Anàlisi de la integració social dels menors desinternats del Centre Educatiu Oriol Badia

Aquest treball segueix la trajectòria dels joves que han passat pel centre de compliment de mesures judicials de Justícia juvenil Oriol Badia, un cop han estat desinternats del centre, per tal de saber el seu grau d���integració social. Per fer-ho s���ha seguit a tots aquells menors que han superat els sis mesos d���internament en el període comprès entre l���agost de 1992 i el juny de 2004 i se���ls ha passat un qüestionari, on se���ls pregunta respecte alguns aspectes del que fan a l���actualitat. Del total de població possible a estudiar (99 menors) ha estat possible contactar i obtenir resposta en 76 casos. L���estudi és continuïtat d���un altre que es va plantejar objectius molt similars en un període anterior, i que va ser realitzat l���any 1994. Els àmbits d���estudi que s���han tingut en compte són la situació laboral del jove, la seva situació socioeconòmica, la salut, l���estat emocional-relacional i l���àmbit social. Aquests 5 àmbits s���han valorat en quatre categories d���indicadors: molt acceptable, acceptable, regular i desfavorable. Finalment els resultats, expressats en forma de puntuació permet agrupar els nois en tres categories, on es valora si la integració social ha estat favorable, regular o desfavorable, i les relaciona amb les característiques de perfil que presenten els joves. Les principals diferències amb l���estudi anterior es troben amb l���augment de població immigrada i l���aplicació de la Llei 5/2000, reguladora de la responsabilitat penal dels menors, que va entrar en vigor l���any 2001.

Estudi descriptiu de Tumors Germinals Seminoma (TGS) en un centre de Referència. 15 anys d'experiència.

El tumor germinal seminoma (TGS) suposa un 50% de tots els tumors testiculars, i tot i l'excel���lent pronòstic a llarg plaç, està experimentant un increment de la incidència en un grup de la població d���entre 15-35 anys. L'Hospital de la Santa Creu i Sant Pau (HSCSP) juntament amb Fundació Puigvert són centre de referència en el maneig del TGS. La intenció el treball és reportar de manera descriptiva i retrospectiva l���experiència acumulada en aquest centre al llarg dels últims 15 anys. L'aportació d'aquest estudi pretén unir esforços per tal de disminuir tractaments innecessaris en gran part dels estadis I i intentar aportar més dades en favor del tractament adaptat al risc. En aquest sentit, ha de ser un motiu més per intentar validar factors pronòstics ferms en futurs estudis i poder posicionar la teràpia adaptada al risc en una situació protocolitzada i consensuada a nivell internacional.

Taxes de reincidència 2010 de justícia juvenil: actualització de la taxa de reincidència dels joves sotmesos a mesures de llibertat vigilada i internament en centre

L���estudi actualitza les taxes de reincidència dels menors sotmesos a una mesura d���internament o de llibertat vigilada que van ser publicades a la recerca ���La reincidència en el delicte en la justícia de menors��� finalitzada l���any 2005 i que van iniciar la sèrie. Aquest estudi ja és el sisè del mateix tipus i, en aquest cas, segueix els joves que van finalitzar una mesura de llibertat vigilada o d���internament l���any 2007, i els segueix fins el 31 de desembre de 2010 amb l���objectiu de saber si han comès un nou delicte que hagi estat detectat per la Xarxa d���execució penal, tant de joves com d���adults. S���ha estudiat tota la població de joves desinternats de centres, que per l���any 2007 foren 213 subjectes. En el cas de llibertat vigilada del total de joves que finalitzaren mesura l���any 2007 (N=886), s���ha fet una mostra de 493 subjectes (interval de confiança:95,5%; marge d���error ±3,04; p=q=50) Els resultats en llibertat vigilada apunten un lleuger augment en la taxa de reincidència (29,6%) respecte l���any anterior. Aquests darrers augments s���expliquen en part per la incorporació al Codi Penal dels delictes de trànsit, on els joves han fet un creixement espectacular que no hi era als anys anteriors. En internament la taxa de reincidència ha tornat a pujar fins el 58,7%. L���estudi permet comparar de forma seriada sis anys d���evolució de la taxa de reincidència juvenil després de la posada en marxa de la Llei Orgànica 5/2000, de 12 de gener, reguladora de la responsabilitat penal dels menors (LORPM).

Comparison of the clientele of an anonymous HIV test centre and persons tested in the general population.

This study compares the clientele of a Swiss anonymous test centre with the general population tested. Information was obtained through similar questionnaires submitted to two samples of HIV-tested people aged from 17 to 45 years: the first administered in the context of a general population telephone survey (n = 245) and the second completed during face-to-face interviews of the clientele of an anonymous test centre (n = 250). The test centre sample has higher proportions of younger and single people. Attenders for anonymous testing were more likely to have acquired a new regular partner during the year preceding the interview (48.0% versus 14.4%). These differences remain when controlling for age and gender. Decision to test comes mostly from the respondent's own initiative, but suggestion from a doctor is more frequent in the general population (23.8% versus 0.8%), whereas suggestion from partner or friends is more frequent in the anonymous centre (44.4% versus 3.0%). The anonymous test centre clientele is not different from the general population tested except for the relational situation and origin of decision for testing. The test centre has become a place where the general population finds a response to a situation-specific need for HIV testing.

Memòria final : Practium I de psicologia clínica al Centre de Salut Mental d'Adults del Segrià (CSMA) de l'Hospital Santa Maria de Lleida

En aquest treball es recull tota una sèrie d'experiències pràctiques i teòriques que permeten que ens endinsem en l'aprenentatge del rol del psicòleg clínic en un centre de salut mental d'adults, com també en una unitat sociosanitària, i veure les diferents eines d'avaluació i intervenció emprades en diferents psicopatologies.

El Centre de Cultura Contemporània de Barcelona : el com i el perquè d'una institució cultural

Un estudi sobre el CCCB, tant des de la recerca bibliogràfica i de continguts de l'àmbit de la gestió cultural com des de l'experiència participant.

Cloona Oasis Centre - Davette Martin

The organisation helps those with mental ill health and those suffering addiction. This is their second community-pharmacy project. The first focussed on men and this project will move on to work with women. Women who have been referred to Cloona Oasis have been through hardship. The Pharmacist will work with them to develop their confidence, explain their medication and break down barriers so that they can access other services.

The Belfast Carers Centre

This is their 2nd BCPP project. The previous project demonstrated a number of successes - using the pharmacy to target carers, providing advice in the pharmacy, getting carers to come together for support etc. This project will build on previous work and will further support pharmacy staff to recognise and support carers needs. The project also aims to set up a local carers group with 20 carers partcipating.

Patients satisfaction in an academic walk-in centre : a new model of residents training achieved by family doctors

Introduction Walk-in centers may improve access to healthcare for some patients, due to their convenient location and extensive opening hours, with no need for appointment. Herein we describe and assess a new model of walk-in centre, characterized by care provided by residents and supervision achieved by experienced family doctors. Main aim of the study was to assess patients satisfaction about the care they received from residents and the supervision by family doctors. Secondary aim was to describe walk-in patients demographic characteristics and to identify potential associations with satisfaction. Methods The study was conducted in the walk-in centre of Lausanne. Patients who consulted between in April 2011 were automatically included and received a questionnaire in French. We used a five-point Likert scale, from "not at all satisfied" to "very satisfied", converted from 1 to 5. We focused on the satisfaction regarding residents care and supervision by a family doctor. The former was divided in three categories: "Skills", "Treatment" and "Behaviour". Mean satisfaction was calculated for each category and a multivariable logistic model was applied in order to identify associations among patients demographics. Results Response rate was 47% [184/395], Walk-in patients were more likely to be women, young, with a high education level. Patients were very satisfied with residents care, with median satisfaction between 4.5 and 5, for each category. Over than 90% of patients were "satisfied" or "very satisfied" that a family doctor was involved in the consultation. Age showed the major association of satisfaction. Discussion Patients were highly satisfied with care provided by residents and with involvement of a family doctor in the consultation. Older age showed the major association with satisfaction with a positive impact. The high satisfaction reported by walk-in patients supports this new model of walk-in centre.

Evolution des transferts interhospitaliers au départ d'un centre hospitalier universitaire suisse [Trends in interhospital transfers from a Swiss university hospital center].

OBJECTIVE: Research on interhospital transfers provides a basis for describing and quantifying patient flow and its evolution over time, offering an insight into hospital organization and management and hospital overcrowding. The purpose of this study was to conduct a qualitative and quantitative analysis of patient flow and to examine trends over an eight-year period. METHODS: A retrospective descriptive study of interhospital transfers was conducted between 2003 and 2011 based on an analysis of demographic, medical and operational characteristics. Ambulance transfers and transfers requiring physician assistance were analyzed separately. RESULTS: The number of interhospital transfers increased significantly over the study period,from 4,026 in 2003 to 6,481 in 2011 (+60.9%). The number of ambulance transfers increased by almost 300% (616 in 2003 compared to 2,460 in 2011). Most of the transfers (98%) were to hospitals located less than 75 km from the university hospital (median: 24 km, 5-44). In 2011, 24% of all transfers were to psychiatric institutions. 26% of all transfer cases were direct transfers from the emergency department. An increasing number of transfers required physician assistance. 18% of these patients required ventilatory support, whole 9.8% required vasoactive drugs. 11.6% of these transfers were due to hospital overcrowding. Conclusion: The study shows that there has been a significant increase in interhospital transfers. This increase is related to hospital overcrowding and to the network-based systems governing patient care strategies.

Malaria during pregnancy in a reference centre from the Brazilian Amazon: unexpected increase in the frequency of Plasmodium falciparum infections

Malaria remains globally the most important parasitic disease of man. Data on its deleterious effects during pregnancy have been extensively documented in hyperendemic, holoendemic, and mesoendemic areas from Africa and Asia where Plasmodium falciparum is responsible for almost all infections. However, knowledge about malaria during pregnancy in areas where transmission is unstable and P. vivax is the most prevalent species, such as the Brazilian Amazon, is scarce. Here, we report a preliminary cross sectional descriptive study, carried out at the Fundação de Medicina Tropical do Amazonas, a reference centre for diagnosis and treatment of tropical diseases in the west-Amazon (Manaus, Brazil). A total of 1699 febrile childbearing age women had positive thick blood smears to Plasmodium species, between January and November 1997: 1401 (82.5%) were positive for P. vivax , 286 (16.8%) for P. falciparum and 12 (0.07%) carried mixed infections. From the malarious patients, 195 were pregnant. The ratio of P. falciparum to P. vivax infections in the group of non-pregnant infected women was 1:5.6 while it was 1:2.3 in that of pregnant infected ones. Similar rates or even proportionally more vivax infections during pregnancy were expected to occur, in function of the contraindication of primaquine with the resulting increased P. vivax relapse rates. Such an observation suggests that the mechanism of resistance/susceptibility to infection and/or malaria pathogenesis in pregnant women may differ according to Plasmodium species and that the extensively described increase in the frequencies of malaria infection during pregnancy may be specifically due to P. falciparum infection.

Centre de formació virtual

Treball de fi de carrera en .NET sobre un centre de formació virtual, desenvolupat en la plataforma .NET amb ASP.NET, VB.NET i Windows Phone 7.