Is Energy Expenditure or Physical Activity Considered When Energy Intake Is Measured? A Scoping Review 1975-2015

Support from the Spanish Nutrition Society (SEN) is highly acknowledged.The following are available online at https://www.mdpi.com/article/10 .3390/nu13093262/s1, Excel data review results.The health-transitions humans have delivered during the 20th Century associated with the nutrition is that from undernutrition to obesity, which perseveres in the current years of the 21st Century. Energy intake (EI) is a contributing factor and therefore a fascination in nutritional sciences. However, energy expenditure (EE) has not been usually considered as a conjoint factor. Thus, this study aimed to review if studies on adults consider data on dietary intake, specifically EI, and included data on EE and physical activity (PA). A search of MEDLINE from 1975 to December 2015 was managed. Our scoping review consisted of keywords related to EI, dietary allowances, and nutritional requirements. From 2229 acknowledged articles, 698 articles were finally taken fulfilling inclusion and quality criteria. A total of 2,081,824 adults (53.7% females) were involved, and most studies had been conducted in EEUU (241), Canada (42), Australia (30), Japan (32), and Brazil (14). In Europe, apart from UK (64), the Netherlands (31) and France (26) led the classification, followed by Sweden (18), Denmark (17), and France (26). Mediterranean countries are represented with 27 studies. A total of 76.4% did not include EE and 93.1% did not include PA. Only 23.6% of the studies contained both EI and EE. A large methodological diversity was perceived, with more than 14 different methods regarding EI, and more than 10 for EE. PA was only analyzed in scarce articles, and scarcely considered for interpretation of data and conclusions. Moreover, PA was often measured by subjective questionnaires. Dietary surveys show a large diversity regarding methodology, which makes comparability of studies difficult. EE and PA are missing in around 80% of studies or are not included in the interpretation of results. Conclusions regarding EI or diet adequacy in adults should not be taken without analyzing EE and PA.Spanish Nutrition Society (SEN

Impact of COVID-19 infection on the outcome of patients with ischemic stroke

BACKGROUND AND PURPOSE: We evaluated whether stroke severity, functional outcome, and mortality are different in patients with ischemic stroke with or without coronavirus disease 2019 (COVID-19) infection. METHODS: A prospective, observational, multicentre cohort study in Catalonia, Spain. Recruitment was consecutive from mid-March to mid-May 2020. Patients had an acute ischemic stroke within 48 hours and a previous modified Rankin Scale (mRS) score of 0 to 3. We collected demographic data, vascular risk factors, prior mRS score, National Institutes of Health Stroke Scale score, rate of reperfusion therapies, logistics, and metrics. Primary end point was functional outcome at 3 months. Favourable outcome was defined depending on the previous mRS score. Secondary outcome was mortality at 3 months. We performed mRS shift and multivariable analyses. RESULTS: We evaluated 701 patients (mean age 72.3±13.3 years, 60.5% men) and 91 (13%) had COVID-19 infection. Median baseline National Institutes of Health Stroke Scale score was higher in patients with COVID-19 compared with patients without COVID-19 (8 [3–18] versus 6 [2–14], P=0.049). Proportion of patients with a favourable functional outcome was 33.7% in the COVID-19 and 47% in the non-COVID-19 group. However, after a multivariable logistic regression analysis, COVID-19 infection did not increase the probability of unfavourable functional outcome. Mortality rate was 39.3% among patients with COVID-19 and 16.1% in the non-COVID-19 group. In the multivariable logistic regression analysis, COVID-19 infection was a risk factor for mortality (hazard ratio, 3.14 [95% CI, 2.10–4.71]; P<0.001). CONCLUSIONS: Patients with ischemic stroke and COVID-19 infection have more severe strokes and a higher mortality than patients with stroke without COVID-19 infection. However, functional outcome is comparable in both groups

Bottlenecks in the Acute Stroke Care System during the COVID-19 Pandemic in Catalonia

Introduction: The COVID-19 pandemic resulted in significant healthcare reorganizations, potentially striking standard medical care. We investigated the impact of the COVID-19 pandemic on acute stroke care quality and clinical outcomes to detect healthcare system's bottlenecks from a territorial point of view. Methods: Crossed-data analysis between a prospective nation-based mandatory registry of acute stroke, Emergency Medical System (EMS) records, and daily incidence of COVID-19 in Catalonia (Spain). We included all stroke code activations during the pandemic (March 15-May 2, 2020) and an immediate prepandemic period (January 26-March 14, 2020). Primary outcomes were stroke code activations and reperfusion therapies in both periods. Secondary outcomes included clinical characteristics, workflow metrics, differences across types of stroke centers, correlation analysis between weekly EMS alerts, COVID-19 cases, and workflow metrics, and impact on mortality and clinical outcome at 90 days. Results: Stroke code activations decreased by 22% and reperfusion therapies dropped by 29% during the pandemic period, with no differences in age, stroke severity, or large vessel occlusion. Calls to EMS were handled 42 min later, and time from onset to hospital arrival increased by 53 min, with significant correlations between weekly COVID-19 cases and more EMS calls (rho = 0.81), less stroke code activations (rho = -0.37), and longer prehospital delays (rho = 0.25). Telestroke centers were afflicted with higher reductions in stroke code activations, reperfusion treatments, referrals to endovascular centers, and increased delays to thrombolytics. The independent odds of death increased (OR 1.6 [1.05-2.4], p 0.03) and good functional outcome decreased (mRS ≤2 at 90 days: OR 0.6 [0.4-0.9], p 0.015) during the pandemic period. Conclusion: During the COVID-19 pandemic, Catalonia's stroke system's weakest points were the delay to EMS alert and a decline of stroke code activations, reperfusion treatments, and interhospital transfers, mostly at local centers. Patients suffering an acute stroke during the pandemic period had higher odds of poor functional outcome and death. The complete stroke care system's analysis is crucial to allocate resources appropriately

Padres y profesores : un trabajo conjunto en el desarrollo de la personalidad del niño preescolar

Profesorado: mejorar el proceso educativo por medio de la autoevaluación personal; valorar la necesidad de la intercomunicación educativa: padres-profesores; tomar conciencia del paso de la dependencia hacia la independencia progresiva del niño preescolar. Padres: conocer a su hijo; valorar la interrelación padres-profesores; tomar conciencia de la problemática educativa. Alumno: tomar conciencia de su capacidad de elección; solucionar los pequeños problemas de la vida cotidiana; autoevaluarse; conocer juicios diferentes al suyo; valorar al otro; respetar el medio en el que se desenvuelve. Llevar a cabo una experiencia educativa innovadora, con una duración de tres cursos académicos. Han participado en ella 13 profesores especialistas en Educación Preescolar y 614 alumnos de preescolar con sus correspondientes familias. La memoria consta de 3 partes relativas al profesorado, a las familias y al niño. Respecto al profesorado: realización de cursillos de perfeccionamiento, seminario permanente, lectura y fichaje de bibliografía técnica y confección de un programa de actuación educativa. Respecto a los padres: entrevistas unifamiliares, reuniones interfamiliares, escuela de padres, actividades padres-profesores. Respecto a los alumnos: cambio metodológico que implica convertir la figura del profesor en la de sujeto catalizador, moderador y observador, estableciendo una dinámica de trabajo que respete al alumno en su proceso evolutivo. De las 3 vertientes que han tomado parte en la experiencia, de los puntos referentes al profesorado y a los padres no se pueden aportar unas conclusiones de carácter científico. Por ello, solo se aportan los resultados facilitados por el gabinete psicopedagógico del colegio que ha seguido la experiencia pasando pruebas psicotécnicas todos los cursos al finalizar los alumnos el ciclo Preescolar. Dominio de conceptos básicos: curso 1980-81, 75 por ciento de alumnos; 1981-82, 90 por ciento de alumnos; 1982-83, 83 por ciento de alumnos. Madurez perceptiva: curso 1980-81, 60; 1981-82, 70; 1982-83, 65. Evolución intelectual: curso 1980-81, edad intelectual 5 años y 3 meses; curso 1981-82 y 1982-83, edad intelectual 5 años y 9 meses. El profesorado considera que la experiencia ha sido positiva, queriendo continuar en la investigación y renovándose en el estudio de la experiencia.ValenciaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín, 5 - 3 Planta; 28014 Madrid; Tel. +34917748000; Fax +34917748026; [email protected]

The SPECTRA Barrax campaign (SPARC): Overview and first results from CHRIS data

In the framework of preparatory activities for the SPECTRA (Surface Processes and Ecosystems Changes Through Response Analysis) ESA Earth Explorer Core Mission, CHRIS/PROBA acquisitions over the Barrax Core Site in Spain were used to compile a reference dataset for future in-depth studies. Taking advantage of the possibility of consecutive days of acquisitions, multiple-angular acquisitions finally included 10 different view angles from CHRIS, in Mode 1 with 62 spectral, and a ground resolution of about 34 m. Additional ROSIS and HYMAP sensors, flying simultaneously with CHRIS overpass, provided detailed images for validation of CHRIS data, particularly in the spectral domain. Moreover, up to 3 angles per sample from airborne HYMAP data were acquired, with high spectral and spatial resolution, and then both spectral and angular domains can be exploited with the combined CHRIS/HYMAP/ROSIS dataset. Detailed soil/vegetation and atmospheric measurements complete the SPARC data, and data from other satellites (MERIS, SEVIRI, SPOT, Landsat) were collected as well, to address scaling issues. Methods for data analysis and exploitation have been developed in the context of SPARC activities, and preliminary results about retrievals of biophysical information from multi-angular hyperspectral data are already available. The whole SPARC dataset represents a reference for the exploitation of CHRIS data, allowing the development of new processing and retrieval algorithms, and the validation of such algorithms by means of ground measurements and complementary airborne and satellite data. More details on several processing aspects of the CHRIS/PROBA data acquired within the SPARC campaign are presented in other papers in this conference

Harmonized D-dimer levels upon admission for prognosis of COVID-19 severity: Results from a Spanish multicenter registry (BIOCOVID-Spain study).

Coagulopathy is a key feature of COVID-19 and D-dimer has been reported as a predictor of severity. However, because D-dimer test results vary considerably among assays, resolving harmonization issues is fundamental to translate findings into clinical practice. In this retrospective multicenter study (BIOCOVID study), we aimed to analyze the value of harmonized D-dimer levels upon admission for the prediction of in-hospital mortality in COVID-19 patients. All-cause in-hospital mortality was defined as endpoint. For harmonization of D-dimer levels, we designed a model based on the transformation of method-specific regression lines to a reference regression line. The ability of D-dimer for prediction of death was explored by receiver operating characteristic curves analysis and the association with the endpoint by Cox regression analysis. Study population included 2663 patients. In-hospital mortality rate was 14.3%. Harmonized D-dimer upon admission yielded an area under the curve of 0.66, with an optimal cut-off value of 0.945 mg/L FEU. Patients with harmonized D-dimer ≥ 0.945 mg/L FEU had a higher mortality rate (22.4% vs. 9.2%; p