La cartografía del Estado Mayor del Ejército de Tierra republicano durante la Guerra Civil española. El archivo del general Vicente Rojo

En los últimos años, se ha llevado a cabo un considerable esfuerzo de análisis y catalogación de la ingente cantidad de mapas militares, planos, croquis y vistas panorámicas realizados durante la Guerra Civil española, pero aún quedan múltiples aspectos por investigar. En este artículo, analizamos la formación cartográfica del general Vicente Rojo -el jefe del Estado Mayor del Ejército de Tierra republicano-, las relaciones de Rojo con la cartografía durante la Guerra Civil y la cartografía militar contenida en su archivo personal, que se custodia en el Archivo Histórico Nacional de Madrid. Dicha cartografía posee un gran valor cartográfico y militar, porque fue utilizada por el Estado Mayor del Ejército de Tierra republicano durante el período en que Rojo estuvo al frente del mismo, y porque contiene una serie de documentos cartográficos manuscritos inéditos de gran importancia para comprender el desarrollo de algunas de las operaciones bélicas principales.

S100A1 deficiency results in prolonged ventricular repolarization in response to sympathetic activation.

S100A1 is a Ca(2+)-binding protein and predominantly expressed in the heart. We have generated a mouse line of S100A1 deficiency by gene trap mutagenesis to investigate the impact of S100A1 ablation on heart function. Electrocardiogram recordings revealed that after beta-adrenergic stimulation S100A1-deficient mice had prolonged QT, QTc and ST intervals and intraventricular conduction disturbances reminiscent of 2 : 1 bundle branch block. In order to identify genes affected by the loss of S100A1, we profiled the mutant and wild type cardiac transcriptomes by gene array analysis. The expression of several genes functioning to the electrical activity of the heart were found to be significantly altered. Although the default prediction would be that mRNA and protein levels are highly correlated, comprehensive immunoblot analyses of salient up- or down-regulated candidate genes of any cellular network revealed no significant changes on protein level. Taken together, we found that S100A1 deficiency results in cardiac repolarization delay and alternating ventricular conduction defects in response to sympathetic activation accompanied by a significantly different transcriptional regulation.

Nouveau programme de formation en médecine interne générale: implications pour les médecins de premier recours [The new postgraduate training program in general internal medicine: implications for the primary care physician].

The Swiss postgraduate training program in general internal medicine is now designed as a competency-based curriculum. In other words, by the end of their training, the residents should demonstrate a set of predefined competences. Many of those competences have to be learnt in outpatient settings. Thus, the primary care physicians have more than ever an important role to play in educating tomorrows doctors. A competency-based model of training requires a regular assessment of the residents. The mini-CEX (mini-Clinical Evaluation eXercise) is the assessment tool proposed by the Swiss institute for postgraduate and continuing education. The mini-CEX is based on the direct observation of the trainees performing a specific task, as well as on the ensuing feedback. This article aims at introducing our colleagues in charge of residents to the mini-CEX, which is a useful tool promoting the culture of feedback in medical education.

Implementation of guidelines on delirium in a General Hospital: a before-after study of their impact on caregivers' knowledge and clinical skills

INTRODUCTION: Delirium is a highly prevalent disorder, with serious consequences for the hospitalised patient. Nevertheless, it remains under-diagnosed and under-treated. We developed evidence-based clinical practice guidelines (CPGs) focusing on prevention, screening, diagnosis, and treatment of delirium in a general hospital. This article presents the implementation process of these CPGs and a before-after study assessing their impact on healthcare professionals' knowledge and on clinical practice. METHODS: CPGs on delirium were first implemented in two wards (Neurology and Neurosurgery) of the Lausanne university hospital. Interactive one-hour educational sessions for small groups of nurses and physicians were organised. Participants received a summary of the guidelines and completed a multiple choice questionnaire, assessing putative changes in knowledge, before and three months after the educational session. Other indicators such as "diagnosis of delirium" reported in the discharge letters, and mean duration of patients' hospital stay before and after implementation were compared. RESULTS: Eighty percent of the nurses and physicians from the Neurology and Neurosurgery wards attended the educational sessions. Both nurses and physicians significantly improved their knowledge after the implementation (+9 percentage-points). Other indicators were not modified by the intervention. CONCLUSION: A single interactive intervention improved both nurses' and physicians' knowledge on delirium. Sustained and repeated interventions are probably needed to demonstrate changes in clinical practice.

Condition of the State of Iowa, 1888 (22nd General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Larrabee delivered at the State Capitol.

Condition of the State of Iowa, 1902 (29nd General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Shaw delivered at the State Capitol.

Condition of the State of Iowa, 1904 (30th General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Cummins delivered at the State Capitol.

Condition of the State of Iowa, 1906 (31st General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Cummins delivered at the State Capitol.

Condition of the State of Iowa, 1923 (40th General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Kendall delivered at the State Capitol.

Condition of the State of Iowa, 1927 (42nd General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.

Condition of the State of Iowa, 1929 (43rd General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.

Condition of the State of Iowa, 1931 (44th General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.

Condition of the State of Iowa, 1933 (45th General Assembly)

A transcript of the Condition of the State of Iowa speech by Governor Turner delivered at the State Capitol.