Viruela del mono (mpox): ¿regreso al pasado?

Mpox is a zoonotic viral disease. Recently, many countries have reported confirmed cases without epidemiological links to endemic areas, establishing the presence of mpox transmission chains in Europe and other regions. We present the case of a 25-year-old man with fever, headache, and the appearance of skin lesions on the chin and groin. The results of the mpox real-time polymerase chain reaction tests were positive. Home isolation with support treatment and evolutionary control was indicated.La viruela del mono es una enfermedad zoonótica viral. Recientemente numerosos países han comunicado casos confirmados sin vínculos epidemiológicos con zonas endémicas, confirmando la presencia de cadenas de transmisión de viruela del mono en Europa y otras regiones. Presentamos el caso de un varón de 25 años con fiebre, cefalea y aparición de lesiones cutáneas en mentón e ingle. Los resultados de las pruebas de reacción en cadena de la polimerasa en tiempo real de viruela del mono fueron positivos. Se indicó aislamiento domiciliario con tratamiento de soporte y control evolutivo

Study of the application of PCM to thermal insulation of UUV hulls using Network Simulation Method

The Unmanned Underwater Vehicles (UUV) designed for the detection and neutralization of naval mines are characterized by their high requirements regarding the reduction of the signatures of a vessel (thermal, acoustic, magnetic, etc.), all of them must be reduced in order not to be detected by the mines during the mission. This research work focuses on the reduction of the thermal signature transmitted by the UUV hull, where the use of phase change materials (PCM) is proposed as thermal insulation, placing it between the internal heat source of the UUV and the pressure hull, with the aim of drastically increasing the time in which the external face of the hull of the UUV is within a range of 3 °C and 5 °C temperature increase, allowing it to perform its mission without being detected by the thermal sensors of current naval mines. The simulation will be carried out using the Network Simulation Method for the resolution of the governing equations, which will allow the optimization of the necessary insulation thickness according to the required mission profile. In addition, it is proposed an expression that relates the PCM thickness and the time needed to reach a certain temperature increase

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Orientación deportiva en bachillerato

El objetivo del presente trabajo es mostrar una propuesta didáctica sobre la carrera de orientación deportiva para la etapa del Bachillerato. La propuesta cuenta con cuatro sesiones que se desarrollan de forma progresiva. En primer lugar se realizará una sesión teórica y una orientación en el centro escolar para comenzar a tomar contacto con la actividad. Tras esto se llevará a cabo una orientación en el medio urbano. Por último, se realizará una carrera de orientación en el Valle Perdido (Murcia) donde el alumno pondrá en práctica los conocimientos aprendidos tomando contacto con el medio natural. La ventaja que encontramos en ésta propuesta es que es accesible para todos los docentes que quieran llevarla a cabo y que incluye un contenido multidisciplinar relacionado con otras asignaturas de la etapa, consiguiendo una enseñanza más completa. Presentamos la siguiente propuesta para que los docentes que deseen ponerla en práctica puedan incluirla en sus programaciones didácticas

Espacios y destinos turísticos en tiempos de globalización y crisis

2 volúmenesXII Coloquio de Geografía del Turismo, Ocio y Recreación de la Asociación de Geógrafos Españoles. Colmenarejo (Madrid), del 17 al 19 de junio de 2010.Este libro ha sido editado con la colaboración económica del Ministerio de Ciencia e Innovación (ref. CS02010-10416-E)