Index of the Phytosociological Nomenclature Section of Lazaroa (1989-1997)

Se presenta un índice nomenclatural  de los artículos publicados en la Sección de Nomenclatura Fitosociológica desde 1989 hasta 1997. Se adjunta una relación completa de los sintaxones citados en la misma, con la referencia de la página de la revista en que se han tratado; la relación incluye autoría de los nombres, situación nomenclatural, artículos del CPN aplicados e indicación de las referencias bibliográficas de la diagnosis original o de las informaciones sobre tipoficación aportadas.

Index nominum unamunoanae (Fungi)

Se da a conocer la relación completa de los nuevos nombres de táxones fúngicos propuestos por L.M. Unamuno (1879-1943). En total se citan 267 táxones, que incluyen un género, 225 especies (9 de ellas con nombres inválidos), 22 variedades y 19 formas (2 de ellas con nombre inválido o ilegitimo). Para cada taxon se refieren la diagnosis original, la fecha de distribución de la misma y su indicación locotípica. Además, se incluye una lista completa de las publicaciones de Unamuno.

Discourses of equality in post-Agreement Northern Ireland

This article analyses the use of equality as a concept central to the implementation of the 1998 Good Friday Agreement in Northern Ireland. The authors argue that, although equality legislation is succeeding in redressing previous discrimination in society, the discourses that have emerged around it have exacerbated competition and polarization between communities for two main reasons. Firstly, in " selling' the Agreement to their supporters, political elites have appropriated community-specific definitions of the concept, thus reinforcing rather than weakening group differences. Secondly, the practice of equality legislation involves the definitive categorization of individuals as members of particular groups. This article examines these processes and their effects through the analysis of the discourse of nationalist and Unionist Party elites and of individual Catholics and Protestants. This is done in order to capture the dynamics of change in political communication and identification rather than simply describing institutional alterations.

Can diagnostic triage by general practitioners or rheumatology nurses improve the positive predictive value of referrals to early arthritis clinics?

Objectives: To determine whether diagnostic triage by general practitioners (GPs) or rheumatology nurses (RNs) can improve the positive predictive value of referrals to early arthritis clinics (EACs).

Methods: Four GPs and two RNs were trained in the assessment of early in?ammatory arthritis (IA) by four visits to an EAC supervised by hospital rheumatologists. Patients referred to one of three EACs were recruited for study and assessed independently by a GP, an RN and one of six rheumatologists. Each assessor was asked to record their clinical ?ndings and whether they considered the patient to have IA. Each was then asked to judge the appropriateness of the referral according to predetermined guidelines. The rheumatologists had been shown previously to have a satisfactory level of agreement in the assessment of IA.

Results: Ninety-six patients were approached and all consented to take part in the study. In 49 cases (51%), the rheumatologist judged that the patient had IA and that the referral was appropriate. The assessments of GPs and RNs were compared with those of the rheumatologists. Levels of agreement were measured using the kappa value, where 1.0 represents total unanimity. The kappa value was
0.77 for the GPs when compared with the rheumatologists and 0.79 for the RNs. Signi?cant stiffness in the morning or after rest and objective joint swelling were the most important clinical features enabling the GPs and RNs to discriminate between IA and non-IA conditions.

Conclusion: Diagnostic triage by GPs or RNs improved the positive predictive value of referrals to an EAC with a degree of accuracy approaching that of a group of experienced rheumatologists.