Clinical characteristics and outcome of patients admitted to a medico-surgical ICU requiring non invasive ventilation (NIV) for hypercapnic respiratory failure

Introduction: Because it decreases intubation rate and mortality, NIV has become first-line treatment in case of hypercapnic respiratory failure (HRF). Whether this approach is equally successful for all categories of HRF patients is however debated. We assessed if any clinical characteristics of HRF patients were associated with NIV intensity, success, and outcome, in order to identify prognostic factors. Methods: Retrospective analysis of the clinical database (clinical information system and MDSi) of patients consecutively admitted to our medico-surgical ICU, presenting with HRF (defined as PaCO2 >50 mm Hg), and receiving NIV between January 2009 and December 2010. Demographic data, medical diagnoses (including documented chronic lung disease), reason for ICU hospitalization, recent surgical interventions, SAPS II and McCabe scores were extracted from the database. Total duration of NIV and the need for tracheal intubation during the 5 days following the first hypercapnia documentation, as well as ICU and hospital mortality were recorded. Results are reported as median [IQR]. Comparisons with Chi2 or Kruskal-Wallis tests, p <0.05 (*). Results: 164 patients were included, 45 (27.4%) of whom were intubated after 10 [2-34] hours, after having received 7 [2-19] hours of NIV. NIV successful patients received 15 [5-22] hours of NIV for up to 5 days. Intubation was correlated with increased ICU (20% vs. 3%, p <0.001) and hospital (46.7% vs. 30.2, p >0.05) mortality. Conclusions: A majority of patients requiring NIV for hypercapnic respiratory failure in our ICU have no diagnosed chronic pulmonary disease. These patients tend to have increased ICUand hospital mortality. The majority of patients were non-surgical, a feature correlated with increased hospital mortality. Beside usual predictors of severity such as age and SAPS II, absence of diagnosed chronic pulmonary disease and non-operative state appear to be associated with increased mortality. Further studies should explore whether these patients are indeed more prone to an adverse outcome and which therapeutic strategies might contribute to alter this course.

NAPIS Report YTD 1st Quarter-4th Quarter 2007

INAPIS Title III Client Service Unit Report - INAPIS (National Aging Program Information System) Service Unit Report collects and reports service/performance data and related program management information to the federal and state government. This report shows the number of older Iowans who receive services and the number of units by service category from Title III funding of the Older Americans Act, the Administration on Aging (AoA) and limited state general fund dollars. Additionally, it shows the number of persons served by individual services and total "unduplicated" client count across all services. In other words, if you add the total number of clients from all services it is higher than the actual number of persons served across all services, because some people need and receive more than one service. (Please note: this is preliminary data, and may be subject to change.)

Title III-E Report YTD 1st Quarter-4th Quarter 2007

Family Caregiver Support Program (Title III-E) - The Administration on Aging (AoA) has determined that for Title III-E, the actual family caregiver is the client, not the older person receiving the services. Iowa NAPIS (National Aging Program Information System) collects and reports Title III-E service/performance data and related program management information to the federal and state government in a format like the other Title III services. The major shift in reporting relates to who is the client. As a result, this Title III-E Client/Service Unit Report shows the number of caregivers who receive services and the number of units by service category from the Title III-E funding of the Older Americans Act, the AoA, and limited state general fund dollars. Additionally, it shows the number of persons served by individual services and total "unduplicated" client count across all services. In other words, if you add the total number of clients (caregivers) from all services, it is higher than the actual number of persons served across all services because some people need and receive more than one service. (Please note: this is preliminary data, and may be subject to change.) Title III-E Report YTD 1st Quarter 2007 Title III-E Report YTD 2nd Quarter 2007 Title III-E Report YTD 3rd Quarter 2007 Title III-E Report YTD 4th Quarter 2007

Driver scheduling problem modelling

The Drivers Scheduling Problem (DSP) consists of selecting a set of duties for vehicle drivers, for example buses, trains, plane or boat drivers or pilots, for the transportation of passengers or goods. This is a complex problem because it involves several constraints related to labour and company rules and can also present different evaluation criteria and objectives. Being able to develop an adequate model for this problem that can represent the real problem as close as possible is an important research area.The main objective of this research work is to present new mathematical models to the DSP problem that represent all the complexity of the drivers scheduling problem, and also demonstrate that the solutions of these models can be easily implemented in real situations. This issue has been recognized by several authors and as important problem in Public Transportation. The most well-known and general formulation for the DSP is a Set Partition/Set Covering Model (SPP/SCP). However, to a large extend these models simplify some of the specific business aspects and issues of real problems. This makes it difficult to use these models as automatic planning systems because the schedules obtained must be modified manually to be implemented in real situations. Based on extensive passenger transportation experience in bus companies in Portugal, we propose new alternative models to formulate the DSP problem. These models are also based on Set Partitioning/Covering Models; however, they take into account the bus operator issues and the perspective opinions and environment of the user.We follow the steps of the Operations Research Methodology which consist of: Identify the Problem; Understand the System; Formulate a Mathematical Model; Verify the Model; Select the Best Alternative; Present the Results of theAnalysis and Implement and Evaluate. All the processes are done with close participation and involvement of the final users from different transportation companies. The planner s opinion and main criticisms are used to improve the proposed model in a continuous enrichment process. The final objective is to have a model that can be incorporated into an information system to be used as an automatic tool to produce driver schedules. Therefore, the criteria for evaluating the models is the capacity to generate real and useful schedules that can be implemented without many manual adjustments or modifications. We have considered the following as measures of the quality of the model: simplicity, solution quality and applicability. We tested the alternative models with a set of real data obtained from several different transportation companies and analyzed the optimal schedules obtained with respect to the applicability of the solution to the real situation. To do this, the schedules were analyzed by the planners to determine their quality and applicability. The main result of this work is the proposition of new mathematical models for the DSP that better represent the realities of the passenger transportation operators and lead to better schedules that can be implemented directly in real situations.

Percepções das Comunidades Rurais sobre os Diques de Contenção de Sedimentos e Água na Bacia Hidrográfica de Águas Belas

Na sequência do projecto “Ordenamento e Valorização da Bacia Hidrográfica de Águas Belas”, da ilha de Santiago, que visou a construção de estruturas de conservação do solo e água para combater a erosão hídrica e a desertificação, disponibilizar recursos hídricos para consumo doméstico e agricultura e proteger o ambiente, estudou-se o modo como as comunidades rurais percepcionam as funções, gestão e conservação dessas estruturas, bem como o aproveitamento de recursos a elas associados. No estudo utilizou-se a informação contida no original do projecto referido, realizou-se o levantamento de dados de campo, aplicou-se um inquérito às populações beneficiadas pelas infra-estruturas construídas e utilizaram-se programas relativos a sistemas de informação geográfica. Constatou-se que as comunidades beneficiadas percepcionam os diques como infra-estruturas que disponibilizam mais meios de produção, como água para rega e abastecimento doméstico, solo e área de cultivo e a retenção de solo e água, ou seja, meios que têm uma estreita ligação com a actividade agrícola e as necessidades de sobrevivência. Observou-se igualmente que os mais jovens e as mulheres valorizam mais a segurança e, estas últimas, a maior disponibilidade de água para rega e uso doméstico. Para ajustar os usos que as comunidades fazem destas estruturas são necessárias acções de sensibilização e informação junto das comunidades sobre as funções e requisitos de manutenção das estruturas de conservação do solo e água.

Percepções das Comunidades Rurais sobre os Diques de Contenção de Sedimentos e Água na Bacia Hidrográfica de Águas Belas

Na sequência do projecto “Ordenamento e Valorização da Bacia Hidrográfica de Águas Belas”, da ilha de Santiago, que visou a construção de estruturas de conservação do solo e água para combater a erosão hídrica e a desertificação, disponibilizar recursos hídricos para consumo doméstico e agricultura e proteger o ambiente, estudou-se o modo como as comunidades rurais percepcionam as funções, gestão e conservação dessas estruturas, bem como o aproveitamento de recursos a elas associados. No estudo utilizou-se a informação contida no original do projecto referido, realizou-se o levantamento de dados de campo, aplicou-se um inquérito às populações beneficiadas pelas infra-estruturas construídas e utilizaram-se programas relativos a sistemas de informação geográfica. Constatou-se que as comunidades beneficiadas percepcionam os diques como infra-estruturas que disponibilizam mais meios de produção, como água para rega e abastecimento doméstico, solo e área de cultivo e a retenção de solo e água, ou seja, meios que têm uma estreita ligação com a actividade agrícola e as necessidades de sobrevivência. Observou-se igualmente que os mais jovens e as mulheres valorizam mais a segurança e, estas últimas, a maior disponibilidade de água para rega e uso doméstico. Para ajustar os usos que as comunidades fazem destas estruturas são necessárias acções de sensibilização e informação junto das comunidades sobre as funções e requisitos de manutenção das estruturas de conservação do solo e água.

Desarrollo de una matriz empleo-exposición (MEE) para describir la exposición de los trabajadores a plaguicidas en España (1996-2005)

Introducción: En 2005 se consumían en España más de 100.000 toneladas/año de plaguicidas, en actividades tan diversas como la agricultura y la ganadería o el tratamiento de la madera y la gestión de plagas estructurales. A pesar de los demostrados efectos negativos de estas sustancias sobre la salud de las personas, existe muy poca información relativa a los niveles y la frecuencia de exposición de los trabajadores expuestos, así como de las ocupaciones más afectadas. Este trabajo tiene como objetivo recopilar la información disponible sobre exposición laboral a plaguicidas en España, en forma de una matriz empleo-exposición (MEE), un sistema de información que permite ordenar de forma sistemática la información más relevante sobre ocupaciones, agentes, prevalencia y nivel/intensidad de exposición en un determinado contexto (país, periodo, etc.).

Elaboració d'indicadors sobre SAGE Logic Class

El treball desenvolupat ha consistit en analitzar el sistema d'informació Logic Class sota la perspectiva de la necessitat de construir un sistema d'indicadors (quadre de comandament operatiu) que integri informació de les diferents fonts de dades.

Multiscale determinants of tree frog (Hyla arborea L.) calling ponds in western Switzerland

A tree frog (Hyla arborea L., 1758) metapopulation in western Switzerland was studied during spring 2001. All potential calling ponds in an area of 350 km(2) were searched for tree frog calling males. Twenty-nine out of 111 ponds sheltered between 1 and 250 callers. Most ponds were occupied by less than 12 males. Pond parameters were measured at three different levels using field analysis and a Geographical Information System (GIS). The first level was water chemistry and pond-associated measures. The second level was the surrounding land use in a 30 m buffer around the pond. The third level consisted of landscape indices on a broader scale (up to 2 km). Logistic regression was applied to identify parameters that can predict the presence of calling males in a pond. Response variable was the presence or absence of callers. Four significant parameters allowed us to explain about 40% of the total deviance of the observed occupational pattern. Urbanization around the pond had a highly negative impact on the probability of presence of calling males. Hours of direct sunlight on the pond was positively correlated with callers. Higher water conductivity was associated with a lesser probability of species presence. Finally, the further the closest two-lane road, the higher the probability of callers presence. Our results show that presence or absence of callers is influenced by factors acting at various geographical scales.

Socio-economic benefits of using space technologies to monitor and respond to earthquakes

Earthquakes represent a major hazard for populations around the world, causing frequent loss of life,human suffering and enormous damage to homes, other buildings and infrastructure. The Technology Resources forEarthquake Monitoring and Response (TREMOR) Team of 36 space professionals analysed this problem over thecourse of the International Space University Summer Session Program and published their recommendations in the formof a report. The TREMOR Team proposes a series of space- and ground-based systems to provide improved capabilityto manage earthquakes. The first proposed system is a prototype earthquake early-warning system that improves theexisting knowledge of earthquake precursors and addresses the potential of these phenomena. Thus, the system willat first enable the definitive assessment of whether reliable earthquake early warning is possible through precursormonitoring. Should the answer be affirmative, the system itself would then form the basis of an operational earlywarningsystem. To achieve these goals, the authors propose a multi-variable approach in which the system will combine,integrate and process precursor data from space- and ground-based seismic monitoring systems (already existing andnew proposed systems) and data from a variety of related sources (e.g. historical databases, space weather data, faultmaps). The second proposed system, the prototype earthquake simulation and response system, coordinates the maincomponents of the response phase to reduce the time delays of response operations, increase the level of precisionin the data collected, facilitate communication amongst teams, enhance rescue and aid capabilities and so forth. It isbased in part on an earthquake simulator that will provide pre-event (if early warning is proven feasible) and post-eventdamage assessment and detailed data of the affected areas to corresponding disaster management actors by means of ageographic information system (GIS) interface. This is coupled with proposed mobile satellite communication hubs toprovide links between response teams. Business- and policy-based implementation strategies for these proposals, suchas the establishment of a non-governmental organisation to develop and operate the systems, are included.

Monitorització TrailWalker iOS

Para realizar el seguimiento online de la carrera de resistencia TrailWalker que organiza anualmente Intermon OX, se ha desarrollado un sistema GIS formado por una aplicación cliente iOS para el teléfono iPhone, que mediante el sistema de localización de Apple transmite periódicamente la posición de los participantes a un servidor con el software ArcGIS for Server, que permitirá explotar la información espacial mediante un visor web.

Aplicació de calculadora solar

El present treball fi de carrera consisteix en la realització de l'estudi, disseny i implementació d'una aplicació informàtica dins de la temàtica dels sistemes d'informació geogràfica (SIG) per realitzar el càlcul de la quantitat de llum solar rebuda pels diferents edificis d'una ciutat. L'aplicació s'ha desenvolupat sota l'entorn de GeoMedia, una plataforma comercial per tractar dades SIG, i ha estat programada en Visual Basic fent servir l'entorn Visual Studio 2012.

Monitorització Trailwalker

Aplicació per a iPhone per fer lectures de les geoposicions i enviaments al servidor en base a les condicions de la cursa Trailwalker organitzada per Intermón Oxfam.

Aplicació de calculadora solar

Implantació d'una calculadora de radiació solar sobre els edificis d'una zona d'estudi.

A flood geodatabase and its climatological applications: the case of Catalonia for the last century

Floods are the natural hazards that produce the highest number of casualties and material damage in the Western Mediterranean. An improvement in flood risk assessment and study of a possible increase in flooding occurrence are therefore needed. To carry out these tasks it is important to have at our disposal extensive knowledge on historical floods and to find an efficient way to manage this geographical data. In this paper we present a complete flood database spanning the 20th century for the whole of Catalonia (NE Spain), which includes documentary information (affected areas and damage) and instrumental information (meteorological and hydrological records). This geodatabase, named Inungama, has been implemented on a GIS (Geographical Information System) in order to display all the information within a given geographical scenario, as well as to carry out an analysis thereof using queries, overlays and calculus. Following a description of the type and amount of information stored in the database and the structure of the information system, the first applications of Inungama are presented. The geographical distribution of floods shows the localities which are more likely to be flooded, confirming that the most affected municipalities are the most densely populated ones in coastal areas. Regarding the existence of an increase in flooding occurrence, a temporal analysis has been carried out, showing a steady increase over the last 30 years.