Variacions en l'atenció visual en relació a l'estat refractiu

S’han realitzat diversos estudis que relacionen l’error refractiu amb paràmetres com la personalitat, la intel·ligència, la genètica, però, en canvi, no s’han fet estudis que relacionin l’error refractiu i l’atenció visual. PROPÒSIT: Estudiar les variacions en l’atenció visual relacionades amb l’estat refractiu, en un grup de 154 pacients composat per 74 homes i 80 dones de edat compresa entre els 20 i 40 anys. MÈTODE: Es van realitzar exàmens optomètrics per determinar les agudeses visuals i l’estat refractiu de cada pacient. A continuació, es va administrar un test informàtic d’atenció visual a cadascun i, posteriorment, es van traslladar a un full de càlcul Excel els temps de reacció obtinguts per al seu posterior tractament de dades. RESULTATS: Es van trobar diferències estadísticament significatives (p<0,05) en el grup dels pacients miops, concretament entre el grup de miops alts i mitjos i entre miops alts i baixos. Els subjectes miops amb un error refractiu més elevat tenien uns temps de reacció més alts que en el cas del miops amb error refractiu mitjà i baix. En alguns casos on es van comparar altres errors refractius i temps de reacció es van trobar diferències significatives però no al 95% del nivell de confiança com en els casos anteriors. CONCLUSIONS: Tenint en compte les diferents ametropies i, malgrat les limitacions inherents a aquest treball, els pacients miops amb major error refractiu han presentat una pitjor qualitat de la seva atenció visual

Improving the pass-band return loss in liquid crystal dual-mode bandpass filters by microstrip patch reshaping

In this paper, the design and experimental characterization of a tunable microstrip bandpass filter based on liquid crystal technology are presented. A reshaped microstrip dual-mode filter structure has been used in order to improve the device performance. Specifically, the aim is to increase the pass-band return loss of the filter by narrowing the filter bandwidth. Simulations confirm the improvement of using this new structure, achieving a pass-band return loss increase of 1.5 dB at least. Because of the anisotropic properties of LC molecules, a filter central frequency shift from 4.688 GHz to 5.045 GHz, which means a relative tuning range of 7.3%, is measured when an external AC voltage from 0 Vrms to 15 Vrms is applied to the device. © 2014 by the authors.Authors acknowledge Grupo de Fotónica Aplicada (Universidad Politécnica de Madrid, Spain) for the use of their facilities for the manufacture of the device. Authors thank funding support from the Spanish Ministerio de Economía y Competitividad (grant No. TEC2009-13991-C02-01) and Comunidad de Madrid (grant No. FACTOTEM2 S2009/ESP/1781)

PROCEDIMIENTO: PROTOCOLO DE HYS INGRESO, ESTADIA Y EGRESO EN CONTEXTO DE PANDEMIA COVID 19 - REV. 4

En el marco de la declaración de la emergencia pública en materia sanitaria ante la presencia de la pandemia por COVID-19, y teniendo en cuenta las resoluciones regulatorias en el ámbito laboral, dictadas por el Ministerio de Trabajo de la Nación, Ministerio de Desarrollo Social y Deporte de la provincia de Mendoza y por la Superintendencia de Riesgo del Trabajo, el objeto de este Protocolo de Seguridad e Higiene, es prevenir, proteger y preservar la salud del personal que ingrese a todas las Sedes, CUM, CDD de la Universidad, en consonancia con las recomendaciones de las carteras laborales nacionales y provinciales, y de la Organización Mundial de la Salud. REV.

Clinical and Functional Outcome of Meniscal Injuries Treated with Platelet-Rich Plasma: A Single-Center Case Series

Meniscal injuries are among the most frequently encountered conditions in the knee joint. Therapeutic approaches are diverse and are largely dependent on the extent and location of the injury. The purpose of this study was to describe the clinical and functional outcomes of an intraarticular and percutaneous platelet-rich plasma (PRP) injection regime in patients with stable meniscal injuries. Demographics, the type of tear, affected knee, surgical procedure, type of intervention, follow-up period, and outcomes were recorded in all cases. Patient-reported outcome measures included the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity level scale. Overall patient satisfaction, quality of life, and pain intensity were also assessed. A total of 38 cases (8 females) had sustained a stable meniscal lesion (32 medial, 6 lateral) and met the inclusion criteria. All of them received three intraarticular and percutaneous PRP injections. Patients receiving the PRP injection regime reported clinically (p = 0.000) and functionally (p = 0.000 and p = 0.001) significant improvement in all outcome measures during this interval. All patients reported they were very satisfied or satisfied with the outcome. The results of this study suggest that the treatment of stable meniscal injuries with percutaneous–intraarticular PRP injections can achieve a significant clinical and functional improvement.This research received no external funding. Partial funding for open access charge: Universidad de Málag

The role of clinically relevant intra-abdominal collections after pancreaticoduodenectomy

Pancreatectomy complications; Pancreatic fistula; Postoperative collectionsComplicaciones de pancreatectomía; Fístula pancreática; Colecciones postoperatoriasComplicacions de pancreatectomia; Fístula pancreàtica; Col·leccions postoperatòriesBackground There is controversial evidence regarding the impact of clinically relevant postoperative intra-abdominal collections (CR-IC) on the clinical course after pancreaticoduodenectomy. C-reactive Protein (CRP) has been validated as a predictor of postoperative pancreatic fistula (POPF). Still, its role in predicting CR-IC has not been studied. Methods A retrospective analysis was conducted on patients who underwent PD at a tertiary hospital between October 2012 and October 2017. The incidence of CR-IC, clinically relevant POPF and other complications, as well as mortality and length of hospitalisation, was retrieved. The impact of CR-IR on mortality and major complications was analysed. The serum CRP levels were retrieved on the third and fifth postoperative days (POD3 and POD5), followed by an analysis of sensitivity, specificity, and area under the curve to predict CR-IC using CRP. Results One hundred forty patients were enrolled following inclusion and exclusion criteria. The mean age was 66.5 years (15–83). The incidence of CR-IC was 33.7% (47), and CR-POPF was 24.3%. Pancreatic duct diameter ≤ 4 mm was identified as a risk factor related to CR-IC occurrence. The group of patients who developed CR-IC after PD exhibited a higher rate of complications Clavien-Dindo ≥ III compared to patients without CR-IC (40.4% vs 7.5%, p  III: OR = 10.6 (95% CI: 3.90–28.7). No differences in mortality were reported between the CR-IC group and non-CR-IC group. CRP at postoperative day 3 (POD3) > 17.55 mg/dl and CRP at postoperative day 5 (POD5) > 13.46 mg/dl were predictors of CR-IC (AUC: 0.731 and AUC:0.821, respectively). Conclusions CR-IC has a significant impact after pancreaticoduodenectomy and is associated with a higher incidence of Clavien-Dindo ≥ III complications. Additionally, CRP levels at POD3 and POD5 play a role in predicting CR-IC. Prospective studies are essential to explore strategies for mitigating the occurrence of CR-IC after PD.Open Access Funding provided by Universitat Autonoma de Barcelona

Factors associated with interest in scientific research in dental students of six Cuban universities

"Introduction: To determine the factors associated with interest in scientific research in dental students of six Cuban universities. Methods: This is a multicenter cross-sectional analytical study. Interest in scientific research was the dependent variable, and it was assessed through a questionnaire proved to be reliable (Cronbach’s α= 0.88). We obtained adjusted prevalence ratios (aPR), 95% confidence intervals (95% CI), and p values through generalized linear models. Results: A total of 587 students were part of the research, and 57.9% manifested interest in scientific research. However, when they were asked if they wanted to pursue a research career in the future, only 45.1% responded affirmatively. We found, through multivariate analysis, that there was more interest in scientific research among those who were student assistants (aPR: 2.42; 95% CI: 1.41–4.16; p = 0.001), those who had previous studies (aPR: 1.35; 95% CI: 1.02–1.79; p = 0.034), and those who had received awards in scientific events (aPR: 1.74; 95% CI: 1.26–2.41; p = 0.001). In contrast, there was less interest among those who were at the clinical stage of their career (aPR: 0.66; 95% CI: 0.49–0.89; p = 0.006), adjusted for seven variables. Conclusions: There exists interest in scientific research and we found some factors associated with this. This has to be taken into account in order for educational institutions to generate strategies.

Factors associated with interest in scientific research in dental students of six Cuban universities

"Introduction: To determine the factors associated with interest in scientific research in dental students of six Cuban universities. Methods: This is a multicenter cross-sectional analytical study. Interest in scientific research was the dependent variable, and it was assessed through a questionnaire proved to be reliable (Cronbach’s α= 0.88). We obtained adjusted prevalence ratios (aPR), 95% confidence intervals (95% CI), and p values through generalized linear models. Results: A total of 587 students were part of the research, and 57.9% manifested interest in scientific research. However, when they were asked if they wanted to pursue a research career in the future, only 45.1% responded affirmatively. We found, through multivariate analysis, that there was more interest in scientific research among those who were student assistants (aPR: 2.42; 95% CI: 1.41–4.16; p = 0.001), those who had previous studies (aPR: 1.35; 95% CI: 1.02–1.79; p = 0.034), and those who had received awards in scientific events (aPR: 1.74; 95% CI: 1.26–2.41; p = 0.001). In contrast, there was less interest among those who were at the clinical stage of their career (aPR: 0.66; 95% CI: 0.49–0.89; p = 0.006), adjusted for seven variables. Conclusions: There exists interest in scientific research and we found some factors associated with this. This has to be taken into account in order for educational institutions to generate strategies.

Reduction of ureteral stent encrustation by modulating the urine pH and inhibiting the crystal film with a new oral composition: a multicenter, placebo controlled, double blind, randomized clinical trial

Background: Encrustation of ureteral double J stents is a common complication that may affect its removal. The aim of the proposed study is to evaluate the efficacy and safety of a new oral composition to prevent double J stent encrustation in indwelling times up to 8 weeks. Methods: A double-blinded, multicenter, placebo-controlled trial was conducted with 105 patients with indwelling double J stents enrolled across 9 public hospitals in Spain. The patients were randomly assigned (1:1) into intervention (53 patients) or placebo (52 patients) groups for 3 to 8 weeks and both groups self-monitored daily their morning urine pH levels. The primary outcome of analysis was the degree of stent ends encrustation, defined by a 4-point score (0 - none; 3 - global encrustation) using macroscopic and electron microscopy analysis of crystals, after 3 to 8-w indwelling period. Score was exponentially transformed according to calcium levels. Secondary endpoints included urine pH decrease, stent removal, and incidence of adverse events. Results: The intervention group benefits from a lower global encrustation rate of stent ends than placebo group (1% vs 8.2%; p < 0.018). Mean encrustation score was 85.12 (274.5) in the placebo group and 18.91 (102.27) in the intervention group (p < 0.025). Considering the secondary end points, treated patients reported greater urine pH decreases (p = 0.002). No differences in the incidence of adverse events were identified between the groups. Conclusions: Our data suggest that the use of this new oral composition is beneficial in the context of ureteral double J indwelling by decreasing mean, as well as global encrustation

Foro: La Educación Superior del Futuro

Actividades de CapacitaciónEl Foro «La Educación Superior del Futuro» fue un espacio para propiciar el análisis crítico sobre las características actuales del mundo, la educación superior y las instituciones y estuvo organizado por el Observatorio Provincial de Educación Superior. Fue dirigido a autoridades institucionales, equipos de gestión, docentes, investigadores y estudiantes avanzados de la comunidad académica de educación superior mendocina. La lógica general del foro se inició con un análisis sistémico que va desde los aspectos más macro hacia los institucionales, y dentro de lo institucional se hizo hincapié en lo curricular, dada la importancia fundamental que tiene la tarea de la formación en el nivel superior

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

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