84 research outputs found

    Factores de riesgo psicosocial inciden en el trabajo colaborativo de docentes en una unidad educativa fiscal Daule Ecuador, 2022

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    El presente trabajo de investigación tuvo como objetivo general determinar los factores de riesgo psicosocial que inciden en el trabajo colaborativo de docentes en una unidad educativa fiscal Daule Ecuador, 2022, la investigación fue de tipo básica, diseño no experimental, con enfoque cuantitativo y de nivel correlacional. Los datos se recogieron utilizando la técnica de la encuesta y como instrumentos se aplicaron cuestionarios de evaluación de riesgo psicosocial en espacios laborales y de trabajo colaborativo de docentes, los cuales fueron aplicados a una muestra de 74 docentes de una unidad educativa fiscal, de acuerdo a datos obtenido del coeficiente Alfa de Cronbach la confiabilidad fue alta. Los resultados de análisis descriptivo determinaron que los factores de riesgo psicosocial inciden significativamente en el trabajo colaborativo de docentes, demostrado en la tabla 3 donde se evidencia que el 65% de los docentes se encuentran en el nivel bajo, así mismo, se aplicó la estadística inferencial para probar la hipótesis, el coeficiente de correlación de Spearman indicó un nivel de r=0,274 expresando así que existe una correlación positiva moderada entre las variables de factores de riesgo psicosocial y trabajo colaborativo dando como aceptada la hipótesis de investigación

    Evaluating Macro-policy Attitudes About Abortion in the United States

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    Prior research on public opinion demonstrates attitudes about major issues often shift/move together. In other words, public support for government involvement in domestic affairs across multiple policy areas can be indicative of the general policy sentiment or public mood at any given point in time. In exploring specific issue areas in isolation, researchers can assess whether change in opinion on an issue area is significantly linked to fluctuations in views about macroeconomic conditions. The current research project will contrast quarterly public support for government involvement in the issue area of abortion through vector autoregression time series techniques examining whether prior change in abortion attitudes predict a significant change in public attitudes about economic conditions, and vice-versa

    Agricultural Homoeopathy: A New Insight into Organics

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    At present, agricultural homoeopathy is being increasingly implemented worldwide to mitigate the negative effects caused by the indiscriminate use of chemical products in conventional agricultural practices. It is a viable alternative to improve organic agriculture, since homoeopathic medicines are innocuous substances with a capability to activate measurable response mechanisms when used in plants, animals and humans. Experimental research results allow us to conclude in this chapter that agricultural homoeopathy is able to stimulate favourable biological and even genetic responses in plants (basil Ocimum basilicum L., bean Phaseolus vulgaris L., cucumber Cucumis sativus L., tomato Solanum lycopersicum L.), which shows a novelty insight for organic agriculture

    Whole-Genome Sequences of Five Acinetobacter baumannii Strains From a Child With Leukemia M2

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    Acinetobacter baumannii is an opportunistic pathogen and is one of the primary etiological agents of healthcare-associated infections (HAIs). A. baumannii infections are difficult to treat due to the intrinsic and acquired antibiotic resistance of strains of this bacterium, which frequently limits therapeutic options. In this study, five A. baumannii strains (810CP, 433H, 434H, 483H, and A-2), all of which were isolated from a child with leukemia M2, were characterized through antibiotic susceptibility profiling, the detection of genes encoding carbapenem hydrolyzing oxacillinases, pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST), adherence and invasion assays toward the A549 cell line, and the whole-genome sequence (WGS). The five strains showed Multidrug resistant (MDR) profiles and amplification of the blaOXA-23 gene, belonging to ST758 and grouped into two PFGE clusters. WGS of 810CP revealed the presence of a circular chromosome and two small plasmids, pAba810CPa and pAba810CPb. Both plasmids carried genes encoding the Sp1TA system, although resistance genes were not identified. A gene-by-gene comparison analysis was performed among the A. baumannii strains isolated in this study and others A. baumannii ST758 strains (HIMFG and INCan), showing that 86% of genes were present in all analyzed strains. Interestingly, the 433H, 434H, and 483H strains varied by 8–10 single-nucleotide variants (SNVs), while the A2 and 810CP strains varied by 46 SNVs. Subsequently, an analysis using BacWGSTdb showed that all of our strains had the same resistance genes and were ST758. However, some variations were observed in relation to virulence genes, mainly in the 810CP strain. The genes involved in the synthesis of hepta-acylated lipooligosaccharides, the pgaABCD locus encoding poly-β-1-6-N-acetylglucosamine, the ompA gene, Csu pili, bap, the two-component system bfms/bfmR, a member of the phospholipase D family, and two iron-uptake systems were identified in our A. baumannii strains genome. The five A. baumannii strains isolated from the child were genetically different and showed important characteristics that promote survival in a hospital environment. The elucidation of their genomic sequences provides important information for understanding their epidemiology, antibiotic resistance, and putative virulence factors

    Non-productive angiogenesis disassembles Aß plaque-associated blood vessels

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    The human Alzheimer’s disease (AD) brain accumulates angiogenic markers but paradoxically, the cerebral microvasculature is reduced around Aß plaques. Here we demonstrate that angiogenesis is started near Aß plaques in both AD mouse models and human AD samples. However, endothelial cells express the molecular signature of non-productive angiogenesis (NPA) and accumulate, around Aß plaques, a tip cell marker and IB4 reactive vascular anomalies with reduced NOTCH activity. Notably, NPA induction by endothelial loss of presenilin, whose mutations cause familial AD and which activity has been shown to decrease with age, produced a similar vascular phenotype in the absence of Aß pathology. We also show that Aß plaque-associated NPA locally disassembles blood vessels, leaving behind vascular scars, and that microglial phagocytosis contributes to the local loss of endothelial cells. These results define the role of NPA and microglia in local blood vessel disassembly and highlight the vascular component of presenilin loss of function in AD

    Famílies botàniques de plantes medicinals

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    Facultat de Farmàcia, Universitat de Barcelona. Ensenyament: Grau de Farmàcia, Assignatura: Botànica Farmacèutica, Curs: 2013-2014, Coordinadors: Joan Simon, Cèsar Blanché i Maria Bosch.Els materials que aquí es presenten són els recull de 175 treballs d’una família botànica d’interès medicinal realitzats de manera individual. Els treballs han estat realitzat per la totalitat dels estudiants dels grups M-2 i M-3 de l’assignatura Botànica Farmacèutica durant els mesos d’abril i maig del curs 2013-14. Tots els treballs s’han dut a terme a través de la plataforma de GoogleDocs i han estat tutoritzats pel professor de l’assignatura i revisats i finalment co-avaluats entre els propis estudiants. L’objectiu principal de l’activitat ha estat fomentar l’aprenentatge autònom i col·laboratiu en Botànica farmacèutica

    Floating macro litter in European rivers - top items

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    The JRC exploratory project RIMMEL provides information about litter, mainly plastic waste, entering the European Seas through river systems. RIMMEL has collected data on riverine floating macro litter inputs to the sea. Data acquisition was based on the Riverine Litter Observation Network (RiLON) activities, which collected data from rivers in the European marine basins over a period of one year (September 2016 – September 2017). Data was collected by visual observations and documented with the JRC Floating Litter Monitoring Application for mobile devices, allowing a harmonized reporting, compatible with the MSFD Master List of Categories for Litter Items. This report includes the Top Items lists of riverine floating macro litter, based on the total amount of litter items identified during RiLON activities and ranked by abundance. Top Items lists have been elaborated considering the whole database for the European Seas and further detailed for each individual European regional sea: Baltic Sea, Black Sea, Mediterranean Sea and North-East Atlantic. The North-East Atlantic and the Mediterranean Sea regions showed similar litter categories in their Top 20 Items. These two regions provided most of the available data, influencing the general Top Items list. In the Black Sea and Baltic Sea regions, where data availability was limited, the Top Items lists showed more differences among the different regions. Overall, the general Top Items list for the European Seas showed a predominance of plastic item categories (artificial polymer materials). As a whole, plastic items made up to 80.8% of all objects, with plastic and polystyrene fragments comprising 45% of the identified items in the database. Additionally, Single Use Plastics such as bottles, cover/packaging and bags were also ranked among the most frequently found floating litter. The similarities in the Top 10 and Top 20 items for the different regions, and the appearance of Single Use Plastics scoring high in the ranking, support the need for common actions against plastic pollution at EU level.JRC.D.2-Water and Marine Resource

    The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

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    Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

    Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort

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    Background Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.Methods Multicenter, observational prospective, and retrospective study of patients admitted due to ARDS related to COVID-19 infection in Spain. Patients were grouped according to a clustering mixed-type data algorithm (k-prototypes) using continuous and categorical readily available variables at baseline and day 3.Results Of 6205 patients, 3743 (60%) were included in the study. According to silhouette analysis, patients were grouped in two clusters. At baseline, 1402 (37%) patients were included in cluster 1 and 2341(63%) in cluster 2. On day 3, 1557(42%) patients were included in cluster 1 and 2086 (57%) in cluster 2. The patients included in cluster 2 were older and more frequently hypertensive and had a higher prevalence of shock, organ dysfunction, inflammatory biomarkers, and worst respiratory indexes at both time points. The 90-day mortality was higher in cluster 2 at both clustering processes (43.8% [n = 1025] versus 27.3% [n = 383] at baseline, and 49% [n = 1023] versus 20.6% [n = 321] on day 3). Four hundred and fifty-eight (33%) patients clustered in the first group were clustered in the second group on day 3. In contrast, 638 (27%) patients clustered in the second group were clustered in the first group on day 3.Conclusions During the first days, patients can be clustered into two groups and the process of clustering patients may change as they continue to evolve. This means that despite a vast majority of patients remaining in the same cluster, a minority reaching 33% of patients analyzed may be re-categorized into different clusters based on their progress. Such changes can significantly impact their prognosis

    Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

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    : The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI
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