10 research outputs found

    Abordaje fisioterápico de la incontinencia urinaria de esfuerzo durante el climaterio: revisión sistemática

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    Introducción. La incontinencia urinaria se considera la disfunción del suelo pélvico más frecuente entre las mujeres. Supone una limitación en la calidad de vida y en las actividades diarias. Los cambios producidos durante el climaterio contribuyen a su aparición. El entrenamiento del suelo pélvico se ha convertido en la base de las intervenciones de fisioterapia para esta disfunción. Objetivos. Realizar una revisión sistemática sobre la efectividad del tratamiento fisioterápico para la incontinencia urinaria de esfuerzo durante el climaterio. Comparar las diferentes modalidades de tratamiento y protocolos utilizados. METODOLOGÍA. El estudio se ha realizado siguiendo los criterios de la declaración PRISMA. Se incluyeron ensayos clínicos controlados aleatorizados con una calidad igual o superior a 6 en la escala PEDro, en los que se valoraba el tratamiento fisioterápico en mujeres en etapa de climaterio con incontinencia urinaria de esfuerzo, a partir de las búsquedas en PubMed, AlcorZe, PEDro, Web of Science, ScienceDirect y la biblioteca de Cochrane. Resultados. Se seleccionaron para valorar cualitativamente 6 artículos que cumplían los criterios de inclusión. En todos los estudios se observa una mejora estadísticamente significativa en las variables analizadas en el grupo que realiza un tratamiento activo, en comparación con el grupo control. Los protocolos de tratamiento utilizados varían de un estudio a otro. Conclusión: el tratamiento fisioterápico supervisado basado en el fortalecimiento de la musculatura del suelo pélvico es eficaz en cuanto a la mejora en la calidad de vida y en la sintomatología, mostrando resultados estadísticamente significativos. No se han podido obtener conclusiones específicas sobre qué modalidad y protocolo de tratamiento produce más beneficios. <br /

    Sub-bandgap external quantum efficiency in Ti implanted Si heterojunction with intrinsic thin layer cells

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    In this work we present the manufacturing processes and results obtained from the characterization of heterojunction with intrinsic thin layer solar cells that include a heavily Ti ion implanted Si absorbing layer. The cells exhibit external circuit photocurrent at photon energies well below the Si bandgap. We discuss the origin of this below-bandgap photocurrent and the modifications in the hydrogenated amorphous intrinsic Si layer thickness to increase the open-circuit voltage. © 2013 The Japan Society of Applied Physics.This work has been supported by the Regional Government of Comunidad de Madrid within the project NUMANCIA II (S-2009/ENE-1477). J. Olea and D. Pastor would like to acknowledge a Juan de la Cierva fellowship from the Spanish Science Ministry (JCI-2011-10402, JCI-2011-11471). E. Antolín acknowledges a Marie Curie Fellowship from the European Commission (Project Siracusa, Grant PIEF-GA-2011-302489.S-2009/ENE-1477/NUMANCIA-IIPeer Reviewe

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    The amenity mix of urban neighborhoods

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    Advances in computational urbanism have stimulated the rise of generative and parametric approaches to urban design. Yet, most generative and parametric approaches focus on physical characteristics, such as a neighborhoods walkability, energy efficiency, and urban form. Here, we study the colocation patterns of more than one million amenities in 47 U.S. cities to model the amenity mix of neighborhoods, and to identify the amenities that are over- or under-supplied in a neighborhood. We build this model by combining a clustering algorithm, designed to identify amenity-dense neighborhoods, and a network, connecting amenities that are likely to collocate. Our findings extend generative and parametric urban design approaches to the amenity mix of neighborhoods, by leveraging the idea of relatedness from the economic geography literature, to evaluate and optimize a neighborhood's amenity mix

    Sub-Bandgap external quantum efficiency in Ti implanted Si heterojunction with intrinsic thin layer cells

    No full text
    In this work we present the manufacturing processes and results obtained from the characterization of heterojunction with intrinsic thin layer solar cells that include a heavily Ti ion implanted Si absorbing layer. The cells exhibit external circuit photocurrent at photon energies well below the Si bandgap. We discuss the origin of this below-bandgap photocurrent and the modifications in the hydrogenated amorphous intrinsic Si layer thickness to increase the open-circuit voltage.Peer ReviewedPostprint (published version

    Sub-Bandgap external quantum efficiency in Ti implanted Si heterojunction with intrinsic thin layer cells

    No full text
    In this work we present the manufacturing processes and results obtained from the characterization of heterojunction with intrinsic thin layer solar cells that include a heavily Ti ion implanted Si absorbing layer. The cells exhibit external circuit photocurrent at photon energies well below the Si bandgap. We discuss the origin of this below-bandgap photocurrent and the modifications in the hydrogenated amorphous intrinsic Si layer thickness to increase the open-circuit voltage.Peer Reviewe

    Células solares de banda intermedia

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    Las células solares de banda intermedia se inventaron en España. Constituyen una propuesta para aumentar la eficiencia de las células solares por encima del límite de Shockley y Queisser para células de un solo gap. El número de ideas para llevarlas a la práctica (desde la utilización de puntos cuánticos a la implantación selectiva de impurezas) se ha ido expandiendo a medida que nuestra comprensión ha ido aumentando. En este artículo repasamos el concepto de célula solar de banda intermedia y algunas de estas ideas para llevarla a la práctica
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