92 research outputs found

    Réplica

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    Aprovada pel Plenari del Consell Municipal de 17-09-1993Digitalitzat pel SEDA

    Big Eight +12. : Test de competències d'empleabilitat

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    Test Situacional de Competències d'Empleabilitat per a joves de 12 a 18 anysEls resultats que s'obtenen en aquest test serveixen per reflexionar sobre el desenvolupament de les competències d'empleabilitat. Aquestes competències no són un tret de la personalitat, sinó que són resultat de l'aprenentatge i les experiències vitals i, per tant, subjectes de desenvolupament i de millora

    Security and privacy in a DACS

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    The management of electronic health records (EHR), in general, and clinical documents, in particular, is becoming a key issue in the daily work of Healthcare Organizations (HO). The need for providing secure and private access to, and storage for, clinical documents together with the need for HO to interoperate, raises a number of issues difficult to solve. Many systems are in place to manage EHR and documents. Some of these Healthcare Information Systems (HIS) follow standards in their document structure and communications protocols, but many do not. In fact, they are mostly proprietary and do not interoperate. Our proposal to solve the current situation is the use of a DACS (Document Archiving and Communication System) for providing security, privacy and standardized access to clinical documents.Peer ReviewedPostprint (published version

    Mejora de la interoperabilidad con un DACS: el caso salud de la mujer DEXEUS

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    Salud de la Mujer Dexeus está mejorando la interoperabilidad entre todos sus sistemas de información añadiendo una solución VNA (Vendor Neutral Archive). Con ello obtiene además nuevas funcionalidades, como un visor único de documentos y un acceso seguro y estructurado a su información desde diversos lugares y dispositivos. La solución se basa en el uso de un DACS (Document Archiving and Communication System), que almacena documentos clínicos estructurados con HL7 CDA.Peer ReviewedPreprin

    Prehospital care for ovarian cancer in Catalonia: could we do better in primary care? Retrospective cohort study

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    Objective To assess the impact of prehospital factors (diagnostic pathways, first presentation to healthcare services, intervals, participation in primary care) on 1-year and 5-year survival in people with epithelial ovarian cancer (EOC). Design Retrospective quasi-population-based cohort study. Setting Catalan Integrated Public Healthcare System. Participants People with EOC who underwent surgery with a curative intent in public Catalan hospitals between 1 January 2013 and 31 December 2014. Outcome measures Data from primary and secondary care clinical histories and care processes in the 18 months leading up to confirmation (signs and symptoms at presentation, diagnosis pathways, referrals, diagnosis interval) of the EOC diagnosis (stage, histology type, treatment). Diagnostic process intervals were based on the Aarhus statement. 1-year and 5-year survival analysis was undertaken. Results Of the 513 patients included in the cohort, 67.2% initially consulted their family physician, while 36.4% were diagnosed through emergency services. In the Cox models, survival was influenced by advanced stage at 1 year (HR 3.84, 95% CI 1.23 to 12.02) and 5 years (HR 5.36, 95% CI 3.07 to 9.36), as was the type of treatment received, although this association was attenuated over follow-up. Age became significant at 5 years of follow-up. After adjusting for age, adjusted morbidity groups, stage at diagnosis and treatment, 5-year survival was better in patients presenting with gynaecological bleeding (HR 0.35, 95% CI 0.16 to 0.79). Survival was not associated with a starting point involving primary care (HR 1.39, 95% CI 0.93 to 2.09), diagnostic pathways involving referral to elective gynaecological care from non-general practitioners (HR 0.80, 95% CI 0.51 to 1.26), or self-presentation to emergency services (HR 0.82, 95% CI 0.52 to 1.31). Conclusions Survival in EOC is not associated with diagnostic pathways or prehospital healthcare, but it is influenced by stage at diagnosis, administration of primary cytoreduction plus chemotherapy and patient age

    ¿Estamos convencidos de nuestro papel en la prevención y detección precoz del cáncer colorrectal?

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    El cáncer colorrectal (CCR) es una enfermedad de gran magnitud1. Las tasas de incidencia se han incrementado de forma significativa en la última década, de tal manera que representa la segunda causa de incidencia y mortalidad por cáncer, tanto en hombres como en mujeres en la mayoría de los países desarrollados, y el primer lugar si consideramos conjuntamente ambos sexos. La etiología del CCR es heterogénea y se han descrito factores ambientales y genéticos relacionados con su aparición. La mayoría de los tumores son esporádicos, originados a partir de un pólipo adenomatoso, y en su génesis predominan los factores ambientales (hábitos dietéticos y estilos de vida). Una pequeña proporción corresponde a formas hereditarias en las que predominan los factores genéticos (poliposis adenomatosa familiar, cáncer colorrectal no polipósico)

    Guia per al desenvolupament de competències d'empleabilitat per a joves : estratègies d'intervenció per a les famílies

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    Les competències tècniques són molt importants per inserir-se en l'actual mercat laboral. No obstant això, hi ha unes competències personals bàsiques, que anomenem 'competències d'empleabilitat', que són tant o més importants per aconseguir una feina, mantenir-la i promocionar-se, independentment del sector professional. Aquestes competències s'adquireixen en edats prelaborals en el marc familiar i en altres contextos com l'escola i el grup d'iguals, i no només són necessàries per a l'àmbit laboral, sinó també per al personal i l'acadèmic. Aquesta guia pretén ser una ajuda per als pares i mares de joves d'entre 12 i 18 anys per reforçar el desenvolupament d'aquestes competèncie

    Guia per al desenvolupament de competències d'empleabilitat per a joves : estratègies d'intervenció per a professionals

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    Les competències tècniques i personals són imprescindibles en l'actual mercat laboral. Aquesta guia pretén ser una ajuda per a aquells professionals que poden guiar els joves d'entre 12 i 18 anys en el desenvolupament de les competències bàsiques necessàries per aconseguir una feina, mantenir-la i promocionar-s'hi, independentment del sector professiona

    Learning basic employability competence : a challenge for the active labour insertion of adolescents in residential care in their transition to adulthood

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    The teaching of basic employability competence from a very early age is of preventive value in the transition of young people in residential care to adulthood. The present research relates employability competence (finding and holding down a job and gaining promotion in the labour market) with positive career outcomes and employment opportunities. In this study, conceptual methods for understanding employability are analysed and some existing international studies of employability skills are reviewed, although all of these are deemed partial approaches to the needs of children and young people in residential care. Our proposal, the IARS (Infancia y Adolescencia en Riesgo Social [Children and Young People at Social Risk]) Employability Competence Framework, developed by means of a collaborative and integrated approach with experts, provides a complete picture of how employability competences are important for preparing young people in residential care not only for active labour insertion but also in terms of their comprehensive development. A selection of a cluster of eight employability competences (self-organisation, decision-making and problem-solving, teamwork, communication, perseverance, professional project development, flexibility and responsibility) and their components are presented, as well as its educational implications within children's homesEl aprendizaje de las competencias básicas de empleabilidad en los primeros años de vida de los jóvenes tutelados adquiere un valour preventivo clave para afrontar su proceso de transición hacia la vida adulta. Las investigaciones relacionan las competencias de empleabilidad (entendida ésta como la capacidad para encontrar y mantener un trabajo y promocionarse en el mercado laboral) con un mayor aprovechamiento de las oportunidades laborales y resultados de carrera positivos. En este estudio se enfatizan diferentes definiciones y enfoques teóricos sobre las competencias de empleabilidad, si bien se consideran aproximaciones parciales de acuerdo con las necesidades de los jóvenes tutelados. La propuesta del grupo IARS (Infancia y Adolescencia en Riesgo Social), desarrollada a partir de una perspectiva integradora y con la colaboración de expertos en la temática, pretende ofrecer una visión ecológica de las competencias de empleabilidad necesarias no sólo para una inserción laboral activa sino para favorecer el proceso de desarrollo global de los jóvenes tutelados. En el modelo propuesto se detallan ocho competencias de empleabilidad (autoorganización, toma de decisiones y resolución de problemas, trabajo en equipo, comunicación, perseverancia, la construcción del proyecto profesional, flexibilidad y responsabilidad) con los respectivos elementos de competencia, así como las implicaciones educativas en los contextos de atención residencia
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