Effects of inertial overload resistance training on muscle function.

El entrenamiento de fuerza debe incluirse en todos los programas de ejercicio encaminados a mejorar la salud y la calidad de vida. Los programas de entrenamiento de fuerza han priorizado los regímenes de contracción concéntricos a los excéntricos, sin embargo, actualmente se está realizando un tipo de entrenamiento de fuerza basado en contracciones excéntricas mediante sobrecargas de tipo inercial. Por tanto, el objetivo del presente trabajo de revisión bibliográfica ha sido comprobar los efectos de este tipo de entrenamiento basado en contracciones excéntricas mediante sobrecargas de tipo inercial sobre la función muscular. Para ello se realizó una búsqueda bibliográfica en las bases de datos Web of Science, Pubmed, Medline, Dialnet y Scielo. Los resultados de nuestra revisión sugieren que este tipo de entrenamiento da lugar a una mayor actividad electromiográfica e hipertrofia muscular con respecto a programas de entrenamiento convencionales, al tiempo que podrían ser efectivos en la recuperación de lesiones músculo-tendinosasResistance training should be included in all exercise programmes which improve health and quality of live. These programmes have been focusing on both concentric-eccentric contractions, however, a new type of resistance training based on eccentric contractions provided by inertial overload is being carried out. Therefore, the aim of the present study is to prove the effects of this kind of training based on eccentric contractions by inertial overload. Databases utilized to carry out information research were Web of Science, Pubmed, Medline, Dialnet and Scielo. Results would suggest that inertial training based on inertial overload produces maximal EMG and an earlier muscular hypertrophy compared to conventional resistance training, besides the fact it could have successful on muscle-tendon injurie

La relación entre la experiencia de la atención sanitaria y la depresión perinatal durante la pandemia COVID-19

Background: The prevalence of peripartum depression (PPD) has increased substantially since the start of the COVID-19 pandemic. To reduce the probability of contagion, hospitals had to adapt their care protocols, including the care of women in the perinatal period. Method: A cross-sectional study was used in a total sample of 3,356 women, 1,402 in the prenatal period and 1,954 in the postnatal period. They completed the Edinburgh Postnatal Depression Scale to assess depressive symptoms and the Spanish version of the Coronavirus Perinatal Experiences to assess health experience. Results: The results showed that feeling very well supported by a health professional was associated with a lower risk of PPD. On the other hand, believing it very important to have access to a mental health professional and being concerned about changes in infant care due to COVID-19 were associated with a higher risk of PPD. Conclusion: The results showed the relationship between health experience and the risk of depressive symptoms, highlighting the importance of considering the psychological aspects in the development of measures and protocols for perinatal care.Antecedentes: La prevalencia de la depresión perinatal ha aumentado sustancialmente desde el inicio de la pandemia debido al coronavirus (COVID-19). Para reducir la probabilidad de contagio, los hospitales tuvieron que adaptar sus protocolos asistenciales, incluyendo la atención a las mujeres en el periodo perinatal. Método: Se utilizó un estudio transversal en una muestra total de 3,356 mujeres, 1,402 en el período prenatal y 1,954 en el período postnatal. Cumplimentaron la Escala de Depresión Postnatal de Edimburgo para evaluar los síntomas depresivos y la versión española de la Encuesta sobre Experiencias Perinatales durante el Coronavirus para evaluar la experiencia de la atención sanitaria. Resultados. Los resultados mostraron que sentirse muy bien apoyada por un profesional de la salud se asoció con un menor riesgo de desarrollar depresión perinatal. Por otro lado, creer que es muy importante tener acceso a un profesional de la salud mental y estar preocupada por los cambios en el cuidado del bebé debido al COVID-19 se asociaron con un mayor riesgo de depresión perinatal. Conclusión: Los resultados mostraron la relación entre la experiencia sanitaria y el riesgo de síntomas depresivos, destacando la importancia de considerar los aspectos psicológicos en el desarrollo de medidas y protocolos de atención perinatal

The Relationship between Healthcare Experience and Perinatal Depression during COVID-19 Pandemic

Background: The prevalence of peripartum depression (PPD) has increased substantially since the start of the COVID-19 pandemic. To reduce the probability of contagion, hospitals had to adapt their care protocols, including the care of women in the perinatal period. Method: A cross-sectional study was used in a total sample of 3,356 women, 1,402 in the prenatal period and 1,954 in the postnatal period. They completed the Edinburgh Postnatal Depression Scale to assess depressive symptoms and the Spanish version of the Coronavirus Perinatal Experiences to assess health experience. Results: The results showed that feeling very well supported by a health professional was associated with a lower risk of PPD. On the other hand, believing it very important to have access to a mental health professional and being concerned about changes in infant care due to COVID-19 were associated with a higher risk of PPD. Conclusion: The results showed the relationship between health experience and the risk of depressive symptoms, highlighting the importance of considering the psychological aspects in the development of measures and protocols for perinatal care

La inoculación de Azospirillum brasilense mejora la calidad de las plántulas de un mezquite (Prosopis juliflora)

Inoculation of mycorrhizal fungi and rhizobacteria in plants can improve their growth and physiological status, which could be particularly important for agricultural and forestry plants used for the revegetation of arid areas. Prosopis juliflora is a forest pioneer species that is drought resistant and has multiple uses (fodder, shade and shelter for livestock; timber and firewood, live fences and windbreaks in agroforestry systems). Azospirillum brasilense is a rhizobacterium that improves the growth of many agricultural crops. The hypothesis of this study was that P. juliflora seedlings produced in the nursery can respond positively to inoculation with A. brasilense CECT 590. Five months after inoculation, we examined the growth, water relations (osmotic potential at full turgor, osmotic potential at zero turgor, and the modulus of elasticity at full turgor), and concentration and content of macronutrients (N, P, K, Ca and Mg) in the seedlings. Subsequently, a trial was conducted to analyse root growth potential. A. brasilense CECT 590 inoculation caused an osmotic adjustment in P. juliflora seedlings but decreased the elasticity of the cell walls. Inoculation with A. brasilense CECT 590 significantly improved plant growth due in part to an increase of N concentration in the seedlings. A. brasilense CECT 590 inoculation also caused an increase in the root growth potential. The increased growth of P. juliflora seedlings inoculated with A. brasilense was probably caused by more than one mechanism. Inoculation with A. brasilense at the nursery may be a suitable technique for producing improved seedling material for restoration purposes.La inoculación de hongos de micorrizacion y rizobacterias en las plantas puede mejorar su crecimiento y calidad fisiológica, especialmente en plantas agrícolas y forestales empleadas para la regeneración de zonas áridas. Prosopis juliflora es una especie forestal pionera, resistente a la sequía, y de usos múltiples (forraje, sombra y cobijo para el ganado, madera y leña, cercas vivas y cortinas cortavientos en sistemas agroforestales). Azospirillum brasilense es una rizobacteria que mejora el crecimiento de muchos cultivos agrícolas. La hipótesis de este estudio fue que las plántulas de P. juliflora producidas en vivero pueden responder positivamente a la inoculación con A. brasilense CECT 590. Cinco meses después desde la inoculación, se analizó el crecimiento, relaciones hídricas (potencial osmótico en saturación, potencial osmótico en el punto de pérdida de turgencia, y módulo de elasticidad a total turgor), concentración y contenido de macronutrientes (N, P, K, Ca y Mg) en las plántulas. Posteriormente se realizó un ensayo para analizar el Potencial de Crecimiento Radical. La inoculación de A. brasilense CECT 590 causó un ajuste osmótico de las plántulas de P. juliflora, pero disminuyó la elasticidad de las paredes celulares. A. brasilense CECT 590 mejoró significativamente el crecimiento de la planta, debido en parte al incremento de la concentración de N en las plántulas. La inoculación con A. brasilense CECT 590 también causó un incremento del potencial de crecimiento radical. El incremento del crecimiento en las plántulas de P. juliflora inoculadas con A. brasilense fue probablemente debido a más de un mecanismo. La inoculación con A. brasilense en vivero puede ser una técnica adecuada para la producción de material de plántulas mejorado con fines de restauración

Multidisciplinary consensus statement on the clinical management of patients with pancreatic cancer

Pancreatic cancer (PC) remains one of the most aggressive tumors with an increasing incidence rate and reduced survival. Although surgical resection is the only potentially curative treatment for PC, only 15-20% of patients are resectable at diagnosis. To select the most appropriate treatment and thus improve outcomes, the diagnostic and therapeutic strategy for each patient with PC should be discussed within a multidisciplinary expert team. Clinical decision-making should be evidence-based, considering the staging of the tumor, the performance status and preferences of the patient. The aim of this guideline is to provide practical and evidence-based recommendations for the management of PC

Coercivity and squareness enhancement in ball-milled hard magnetic-antiferromagnetic composites

This article may be downloaded for personal use only. Any other use requires prior permission of the author and the American Institute of Physics.The room-temperature coercivity,HC, and squareness, MR/MS (remanence/saturation magnetizations), of permanent magnet,SmCo5powders have been enhanced by ball milling with antiferromagnetic NiO (with Néel temperature, TN=590 K). This enhancement is observed in the as-milled state. However, when the milling of SmCo5 is carried out with an antiferromagnet with TN below room temperature (e.g., for CoO, TN=290 K), the coercivity enhancement is only observed at low temperatures after field cooling through TN. The ferromagnetic-antiferromagnetic exchange coupling induced either by local heating during milling(SmCo5+NiO) or field cooling (SmCo5+CoO) is shown to be the origin of the HC increase

Clinical impact of acute kidney injury on short- and long-term outcomes after transcatheter aortic valve implantation with the CoreValve prosthesis

AbstractBackgroundAcute kidney injury (AKI) after cardiac surgery is associated with increased mortality, but few data exist on the occurrence and clinical impact of AKI associated with transcatheter aortic valve implantation (TAVI). The objective of this study was to determine the incidence and prognosis of AKI after percutaneous implantation of the CoreValve® (Medtronic, Minneapolis, MN, USA) prosthesis.MethodsA total of 357 patients with severe aortic stenosis and 9 patients with pure native aortic regurgitation were treated with the CoreValve prosthesis. AKI was defined according to Valve Academic Research Consortium criteria as the absolute increase in serum creatinine ≥0.3mg/dl at 72h post percutaneous procedure.ResultsAKI was identified in 58 patients (15.8%), none of whom required renal replacement therapy. In patients with AKI, the mortality at 30 days was 13.5% compared with 1.6% of patients without AKI, [odds ratio (OR)=12.2 (95% CI 3.53–41.9); p<0.001] and total mortality after a mean of 26.2±17 months was 29.3% vs. 14.9% [OR=2.36 (95% CI 1.23–4.51), p=0.008]. In the multivariate analysis, AKI was an independent predictor of cumulative total mortality [hazard ratio=2.151, (95% CI from 1.169 to 3.957), p=0.014].ConclusionsThe deterioration of renal function in patients undergoing TAVI with the CoreValve prosthesis is a serious and frequent complication. The occurrence of AKI was associated with increased early mortality and was also a predictor of worse outcomes in follow-up

Feasibility study of biogas upgrading coupled with nutrient removal from anaerobic effluents using microalgae-based processes

Producción CientíficaThe present research was conducted to simultaneously optimize biogas upgrading and carbon and nutrient removal from centrates in a 180-L high-rate algal pond interconnected to an external CO2 absorption unit. Different biogas and centrate supply strategies were assessed to increase biomass lipid content. Results showed 99 % CO2 removal efficiencies from simulated biogas at liquid recirculation rates in the absorption column of 9.9 m3 m−2 h−1, concomitant with nitrogen and phosphorus removal efficiencies of 100 and 82 %, respectively, using a 1:70 diluted centrate at a hydraulic retention time of 7 days. The lipid content of the harvested algal–bacterial biomass remained low (2.9–11.2 %) regardless of the operational conditions, with no particular trend over time. The good settling characteristics of the algal–bacterial flocs resulted in harvesting efficiencies over 95 %, which represents a cost-effective alternative for algal biomass reutilization compared to conventional physical–chemical techniques. Finally, high microalgae biodiversity was found regardless of the operational conditions.Junta de Castilla y León (programa de apoyo a proyectos de investigación – Ref. (Project GR76, VA024U14, and RTA2013-00056-C03-02

Prevalencia de hipotensión ortostática en ancianos hipertensos tratados en atención primaria

ObjetivoConocer la prevalencia de hipotensión ortostática (HO) y los factores asociados en ancianos hipertensos tratados en atención primaria (AP).DiseñoEstudio descriptivo, transversal.EmplazamientoCentro de Salud La Marina (centro urbano en Santander).PacientesUna muestra aleatoria de 295 pacientes de 65 o más años atendidos regularmente por presentar hipertensión arterial (HTA).Mediciones y resultados principalesSe han obtenido cifras de presión arterial (PA) en sedestación y en bipedestación. La definición de HO utilizada ha sido: disminución de 20 mmHg o más en la PA sistólica (PAS) o de 10 mmHg o más en la PA diastólica (PAD), tras 1 o 5 minutos de bipedestación. También se han recogido datos sobre enfermedades asociadas, síntomas en bipedestación, medicación utilizada, hábitos de los pacientes y resultados de otras exploraciones clínicas. La prevalencia global encontrada de HO fue del 14,6%. La prevalencia de HO sistólica tras un minuto (HO-S1) y tras 5 minutos (HO-S5) de bipedestación ha sido del 5,8% en ambas, y la de HO diastólica del 5,1% tras un minuto (HO-D1) y del 4,1% tras 5 minutos (HO-D5) de bipedestación. En el análisis de regresión logística se encontró una asociación entre la existencia de HO global y la mayor elevación de la PA sistólica inicial, la presencia de síntomas de intolerancia ortostática (aunque sólo un 25,6% de los pacientes con HO presentaba síntomas) y el hábito tabáquico. Asimismo, se encontró una asociación con el uso de bloqueadores beta y antagonistas del calcio (diferentes de las dihidropiridinas) y la existencia de HO al minuto de bipedestación, y entre el consumo de tabaco y la HO a los 5 minutos de bipedestación.ConclusionesLa prevalencia detectada es alta y justifica la búsqueda sistemática de HO en los pacientes ancianos que son tratados de HTA en AP. La existencia de síntomas con el ortostatismo se relaciona con una mayor prevalencia de HO, pero sólo los presentó uno de cada 4 pacientes con HO. El consumo de tabaco podría estar relacionado con la presencia de HO, así como el uso de bloqueadores beta y antagonistas del calcio (diferentes de las dihidropiridinas).ObjectiveTo find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting.DesignDescriptive cross-sectional study.SettingLa Marina Health Centre (an urban centre in Santander).PatientsA random sample of 295 patients aged 65 years or older regularly assisted from hypertension.Measurements and main resultsMeasurements of sitting and standing blood pressure were obtained. Orthostatic hypotension was defined as 20 mmHg or greater decrease in systolic or 10 mmHg or greater decrease in diastolic blood pressure after 1-minute or 5-minute standing. Associated diseases, symptoms upon standing, medication use, habits and other clinical assessments were also recorded. The prevalence of OH was 14.6%. The prevalence of systolic OH after 1-minute (OH-S1) and after 5-minute (OH-S5) standing was 5.8% in both, and the diastolic OH was 5.1% after 1-minute (OH-D1) and 4.1% after 5-minute (OH-D5) standing. By logistic regression analysis, association between higher level of systolic blood pressure and global OH was found, also with the presence of orthostatic intolerance symptoms (although only 25.6% of the patients with OH showed symptoms) and smoking. Beta-blockers and calcium channel blockers (different from dihydropyridines) use was associated with OH after 1-minute standing and smoking with OH after 5-minute standing.ConclusionsThe detected prevalence is high and justifies the case finding of OH in elderly hypertensive patients in primary care. The symptoms of orthostatic intolerance are correlated with OH, but only 1 out of 4 patients showed symptoms. Smoking could be related with OH, so beta-blockers and calcium channel blockers (different from dihydropyridines) use

Emergence of the N=16 shell gap in 21O

The spectroscopy of O21 has been investigated using a radioactive O20 beam and the (d,p) reaction in inverse kinematics. The ground and first excited states have been determined to be Jπ=5/2+ and 1/2+, respectively. Two neutron unbound states were observed at excitation energies of 4.77(10) and 6.17(11) MeV. The spectroscopic factor deduced for the lower of these, interpreted as a 3/2+ level, reveals a relatively pure (60%) 0d3/2 single-particle configuration, in good agreement with shell-model calculations that predict O26 to be unbound. The large energy difference between the 3/2+ and 1/2+ states is indicative of the emergence of the N=16 shell gap, which is estimated to be 5.1(11) MeV. For the higher-lying resonance, which has a character consistent with a spin-parity assignment of 3/2+ or 7/2-, a 0.71(22) branching ratio to the first 2+ state in O20 has been observed.Unión Europea EURISOL 515768 RIDSNSF PHY-075809