197 research outputs found

    PIN29 COST OF DIABETIC FOOT INFECTIONS DUE TO MRSA: AN ECONOMIC ANALYSIS OF DATA FROM PATIENTS TREATED WITH LINEZOLID IN SPAIN

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    Dissemination, implementation, and evaluation of an effective school-based intervention to promote physical activity in adolescents: a study protocol

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    Adolescents around the world do not engage in sufficient physical activity and the Spanish context is no exception. Understanding the educational context as a complex system, school-based multi-level and multi-component interventions seem to be an effective strategy to reverse this trend. Moreover, a co-creational approach seems to facilitate the mobilization of community partnerships and the engagement of stakeholders in the intervention process. This study aims to describe the dissemination, implementation, and evaluation process of an effective school-based intervention program in another setting using the replicating effective programs framework and a co-participatory approach. This study will be conducted in two Spanish secondary schools located in the region of Aragon (experimental vs. control school) in a sample of adolescents in the second grade (13–14 years old). To evaluate the effectiveness, different health behaviors such as physical activity, sleep, sedentary time with screens, nutrition, and psychosocial variables will be quantitatively measured at baseline and after the implementation of the intervention. Qualitative methods will also be used to better understand the implementation process and the co-creation approach, as well as to provide insights into the sustainability of the intervention program. The current study has the potential to provide strong information about the dissemination, implementation, and evaluation process of school-based programs to promote healthy behaviors among adolescents

    Trophic models and short-term dynamic simulations for benthic-pelagic communities at Banco Chinchorro Biosphere Reserve (Mexican Caribbean): a conservation case

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    Banco Chinchorro is the largest reef in the Mexican Caribbean. Historically, spiny lobster, queen conch and over 20 other reef species have been exploited here. Multispecies intervention management from an ecosystem perspective has been developed in this area; however, an assessment of the effects of such practices on ecosystem health is required. Five quantitative trophic models were constructed using Ecopath with Ecosim. The results show that, in terms of biomass, benthic autotrophs are the dominant group in all communities. Ecosystem Network Analysis indices showed that Cueva de Tiburones was the most mature, developed, complex and healthy subsystem, but, El Colorado and La Baliza were the subsystems most resistant to disturbances. The fisheries mainly concentrate on primary (La Baliza and Cueva de Tiburones sites) and secondary consumers (La Caldera, Chancay, and El Colorado). The greatest propagation of direct and indirect effects, estimated by Mixed Trophic Impacts and Ecosim simulations, were generated by the benthic autotrophs, small benthic epifauna, benthic-pelagic carnivorous fish and benthic carnivorous fish, among others. In contrast, the System Recovery Time showed different patterns among subsystems, indicating several compartments that reduce resilience. Considering the structure, dynamics, trophic functioning and ecosystem health of Banco Chinchorro, its ecological heterogeneity highlights the need for the design of a specific (by subsystem) management strategy, particularly because different species or functional groups present greater sensitivity to human interventions in each community
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