Diferencia de tensión arterial en ambos brazos como medio para identificar pacientes con riesgo cardiovascular

Introducción: Una diferencia de tensión arterial sistólica entre ambos brazos de 10 mmHg o mayor se ha asociado a enfermedad vascular periférica, enfermedad ce-rebrovascular y aumento de mortalidad. El artículo estudia la diferencia de tensión arterial en ambos brazos de usuarios de una consulta de atención primaria. Secunda-riamente, busca asociar variables de género, edad e hipertensión para identificar per-files de riesgo y su inclusión en estudios posteriores. metodología: Estudio descriptivo transversal del total de pacientes atendidos en una consulta enfermera de atención primaria durante un mes. Se realiza toma de tensión arterial en ambos brazos, según protocolo. Se registran datos de género, edad, tensión arterial y diferencias interbra-quiales de tensión arterial. Se realiza estudio estadístico descriptivo e inferencial me-diante SPSS 20.0. resultados: Población de 113 pacientes con cifras de tensión arte-rial sistólica media de 143,5 +/– 21,5 mmHg y diastólica media de 82,7 +/– 13,4 mmHg. Se observa diferencia superior a 10 mmHg en tensión arterial sistólica interbraquial en 15,93 % de la muestra. Se halla tendencia a la significación entre diferencia >10 mmHg de tensión con la edad, siendo significativa con diferencias >15 mmHg. El género e hipertensión no muestran diferencias significativas en relación con la diferencia de tensión arterial interbraquial. conclusiones: Los datos obtenidos de pacientes con diferencias de tensión arterial interbraquial son similares a otros estudios. Solo se identifica como factor de riesgo de los estudiados la edad, por lo que sería susceptible de realizar esta valoración a toda la población. Se propone protocolo de actuación en caso de identificación de pacientes con diferencias de tensión arterial interbraquial mayor de 10 mmHg.Introduction: A difference in systolic blood pressure in both arms of 10 mmHg or grea-ter has been associated with peripheral vascular disease, cerebrovascular disease and increased mortality. The article studies the difference in blood pressure in both arms of users of a primary care office. Secondarily, it looks for associated variables of gender, age and hypertension to identify risk profiles and their inclusion in future studies. me-thodology: Descriptive transversal study of all the patients seen in a nurse-primary care office for a month. In both arms blood pressure is taken and performed according to protocol. It is registered data of gender, age, blood pressure and inter-arms blood pressure differences. The descriptive and inferential statistical study is done with SPSS 20.0. results: Population of 113 patients with systolic blood pressure of 143.5 /-21.5 mmHg and diastolic of 82.7 /-13.4 mmHg. It is observed a difference of more than 10 mmHg in inter-arms systolic blood pressure at 15.93 % of the study group. There is trend to signi-ficant difference between pressure higher than 10 mmHg with age, being significant with differences higher than 15mmHg. Gender and hypertension do not show significant di-fferences in relation to the difference in inter-arms blood pressure. conclusions: The data obtained from patients with inter-arms differences blood pressure are similar to other studies. Only age, is identified as a risk factor for the studied so it would be sus-ceptible to conduct this assessment to the entire population. It is proposed protocol for action in case of identification of patients with inter-arms blood pressure differences greater than 10 mmHg

Bibliografía seleccionada y comentada sobre Guastavino y la construcción tabicada

Bibliografía seleccionada y comentada sobre Guastavino y la construcción tabicad

Viabilidad del uso de la técnica de ultrasonidos para detectar defectos de curado en hormigones

Se pretende evaluar la viabilidad del uso de la técnica de ultrasonidos para detectar defectos de c urado en el hormigón. Para ello se ha elaborado un plan experimental, con probetas cúbicas de 10 cm x 10 cm x 10 cm. En el estudio se efectuaron mediciones de propagación de ondas ultrasónicas planteando dos series de probetas: en la primera de ellas, se han tenido en cuenta siete ambientes distintos de curado, realizando mediciones a distintas edades, con rotura a compresión a 28 días. En la segunda serie de probetas, únicamente se han considerado tres ambientes: cámara húmeda, laboratorio y exterior, efec tuando mediciones en los días de rotura a compresión a 7 y 28 días. Los resultados de los ensayos permiten analizar el comportamiento de los hormigones en distintos ambientes de curado. Analíticamente se han podido relacionar los resultados obtenidos de velocidad de propagación de las ondas ultrasónicas con la resistencia a compresión de los hormigones comparando los módulos de elasticidad estático (E e ) y dinámico (E d )

Macroeconomics in practice: using WIKIS for collaborative learning

This project is based on the creation of collaborative wikis for students of Macroeconomics to elaborate a final work in which they apply the theoretical knowledge learnt in the subject to the real world. The initiative was implemented during the course 2015-2016 and aimed at 140 students enrolled in the subject at the Degree of Finance and Accountancy of the University of Cadiz. To emphasize the link between the theories explained in class and the real world, in previous courses we have already used news and other resources. With this project, we now introduce the use of wikis, which consist on the creation of a website to allow collaborative creation and modification of contents and structure from the web browser. Students were organized in 44 teams, of about 3 members, to examine data on a certain macroeconomic variable (i.e. inflation or GDP), in a particular geographical context (i.e. G20 or EU countries). The objectives of the project include: i) to enhance learning and comprehension of theoretical knowledge and ii) to contribute to the development of skills related to the subject, such as the skill to apply the acquired knowledge, the skill to analyze and search information and teamwork. Students’ opinions gathered from a survey at the end of the course suggest that these objectives have been achieved

El tratamiento informativo y publicitario de los diarios digitales especializados en golf en España

El espectacular desarrollo del golf en los últimos 20 años en España ha popularizado este deporte ampliando su función deportiva, económica y social, apoyándose en el sector turístico. Esta realidad ha provocado también un lógico interés por los medios de comunicación especializados en golf, y en la última década han surgido numerosas cabeceras digitales sobre esta industria con contenidos informativos y publicitarios tanto deportivos como de un estilo de vida característico. En este artículo se analizan esos contenidos y se estudian sus peculiaridades

Intervention model for detection, prevention and control of COVID-19 in community pharmacy

The announcement by the WHO of the characterization of the new Coronavirus 2019 disease (COVID-19) as a pandemic, entails an adaptation by the community pharmacy in carrying out its care activity in general, with particular emphasis on ”Minor Ailments Service” in particular. The measures taken by the different health administrations in which patient telephone care by primary care offices is prioritized have left more consultations on symptoms in the community pharmacist health-related problems as pharmacies are the closest health facilities to the patient. The similarity between the symptomatology caused by the new Coronavirus with that of some Enteroviruses that cause mild respiratory and gastrointestinal tables (dry cough, fever, sore throat, vomiting, diarrhoea, etc.) makes community pharmacies highly capable places for contagion detection and prevention. A model of protocolized intervention is needed to facilitate the pharmacist’s work in discriminating during the indication between minor symptoms and symptoms of referral for possible cases of COVID-19 so that in conjunction with the rest of the staff we help control the disease and make better use of primary care consultations

La intervención psicopedagógica socio-comunitaria en un centro educativo de secundaria del distrito V

[Resumo] A presente experiencia básase nun Proxecto de Intervención do Servicio Comunitario do Distrito V de A Coruña en convenio ca Universidade de A Coruña. Partindo da necesidade de analizar o sistema educativo e en concreto, o cumplimento dos seus obxectivos para coas necesidades socio-comunitarias, proponse poñer en marcha un proceso de intervención que redunde na participación dos suxeitos inmersos nel (profesores/as, alumnos/as, comunidade representada polas APAs e Administración educativa) na búsqueda da solución dos propios problemas e do compromiso persoal, a través da dinámica do grupo, para realizalo. Persíguese con iso a toma de conciencia das dificultades individuales e a xeración da autocapacidade para resolvelas. Xunto con iso trátase de educar ou crear hábitos de autonomía, cooperación e axuda, básicos e imprescindibles para o desenvolvemento na comunidade na que viven. Nesta comunicación preséntanse os datos recollidos a través dos alumnos/as. Neles se reflexan as súas necesidades e as solucións que propoñen para a millora da calidade do sistema educativo no que están inmersos, que, por suposto, redundará no seu futuro social e comunitario. Das súas sugerencias pode derivarse toda unha serie de conclusións moi operativas e básicas para a posta en marcha dun proceso educativo con mínimas garantías de éxito e calidad

Antimicrobial Resistance Genes in Porcine Pasteurella multocida Are Not Associated with Its Antimicrobial Susceptibility Pattern

[EN] Forty‐eight Pasteurella multocida isolates were recovered from porcine pneumonic lungs collected from farms in “Castilla y León” (north‐western Spain) in 2017–2019. These isolates were characterized for their minimal inhibition concentrations to twelve antimicrobial agents and for the appearance of eight resistance genes: tetA, tetB, blaROB1, blaTEM, ermA, ermC, mphE and msrE. Relevant resistance percentages were shown against tetracyclines (52.1% for doxycycline, 68.7% for oxytetracycline), sulphamethoxazole/trimethoprim (43.7%) and tiamulin (25.0%), thus suggesting that P. multocida isolates were mostly susceptible to amoxicillin, ceftiofur, enrofloxacin, florfenicol, marbofloxacin and macrolides. Overall, 29.2% of isolates were resistant to more than two antimicrobials. The tetracycline resistance genes (tetA and tetB) were detected in 22.9% of the isolates, but none were positive to both simultaneously; blaROB1 and blaTEM genes were found in one third of isolates but both genes were detected simultaneously in only one isolate. The ermC gene was observed in 41.7% of isolates, a percentage that decreased to 22.9% for msrE; finally, ermA was harbored by 16.7% and mphE was not found in any of them. Six clusters were established based on hierarchical clustering analysis on antimicrobial susceptibility for the twelve antimicrobials. Generally, it was unable to foresee the antimicrobial susceptibility pattern for each family and the association of each particular isolate inside the clusters established from the presence or absence of the resistance genes analyzedSIJunta de Castilla y León (Consejería de Agricultura y Ganadería, Junta de Castilla y León, Spain) and Cost Action CA18217 (European Network for Optimization of Veterinary Antimicrobial Treatment

Effect of different exercise modalities plus a hypocaloric diet on inflammation markers in overweight patients

Summary Background & aims Inflammation markers (IM) have been associated with the development of chronic diseases. This study compares the effects on IM of three exercise programs combined with a hypocaloric diet. Methods 119 overweight participants (73 women, 46 men) aged 18–50 years were randomised into four treatment groups: strength training (S; n = 30), endurance training (E; n = 30), combined S + E (SE; n = 30), and a diet and physical activity recommendations group (D; n = 29). Energy intake, anthropometric variables (AV), training variables (VO2peak, strength index, dynamometric strength index [DSI]) and plasma IM were recorded at baseline and after 22 weeks of treatment. Results 84 participants completed the study. At 22 weeks, all groups showed a significantly reduced energy intake (P < 0.001) and improved AV (P < 0.001). VO2peak significantly increased in all groups (P < 0.01). DSI increased in the exercise groups only (P < 0.05). Plasma leptin fell significantly (P < 0.001) in the S and E groups, but not significantly in the SE group (P = 0.029) (no significant differences between these groups). Tumour necrosis factor-α (TNF-α), and C-reactive protein (CRP) concentrations decreased in all groups when examined together, but not when examined separately. No significant differences were seen in interleukin-6 (IL-6). Conclusions Combining strength or endurance training with a hypocaloric diet improved AV and reduced plasma leptin concentrations. No differences were seen between groups in terms of TNF-α, IL-6 or CRP reduction. This trial was registered at clinical trials.gov as NCT01116856. http://clinicaltrials.gov/

Propiedades mecánicas de carburo de silicio poroso de estructura celular abierta

VIII Congreso de Propiedades Mecánicas de Sólidos. Comunicaciones en: http://www.upv.es/pms2002/Hemos estudiado las propiedades mecánicas y la microestructura de un material de SiC poroso de estructura celular abierta. El tamaño de celda típico es 2.4 mm. Las celdas abiertas ocupan el 80% del volumen y las aristas que conforman la estructura sólida tienen una densidad de 2.53 g/cm3 , es decir un 79% de la densidad teórica del SiC. Se han realizado ensayos de compresión uniaxial hasta rotura a velocidad de compresión constante de 20 mm/min, sobre muestras de 20x20x30 mm aproximadamente, cargando a lo largo de la dimensión mayor. Los ensayos se han realizado a temperatura ambiente y a altas temperaturas, entre 1150ºC y 1400ºC. La resistencia en compresión a rotura se ha encontrado en el rango 369 kPa y 558 kPa. Se comparan estos resultados con los de otros materiales celulares