Inspiratory fraction as a marker of skeletal muscle dysfunction in patients with COPD

AbstractBackgroundAn inspiratory capacity to total lung capacity (IC/TLC) ratio of ≤25% has emerged as a better marker of mortality in chronic obstructive pulmonary disease (COPD) patients. The relationship among the IC/TLC ratio to lower extremity skeletal muscle function remains unknown.MethodsThirty-five men with moderate to severe COPD were divided into those with IC/TLC≤25% (n=16) and >25% (n=19). The subjects were tested for thigh muscle mass volume (MMT), maximal strength, power output of the lower extremities, and physical activity.ResultsTotal MMT in the IC/TLC<25% group was significantly lower (413.91±89.42cm3) (p<0.001) than in the IC/TLC>25% group (575.20±11.76cm3). In the IC/TLC≤25% group, maximal strength of the lower extremities and muscle peak power output of the lower extremities were 36–56% lower (p<0.01) than among the patients in the IC/TLC>25% group.ConclusionIC/TLC≤25% is associated with reduced maximal strength and peak power output of the lower extremities. IC/TLC≤25% may have an important clinical relevance as an index to determine peripheral muscle dysfunction

Efectos de realizar actividad física en la función muscular en EPOC

The purpose of this study was to examine the effects of a 12-month physical activity (PA) programme consisting in walking on muscle function in patients with COPD (Chronic Obstructive Pulmonary Disease). Forty-four men (70.3 ± 6.7 years old) diagnosed with moderate-severe COPD were recruited. The intervention group (PAG) completed a physical activity programme and the control group (COG) followed their standard treatment. Upper-and lower-limb maximum strength (1RM), lower-limb muscle power (50% and 70% 1RM) and physical activity were measured before and after 12 months. After 12 months, lower-limb maximum strength increased by 8% in the PAG (P<0.01), while it did not change in the COG. Lower-limb muscle power at 50% 1RM increased by 12% in the PAG, while it decreased by 9% in the COG (P<0.05). A physical activity programme increased muscle strength and preserved muscle power of the lower limb. © 2021, Universidad Autonoma de Madrid y CV Ciencias del Deporte. All rights reserved

Empirical approach to the analysis of university student absenteeism. Proposal of a questionnaire for students to evaluate the possible causes

Works on student absenteeism in the universities have not been preferential for the authors in the field of educational research. Usually, what has been made is an approach to the available absenteeism data as an intervening variable or as a variable characteristic of the educational process, but not as a dependent variable in the strict sense of the term. In this work, we intend to make an empirical approach to the possible reasons of student absenteeism. There is a double point of view: the students" and the professors"; the reasons that justify it according to its protagonists are studied. This paper focuses on the six university degrees taught at the School of Economy and Business of the University of Barcelona (Facultat d"Economia i Empresa de la Universitat de Barcelona). An"ad-hoc" questionnaire has been prepared and the opinions of 1,162 undergraduates have been analyzed. The reasons given by each population differ in hierarchy and motivations

Estudio para la mejora de la calidad del vino albariño

Premio de Investigación, Real Academia Galega de Ciencias, convocatoria 2009.[EN]Twenty-two clones from Albariño variety (Vitis vinifera L.), from an initial collection of 115 clones, were selected on the basis of their ampelographic, molecular and sanitary characteristics. These selected clones were studied from the agronomic and oenological point of view, and were also quantified for their levels of susceptibility to Powdery Mildew, Oidium and Botrytis. An ecotypic yeast was selected, its use has been patented and it is being exploited. Musts obtained from the previously selected Albariño clones were fermented with this yeast, essentially by increasing the content in volatile substances of interest (terpens: linalool and geraniol; norisoprenoids: α-ionone and β- damascenone), leading to wines with improved fermentative dynamic and sensorial attributes.[ES]En base a características ampelográficas, moleculares y sanitarias, se seleccionaron 22 clones de la variedad Albariño (Vitis vinifera L.), partiendo de 115 iniciales. Sobre los clones seleccionados se ha llevado a cabo un estudio agronómico y enológico, así como la cuantificación de los niveles de susceptibilidad a Mildiu, Oídio y Botrytis. Se ha seleccionado una levadura ecotípica, cuyo uso ha sido patentado y se encuentra en explotación. Con ella se fermentaron los mostos obtenidos a partir de los clones de Albariño previamente seleccionados, dando lugar a vinos con una dinámica fermentativa xPremio de Investigación, Real Academia Galega de Ciencias, convocatoria 2009 y unos atributos sensoriales mejorados, fundamentalmente en base al aumento del contenido en sustancias volátiles de interés (terpenos: linalool y geraniol; norisoprenoides: α-ionona y β- damascenona).La actividad realizada ha sido financiada, además de por la Bodega Terras Gauda S.A., por la Xunta de Galicia (PGIDIT04TAL035E), y por el propio CSIC (PIE 2004 7 0E 214).Peer reviewe

ICOS costimulation at the tumor site in combination with CTLA-4 blockade therapy elicits strong tumor immunity

Cytotoxic T lymphocyte-associated protein 4 (CTLA-4) blockade therapy is able to induce long-lasting antitumor responses in a fraction of cancer patients. Nonetheless, there is still room for improvement in the quest for new therapeutic combinations. ICOS costimulation has been underscored as a possible target to include with CTLA-4 blocking treatment. Herein, we describe an ICOS agonistic aptamer that potentiates T cell activation and induces stronger antitumor responses when locally injected at the tumor site in combination with anti-CTLA-4 antibody in different tumor models. Furthermore, ICOS agonistic aptamer was engineered as a bi-specific tumor-targeting aptamer to reach any disseminated tumor lesions after systemic injection. Treatment with the bi-specific aptamer in combination with CTLA-4 blockade showed strong antitumor immunity, even in a melanoma tumor model where CTLA-4 treatment alone did not display any significant therapeutic benefit. Thus, this work provides strong support for the development of combinatorial therapies involving anti-CTLA-4 blockade and ICOS agonist tumor-targeting agents

the measurement of statistical reasoning in verbal numerical and graphical forms a pilot study

Numerous subjects have trouble in understanding various conceptions connected to statistical problems. Research reports how students' ability to solve problems (including statistical problems) can be influenced by exhibiting proofs. In this work we aim to contrive an original and easy instrument able to assess statistical reasoning on uncertainty and on association, regarding two different forms of proof presentation: pictorial-graphical and verbal–numerical. We have conceived eleven pairs of simple problems in the verbal–numerical and pictorial–graphical form and we have presented the proofs to 47 undergraduate students. The purpose of our work was to evaluate the goodness and reliability of these problems in the assessment of statistical reasoning. Each subject solved each pair of proofs in the verbal-numerical and in the pictorial–graphical form, in different problem presentation orders. Data analyses have highlighted that six out of the eleven pairs of problems appear to be useful and adequate to estimate statistical reasoning on uncertainty and that there is no effect due to the order of presentation in the verbal–numerical and pictorial–graphical form

An economic model of long-term use of celecoxib in patients with osteoarthritis

<p>Abstract</p> <p>Background</p> <p>Previous evaluations of the cost-effectiveness of the cyclooxygenase-2 selective inhibitor celecoxib (Celebrex, Pfizer Inc, USA) have produced conflicting results. The recent controversy over the cardiovascular (CV) risks of rofecoxib and other coxibs has renewed interest in the economic profile of celecoxib, the only coxib now available in the United States. The objective of our study was to evaluate the long-term cost-effectiveness of celecoxib compared with nonselective nonsteroidal anti-inflammatory drugs (nsNSAIDs) in a population of 60-year-old osteoarthritis (OA) patients with average risks of upper gastrointestinal (UGI) complications who require chronic daily NSAID therapy.</p> <p>Methods</p> <p>We used decision analysis based on data from the literature to evaluate cost-effectiveness from a modified societal perspective over patients' lifetimes, with outcomes expressed as incremental costs per quality-adjusted life-year (QALY) gained. Sensitivity tests were performed to evaluate the impacts of advancing age, CV thromboembolic event risk, different analytic horizons and alternate treatment strategies after UGI adverse events.</p> <p>Results</p> <p>Our main findings were: 1) the base model incremental cost-effectiveness ratio (ICER) for celecoxib versus nsNSAIDs was $31,097 per QALY; 2) the ICER per QALY was$19,309 for a model in which UGI ulcer and ulcer complication event risks increased with advancing age; 3) the ICER per QALY was $17,120 in sensitivity analyses combining serious CV thromboembolic event (myocardial infarction, stroke, CV death) risks with base model assumptions.</p> <p>Conclusion</p> <p>Our model suggests that chronic celecoxib is cost-effective versus nsNSAIDs in a population of 60-year-old OA patients with average risks of UGI events.</p

Procedimiento para obtener vinos de la variedad de uva albariño (y otras) con alto contenido aromático mediante el uso de una levadura ecotípica.

Solicitud de Patente.-- Fecha de presentación de la solicitud: 22/02/2008.-- Titular: Consejo Superior de Investigaciones Científicas (CSIC).Procedimiento para obtener vinos de la variedad de uva Albariño (y otras) con alto contenido aromático mediante el uso de una levadura ecotípica. Microorganismo de la especie Saccharomyces cerevisae capaz de inducir un alto nivel de terpenos volátiles además del uso de los mismos para la elaboración de vinos a partir de mosto de uva, de cualquier fruta o de cualquier solución hidroazucarada.Peer reviewe