First-Aid Treatment for Friction Blisters: "Walking Into the Right Direction?"

OBJECTIVE: Blisters are common foot injuries during and after prolonged walking. However, the best treatment remains unclear. The aim of the study was to compare the effect of 2 different friction blister treatment regimens, wide area fixation dressing versus adhesive tape. DESIGN: A prospective observational cohort study. SETTING: The 2015 Nijmegen Four Days Marches in the Netherlands. PARTICIPANTS: A total of 2907 participants (45 ± 16 years, 52% men) were included and received 4131 blister treatments. INTERVENTIONS: Blisters were treated with either a wide area fixation dressing or adhesive tape. MAIN OUTCOME MEASURES: Time of treatment application was our primary outcome. In addition, effectiveness and satisfaction were evaluated in a subgroup (n = 254). During a 1-month follow-up period, blister healing, infection and the need for additional medical treatment were assessed in the subgroup. RESULTS: Time of treatment application was lower (41.5 minutes; SD = 21.6 minutes) in the wide area fixation dressing group compared with the adhesive tape group (43.4 minutes; SD = 25.5 minutes; P = 0.02). Furthermore, the wide area fixation dressing group demonstrated a significantly higher drop-out rate (11.7% vs 4.0%, P = 0.048), delayed blister healing (51.9% vs 35.3%, P = 0.02), and a trend toward lower satisfaction (P = 0.054) when compared with the adhesive tape group. CONCLUSIONS: Wide area fixation dressing decreased time of treatment application by 2 minutes (4.5%) when compared with adhesive tape. However, because of lower effectiveness and a trend toward lower satisfaction, we do not recommend the use of wide area fixation dressing over adhesive tape in routine first-aid treatment for friction blisters

In vitro mycorrhization of micropropagated plants: studies on Castanea sativa Mill.

In vitro mycorrhization can be made by several axenic and nonaxenic techniques but criticism exists about their artificiality and inability to reproduce under natural conditions. However, artificial mycorrhization under controlled conditions can provide important information about the physiology of symbiosis. Micropropagated Castanea sativa plants were inoculated with the mycorrhizal fungus Pisolithus tinctorius after in vitro rooting. The mycorrhizal process was monitored at regular intervals in order to evaluate the mantle and hartig net formation, and the growth rates of mycorrhizal and nonmycorrhizal plants. Plant roots show fungal hyphae adhesion at the surface after 24 hours of mycorrhizal induction. After 20 days a mantle can be observed and a hartig net is forming although the morphology of the epidermal cells remains unaltered. At 30 days of root–fungus contact the hartig net is well developed and the epidermal cells are already enlarged. After 50 days of mycorrhizal induction, growth was higher for mycorrhizal plants than for nonmycorrhizal ones. The length of the major roots was lower in mycorrhizal plants after 40 days. Fresh and dry weights were higher in mycorrhizal plants after 30 days. The growth rates of chestnut mycorrhizal plants are in agreement with the morphological development of the mycorrhizal structures observed at each mycorrhizal time. The assessment of symbiotic establishment takes into account the formation of a mantle and a hartig net that were already developed at 30 days, when differences between fresh and dry weights of mycorrhizal and nonmycorrhizal plants can be quantified. In vitro conditions, mycorrhization influences plant physiology after 20 days of root–fungus contact, namely in terms of growth rates. Fresh and dry weights, heights, stem diameter and growth rates increased while major root growth rate decreased in mycorrhizal plants.Springe

Journalistic treatment of violence against women from a gender perspective

Este artículo tiene como propósito describir el tratamiento periodístico en las noticias sobre violencia contra las mujeres por razones de género. Para una aproximación al objetivo de estudio, se analizó dos diarios de prensa escrita: La Hora y Correo. Para ello, se realizó un análisis de las noticias sobre violencia hacia la mujer desde una perspectiva de género (en los diarios) durante los meses de enero a marzo del 2016 y que estuvieron accesibles a través de la hemeroteca municipal del distrito de Castilla. Estos fueron procesados con el programa estadístico SPSS versión 22.  Como parte de los hallazgos se encontró que la violencia física es la más usada por los agresores. También se evidenció que éstas son de carácter sensacionalista para llamar la atención al lector, no existe una investigación de fuentes y en su mayoría son notas que no cuentan con el respectivo tratamiento periodístico.The purpose of this article is to describe the journalistic treatment in the news of violence against women for reasons of gender. For an approximation to the study objective, two newspapers of the written press were analyzed: La Hora and Correo. For this, an analysis of the news about violence against women from a gender perspective (in the newspapers) was carried out during the months of January to March 2016 and that were accessible through the municipal newspaper library of the Castilla district. These were processed with the statistical program SPSS version 22. As part of the findings, it was found that physical violence is the most used by aggressors. It was also evidenced that these are sensational in nature to draw the attention of the reader, there is no investigation of sources and most of them are notes that do not have the respective journalistic treatment

A saúde cidadã: uma experiência democrática de controle social

Ao longo da última década, o CPP-II enfrentou os mesmos problemas que atingiram a saúde pública em todo o país, agravados pelo fato de lidar com a saúde mental, área normalmente relegada a segundo plano em termos de investimentos. Em 1988, servidores comprometidos com a consecução de um serviço público eficiente e de boa qualidade, idealizaram um sistema de realização de congressos internos no CPP-II —com a participação de funcionários, usuários e a comunidade em geral — visando formular normas, procedimentos e políticas duradouras para a instituição. A iniciativa alcançou maior participação institucional mediante ampla discussão das propostas, descentralização e horizontalização das decisões, maior envolvimento dos usuários e da comunidade em geral, estabelecimento de políticas mais duradouras, geridas conjuntamente por servidores, usuários e comunidade, melhor qualidade da assistência prestada e aliança com os usuários para a obtenção de recursos para a instituição e sua adequada destinação e utilizaçãoNúmero de páginas: 2 p.InovaçãoIniciativa premiada no 1º Concurso Inovação na Gestão Pública Federal sob responsabilidade de João Paulo Bastos Hildebrandt. Ações premiadas no 1º Concurso Inovação na Gestão Pública Federal – 1996. Áreas temáticas: parcerias e gestão participativ

Hybrid Deep Learning Gaussian Process for Diabetic Retinopathy Diagnosis and Uncertainty Quantification

Diabetic Retinopathy (DR) is one of the microvascular complications of Diabetes Mellitus, which remains as one of the leading causes of blindness worldwide. Computational models based on Convolutional Neural Networks represent the state of the art for the automatic detection of DR using eye fundus images. Most of the current work address this problem as a binary classification task. However, including the grade estimation and quantification of predictions uncertainty can potentially increase the robustness of the model. In this paper, a hybrid Deep Learning-Gaussian process method for DR diagnosis and uncertainty quantification is presented. This method combines the representational power of deep learning, with the ability to generalize from small datasets of Gaussian process models. The results show that uncertainty quantification in the predictions improves the interpretability of the method as a diagnostic support tool. The source code to replicate the experiments is publicly available at https://github.com/stoledoc/DLGP-DR-Diagnosis

Increasing access to psychiatric care during the COVID-19 pandemic through mental health clinical pharmacy specialist services

Introduction Higher rates of mental health conditions, increased incidence of psychiatric diagnoses, and symptom relapse with minimal access to psychotherapeutic services are reported during the COVID-19 pandemic. A local area clinic in the United States that exists to serve underprivileged patients helps to combat poor psychiatric outcomes by offering psychiatric clinics, pharmacotherapy management, and medications at reduced or no cost. Methods Recruitment and data collection were conducted from May 3, 2021, to March 3, 2022. Patients were seen by psychiatrists or the mental health clinical pharmacy specialist (MHCPS), and consent was obtained for the completion of satisfaction surveys. Five-point Likert scale comparisons were utilized to assess patient-perceived differences in clinician care. The primary study objective was to determine if access to care could be increased with the addition of an MHCPS, and secondary objectives included evaluating patient perceptions of clinician care as well as reporting MHCPS interventions. Results Participant baseline demographics and common psychiatric diagnoses are reported. An MHCPS was incorporated into the clinic during the study allowing for 1 additional patient care period per month. The most frequent score among all surveys was 4.8 (P > .05) on a 5-point scale, indicating no statistically significant differences between clinician care. MHCPS interventions are reported. Discussion The addition of an MHCPS allowed for additional patient care appointments for the clinic each month. MHCPS care offered no significant differences from psychiatrist care based on patient satisfaction surveys, highlighting the utility of pharmacist involvement for managing psychiatric disease states and increasing access to mental health services