Properties of polyethersulfone ultrafiltration membranes modified with polyethylene glycols

Polyethersulfone ultrafiltration membranes have been prepared using polyethylene glycols (PEGs) of 400, 1000, and 10,000 gmol, as additive with dimethylacetamide as solvent. Infrared analysis proves that PEG leaves almost completely the surface of the membranes after 24 h of water immersion. Scanning electron microscopy, contact angle, and liquid-liquid displacement porometry have been used to characterize the membrane morphology, surface hydrophilicity and porous structure. The relative flux reduction factor, flux, retention - of PEG (20,000 and 35,000 g/mol) and bovine serum albumin (67,000 g/mol) - and pure water permeability have been measured for the membranes. Results show that the addition of PEG increases slightly hydrophilicity and decreases pore size and narrows the corresponding pore size distribution while thickening the skin layer, in spite of the fast disappearance of the added PEG form the membrane surface. The resulting flux and pure water permeability are higher when middle size PEGs are added but decrease again when very high molecular weight (MW) PEGs are added. Retention decreases initially for increasing MWs of PEG although for very long PEG chains (MW of 10,000 g/mol) retention increases again. After filtration, the membranes with PEG added showed a lower relative flux reduction that decreases for increasing MW of the added PEGs.Fil: Méndez, Mercedes Liliana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Investigaciones para la Industria Química. Universidad Nacional de Salta. Facultad de Ingeniería. Instituto de Investigaciones para la Industria Química; ArgentinaFil: Romero, Analía Irma. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Investigaciones para la Industria Química. Universidad Nacional de Salta. Facultad de Ingeniería. Instituto de Investigaciones para la Industria Química; ArgentinaFil: Rajal, Verónica Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Investigaciones para la Industria Química. Universidad Nacional de Salta. Facultad de Ingeniería. Instituto de Investigaciones para la Industria Química; ArgentinaFil: Castro Vidaurre, Elza Fani. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Investigaciones para la Industria Química. Universidad Nacional de Salta. Facultad de Ingeniería. Instituto de Investigaciones para la Industria Química; ArgentinaFil: Calvo, José I.. Universidad de Valladolid. Facultad de Ciencias; EspañaFil: Palacio, Laura. Universidad de Valladolid. Facultad de Ciencias; EspañaFil: Hernandez, Antonio. Universidad de Valladolid. Facultad de Ciencias; Españ

Tutoria: un enfoque inclusivo para la atencion a la diversidad en el contexto universitario

Uno de los temas actuales en la agenda educativa es el relacionado con la inclusión educativa y la atención a la diversidad con igualdad y equidad, lo cual es brindar atención de calidad en el proceso educativo a los estudiantes por igual. Es por ello, que en los últimos años en una universidad pública del noroeste de México se ha estado trabajando en el tema de la inclusión educativa para la atención a la diversidad; se han realizado diversas acciones, dentro de las cuales se encuentra la identificación de las necesidades en infraestructura, recursos, capacitación y formación docente. Lo anterior con el fin de trabajar en la implementación de programas de sensibilización y de servicios, tanto para los alumnos como para los docentes, para favorecer la cultura de inclusión educativa en la institución. Uno de los servicios que la universidad ofrece a los estudiantes a su ingreso es el programa de Tutoría el cual tiene como propósito el contribuir con la formación integral del estudiante para así abatir los problemas de reprobación, deserción y rezago. Por lo anterior, se considera importante el ofrecer una propuesta de diseño de un programa de tutoría con enfoque inclusivo que brinde acompañamiento y orientación en la trayectoria académica a los estudiantes con discapacidad

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

SummaryBackground The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of the Global Burden of Disease Study to estimate attributable deaths, disability-adjusted life-years (DALYs), and trends in exposure by age group, sex, year, and geography for 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2015. This study included 388 risk-outcome pairs that met World Cancer Research Fund-defined criteria for convincing or probable evidence. We extracted relative risk and exposure estimates from randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. We developed a metric that allows comparisons of exposure across risk factors—the summary exposure value. Using the counterfactual scenario of theoretical minimum risk level, we estimated the portion of deaths and DALYs that could be attributed to a given risk. We decomposed trends in attributable burden into contributions from population growth, population age structure, risk exposure, and risk-deleted cause-specific DALY rates. We characterised risk exposure in relation to a Socio-demographic Index (SDI). Findings Between 1990 and 2015, global exposure to unsafe sanitation, household air pollution, childhood underweight, childhood stunting, and smoking each decreased by more than 25%. Global exposure for several occupational risks, high body-mass index (BMI), and drug use increased by more than 25% over the same period. All risks jointly evaluated in 2015 accounted for 57·8% (95% CI 56·6–58·8) of global deaths and 41·2% (39·8–42·8) of DALYs. In 2015, the ten largest contributors to global DALYs among Level 3 risks were high systolic blood pressure (211·8 million [192·7 million to 231·1 million] global DALYs), smoking (148·6 million [134·2 million to 163·1 million]), high fasting plasma glucose (143·1 million [125·1 million to 163·5 million]), high BMI (120·1 million [83·8 million to 158·4 million]), childhood undernutrition (113·3 million [103·9 million to 123·4 million]), ambient particulate matter (103·1 million [90·8 million to 115·1 million]), high total cholesterol (88·7 million [74·6 million to 105·7 million]), household air pollution (85·6 million [66·7 million to 106·1 million]), alcohol use (85·0 million [77·2 million to 93·0 million]), and diets high in sodium (83·0 million [49·3 million to 127·5 million]). From 1990 to 2015, attributable DALYs declined for micronutrient deficiencies, childhood undernutrition, unsafe sanitation and water, and household air pollution; reductions in risk-deleted DALY rates rather than reductions in exposure drove these declines. Rising exposure contributed to notable increases in attributable DALYs from high BMI, high fasting plasma glucose, occupational carcinogens, and drug use. Environmental risks and childhood undernutrition declined steadily with SDI; low physical activity, high BMI, and high fasting plasma glucose increased with SDI. In 119 countries, metabolic risks, such as high BMI and fasting plasma glucose, contributed the most attributable DALYs in 2015. Regionally, smoking still ranked among the leading five risk factors for attributable DALYs in 109 countries; childhood underweight and unsafe sex remained primary drivers of early death and disability in much of sub-Saharan Africa. Interpretation Declines in some key environmental risks have contributed to declines in critical infectious diseases. Some risks appear to be invariant to SDI. Increasing risks, including high BMI, high fasting plasma glucose, drug use, and some occupational exposures, contribute to rising burden from some conditions, but also provide opportunities for intervention. Some highly preventable risks, such as smoking, remain major causes of attributable DALYs, even as exposure is declining. Public policy makers need to pay attention to the risks that are increasingly major contributors to global burden. Funding Bill & Melinda Gates Foundation

Tejiendo diálogos. Reflexiones contemporáneas sobre la expresión y el sentido

El presente libro se divide en tres grandes bloques temáticos que contienen a los conceptos guía del título: Complejidad, expresión y sentido y, se organizan de acuerdo con lo que podría considerarse manifestaciones contextuales de las relaciones complejas y manifestaciones de sentido, que emergen como organizadoras a partir de diferentes formas en las que se manifiesta el diseño, las artes y la comunicación, El primer bloque obedece al principio dialógico de la no exclusión en donde que reza: “A no puede ser A y no A” y se titula: Complejidad y expresiones de la cultura contemporánea componiéndose por cinco textos que tocan dimensiones problemáticas en contextos contemporáneos como la intervención urbana y el feminismo como diálogo a través de la imagen y la educación; los discursos de odio como emergencia y la aparición de nuevas necesidades de formación universitaria ante ámbitos de competencia complejos. La primera sección titulada Condiciones emergentes de organización y sentido se presentan los textos en los que la expresión y el sentido aparecen como formas específicas a través de los cuáles es posible no solo asegurar las fronteras de operaciones sociales sino proyectarlas hacia nuevas condiciones de organización y sentido como sería el mundo de la virtualidad. En la segunda sección compuesta por cinco ensayos que de algún modo coinciden en la importancia de los puntos de conexión e interacciones en los fenómenos complejos como inductores de orden-desorden-complejidad, ponen de manifiesto su papel como productores de relaciones que permiten dar cuenta de la incertidumbre, comprender y exponer acontecimientos a nivel educativo, social y artístico. Finalmente en la tercera sección, el bloque que cierra el contenido del libro, se compone por cinco textos que dentro de su argumentación podrían verse alineados con el postulado de Nicolescu del Tercero incluido en donde A no puede ser A y a la vez existe no A, aludiendo a dimensiones problemáticas en contextos contemporáneos como: la intervención urbana y el feminismo como diálogo a través de la imagen y la educación; los discursos de odio como emergencia y la aparición de nuevas necesidades de formación universitaria ante ámbitos de competencia complejos.Olivia Fragoso Susunaga, María Teresa Olalde Ramos y Gustavo Garduño Oropeza, coordinadores

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

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

Estimating the global conservation status of more than 15,000 Amazonian tree species

Estimates of extinction risk for Amazonian plant and animal species are rare and not often incorporated into land-use policy and conservation planning. We overlay spatial distribution models with historical and projected deforestation to show that at least 36% and up to 57% of all Amazonian tree species are likely to qualify as globally threatened under International Union for Conservation of Nature (IUCN) Red List criteria. If confirmed, these results would increase the number of threatened plant species on Earth by 22%. We show that the trends observed in Amazonia apply to trees throughout the tropics, and we predict thatmost of the world’s >40,000 tropical tree species now qualify as globally threatened. A gap analysis suggests that existing Amazonian protected areas and indigenous territories will protect viable populations of most threatened species if these areas suffer no further degradation, highlighting the key roles that protected areas, indigenous peoples, and improved governance can play in preventing large-scale extinctions in the tropics in this century

Mapping disparities in education across low- and middle-income countries

Analyses of the proportions of individuals who have completed key levels of schooling across all low- and middle-income countries from 2000 to 2017 reveal inequalities across countries as well as within populations. Educational attainment is an important social determinant of maternal, newborn, and child health(1-3). As a tool for promoting gender equity, it has gained increasing traction in popular media, international aid strategies, and global agenda-setting(4-6). The global health agenda is increasingly focused on evidence of precision public health, which illustrates the subnational distribution of disease and illness(7,8); however, an agenda focused on future equity must integrate comparable evidence on the distribution of social determinants of health(9-11). Here we expand on the available precision SDG evidence by estimating the subnational distribution of educational attainment, including the proportions of individuals who have completed key levels of schooling, across all low- and middle-income countries from 2000 to 2017. Previous analyses have focused on geographical disparities in average attainment across Africa or for specific countries, but-to our knowledge-no analysis has examined the subnational proportions of individuals who completed specific levels of education across all low- and middle-income countries(12-14). By geolocating subnational data for more than 184 million person-years across 528 data sources, we precisely identify inequalities across geography as well as within populations.Peer reviewe