1,210 research outputs found

    A microfluidics and agent-based modeling framework for investigating spatial organization in bacterial colonies: The case of Pseudomonas Aeruginosa amd H1-type VI secretion interactions

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    The factors leading to changes in the organization of microbial assemblages at fine spatial scales are not well characterized or understood. However, they are expected to guide the succession of community development and function toward specific outcomes that could impact human health and the environment. In this study, we put forward a combined experimental and agent-based modeling framework and use it to interpret unique spatial organization patterns of H1-Type VI secretion system (T6SS) mutants of P. aeruginosa under spatial confinement. We find that key parameters, such as T6SS-mediated cell contact and lysis, spatial localization, relative species abundance, cell density and local concentrations of growth substrates and metabolites are influenced by spatial confinement. The model, written in the accessible programming language NetLogo, can be adapted to a variety of biological systems of interest and used to simulate experiments across a broad parameter space. It was implemented and run in a high-throughput mode by deploying it across multiple CPUs, with each simulation representing an individual well within a high-throughput microwell array experimental platform. The microfluidics and agent-based modeling framework we present in this paper provides an effective means by which to connect experimental studies in microbiology to model development. The work demonstrates progress in coupling experimental results to simulation while also highlighting potential sources of discrepancies between real-world experiments and idealized models

    Evaluation of clinical practice competencies in orthopedicmanual therapy students through the Objective StructuredClinical Examination (OSCE): A pilot experience at theEuropean University of the Canary Islands

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    El ECOE es una herramienta de evaluación de competencias clínicasprácticas que, en Fisioterapia, no ha sido empleada para examinar las habilidades de losespecialistas en Terapia Manual Ortopédica. Objetivo: El objetivo de este trabajo es evaluar lacompetencia a través de las calificaciones, la satisfacción y el desempeño percibido de losestudiantes del Máster de Terapia Manual Ortopédica en el Tratamiento del Dolor de laUniversidad Europea de Canarias. Métodos: Se realizó un estudio descriptivo en una muestra deestudiantes de posgrado (n=21) durante el periodo comprendido entre el 1 de febrero y el 31 dejulio de 2023 en el Hospital Simulado de la Universidad Europea de Canarias, en Tenerife(España), utilizando la metodología ECOE. Resultados: Las calificaciones obtenidas por losparticipantes fueron mayoritariamente altas (media = 8,54 /10, DT= 0,612), aunque en Anatomía einterpretación de pruebas complementarias registraron los resultados más bajos. El 95,1% (n=20)expresó una alta satisfacción con el ECOE. Respecto a la interpretación de pruebas complementarias, un 19,1% (n=4) consideró su desempeño como deficiente y un 4,8% (n=1) muy deficiente. Conclusión: En síntesis, a pesar de las calificaciones más bajas en ciertas áreas, los resultados de la evaluación de competencias clínicas prácticas a través del ECOE son positivos. Además, se observa un elevado grado de satisfacción y percepción positiva del desempeño por parte del especialista.ntroduction: The Objective Structured Clinical Examination (OSCE) is a practicalclinical competency assessment tool that, in Physical Therapy, has not yet been used to evaluateOrthopedic Manual Therapy specialists. Objective: This study aims to evaluate competencythrough grades, satisfaction and perceived performance of students enrolled in the Master’s inOrthopaedic Manual Therapy for Pain Treatment at the European University of the CanaryIslands. Methods: A descriptive study was conducted on a postgraduate student sample (n=21)between February 1 and July 31, 2023 at the Simulated Hospital of the European University of theCanary Islands (Tenerife, Spain). Results: Participants received predominantly high scores (mean= 8,54 /10, SD= 0.612), although Anatomy and interpretation of complementary test, 19.1% (n=4)perceived their performance as deficient, and 4.8% (n=1) as very deficient. Conclusions: Insummary, despite lower scores in certain areas, the results of the practical clinical competencyassessment through the OSCE are positive. Furthermore, a high degree of satisfaction and positiveperformance perception are observed among specialist

    Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol

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    Q1Q1Introduction Human papillomavirus (HPV) testing is replacing cytology in primary screening. Its limited specificity demands using a second (triage) test to better identify women at high-risk of cervical disease. Cytology represents the immediate triage but its low sensitivity might hamper HPV testing sensitivity, particularly in low-income and middle-income countries (LMICs), where cytology performance has been suboptimal. The ESTAMPA (EStudio multicéntrico de TAMizaje y triaje de cáncer de cuello uterino con pruebas del virus del PApiloma humano; Spanish acronym) study will: (1) evaluate the performance of different triage techniques to detect cervical precancer and (2) inform on how to implement HPV-based screening programmes in LMIC. Methods and analysis Women aged 30–64 years are screened with HPV testing and Pap across 12 study centres in Latin America. Screened positives have colposcopy with biopsy and treatment of lesions. Women with no evident disease are recalled 18 months later for another HPV test; those HPV-positive undergo colposcopy with biopsy and treatment as needed. Biological specimens are collected in different visits for triage testing, which is not used for clinical management. The study outcome is histological high-grade squamous intraepithelial or worse lesions (HSIL+) under the lower anogenital squamous terminology. About 50 000 women will be screened and 500 HSIL+ cases detected (at initial and 18 months screening). Performance measures (sensitivity, specificity and predictive values) of triage techniques to detect HSIL+ will be estimated and compared with adjustment by age and study centre. Ethics and dissemination The study protocol has been approved by the Ethics Committee of the International Agency for Research on Cancer (IARC), of the Pan American Health Organisation (PAHO) and by those in each participating centre. A Data and Safety Monitoring Board (DSMB) has been established to monitor progress of the study, assure participant safety, advice on scientific conduct and analysis and suggest protocol improvements. Study findings will be published in peer-reviewed journals and presented at scientific meetings. Trial registration number NCT01881659Revista Internacional - Indexad

    Inter-acciones: apuestas regionales de la investigación en comunicación

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    Transformación social, desarrollo y gestión de la comunicación en investigación; Educación y comunicación en procesos de transformación cultural; y Medios, convergencia y cibercultura. Además, responde a la pregunta: ¿qué líneas aborda la investigación en Comunicación Social desde la modalidad virtual y a distancia de UNIMINUTO? Lo anterior, con el objetivo de acoplar la investigación básica y aplicada desde el nivel de pregrado, en atención a los retos que afronta la formación del nuevo comunicador social con respecto al componente de investigación e innovación desde los semilleros de investigación; además, en consideración a que los semilleros son un espacio institucional para el fomento de la cultura investigativa institucional y de programas, propiciar la interacción entre la comunidad académica con miras al fortalecimiento de la excelencia académica, el desarrollo social y el progreso científico de la comunidad, así como la generación de la capacidad de trabajo en grupo, la interdisciplinariedad y el establecimiento de redes de investigación

    Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

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    Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

    Outpatient Parenteral Antibiotic Treatment vs Hospitalization for Infective Endocarditis: Validation of the OPAT-GAMES Criteria

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    Measurement of the top quark forward-backward production asymmetry and the anomalous chromoelectric and chromomagnetic moments in pp collisions at √s = 13 TeV

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    Abstract The parton-level top quark (t) forward-backward asymmetry and the anomalous chromoelectric (d̂ t) and chromomagnetic (μ̂ t) moments have been measured using LHC pp collisions at a center-of-mass energy of 13 TeV, collected in the CMS detector in a data sample corresponding to an integrated luminosity of 35.9 fb−1. The linearized variable AFB(1) is used to approximate the asymmetry. Candidate t t ¯ events decaying to a muon or electron and jets in final states with low and high Lorentz boosts are selected and reconstructed using a fit of the kinematic distributions of the decay products to those expected for t t ¯ final states. The values found for the parameters are AFB(1)=0.048−0.087+0.095(stat)−0.029+0.020(syst),μ̂t=−0.024−0.009+0.013(stat)−0.011+0.016(syst), and a limit is placed on the magnitude of | d̂ t| < 0.03 at 95% confidence level. [Figure not available: see fulltext.

    Measurement of the azimuthal anisotropy of Y(1S) and Y(2S) mesons in PbPb collisions at root s(NN)=5.02 TeV

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    The second-order Fourier coefficients (v(2)) characterizing the azimuthal distributions of Y(1S) and Y(2S) mesons produced in PbPb collisions at root s(NN) = 5.02 TeV are studied. The Y mesons are reconstructed in their dimuon decay channel, as measured by the CMS detector. The collected data set corresponds to an integrated luminosity of 1.7 nb(-1). The scalar product method is used to extract the v2 coefficients of the azimuthal distributions. Results are reported for the rapidity range vertical bar y vertical bar < 2.4, in the transverse momentum interval 0 < pT < 50 GeV/c, and in three centrality ranges of 10-30%, 30-50% and 50-90%. In contrast to the J/psi mesons, the measured v(2) values for the Y mesons are found to be consistent with zero. (C) 2021 The Author(s). Published by Elsevier B.V.Peer reviewe

    Measurement of B-c(2S)(+) and B-c*(2S)(+) cross section ratios in proton-proton collisions at root s=13 TeV

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    Search for dark photons in Higgs boson production via vector boson fusion in proton-proton collisions at √s = 13 TeV

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    A search is presented for a Higgs boson that is produced via vector boson fusion and that decays to an undetected particle and an isolated photon. The search is performed by the CMS collaboration at the LHC, using a data set corresponding to an integrated luminosity of 130 fb−1, recorded at a center-of-mass energy of 13 TeV in 2016–2018. No significant excess of events above the expectation from the standard model background is found. The results are interpreted in the context of a theoretical model in which the undetected particle is a massless dark photon. An upper limit is set on the product of the cross section for production via vector boson fusion and the branching fraction for such a Higgs boson decay, as a function of the Higgs boson mass. For a Higgs boson mass of 125 GeV, assuming the standard model production rates, the observed (expected) 95% confidence level upper limit on the branching fraction is 3.5 (2.8)%. This is the first search for such decays in the vector boson fusion channel. Combination with a previous search for Higgs bosons produced in association with a Z boson results in an observed (expected) upper limit on the branching fraction of 2.9 (2.1)% at 95% confidence level
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