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Perez K.,Agencia de Salut Publica de Barcelona | Perez K.,CIBER ISCIII | Perez K.,Biomedical Research Institute Sant Pau | Novoa A.M.,Agencia de Salut Publica de Barcelona | And 19 more authors.
Accident Analysis and Prevention | Year: 2012

Aims: The aim of the present study was to estimate the incidence of hospital discharges for traumatic spinal cord injury (TSCI) and traumatic brain injury (TBI) in Spain by injury circumstances (traffic crashes and others), injury severity, gender and age group and to describe its trends over the period 2000-2009. Methods: It is a study of trends that includes hospital discharges with a primary diagnosis of TSCI or TBI. Crude and age-standardised rates were calculated per million inhabitants. Changes in rates between 2000 and 2009 were assessed through calculation of the relative risk adjusted for age, using Poisson regression. Results: Between 2000 and 2009 in Spain, 10,274 patients were admitted for traumatic TSCI, and 206,503 for TBI. The annual incidence rate for TSCI was 23.5 per million, that for TBI was 472.6 per million. The overall incidence rate for TSCI fell significantly between 2000 and 2009 by 24.2% (traffic-related 40.9%, other 12.9%), as did that for TBI (23.8% overall, 60.2% traffic-related, with no change for other circumstances). Among people aged 65 years and over, no change was observed for TSCI, incidence of TBI fell significantly when due to traffic crashes, but there was a dramatic increase of 87% in men and 89.3% in women when due to other circumstances. Conclusions: Over the last decade the incidence of these types of injury has fallen significantly when the injury resulted from traffic crashes, and to a lesser extent when from other circumstances. However TBI incidence among people aged 65 and over injured in non-traffic-related circumstances has risen dramatically. © 2011 Elsevier Ltd. All rights reserved.


Hernandez-Leo D.,University Pompeu Fabra | Moreno P.,University Pompeu Fabra | Chacon J.,Roc Boronat | Blat J.,Roc Boronat
Computers in Human Behavior | Year: 2014

Some educational innovation initiatives require practitioners to team up on the design of new learning activities. However, existing learning design tooling does not integrally support their tasks. Some tools enable authoring of designs, while other tools support sharing and commenting of learning design ideas, but none of them offers an integrated provision of technological features to support the work of design teams specifically. The requirements include team formation, the storage and retrieval of designs, and the promotion of interaction in the co-creation of designs. The LdShake platform has been conceived to enable sharing and co-editing of learning designs. This paper introduces LdShake's technological features and evaluates to what extent they support the aforementioned requirements. A first evaluation context is focused on learning design, while a second one is devoted to devising research ideas. The results obtained in the two contexts are complementary, pointing out distinct affordances and user behaviors (e.g., on browsing designs) that depend on the characteristics of each context, while also bringing to light the relevance of LdShake's social network related features. Overall, the design considerations proposed and the evaluation results obtained contribute toward an improved understanding of how to support networked teams. © 2014 Elsevier Ltd. All rights reserved.


There is controversy on the immunization strategy that should be adopted to prevent pertussis in pregnant women and neonates. This is, due to the fact that pertussis is an endemic disease in developed countries and is transmitted by young people and adults infected by Bordetella pertussis to pregnant women and neonates, in whom it may be a severe illness. Four vaccination strategies using acellular pertussis vaccines can be developed to prevent pertussis in neonates: a) immunization of all teenagers and adults, b) immunization of all contacts of neonates, c) immunization of women of childbearing age and pregnant women and d) immunization of neonates. The strategy of immunizing women of childbearing age and pregnant women has been suggested to increase protection against pertussis during pregnancy and in neonates, since antibodies are transmitted to the fetus and does not interfere with DTPa vaccination of neonates.

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