Design of a case management model for people with chronic disease (Heart Failure and COPD). Phase I: modeling and identification of the main components of the intervention through their actors: patients and professionals (DELTA-ICE-PRO Study

Background Chronic diseases account for nearly 60% of deaths around the world. The extent of this silent epidemic has not met determined responses in governments, policies or professionals in order to transform old Health Care Systems, configured for acute diseases. There is a large list of research about alternative models for people with chronic conditions, many of them with an advanced practice nurse as a key provider, as case management. But some methodological concerns raise, above all, the design of the intervention (intensity, frequency, components, etc). Methods/Design Objectives: General: To develop the first and second phases (theorization and modeling) for designing a multifaceted case-management intervention in people with chronic conditions (COPD and heart failure) and their caregivers. Specific aims: 1) To identify key events in people living with chronic disease and their relation with the Health Care System, from their point of view. 2) To know the coping mechanisms developed by patients and their caregivers along the story with the disease. 3) To know the information processing and its utilization in their interactions with health care providers. 4) To detect potential unmet needs and the ways deployed by patients and their caregivers to resolve them. 5) To obtain a description from patients and caregivers, about their itineraries along the Health Care System, in terms of continuity, accessibility and comprehensiveness of care. 6) To build up a list of promising case-management interventions in patients with Heart Failure and COPD with this information in order to frame it into theoretical models for its reproducibility and conceptualization. 7) To undergo this list to expert judgment to assess its feasibility and pertinence in the Andalusian Health Care. Design: Qualitative research with two phases: For the first five objectives, a qualitative technique with biographic stories will be developed and, for the remaining objectives, an expert consensus through Delphi technique, on the possible interventions yielded from the first phase. The study will be developed in the provinces of Almería, Málaga and Granada in the Southern Spain, from patients included in the Andalusian Health Care Service database with the diagnosis of COPD or Heart Failure, with the collaboration of case manager nurses and general practitioners for the assessment of their suitability to inclusion criteria. Patients and caregivers will be interviewed in their homes or their Health Centers, with their family or their case manager nurse as mediator. Discussion First of a series of studies intended to design a case-management service for people with heart failure and COPD, in the Andalusian Health Care System, where case management has been implemented since 2002. Accordingly with the steps of a theoretical model for complex interventions, in this study, theorization and intervention modeling phases will be developed.This research was carried out with the support of one research grant, awarded by the Regional Health Ministry of Andalusia (Exp. 0222/2008

Validación de dos algoritmos para la localización 3D del instrumental laparoscópico a partir de la imagen de vídeo endoscópico

Uno de los aspectos fundamentales en un sistema de cirugía guiada por imagen (CGI) es la localización del instrumental quirúrgico con respecto a la anatomía del paciente. Los sistemas basados en sensores ofrecen buenos niveles de precisión, pero son sensibles a distintas fuentes de ruido en el quirófano y contribuyen a la sobrecarga tecnológica del mismo. Una alternativa novedosa es analizar la imagen del vídeo endoscópico para llevar a cabo la detección y localización espacial del instrumental. Se presenta en este trabajo la validación de dos métodos, basados en el diámetro aparente y en la sección transversal del instrumental, para la localización espacial del instrumental a partir de los bordes y la posición 2D de la punta en la imagen. La validación, llevada a cabo en un simulador físico, se realiza comparando los resultados con el sistema Kinescan/IBV. Los resultados muestran para cada método un error medio de 12,7 y 12,8 mm respectivamente. La incorporación de estos algoritmos dentro del paradigma de navegación propuesto en el proyecto THEMIS permitirá al cirujano conocer la posición del instrumental de forma no intrusiva y transparente, sin necesidad de equipamiento adicional en el quirófano

Myliobatis freminvillii, bullnose eagle ray

The Bullnose Eagle Ray (Myliobatis freminvillii) is a medium-sized (to 106 cm disc width) demersal coastal eagle ray that occurs in the Northwest, Western Central, and Southwest Atlantic Oceans from Massachussetts, USA to the Texas coast of the Gulf of Mexico and from Venezuela to Buenos Aires, Argentina and inhabits continental shelves from the surface to a depth of 122 m. Its is captured by artisanal longlines, gillnets, beach seines and also in industrial shrimp trawls. In the Northwest Atlantic, population trend data are available from a deep-water trawl survey in the northern Gulf of Mexico that reveal steep increases in abundance over 2002-2013. There are no known threats in the Northwest and Western Central Atlantic, but in the Southwest Atlantic artisanal fisheries are intense. Further, there are largely unmanaged commercial trawl and longline fisheries in this area. This inshore eagle ray is exposed to intense and often unmanaged fishing pressure throughout the Southwest Atlantic portion of its range, and it has no refuge at depth. Due to the level of exploitation by widespread artisanal fisheries which lack adequate management, it is suspected that this species has undergone a population reduction of >80% over the past three generation lengths (44 years) in the Atlantic South American part of its range, but is stable in the Northwest and Western Central Atlantic. Overall, based on its range, with almost all threats found in the Southwest Atlantic, and the suspected low productivity of the species, the Bullnose Eagle Ray is suspected to have undergone a population reduction of 30-49% in the past three generation lengths (44 years) due to levels of exploitation, and it is assessed as Vulnerable A2bd.Fil: Carlson, J.. National Marine Fisheries Service; Estados UnidosFil: Charvet, P.. Universidade Federal do Paraná; BrasilFil: Avalos, C.. Fundacion Mundo Azul; GuatemalaFil: Blanco Parra, M. P.. Universidad de Quintana Roo; MéxicoFil: Briones Bell lloch, A.. Direccion de Regulaciones Pesqueras y Ciencias; CubaFil: Cardeñosa, D.. Florida International University; Estados UnidosFil: Chiaramonte, Gustavo Enrique. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "Bernardino Rivadavia". Estación Hidrobiológica de Puerto Quequén (sede Quequén); ArgentinaFil: Cuevas, J.M.. Wildlife Conservation Society; Estados UnidosFil: Derrick, D.. University Fraser Simon; CanadáFil: Espinoza, E.. Direccion Parque Nacional Galapagos; EcuadorFil: Mejía Falla, P. A.. Wildlife Conservation Society; Estados UnidosFil: Morales Saldaña, J. M.. Smithsonian Tropical Research Institute; PanamáFil: Motta, F.. Universidade Federal de Sao Paulo; BrasilFil: Naranjo Elizondo, B.. Universidad de Costa Rica; Costa RicaFil: Pacoureau, N.. University Fraser Simon; CanadáFil: Paesch, L.. Dirección Nacional de Recursos Acuáticos; UruguayFil: Perez Jiménez, J. C.. El Colegio de la Frontera del Sur; MéxicoFil: Rincon, G.. Universidade Federal Do Maranhao.; BrasilFil: Schneider, E. V. C.. Cape Eleuthera Institute; BahamasFil: Simpson, N. J.. Salvageblue; San Vicente y las GranadinasFil: Talwar, B. S.. Florida International University; Estados UnidosFil: Pollom, R.. University Fraser Simon; Canad

Myliobatis goodei, southern eagle ray

The Southern Eagle Ray (Myliobatis goodei) is a medium-sized (to at least 115 cm DW) coastal eagle ray that occurs in the Western Central and Southwest Atlantic Oceans from South Carolina and Florida, USA and Quintana Roo, Mexico to San Jorge Gulf, Santa Cruz, Argentina. It inhabits continental shelves from inshore to depths of 181 m. It is captured using artisanal longlines, gillnets, beach seines, and in industrial shrimp trawls. This species is inferred to be stable or increasing in the Western Central Atlantic, based on its similarity to the Bullnose Eagle Ray (Myliobatis freminvillei). In the Southwest Atlantic artisanal fisheries are intense, further there are largely unmanaged commercial trawl and longline fisheries in many areas. In Brazil, landings of eagle rays have been reduced by 60% over 2000?2012 in Santa Catarina State, and a reduction of 91% in Rio Grande do Sul since the 1980s. This inshore eagle ray has no refuge at depth and is exposed to intense and often unmanaged fishing pressure throughout the Atlantic South American portion of its range and there it is suspected that this species has undergone a population reduction of >80% over the past three generation lengths (44 years), but is stable in the Western Central Atlantic. Overall, based its range with the almost all threats found in the Southwest Atlantic, the suspected low productivity of the species, this species is suspected to have undergone a population reduction of 30 49% in three generation lengths (44 years) due to levels of exploitation, and it is assessed as Vulnerable A2d.Fil: Carlson, J.. National Marine Fisheries Service; Estados UnidosFil: Charvet, P.. Universidade Federal do Paraná; BrasilFil: Avalos Castillo, C.. Fundación Mundo Azul; GuatemalaFil: Blanco Parra, M. P.. Universidad de Quintana Roo; MéxicoFil: Briones Bell lloch, A.. Dirección de Regulaciones Pesqueras y Ciencias; CubaFil: Cardeñosa, D.. Florida International University; Estados UnidosFil: Chiaramonte, Gustavo Enrique. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "Bernardino Rivadavia". Estación Hidrobiológica de Puerto Quequén (sede Quequén); ArgentinaFil: Cuevas, J.M.. Wildlife Conservation Society; Estados UnidosFil: Derrick, D.. University Fraser Simon; CanadáFil: Espinoza, E.. Galapagos National Park Directorate; EcuadorFil: Mejía Falla, P. A.. Wildlife Conservation Society; Estados UnidosFil: Morales Saldaña, J. M.. Smithsonian Tropical Research Institute; PanamáFil: Motta, F.. Universidade Federal Do Sao Paulo; BrasilFil: Naranjo Elizondo, B.. Universidad de Costa Rica; Costa RicaFil: Pacoureau, N.. University Fraser Simon; CanadáFil: Paesch, L.. Direccion Nacional de Recursos Acuaticos ; UruguayFil: Pérez Jiménez, J. C.. El Colegio de la Frontera del Sur; MéxicoFil: Rincon, G.. Universidade Federal Do Maranhao.; BrasilFil: Schneider, E. V. C.. Cape Eleuthera Institute; BahamasFil: Simpson, N. J.. Salvageblue; San Vicente y las GranadinasFil: Talwar, B. S.. Florida International University; Estados UnidosFil: Pollom, R.. University Fraser Simon; Canad

Measurement of the Forward-Backward Asymmetry in the B -> K(*) mu+ mu- Decay and First Observation of the Bs -> phi mu+ mu- Decay

We reconstruct the rare decays $B^+ \to K^+\mu^+\mu^-$, $B^0 \to K^{*}(892)^0\mu^+\mu^-$, and $B^0_s \to \phi(1020)\mu^+\mu^-$ in a data sample corresponding to $4.4 {\rm fb^{-1}}$ collected in $p\bar{p}$ collisions at $\sqrt{s}=1.96 {\rm TeV}$ by the CDF II detector at the Fermilab Tevatron Collider. Using $121 \pm 16$ $B^+ \to K^+\mu^+\mu^-$ and $101 \pm 12$ $B^0 \to K^{*0}\mu^+\mu^-$ decays we report the branching ratios. In addition, we report the measurement of the differential branching ratio and the muon forward-backward asymmetry in the $B^+$ and $B^0$ decay modes, and the $K^{*0}$ longitudinal polarization in the $B^0$ decay mode with respect to the squared dimuon mass. These are consistent with the theoretical prediction from the standard model, and most recent determinations from other experiments and of comparable accuracy. We also report the first observation of the $B^0_s \to \phi\mu^+\mu^- decay and measure its branching ratio${\mathcal{B}}(B^0_s \to \phi\mu^+\mu^-) = [1.44 \pm 0.33 \pm 0.46] \times 10^{-6}$using$27 \pm 6$signal events. This is currently the most rare$B^0_s$ decay observed.Comment: 7 pages, 2 figures, 3 tables. Submitted to Phys. Rev. Let

Measurements of the properties of Lambda_c(2595), Lambda_c(2625), Sigma_c(2455), and Sigma_c(2520) baryons

We report measurements of the resonance properties of Lambda_c(2595)+ and Lambda_c(2625)+ baryons in their decays to Lambda_c+ pi+ pi- as well as Sigma_c(2455)++,0 and Sigma_c(2520)++,0 baryons in their decays to Lambda_c+ pi+/- final states. These measurements are performed using data corresponding to 5.2/fb of integrated luminosity from ppbar collisions at sqrt(s) = 1.96 TeV, collected with the CDF II detector at the Fermilab Tevatron. Exploiting the largest available charmed baryon sample, we measure masses and decay widths with uncertainties comparable to the world averages for Sigma_c states, and significantly smaller uncertainties than the world averages for excited Lambda_c+ states.Comment: added one reference and one table, changed order of figures, 17 pages, 15 figure

Search for a New Heavy Gauge Boson Wprime with Electron + missing ET Event Signature in ppbar collisions at sqrt(s)=1.96 TeV

We present a search for a new heavy charged vector boson $W^\prime$ decaying to an electron-neutrino pair in $p\bar{p}$ collisions at a center-of-mass energy of 1.96\unit{TeV}. The data were collected with the CDF II detector and correspond to an integrated luminosity of 5.3\unit{fb}^{-1}. No significant excess above the standard model expectation is observed and we set upper limits on $\sigma\cdot{\cal B}(W^\prime\to e\nu)$. Assuming standard model couplings to fermions and the neutrino from the $W^\prime$ boson decay to be light, we exclude a $W^\prime$ boson with mass less than 1.12\unit{TeV/}c^2 at the 95\unit{%} confidence level.Comment: 7 pages, 2 figures Submitted to PR

Spitzer Reveals Evidence of Molecular Absorption in the Atmosphere of the Hot Neptune LTT 9979b

Non-rocky sub-jovian exoplanets in high irradiation environments are rare. LTT 9979b, also known as TESS Object of Interest (TOI) 193.01, is one of the few such planets discovered to date, and the first example of an ultra-hot Neptune. The planet's bulk density indicates that it has a substantial atmosphere, so to investigate its atmospheric composition and shed further light on its origin, we obtained {\it Spitzer} IRAC secondary eclipse observations of LTT 9979b at 3.6 and 4.5 $\mu$m. We combined the {\it Spitzer} observations with a measurement of the secondary eclipse in the {\it TESS} bandpass. The resulting secondary eclipse spectrum strongly prefers a model that includes CO absorption over a blackbody spectrum, incidentally making LTT 9979b the first {\it TESS} exoplanet (and the first ultra-hot Neptune) with evidence of a spectral feature in its atmosphere. We did not find evidence of a thermal inversion, at odds with expectations based on the atmospheres of similarly-irradiated hot Jupiters. We also report a nominal dayside brightness temperature of 2305 $\pm$ 141 K (based on the 3.6 $\mu$m secondary eclipse measurement), and we constrained the planet's orbital eccentricity to $e < 0.01$ at the 99.7 \% confidence level. Together with our analysis of LTT 9979b's thermal phase curves reported in a companion paper, our results set the stage for similar investigations of a larger sample of exoplanets discovered in the hot Neptune desert, investigations which are key to uncovering the origin of this population.Comment: 12 pages, 5 figures; accepted to ApJ Letter