Awareness of human immunodeficiency virus screening guidelines is low in emergency departments of western Switzerland.

Background: Human immunodeficiency virus (HIV) prevalence in Switzerland is 0.4% and 30% of HIV patients are diagnosed with CD4 counts <200 cells/microliter. In 2010, the Swiss Federal Office of Public Health (SFOP) published updated guidelines regarding Physician- Initiated Counseling and Testing (PICT) for HIV. In the new guidelines, when acute HIV infection is suspected or HIV is among the differential diagnoses, an HIV test is performed without risk assessment nor prior counseling, unless the patient specifically refuses it. Counseling and verbal consent are still required when the patient asks for an HIV test or belongs to a high risk group. Whist HIV testing in the emergency departments (ED) is recommended, only 1% of patients are currently screened. Lack of awareness among physicians has been cited in the literature as the first barrier to guideline implementation. Objectives: To test if physicians working in EDs of 5 large teaching hospitals in western Switzerland, admitting 175,000 patients / year, were aware of the updated SFOP guidelines. Methods: A survey was delivered to 167 ED physicians in the summer of 2011. The survey consisted of 26 vignettes designed to test whether physicians would request an HIV test according to the new guidelines and if they knew when the PICT strategy was allowed or counseling required. Finally, physicians were asked the number of HIV tests they had requested in the previous 4 weeks, and if they were aware of the new HIV guidelines. Results are presented as mean and standard deviation, median and interquartile range (IQR), or as proportions; Student's t test was used to compare continuous variables; Results: 143 physicians returned the survey (86%); mean age was 32 ± 8 years, and median postgraduate experience of 6 years (IQR 3-12); 52% were male and 17% were attendings. The percentage of correct responses was 60 ± 13% with no difference between attendings and residents (p = 0.31); 2 of the 3 questions with the lowest scores were failure to recognize situations in which HIV testing was indicated, and the third one a failure to recognize acute HIV infection. 82% of physicians were not aware of the new guidelines. The median number of test requests was 1 (IQR 0-2, range 1-10). Conclusion: ED physicians are not aware of current HIV screening guidelines published by the SFOP, and rarely perform HIV tests. An information campaign is required if ED physicians are expected to play a significant role in the reduction of undiagnosed HIV patients.

Tuotannollisen testerin suunnittelu tiedonsiirtolinkkikortille

Työssä suunniteltiin ja toteutettiin linkkikorttien tuotannollinen testeri. Linkkikortti on osa CERN:iin rakennettavan hiukkaskiihdyttimen Large Hadron Colliderin koeasema Compact Muon Solenoidin luentajärjestelmää. Linkkikortin tehtävänä on muuttaa rinnakkaismuotoinen LVDS-signaali sarjamuotoiseksi optiseksi signaaliksi. Testattaessa testeri ja linkkikortti sijoitetaan kehikkoon, joten testerin liittimien pitää olla linkkikortin liittimien kanssa identtisiä. Testerin lähdöt ovat linkkikortin tuloja ja toisinpäin. Tällöin testattaessa voidaan ohjelmoitavien FPGA-piirien avulla lähettää signaalia kortilta toiselle. Vastaanottavan kortin FPGA-piirin avulla voidaan tarkistaa, onko data tullut perille muuttumattomana. Testin ohjaus tapahtuu tietokoneella, jolla käyttäjä antaa käskyn testin aloittamisesta ja jonne lopulta myös raportoidaan testin tulokset. Testien tulokset näytetään myös testerin ledeillä. Työssä ei pystytä linkkikorttien puuttumisen takia testaamaan testeriä loppukäytössään. Kuitenkin testerin toimivuus pystyttiin suurilta osin testaamaan, jolloin saatiin odotettuja tuloksia.

Recommendations for term and late preterm infants at risk for perinatal bacterial infection.

Since publication of the initial guidelines for the prevention of group B streptococcal disease in 1996, the incidence of perinatal infection has decreased significantly. Intrapartum antibiotic prophylaxis together with appropriate management of neonates at increased risk for early-onset sepsis not only reduces morbidity and mortality, but also decreases the burden of unnecessary or prolonged antibiotic therapy. This article provides healthcare workers in Switzerland with evidence-based and best-practice derived guidelines for the assessment and management of term and late preterm infants (>34 weeks) at increased risk for perinatal bacterial infection. Management of neonates at increased risk for early-onset sepsis depends on clinical presentation and risk factors. Asymptomatic infants with risk factors for early-onset sepsis should be observed closely in an inpatient setting for the first 48 hours of life. Symptomatic neonates must be treated promptly with intravenous antibiotics. As clinical and laboratory signs of neonatal infection are nonspecific, it is mandatory to reevaluate the need for continued antibiotic therapy after 48 hours.

High-performance liquid chromatography of the renal blood flow marker p-aminohippuric acid (PAH) and its metabolite N-acetyl PAH improves PAH clearance measurements.

PAH (N-(4-aminobenzoyl)glycin) clearance measurements have been used for 50 years in clinical research for the determination of renal plasma flow. The quantitation of PAH in plasma or urine is generally performed by colorimetric method after diazotation reaction but the measurements must be corrected for the unspecific residual response observed in blank plasma. We have developed a HPLC method to specifically determine PAH and its metabolite NAc-PAH using a gradient elution ion-pair reversed-phase chromatography with UV detection at 273 and 265 nm, respectively. The separations were performed at room temperature on a ChromCart (125 mmx4 mm I.D.) Nucleosil 100-5 microm C18AB cartridge column, using a gradient elution of MeOH-buffer pH 3.9 1:99-->15:85 over 15 min. The pH 3.9 buffered aqueous solution consisted in a mixture of 375 ml sodium citrate-citric acid solution (21.01 g citric acid and 8.0 g NaOH per liter), added up with 2.7 ml H3PO4 85%, 1.0 g of sodium heptanesulfonate and completed ad 1000 ml with ultrapure water. The N-acetyltransferase activity does not seem to notably affect PAH clearances, although NAc-PAH represents 10.2+/-2.7% of PAH excreted unchanged in 12 healthy subjects. The performance of the HPLC and the colorimetric method have been compared using urine and plasma samples collected from healthy volunteers. Good correlations (r=0.94 and 0.97, for plasma and urine, respectively) are found between the results obtained with both techniques. However, the colorimetric method gives higher concentrations of PAH in urine and lower concentrations in plasma than those determined by HPLC. Hence, both renal (ClR) and systemic (Cls) clearances are systematically higher (35.1 and 17.8%, respectively) with the colorimetric method. The fraction of PAH excreted by the kidney ClR/ClS calculated from HPLC data (n=143) is, as expected, always <1 (mean=0.73+/-0.11), whereas the colorimetric method gives a mean extraction ratio of 0.87+/-0.13 implying some unphysiological values (>1). In conclusion, HPLC not only enables the simultaneous quantitation of PAH and NAc-PAH, but may also provide more accurate and precise PAH clearance measurements.

Características pós-colheita de frutos de genótipos de bananeira (Musa spp.)

O conhecimento das características pós-colheita de novos híbridos de bananeira é uma importante informação que auxilia o melhorista em sua tomada de decisão. Este trabalho teve como objetivo avaliar genótipos de bananeira com relação às características de pós-colheita e resistência ao desprendimento do fruto. Foram utilizados frutos da segunda penca de 16 híbridos (Calipso, Bucaneiro, Ambrosia, YB42-21, PV42-53, PV42-68, PV42-81, PV42-85, PV42-129, PV42-142, PV42-143, ST12-31, ST42-08, PV03-44, FHIA-03 e SH 3640) e quatro cultivares (Pacovan, Prata Comum, Nam e Figue Pomme Naine), que foram avaliadas quanto ao peso, comprimento, circunferência, relação polpa/casca, resistência ao desprendimento, firmeza, sólidos solúveis totais (SST), acidez total titulável (ATT), relação SST/ATT e tempo de amadurecimento. Empregou-se um delineamento inteiramente casualizado, com cinco repetições para todas as características, exceto para a firmeza do fruto em que se utilizaram dez repetições. A unidade experimental foi constituída de um único fruto. Os dados foram submetidos à analise de variância e as médias comparadas pelo Teste Scott & Knott, a 5% de probabilidade. A cultivar Nam apresentou a menor acidez titulável e a maior relação SST/ATT, enquanto a maior firmeza do fruto foi apresentada pelos híbridos PV42-81 e PV42-53. Os frutos mais pesados foram do híbrido SH 3640, e os mais compridos foram dos híbridos Bucaneiro e PV42-81. Os híbridos PV42-85 e ST42-08 apresentaram maior resistência ao desprendimento, não diferindo da 'Pacovan'. No entanto, superaram a 'Prata Comum', que obteve a menor resistência. Os genótipos 'Nam', PV42-143 e PV42-129 apresentaram maior tempo de maturação após a colheita quando comparados, principalmente, à 'Prata Comum'. A 'Nam' deve ser considerada como uma nova alternativa na produção de banana. O SH3640, híbrido da Prata Anã, pode ser recomendado como nova cultivar. Os híbridos da Prata São Tomé (ST42-08) e Pacovan (PV42-85, PV42-81, PV42-68, PV42-53, PV42-129 e PV42-143) podem substituir as cultivares Prata Comum e Pacovan nos sitemas produção.

Dictionnaire françois-latin : autrement dict les mots françois, avec les manières duser diceulx, tournez en latin... ([Reprod.]) / [R. Estienne]

[Dictionnaire français-latin (français moyen-latin). 1542 fac-sim.]

How Social Dominance Orientation affects union participation: The role of union identification and perceived union instrumentality

Bridging social dominance theory and labour studies, this field study investigated the mechanisms underpinning the relationship between rejection of group-based domination and participation in union activities. Respondents (N = 135) were members of a public sector union in California, that is, a hierarchy-attenuating institution. Results revealed that union identification mediated the negative relationship between social dominance orientation and active union participation. Moreover, the mediational effect of union identification was moderated by perceived union instrumentality (i.e. outcome- and process-based benefits afforded by the union), indicating that the relationship between union identification and participation was stronger among those union members who consider that the union affects workplace justice. The findings reveal the importance of both identity-based and instrumental motivations underlying union participation. The novelty of applying social dominance theory to union behaviour is underscored.

Associated anomalies in multi-malformed infants with cleft lip and palate: An epidemiologic study of nearly 6 million births in 23 EUROCAT registries.

We studied 5,449 cases of cleft lip (CL) with or without cleft palate (CL/P) identified between 1980 and 2000 from the EUROCAT network of 23 registers (nearly 6 million births) in 14 European countries. We investigated specific types of defects associated with clefts. Among CL/P cases (prevalence = 9.1 per 10,000), 1,996 (36.6%) affected only the lip (CL) and 3,453 (63.4%) involved CL and palate (CLP). A total of 3,860 CL/P cases (70.8%) occurred as isolated anomalies and 1,589 (29.2%) were associated with other defects such as multiple congenital anomalies of unknown origin (970), chromosomal (455) and recognized syndromes (164). Associated malformations were more frequent in infants who had CLP (34.0%) than in infants with CL only (20.8%). Among multi-malformed infants, 2 unrelated anomalies were found in 351 cases, 3 in 242 cases, and 4 or more in 377 cases. Among 5,449 CL/P cases, 4,719 were live births (LB) (86.6%), 203 stillbirths (SB) (3.7%), while 508 (9.3%) were terminations of pregnancy (ToP). CL/P occurred significantly more frequently in males (M/F = 1.70), especially among total isolated cases (M/F = 1.87) and CLP isolated cases (M/F = 1.92). The study confirmed that musculoskeletal, cardiovascular, and central nervous system defects are frequently associated with CL/P. An association with reduction anomalies of the brain was found. This association suggests that clinicians should seek to identify structural brain anomalies in these patients with CL/P as the potential functional consequences may be important for rehabilitation and clinical management.

Els usos de l'electricitat a l'Exposició Internacional de Barcelona de 1929

Aquest treball pretén explorar la relació entre l’electricitat i l’Exposició Internacional de Barcelona de 1929, reconeguda internacionalment pels seus jocs d’aigua i llum. El treball s’estructura en quatre parts. En primer lloc, una contextualització història de la relació de l’electricitat i les exposicions universals, en segon lloc, una aproximació d’aquesta relació al cas de Barcelona. Seguidament s’incorpora la descripció de les instal•lacions elèctriques i d’espectacle instal•lat a l’Exposició. I finalment, visitarem l’exposició amb els ulls dels públics de la mateixa, veient els espectacles i entrant als pavellons que mostraven tecnologies elèctriques.

R&D Performance Analysis: Case Studies on the Challenges and Promotion of the Evaluation and Measurement of R&D

Due to the intense international competition, demanding, and sophisticated customers, and diverse transforming technological change, organizations need to renew their products and services by allocating resources on research and development (R&D). Managing R&D is complex, but vital for many organizations to survive in the dynamic, turbulent environment. Thus, the increased interest among decision-makers towards finding the right performance measures for R&D is understandable. The measures or evaluation methods of R&D performance can be utilized for multiple purposes; for strategic control, for justifying the existence of R&D, for providing information and improving activities, as well as for the purposes of motivating and benchmarking. The earlier research in the field of R&D performance analysis has generally focused on either the activities and considerable factors and dimensions - e.g. strategic perspectives, purposes of measurement, levels of analysis, types of R&D or phases of R&D process - prior to the selection of R&Dperformance measures, or on proposed principles or actual implementation of theselection or design processes of R&D performance measures or measurement systems. This study aims at integrating the consideration of essential factors anddimensions of R&D performance analysis to developed selection processes of R&D measures, which have been applied in real-world organizations. The earlier models for corporate performance measurement that can be found in the literature, are to some extent adaptable also to the development of measurement systemsand selecting the measures in R&D activities. However, it is necessary to emphasize the special aspects related to the measurement of R&D performance in a way that make the development of new approaches for especially R&D performance measure selection necessary: First, the special characteristics of R&D - such as the long time lag between the inputs and outcomes, as well as the overall complexity and difficult coordination of activities - influence the R&D performance analysis problems, such as the need for more systematic, objective, balanced and multi-dimensional approaches for R&D measure selection, as well as the incompatibility of R&D measurement systems to other corporate measurement systems and vice versa. Secondly, the above-mentioned characteristics and challenges bring forth the significance of the influencing factors and dimensions that need to be recognized in order to derive the selection criteria for measures and choose the right R&D metrics, which is the most crucial step in the measurement system development process. The main purpose of this study is to support the management and control of the research and development activities of organizations by increasing the understanding of R&D performance analysis, clarifying the main factors related to the selection of R&D measures and by providing novel types of approaches and methods for systematizing the whole strategy- and business-based selection and development process of R&D indicators.The final aim of the research is to support the management in their decision making of R&D with suitable, systematically chosen measures or evaluation methods of R&D performance. Thus, the emphasis in most sub-areas of the present research has been on the promotion of the selection and development process of R&D indicators with the help of the different tools and decision support systems, i.e. the research has normative features through providing guidelines by novel types of approaches. The gathering of data and conducting case studies in metal and electronic industry companies, in the information and communications technology (ICT) sector, and in non-profit organizations helped us to formulate a comprehensive picture of the main challenges of R&D performance analysis in different organizations, which is essential, as recognition of the most importantproblem areas is a very crucial element in the constructive research approach utilized in this study. Multiple practical benefits regarding the defined problemareas could be found in the various constructed approaches presented in this dissertation: 1) the selection of R&D measures became more systematic when compared to the empirical analysis, as it was common that there were no systematic approaches utilized in the studied organizations earlier; 2) the evaluation methods or measures of R&D chosen with the help of the developed approaches can be more directly utilized in the decision-making, because of the thorough consideration of the purpose of measurement, as well as other dimensions of measurement; 3) more balance to the set of R&D measures was desired and gained throughthe holistic approaches to the selection processes; and 4) more objectivity wasgained through organizing the selection processes, as the earlier systems were considered subjective in many organizations. Scientifically, this dissertation aims to make a contribution to the present body of knowledge of R&D performance analysis by facilitating dealing with the versatility and challenges of R&D performance analysis, as well as the factors and dimensions influencing the selection of R&D performance measures, and by integrating these aspects to the developed novel types of approaches, methods and tools in the selection processes of R&D measures, applied in real-world organizations. In the whole research, facilitation of dealing with the versatility and challenges in R&D performance analysis, as well as the factors and dimensions influencing the R&D performance measure selection are strongly integrated with the constructed approaches. Thus, the research meets the above-mentioned purposes and objectives of the dissertation from the scientific as well as from the practical point of view.

Naturaleza del héroe en las novelas de capa y espada (Le Bossu de Paul Féval)

Penetrar en el mundo de las novelas de capa y espada significa franquear el umbral del mundo encarnado de los cuentos de hadas en dónde el héroe y la heroína conservan todas sus características fundamentales, aquellas que les convierten en modelos utópicos del deseo y del ensueño. Le Bossu realiza además la fusión clara con el cuento de hadas al final de la primera partecuando astucia y maldad se unen paraproporcionar a la heredera de Nevers su entrada en el mundo que le corresponde por derecho de nacimiento. Como una nueva Cenicienta, Aurore recibirá de manos de su padastro con el beneplácito de Lagardére las más preciosas galas para asistir al baile del Regente, consagración del banquero Law. Cuento, realidad, ensoñación maravillosa, todos esos elementos se conjugan para estallar en el brillante dominó rosa que lucirá Aurore en el baile constituyendo el punto álgido de su destino. A partir de ese momento, Aurore perderá la inocencia y ya no le será permitido ignorar la lucha por la felicidad. Como Cenicienta, igual que Cenicienta tendrá que luchar con todas sus fuerzas paraque su príncipe pueda calzarle el zapato de cristal de la felicidad. A lo largo de todo el siglo xx el modelo de las novelas de capa y espada se repite. Como indiscutible padre del género debe de reconocerse a Alexandre Dumas con Les Trois Mousquetaires, publicada en 1844. En otras muchas de sus novelas reproducirá los elementos que le hicieron célebre aunque no supere a esta que se convierte en paradigmática. Paul Féval publica, a la sombra de Dumas, ello es evidente, Le Bossu en 1857. En los inicios del siglo xx, la novela de capa y espada encuentra un nuevo defensor, que cierra magníficamente el ciclo. Nos referimos a Michel Zévaco con Les Pordaillan. Situado en medio de Dumas y de Zévaco, Le Bos»u con su protagonista principal, Henri de Lagard6re, nos ofrece todos los elementos indispensables para el análisis del héroe en este tipo de creaciones.

Geografías familiares bajo la dictadura franquista: exilio, clandestinidad, prisión

Este texto ahonda en las geografías políticas, sociales y familiares de Aurèlia Pijoan, la primera mujer que, médico de profesión, ha accedido a un cargo de representación municipal en Lleida. Casada con Luis Pérez García-Lago –secretario general del PSUC y la UGT en la Lleida de los años trenta y posteriormente máximo responsable del partido en el exilio mejicano-, continuó su compromiso a través de la Unión de Mujeres Españolas de México de la que llegó a convertirse en secretaria general. El artículo pretende, a la vez que reflexionar sobre el diálogo que se establece entre recuerdo y olvido, hacer visible la historia de los sin historia a partir de un centro de gravedad concreto, puesto que los itinerarios personales y familiares de Aurèlia Pijoan permiten recorrer las diversas caras del universo represivo franquista: exilio,clandestinidad y prisión.

Un balance del tren de alta velocidad en Francia. Enseñanzas para el caso esapañol

La reivindicación del tren de alta velocidad por parte de un número amplio y creciente de ciudades en España, aconseja una reflexión sobre qué se puede realmente esperar de este servicio para estimular el tejido económico local. Nuestra referencia será el TGV de París a Lyon, el más antiguo en Europa, con sus posteriores ampliaciones al sur. De su estudio se puede deducir que su repercusión ha resultado muy modesta como agente dinamizador de la actividad económica local y regional. En el AVE se apunta efectivamente la misma situación, a tener por tanto muy en cuenta en el diseño del nuevo trazado y en las medidas de acompañamiento para rentabilizarlo.

Seedling development and biomass as affected by seed size and morphology in durum wheat

This work evaluated the effect of seed size and morphology on the development and biomass of durum wheat seedlings. Three different seed-grading sizes selected by sieving were used in glasshouse experiments, and a set of three developmental and 23 biomass-related indices were measured on eight genotypes, at two moisture levels. The influence of seed size on seedling development was studied at high and low temperatures (22\12 mC, and 15\5 mC day\night temperatures, respectively), in growth chambers. The area of the seed and the area of the embryo were the seed morphological traits most affected by seed size. Seed size was strongly associated with seedling development and seedling biomass until the complete extension of the first two leaves, at the fourth leaf stage. The rate of first-leaf growth and the area of the first leaf were the developmental and biomass traits, respectively, most sensitive to seed-grading size.