Total leadership: a previous analysis to apply it for a sales department management in industrial high technology enterprises

Paper explores the application of Total Leadership methodology to improve productivity and efficiency of commercial teams, to respond to the changes occurred in Industrial High Technology Market (IHTM). In this environment, sales department has adopted a more strategic role than tactical, so a new approach to manage sales teams is required. The essay does a short review about different models of leadership applied to sales departments in industrial markets. In this scenario, the holistic vision of Total Leadership model allows aligning the individual needs of Sales Manager (SM), salespeople and Key Account Manager (KAM) with the needs of the firm, the structure of the market and the coherency needed in the sales team management styl

Total Leadership: A Previous Analysis to Apply it for a Sales Department in Industrial High Technology Enterprises.

Paper explores the application of Total Leadership methodology to improve productivity and efficiency of commercial teams, to respond to the changes occurred in Industrial High Technology Market (IHTM). In this environment, sales department has adopted a more strategic role than tactical, so a new approach to manage sales teams is required. The essay does a short review about different models of leadership applied to sales departments in industrial markets. In this scenario, the holistic visión of Total Leadership model allows aligning the individual needs of Sales Manager (SM), sales people and Key Account Manager (KAM) with the needs of the firm, the structure of the market and the coherency needed in the sales team management style

ROSE: radiology, obstruction, symptoms and exposure – a Delphi consensus definition of the association of COPD and bronchiectasis by the EMBARC Airways Working Group

Consensus; COPD; Clinical practiceConsenso; EPOC; Práctica clínicaConsens; MPOC; Pràctica clínicaIntroduction The coexistence of COPD and bronchiectasis seems to be common and associated with a worse prognosis than for either disease individually. However, no definition of this association exists to guide researchers and clinicians. Methods We conducted a Delphi survey involving expert pulmonologists and radiologists from Europe, Turkey and Israel in order to define the “COPD– [bronchiectasis] BE association”. A panel of 16 experts from EMBARC selected 35 statements for the survey after reviewing scientific literature. Invited participants, selected on the basis of expertise, geographical and sex distribution, were asked to express agreement on the statements. Consensus was defined as a score of ≥6 points (scale 0 to 9) in ≥70% of answers across two scoring rounds. Results 102 (72.3%) out of 141 invited experts participated in the first round. Their response rate in the second round was 81%. The final consensus definition of “COPD–BE association” was: “The coexistence of (1) specific radiological findings (abnormal bronchial dilatation, airways visible within 1 cm of pleura and/or lack of tapering sign in ≥1 pulmonary segment and in >1 lobe) with (2) an obstructive pattern on spirometry ([forced expiratory volume in 1 s] FEV1/[forced vital capacity] FVC <0.7), (3) at least two characteristic symptoms (cough, expectoration, dyspnoea, fatigue, frequent infections) and (4) current or past exposure to smoke (≥10 pack-years) or other toxic agents (biomass, etc.)”. These criteria form the acronym “ROSE” (Radiology, Obstruction, Symptoms, Exposure). Conclusions The Delphi process formulated a European consensus definition of “COPD–BE association”. We hope this definition will have broad applicability across clinical practice and research in the future

Evaluation of the Effect of Different Co-Solvent Mixtures on the Supercritical CO2 Extraction of the Phenolic Compounds Present in Moringa oleifera Lam. Leaves

Supercritical fluid extraction (SFE), using CO2, is a novel, sustainable and very efficient technique for the recovery of highly apolar compounds. However, the recovery of phenolic compounds requires the use of different co-solvent combinations such as water and ethanol to enhance the recovery of these compounds through the optimization of a number of variables. In this sense, the effect of pressure (100, 150 and 200 bar), temperature (50, 65 and 80 degrees C), extraction time (30, 60, 90, 120, 150 and 180 min) and the effect of the different percentages of ethanol and water as co-solvents on the composition and phenolic content of moringa leaf extracts were evaluated. Six major flavonoids were identified by ultra-high-performance liquid chromatography coupled to a quadrupole-time-of-flight mass spectrometer (UHPLC-Q-ToF-MS). Pressure and temperature had a significant effect on the phenolic composition of the extracts, as well as on their concentrations. The highest concentration of total flavonoids compounds (TFCs) was obtained by using a mixture of CO2 and water of 50:50 (v/v) at 100 bar, at 65 degrees C after a 120 min extraction time that produced a concentration of 11.66 mg +/- 0.02 mg TFC g(-1) sample, which corresponds to 89.0% of the total flavonoids of the sample, obtained by exhaustive extraction

Therapeutic Potential of EWSR1-FLI1 Inactivation by CRISPR/Cas9 in Ewing Sarcoma.

Ewing sarcoma is an aggressive bone cancer affecting children and young adults. The main molecular hallmark of Ewing sarcoma are chromosomal translocations that produce chimeric oncogenic transcription factors, the most frequent of which is the aberrant transcription factor EWSR1-FLI1. Because this is the principal oncogenic driver of Ewing sarcoma, its inactivation should be the best therapeutic strategy to block tumor growth. In this study, we genetically inactivated EWSR1-FLI1 using CRISPR-Cas9 technology in order to cause permanent gene inactivation. We found that gene editing at the exon 9 of FLI1 was able to block cell proliferation drastically and induce senescence massively in the well-studied Ewing sarcoma cell line A673. In comparison with an extensively used cellular model of EWSR1-FLI1 knockdown (A673/TR/shEF), genetic inactivation was more effective, particularly in its capability to block cell proliferation. In summary, genetic inactivation of EWSR1-FLI1 in A673 Ewing sarcoma cells blocks cell proliferation and induces a senescence phenotype that could be exploited therapeutically. Although efficient and specific in vivo CRISPR-Cas9 editing still presents many challenges today, our data suggest that complete inactivation of EWSR1-FLI1 at the cell level should be considered a therapeutic approach to develop in the future.This research was funded by the Instituto de Salud Carlos III, grant numbers PI20CIII/00020, DTS18CIII/00005, PI16CIII/00026; Asociación Pablo Ugarte, grant numbers TRPV205/18, TPI-M 1149/13; Asociación Candela Riera, Asociación Todos Somos Iván & Fundación Sonrisa de Alex, grant numbers TVP333-19, TVP-1324/15; ASION, grant number TVP141/17, and by the Spanish Center for Biomedical Network Research on Rare Diseases (CIBERER, ER19P5AC728/2021, grant to M.M.), and by the Regional Government of Madrid (CAM, B2017/BMD3721, grant to M.A.M.-P.). R.M.M-F.d.M. was supported by a grant from the Spanish Center for Biomedical Network Research on Rare Diseases (CIBERER).S

Optimization of an Ultrasound-Assisted Extraction Method Applied to the Extraction of Flavonoids from Moringa Leaves (Moringa oleifera Lam.)

Interest in phenolic compounds has recently increased due to their potential as antioxidant agents. Moringa leaves (Moringa oleifera) have a high content of phenolic compounds, which presents them as a promising source for the extraction of these compounds. However, it is necessary to use analytical techniques to identify and quantify their actual compound content to determine the quality of the raw material and the potential of the final product. Ultrasound assisted extraction is a green, rapid and environmentally friendly extraction technique that produces high quality extracts from natural products. Hence, the aim of this research is to optimize the variables of the ultrasound-assisted extraction (UAE) process for the extraction of moringa leaves using response surface methodology (RSM) to extract the main flavonoids using methanol as the extraction solvent. A Box-Behnken design (BBD) has been used to evaluate the effect of the ultrasound extraction process variables. Finally, the optimal extraction time in the range between 2 and 30 min was determined. The results revealed that the methanol concentration was the most influential variable. The optimal extraction time was established at 15 min. Six of the main flavonoids were quantified by UHPLC-DAD and identified by UHPLC-QToF-MS. The results confirmed that UAE is an efficient method for the extraction and subsequent analysis and quality control of the flavonoids that can be found in moringa leaves

Benthic community recovery from brine impact after the implementation of mitigation measures

In many regions, seawater desalination is a growing industry that has its impact on benthic communities. This study analyses the effect on benthic communities of a mitigation measure applied to a brine discharge, using polychaete assemblages as indicator. An eight-year study was conducted at San Pedro del Pinatar (SE Spain) establishing a grid of 12 sites at a depth range of 29–38 m during autumn. Brine discharge started in 2006 and produced a significant decrease in abundance, richness and diversity of polychaete families at the location closest to the discharge, where salinity reached 49. In 2010, a diffuser was deployed at the end of the pipeline in order to increase the mixing, to reduce the impact on benthic communities. After implementation of this mitigation measure, the salinity measured close to discharge was less than 38.5 and a significant recovery in polychaete richness and diversity was detected, to levels similar to those before the discharge. A less evident recovery in abundance was also observed, probably due to different recovery rates of polychaete families. Some families like Paraonidae and Magelonidae were more tolerant to this impact. Others like Syllidae and Capitellidae recovered quickly, although still affected by the discharge, while some families such as Sabellidae and Cirratulidae appeared to recover more slowly.These surveys were funded by the Mancomunidad de Canales del Taibilla

Response of amphipod assemblages to desalination brine discharge: Impact and recovery

Desalination has become an important industry whose dense, high-salinity effluent has an impact on marine communities. Without adequate dilution, brine remains on the bottom increasing bottom salinity and affecting benthic communities. Amphipods showed high sensitivity to increased salinity produced by desalination brine discharge. A decrease in abundance and diversity of amphipods was detected at the station closest to the outfall, where salinity values reached 53. This salinity was later reduced by including a diffuser at the end of the pipeline. Six months after diffuser installation, amphipod abundance increased. During the first stage of this recovery, species such as Photis longipes recovered their abundance, others such as Microdeutopus versiculatus displayed opportunistic patterns, while others needed more time for recovery, e.g. Harpinia pectinata. These differences may be dependent on the organism living habits.These surveys were funded by the Mancomunidad de Canales del Taibilla

Should we suspect primary aldosteronism in patients with hypokalaemic rhabdomyolysis? A systematic review

Severe hypokalaemia causing rhabdomyolysis (RML) in primary aldosteronism (PA) is a rare entity, and only a few cases have been reported over the last four decades. This systematic review and case report aims to gather all published data regarding a hypokalaemic RML as presentation of PA in order to contribute to the early diagnosis of this extremely rare presentation. With the use of PubMed Central, EMBASE, and Google Scholar, a thorough internet-based search of the literature was conducted to identify articles and cases with RML secondary to hypokalaemia due to PA between June 1976 and July 2023. The case study concerns a 68-year-old male patient with hypokalaemic RML at presentation of PA. In the systematic review of the literature, 37 cases of RML secondary to hypokalaemia due to PA have been reported to date. In summary, the median age was 47.5 years, the male/female ratio was 17/21, all patients presented symptoms (weakness and/or myalgia), all the patients were hypertensive, and only four patients had complications with acute kidney injury (AKI). Although PA rarely presents with RML, it should be suspected when marked hypokalaemia and hypertension are also present. Early detection and management are essential to reduce the frequency of manifestations such as AKI

Nutrición en Salud Pública

Este libro es fruto de una revisión y actualización ampliadas de los manuales docentes de «Nutrición en Salud Pública» y «La alimentación y el consumidor», editados en 2007 y 2013 respectivamente por la Escuela Nacional de Sanidad del Instituto de Salud Carlos III.La salud pública es el arte y la ciencia de prevenir la enfermedad, prolongar la vida y promover la salud a través de los esfuerzos organizados de la sociedad. La nutrición es la ciencia que estudia la forma en que el organismo utiliza la energía de los alimentos para mantenerse y crecer, mediante el análisis de los procesos por los cuales ingiere, digiere, absorbe, transporta, utiliza y extrae los nutrientes esenciales para la vida, y su interacción con la salud y la enfermedad. Por tanto, la nutrición en salud pública (public health nutrition) es la ciencia que estudia la relación entre dieta y salud y sienta las bases para el diseño, ejecución y evaluación de intervenciones nutricionales a nivel comunitario y poblacional con el objeto de mejorar el estado de salud de las poblaciones. La pandemia de obesidad, una enfermedad estrechamente relacionada con la nutrición, es uno de ejemplos paradigmáticos del carácter multidisciplinar e intersectorial de la salud pública. Hace décadas, la obesidad era considerada una enfermedad endocrina, de tipo glandular, dentro del dominio biomédico del especialista en endocrinología. Después se pasó a considerar algunos factores personales de riesgo, como los hábitos alimentarios y de actividad física, entrando en el dominio de la medicina preventiva, que centra sus esfuerzos en los factores biomédicos individuales, como la ingesta de calorías o el sedentarismo, y del entorno familiar. La salud pública va más allá, considerando factores ambientales, sociales y culturales que afectan a las preferencias alimentarias y los hábitos de vida, como los sistemas de producción de alimentos y fijación del precio de los mismos, el uso de subsidios y tasas, la publicidad alimentaria, el nivel socioeconómico de las familias, el diseño urbanístico (cantidad de espacios verdes, parques, carriles bici) o los sistemas de transporte urbano, entre otros muchos. El abordaje de elementos tan variados requiere del concurso de especialistas en múltiples disciplinas: profesionales sanitarios, abogados, economistas, periodistas, urbanistas, sociólogos, etc. Aunque ningún individuo puede ser experto en todas las especialidades relacionadas con la salud pública, el profesional bien formado debe conocer el rol de cada una de esas disciplinas en la formulación de una intervención de salud pública, estar familiarizado con el lenguaje y los postulados básicos de dichas disciplinas, y haber practicado la implementación de intervenciones a cargo de equipos multidisciplinarios