Évaluation qualitative de la contribution des rôles CanMEDS dans la création de diplômes de domaine de compétence ciblée

Background: While many Area of Focused Competency (AFC) Diplomas are available to those who have completed Pediatric residency training, it is not known which competencies are enhanced within each AFC discipline. Our objective was to determine which CanMEDS roles were targeted by existing AFCs available to those who have completed Pediatric residency training and identify gaps within CanMEDs roles that may be fulfilled by the development of new AFCs. Methods: A qualitative study was undertaken using document analysis methodology to compare CanMEDS competencies across AFCs available to those with Royal College examination eligibility or certification in Pediatrics.  RCPSC Competency Training Requirements documents were used to compare and contrast the competencies in each AFC with competencies established in Pediatric residency training. Key and Enabling Competencies were compared for each CanMEDS role to identify differences. Results: Ten AFCs were identified with eligibility requirements including Royal College examination eligibility or certification in Pediatrics. All 10 AFCs included at least one new Medical Expert competency, for a total of 42 unique competencies in this role across all AFCs. The Scholar role had only 10 new competencies across seven AFCs, while only one AFC added a single unique competency in the Collaborator role. Conclusions: The majority of new competencies contributed by AFCs lie within the CanMEDS role of Medical Expert. The Scholar and Collaborator roles have the least differences when comparing competencies of existing AFCs to those competencies established in Pediatric residency training. Developing additional AFCs that offer advanced skills in these roles may help close this gap within the discipline of Pediatrics.Contexte : Bien que de nombreux diplômes de domaines de compétence ciblée (DCC) soient accessibles aux personnes ayant terminé leur résidence en pédiatrie, nous ne savons pas quelles sont les compétences qui sont approfondies dans chaque discipline de DCC. Notre objectif était de déterminer les rôles CanMEDS visés par les DCC actuellement accessibles aux personnes ayant terminé leur résidence en pédiatrie et de repérer les lacunes dans les rôles CanMEDS qui pourraient être comblées par l’élaboration de nouveaux DCC. Méthodes : Nous avons réalisé une étude qualitative au moyen d’analyse de documents pour comparer les compétences CanMEDS dans les DCC ouverts aux personnes admissibles à l’examen du Collège royal ou ayant une certification en pédiatrie. Les documents sur les exigences de formation du CRMCC ont été utilisés pour comparer les compétences de chaque DCC et les compétences visées dans le cadre de la formation postdoctorale en pédiatrie. Les compétences clés et les compétences habilitantes ont été comparées pour chaque rôle CanMEDS afin de repérer les différences. Résultats : Nous avons trouvé 10 DCC dont les conditions d’admissibilité comprennent l’admissibilité à l’examen du Collège royal ou la certification en pédiatrie. Chacun de ces 10 DCC comprenait au moins une nouvelle compétence d’expert médical et un total de 42 nouvelles compétences propres à ce rôle ont été répertoriées pour l’ensemble des DCC. Pour le rôle d’érudit, nous n’avons trouvé que 10 nouvelles compétences dans sept programmes de DCC, et pour celui de collaborateur, il n’y a qu’une nouvelle compétence dans un programme de DCC. Conclusions : La majorité des nouvelles compétences développées dans les DCC relèvent du rôle CanMEDS d’expert médical. Les rôles d’érudit et de collaborateur présentent le moins de différences lorsqu’on compare les compétences ciblées dans les DCC existants et celles visées dans le cadre de la formation postdoctorale en pédiatrie. La création de DCC supplémentaires permettant l’acquisition de compétences plus poussées dans ces rôles pourrait contribuer à combler cette carence au sein de la discipline de la pédiatrie

IFML-based Model-Driven Front-End Modernization

Since late 90’s the use of web application frameworks has been the default choice to develop software applications inside the web domain. In parallel, Model Driven Web Engineering approaches have been defined and successfully applied to reduce the effort of web application development and reuse, fostering the independence of the implementation technology. A direct result of the success of these approaches is the elaboration of the Interaction Flow Modeling Language (IFML) as an Object Management Group (OMG) standard. However, the real fact is that there is a huge amount of legacy web systems that were developed before MDWE approaches were mainstream. The work presented herein tries to leverage IFML to modernize the front-ends of framework-based legacy web applications. In concrete, a systematic model driven reverse engineering process to generate an IFML representation from such applications is presented

A simple mathematical model that describes the growth of the area and the number of total and viable cells in yeast colonies

We propose a model, based on the Gompertz equation, to describe the growth of yeasts colonies on agar medium. This model presents several advantages: (i) one equation describes the colony growth, which previously needed two separate ones (linear increase of radius and of the squared radius); (ii) a similar equation can be applied to total and viable cells, colony area or colony radius, because the number of total cells in mature colonies is proportional to their area; and (iii) its parameters estimate the cell yield, the cell concentration that triggers growth limitation and the effect of this limitation on the specific growth rate. To elaborate the model, area, total and viable cells of 600 colonies of Saccharomyces cerevisiae, Debaryomyces fabryi, Zygosaccharomyces rouxii and Rhodotorula glutinis have been measured. With low inocula, viable cells showed an initial short exponential phase when colonies were not visible. This phase was shortened with higher inocula. In visible or mature colonies, cell growth displayed Gompertz-type kinetics. It was concluded that the cells growth in colonies is similar to liquid cultures only during the first hours, the rest of the time they grow, with near-zero specific growth rates, at least for 3 weeks

The EU Center of Excellence for Exascale in Solid Earth (ChEESE): Implementation, results, and roadmap for the second phase

publishedVersio

Qualitative evaluation of the contribution of CanMEDS roles in the development of area of focused competence diplomas

Background: While many Area of Focused Competency (AFC) Diplomas are available to those who have completed Pediatric residency training, it is not known which competencies are enhanced within each AFC discipline. Our objective was to determine which CanMEDS roles were targeted by existing AFCs available to those who have completed Pediatric residency training and identify gaps within CanMEDs roles that may be fulfilled by the development of new AFCs.Methods: A qualitative study was undertaken using document analysis methodology to compare CanMEDS competencies across AFCs available to those with Royal College examination eligibility or certification in Pediatrics. RCPSC Competency Training Requirements documents were used to compare and contrast the competencies in each AFC with competencies established in Pediatric residency training. Key and Enabling Competencies were compared for each CanMEDS role to identify differences.Results: Ten AFCs were identified with eligibility requirements including Royal College examination eligibility or certification in Pediatrics. All 10 AFCs included at least one new Medical Expert competency, for a total of 42 unique competencies in this role across all AFCs. The Scholar role had only 10 new competencies across seven AFCs, while only one AFC added a single unique competency in the Collaborator role.Conclusions: The majority of new competencies contributed by AFCs lie within the CanMEDS role of Medical Expert. The Scholar and Collaborator roles have the least differences when comparing competencies of existing AFCs to those competencies established in Pediatric residency training. Developing additional AFCs that offer advanced skills in these roles may help close this gap within the discipline of Pediatrics.Contexte : Bien que de nombreux diplômes de domaines de compétence ciblée (DCC) soient accessibles aux personnes ayant terminé leur résidence en pédiatrie, nous ne savons pas quelles sont les compétences qui sont approfondies dans chaque discipline de DCC. Notre objectif était de déterminer les rôles CanMEDS visés par les DCC actuellement accessibles aux personnes ayant terminé leur résidence en pédiatrie et de repérer les lacunes dans les rôles CanMEDS qui pourraient être comblées par l’élaboration de nouveaux DCC.Méthodes : Nous avons réalisé une étude qualitative au moyen d’analyse de documents pour comparer les compétences CanMEDS dans les DCC ouverts aux personnes admissibles à l’examen du Collège royal ou ayant une certification en pédiatrie. Les documents sur les exigences de formation du CRMCC ont été utilisés pour comparer les compétences de chaque DCC et les compétences visées dans le cadre de la formation postdoctorale en pédiatrie. Les compétences clés et les compétences habilitantes ont été comparées pour chaque rôle CanMEDS afin de repérer les différences.Résultats : Nous avons trouvé 10 DCC dont les conditions d’admissibilité comprennent l’admissibilité à l’examen du Collège royal ou la certification en pédiatrie. Chacun de ces 10 DCC comprenait au moins une nouvelle compétence d’expert médical et un total de 42 nouvelles compétences propres à ce rôle ont été répertoriées pour l’ensemble des DCC. Pour le rôle d’érudit, nous n’avons trouvé que 10 nouvelles compétences dans sept programmes de DCC, et pour celui de collaborateur, il n’y a qu’une nouvelle compétence dans un programme de DCC.Conclusions : La majorité des nouvelles compétences développées dans les DCC relèvent du rôle CanMEDS d’expert médical. Les rôles d’érudit et de collaborateur présentent le moins de différences lorsqu’on compare les compétences ciblées dans les DCC existants et celles visées dans le cadre de la formation postdoctorale en pédiatrie. La création de DCC supplémentaires permettant l’acquisition de compétences plus poussées dans ces rôles pourrait contribuer à combler cette carence au sein de la discipline de la pédiatrie

Towards a Conceptual Framework for the Specification of Reproducible and Replicable Data Analysis Projects

It is becoming increasingly common to exploit the data collected by Information Systems in order to carry out an analysis of them and obtain conclusions that give rise to a series of decisions in the different research fields. The fact that in most cases these conclusions cannot be properly backed up has given rise to a reproducibility crisis in Data Science, the discipline that makes it possible to convert such data into knowledge, and it research fields that apply it. In this paper we envision a conceptual framework to foster reproducible and replicable Data Science projects. The framework proposes the definition of systematic pipelines that may be (semi)automatically executed in terms of concrete implementation platforms. Proprietary or third party tools are also considered so that flexibility may be ensured without hindering reproducibility and replicability

Embolism resistance in petioles and leaflets of palms

Hydraulic studies are currently biased towards conifers and dicotyledonous angiosperms; responses of arborescent monocots to increasing temperature and drought remain poorly known. This study aims to assess xylem resistance to drought-induced embolism in palms.We quantified embolism resistance via P50 (xylem pressure inducing 50 % embolism or loss of hydraulic conductivity) in petioles and leaflets of six palm species differing in habitat and phylogenetic relatedness using three techniques: in vivo X-ray-based microcomputed tomography, the in situ flow centrifuge technique and the optical vulnerability method.Our results show that P50 of petioles varies greatly in the palm family, from −2.2 ± 0.4 MPa in Dypsis baronii to −5.8 ± 0.3 MPa in Rhapis excelsa (mean ± s.e.). No difference or weak differences were found between petioles and leaf blades within species. Surprisingly, where differences occurred, leaflets were less vulnerable to embolism than petioles. Embolism resistance was not correlated with conduit size (r = 0.37, P = 0.11).This study represents the first estimate of drought-induced xylem embolism in palms across biomes and provides the first step towards understanding hydraulic adaptations in long-lived arborescent monocots. It showed an almost 3-fold range of embolism resistance between palm species, as large as that reported in all angiosperms. We found little evidence for hydraulic segmentation between leaflets and petioles in palms, suggesting that when it happens, hydraulic segregation may lack a clear relationship with organ cost or replaceability

Comparativa de la reparación valvular mitral y el dispositivo MitraClip® en el tratamiento de la insuficiencia mitral severa

Introducción: La insuficiencia mitral sintomática tiene pronóstico desfavorable sin tratamiento quirúrgico. Esto lleva al desarrollo de técnicas menos invasivas para pacientes no candidatos a cirugía. Se trata de analizar los resultados del tratamiento percutáneo (MitraClip®) y compararlo con la reparación mitral. Métodos: Pacientes intervenidos en nuestro centro de insuficiencia mitral entre enero del 2011 y diciembre del 2013. Seguimiento de 2 años. Diferenciamos 2 grupos: MitraClip® (19 pacientes) y cirugía reparadora (31). Realizaremos un análisis comparativo de medias y proporciones mediante t de Student o ji cuadrado, respectivamente, tomando como estadísticamente significativas variables con p < 0,05. Resultados: Ambos grupos fueron homogéneos, excepto para diabetes (p = 0,009), insuficiencia renal (p = 0,004) y enfermedad coronaria (p = 0,030), algo superior en MitraClip®. También predominó la miocardiopatía dilatada en este grupo (p = 0,001). Resultado inmediato: insuficiencia mitral residual en el 100% de los MitraClip® frente al 39% poscirugía (OR 2,6; p < 0,001). Complicaciones inmediatas: un único fallecido en el grupo MitraClip®. Necesidad de transfusiones, marcapasos transitorio y aminas ligeramente superior en el grupo quirúrgico (p < 0,001). Estancia hospitalaria (p = 0,001) y tiempo de intervención (p = 0,039) menores en el grupo quirúrgico. Seguimiento a 2 años: progresión de al menos un grado de insuficiencia en MitraClip®. Ausencia de insuficiencia o grado i en un 97% de los quirúrgicos. Mas reingresos (p = 0,033) y muertes (p = 0,0095) en MitraClip®, no existiendo en el grupo quirúrgico. Conclusiones: El dispositivo MitraClip®, en este grupo de bajo riesgo, mostró peores resultados con mayor mortalidad, reingresos, descompensaciones y alta tasa de insuficiencia mitral residual. Podría ser una alternativa en casos desestimados de cirugía