Sperrin Lakeland Health & Social Care Trust Community Nursing Project - Evaluation Report on Establishment of a treatment Room Service Bureau (PDF 316 KB)

Sperrin Lakeland Trust's final report on the establishment of a treatment room service bureau. Part of the Department's redesign of community nursing project

Incidence of presumed endophthalmitis after intravitreal injection performed in the operating room: a retrospective multicenter study.

PURPOSE: To evaluate the incidence of presumed endophthalmitis (EO) after intravitreal injection (IVI) of anti-vascular endothelial growth factor agents performed in the operating room. METHODS: Retrospective study at 2 Swiss eye hospitals between 2004 and 2012. Hospital records were used to identify patients treated with an IVI of an anti-vascular endothelial growth factor agent between 2004 and 2012 and those treated for EO, defined as any intraocular inflammation treated with intravitreal antibiotics. All IVIs were performed using standard sterile technique in a Swiss Class 1 operating room. No patient received preinjection topical antibiotics. Postinjection topical antibiotics were used only in one hospital. RESULTS: A total of 40,011 IVIs were performed at the 2 centers during the study period. Of the IVIs, ranibizumab was injected in 36,398 (91%), bevacizumab in 3,518 (9%), aflibercept in 89 (0.2%), and pegaptanib in 6 (<0.1%). Three cases of post-IVI presumed EO occurred, yielding a combined incidence of 0.0075% per injection (95% confidence interval: 0.0026-0.0220%) or 1 case per 13,337 IVIs. Two of the three cases of EO occurred in patients using post-IVI antibiotics. All three cases followed ranibizumab injection and were culture negative by anterior chamber tap or vitreous biopsy. CONCLUSION: The risk of EO after IVI performed under the sterile conditions of the operating room was very low.

Aplicació per a un hotel SPA (.NET)

Treball final de carrera que consisteix en un software per a un hotel SPA que ha de gestionar les seves activitats i peticions. El programari està implementat en .NET (WPF i WCF).

Tecnologia .NET : Hotel SPA

Treball de Fi de Carrera sobre la tecnologia .NET de Microsoft. En aquest treball s'ha creat un servei WCF i una petita aplicació de consola per hostatjar-lo. Aquest servei utilitza unes classes de LINQ To SQL per accedir a la base de dades. L'aplicació HotelSpaWPF, creada amb WPF i XAML, consumeix el servei WCF per treballar amb la informació de que es disposa a la base de dades.L'aplicació d'escriptori HotelSpaWPF consta de dues parts, la part corresponent als clients de l'hotel, on podran consultar el serveis, activitats i recursos oferts així com fer peticions, inscripcions o reserves. La part d'administrador permet gestionar tota aquesta informació.

Proyecto final carrera ETIG Hotel SPA

El proyecto consiste en desarrollar un software para la gestión de los servicios que ofrece un Hotel Spa.Por un lado, un software con el que los clientes podrán interactuar para la petición de servicios al hotel. Estas peticiones de servicios son: -Peticiones servicios de habitaciones (incidencias, peticiones de material, servicio despertador, servicio limpieza, etc.) -Reservar un recurso (salas de reunión, pistas de deportes, etc.) -Planificar actividades realizadas en el recinto del hotel (gimnasio, masajista, conferencias, audiciones, espectáculos musicales, etc.)Y por otro lado el software necesario para gestionar estas peticiones que estará a la disposición de los encargados del hotel.El nombre de la aplicación es: eHotelSPANet.Para el desarrollo del software se utilizarán las herramientas de Microsoft usando la tecnología .NET, concretamente: -WPF (Windows Presentation Foundation). -WCF (Windows Communications Foundation) SQL Server 2008

Aplicació Microsoft .Net : Hotel Spa

Desenvolupament d'una aplicació amb Microsoft .NET, WCF, WPF, Linq2SQL, d'un Hotel Spa.

The association between drinking motives and alcohol-related consequences - room for biases and measurement issues?

Aims  To investigate whether the predominant finding of generalized positive associations between self-rated motives for drinking alcohol and negative consequences of drinking alcohol are influenced by (i) using raw scores of motives that may weight inter-individual response behaviours too strongly, and (ii) predictor-criterion contamination by using consequence items where respondents attribute alcohol use as the cause. Design  Cross-sectional study within the European School Survey Project on Alcohol and other Drugs (ESPAD). Setting  School classes. Participants  Students, aged 13-16 (n = 5633). Measurements  Raw, rank and mean-variance standardized scores of the Drinking Motives Questionnaire-Revised (DMQ-R); four consequences: serious problems with friends, sexual intercourse regretted the next day, physical fights and troubles with the police, each itemized with attribution ('because of your alcohol use') and without. Findings  As found previously in the literature, raw scores for all drinking motives had positive associations with negative consequences of drinking, while transformed (rank or Z) scores showed a more specific pattern: external reinforcing motives (social, conformity) had negative and internal reinforcing motives (enhancement, coping) had non-significant or positive associations with negative consequences. Attributed consequences showed stronger associations with motives than non-attributed ones. Conclusion  Standard scoring of the Drinking Motives Questionnaire (Revised) fails to capture motives in a way that permits specific associations with different negative consequences to be identified, whereas use of rank or Z-scores does permit this. Use of attributed consequences overestimates the association with drinking motives.

Assessing patient's belief on HIV testing before elective surgery: room for improvements in Switzerland !

Background: ln Switzerland no HIV test is performed without the patient's consent based on a Voluntary Counseling and Testing policy (VCT). We hypothesized that a substantial proportion of patients going through an elective surgery falsely believed that an HIV test was performed on a routine basis and that the lack of transmission of result was interpreted as being HIV negative. Method: All patients with elective orthopedic surgery during 2007 were contacted by phone in 2008. A structured questionnaire assessed their belief about routine preoperative blood analysis (diabetes, coagulation function, HIV test and cholesterol level) as well as result awareness and interpretation. Variables included age and gender. Analysis were conducted using the software JMP 6.0.3. Results: 1123 patients were included. 130 (12 %) were excluded (Le. unreachable, unable to communicate on the phone, not operated). 993 completed the survey (89 %). Median age was 51 (16-79). 50 % were female. 376 (38 %) patients thought they had an HIV test performed before surgery but none of them had one. 298 (79 %) interpreted the absence of result as a negative HIV test. A predictive factor to believe an HIV test had been done was an age below 50 years old (45 % vs 33 % for 16-49 years old and 50-79 years old respectively, p < 0.001). No difference was observed between genders. Conclusion: ln Switzerland, nearly 40 % of the patients falsely thought an HIV test had been performed on a routine basis before surgery and were erroneously reassured about their HIV status. These results should either improve the information given to the patient regarding preoperative exams, or motivate public health policy to consider HIV opt-out screening instead of VCT strategy.

Projecte d’instal·lacions d’aigua calenta sanitària per a un hotel de quatre estrelles a Platja d’Aro amb aportació d’energia solar

En el present projecte final de carrera s’han dissenyat i pressupostat les instal·lacions de fontaneria, energia solar i gas natural per abastir d’aigua les dependències d’un hotel. L’hotel es troba situat a municipi de Platja d’Aro, a la província de Girona. La seva categoria és de quatre estrelles i això comporta un nivell alt de qualitat en els serveis oferts, en aquest cas el subministrament d’aigua freda i aigua calenta sanitària (ACS) als seus clients

Projecte constructiu d’una plataforma inclinable adaptada a la sala polivalent d’un hotel

Disseny constructiu d’una plataforma inclinable per ser automatitzada adaptada al terra de la sala polivalent d’un hotel, de manera que permeti convertir-la en un moment donat, en un saló de congressos tot facilitant la visió i audició als assistents. El projecte respon a la necessitat d’un establiment hoteler de crear una nova línia de negoci no estacional. El projecte queda emmarcat en un hotel que està en funcionament, el qual condiciona el projecte amb unes especificacions de partida molt restrictives i que condicionen el seu disseny i dimensionament pensant amb la posterior posada en obra de la instal•lació

Disseny d'un portal web per a un hotel de 5 estrelles

En aquest projecte es presenta l'anàlisi i el disseny per a una plana web d'un nou hotel de 5 estrelles. Es desenvoluparà el projecte partint de l'anàlisi de requeriments, casos d'ús i diagrames de seqüència. El projecte anirà acompanyat d'un prototip de pàgina web fet amb Microsoft Visio, el qual es pot exportar a html, per observar el seu disseny i la seva navegabilitat.

TFC .NET Hotel SPA

El projecte desenvolupat és un sistema per a un hotel amb diferents instal·lacions d'esbarjo i relaxació, que permeti als seus clients obtenir informació d'aquestes activitats i recursos, i reservar places si escau, i als encarregats del establiment realitzar el control i gestió de les possibles peticions.

Aplicación Hotel SPA : desarrollo de una aplicación con Microsoft. NET

Desarrollo de la aplicación Hotel SPA con Microsoft,para un hotel con diferentes instalaciones de ocio y relajación.