Maderas impregnadas con polímeros. Parte 1. Madera de pino impregnada con poliestireno

Se presenta el estudio de la impregnación de madera de pino insigne (Pinus radiata) con estireno conteniendo peróxido de benzoilo, seguida por la polimerización en masa, termo-catalítica, in-situ. La madera impregnadacon polímero, MIP, presenta propiedades mecánicas mejoradas respecto a la madera sin impregnar, MSI. La MIP presenta menor absorción de agua que es responsable de su mejor estabilidad dimensional

Satisfaction and experience with colorectal cancer screening : a systematic review of validated patient reported outcome measures

Background: Patient satisfaction or experience with colorectal cancer screening can determine adherence to screening programs. An evaluation of validated patient reported outcome measures (PROMs) for measuring experience or satisfaction with colorectal cancer screening does not exist. Our objective was to identify and critically appraise validated questionnaires for measuring patient satisfaction or experience with colorectal cancer screening. Methods: We conducted a systematic review following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. We conducted searches on MEDLINE, EMBASE, PsychINFO, CINAHL and BiblioPRO and assessed the methodological quality of studies and measurement properties of questionnaires according to the COSMIN guidelines for systematic reviews of PROMs. PROSPERO registration number: CRD42019118527. Results: We included 80 studies that used 75 questionnaires, of which only 5 were validated. Four questionnaires measured satisfaction with endoscopy: two in the context of colorectal cancer screening (for colonoscopy and sigmoidoscopy) and two for non-screening endoscopy. One questionnaire measured satisfaction with bowel preparation. The methodological quality of studies was variable. The questionnaires with evidence for sufficient content validity and internal consistency were: the CSSQP questionnaire, which measures safety and satisfaction with screening colonoscopy, and the Post-Procedure questionnaire which measures satisfaction with non-screening endoscopic procedures. Conclusions: This systematic review shows that a minority of existing PROMs for measuring patient satisfaction with colorectal cancer screening are validated. We identified two questionnaires with high potential for further use (CSSQP and the Post-Procedure questionnaire)

Synthesis of 2H-benzotriazole based donor-acceptor polymers bearing carbazole derivative as pendant groups: Optical, electronical and photovoltaic properties

 Four 2H-benzotriazole based D-A polymers bearing carbazole derivative as pendant groups and fluorene or thiophene as donor units (P1-P4) were designed and synthesized. These polymers combine good thermal stability and excellent solubility in common organic solvents. Spectroscopic measurements carried out for P1, P2 and P3 indicate that polymer backbone induces effective the quenching of the 3,6-di(thiophen-2-yl)-9H-carbazole (CT) fluorescence, implying an intramolecular Förster Resonance Energy Transfer (FRET) process. Preliminary investigations on the photovoltaic multiheterojunction devices based on P1-P4 showed power conversion efficiencies (PCEs) of up to 1.7 % for P1 and P2 and close to 2.0 % for P3. This means that the polymer/π-conjugated pendant units structure is a promising alternative to improve the performance of organic solar cells

Towards a typology of inter-municipal cooperation in emerging metropolitan regions. A case study in the solid waste management sector in Ecuador

Inter-municipal cooperation (IMC) is a widely studied governance solution. Most literature defines IMC as a particular service delivery arrangement. However, we argue that IMC manifests itself in several forms and thus a broader definition is necessary. To explore this, we conducted a case study in the solid waste management sector of the emerging metropolitan region in Cuenca-Azogues, Ecuador. Emerging metropolitan regions are particularly suitable for analysing IMC, and so far, there are few studies on IMC in Latin America. Based on the discrepancy between previous studies and the results of our research, we develop a new definition and a new typology of IMC, which can be related to multiple service delivery arrangements

Keys to success of a community of clinical practice in primary care : a qualitative evaluation of the ECOPIH project

The current reality of primary care (PC) makes it essential to have telemedicine systems available to facilitate communication between care levels. Communities of practice have great potential in terms of care and education, and that is why the Online Communication Tool between Primary and Hospital Care was created. This tool enables PC and non-GP specialist care (SC) professionals to raise clinical cases for consultation and to share information. The objective of this article is to explore healthcare professionals' views on communities of clinical practice (CoCPs) and the changes that need to be made in an uncontrolled real-life setting after more than two years of use. A descriptive-interpretative qualitative study was conducted on a total of 29 healthcare professionals who were users and non-users of a CoCP using 2 focus groups, 3 triangular groups and 5 individual interviews. There were 18 women, 21 physicians and 8 nurses. Of the interviewees, 21 were PC professionals, 24 were users of a CoCP and 7 held managerial positions. For a system of communication between PC and SC to become a tool that is habitually used and very useful, the interviewees considered that it would have to be able to find quick, effective solutions to the queries raised, based on up-to-date information that is directly applicable to daily clinical practice. Contact should be virtual - and probably collaborative - via a platform integrated into their habitual workstations and led by PC professionals. Organisational changes should be implemented to enable users to have more time in their working day to spend on the tool, and professionals should have a proactive attitude in order to make the most if its potential. It is also important to make certain technological changes, basically aimed at improving the tool's accessibility, by integrating it into habitual clinical workstations. The collaborative tool that provides reliable, up-to-date information that is highly transferrable to clinical practice is valued for its effectiveness, efficiency and educational capacity. In order to make the most of its potential in terms of care and education, organisational changes and techniques are required to foster greater use. The online version of this article (10.1186/s12875-018-0739-0) contains supplementary material, which is available to authorized users

Association of the Hind III polymorphism with the androgen receptor gene in partial androgen insensitivity syndrome.

Partial androgen insensitivity syndrome (PAIS) is an X-linked disorder resulting from defects in the intracellular androgen receptor (AR). The cloning of the AR cDNA has provided the molecular tools to identify gene abnormalities. Gene deletions being the exception in PAIS, prenatal diagnosis of PAIS resulting from a single base mutation in high risk families is not practical unless the mutation is already known. Brown et al. (1989) reported that 10% of normal X chromosomes present a Hind III 6.7/3.5 kb polymorphism. In this study, we report the association of the Hind II polymorphism in a woman whose son has a PAIS associated with a very low androgen receptor concentration: we differentiated the two maternal X chromosomes and characterized the affected allele. These data demonstrate that the presence of Hind III polymorphic fragments could be used in prenatal diagnosis of androgen insensitivity syndrome in high risk families.Case ReportsJournal ArticleResearch Support, U.S. Gov't, P.H.S.info:eu-repo/semantics/publishe