limited role in the intention to use DLMs. Concluding, it seems paramount for the success of projects such as Wikiwijs to train teachers in the use of digital learning materials and ICT (e.g. the digital blackboard) and to impact on their attitude.

La biblioteca digital

Aquest article defineix i dóna una visió general sobre què són les biblioteques digitals en el moment present: els desenvolupaments que es porten a terme arreu del món en aquest sentit, els avantatges de la generalització d'aquests processos, els beneficis a curt i a mitjà termini per a una gran part de la societat, especialment en el camp de la recerca, i els problemes que l'evolució tecnològica, econòmica, social, etc. constant, fan emergir entorn d'aquest camp.

COINE Project : Cultural Objects in Networked Environments

La idea subjacent al Projecte de Recerca i Desenvolupament COINE és permetre a la gent contar les seves pròpies històries. COINE pretén proporcionar les eines necessàries per crear estructuradament, un entorn basat en el World Wide Web, que permeti compartir continguts. Els resultats del Projecte ajudaran al desenvolupament d'estàndards per a la implantació i la recuperació estructurades de recursos digitals en entorns en xarxa distribuïda. El Projecte de COINE s'inicià el març de 2002 i finalitzà l'agost de 2004. Avui en dia estem al WorkPackage 5 on estem construint el Sistema, el programari i les interfícies. COINE pretén cobrir la gamma més àmplia possible d'usuaris potencials, des d'organitzacions de patrimoni cultural i institucions de qualsevol mida (principalment biblioteques, arxius i museus) fins a individus de qualsevol edat sense habilitats en l'ús de les TIC, o a grups petits de ciutadans. Els usuaris no utilitzaran només COINE com a eina de cerca, sinó que contribuiran amb el seu propi contingut.

La biblioteca digital

Aquest article defineix i dóna una visió general sobre què són les biblioteques digitals en el moment present: els desenvolupaments que es porten a terme arreu del món en aquest sentit, els avantatges de la generalització d'aquests processos, els beneficis a curt i a mitjà termini per a una gran part de la societat, especialment en el camp de la recerca, i els problemes que l'evolució tecnològica, econòmica, social, etc. constant, fan emergir entorn d'aquest camp.

Derechos de autor y acceso a la información : los conflictos en la era digital

Al maig de 2001, el Parlament Europeu i el Consell aprovaven la Directiva relativa a l'harmonització de determinats aspectes dels drets d'autor i drets afins als drets d'autor en la societat de la informació. L'aprovació d'aquest text culminava un llarg - i difícil - procés els orígens del qual hem de buscar en el Llibre Verd sobre drets d'autor i els drets afins en la Societat de la Informació aparegut el 1995.

Comparison of multislice computerized tomography angiography and digital subtraction angiography in the postoperative evaluation of patients with clipped aneurysms.

OBJECT: In this study the accuracy of multislice computerized tomography (MSCT) angiography in the postoperative examination of clip-occluded intracranial aneurysms was compared with that of intraarterial digital subtraction (DS) angiography METHODS: Forty-nine consecutive patients with 60 clipped aneurysms (41 of which had ruptured) were studied with the aid of postoperative MSCT and DS angiography. Both types of radiological studies were reviewed independently by two observers to assess the quality of the images, the artifacts left by the clips, the completeness of aneurysm occlusion, the patency of the parent vessel, and the duration and cost of the examination. The quality of MSCT angiography was good in 42 patients (86%). Poor-quality MSCT angiograms (14%) were a result of the late acquisition of images in three patients and the presence of clip or motion artifacts in four. Occlusion of the aneurysm on good-quality MSCT angiograms was confirmed in all but two patients in whom a small (2-mm) remnant was confirmed on DS angiograms. In one patient, occlusion of a parent vessel was seen on DS angiograms but missed on MSCT angiograms. The sensitivity and specificity for detecting neck remnants on MSCT angiography were both 100%, and the sensitivity and specificity for evaluating vessel patency were 80 and 100%, respectively (95% confidence interval 29.2-100%). Interobserver agreements were 0.765 and 0.86, respectively. The mean duration of the examination was 13 minutes for MSCT angiography and 75 minutes for DS angiography (p < 0.05). Multislice CT angiography was highly cost effective (p < 0.01). CONCLUSIONS: Current-generation MSCT angiography is an accurate noninvasive tool used for assessment of clipped aneurysms in the anterior circulation. Its high sensitivity and low cost warrant its use for postoperative routine control examinations following clip placement on an aneurysm. Digital subtraction angiography must be performed if the interpretation of MSCT angiograms is doubtful or if the aneurysm is located in the posterior circulation.

Non-invasive dry mass determination and monitoring at the single cell level with digital holographic microscopy

Digital holography microscopy (DHM) is an optical microscopy technique which allows recording non-invasively the phase shift induced by living cells with nanometric sensitivity. Here, we exploit the phase signal as an indicator of dry mass (related to the protein concentration). This parameter allows monitoring the protein production rate and its evolution during the cell cycle. ©2008 COPYRIGHT SPIE

Embodied Autonomy in Digital Ecosystems: From Bio-Inspired Agents to Cognitive Systems

This paper proposes to promote autonomy in digital ecosystems so that it provides agents with information to improve the behavior of the digital ecosystem in terms of stability. This work proposes that, in digital ecosystems, autonomous agents can provide fundamental services and information. The final goal is to run the ecosystem, generate novel conditions and let agents exploit them. A set of evaluation measures must be defined as well. We want to provide an outline of some global indicators, such as heterogeneity and diversity, and establish relationships between agent behavior and these global indicators to fully understand interactions between agents, and to understand the dependence and autonomy relations that emerge between the interacting agents. Individual variations, interaction dependencies, and environmental factors are determinants of autonomy that would be considered. The paper concludes with a discussion of situations when autonomy is a milestone