943 research outputs found

    Primer registro de crotalus polystictus (squamata: viperidae) en el área natural protegida sierra de Quila, Jalisco, México

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    Crotalus polystictus is a Mexican endemic rattlesnake. It is considered under special protection status according to NOM-059- 2010-SEMARNAT. Crotalus polystictus was recorded for the first time, along with its ecological distribution within the natural protected area Sierra de Quila, Jalisco. This record is at least 31 km northwest from its closest known geographic distribution.Crotalus polystictus es Una serpiente de cascabel endémica de México. Se considera bajo protección especial de acuerdo a la NOM-059-2010-SEMARNAT. Crotalus polystictus fue registrada por primera vez en el área Natural protegida Sierra de Quila, Jalisco. Este registro se encuentra a por lo mneos 31 km al noroeste del punto más cercano de su distribución conocida

    Depredación de Lithobates psilonota (Anura: Ranidae) por Leptodeira splendida bressoni (Squamata: Colubridae) en arroyos del área natural protegida Sierra de Quila, Jalisco, México

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    Photographic evidence shows the first record of predation in Mexico of Lithobates psilonota by Leptodeira splendida bressoni in the natural protected area Sierra de Quila, Jalisco

    Regionalización del índice de sequía SPEI en España

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    Ponencia presentada en: XXXV Jornadas Científicas de la AME y el XIX Encuentro Hispano Luso de Meteorología celebrado en León, del 5 al 7 de marzo de 2018.En las últimas décadas se han agravado los episodios de sequía en España, provocando importantes daños en el medio ambiente, el ganado, el conjunto de la sociedad y la economía. La definición de índices cuantitativos, como el SPEI (Standarized Precipitation-Evapotranspiration Index) es necesaria para cuantificar objetivamente las características de los episodios de sequía. Para el cálculo del SPEI se emplea la diferencia mensual (o semanal) entre la precipitación y la evapotranspiración, lo que proporciona un balance de agua que se agrega en diferentes escalas de tiempo para obtener el SPEI. El objetivo de este trabajo es obtener los diferentes regímenes de sequía y su distribución espacial en España con el fin de estudiar más a fondo el comportamiento estacional de las sequías en España. Para ello se utilizan cuatro conjuntos de datos semanales del SPEI que cubren España en una cuadrícula de resolución de 5,5 km desde 1962 hasta 2014. Cada conjunto de datos corresponde a un período de tiempo de agregación diferente para el cálculo de los valores semanales del SPEI, en concreto de 1, 3, 6 y 12 meses previos a la semana correspondiente

    Discourse Analysis and Terminology in Languages for Specific Purposes

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    Aquest importantíssim recull conté estudis i reflexions sobre temes rellevants en la recerca sobre LSP: anglès mèdic, el llenguatge de la publicitat i periodístic, telecomunicacions i terminologia informàtica, llenguatge comercial i jurídic... Malgrat que gran part dels treballs aplegats es refereixen a l'anglès, també hi ha que tracten l'alemany, francès i altres llengües. Conté textos en anglès, francés, portuguès i castellà

    Effectiveness and Safety of the Sequential Use of a Second and Third Anti-TNF Agent in Patients With Inflammatory Bowel Disease: Results From the Eneida Registry

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    Background: The effectiveness of the switch to another anti-tumor necrosis factor (anti-TNF) agent is not known. The aim of this study was to analyze the effectiveness and safety of treatment with a second and third anti-TNF drug after intolerance to or failure of a previous anti-TNF agent in inflammatory bowel disease (IBD) patients. Methods: We included patients diagnosed with IBD from the ENEIDA registry who received another anti-TNF after intolerance to or failure of a prior anti-TNF agent. Results: A total of 1122 patients were included. In the short term, remission was achieved in 55% of the patients with the second anti-TNF. The incidence of loss of response was 19% per patient-year with the second anti-TNF. Combination therapy (hazard ratio [HR], 2.4; 95% confidence interval [CI], 1.8-3; P < 0.0001) and ulcerative colitis vs Crohn's disease (HR, 1.6; 95% CI, 1.1-2.1; P = 0.005) were associated with a higher probability of loss of response. Fifteen percent of the patients had adverse events, and 10% had to discontinue the second anti-TNF. Of the 71 patients who received a third anti-TNF, 55% achieved remission. The incidence of loss of response was 22% per patient-year with a third anti-TNF. Adverse events occurred in 7 patients (11%), but only 1 stopped the drug. Conclusions: Approximately half of the patients who received a second anti-TNF achieved remission; nevertheless, a significant proportion of them subsequently lost response. Combination therapy and type of IBD were associated with loss of response. Remission was achieved in almost 50% of patients who received a third anti-TNF; nevertheless, a significant proportion of them subsequently lost response

    Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project):A clinical trial by clusters

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    This study was funded by the Fondo de Investigaciones Sanitarias FIS Grant Number PI11/0477 ISCIII.-REDISSEC Proyecto RD12/0001/0012 AND FEDER Funding.Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.Publisher PDFPeer reviewe
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