Análisis del aprovechamiento del programa Absys en Andalucía hasta marzo de 1999

The degree of implementation of the Absys library programme in the centres included in the corporate license held by the Andalusian regional government is analysed focussing on 4 aspects: library/centre resources, use of the 8 basic functions of Absys, reference manuals and technical support. Of the 109 questionnaires sent to the 8 Andalusian provinces, 104 were returned fully answered: 6 from Almeria, 5 from Cadiz, 16 from Cordoba, 18 from Granada, 19 from Huelva, 4 from Jaen, 15 from Malaga and 21 from Seville. The province where there are the highest number of installations of the programme is Seville, followed by Huelva, Granada, Málaga and Cordoba

Análisis del aprovechamiento del programa Absys en Andalucía hasta marzo de 1999

The degree of implementation of the Absys library programme in the centres included in the corporate license held by the Andalusian regional government is analysed focussing on 4 aspects: library/centre resources, use of the 8 basic functions of Absys, reference manuals and technical support. Of the 109 questionnaires sent to the 8 Andalusian provinces, 104 were returned fully answered: 6 from Almeria, 5 from Cadiz, 16 from Cordoba, 18 from Granada, 19 from Huelva, 4 from Jaen, 15 from Malaga and 21 from Seville. The province where there are the highest number of installations of the programme is Seville, followed by Huelva, Granada, Málaga and Cordoba

The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers

This study aims to evaluate the effectiveness of advanced practice nurses with respect to complex chronic wounds (APN-CCWs) in the care of patients with venous ulcers. A multicentric, quasi-experimental pre-post study was conducted without a control group in the sanitary management areas where the APN-CCW program is being piloted. The intervention consisted of a mass training of clinical nurses from the participating districts on the proper management of injuries and the use of compression therapy. The data were collected through a specifically constructed questionnaire with questions regarding descriptive variables of injuries and their treatment. A total of 643 professionals responded (response rate of 89.1%), attending to a total population of 707,814 inhabitants. An increase in multilayer bandage use by 15.67%, an increase in elastic bandage use by 13.24%, and a significant decrease in the referral of patients to consultation with hospital specialists was achieved, from 21.08% to 12.34%. The number of patients referred to the APNs was 13.25%, which implied a resolution rate of 94.08% of their injuries. In conclusion, the coordination by the APN-CCWs in patients with venous ulcers was effective in improving the continuity of care, in the optimization of resources, and in their care role

Dendritic cell deficiencies persist seven months after SARS-CoV-2 infection

Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection induces an exacerbated inflammation driven by innate immunity components. Dendritic cells (DCs) play a key role in the defense against viral infections, for instance plasmacytoid DCs (pDCs), have the capacity to produce vast amounts of interferon-alpha (IFN-α). In COVID-19 there is a deficit in DC numbers and IFN-α production, which has been associated with disease severity. In this work, we described that in addition to the DC deficiency, several DC activation and homing markers were altered in acute COVID-19 patients, which were associated with multiple inflammatory markers. Remarkably, previously hospitalized and nonhospitalized patients remained with decreased numbers of CD1c+ myeloid DCs and pDCs seven months after SARS-CoV-2 infection. Moreover, the expression of DC markers such as CD86 and CD4 were only restored in previously nonhospitalized patients, while no restoration of integrin β7 and indoleamine 2,3-dyoxigenase (IDO) levels were observed. These findings contribute to a better understanding of the immunological sequelae of COVID-19

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

Automatización de la gestión bibliotecaria en Andalucía de 1998 a 2001

The present situation of library automation in Andalusia through the collective licensing held by this region’s authorities is described. Also, the types of institutions where the Absys library programme has been implemented, the number of municipal public libraries making use of this license and the present situation of the municipal network within each provincial capital are studied province by province

Análisis de la asistencia técnica prestada por el S.A.T. de la Consejería de Cultura a las bibliotecas acogidas a la licencia corporativa del programa Absys

An analysis, broken down by province and type of unit, of the calls received by Andalusian Cultural Department’s technical support unit for Absys was carried out from 1999 to 2001, noting their typology and duration. The use made of the technical support and maintenance unit by the institutions using Absys collective licensing was assessed

Análisis del aprovechamiento del programa Absys en Andalucía hasta marzo de 1999

Se analiza el grado de aprovechamiento del programa Absys en los centros acogidos a la Licencia Corporativa de la Junta, estudiando 4 aspectos del programa: recursos del centro / biblioteca, utilización de las 8 funciones básicas del Absys, manuales de referencia y servicio de asistencia técnica. De los 109 cuestionarios que se enviaron a las 8 provincias andaluzas, se han recibido debidamente cumplimentados 104: 6 de Almería, 5 de Cádiz, 16 de Córdoba, 18 Granada, 19 de Huelva, 4 de Jaén, 15 de Málaga y 21 de Sevilla. La provincia donde existen más instalaciones del programa es Sevilla, a la que le sigue Huelva, Granada, Málaga y Córdob

Análisis del aprovechamiento del programa Absys en Andalucía hasta marzo de 1999

Se analiza el grado de aprovechamiento del programa Absys en los centros acogidos a la Licencia Corporativa de la Junta, estudiando 4 aspectos del programa: recursos del centro / biblioteca, utilización de las 8 funciones básicas del Absys, manuales de referencia y servicio de asistencia técnica. De los 109 cuestionarios que se enviaron a las 8 provincias andaluzas, se han recibido debidamente cumplimentados 104: 6 de Almería, 5 de Cádiz, 16 de Córdoba, 18 Granada, 19 de Huelva, 4 de Jaén, 15 de Málaga y 21 de Sevilla. La provincia donde existen más instalaciones del programa es Sevilla, a la que le sigue Huelva, Granada, Málaga y Córdob