Self-Selection Consistent Choices

This paper studies collective choice rules whose outcomes consist of a collection of simultaneous decisions, each one of which is the only concern of some group of individuals in society. The need for such rules arises in different contexts, including the establishment of jurisdictions, the location of multiple public facilities, or the election of representative committees. We define a notion of allocation consistency requiring that each partial aspect of the global decision taken by society as a whole should be ratified by the group of agents who are directly concerned with this particular aspect. We investigate the possibility of designing allocation consistent rules which satisfy the Condorcet criterion and respect different notions of voluntarism.

La agresividad ambiental y la durabilidad de las estructuras de hormigón

The deterioration of concrete structures is the result of the interaction between them and the environment. In this study, comments are made on the most decisive environmental factors and their interactions. Special reference is made to the corrosion of the reinforcements and also to the different proposals of classification of the aggressiveness.El deterioro de las estructuras de hormigón es el resultado de la interacción entre ellas y el medio ambiente. En el presente trabajo se comentan los factores ambientales más determinantes y sus interacciones, con especial referencia a la corrosión de las armaduras, así como diferentes propuestas de clasificación de la agresividad

Dynamic Speckle Laser technique for the characterization of electrotechnical-porcelain

This work analyzes the quality of two types of commercial electro-technical-porcelain using textural and physical-chemical methods: BET surface area and pore size by gas adsorption, X-ray powder diffraction; Electronic Microscopy and Energy dispersive X-ray analysis, Infrared Spectroscopy and their water adsorption capacity by the Dynamic Speckle Laser technique. Experimental results showed the evolution of the speckle patterns during hydro-adsorption process, permitting to discriminate different behavior for each material. It was determined that it is possible to correlate changes in the speckle patterns with the porosity and chemical composition of materials

Surgical safety and filling-in of the records about intraoperative information in Spain: A comparative analysis of two recording instruments

El objetivo del presente estudio es describir y comparar los porcentajes de no cumplimentación de dos instrumentos de registro: hoja circulante (HC) y lista de verificación quirúrgica (LVQ), en un mismo entorno quirúrgico para una muestra de pacientes de características similares. Metodología: Estudio descriptivo realizado sobre registros intraquirúrgicos de 3024 pacientes de Cirugía de Ortopedia y Traumatología. 1732 pacientes intervenidos en 2009 con modelo de hoja circulante, cumplimentada al finalizar la intervención y 1292 en 2010 intervenidos con modelo de registro lista de verificación quirúrgica (checklist) cumplimentado durante la intervención en tres tiempos. Se han calculado características descriptivas (media, desviación típica, mínimo y máximo) del porcentaje de no cumplimentación global en ambos registros y el porcentaje de no cumplimentación (intervalo de confianza al 95%) de cada ítem de los registros estudiados. Resultados: Se observa mayor porcentaje de cumplimentación global y, en general, también individual, en la hoja circulante que en la lista de verificación quirúrgica. Conclusiones: El registro intraquirúrgico que mayor porcentaje de cumplimentación ha tenido de manera global ha sido la hoja de circulante y se evidencia la necesidad de implantar estrategias para mejorar el grado de cumplimentación de la LVQ por su relación con la seguridad de pacientes.The objective of this study is to describe and compare the percentages of non-filling-in two recording instruments: Current sheet and surgical checklist in the same surgical setting for a sample of patients with similar characteristics. Methods: Descriptive study carried out with the intraoperative records of 3024 patients from Orthopedic Surgery and 1732 patients who were operated in 2009 with current sheet model completed at the end of the surgery and 1292 patients in 2010 with surgical checklist as recording model, completed during the intervention in three stages. Descriptive characteristics (mean, standard deviation, minimum and maximum) were calculated from the overall percentage of non-completion in both records, as well as the non-filling-in percentage (and confidence interval at 95%) of each item of the records studied. Results: A higher overall – and also individual, in general- percentage of filling-in is observed in the current sheet than in the surgical checklist. Conclusions: In general terms, the intraoperative recording with the highest percentage of being filled-in has been the circulating sheet and it has been observed the necessity to implement strategies to improve the level of filling-in due to its relationship with surgical clinical safety

Seguridad quirurgica y cumplimentación del registro de información intraquirúrgica en España: un análisis comparativo de dos instrumentos de registro.

The objective of this study is to describe and compare the percentages of non-filling-in two recording instruments: Current sheet and surgical checklist in the same surgical setting for a sample of patients with similar characteristics. Methods: Descriptive study carried out with the intraoperative records of 3024 patients from Orthopedic Surgery and 1732 patients who were operated in 2009 with current sheet model completed at the end of the surgery and 1292 patients in 2010 with surgical checklist as recording model, completed during the intervention in three stages. Descriptive characteristics (mean, standard deviation, minimum and maximum) were calculated from the overall percentage of non-completion in both records, as well as the non-filling-in percentage (and confidence interval at 95%) of each item of the records studied. Results: A higher overall – and also individual, in general- percentage of filling-in is observed in the current sheet than in the surgical checklist. Conclusions: In general terms, the intraoperative recording with the highest percentage of being filled- in has been the circulating sheet and it has been observed the necessity to implement strategies to improve the level of filling-in due to its relationship with surgical clinical safety

Formação acadêmica do profissional de enfermagem e sua adequação às atividades de trabalho

Objective: to identify the training nursing professionals receive and its relevance to the workplace, as well as professional demand for continuous education. Methodology: this was a descriptive observational study using a questionnaire entitled “Training and Adaptation of the Nursing Professional to the Workplace” available at: http://enfermeriadocente.es for nursing professionals. Results: 53.8% of nurses do not consider the training received to be relevant to the needs of the workplace and 94.2% reported that linking academic education to the workplace impacts on the quality of care provided. Conclusions: Nursing professionals think that continuous education needs to be adjusted to their jobs and careers. Education should be viewed as a continuum, which begins with training.Objetivo: identificar la formación de los profesionales en enfermería y su adecuación al puesto de trabajo que desempeñan, así como la demanda profesional de formación continuada. Metodología: estudio observacional descriptivo mediante cuestionario “Formación y Adecuación del Profesional de Enfermería al Puesto de Trabajo”. disponible: http://enfermeriadocente.es para a profesionales de enfermería. Resultados: el 53.8% de las enfermeras, consideran que la formación recibida no se adecúa a las necesidades de su puesto de trabajo. El 94,2%, refieren que la formación académica vinculada al puesto de trabajo repercute en la calidad de los cuidados prestados. Conclusiones: Los profesionales en enfermería consideran necesario adecuar la formación continuada al puesto de trabajo y a su trayectoria profesional. La formación de los profesionales se debería contemplar como un continuo, que se inicia con la formación básica y que debería seguir de forma constante a lo largo de la vida profesional.Objetivo: identificar a formação dos profissionais de enfermagem e sua adequação ao trabalho que realizam, assim como, a demanda de formação continuada. Métodos: estudo observacional, descritivo, mediante questionário “Formação e Adequação do Profissional de Enfermagem ao Posto de Trabalho”. Disponível em: http://enfermeriadocente.es para profissionais de enfermagem. Resultados: 53,8% dos enfermeiros consideram que a formação recebida não atende às necessidades de sua atividade de trabalho. Do total, 94,2% referem que a formação acadêmica relacionada à atividade de trabalho repercute na qualidade da assistência prestada. Conclusões: os profissionais de enfermagem consideram necessário adequar a formação continuada à atividade de trabalho e trajetória profissional. A formação dos profissionais deve ser contínua, iniciando-se na formação básica e sendo constante ao longo da vida profissional

Aplicación de Laser Speckle Dinámico en la caracterización de porcelanas electrotécnicas

Los materiales cerámicos tienen importantes aplicaciones en electricidad y electrónica (aisladores, capacitores, piezoeléctricos, medios magnéticos, sensores de semiconductores, superconductores de alta temperatura, etc.). Para evaluar su calidad y desempeño es indispensable caracterizar algunas propiedades de su microestructura. En lo que se refiere a porcelanas como materiales de soporte y aislación eléctrica, las propiedades texturales, como área superficial, porosimetría y la capacidad higroscópica son relevantes

The role of attitudes toward medication and treatment adherence in the clinical response to LAIs: findings from the STAR Network Depot Study

Background: Long-acting injectable (LAI) antipsychotics are efficacious in managing psychotic symptoms in people affected by severe mental disorders, such as schizophrenia and bipolar disorder. The present study aimed to investigate whether attitude toward treatment and treatment adherence represent predictors of symptoms changes over time. Methods: The STAR Network "Depot Study" was a naturalistic, multicenter, observational, prospective study that enrolled people initiating a LAI without restrictions on diagnosis, clinical severity or setting. Participants from 32 Italian centers were assessed at three time points: baseline, 6-month, and 12-month follow-up. Psychopathological symptoms, attitude toward medication and treatment adherence were measured using the Brief Psychiatric Rating Scale (BPRS), the Drug Attitude Inventory (DAI-10) and the Kemp's 7-point scale, respectively. Linear mixed-effects models were used to evaluate whether attitude toward medication and treatment adherence independently predicted symptoms changes over time. Analyses were conducted on the overall sample and then stratified according to the baseline severity (BPRS < 41 or BPRS ≥ 41). Results: We included 461 participants of which 276 were males. The majority of participants had received a primary diagnosis of a schizophrenia spectrum disorder (71.80%) and initiated a treatment with a second-generation LAI (69.63%). BPRS, DAI-10, and Kemp's scale scores improved over time. Six linear regressions-conducted considering the outcome and predictors at baseline, 6-month, and 12-month follow-up independently-showed that both DAI-10 and Kemp's scale negatively associated with BPRS scores at the three considered time points. Linear mixed-effects models conducted on the overall sample did not show any significant association between attitude toward medication or treatment adherence and changes in psychiatric symptoms over time. However, after stratification according to baseline severity, we found that both DAI-10 and Kemp's scale negatively predicted changes in BPRS scores at 12-month follow-up regardless of baseline severity. The association at 6-month follow-up was confirmed only in the group with moderate or severe symptoms at baseline. Conclusion: Our findings corroborate the importance of improving the quality of relationship between clinicians and patients. Shared decision making and thorough discussions about benefits and side effects may improve the outcome in patients with severe mental disorders

Dynamic Speckle Laser Technique for the Characterization of Electrotechnical-porcelain

This work analyzes the quality of two types of commercial electro-technical-porcelain using textural and physical-chemical methods: BET surface area and pore size by gas adsorption, X-ray powder di®raction; Electronic Microscopy and Energy dispersive X-ray analysis, Infrared Spectroscopy and their water adsorption capacity by the Dynamic Speckle Laser technique. Experimental results showed the evolution of the speckle patterns during hydro-adsorption pro- cess, permitting to discriminate di®erent behavior for each material. It was determined that it is possible to correlate changes in the speckle patterns with the porosity and chemical composition of materials.Centro de Investigaciones ÓpticasCentro de Investigación y Desarrollo en Ciencias AplicadasInstituto de Investigaciones Tecnológicas para Redes y Equipos Eléctrico