Cloona Oasis Centre - Davette Martin

The organisation helps those with mental ill health and those suffering addiction. This is their second community-pharmacy project. The first focussed on men and this project will move on to work with women. Women who have been referred to Cloona Oasis have been through hardship. The Pharmacist will work with them to develop their confidence, explain their medication and break down barriers so that they can access other services.

The Belfast Carers Centre

This is their 2nd BCPP project. The previous project demonstrated a number of successes - using the pharmacy to target carers, providing advice in the pharmacy, getting carers to come together for support etc. This project will build on previous work and will further support pharmacy staff to recognise and support carers needs. The project also aims to set up a local carers group with 20 carers partcipating.

Patients satisfaction in an academic walk-in centre : a new model of residents training achieved by family doctors

Introduction Walk-in centers may improve access to healthcare for some patients, due to their convenient location and extensive opening hours, with no need for appointment. Herein we describe and assess a new model of walk-in centre, characterized by care provided by residents and supervision achieved by experienced family doctors. Main aim of the study was to assess patients satisfaction about the care they received from residents and the supervision by family doctors. Secondary aim was to describe walk-in patients demographic characteristics and to identify potential associations with satisfaction. Methods The study was conducted in the walk-in centre of Lausanne. Patients who consulted between in April 2011 were automatically included and received a questionnaire in French. We used a five-point Likert scale, from "not at all satisfied" to "very satisfied", converted from 1 to 5. We focused on the satisfaction regarding residents care and supervision by a family doctor. The former was divided in three categories: "Skills", "Treatment" and "Behaviour". Mean satisfaction was calculated for each category and a multivariable logistic model was applied in order to identify associations among patients demographics. Results Response rate was 47% [184/395], Walk-in patients were more likely to be women, young, with a high education level. Patients were very satisfied with residents care, with median satisfaction between 4.5 and 5, for each category. Over than 90% of patients were "satisfied" or "very satisfied" that a family doctor was involved in the consultation. Age showed the major association of satisfaction. Discussion Patients were highly satisfied with care provided by residents and with involvement of a family doctor in the consultation. Older age showed the major association with satisfaction with a positive impact. The high satisfaction reported by walk-in patients supports this new model of walk-in centre.

Evolution des transferts interhospitaliers au départ d'un centre hospitalier universitaire suisse [Trends in interhospital transfers from a Swiss university hospital center].

OBJECTIVE: Research on interhospital transfers provides a basis for describing and quantifying patient flow and its evolution over time, offering an insight into hospital organization and management and hospital overcrowding. The purpose of this study was to conduct a qualitative and quantitative analysis of patient flow and to examine trends over an eight-year period. METHODS: A retrospective descriptive study of interhospital transfers was conducted between 2003 and 2011 based on an analysis of demographic, medical and operational characteristics. Ambulance transfers and transfers requiring physician assistance were analyzed separately. RESULTS: The number of interhospital transfers increased significantly over the study period,from 4,026 in 2003 to 6,481 in 2011 (+60.9%). The number of ambulance transfers increased by almost 300% (616 in 2003 compared to 2,460 in 2011). Most of the transfers (98%) were to hospitals located less than 75 km from the university hospital (median: 24 km, 5-44). In 2011, 24% of all transfers were to psychiatric institutions. 26% of all transfer cases were direct transfers from the emergency department. An increasing number of transfers required physician assistance. 18% of these patients required ventilatory support, whole 9.8% required vasoactive drugs. 11.6% of these transfers were due to hospital overcrowding. Conclusion: The study shows that there has been a significant increase in interhospital transfers. This increase is related to hospital overcrowding and to the network-based systems governing patient care strategies.

Malaria during pregnancy in a reference centre from the Brazilian Amazon: unexpected increase in the frequency of Plasmodium falciparum infections

Malaria remains globally the most important parasitic disease of man. Data on its deleterious effects during pregnancy have been extensively documented in hyperendemic, holoendemic, and mesoendemic areas from Africa and Asia where Plasmodium falciparum is responsible for almost all infections. However, knowledge about malaria during pregnancy in areas where transmission is unstable and P. vivax is the most prevalent species, such as the Brazilian Amazon, is scarce. Here, we report a preliminary cross sectional descriptive study, carried out at the Fundação de Medicina Tropical do Amazonas, a reference centre for diagnosis and treatment of tropical diseases in the west-Amazon (Manaus, Brazil). A total of 1699 febrile childbearing age women had positive thick blood smears to Plasmodium species, between January and November 1997: 1401 (82.5%) were positive for P. vivax , 286 (16.8%) for P. falciparum and 12 (0.07%) carried mixed infections. From the malarious patients, 195 were pregnant. The ratio of P. falciparum to P. vivax infections in the group of non-pregnant infected women was 1:5.6 while it was 1:2.3 in that of pregnant infected ones. Similar rates or even proportionally more vivax infections during pregnancy were expected to occur, in function of the contraindication of primaquine with the resulting increased P. vivax relapse rates. Such an observation suggests that the mechanism of resistance/susceptibility to infection and/or malaria pathogenesis in pregnant women may differ according to Plasmodium species and that the extensively described increase in the frequencies of malaria infection during pregnancy may be specifically due to P. falciparum infection.

Centre de formació virtual

Treball de fi de carrera en .NET sobre un centre de formació virtual, desenvolupat en la plataforma .NET amb ASP.NET, VB.NET i Windows Phone 7.

Gestió Acadèmica d'un centre de formació

L'objectiu principal d'aquest TFC és el desenvolupament d'una aplicació completa i funcional amb un caire professional fent servir la plataforma .NET i emprant la major part de les seves tecnologies més importants (ASP.NET, ADO.NET, formularis Web i Windows).

Anàlisi. Disseny i implementació d'una utilitat de Workflow aplicat a una web de gestió d'un centre de Reclamacions i Queixes mitjançant J2EE : una solució amb Struts i EJBs

El treball final de carrera està compost de l¿anàlisi, disseny i implementació d'una utilitat de Workflow que dóna servei a una web per gestionar les reclamacions i queixes d'una empresa. La part del Workflow s'ha pensat per ser totalment configurable a les particularitats d'un determinat aplicatiu i per donar servei a tantes aplicacions com faci falta simultàniament.L'anàlisi i el disseny s'han basat en la metodologia UML dins el paradigma de l'Orientació a Objectes juntament amb diversos patrons de disseny com pot ser el MVC que ha permès separar completament la lògica de negoci (Workflow) de la presentació (Web). Per les 2 parts: Workflow i web s¿ha fet ús d'una arquitectura distribuïda.

Gestió acadèmica d'un centre de formació

En aquest treball hi ha un doble objectiu, el primer és el de posar a la pràctica els coneixements adquirits durant la carrera i el segon és el d'iniciar-se en el desenvolupament d'aplicacions utilitzant la plataforma tecnològica .NET

Gestió Acadèmica d'un centre de formació

Aquest projecte de Gestió d'un centre de formació, és el resultat d'un estudi per solucionar les necessitats del negoci. L'àrea de treball en què s'ha desenvolupat el projecte és l'entorn de la plataforma .NET de Microsoft.

Centre Food Services

The catering section, at present, offers the following: The Resource Centre accommodates classes in Healthy Eating. In the near future we hope to offer Cookery Classes in Healthy Eating, and low income meals: teaching adults and children the importance of a healthy-balanced diet which is within a low income budget; showing them how to cook these meals; supervising groups while they cook a selection of dishes which incorporate the low cost, balanced diet Initiative Type Community Food Centres Meals on Wheels Nutrition Education and Training Programmes Location Dublin 10

Surgical outcomes following repeat non-penetrating glaucoma filtration surgery at a tertiary referral centre

Purpose:To determine the surgical outcomes of patients undergoing repeat deep sclerectomies with collagen implant (DSCI) at a tertiary referral centre. Methods:The medical notes of 208 patients undergoing multiple DSCI were reviewed. Those undergoing repeat DSCI were identified and post operative data for each DSCI were analysed. Group A: the first DSCI; group B: second DSCI; group C: third DSCI. Results:Mean age was 66.8 ±13.0 years. At 12 months, percentage of mean IOP reduction in groups were 18%, 24% and 17% respectively. Mean interval to starting glaucoma medications, re-operation, mitomycin injection and goniopuncture all decreased as the number of operations increased. There was a significant reduction in complete success rates between groups A and B and groups B and C. Few minor complications were observed in all 3 groups. Conclusions:Despite the possibility of bleb independent outflow pathways in patients undergoing non-penetrating surgery, there are significantly reduced success rates in eyes undergoing repeat DSCI. This has important implications for the choice of subsequent operations in patients who have failed non-penetrating filtration surgery.

Usabilitat d'un web d'un centre de secundària

L'objectiu del TFC és que quedi definit un mètode per a aconseguir el desenvolupament d'un web (per a un centre de secundària) fàcil d'usar, de tal manera que seguint aquest mètode es puguin portar a terme les fases que es considerin necessàries per a arribar al disseny d'algunes de les interfícies del web i que aquestes interfícies siguin fàcils d'usar.

Usabilitat dels gestors de contingutscom a espai per a la relació-comunicació professor alumne dins la web d'un centre de secundària

Aquest treball fa una incursió en els Gestors de Continguts del mercat especialitzats en entorns educatius i es divideix en dues parts: En la primera es fa una comparativa entre els gestors de continguts Moodle, Atutor i Aula Wiki a través de la seva Avaluació Heurística basada en els principis de Jakob Nielsen.En la segona part, a partir del gestor de continguts que ha obtingut millor puntuació en la Avaluació Heurística, es realitza un Test d'Usuaris amb professors d'ensenyament secundari de diverses Àrees.