Les Comptes régionaux des collectivités locales de 1962 à 1967 / Institut national de la statistique et des études économiques ; [rédigé] par Monique Gombert, Gérard Lattès et Jean-Claude Prager

Collection : Les Collections de l'Insee ; 80, 10

Les Comptes régionaux de l'agriculture : de 1962 à 1967 / Institut national de la statistique et des études économiques ; [rédigé] par Jean Ousset

Collection : Les Collections de l'Insee ; 104, 13

L'Adéquation entre la formation et l'emploi dans les régions / Ministère de l'économie et des finances, Institut national de la statistique et des études économiques ; [rédigé par] Jean-Marie Chanut

Collection : Les Collections de l'Insee ; 236, 26

Systematic review of evidence and consensus on diverticulitis: an analysis of national and international guidelines.

AIM: The study aimed to analyse the currently available national and international guidelines for areas of consensus and contrasting recommendations in the treatment of diverticulitis and thereby to design questions for future research. METHOD: MEDLINE, EMBASE and PubMed were systematically searched for guidelines on diverticular disease and diverticulitis. Inclusion was confined to papers in English and those < 10 years old. The included topics were classified as consensus or controversy between guidelines, and the highest level of evidence was scored as sufficient (Oxford Centre of Evidence-Based Medicine Level of Evidence of 3a or higher) or insufficient. RESULTS: Six guidelines were included and all topics with recommendations were compared. Overall, in 13 topics consensus was reached and 10 topics were regarded as controversial. In five topics, consensus was reached without sufficient evidence and in three topics there was no evidence and no consensus. Clinical staging, the need for intraluminal imaging, dietary restriction, duration of antibiotic treatment, the protocol for abscess treatment, the need for elective surgery in subgroups of patients, the need for surgery after abscess treatment and the level of the proximal resection margin all lack consensus or evidence. CONCLUSION: Evidence on the diagnosis and treatment of diverticular disease and diverticulitis ranged from nonexistent to strong, regardless of consensus. The most relevant research questions were identified and proposed as topics for future research.

Caracterización selvícola de las masas monoespecíficas de pino laricio en Cataluña

En el presente trabajo se ha abordado, a partir de la información suministrada por el Segundo Inventario Forestal Nacional, la caracterización de las masas monoespecíficas de pino laricio en Cataluña (NE de España), formalizándola en una tipología de enfoque silvogenético. Basándose en los resultados obtenidos del análisis factorial realizado sobre variables dasométricas, los categoremas de la tipología se articularon sobre aspectos concernientes a la distribución diamétrica y espesura del rodal, identificándose nueve tipos. El carácter irregularizado, presente en cinco de ellos aunque con rasgos diferentes, se examinó a través de la distribución de Weibull truncada. La tipología, que se maneja computando tan sólo el nivel de regenerado y los diámetros de los pies inventariables, contempla los distintos estadios evolutivos y permite diagnosticar situaciones comprometidas en cuanto a la persistencia de la masa, bien causadas por deficientes estados de espesura o por falta de regenerado.

Tipología selvícola para los abetales españoles de Abies alba Mill.

Se ofrece una tipología de naturaleza silvogenética para los abetales del Pirineo español, elaborada a partir de la información suministrada por el Segundo Inventario Forestal Nacional. Se han derivado nueve tipos, cuya diferenciación se articula en base al área basimétrica, la densidad, la distribución diamétrica de los pies presentes y el carácter puro o mixto de la masa. Se ha analizado comparativamente la estructura que conforman sus distribuciones diamétricas y el rol que las especies acompañantes del abeto desempeñan en aquélla, destacando cómo el carácter de irregularidad preside, aunque en grados diversos, la totalidad de las formas tipificadas. La tipología resulta de sencilla aplicación por parte del gestor forestal puesto que se maneja con tan sólo los diámetros inventariados de los pies existentes, y contempla los distintos estadios secuenciales y evolutivos de los abetales españoles que abarcan, desde la fase de instalación del abeto bajo la cubierta de otras especies, hasta las estructuras más capitalizadas y envejecidas.

Ideal and reality: do countries adopt and follow recommended procedures in comprehensive multiyear planning guidelines for national immunization programmes?

BACKGROUND: Meticulous steps and procedures are proposed in planning guidelines for the development of comprehensive multiyear plans for national immunization programmes. However, we know very little about whether the real-life experience of those who adopt these guidelines involves following these procedures as expected. Are these steps and procedures followed in practice? We examined the adoption and usage of the guidelines in planning national immunization programmes and assessed whether the recommendations in these guidelines are applied as consistently as intended. METHODS: We gathered information from the national comprehensive multiyear plans developed by 77 low-income countries. For each of the 11 components, we examined how each country applied the four recommended steps of situation analysis, problem prioritization, selection of interventions, and selection of indicators. We then conducted an analysis to determine the patterns of alignment of the comprehensive multiyear plans with those four recommended planning steps. RESULTS: Within the first 3 years following publication of the guidelines, 66 (86%) countries used the tool to develop their comprehensive multiyear plans. The funding conditions attached to the use of these guidelines appeared to influence their rapid adoption and usage. Overall, only 33 (43%) countries fully applied all four recommended planning steps of the guidelines. CONCLUSIONS: Adoption and usage of the guidelines for the development of comprehensive multiyear plans for national immunization programmes were rapid. However, our findings show substantial variation between the proposed planning ideals set out in the guidelines and actual use in practice. A better understanding of factors that influence how recommendations in public health guidelines are applied in practice could contribute to improvements in guidelines design. It could also help adjust strategies used to introduce them into public health programmes, with the ultimate goal of a greater health impact.