Creando comunidades de práctica y conocimiento en la Universidad: una experiencia de trabajo entre las universidades de lengua catalana

En la sociedad actual, la educación y la formación a través de comunidades de práctica, virtuales o presenciales, se convierte en una práctica habitual que, con mayor o menor fortuna, está siendo experimentada en diferentes ám- bitos formativos (en la universidad, en la empresa, en el sistema escolar, en la educación no formal, etc.). Partiendo de la idea de que la misión de la Universidad en los inicios del siglo xxi sigue siendo la difusión del conocimiento científico, consideramos que la creación de comunidades de práctica es un reto necesario a asumir por todos los profesionales de la educación y la formación, dado que a través de ellas se puede, por una parte, transferir y generar nuevo conocimiento y por otra, lograr mejores prácticas en el campo de la investigación y la docencia. Todo este planteamiento nos permite avalar la necesidad de desarrollar un trabajo que tenga como finalidad la conformación de una comunidad de práctica entre profesores universitarios, noveles y experimentados.

Antecedents, psychiatric characteristics and follow-up of adolescents hospitalized for suicide attempt of overwhelming suicidal ideation.

OBJECTIVES: To evaluate the socio-demographic as well as the health and psychiatric profiles of adolescents hospitalised for suicide attempt or overwhelming suicide ideation and to assess repetition of suicide attempt over a period of 18 months. PATIENTS AND METHODS: Between April 2000 and September 2001, all patients aged 16 to 21 years admitted to the University Hospitals of Geneva and Lausanne for suicide attempt or ideation were included in the study. At this time (T0) semi-structured face to face interviews were conducted to identify socio-demographic data, mental health and antecedents regarding suicidal conducts. Current psychiatric status was assessed with the MINI (Mini International Neuropsychiatric Instrument). At T1 and T2, reassessments included psychiatric status (MINI) as well as lifestyles, socio-professional situation and suicidal behaviours. RESULTS: At T0, 269 subjects met the study criteria, among whom 83 subjects (56 girls and 27 boys) left the hospital too quickly to be involved or refused to participate in the study (final sample at T0: 149 girls; 37 boys). The participation rate at T1 and T2 was respectively 66% and 62% of the original sample. The percentage of adolescents meeting the criteria for psychiatric diagnoses (91%) was high: affective disorder (78%); anxiety disorder (64%); substance use disorder (39%); eating disorder (9%); psychotic disorder (11%); antisocial personality (7%) with most subjects (85%) having more than one disorder. Around 90% of the subjects interviewed at T1, and/or T2, had received follow-up care after their hospitalisation, either by a primary care physician or a psychotherapist or both. Two subjects died of violent death and 18% made a further suicide attempt. CONCLUSION: Most adolescents hospitalised for suicidal episodes suffer from psychiatric problems which should be addressed by a careful psychiatric assessment, followed up if needed by a structured after care plan.

Acquisitions thérapeutiques en médecine ambulatoire en 2011 [2011 findings from literature on general internal ambulatory medicine].

In 2011 several articles seemed significant for the practice of general medicine. Diagnosis of hypertension needs several measurements and may need 24-hour ambulatory blood pressure monitoring. Glycosylated hemoglobin is a reliable tool to diagnose diabetes mellitus. The ABCD2 score with neurological imaging help the triage of transient ischemic attacks. Pulmonary embolism can be treated as outpatient for low risk patients. Gluten-free diet may be tried in irritable bowel syndrome. Nitrofurantoin is a reasonable alternative for simple urinary tract infection in women, but antibiotics are not needed after drainage of an uncomplicated skin abscess. Subclinical thyroid dysfunction is a risk factor of osteoporosis in older men. Sequential use of MMSE and ACE scores is a promising approach to assess medical decision-making capacity.

Epibulbar osseous choristomaa clinicopathological case series and review of the literature

Background:¦Choristomas are benign, congenital tumours composed of normal tissue in an¦abnormal location. Osseous choristomas represent the rarest form of epibulbar choristomas,¦with now 65 cases reported in the literature. We did a retrospective clinicopathological study¦of all patients with epibulbar osseous choristoma observed at our institution since 1982 and¦updated the last review of the literature.¦History and Signs:¦Three Caucasian male patients, aged between 3 months and 11 years,¦were identified. All osseous choristomas were located under the superotemporal bulbar¦conjunctiva of the right eye.¦Therapy and Outcome:¦All lesions were managed with surgical excision. Histopathology¦revealed the presence of lamellar bone in all cases, one of which was associated with a¦dermolipoma.¦Conclusions:¦We report a small rare case series of 3 epibulbar osseous choristomas and did a¦review of the literature. In one patient, the osteoma was associated with a dermolipoma,¦corresponding to the fourth reported complex choristoma of this type, in an otherwise normal¦eye, in the literature.

Adolescents i fotoblogs: la construcció de la identitat per mitjà del joc

Internet ha significat un nou paradigma en les relacions interpersonals, especialment entre els més joves. En aquest article analitzem la interacció de dos agents en el fenomen de la comunicació, els adolescents i els fotoblogs, amb una perspectiva teoricoespeculativa. El fotoblog és una eina virtual que els joves de tretze a setze anys, aproximadament, han adaptat a les seves necessitats per expressar les seves idees, sentiments o fantasies. Creiem que, en aquest entorn, els subjectes es poden comunicar en un espai on exploren el seu jo interior a partir de les representacions, signes i símbols que es mostren a la interfície. Actualment, l¿adolescent viu en un context eminentment visual i, així, doncs, no és gens estrany que les seves accions i formes comunicatives se centrin en «el que és visual», on el que és lineal i previsible deixa pas a la rapidesa, la retroalimentació i la continuïtat. Les formalitzacions que es mostren en la interfície són codis propis que els joves han creat per mostrar caracte- rístiques identitàries per mitjà de la imatge. Per tant, mantenim que per a l¿adolescent el fotoblog no solament és un mitjà, sinó també un ambient en el qual pot crear signes d¿identitat mitjançant les converses virtuals que estableix amb els seus iguals en un entorn lúdic i desinhibit, on juga amb la imatge en un procés de socialització.

L'àlbum i l'edició catalana, ara com ara: panorama del bienni 2008-2009

En aquesta aproximació al desenvolupament i situació de l'àlbum il·lustrat a Catalunya durant el bienni 2008-2009, es constata un increment del seu prestigi entre les diferents modalitats del llibre infantil i juvenil, tot i que determinades inèrcies no acaben de permetre'n la seva total eclosió. Tanmateix, s'ha pogut observar un interès creixent per l'àlbum dins els grups de recerca acadèmics on s'hi han iniciat diferents vies d¿estudi que haurien d'anar consolidant tant el terme "àlbum" com el contingut d'aquests llibres. També des dels espais virtuals es manifesta un dinamisme al respecte que no es constata en els mitjans de comunicació de masses. Finalment, cal deixar constància d'alguns dels títols més representatius i interessants del bienni i d'alguna de les activitats públiques o privades que han contribuït a dinamitzar-ne i consolidar-ne la presència.

Coronary magnetic resonance angiography in adolescents and young adults with kawasaki disease.

BACKGROUND: In patients with Kawasaki disease, serial evaluation of the distribution and size of coronary artery aneurysms (CAA) is necessary for risk stratification and therapeutic management. Although transthoracic echocardiography is often sufficient for this purpose initially, visualization of the coronary arteries becomes progressively more difficult as children grow. We sought to prospectively compare coronary magnetic resonance angiography (MRA) and x-ray coronary angiography findings in patients with CAA caused by Kawasaki disease. METHODS AND RESULTS: Six subjects (age 10 to 25 years) with known CAA from Kawasaki disease underwent coronary MRA using a free-breathing T2-prepared 3D bright blood segmented k-space gradient echo sequence with navigator gating and tracking. All patients underwent x-ray coronary angiography within a median of 75 days (range, 1 to 359 days) of coronary MRA. There was complete agreement between MRA and x-ray angiography in the detection of CAA (n=11), coronary artery stenoses (n=2), and coronary occlusions (n=2). Excellent agreement was found between the 2 techniques for detection of CAA maximal diameter (mean difference=0.4 +/- 0.6 mm) and length (mean difference=1.4 +/- 1.6 mm). The 2 methods showed very similar results for proximal coronary artery diameter (mean difference=0.2 +/- 0.5 mm) and CAA distance from the ostia (mean difference=0.1 +/- 1.5 mm). CONCLUSION: Free-breathing 3D coronary MRA accurately defines CAA in patients with Kawasaki disease. This technique may provide a non-invasive alternative when transthoracic echocardiography image quality is insufficient, thereby reducing the need for serial x-ray coronary angiography in this patient group.

Catálogo de las algas bentónicas (con exclusión de las diatomeas) de la costa catalana

Aquest treball és un intent d´actualitzar i sistematitzar les dades algològiques que es posseeixen referents al nostre país. Aquestes dades han estat obtingudes de la bibliografia existent, incloent-hi també nombroses observacions personals inèdites. La sistemàtica utilitzada ha estat, bàsicament, la proposada per PARKE i DIXON (1976). La distribució geogràfica de les espècies s'especifica en funció del reticle UTM. En aquest moment són 403 (28 Cyanophyta, 220 Rhodophyta, 69 Phaeophyta, 85 Chlorophyta i 1 Chrysophyta) les espècies que es coneixen a les costes del Principat.

Aproximación al conocimiento de las comunidades algales de la zona infralitoral superior de la costa catalana

Se presentan una serie de inventarios de la zona infralitoral superior realizados a lo largo de toda la costa catalana precisando las localidades de recolección y sus características. Los inventarios se agrupan en una serie de tablas las cuales se comentan en función de su composición florística. Finalmente, se hace una división de la costa catalana atendiendo a las distintas comunidades encontradas y se valora su distribución en relación a las características de la costa y a los posibles focos de contaminación. Se presta especial atención a las comunidades portuarias.

Maladies inflammatoires cryptogéniques de l'intestin de novo après transplantation hépatique: rapport de quatre nouveaux cas et revue de la littérature [De novo inflammatory bowel diseases after liver transplantation: description of four new cases and a review of the literature]

Inflammatory bowel diseases are a result of an aberrant mucosal immune response to gut microflora. Several groups have reported newly diagnosed inflammatory bowel diseases following solid organ transplantation and subsequent immunosuppressive therapy. We describe four cases of newly diagnosed inflammatory bowel diseases following liver transplantation in a pool of 120 transplanted patients. These patients had no prior history of inflammatory bowel diseases or primary sclerosing cholangitis and were immunosuppressed. Two patients were transplanted for a hepatitis C related cirrhosis, one for alcoholic cirrhosis and one patient for autoimmune cirrhosis. Three patients were diagnosed with ulcerative colitis and one with Crohn's disease. These four patients were on a cyclosporin monotherapy when their inflammatory bowel diseases were diagnosed. These data suggest that cyclosporin monotherapy following solid organ transplantation does not prevent development of inflammatory bowel diseases.

Construct validity and internal reliability of a French version of FACES III in adolescents and adults

Family cohesion and adaptability, as operationalised in the Family Adaptability and Cohesion Scales III (FACES III), are two hypothesised dimensions of family functioning. We tested the properties of a French version of FACES III in school-children (mean age: 13 years; S.D:0.85) recruited from the general population and their parents. Separate confirmatory factor analyses were performed for adolescents and adults. The results of both analyses were compatible with a two-factor structure similar to that proposed by the authors of the original instrument. However, orthogonality between the two factors was only supported in the adult data. Internal reliability estimates were 0.78 and 0.68 in adolescents and 0.82 and 0.65 in adults, for cohesion and adaptability respectively.