Diseño de prácticas innovadoras para la atención sinérgica de enfermedades crónicas desde el ámbito sanitario y social con el apoyo de nuevas tecnologías de la información y la comunicación: Proyecto ROSETTA

Ponencias de la Segunda Conferencia internacional sobre brecha digital e inclusión social, celebrada del 28 al 30 de octubre de 2009 en la Universidad Carlos III de MadridLa prevalencia de enfermedades crónicas está aumentando y, de la misma forma, el gasto que supone a los sistemas de salud su atención. Las enfermedades crónicas son complejas y heterogéneas y su abordaje y tratamiento requieren un enfoque multidisciplinar y un abordaje psicosocial. Para ayudar a cada enfermo crónico a vivir y convivir con las enfermedades crónicas es fundamental conocer y entender cómo se afrontan, se mejoran o se complican las situaciones que surgen en torno a ellas. En definitiva, es necesario poner a su disposición herramientas o recursos que permitan satisfacer las necesidades de los enfermos crónicos en los entornos socio familiar, laboral y personal. La inclusión de las TIC en la gestión de la patología crónica debe considerarse como una oportunidad de mejora de la gestión de la enfermedad, ofrecen una gran oportunidad de comunicación entre los diferentes agentes que permitan desarrollar una sanidad mas humanizada, con sistemas generales de provisión de servicios competitivos y capaces de ajustarse en función de las realidades de cada caso. Los objetivos son diseñar y desarrollar una herramienta capaz de informar a pacientes y familiares, a profesionales de la salud y a gestores/estrategas sobre las posibilidades que puede ofrecer la tecnología de la comunicación. Potenciar estructuras de cooperación en el intercambio de conocimiento entre el sector tecnológico y los usuarios de las TIC’s. Metodología: Distribuida en diferentes fases: 1. Revisión bibliográfica de posicionamiento de tema de estudio; 2. Diseño del sistema de información/herramienta de identificación de TIC´s por necesidades de los usuarios; 3. Diseño de un modelo de identificación de la tecnología implicada a nivel de enfermedad; 4. Propuesta de Demostration Projects; 5. Desarrollo de grupos de trabajos sectoriales; 6. Elaboración de entregable y presentación. Resultados: Se han detectado variables que determinan la aplicación de las TIC´s en el ámbito socio sanitario: TIC´s aplicadas a la salud, usuarios de las TIC´s, entornos de aplicación, necesidades a las que dan respuesta las TIC´s (pacientes, profesionales, organización), procesos asistenciales. Se ha creado un modelo de relación entre las variables implicadas y un modelo de aplicación por enfermedad (EPOC, ACV, DIABETES)

The R-38 Catastrophe and the Mechanics of Rigid Airship Construction

An airship frame may be regarded as a rigid girder subjected to a number of forces which, according to their nature, may be classified as follows: weight or loads (force of gravity); lifting forces (aero-static); accelerations (dynamic). These forces must be in equilibrium in the three most important cases during flight: 1) when the airship is floating (aerostatic problem); 2) when flying without acceleration (aerodynamic problem). 3) When under the influence of any accelerating force (dynamic problem). This report will briefly discuss each of these cases in regard to the R-38 airship accident

Balloon flight and atmospheric electricity

The air is known to be charged with electricity (chiefly positive) with reference to the earth, so that its potential increases with the altitude and the difference in potential between two points in the same vertical line, divided by the distance between them, gives a value called the "potential gradient," which may vary greatly with the altitude, the nature of the ground and the atmospheric conditions

Different Diabetogenic Response to Moderate Doses of Streptozotocin in Pregnant Rats, and Its Long-Term Consequences in the Offspring

Diabetes during pregnancy results in congenital malformations and long-term postnatal diseases. Experimental models are still needed to investigate the mechanism responsible for these alterations. Thus, by the administration of different doses of streptozotocin (STZ) (0, 25, 30, or 35 mg/kg body weight, intravenous) at the onset of pregnancy in rats, the present study sought an appropriate animal model for this pathology. At day 6 of pregnancy, plasma glucose was progressively higher with an increasing STZ dose, and in rats receiving the 35-mg dose, 2 subgroups were detected: some animals had plasma glucose levels above controls but below 200 mg/dL (mildly diabetic, MD), whereas others had levels above 400 mg/dL (severely diabetic, SD). At day 20 of pregnancy, the MD rats had normal glycemia, but after an oral glucose load (2 g/kg body weight), plasma glucose increased more and insulin increased less than in controls. The SD rats maintained their hyperglycemia and had a greatly impaired oral glucose tolerance. At day 20, fetuses of SD dams were fewer, weighed less, and had enhanced plasma glucose and triglycerides and decreased insulin, whereas those from MD dams did not differ from controls. At birth, newborns from MD dams had higher body weight, plasma insulin, and liver triglycerides as well as total body lipid concentrations than controls, and on day 21, remained macrosomic and showed higher plasma glucose and liver triglyceride concentrations. At 70 days of age, offspring of MD dams had impaired oral glucose tolerance but normal plasma insulin change in the case of females, whereas plasma insulin increased less in males. These alterations were manifest more in those offspring from dams that had > 50% macrosomic newborns than in those from dams that had < 50% macrosomic newborns. In conclusion, whereas our MD rats mimic the changes taking place in gestational diabetic women and show the long-term risk of macrosomia, the SD rats are more similar to uncontrolled diabetics. Thus these two rat models, obtained with moderate amounts of STZ, could be used to study the pathophysiological consequences of these different diabetic conditions

SFDL: MVC Applied to Workflow Design

Process management based on workflow systems is a growing trend in collaborative environments. One of the most notorious areas of improvement is that of user interfaces, especially since business process definition languages do not address efficiently the point of contact between workflow engines and human interactions. With that in focus, we propose the MVC pattern design to workflow systems. To accomplish this, we have designed a new dynamic view definition language called SFDL, oriented towards the easy interoperability with the different workflow definition languages, while maintaining enough flexibility to be represented in different formats and being adaptable to several environments. To validate our approach, we have carried out an implementation in a real banking scenario, which has provided continuous feedback and enabled us to refine the proposal. The work is fully based on widely accepted and used web standards (XML, YAML, JSON, Atom and REST). Some guidelines are given to facilitate the adoption of our solution

Proyecto de cambio de uso de fábrica de anís del mono a dependencias municipales

This Final Project consists of a change of use of a listed building by the Badalona’s Administration. The building chosen is the Anis del Mono Factory located at Eduard Maristany Street number 115, 08912 district of the city of Badalona. Our proposal is based on changing the use of manufacturing, processing, storage and distribution of a product, for the use as a municipal headquarters (City Hall). Previously there has been a historical study which reflects the major political events, social and economic events in Badalona last century. Also have explained the principles and major characteristics of modernism and Novecentismo, styles coexisting in several buildings that make up the architectural complex of Anis del Mono Factory. Once framed our project in history, goes on to describe each of the buildings, which explains the past use, present use and the proposed use. There are 5 main buildings that make up the complex: BUILDING A: Building modernist, year of construction 1870 BUILDING B: Building novecentista, year of construction 1916 BUILDING C: Building novecentista, year of construction 1916 BUILDING D: Building novecentista, construction year 1922 BUILDING E: Industrial buildings, construction early 60s The "A" building has cast a function room and a bar. This building is connected to the ground floor of building B which are located the offices of mayor and sub-mayor. General registration areas, Social Services, Citizen, and Road Opening Licences are reflected in building C. At the building D of similar construction characteristics as the building C, has been projected a small local police station. Finally at Building E sections are located Planning, Municipal Finance, Culture and Activity License

Epigenetic Programming of Cardiovascular Disease by Perinatal Hypoxia and Fetal Growth Restriction

Most of the worldwide deaths in patients with non-communicable diseases are due to cardiovascular and metabolic diseases, which are determined by a mix of environmental, genetic and epigenetic factors, and by their interactions. The aetiology of most cardiovascular diseases has been partially linked with in utero adverse conditions that may increase the risk of developing diseases later in life, known as Developmental Origins of Health and Disease (DOHaD). Perinatal hypoxia can program the fetal and postnatal developmental patterns, resulting in permanent modifications of cells, organs and systems function. In spite of the vast evidence obtained from human and animal studies linking development under adverse intrauterine conditions with increased cardiovascular risk, still few is known about the specific effects of intrauterine oxygen deficiency and the related pathogenic mechanisms. Currently, the most accepted processes that program cellular function are epigenetic mechanisms which determine gene expression in a cell-specific fashion. In this chapter we will review the current literature regarding the perinatal exposure to chronic hypoxia and Fetal Growth Restriction (FGR) in humans and animals and how this impinges the cardiovascular physiology through epigenetic, biochemical, morphologic and pathophysiologic modifications that translate into diseases blasting at postnatal life

Effect of irrigation system type on profitability of Eucalyptus (Eucalyptus globulus) plantations

El riego es utilizado con mayor frecuencia para establecer plantaciones, con el fin de aumentar el crecimiento y la productividad por superficie. Se estudió el efecto de tres sistemas de riego: microaspersión (T1), goteo (T2) y surco (T3), en la rentabilidad de una plantación de eucalipto (Eucalyptus globulus), en el Valle Central de la Región del Bío Bío, Chile. La variable proyectada a la edad de cosecha fue el incremento volumétrico de los árboles. Para calcular costos de T1 y T2 se usó una base de datos de 200 predios agrícolas de diferentes superficies con instalación e implementación de estos sistemas. Para T3 se aplicaron costos actualizados de construcción y mantención de las estructuras requeridas para la evaluación financiera. La rentabilidad se determinó mediante el valor actual neto (VAN), valor económico del suelo (VES), y tasa interna de retorno modificada (TIRm). La rentabilidad para T1 y T2 tuvo valores negativos, es decir, estas técnicas de riego no generaron beneficios económicos. El riego por surco (T3) fue rentable para el volumen proyectado a los ocho y diez años de edad de cosecha, obteniéndose con los tres indicadores los mayores retornos al usar una tasa de descuento de 8 % y a un precio de la madera pulpable de 32 US$m3 ssc. El VAN fue 989 US$ ha1 y 1106 US$ha1, el VES fue 2152 y 2406US$ ha1, y la TIRm 10.4 % y 10.1 %. Estos resultados justifican la utilización del riego por surco (T3) como una técnica eficiente del manejo integrado para una plantación de eucalipto de alta productividad