Recol·lecció de constants d’infermeria per a pacients ingressats

Treball de fi de grau - Curs 2018-2019Les tecnologies de la informació i comunicacions (TIC) aplicades al món professional sanitari són cada cop més freqüents. Aquest projecte s’ha format a partir de la necessitat de digitalitzar la presa de constants vitals d’un pacient ingressat. Mitjançant un seguit d’investigacions i reunions, finalment s’ha optat per oferir una solució desenvolupada per dispositius mòbils, amb la qual es permet enregistrar les diferents constants vitals d’un pacient ingressat. A més, s’ha disminuït la possibilitat d’error implementant un sistema de control de correctesa de les dades, impedint publicar-les en cas de tenir un valor fora del rang especificat prèviament pels experts

Requirements for effective investigation and learning after suicide: the views of persons with lived experience and professionals

Objective: This study aims to provide a deeper understanding of what persons with lived experience and professionals with experience of patient safety, suicide research, and investigations consider to be most important in investigations of healthcare before suicide to learn and improve the care of suicidal patients. Method: This is a qualitative study based on 15 semistructured interviews with persons with lived experience of suicidality and professionals. Thematic analysis was used. Results: The persons with lived experience and the professionals agreed that a holistic approach to the investigations is crucial. They should embrace a longer period of time, involve family and significant others, integrate the perspective and expectations of the patient, and analyze factors of significance for suicidality, suicide prevention, and safety. There is a need to improve the investigations through the involvement of all stakeholders and actors, securing competence in the investigation team and prioritizing cases to investigate. Conclusions: Substantial changes in the approach and performance of investigations of suicide in healthcare are needed to make these investigations valuable for increasing the safety of the care of suicidal patients. A holistic perspective during the analysis is crucial for understanding the suicidal process, the interacting factors, and the care process preceding suicide. Competencies in suicidality, suicide prevention, and patient safety must be included in the analysis team to ensure high quality and relevance. To improve the value of these investigations, we suggest establishing a template based on current knowledge to ensure attention to variables of significance for a safe care of suicidal patients

The evolution of the oxygen abundance gradients in star-forming galaxies in the EAGLE simulations

We analyse the evolution of the oxygen abundance gradient of star-forming galaxies with stellar mass M*≥10 9 M ⊙in the EAGLE simulation o v er the redshift range z = [0, 2.5]. We find that the median metallicity gradient of the simulated galaxies is close to zero at all z, whereas the scatter around the median increases with z. The metallicity gradients of individual galaxies can evolve from strong to weak and vice versa, since mostly low-metallicity gas accretes on to the galaxy, resulting in enhanced star formation and ejection of metal-enriched gas by energy feedback. Such episodes of enhanced accretion, mainly dominated by major mergers, are more common at higher z and hence contribute to increasing the diversity of gradients. For galaxies with ne gativ e metallicity gradients, we find a redshift evolution of ∼-0 . 03 de x kpc -1 /δz. A positiv e mass dependence is found at z ≤0.5, which becomes slightly stronger for higher redshifts and, mainly, for M*< 10 9 . 5 M ⊙. Only galaxies with ne gativ e metallicity gradients define a correlation with galaxy size, consistent with an inside-out formation scenario. Our findings suggest that major mergers and/or significant gas accretion can drive strong ne gativ e or positiv e metallicity gradients. The first ones are preferentially associated with disc-dominated galaxies, and the second ones with dispersion-dominated systems. The comparison with forthcoming observations at high redshift will allow a better understanding of the potential role of metallicity gradients as a chemical probe of galaxy formation.Fil: Tissera, Patricia Beatriz. Pontificia Universidad Católica de Chile; Chile. Consejo Nacional de Investigaciónes Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Rosas Guevara, Yetli. Donostia International Physic Center (dipc);Fil: Sillero Ros, Guillermo Emanuel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Astronomía Teórica y Experimental. Universidad Nacional de Córdoba. Observatorio Astronómico de Córdoba. Instituto de Astronomía Teórica y Experimental; ArgentinaFil: Pedrosa, Susana Elizabeth. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Theuns, Tom. University Of Durham. Dep.of Physics; Reino UnidoFil: Bignone, Lucas Axel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; Argentin

Effects of mergers on non-parametric morphologies

We study the effects of mergers on non-parametric morphologies of galaxies. We compute the Gini index, M20, asymmetry and concentration statistics for z = 0 galaxies in the Illustris simulation and compare non-parametric morphologies of major mergers, minor merges, close pairs, distant pairs and unperturbed galaxies. We determine the effectiveness of observational methods based on these statistics to select merging galaxies.Fil: Bignone, Lucas Axel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Tissera, Patricia Beatriz. Universidad Andrés Bello; Chile. Instituto Milenio de Astrofísica; Chile. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Sillero Ros, Guillermo Emanuel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Astronomía Teórica y Experimental. Universidad Nacional de Córdoba. Observatorio Astronómico de Córdoba. Instituto de Astronomía Teórica y Experimental; ArgentinaFil: Pedrosa, Susana Elizabeth. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Pellizza González, Leonardo Javier. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto Argentino de Radioastronomía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Argentino de Radioastronomía; ArgentinaFil: Garcia Lambas, Diego Rodolfo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Astronomía Teórica y Experimental. Universidad Nacional de Córdoba. Observatorio Astronómico de Córdoba. Instituto de Astronomía Teórica y Experimental; Argentin

Improving cross-learning in clinical teams using daily on-site reflective meetings

IntroductionLearning is fundamental for improving patient safety and quality. Historically, people have focused on learning from unsuccessful performances, such as accidents, incidents, or near-misses. Contemporary approaches to patient safety emphasize the importance of learning from successful everyday work. This approach to learning is less common in the healthcare system and does not carry the same sense of urgency as learning from work that does not go well. Broadening an organization's learning strategies to include learning from everyday work requires adopting new methods and mindsets.MethodsThis study describes the experience of implementing the Resilient Performance Enhancement Toolkit (RPET) in a multisite primary care organization. RPET was introduced through structured daily reflective meetings aimed at fostering cross learning, team adaptation and real-time reflection. Qualitative feedback and thematic observations were collected to explore its impact.ResultsThe use of RPET varied across 27 Health Centers (HC), with seven early adopters (29 teams) maintaining consistent practices despite pandemic disruptions. By 2023, meeting frequency stabilized, ranging from daily to monthly. Teams reported improvements in patient safety, communication, and team learning, while identifying challenges such as time constraints and interdepartmental coordination. Key benefits included enhanced teamwork, increased risk identification and improved staff morale.ConclusionEmbedding reflective practices into daily routines through RPET can strengthen organizational learning and resilience. This approach offers a practical method for shifting healthcare systems toward proactive, Safety-II aligned strategies that support continuous improvement in dynamic clinical environments

Non-randomised patients in a cholecystectomy trial: characteristics, procedures, and outcomes

BACKGROUND: Laparoscopic cholecystectomy is now considered the first option for gallbladder surgery. However, 20% to 30% of cholecystectomies are completed as open operations often on elderly and fragile patients. The external validity of randomised trials comparing mini-laparotomy cholecystectomy and laparoscopic cholecystectomy has not been studied. The aim of this study is to analyse characteristics, procedures, and outcomes for all patients who underwent cholecystectomy without being included in such a trial. METHODS: Characteristics (age, sex, co-morbidity, and ASA-score), operation time, hospital stay, and mortality were compared for patients who underwent cholecystectomy outside and within a randomised controlled trial comparing mini-laparotomy and laparoscopic cholecystectomy. RESULTS: During the inclusion period 1719 patients underwent cholecystectomy. 726 patients were randomised and 724 of them completed the trial; 993 patients underwent cholecystectomy outside the trial. The non-randomised patients were older – and had more complications from gallstone disease, higher co-morbidity, and higher ASA – score when compared with trial patients. They were also more likely to undergo acute surgery and they had a longer postoperative hospital stay, with a median 3 versus 2 days (p < 0.001 for all comparisons). Standardised mortality ratio within 90 days of operation was 3.42 (mean) (95% CI 2.17 to 5.13) for non-randomised patients and 1.61 (mean) (95%CI 0.02 to 3.46) for trial patients. For non-randomised patients, operation time did not differ significantly between mini-laparotomy and open cholecystectomy in multivariate analysis. However, the operation for laparoscopic cholecystectomy lasted 20 minutes longer than open cholecystectomy. Hospital stay was significantly shorter for both mini-laparotomy and laparoscopic cholecystectomy compared to open cholecystectomy. CONCLUSION: Non-randomised patients were older and more sick than trial patients. The assignment of healthier patients to trials comparing mini-laparotomy cholecystectomy and laparoscopic cholecystectomy limits the external validity of conclusions reached in such trials

A new reversal mode in exchange coupled antiferromagnetic/ferromagnetic disks: distorted viscous vortex

Magnetic vortices have generated intense interest in recent years due to their unique reversal mecha-nisms, fascinating topological properties, and exciting potential applications. In addition, the exchangecoupling of magnetic vortices to antiferromagnets has also been shown to lead to a range of novelphenomena and functionalities. Here we report a new magnetization reversal mode of magnetic vorticesin exchange coupled Ir20Mn80/Fe20Ni80microdots: distorted viscous vortex reversal. In contrast to thepreviously known or proposed reversal modes, the vortex is distorted close to the interface and viscouslydragged due to the uncompensated spins of a thin antiferromagnet, which leads to unexpected asymme-tries in the annihilation and nucleationfields. These results provide a deeper understanding of the physicsof exchange coupled vortices and may also have important implications for applications involvingexchange coupled nanostructure

Connecting Artificial Brains to Robots in a Comprehensive Simulation Framework: The Neurorobotics Platform

Combined efforts in the fields of neuroscience, computer science, and biology allowed to design biologically realistic models of the brain based on spiking neural networks. For a proper validation of these models, an embodiment in a dynamic and rich sensory environment, where the model is exposed to a realistic sensory-motor task, is needed. Due to the complexity of these brain models that, at the current stage, cannot deal with real-time constraints, it is not possible to embed them into a real-world task. Rather, the embodiment has to be simulated as well. While adequate tools exist to simulate either complex neural networks or robots and their environments, there is so far no tool that allows to easily establish a communication between brain and body models. The Neurorobotics Platform is a new web-based environment that aims to fill this gap by offering scientists and technology developers a software infrastructure allowing them to connect brain models to detailed simulations of robot bodies and environments and to use the resulting neurorobotic systems for in silico experimentation. In order to simplify the workflow and reduce the level of the required programming skills, the platform provides editors for the specification of experimental sequences and conditions, environments, robots, and brain–body connectors. In addition to that, a variety of existing robots and environments are provided. This work presents the architecture of the first release of the Neurorobotics Platform developed in subproject 10 “Neurorobotics” of the Human Brain Project (HBP).1 At the current state, the Neurorobotics Platform allows researchers to design and run basic experiments in neurorobotics using simulated robots and simulated environments linked to simplified versions of brain models. We illustrate the capabilities of the platform with three example experiments: a Braitenberg task implemented on a mobile robot, a sensory-motor learning task based on a robotic controller, and a visual tracking embedding a retina model on the iCub humanoid robot. These use-cases allow to assess the applicability of the Neurorobotics Platform for robotic tasks as well as in neuroscientific experiments.The research leading to these results has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 604102 (Human Brain Project) and from the European Unions Horizon 2020 Research and Innovation Programme under Grant Agreement No. 720270 (HBP SGA1)