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Background There are many benefits of nursing professionals being able to consult electronic health records (EHRs) at the point of care. It promotes quality and patient security, communication, continuity of care, and time dedicated to records. Objective The aim of this study was to evaluate whether making EHRs available at the point of care with tablets reduces nurses’ time spent on records compared with the current system. The analysis included sociodemographic and qualitative variables, time spent per patient, and work shift. This time difference can be used for direct patient care. Methods A before-after time motion study was carried out in the internal medicine unit. There was a total of 130 observations of 2 hours to 3 hours in duration of complete patient records that were carried out at the beginning of the nurses' work shifts. We calculated the time dedicated to measuring vital signs, patient evaluation, and EHR recording. The main variable was time spent per patient. Results The average time spent per patient (total time/patients admitted) was lower with the tablet group (mean 4.22, SD 0.14 minutes) than with the control group (mean 4.66, SD 0.12 minutes); there were statistically significant differences (W=3.20, P=.001) and a low effect (d=.44) between groups. The tablet group saved an average of 0.44 (SD 0.13) minutes per patient. Similar results were obtained for the afternoon shift, which saved an average of 0.60 (SD 0.15) minutes per patient (t34=3.82, P=.01) and high effect (d=.77). However, although there was a mean difference of 0.26 (SD 0.22) minutes per patient for the night shift, this was not statistically significant (t29=1.16, P=.25). The “nonparticipating” average age was higher (49.57, SD 2.92 years) compared with the “afternoon shift participants” and “night shift participants” (P=.007). “Nonparticipants” of the night shift had a worse perception of the project. Conclusions This investigation determined that, with EHRs at the point of care, the time spent for registration by the nursing staff decreases, because of reduced movements and avoiding data transcription. It eliminates unnecessary work that does not add value, and therefore, care is improved. So, we think EHRs at the point of care should be the future or natural method for nursing to undertake. However, variables that could have a negative effect include age, night shift, and nurses’ perceptions. Therefore, it is proposed that training in the different work platforms and the participation of nurses are fundamental axes that any institution should consider before their implementation.

<p>Stonewalls4life is an E.U. Life project started in the second half of 2019 involving many subjects, both public bodies and privates, in a multidisciplinary working group. The main objective of the project is to demonstrate how an ancient technology for land use, drystone walling, can be effectively considered to improve the resilience of the territory to climate change by adopting a socially and technically innovative approach.</p><p>The project actions are being performed at Manarola, within the Cinque Terre National Park (eastern Liguria, north-western Italy). The pilot site is a narrow strip of land close to the seaside and characterized by small valleys with steep terraced slopes. This anthropogenic landscape represents a high-value peculiarity attracting more than three million tourists every year.</p><p>Three replication sites were identified in order to demonstrate the transferability and replicability of the project actions: two are located within the Cinque Terre Natural Park territory and one is in the Can Grau area (Garraf Park, Catalunya, Spain).</p><p>The Spanish site is currently under evaluation. An extensive geological, geomorphological, and land-use-land-cover (LULC) analysis is now being carried out in the Can Grau area to define its environmental features, especially concerning geological aspects and land use, and focusing on terraced areas and their state of conservation. This study aims to identify a specific suitable site for the replication of the project actions that will be carried out in Manarola, namely for dry-stone walls recovery, and is based on a multitemporal analysis of aerial images performed in a GIS environment and a wide collection and review of bibliographic data.</p><p>This contribution illustrates the preliminary results of the Can Grau area analysis, focusing in particular on the distribution of terraced areas and the variation of LULC from the 1950s to the present day. From this study emerges a progressive abandonment of terraced areas used for cultivation, although, according to historical sources, this process mostly occurred after the phylloxera appeared in the late 19th century, seriously affecting the most important agricultural activity in the Garraf, namely the viticulture.</p><p>The outcomes from this study will be useful in terms of both Stonewalls4life project implementation and overall land management, particularly aiming to restore a man-made geomorphological heritage and mitigate geo-hydrological risk.</p>

BACKGROUND There are many benefits of nursing professionals being able to consult and record electronic clinical histories [ECH] at the point of care. It promotes quality and patient security, communication, continuity of care and time dedicated to records. OBJECTIVE This project evaluates the impact of having nursing records on electronic tablets at the patient’s bedside in relation to the time dedicated to the records. METHODS A before after single branch trial study was carried out in the internal medicine unit. A total of 130 observations of 2 to 3 hours duration were made. We calculated the time dedicated to measuring key patient signs, patient evaluation and ECH recording. The main variable was time spent per patient. RESULTS The analysis results for the whole sample show significant differences 0.44±0.13 min [w=-3.208, p=0.001] in the time dedicated to each patient. The findings showed a reduction in time spent on records when the tablets were used because transcription, latency time and displacements were no longer necessary. CONCLUSIONS There were different results for the different work shifts. It could have been due to multiple factors that can develop in any care situation in complex organisations like hospitals.

En aquesta recerca quantitativa s’ha estudiat si l’aplicació Google Classroom pot ajudar els alumnes a assolir una millora significativa en el rendiment acadèmic. Hi han participat 44 alumnes de 3r d’ESO de l’Institut Ramon Barbat de Vila-seca, dividits en dos grups. Un grup feia servir aquest recurs, mentre que l’altre actuava com a grup control. Tots dos grups van fer dos exàmens iguals; un abans d’iniciar les sessions didàctiques (pretest) i l’altre un cop finalitzades les sis sessions (posttest). La unitat didàctica aplicada va ser la mateixa per als dos grups, així com la quantitat de sessions. Les activitats foren les mateixes, amb algunes variacions en l’aplicació degut a la naturalesa del recurs en estudi. Per determinar si hi ha diferències significatives en el resultat final (posttest) s’ha utilitzat el test estadístic ANCOVA, emprant el resultat del pretest com a covariable. No s’han detectat diferències significatives entre els dos grups amb relació al posttest, fet que indica que el recurs Google Classroom no ha aportat cap millora significativa en l’aprenentatge. En canvi, sí que s’han vist diferències significatives entre els dos grups amb relació als coneixements previs, després d’analitzar-ho amb un test ANOVA multifactorial. També s’ha observat que tots dos grups han millorat els coneixements significativament després de fer la unitat didàctica. Per comparar les qualificacions del pretest i del posttest en cada grup s’ha fet servir un test t-Student de dades aparellades.