A methodology to estimate the potential to move inpatient to one day surgery.

BACKGROUND: The proportion of surgery performed as a day case varies greatly between countries. Low rates suggest a large growth potential in many countries. Measuring the potential development of one day surgery should be grounded on a comprehensive list of eligible procedures, based on a priori criteria, independent of local practices. We propose an algorithmic method, using only routinely available hospital data to identify surgical hospitalizations that could have been performed as one day treatment. METHODS: Moving inpatient surgery to one day surgery was considered feasible if at least one surgical intervention was eligible for one day surgery and if none of the following criteria were present: intervention or affection requiring an inpatient stay, patient transferred or died, and length of stay greater than four days. The eligibility of a procedure to be treated as a day case was mainly established on three a priori criteria: surgical access (endoscopic or not), the invasiveness of the procedure and the size of the operated organ. Few overrides of these criteria occurred when procedures were associated with risk of immediate complications, slow physiological recovery or pain treatment requiring hospital infrastructure. The algorithm was applied to a random sample of one million inpatient US stays and more than 600 thousand Swiss inpatient stays, in the year 2002. RESULTS: The validity of our method was demonstrated by the few discrepancies between the a priori criteria based list of eligible procedures, and a state list used for reimbursement purposes, the low proportion of hospitalizations eligible for one day care found in the US sample (4.9 versus 19.4% in the Swiss sample), and the distribution of the elective procedures found eligible in Swiss hospitals, well supported by the literature. There were large variations of the proportion of candidates for one day surgery among elective surgical hospitalizations between Swiss hospitals (3 to 45.3%). CONCLUSION: The proposed approach allows the monitoring of the proportion of inpatient stay candidates for one day surgery. It could be used for infrastructure planning, resources negotiation and the surveillance of appropriate resource utilization.

What makes one person paranoid and another person anxious? The differential prediction of social anxiety and persecutory ideation in an experimental situation

The study shows that social anxiety and persecutory ideation share many of the same predictive factors. Non-clinical paranoia may be a type of anxious fear. However, perceptual anomalies are a distinct predictor of paranoia. In the context of an individual feeling anxious, the occurrence of odd internal feelings in social situations may lead to delusional ideas through a sense of" things not seeming right". The study illustrates the approach of focusing on experiences such as paranoid thinking rather than diagnoses such as schizophrenia.

Implantació d'un ERP en una empresa

Aquest projecte ofereix una visió global del concepte ERP, segons les necessitats que una empresa pot tenir i ha de conèixer. El document s’organitza en dos parts: teòrica i pràctica. La part teòrica es divideix en tres seccions. Part introductòria on es parla dels orígens dels ERPs, què són, quins avantatges comporten i com es poden classificar. Part pròxima a l’empresa, on s’estudia quan es necessita aquesta solució, descrivint els diferents estats en que es pot trobar el negoci, així com aspectes previs a la implantació. Finalment, tracta els processos pràctics com la implantació, migració de futures versions i documentació, aquest últim sovint desconegut. En la part pràctica, es realitza un exemple d’implantació, migració, desenvolupament d’aplicacions pròpies i documentació, permeten al lector assolir tots els conceptes descrits amb un cas pràctic.

Llibres d'artista i publicacions per tot arreu

Un recorregut per la historia de les edicions d'artista a Catalunya a través de la cultura visual i l'art contemporani. Amb l'edició independent i la xarxa digital com dues eines fonamentals tan pels artistes -pels beneficis que l'edició pot proporcionar a la seva visibilitat i l'evolució professional- com pels diferents agents -veuen en ella l'oportunitat de generar nous formats de relació amb el públic- que tenen la voluntat de treballar amb i per aquest subsector de l'últim art contemporani. Un àmbit que avui gaudeix d'una situació creativa i productiva molt interessant i fructífera.

Mediació intercultural i institucions escolars: l'exemple del Quebec

L’increment de la multiplicitat cultural ha comportat que, en diversos països, s’elaborin diferents actuacions per aproximar posicions i millorar la comunicació entre progenitors i professionals de les institucions escolars, així com per facilitar l’adaptació del currículum a la diversitat cultural. Una de les opcions preses, amb cert èxit però no exempta d’errors,és la dels anomenats «mediadors interculturals». Una societat on aquesta figura, amb els noms d’agents de liaison i de milieu, s’ha desenvolupat és el Quebec. L’estudi dels seus encerts i limitacions, específicament a les institucions escolars, creiem que pot ser un referent a partir del qual cal reflexionar, atès el notable increment d’aquesta pràctica a Catalunya.

Secure many-to-one communications in wireless sensor networks

Wireless Sensor Networks (WSN) are formed by nodes with limited computational and power resources. WSNs are finding an increasing number of applications, both civilian and military, most of which require security for the sensed data being collected by the base station from remote sensor nodes. In addition, when many sensor nodes transmit to the base station, the implosion problem arises. Providing security measures and implosion-resistance in a resource-limited environment is a real challenge. This article reviews the aggregation strategies proposed in the literature to handle the bandwidth and security problems related to many-to-one transmission in WSNs. Recent contributions to secure lossless many-to-one communication developed by the authors in the context of several Spanish-funded projects are surveyed. Ongoing work on the secure lossy many-to-one communication is also sketched.

A germination study of herbicide-resistant field poppies in Spain

Field poppy, Papaver rhoeas L., is a very common weed in winter cereals in North-Eastern Spain. Its control is becoming difficult due to expanding herbicide resistance. To control field poppies there are alternative strategies such as non-chemical control that take into account the weed emergence period. However, there is a lack of knowledge of P. rhoeas emergence patterns in semi-arid conditions. Thus, here we conducted pot experiments on the emergence of P. rhoeas. We aimed to describe the emergence period and to quantify the emergence of a susceptible and of a herbicide-resistant P. rhoeas population at two locations in Catalonia, Spain, from 1998 to 2001 and until 2004 at one of them. Therefore, pots containing seeds of both populations were established at the two locations and emergence was recorded monthly. We studied the origin of the population, the sowing location, the effect of cultivation and the sowing year. First, we found that the main emergence peaks in our experiments occurred in autumn, accounting for between 65.7 and 98.5% of the annual emergence from October to December, and only little emergence was recorded in spring. This emergence pattern is different from those found in the literature corresponding to Northern European countries, where in some cases main flushes occur only in autumn, in spring and winter or only in spring. The emergence was mainly affected by cultivation, but the effect of light stimulus was observed several months later. As a consequence, cultivation should be done in early autumn, promoting emergence during the whole autumn and winter so that emerged seedlings can be controlled before sowing a spring crop. Second, most experiments showed that the emergence was significantly higher in the first autumn than in the following seasons, e.g. 4.1% emergence in the first year and only 2.1, 2.3, 0.5 and 0.6% new emergence at one of the locations for the second, third, fourth and fifth years. Thus, after having a severe P. rhoeas infestation causing a big seed rain, emergence should be stimulated by autumn cultivation in the following season and seedlings controlled by trying to deplete the soil seed bank as much as possible. Despite the fact that emergence will be staggered throughout several years and that there was a significant relationship between rainfall and emergence, so that dry years will cause a smaller emergence rate of the weed, these findings define a cultural management strategy to reduce P. rhoeas infestations and to contribute to integrated weed management strategies combining it with other tools.

Is the relationship between major depressive disorder and self-reported alcohol use disorder an artificial one ?

AIMS: Many studies have suggested a close relationship between alcohol use disorder (AUD) and major depressive disorder (MDD). This study aimed to test whether the relationship between self-reported AUD and MDD was artificially strengthened by the diagnosis of MDD. This association was tested comparing relationships between alcohol use and AUD for depressive people and non-depressive people. METHODS: As part of the Cohort Study on Substance Use Risk Factors, 4352 male Swiss alcohol users in their early twenties answered questions concerning their alcohol use, AUD and MDD at two time points. Generalized linear models for cross-sectional and longitudinal associations were calculated. RESULTS: For cross-sectional associations, depressive participants reported a higher number of AUD symptoms (β = 0.743, P < 0.001) than non-depressive participants. Moreover, there was an interaction (β = -0.204, P = 0.001): the relationship between alcohol use and AUD was weaker for depressive participants rather than non-depressive participants. For longitudinal associations, there were almost no significant relationships between MDD at baseline and AUD at follow-up, but the interaction was still significant (β = -0.249, P < 0.001). CONCLUSION: MDD thus appeared to be a confounding variable in the relationship between alcohol use and AUD, and self-reported measures of AUD seemed to be overestimated by depressive people. This result brings into question the accuracy of self-reported measures of substance use disorders. Furthermore, it adds to the emerging debate about the usefulness of substance use disorder as a concept, when heavy substance use itself appears to be a sensitive and reliable indicator.

L’emprenedoria en treball social. Es pot viure fent treball social per compte propi?

En època de crisi com la que estem vivint pot semblar estrany plantejar-se la possibilitat emprenedora en treball social com a activitat per compte propi. Aquí es reflexiona sobre l’oportunitat de fer-ho i s’analitza què podem entendre en l’actualitat per emprendre i quines característiques comporta. També es valoren les dificultats que la pròpia disciplina presenta quan algú, eventualment, es pugui plantejar la via emprenedora i les coses que cal tenir en compte per sortejar-les. Finalment, es presenten algunes experiències d’emprenedoria des del treball social o en relació amb aquest i se n’aventuren algunes possibilitats que es podrien explorar en un futur.

Condicionants sociològics de la planificació lingüística en un context global i multicultural

La complexitat de la conformació de les societats actuals provoca l’aparició de reptes nous que s’afegeixen a l’emergència de realitats ja existents i no resoltes. Això fa que s’hagin d’analitzar amb mirada i perspectives noves problemes, qüestions i polítiques que es creien resolts o, com a mínim, superats. Obliga, alhora, a repensar les estratègies i també a repensarnos com a societat. La política lingüística, i la planificació que n’és la resultant, no pot quedar al marge d’aquestes reflexions perquè actua en —i per a— una població i en —i per a— una societat determinada, i l’una i l’altra estan en plena transformació i canvi. Els diversos contextos socials actuals en els quals —i per als quals— es prenen les decisions lingüístiques contenen condicionants característics que s’afegeixen i interactuen amb els preexistents. Uns i altres, amb diferents graus d’intensitat, les influencien. Aquest article s’aproxima a alguns d’aquests elements i a aquest context divers, global i local que els dota d’especificitat.