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.

Política turística de Girona: 1976-2007

Es pretén fer una descripció de la política turística de la ciutat de Girona en el període 1976-2007. Es defineixen 6 objectius: estudiar el concepte de política turística, estudiar l’evolució del boom turístic dels 60 fins al turisme de qualitat dels 90, observar el repartiment de competències entre les diferents administracions, observar l’actual política turística de l’Ajuntament de Girona, descriure els fets que han influït en la política turística de la ciutat de Girona, i comparar la política turística estatal i la de Girona en aquest període

Perfil de estudos em Administração que utilizaram triangulação metodológica: uma análise dos anais do EnANPAD de 2007 a 2011

Neste artigo são apresentados os resultados de uma pesquisa quantitativa, exploratória e descritiva, na qual se analisaram os dados contidos em 4.544 artigos publicados em cinco anais do Encontro da Associação Nacional de Pós-Graduação e Pesquisa em Administração (EnANPAD), envolvendo o conceito de triangulação metodológica. Considerando os potenciais benefícios da triangulação para as pesquisas em Ciências Sociais, mais especificamente para a Administração, em contraposição às dificuldades ainda existentes para a condução de pesquisas dessa natureza, bem como a existência de resistências a esse método, no presente trabalho visou-se demonstrar a incidência de trabalhos que utilizaram a triangulação como opção metodológica dentre os artigos que foram publicados nos anais do EnANPAD nos anos de 2007 a 2011 e, como objetivo principal, analisar o perfil metodológico deles. Considera-se que tal perfil possa indicar a forma com que a triangulação tem sido trabalhada no âmbito da Administração, bem como possíveis caminhos para a superação das dificuldades referentes à condução de uma pesquisa que demanda a combinação de métodos de diferentes naturezas. Como principais resultados, tem-se a baixa incidência do uso da triangulação, a significativa formação de parceria entre pesquisadores para sua condução e a significativa combinação de métodos tradicionais de coleta e análise de dados.

SwissTargetPrediction: a web server for target prediction of bioactive small molecules.

Bioactive small molecules, such as drugs or metabolites, bind to proteins or other macro-molecular targets to modulate their activity, which in turn results in the observed phenotypic effects. For this reason, mapping the targets of bioactive small molecules is a key step toward unraveling the molecular mechanisms underlying their bioactivity and predicting potential side effects or cross-reactivity. Recently, large datasets of protein-small molecule interactions have become available, providing a unique source of information for the development of knowledge-based approaches to computationally identify new targets for uncharacterized molecules or secondary targets for known molecules. Here, we introduce SwissTargetPrediction, a web server to accurately predict the targets of bioactive molecules based on a combination of 2D and 3D similarity measures with known ligands. Predictions can be carried out in five different organisms, and mapping predictions by homology within and between different species is enabled for close paralogs and orthologs. SwissTargetPrediction is accessible free of charge and without login requirement at http://www.swisstargetprediction.ch.

Exposition au VIH, à l'hépatite B et C au cabinet médical et à l'hôpital. Prévention et prophylaxie postexpositionnelle [Exposure to HIV, hepatitis B and C in office practice and hospital. Prevention and post-exposure prophylaxis]

Suite à un accident exposant à du sang (piqûre; coupure), provenant d'un patient infecté, le risque d'infection par VIH est d'environ 0,3% et par le virus de l'hépatite C (VHC) d'environ 0,5%. Chez les personnes vaccinées avec une réponse immunitaire adéquate (titre d'anticorps HBs >100 mUI/ml), aucune infection professionnelle par hépatite B n'a été reconnue en Suisse. La plupart des infections par VIH et VHB peuvent être prévenues par un traitement d'urgence et une prophylaxie postexpositionnelle (PEP). Il n'y a actuellement aucune prophylaxie postexpositionnelle pour le VHC. En cas de transmission de VHC, un traitement rapide par peginterféron et ribavirine est à envisager. Chaque hôpital et cabinet médical doivent mettre sur pied un système pour assurer une prise en charge optimale et en urgence des blessures par piqûres ou coupures. Lors de blessures accidentelles avec du sang de patients séropositifs pour le VIH et dans des situations complexes, il est recommandé de consulter un médecin du personnel ou un infectiologue expérimenté. The risk of infection after an occupational needle stick injury with blood from an infected source patient is approximately 0.3% for HIV and 0.5% for hepatitis C virus (HCV). In Switzerland no cases of occupational HBV infection have been recorded in fully vaccinated persons with a documented adequate vaccine response (HBsantibody titer >100 mIU/mL). Most occupational HIV und HBV infections can be prevented by appropriate emergency measures and post-exposure prophylaxis (PEP). No HCV-PEP is currently available. Early therapy with peginterferon and ribavirin should be considered in cases of occupational HCV seroconversion. Every hospital and office practice should establish a system for 24 h/24 h emergency management of occupational needle stick injuries. In the setting of an HIV-seropositive source patient and in complex situations, early consultation with a specialist in occupational medicine or infectious diseases should be considered.

Iowa Family Farm Meat Directory, 2007

This directory is for all the meat producers in Iowa.

Office of Drug Control Policy, Agency Performance Plan

Annual Report, Agency Performance Plan

The Impacts of social networks on immigrants' employment prospect: the spanish case 1997-2007

This paper studies the extent to which social networks influence the employment stability and wages of immigrants in Spain. By doing so, I consider an aspect that has not been previously addressed in the empirical literature, namely the connection between immigrants' social networks and labor market outcomes in Spain. For this purpose, I use micro-data from the National Immigrant Survey carried out in 2007. The analysis is conducted in two stages. First, the impact of social networks on the probability of keeping the first job obtained in Spain is studied through a multinomial logit regression. Second, quantile regressions are used to estimate a wage equation. The empirical results suggest that once the endogeneity problem has been accounted for, immigrants' social networks influence their labor market outcomes. On arrival, immigrants experience a mismatch in the labor market. In addition, different effects of social networks on wages by gender and wage distribution are found. While contacts on arrival and informal job access mechanisms positively influence women's wages, a wage penalty is observed for men.

State Library OF Iowa LSTA Five Year Plan 2003-2007

State Library of Iowa mission statement: The State Library advocates for Iowa libraries and promotes excellence and innovation in library services in order to provide statewide access to information for all Iowans. Statewide vision for library services, developed by representatives of the Iowa library community in 1994: Each Iowan will have equal access to information and ideas in order to participate knowledgeably and productively in a democratic society and to lead an enriched life through lifelong learning. Iowa Library Service Areas and State Library of Iowa Plan of Service FY03-05 mission statement: Helping libraries provide the best possible service to Iowans

Implantació d'un sistema per a la gestió de projectes amb Microsoft Dymanics AX 2009

Implantació del mòdul de projectes que incorpora l'estàndard de l'ERP Microsoft Dynamics AX 2009 segons requeriments que planteja la guia Project Management Body of Knowledge per la gestió de projectes.

Iowa Department of Transportation Office of Contracts Letting Summary, July 1, 2002 - June 30, 2003

Summary of contracts let by Iowa DOT Office of Contracts in 12 regular and three emergency/special lettings during FY 2003 for construction and maintenance work. It also contains a comparison of quantities and unit contract prices for various items of highway construction work for projects let in fiscal years 2000, 2001, 2002 and 2003.

Special Investigation of the Hardin County Recorder's Office, July 1, 2000 - April 28, 2003

County Audit Report - Special Investigation

Enterprise semantic Web

This document is a journey through Semantic Web principles and Microsoft SharePoint in order to come to understand some advantages and disadvantages of theirs, and how Semantic Web principles can be blended into an enterprise solution like Microsoft SharePoint.