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Echavarren A.U.,Francisco de Vitoria University
International Journal of Human Capital and Information Technology Professionals | Year: 2011

Although a wide consensus exists about potential business benefits derived from Competency based HR management practices, reality shows that in practice, Competency Management deployment cases are scarce and difficult to implement. This HR business related problem directly affects IT Software industries, both in HRMS applications development and consultancy related services. Market indicators reflect 'unbalance' between potential organizational benefits and actual applications deployment. In this context, defining useful, business-oriented Competency Frameworks has become an important challenge for many organizations willing to progress along through continuous HRMimprovement processes. This paper addresses the major issues underlying this Competency Management unbalance. A new business-oriented approach proposing an alternative, scope extended methodology is outlined in this publication, after field validation and wide acceptance from experts in functional HR management and IT Systems professionals from various large size organizations. Therefore, the findings resulting from this research work have both theoretical and practical implications in helping IT management in defining efficient HRMS Competency based applications and deployment strategies. Copyright © 2011, IGI Global.


Clinical communication is nowadays one of the core competencies of a clinician and so is being introduced into medical educational programs. Both, the strategy for introducing Communication Skills in health sciences curricula as how to teach and evaluate them is at present a topic for debate. In this process, an important drawback is lack of clarity about the theoretical constructs underlying the patient-centered communication model, as well as the still limited and sometimes contradictory scientific evidence about its relationship with relevant health outcomes. This article highlights two key dimensions of clinical communication: its own communicative nature and the person-centered orientation. In this paper some general principles and theories of human communication and a pragmatic approach to biopsychosocial model are used for presenting graphically a rational framework proposal that highlights the most relevant communicational components of clinical care. These components can be considered as an open and revisable framework to guide educators and clinicians in the selection, organization and structuring the specific competencies and communication skills to be taught in undergraduate and postgraduate medical education. © 2015.


Vazquez C.,Hospital Universitario Fundacion Alcorcon | Tolon R.M.,Hospital Universitario Fundacion Alcorcon | Pazos M.R.,Hospital Universitario Fundacion Alcorcon | Pazos M.R.,CIBER ISCIII | And 6 more authors.
Neurobiology of Disease | Year: 2015

Anandamide (AEA) is an endocannabinoid (EC) that modulates multiple functions in the CNS and that is released in areas of injury, exerting putative neuroprotective actions. In the present study, we have used intravital microscopy to analyze the role of the EC system in the glial response against an acute insult. Our data show that AEA modulates astroglial function in vivo by increasing connexin-43 hemichannel (HC) activity. Furthermore, the genetic inactivation of the AEA-degrading enzyme, fatty acid amide hydrolase (FAAH), also increased HC activity and enhanced the microglial response against an acute injury to the brain parenchyma, effects that were mediated by cannabinoid CB1 receptors. The contribution of ATP released through an astrocytic HC was critical for the microglial response, as this was prevented by the use of the HC blocker flufenamic acid and by apyrase. As could be expected, brain concentrations of AEA, palmitoylethanolamide (PEA) and oleoylethanolamide (OEA) were elevated in FAAH-null mice, while 2-arachidonoylglycerol (2-AG) concentrations remained unaltered. In summary, these findings demonstrate that AEA modifies glial functions by promoting an enhanced pro-inflammatory glial response in the brain. © 2015 Elsevier Inc.


Gordo F.,Hospital Universitario del Henares | Gordo F.,Francisco de Vitoria University | Abella A.,Hospital Universitario del Henares
Medicina Intensiva | Year: 2014

The term "ICU without walls" refers to innovative management in Intensive Care, based on two key elements: (1) collaboration of all medical and nursing staff involved in patient care during hospitalization and (2) technological support for severity early detection protocols by identifying patients at risk of deterioration throughout the hospital, based on the assessment of vital signs and/or laboratory test values, with the clear aim of improving critical patient safety in the hospitalization process.At present, it can be affirmed that there is important work to be done in the detection of severity and early intervention in patients at risk of organ dysfunction. Such work must be adapted to the circumstances of each center and should include training in the detection of severity, multidisciplinary work in the complete patient clinical process, and the use of technological systems allowing intervention on the basis of monitored laboratory and physiological parameters, with effective and efficient use of the information generated. Not only must information be generated, but also efficient management of such information must also be achieved.It is necessary to improve our activity through innovation in management procedures that facilitate the work of the intensivist, in collaboration with other specialists, throughout the hospital environment. Innovation is furthermore required in the efficient management of the information generated in hospitals, through intelligent and directed usage of the new available technology. © 2014 Elsevier España, S.L.U. and SEMICYUC.


Herruzo R.,Autonomous University of Madrid | Vizcaino M.J.,Autonomous University of Madrid | Herruzo I.,Francisco de Vitoria University
Journal of Hospital Infection | Year: 2014

Microbial contamination of hospital surfaces may be a source of infection for hospitalized patients. We evaluated the efficacy of Glosair™ 400 against two American Type Culture Collection strains and 18 clinical isolates, placed on glass germ-carriers. Carriers were left to air-dry for 60min and then exposed to a cycle before detection of any surviving micro-organisms. Antibiotic-susceptible Gram-negative bacilli were less susceptible (although not significantly) to this technique than resistant Gram-negative bacilli or Gram-positive cocci and yeasts (3, 3.4 and 4.6 log10 reduction, respectively). In conclusion, in areas that had not been cleaned, aerosolized hydrogen peroxide obtained >3 log10 mean destruction of patients' micro-organisms. © 2014 The Healthcare Infection Society.

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