Disseny i implementació d'una web administrable i d'una aplicació per dispositius mòbils

Curs 2011-2012En la societat en què vivim cada vegada agafen més importància les pàgines web, ja que és una eina d’informació molt útil i ràpida de consultar. Per això, no s’entén que una activitat empresarial sigui del tipus que sigui, no tingui representació a la xarxa. No és necessari que l’activitat en qüestió hagi de vendre productes a través d’Internet, sinó que simplement aquesta representació pot ajudar a donar a conèixer l’empresa i a ampliar la cartera de clients. De la mateixa manera, els dispositius mòbils també s’estan convertint en una eina important en la societat d’avui en dia i una bona aplicació pot aportar-te un avantatge en moltes de les feines diàries de les persones. D’aquestes idees sorgeix el projecte de fer la web i l’aplicació pel centre de fisioteràpia Fisioripoll. La web serviria per tenir un lloc a la xarxa on donar-se a conèixer i poder captar nous clients, i l’aplicació funcionaria com a eina pel propi centre, seria una espècie d’agenda electrònica per saber les hores que tens reservades els pròxims dies. Per aconseguir un bon funcionament de la web, s’ha demanat que la pàgina sigui administrable en els seus continguts. És a dir, que els propis gestors del centre puguin canviar els texts, les imatges dels diferents apartats i gestionar les reserves dels clients. En canvi, l’aplicació serà només una eina de consulta i no s’hauria de gestionar res. Per tal de dur a terme aquesta web s’ha tingut en compte utilitzar eines de programació de distribució lliure com és el llenguatge PHP, la base de dades MySQL, jQuery, el framework Phonegap per tal de poder construir una web i una aplicació amb cost de programari nul.In the society we live in increasingly take on more importance websites, as it is a very useful tool and quick reference. Therefore, it is understood that a business of any kind have no representation in the network. It is not necessary that the activity in question is to sell products over the internet because it can help you become known and to expand the customer base. In the same way, mobile devices are becoming an important tool in society today and a good application can provide you an advantage in many of the daily activities of people. From these ideas emerged the project to the web and the application for physiotherapy center Fisioripoll. The site would serve to have a network to get to know and be able to attract new customers and the application works as a tool by the center itself would be a kind of electronic calendar to find times that you reserved the coming days. To achieve a smooth running of the web page you requested is manageable in its content. This means that the center managers themselves may change the texts, images of different sections and manage customer bookings. However, the application will only be a reference tool and should not manage anything. To carry out this website has been taken into account using free programming tools such as PHP, database MySQL, jQuery, Phonegap framework in order to build a web application without a cost of software.Director/a: Jaume Vila Serr

Pilonidal Sinus Disease is Associated with Severe Hidradenitis Suppurativa in a Spanish Cohort

Hidradenitis suppurativa is a chronic inflammatory disorder of the hair follicle with a high level of morbidity. Pilonidal sinus disease is a comorbid disorder and may be the reason for first contact with the healthcare system of patients with hidradenitis suppurativa. The aim of this study was to evaluate the frequency of association of pilonidal sinus disease and hidradenitis suppurativa and to explore whether pilonidal sinus disease defines a different clinical profile for patients with hidradenitis suppurativa. A cross-sectional study in which data regarding past history of pilonidal sinus disease, clinical and sociodemographic information were recorded during the first visit to the Hidradenitis Suppurativa Clinic of 2 tertiary hospitals. A total of 839 patients were included in the study. Of these, 51.7% (434/839) were male and mean age was 37.3 ± 13.6 years. Pilonidal sinus disease was present in 32.6% (269/839) of the patients and was associated with an early debut of hidradenitis suppurativa, a higher Hurley stage, inflammatory phenotype and a greater number of fistulas and perianal involvement. Elapsed time between pilonidal sinus disease and diagnosis of hidradenitis suppurativa was associated with higher disease severity. Pilonidal sinus disease is a frequent comorbidity and risk marker for hidradenitis suppurativa disease severity. Pilonidal sinus disease could be a sentinel event to identify patients who would benefit from close treatment and follow-up

Hidradenitis supurativa con afectación glútea: análisis de 83 pacientes

Hidradenitis supurativa; Hidradenitis glútea; InflamaciónHidradenitis supurativa; Hidradenitis glútea; InflamacióHidradenitis suppurativa; Gluteal hidradenitis; InflammationBackground: In 2013, Canoui-Poitrine et al. identified three hidradenitis suppurativa (HS) phenotypes by a latent class (LC) analysis, based on anatomical sites of involvement. Objective: To improve the classification of the gluteal phenotype (LC3) patients given their diverse lesion types and differences in clinical profile. Material and methods: We designed a bicentric study gathering all LC3 patients (n=83) from two hospitals. We conducted a two-step cluster analysis among them and also compared their characteristics with the rest of the HS patients (n=661). Results: Compared with global HS series, LC3 patients were more frequently non-obese men, with smoking habit, an associated arthropathy, and a more frequent history of pilonidal sinus. The analysis of LC3 patients yielded two clusters: cluster 1 (38.3%) included elderly female patients, with later diagnosis of the disease and more sinus tracts; cluster 2 (61.7%) encompassed more men with earlier disease onset and more nodules and folliculitis lesions. Limitations: The study's limitations include its retrospective nature, bicentric design, and small sample size. Conclusion: The heterogeneous clinical presentation of HS makes it essential to have a good classification of the patients. Gluteal phenotype could actually be classified into two "subphenotypes" with a different clinical profiles and management.Antecedentes: En 2013 Canoui-Poitrine et al. identificaron tres fenotipos de hidradenitis supurativa (HS) mediante un análisis de clases latentes (LC) basado en las regiones anatómicas afectadas. Objetivo: Mejorar la clasificación de los pacientes con fenotipo glúteo (LC3) dados los diversos tipos de lesiones y diferencias en el perfil clínico. Material y métodos: Disenamos ˜ un estudio bicéntrico que incluyó a todos los pacientes con LC3 (n = 83) de dos hospitales terciarios espanoles. ˜ Realizamos un análisis de conglomerados en dos etapas dentro del grupo LC3 y también comparamos sus características con el resto de los pacientes con HS (n = 661). Resultados: En comparación con la serie global de HS, los pacientes con LC3 fueron más frecuentemente hombres no obesos, fumadores, con una artritis asociada y con mayor prevalencia de sinus pilonidal. El análisis de los pacientes LC3 resultó en dos grupos: el grupo 1 (38,3%), que incluía pacientes mayores, de sexo femenino, con diagnóstico más tardío de la enfermedad y más trayectos sinusales; y el grupo 2 (61,7%), que englobaba a más hombres con inicio temprano de la enfermedad y más nódulos y lesiones de foliculitis. Limitaciones: Las limitaciones del estudio incluyen su naturaleza retrospectiva, el diseno˜ bicéntrico y el tamano˜ muestral reducido. Conclusión: La presentación clínica heterogénea de la HS hace que sea esencial disponer de una buena clasificación clínica de los pacientes. Como hemos visto, parece que el fenotipo glúteo podría clasificarse en dos «subfenotipos» con perfiles clínicos y, consecuentemente, enfoques terapéuticos diferentes

Cortical mapping of the neuronal circuits modulating the muscle tone. Introduction to the electrophysiological treatment of the spastic hand

L'objectiu d'aquest estudi es investigar l'organització cortical junt amb la connectivitat còrtico-subcortical en subjectes sans, com a estudi preliminar. Els mapes corticals s'han fet per TMS navegada, i els punts motors obtinguts s'han exportant per estudi tractogràfic i anàlisi de las seves connexions. El coneixement precís de la localització de l'àrea cortical motora primària i les seves connexions es la base per ser utilitzada en estudis posteriors de la reorganització cortical i sub-cortical en pacients amb infart cerebral. Aquesta reorganització es deguda a la neuroplasticitat i pot ser influenciada per els efectes neuromoduladors de la estimulació cerebral no invasiva.The purpose of this study is to investigate the motor cortex organisation together with the cortico-subcortical connectivity in healthy subjects, as a preliminary study. Cortical maps have been performed by navigated TMS and the motor points have been exported to DTI to study their subcortical connectivity. The precise knowledge of localization of the primary motor cortex area and its connectivity is the base to be used in later studies of cortical and subcortical re-organisation in stroke patients. This re-organisation is due to the neuroplascity and can be influenced by the neuromodulation effects of the non-invasive cerebral stimulation therapy by TMS

Utilidad de las escalas de Conners para discriminar entre sujetos con y sin trastorno por déficit de atención con hiperactividad

Se evalúa la utilidad de las escalas de Conners, para padres y profesores, para clasificar a sujetos con o sin Trastorno por déficit de atención con hiperactividad (TDAH), en sus diferentes subtipos, en una muestra de 153 sujetos (113 con TDAH y 40 controles), con edades comprendidas entre 7 y 10 años. La información que proporcionan los padres permite clasificar mejor a los sujetos del grupo clínico y del grupo de control que la información que proporcionan los profesores

Immune-Mediated Skin Reactions to Tumor Necrosis α Inhibitors: A Review of 30 Cases

Tumor necrosis; Inhibitor therapy; Paradoxical reactionNecrosis tumoral; Tratamiento con inhibidores; Reacción paradójicaNecrosi tumoral; Tractament amb inhibidors; Reacció paradoxalBackground: Tumor necrosis factor α (TNF) inhibitors are used to treat different inflammatory diseases. Although these biologics have an adequate safety profile, they have been associated with paradoxical reactions. Material and methods: Retrospective review of patients on TNF inhibitor therapy who developed a paradoxical skin reaction and were seen at the dermatology department of Hospital Universitari Parc Taulí in Sabadell, Spain. Results: We collected data on 30 patients under treatment with a TNF inhibitor who developed an immune-mediated skin reaction in the form of psoriasis (90%), alopecia (6.7%), or neutrophilic dermatitis (3.3%). The most common drugs involved were adalimumab (56.7%) and infliximab (40%). Psoriasiform reactions mostly manifested as generalized plaques (62.9%) or palmoplantar pustulosis (37%). Thirteen patients (43.3%) continued on the same TNF inhibitor and 12 of them (92.3%) achieved partial or complete resolution of lesions. Five patients were switched to a different TNF inhibitor, but none of them achieved complete resolution. Eight patients were switched to a biologic with a different target, and 5 of them (62.5%) achieved partial or complete resolution. Conclusions: Paradoxical reactions during TNF inhibitor therapy do not always require a change of treatment. In our series, the addition of a topical and/or systemic treatment resolved the skin lesions in more than half of the patients, and switching to a drug with a different target was more effective. A change of strategy should be contemplated in more serious cases

Evaluation of Preterm Delivery between 32+0-33+6 Weeks of Gestation

Preterm labor after 34 weeks of gestation has shown no great difference from full-term labor in terms of neonatal morbidity and mortality when proper antepartum management (antibiotics or steroids treatment) is done. However, various studies have discussed different views on the risks and safety of preterm delivery at 32+0-33+6 weeks of gestation. We evaluated the complications of different preterm groups that included the neonates born at 32+0-33+6 weeks of gestation (142), stratified randomly selected neonates born at 34+0-36+6 weeks of gestation (267) and neonates born after 37+0 weeks of gestation (356) at our hospital between December 1999 and April 2006. As a result, it was found that neonates born at 34+0-36+6 weeks of gestation showed no great difference from infants born at full term. However, neonates born at 32+0-33+6 weeks were more likely to be admitted to neonatal intensive care unit or develop neonatal complications significantly than the neonates born at 34+0-36+6 weeks and at full term. Therefore, it is suggested that neonates born at 32+0-33+6 weeks have higher risk of neonatal complications following their preterm labor than those born at later than 34+0 weeks. Thus, it would be difficult to accept the idea that preterm labor at 32+0-33+6 weeks is safe

Trastorno por déficit de atención con hiperactividad: Procesamiento semántico en el Trastorno por déficit de atención con hiperactividad

The aim of this study was to examine the semantic processing oflanguage by means of the event-related potentials in a sample comprising 36 children with Attention deficit hyperactivity disorder (ADHD) and 36 children as control group. In the ADHD the latency of the N400 component was longer and the amplitude smaller than in the control group. The present study suggests that children with ADHD have a dysfunction in semantic processing of language.Se evalúa el procesamiento semántico del lenguaje, mediante el Potencial Evocado Cognitivo N400 en una muestra de 36 niños con Trastorno por déficit de atención con hiperactividad (TDAH) y 36 niños control. Observamos un incremento de la latencia y una disminución de la amplitud del componente N400, en los niños con TDAH respecto a los niños del grupo control. Estos hallazgos ponen de manifiesto la existencia de un déficit en el procesamiento semántico del lenguaje en el Trastorno por déficit de atención con hiperactividad

Trastorno por déficit de atención con hiperactividad: Procesamiento semántico en el Trastorno por déficit de atención con hiperactividad

The aim of this study was to examine the semantic processing oflanguage by means of the event-related potentials in a sample comprising 36 children with Attention deficit hyperactivity disorder (ADHD) and 36 children as control group. In the ADHD the latency of the N400 component was longer and the amplitude smaller than in the control group. The present study suggests that children with ADHD have a dysfunction in semantic processing of language.Se evalúa el procesamiento semántico del lenguaje, mediante el Potencial Evocado Cognitivo N400 en una muestra de 36 niños con Trastorno por déficit de atención con hiperactividad (TDAH) y 36 niños control. Observamos un incremento de la latencia y una disminución de la amplitud del componente N400, en los niños con TDAH respecto a los niños del grupo control. Estos hallazgos ponen de manifiesto la existencia de un déficit en el procesamiento semántico del lenguaje en el Trastorno por déficit de atención con hiperactividad