Roadmap for User-Performance Drive Lighting Management Logic

Smart control systems, especially lighting ones, have become essential in energy-saving fields. However, these technologies can be implemented in buildings with other objectives such as ensuring human health. Unsuitable light exposure can seriously endanger human health due to the circadian rhythm disruption. Considering all lighting parameters, a suitable Circadian Stimulus (CS) can be achieved. Thus, the regulation of this variables by control systems to promote a good circadian rhythm and to benefit human health and well-being is crucial. The main aim of this research is to set up the keys to develop a novel control scheme that include CS levels as the main factor to consider. From the study of already developed methodologies this research concludes with a diagram proposal to be considered in the development of the new algorithm of lighting control systems

Respiratory viruses detected in Mexican children younger than 5 years old with community-acquired pneumonia: a national multicenter study

Background: Acute respiratory infections are the leading cause of mortality in children worldwide, especially in developing countries. Pneumonia accounts for 16% of all deaths of children under 5 years of age and was the cause of death of 935 000 children in 2015. Despite its frequency and severity, information regarding its etiology is limited. The aim of this study was to identify respiratory viruses associated with community-acquired pneumonia (CAP) in children younger than 5 years old. Methods: One thousand four hundred and four children younger than 5 years of age with a clinical and/or radiological diagnosis of CAP in 11 hospitals in Mexico were included. Nasal washes were collected, placed in viral medium, and frozen at �70 C until processing. The first 832 samples were processed using the multiplex Bio-Plex/Luminex system and the remaining 572 samples using the Anyplex multiplex RT-PCR. Clinical data regarding diagnosis, clinical signs and symptoms, radiographic pattern, and risk factors were obtained and recorded. Results: Of the samples tested, 81.6% were positive for viruses. Respiratory syncytial virus (types A and B) was found in 23.7%, human enterovirus/rhinovirus in 16.6%, metapneumovirus in 5.7%, parainfluenza virus (types 1–4) in 5.5%, influenza virus (types A and B) in 3.6%, adenovirus in 2.2%, coronavirus (NL63, OC43, 229E, and HKU1) in 2.2%, and bocavirus in 0.4%. Co-infection with two or more viruses was present in 22.1%; 18.4% of the samples were negative. Using biomass for cooking, daycare attendance, absence of breastfeeding, and co-infections were found to be statistically significant risk factors for the presence of severe pneumonia. Conclusions: Respiratory syncytial virus (types A and B), human enterovirus/rhinovirus, and metapneumovirus were the respiratory viruses identified most frequently in children younger than 5 years old with CAP. Co-infection was present in an important proportion of the children

Salud de los trabajadores

Actividad física y su relación con los factores de riesgo cardiovascular de carteros chilenosAnálisis de resultados: riesgos psicosociales en el trabajo Suceso-Istas 21 en Cesfam QuellónAusentismo laboral por enfermedades oftalmológicas, Chile 2009Brote de diarreas por norovirus, posterremoto-tsunami, Constitución, Región del MauleCalidad de vida en profesionales de la salud pública chilenaCaracterización del reposo laboral en personal del SSMN durante el primer semestre de 2010Concentración de nicotina en pelo en trabajadores no fumadores expuestos a humo de tabaco ambientalCondiciones de trabajo y bienestar/malestar docente en profesores de enseñanza media de SantiagoDisfunción auditiva inducida por exposición a xilenoErgonomía aplicada al estudio del síndrome de dolor lumbar en el trabajoEstimación de la frecuencia de factores de riesgo cardiovascular en trabajadores de una empresa mineraExposición a plaguicidas inhibidores de la acetilcolinesterasa en Colombia, 2006-2009Factores de riesgo y daños de salud en conductores de una empresa peruana de transporte terrestre, 2009Las consecuencias de la cultura en salud y seguridad ocupacional en una empresa mineraPercepción de cambios en la práctica médica y estrategias de afrontamientoPercepción de la calidad de vida en la Universidad del BiobíoPesos máximos aceptables para tareas de levantamiento manual de carga en población laboral femeninaRiesgo coronario en trabajadores mineros según la función de Framingham adaptada para la población chilenaTrastornos emocionales y riesgo cardiovascular en trabajadores de la salu

Gamificación en Iberoamérica. Experiencias desde la comunicación y la educación

La presente obra capitular es el resultado de las investigaciones sobre las aplicaciones de la gamificación en contextos múltiples, emergentes provenientes de las comunicaciones presentadas en el Simposio 06 del III Congreso Internacional Comunicación y Pensamiento (Sevilla, España), así como de aquellas presentadas por los miembros del Gamelab UPS, del Proyecto I+D+i Coordinado “Competencias mediáticas de la ciudadanía en medios digitales emergentes (smartphones y tablets): Prácticas innovadoras y estrategias educomunicativas en contextos múltiples” (EDU2015-64015-C3-1-R) (MINECO/FEDER), de la “Red de Educación Mediática” del Programa Estatal de Investigación Científica-Técnica de Excelencia, Subprograma Estatal de Generación de Conocimiento (EDU2016-81772-REDT), financiados por el Fondo Europeo de Desarrollo Regional (FEDER) y Ministerio de Economía y Competitividad de España. En este sentido se busca construir, desde una mirada dual desde Europa y América Latina el primer libro iberoamericano de gamificación, avalado por el Gamelab de la Universidad Politécnica Salesiana (Ecuador), el Proyecto I+D+i EDU2015-64015-C3-1-R, la Red Interuniversitaria Euroamericana de Investigación sobre Competencias Mediáticas para la Ciudadanía (Alfamed), el Laboratorio de Estudios en Comunicación (Ladecom) y el Grupo de Investigación Ágora (PAI-HUM-648) de la Universidad de Huelva (España) y el Grupo de Investigación Estructura, Historia y Contenidos de la Comunicación GREHCCO

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

EstuPlan: Methodology for the development of creativity in the resolution of scientific and social problems

[EN] Creative thinking is necessary to generate novel ideas and solve problems. "EstuPlan" is a methodology in which knowledge and creativity converge for the resolution of scientific problems with social projection. It is a training programme that integrates teachers, laboratory technicians and PhD students, master and undergraduate students which form working groups for the development of projects. Projects have a broad and essential scope and projection in terms of environmental problems, sustainable use of natural resources, food, health, biotechnology or biomedicine. The results show the success of this significant learning methodology using tools to develop creativity in responding to scientific and social demand for problem-solving to transfer academic knowledge to different professional environments. Bioplastics, Second Life of Coffee, LimBio, Algae oils, Ecomers, Caring for the life of your crop and Hate to Deforestate are currently being developed.Astudillo Calderón, S.; De Díez De La Torre, L.; García Companys, M.; Ortega Pérez, N.; Rodríguez Martínez, V.; Alzahrani, S.; Alonso Valenzuela, R.... (2019). EstuPlan: Methodology for the development of creativity in the resolution of scientific and social problems. En HEAD'19. 5th International Conference on Higher Education Advances. Editorial Universitat Politècnica de València. 711-717. https://doi.org/10.4995/HEAD19.2019.9205OCS71171

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Guided reflection in preparation for the teaching of facilities in Architecture

The significance of facilities in Architecture is quite unknown in the society in which we live, even for future architecture students. Relegating the facilities to the background is habitual and it causes operation problems, visually pollution and it affects inhabitants’ comfort. Furthermore, basic aspects for users’ health such as indoor air quality are not usually included in the architectural process. Can this be avoided by making the students aware of the importance of integrating the facilities and the aspects they cover? Is the root of the problem in the way of teaching these subjects? To give an answer to these questions, the Architecture Zero Course has been used to force a first critical reflection on these issues, using gamification and ICT. This experience results are key to focus teaching in the facilities subjects of the degree.El alcance de las Instalaciones en la Arquitectura es bastante desconocido en la sociedad en la que nos encontramos, incluso para los futuros estudiantes de Arquitectura. Lo habitual es relegar las instalaciones a un segundo plano causando problemas de funcionamiento, contaminando visualmente y afectando al confort de los habitantes. Además, aspectos fundamentales para la salud del usuario como la calidad del aire no suelen incluirse en el proceso arquitectónico. ¿Se puede evitar esto concienciando previamente a los estudiantes de la importancia de la integración de las instalaciones y de los aspectos que abarcan? ¿Está la raíz del problema en la docencia de estas asignaturas? Para responder a estas preguntas se ha utilizado el Curso Cero de Arquitectura para forzar una primera reflexión crítica sobre estos temas, usando la gamificación y las TIC. Los resultados de esta experiencia son claves para enfocar la docencia en las asignaturas de Instalaciones del Grado.Peer Reviewe

Guided reflection in preparation for the teaching of facilities in Architecture

The significance of facilities in Architecture is quite unknown in the society in which we live, even for future architecture students. Relegating the facilities to the background is habitual and it causes operation problems, visually pollution and it affects inhabitants’ comfort. Furthermore, basic aspects for users’ health such as indoor air quality are not usually included in the architectural process. Can this be avoided by making the students aware of the importance of integrating the facilities and the aspects they cover? Is the root of the problem in the way of teaching these subjects? To give an answer to these questions, the Architecture Zero Course has been used to force a first critical reflection on these issues, using gamification and ICT. This experience results are key to focus teaching in the facilities subjects of the degree.El alcance de las Instalaciones en la Arquitectura es bastante desconocido en la sociedad en la que nos encontramos, incluso para los futuros estudiantes de Arquitectura. Lo habitual es relegar las instalaciones a un segundo plano causando problemas de funcionamiento, contaminando visualmente y afectando al confort de los habitantes. Además, aspectos fundamentales para la salud del usuario como la calidad del aire no suelen incluirse en el proceso arquitectónico. ¿Se puede evitar esto concienciando previamente a los estudiantes de la importancia de la integración de las instalaciones y de los aspectos que abarcan? ¿Está la raíz del problema en la docencia de estas asignaturas? Para responder a estas preguntas se ha utilizado el Curso Cero de Arquitectura para forzar una primera reflexión crítica sobre estos temas, usando la gamificación y las TIC. Los resultados de esta experiencia son claves para enfocar la docencia en las asignaturas de Instalaciones del Grado

CircaLight, a new circadian light assessment tool for Grasshopper environment: Development and reliability testing

Natural light exposure both in flux and spectrum is essential to human health due to its direct relationship with circadian rhythms. Given that light affects visual performance and circadian rhythms differently, metrics need to assess them independently. The aim of this research is to present a new parametric workflow to integrate metrics quantifying the effect of light on circadian rhythm. CircaLight is a new open-source tool for Rhino environment developed as a plugin for Grasshopper. This software enables the calculation of different metrics that quantify the effect of light, both natural and electric, on circadian rhythms, considering the influence of the spectral reflectance of inner surfaces. The CircaLight components can be integrated into Grasshopper plugins such as Solemma or Ladybug tools providing information about the Circadian Stimulus, the Equivalent Melanopic Lux and the Melanopic Photopic ratio, all of which provide current metrics related with circadian rhythms. This research evaluates the reliability of the software presented, quantifying its accuracy by means of other validated software. The results show the accuracy of this new parametric tool with an error under ±10% even in the most unfavorable scenarios