Proportion of out of hospital adult non traumatic cardiac arrest presenting as a convulsion

Introduction: The majority of convulsions are due to an epilepticseizure or a convulsive syncope. In some cases, this is the firstsymptom of an out of hospital cardiac arrest (OH-CA).Objective: This study was aimed to measure the proportion of adultnon traumatic OH-CA presenting as a convulsion.Methodology: We prospectively collected all incoming calls with anout-of-hospital non traumatic seizure as the chief complaint in patients>18 years during a 24-months period. Among these calls, we collectedcases identified as OH-CA by paramedics.Results: During the 24-months period, the EMS dispatch centerreceived 561 calls for an out-of-hospital non traumatic convulsion in anadult. Twelve cases were ultimately classified as CA. In this group, onebystander spontaneously reported that the patient was known forepilepsy. The incidence of OH-CA presenting as convulsions wastherefore 2.1% of all calls for convulsion. Over the same period, theEMS dispatch center received 1035 calls related to an adult nontraumatic OH-CA. Therefore the rate of OH-CA presenting as aconvulsion represented 1.2% of all adult non traumatic OH-CA.Conclusion: Only 12 cases out of the 531 calls for non traumatic adultconvulsions were confirmed OH-CA (2.1%). Nevertheless, this unusualpresentation of OH-CA must be recognized by dispatchers, even whena patient is reported by bystander as a known epileptic. Dispatchersshould keep bystanders on line or call them back before paramedics'arrival, and have them confirm the progressive return of a normalpattern of breathing and state of consciousness; if not, they shouldencourage when necessary bystander to initiate CPR. For dispatchers,a past medical history of epilepsy should not be regarded as sufficientinformation to rule-out OH-CA. It is mandatory that known epilepticpatients should be monitored in the same way as non-epileptic patients.

Transmisión de datos PDA - servidor web

En aquest projecte es visualitza la trajectòria d'un vehicle (aeri o terrestre) en una pàgina web. Per això es disposa d'una PDA (Personal Digital Assistant), en la qual es té informació actualitzada de la posició i de la velocitat d’aquest vehicle. Aquestes dades són obtingudes d'un sistema que combina la navegació inercial i el GPS (Global Position System), els quals estimen de manera precisa la trajectòria del vehicle. A fi d'oferir una visualització en temps real, versàtil, accessible i amigable a l'usuari de la trajectòria del vehicle, s'ha desenvolupat un sistema de visualització on-line que proporciona un millor rendiment en comparació amb la qual es venia fent en la PDA. Per a dur-lo a terme s'implementa una interfície d'usuari en la PDA que ens permet transmetre aquesta informació via WIFI a la pàgina web, d'igual forma al servidor web es crea una interfície que interpreta i gestiona aquestes dades per a posteriorment ser graficats a Google Maps.

Outpatient treatment of pulmonary embolism.

Pulmonary embolism (PE) is traditionally treated in hospital. Growing evidence from non randomized prospective studies suggests that a substantial proportion of patients with non-massive PE might be safely treated in the outpatient setting using low molecular weight heparins. Based on this evidence, professional societies started to recommend outpatient care for selected patients with non-massive PE. Despite these recommendations, outpatient treatment of non-massive PE appears to be uncommon in clinical practice. The major barriers to PE outpatient care are, firstly, the uncertainty as how to identify low risk patients with PE who are candidates for outpatient care and secondly the lack of high quality evidence from randomized trials demonstrating the safety of PE outpatient care compared to traditional inpatient management. Also, although clinical prognostic models, echocardiography and cardiac biomarkers accurately identify low risk patients with PE in prospective studies, the benefit of risk stratification strategies based on these instruments should be demonstrated in prospective management studies and clinical trials before they can be implemented as decision aids to guide PE outpatient treatment. Before high quality evidence documenting the safety of an outpatient treatment approach is published, outpatient management of non-massive PE cannot be generally recommended.

Informatització d'una empresa tradicional

Aquest projecte consisteix en la informatització d'una empresa tradicional dedicada a la fabricació i venda de productes de pastisseria. El projecte es divideix en dos parts essencials: millora i dotació de la nova xarxa informàtica amb tots el serveis necessaris pels nous requeriments de creixement de l'empresa en l’obertura de nous punts de venda i la seva gestió, i proporcionar presència a Internet, a través d’una botiga on‐line.

Pàgina web pel Club Bellaterra

El projecte sorgeix per oferir als socis del Club Bellaterra un nou servei per tal que puguin sentir-se més pròxims al Club. Es tracta d'una web que es vol que sigui d’un ús simple, amigable i confortable. Es vol mantenir informat a tot visitant dels serveis i instal·lacions que ofereix el Club, a més de comunicar notícies d’interès per tal d’atreure tant a nous visitants com als socis, els quals tindran accés a zones reservades per a ells: un fòrum, un taulell d’anuncis, un sistema de reserva on-line de pistes per a pàdel i tenis i una galeria de fotografies.

Implantació i gestió d'un entorn de treball virtual basat en web per a una organització

L'objectiu d'aquest treball no és altre que crear un espai de col·laboració en línia per als treballadors d'una petita empresa de domòtica, que treballen en seus diferents arreu de l'Estat espanyol.

Club d'escacs postal

Aquest treball de fi de carrera es basa en el desenvolupament d'una aplicació web per tal de que jugadors de tot el mon puguin jugar a escacs on-line.

Creació d'una aplicació web per a un videoclub

El present projecte final de carrera vol assolir un entorn web per a administrar un videoclub i que els usuaris puguin fer reserves on-line. Així dons l'aplicació es pot dividir en dos mòduls, un d'administració i un altre de gestió de reserves. La implementació s'ha fet sobre l'arquitectura J2EE, la qual proporciona totes les eines per fer una aplicació robusta i escalable.

Serum uric acid and adiposity: deciphering causality using a bidirectional Mendelian randomization approach.

Although the relationship between serum uric acid (SUA) and adiposity is well established, the direction of the causality is still unclear in the presence of conflicting evidences. We used a bidirectional Mendelian randomization approach to explore the nature and direction of causality between SUA and adiposity in a population-based study of Caucasians aged 35 to 75 years. We used, as instrumental variables, rs6855911 within the SUA gene SLC2A9 in one direction, and combinations of SNPs within the adiposity genes FTO, MC4R and TMEM18 in the other direction. Adiposity markers included weight, body mass index, waist circumference and fat mass. We applied a two-stage least squares regression: a regression of SUA/adiposity markers on our instruments in the first stage and a regression of the response of interest on the fitted values from the first stage regression in the second stage. SUA explained by the SLC2A9 instrument was not associated to fat mass (regression coefficient [95% confidence interval]: 0.05 [-0.10, 0.19] for fat mass) contrasting with the ordinary least square estimate (0.37 [0.34, 0.40]). By contrast, fat mass explained by genetic variants of the FTO, MC4R and TMEM18 genes was positively and significantly associated to SUA (0.31 [0.01, 0.62]), similar to the ordinary least square estimate (0.27 [0.25, 0.29]). Results were similar for the other adiposity markers. Using a bidirectional Mendelian randomization approach in adult Caucasians, our findings suggest that elevated SUA is a consequence rather than a cause of adiposity.

Food Co-ops Toolkit

More and more communities are setting up food co-ops so they can get good food atan affordable price and have more control over where their food comes from. Co-operation is all about two or more people joining forces and working together to achieve something they probably couldn't do on their own. In the case of food co-ops a group of people join forces in order to be able to buy foodsthey may otherwise find it hard to get hold of at aprice they can afford.By volunteering their time and pooling their buying power they cangetproducedirect from local farmers or wholesalers. This toolkit was produced as part of the Big Lottery fundedMaking Local Food Work programmeto help morecommunitiesset up their own food co-ops and buying groups.The Food Co-ops project has now ended but the toolkit and other resources will all remain on-line.To find moreabout food co-opsyou can visit our main website www.foodcoops.org

Passarel·la de Pagaments

El treball consisteix en la realització d'una passarel·la de pagaments triangular. Una passarel·la d'aquest tipus permet gestionar pagaments on-line entre agents (comprador - comerciant - entitat financera), evitant que el comerciant conegui les dades de la tarjeta de crèdit i pugui realitzar canvis de la quantitat a pagar pel client.

Generació automàtica de l'esquema de bases de dades relacional d'una aplicació a partir del seu diagrama de classes representat en XML i creació automàtica d'interfícies de control d'intercanvi d'informació

En aquest projecte, amb la finalitat d'analitzar per mitjà d'un exemple (la base de dades d'una botiga que opera en línia) algunes de les possibilitats que dóna XML, s'ha construït un sistema que permet generar bases de dades relacionals (amb SQL) a partir de diagrames de classes definits en XML. D?aquesta manera es mostra la flexibilitat que aporta XML a la definició, el processament i la transformació dels documents.

A behavior-based scheme using reinforcement learning for autonomous underwater vehicles

This paper presents a hybrid behavior-based scheme using reinforcement learning for high-level control of autonomous underwater vehicles (AUVs). Two main features of the presented approach are hybrid behavior coordination and semi on-line neural-Q_learning (SONQL). Hybrid behavior coordination takes advantages of robustness and modularity in the competitive approach as well as efficient trajectories in the cooperative approach. SONQL, a new continuous approach of the Q_learning algorithm with a multilayer neural network is used to learn behavior state/action mapping online. Experimental results show the feasibility of the presented approach for AUVs