Search results for "PAI"
showing 10 items of 10553 documents
Automatic Profiling of Open-Ended Survey Data on Medical Workplace Teaching
2019
On-the-job medical training is known to be challenging due to the fast-paced environment and strong vocational profile. It relies on on-site supervisors, mainly doctors and nurses with long practical experience, who coach and teach their less experienced colleagues, such as residents and healthcare students. These supervisors receive pedagogical training to ensure that their guidance and teaching skills are constantly improved. The aim of such training is to develop participants’ patient, collegiate and student guidance skills in a multiprofessional environment, and to expand their understanding of guidance as part of their work as supervisors of healthcare professionals. In this paper, we …
Spanish population trends in Internet searches for information on different diets
2019
Abstract Objective To use Google Trends to explore the trends of interest of the Spanish population regarding information related to different types of diets, focused on those that are popular and with evidence-based studies, over the last 10 years. Material and methods The search trends referred to the terms “Mediterranean diet”, “ketogenic diet”, “low fat diet”, “intermittent fasting” and “vegan diet” were analyzed. The relative search volumes (RSV) of the terms were compared. The direction of the trend was studied using the Spearman's correlation coefficient (SC). Results “Mediterranean diet” was the most widely searched term, with a median RSV of 16 (interquartile range [IQR] 6; range 8…
Analysis of uncontrolled phosphorus precipitation in anaerobic digesters under thermophilic and mesophilic conditions.
2019
This study compares the operation of mesophilic and thermophilic anaerobic digestion of sewage sludge and their effects in uncontrolled phosphorus precipitation. The research has been carried out using a pilot plant consisting of two digesters of 1.6 m3 working volume, treating the mixed sludge of Alzira WWTP (Valencia, Spain). The digesters were operated in parallel, at different conditions: mesophilic (38 ± 2.0°C) and thermophilic (55 ± 2.5°C) temperatures and organic loading rates (OLR) ranging from 1.1 to 1.7 kg volatile solids (VS) m−3 d−1 and different hydraulic retention times (HRT) 20, 15 and 12 days. Uncontrolled precipitation was evaluated through P, Mg and Ca mass balances in bot…
Consistent Clustering of Elements in Large Pairwise Comparison Matrices
2018
[EN] In multi-attribute decision making the number of decision elements under consideration may be huge, especially for complex, real-world problems. Typically these elements are clustered and then the clusters organized hierarchically to reduce the number of elements to be simultaneously handled. These decomposition methodologies are intended to bring the problem within the cognitive ability of decision makers. However, such methodologies have disadvantages, and it may happen that such a priori clustering is not clear, and/or the problem has previously been addressed without any grouping action. This is the situation for the case study we address, in which a panel of experts gives opinions…
Decorous combinatorial lower bounds for row layout problems
2020
Abstract In this paper we consider the Double-Row Facility Layout Problem (DRFLP). Given a set of departments and pairwise transport weights between them the DRFLP asks for a non-overlapping arrangement of the departments along both sides of a common path such that the weighted sum of the center-to-center distances between the departments is minimized. Despite its broad applicability in factory planning, only small instances can be solved to optimality in reasonable time. Apart from this even deriving good lower bounds using existing integer programming formulations and branch-and-cut methods is a challenging problem. We focus here on deriving combinatorial lower bounds which can be compute…
Professional stakeholders' views of the use of digital technologies in Spanish long-term care
2018
Demographic change in Europe has resulted in an aging population, which presents new challenges for implementing and managing long-term care (LTC) systems. One solution aims to increase the efficiency of LTC by using digital technologies. This article focuses on professionals’ opinions of the use of digital technologies in the administration of Spain’s long-term care law (Law 39/2006, December 14, LAPAD). This qualitative research is part of SoCaTel, an H2020 project on the co-creation of LTC services in Europe. Ten focus groups were held with health professionals, care-taking relatives, and care workers, and six semistructured in-depth interviews were conducted with care recipients in Cata…
Contrôle périopératoire de la pression artérielle
2019
Resume L’hypotension arterielle perioperatoire est frequente. Elle est associee a la survenue de deces, de lesions renales, myocardiques et cerebralesBien qu'il n’existe pas de definition consensuellel’effet de l’hypotension arterielle est connu comme etant la resultante d’un effet seuil et temps (plus de 10 min en dessous de 80 mmHg de pression arterielle moyenne (PAM)). Il convient d’individualiser les objectifs en fonction du terrain du patient et du risque operatoire. Chez le sujet sain, une PAM de 60–65 mmHg semblerait suffisante, alors que chez le sujet avec un risque operatoire plus eleve, une PAM superieure a 75–80 mmHg et/ou des variations inferieures a 10–20 % de la valeur de base…
La kinésiophobie et le modèle d’évitement de la peur de la douleur dans l’évaluation psychologique
2019
Resume La kinesiophobie a ete identifiee dans des pathologies douloureuses telles que les lombalgies chroniques. Le modele d’evitement de la peur de la douleur (ELP) a apporte une meilleure comprehension des facteurs de chronicisation de la douleur tels que les comportements d’evitement et de catastrophisme. Les techniques d’exposition graduee issue des therapies comportementale et cognitive (TCC) offrent des outils pertinents pour reduire la kinesiophobie. La litterature actuelle apporte de nouvelles donnees qui etayent les processus de chronicisation par peur de la douleur. Cet article propose de faire un etat des lieux des connaissances actuelles sur la kinesiophobie des outils psychomet…
Continuité et perturbation des liens d’attachement dans les familles en situation de handicap chez l’enfant
2012
International audience
Analgesia regional en el paciente crítico posquirúrgico
2017
Resumen La analgesia regional, intrinsecamente y en base a sus efectos fisiologicos, es de uso habitual para el tratamiento perioperatorio del dolor relacionado con procedimientos quirurgicos. Sin embargo, en otros ambitos no quirurgicos, como es el tratamiento del dolor agudo del paciente en situacion critica, no ha sido objeto de estudios prospectivos especificos. Si nos atenemos a los efectos fisiologicos que el bloqueo nervioso tiene en una situacion de estres, las indicaciones de la anestesia regional en este grupo de pacientes se extienden al manejo de una gran variedad de situaciones tanto medicas como posquirurgicas, al paciente politraumatizado o a otros procedimientos dolorosos re…