A Clinical Decision Support using a Terminology Server to improve Patient Safety.

Clinical Decision Support Systems (CDSS) are software applications that support clinicians in making healthcare decisions providing relevant information for individual patients about their specific conditions. The lack of integration between CDSS and Electronic Health Record (EHR) has been identified as a significant barrier to CDSS development and adoption. Andalusia Healthcare Public System (AHPS) provides an interoperable health information infrastructure based on a Service Oriented Architecture (SOA) that eases CDSS implementation. This paper details the deployment of a CDSS jointly with the deployment of a Terminology Server (TS) within the AHPS infrastructure. It also explains a case study about the application of decision support to thromboembolism patients and its potential impact on improving patient safety. We will apply the inSPECt tool proposal to evaluate the appropriateness of alerts in this scenario.

Predictive Biomarkers to Chemoradiation in Locally Advanced Rectal Cancer.

There has been a high local recurrence rate in rectal cancer. Besides improvements in surgical techniques, both neoadjuvant short-course radiotherapy and long-course chemoradiation improve oncological results. Approximately 40-60% of rectal cancer patients treated with neoadjuvant chemoradiation achieve some degree of pathologic response. However, there is no effective method of predicting which patients will respond to neoadjuvant treatment. Recent studies have evaluated the potential of genetic biomarkers to predict outcome in locally advanced rectal adenocarcinoma treated with neoadjuvant chemoradiation. The articles produced by the PubMed search were reviewed for those specifically addressing a genetic profile's ability to predict response to neoadjuvant treatment in rectal cancer. Although tissue gene microarray profiling has led to promising data in cancer, to date, none of the identified signatures or molecular markers in locally advanced rectal cancer has been successfully validated as a diagnostic or prognostic tool applicable to routine clinical practice.

Exposition de Jean diacre sur la Genèse, etc.

Catalogue de l'abbaye de Corbie (éd. d'E. Coyecque, Cat des mss des bibliothèques de France, XIX, p.XI-XLVIII) XIIIe s.: n°246; 1621: n°420 Ex-libris : f.1 : « Sti Germani a Pratis »

Mélanges de grammaire, de dialectique et de mathématiques.

Regula Enchiriadis (3v). — Boetii commenta in isagogas (5). — Marciani Capellae astronomia (46v). — Boetii musica (60). — Gerbertus Constantino (105v). — Boetii geometria (107). — De mensuris etc. (123v et 165v). — E Julio Frontino (130v), et Columella (131). — Recettes de médecine et autres (133). — Sur les mètres (148). — Marius Plotius sacerdos de metris (150). — Musica Fortunatiani (158v).

Inter-informant agreement and prevalence estimates for mood syndromes: Direct interview vs. family history method.

BACKGROUND: The use of the family history method is recommended in family studies as a type of proxy interview of non-participating relatives. However, using different sources of information can result in bias as direct interviews may provide a higher likelihood of assigning diagnoses than family history reports. The aims of the present study were to: 1) compare diagnoses for threshold and subthreshold mood syndromes from interviews to those relying on information from relatives; 2) test the appropriateness of lowering the diagnostic threshold and combining multiple reports from the family history method to obtain comparable prevalence estimates to the interviews; 3) identify factors that influence the likelihood of agreement and reporting of disorders by informants. METHODS: Within a family study, 1621 informant-index subject pairs were identified. DSM-5 diagnoses from direct interviews of index subjects were compared to those derived from family history information provided by their first-degree relatives. RESULTS: 1) Inter-informant agreement was acceptable for Mania, but low for all other mood syndromes. 2) Except for Mania and subthreshold depression, the family history method provided significantly lower prevalence estimates. The gap improved for all other syndromes after lowering the threshold of the family history method. 3) Individuals who had a history of depression themselves were more likely to report depression in their relatives. LIMITATIONS: Low proportion of affected individuals for manic syndromes and lack of independence of data. CONCLUSIONS: The higher likelihood of reporting disorders by affected informants entails the risk of overestimation of the size of familial aggregation of depression.

Moralités de Pierre le Bercheur sur les Métamorphoses d'Ovide.

Catalogue de l'abbaye de Corbie (éd. d'E. Coyecque, Cat des mss des bibliothèques de France, XIX, p.XI-XLVIII) 1621: n°429 Ex-libris : f.1 : « Sti Germani a Pratis » ; — au verso du dernier f. de garde : « Corbeiensis Monasterii »

Latin 14762

Contient : I Lettres de s. Anselme ; Règle de Grammont (205) ; Institutions de Prémontré (223) ; II Expositio Isidori super V libros Moysi (241) ; Beda in libros regum (317)

Disseny d’un muntatge experimental per les practiques de Resistència de materials

Degut a l’augment del nombre de classes i d’alumnes en l’Àrea de Mecànica de MedisContinus i Teoria d’Estructures (MMCTE), s’ha fet necessari la reestructuració i ocupació denous espais per la realització de les pràctiques de Resistència de materials.Per tal de realitzar les pràctiques al nou laboratori de Resistència de materials, calredissenyar les pràctiques referents a Allargaments longitudinals en bigues sotmeses acompressió i tracció simple i la referent a la Deformada d’una biga biarticulada amb voladís.El disseny de les noves pràctiques ha de complir les condicions exigides pel client. A més,els muntatges de cada pràctica han d’anar muntats sobre un pòrtic adquirit recientment perl’Àrea de Mecànica de Medis Continus i Teoria d’Estructures (MMCTE) que actuaran debancada. La pràctica relacionada amb Allargaments longitudinals en barres sotmeses a compressió itracció simple consta d’un muntatge experimental (Muntatge 1) i un guió de pràctiques perl’alumnat i professorat docent La pràctica relacionada amb la Deformada d’una biga biarticulada amb voladís consta d’unmuntatge experimental (Muntatge 2) i un guió de pràctiques per l’alumnat i professoratdocent. Les dos pràctiques permeten comparar els valors obtinguts experimentalment de cadamuntatge amb uns resultats teòrics i d’aquesta manera validar l’èxit de cada muntatge