Clavo gamma en el tratamiento de las fracturas del macizo trocantérico: estudio comparativo entre el Clavo Gamma Trocantérico y el Gamma 3

El clavo Gamma es una técnica bien establecida en el tratamiento de las fracturas del macizo trocantéreo. Hemos realizado un estudio prospectivo en 40 pacientes para comparar dos tipos de clavos. En 20 se utilizó el clavo gamma trocantérico y en 20 un nuevo dispositivo llamado Gamma3 fabricado en titanio y con modificaciones en el diseño para permitir una menor incisión y mayor faciliad en su implante. De todos los parámetros estudiados tanto intra como postoperatorios sólo hemos encontrado diferencias en cuanto al tiempo del acto quirúrgico y al tamaño de la incisión, encontrando menor tiempo y menor tamaño de la incisión en el clavo gamma 3. No encontramos diferencias en cuanto a las complicaciones técnicas, ni en cuanto al dolor, tiempo transcurrido hasta la consolidación o grado de independencia obtenido. Consideramos el clavo Gamma3 como una técnica valiosa que disminuye el tiempo de cirugía y el traumatismo de las partes blandas.The nail Gamma is a well-established technique in the treatment of the trochanteric fractures. We have made a prospective study in 40 patients for compare two Gamma nail types. In 20 we use the Trochanteric Gamma Nail and in 20 a new device called Gamma 3 manufactured in titanium and with modifications in the design to permit a less incision and most facilities in his implantation. Of all of the parameters studied both intra and postoperative we have found differences in the time of surgical act and in the size of the incision, finding less time and less size of the approach in the gamma 3 nail. We do not find differences about technical complications, neither as to the pain, time to the consolidation or independence grade obtained. We regard to the nail Gamma 3 as a valuable technique that decreases the time of surgery and the traumatism of the soft tissues

Predictor factors of perceived health in family caregivers of people diagnosed with mild or moderate Alzheimer's disease

Caring for a person diagnosed with Alzheimer’s disease has a negative impact on family caregivers’ psychological health. This study examined the factors related to ‘perceived health’ and ‘presence of new-onset mental health problems’ in family caregivers of people diagnosed with mild and moderate Alzheimer’s disease. A cross-sectional observational study carried out in Almeria’s Healthcare District (Spain). A total of 255 family caregivers (42.4% cared for people with mild Alzheimer’s disease and 57.6% cared for people with moderate Alzheimer’s disease) participated in the study from January to December 2015. Mainly, caregivers were women (81.5% in the mild Alzheimer’s disease group and 88.4% in the moderate Alzheimer’s disease group), and their average age was 56.54 years (standard deviation (SD) = 13.13) and 54.47 years (SD = 11.71), respectively. Around 47% of the caregivers had been caring for the person with Alzheimer’s between two and five years. The Goldberg General Health Questionnaire was used to measure perceived health and the presence of new-onset mental health problems. An exploratory descriptive analysis and a multivariate logistic regression analysis were conducted. For caregivers of people with mild Alzheimer’s disease, ‘perceived health’ was related to ‘perceived social support’ (r = −0.21; p = 0.028), ‘person’s level of dependency’ (r = −0.24, p = 0.05), ‘severity of the person’s neuropsychiatric symptoms’ (r = 0.22; p = 0.05), and ‘caregiver’s emotional distress in response to the person’s neuropsychiatric symptoms’ (r = 0.22; p = 0.05). For caregivers of people with moderate Alzheimer’s disease, ‘perceived health’ was related to ‘perceived social support’ (r = −0.31; p ˂ 0.01), ‘presence of neuropsychiatric symptoms’ (r = 0.27, p = 0.01), ‘severity of the person’s neuropsychiatric symptoms’ (r = 0.32, p = 0.01) and ‘caregiver’s emotional distress in response to the person’s neuropsychiatric symptoms’ (r = 0.029; p = 0.01). The presence of new-onset mental health problems was detected in 46.3% (n = 50) of caregivers of people with mild Alzheimer’s and 61.9% (n = 91) of caregivers of people with moderate Alzheimer’s. When people are diagnosed with mild Alzheimer’s disease, intervention programs for caregivers should aim to regulate emotions and promote positive coping strategies. When people are diagnosed with moderate Alzheimer’s disease, intervention programs for caregivers must allow them to adapt to caregiving demands that arise with the progression of Alzheimer’s disease

Homoeologous chromosomal location of the genes encoding thionins in wheat and rye

Thionins are high sulphur basic polypeptides present in the endosperm of Gramineae. In wheat there are three thionins encoded by genes located in the long arms of chromosomes 1A, 1B and 1D. Rye has one thionin encoded by a gene which has been assigned to chromosome 1R after analysis of the Imperial-Chinese Spring rye-wheat disomic addition lines. Commercial varieties and experimental stocks with a 1B/1R substitution carry the thionin from rye ( R) instead of the B thionin from wheat. The R thionin gene is not located in the large chromosomal segment representing most of the short arm of chromosome 1R

Promoting dignified end-of-life care in the emergency department: a qualitative study

Background: Preservation of a dying person’s dignity in the emergency department (ED) is fundamental for the patient, his/her relatives and healthcare professionals. The aim of this study was to explore and interpret physicians’ and nurses’ experiences regarding conservation of dignity in end-of-life care in dying patients in the ED. Methods: A qualitative study based on the hermeneutic phenomenological approach, was carried out in the emergency department of two general hospitals. A total of 16 nurses and 10 physicians participated in the study. Data collection included 12 individual in-depth interviews and 2 focus groups. Results: The findings revealed that two themes represent the practices and proposals for the conservation of dignity in the emergency department: dignified care in hostile surroundings and the design of a system focused on the person’s dignity. Conclusion: Dignifying treatment, redesigning environmental conditions, and reorienting the healthcare system can contribute to maintaining dignity in end-of-life care in the ED

Composición, propiedades, estabilidad y comportamiento térmico del aceite de semilla de tamarindo (Tamarindus indica)

The composition, thermal stability and phase behavior of tamarind (Tamarindus indica) seed oil were analyzed to contribute to the exploration of their potential uses. The oil was extracted from the kernel of the tamarind seed with hexane, and its main physical, chemical and thermal properties were analyzed by infrared spectrometry, gas chromatography-mass spectrometry, DSC, and TGA. The results showed that the tamarind seed had a 3.76 ± 0.20% oil with a saponification index of 174.80 ± 9.87 mg KOH/g and the major fatty acids were lignoceric (20.15%), oleic (18.99%) and palmitic (11.99%). Stearic, behenic, linoleic, arachidic, and other fatty acids were also present. TGA and DSC showed that in an inert atmosphere, the triacylglycerols of tamarind seed oil (TSO) are decomposed in a single stage that starts at 224.1 °C and in an air atmosphere in three stages, initiating its decomposition at 218 °C. The TSO showed crystallization and fusion curves with a single maximum peak with Tonset and Toffset of 20.16 and ?38.8 °C and ?22.2 and 28.6 °C, respectively. The solid fat profile of the oil showed a semi-solid and liquid consistency in the ambient temperature range. The composition, thermal and phase behavior showed that TSO is potentially useful for alimentary, pharmacological, and cosmetological purposes.La composición, estabilidad y comportamiento térmico del aceite de semilla de tamarindo (Tamarindus indica) fueron analizadas con el fin de contribuir al conocimiento de sus potenciales usos. El aceite fue extraído del núcleo de la semilla con hexano y analizado mediante sus principales propiedades físicas, químicas y térmicas mediante espectrometría infrarroja, cromatografía de gases, espectroscopia de masas, calorimetría (DSC) y termogravimetría (TGA). Los resultados mostraron que las semillas del tamarindo tuvieron un contenido de aceite de 3,76 ± 0,20%, con un índice de saponificación de 174,80 ± 9,87mg KOH/g y ácidos grasos mayoritarios: Lignocérico (20,15%), oleico (18,99%), palmítico (11,99%) y en cantidades menores los ácidos esteárico, behénico, linoleico y araquídico, entre otros. El análisis mediante TGA y DSC mostró que la temperatura inicial de descomposición del aceite fue de 224,1 °C en una sola etapa en atmósfera inerte y en atmósfera de aire fue a 218 °C en tres etapas. El aceite mostró curvas de cristalización y fusión con un solo máximo, iniciándose y finalizando estos cambios de fase a 20,16 y -38,8 °C, and -22,2 y 28,6 °C, respectivamente. Estas propiedades mostraron que el aceite de la semilla de tamarindo tiene potenciales aplicaciones en alimentos y productos farmacológicos y cosméticos

Mejora de la calidad de las medidas de ozono mediante un fotómetro UV de referencia

The Directive 92/72/CE makes reference to the analysis method described in the UNE 77-221:2000 and to the fact that the ozone analyzers shall be calibrated with a UV reference photometer or with a transfer standard.From the need of developing a procedure that assure the quality and the trazability of the measurements in Spain, the Atmospheric Pollution Area has decided to implant a NIST UV reference photometer as ozone national standard.Taking into account the procedures used by EPA and NIST, a verification procedure has been developed consistent in the realization of 6 comparisons of the Transfer Standard versus NIST UV reference photometer in different days; at least 5 different ozone concentrations are analyzed. Each comparison begins and ends always with a concentration of 0 ppb of O3, and from each comparison its regression linear is obtained.Once the 6 comparisons are done, the calibration relationship is obtained and the uncertainty associated with the transfer standard is calculated.Until now, the verifications of 17 transfer standards have been done: 11 of them were UV photometers, 2 were ozone generators and 4 were ozone generators of dilution banks.From the results is concluded that generally the uncertainties of the ozone generators are greater than those of the UV photometers, so being recommended this one like transfer standard.To emphasize that with the utilization of the tranfer standards for the calibration of ozone analyzers, the quality and the trazability of the generated data are guaranteed.La Directiva 92/72/CE hace referencia al método de análisis descrito en la UNE 77-221:2000 y a que los analizadores de ozono se deben calibrar con un fotómetro UV de referencia o con un patrón transferido.De la necesidad de desarrollar un procedimiento que asegure la calidad y la trazabilidad de las mediciones en España, el Área de Contaminación Atmosférica ha decidido implantar un fotómetro UV de referencia NIST como patrón de ozono.Teniendo en cuenta los procedimientos empleados por EPA y NIST, se ha desarrollado un procedimiento de verificación consistente en la realización de 6 comparaciones del Patrón Transferido frente al Fotómetro UV de Referencia NIST, en días diferentes, analizándose, como mínimo, 5 concentraciones de ozono diferentes. Cada comparación se inicia y se finaliza siempre con una concentración de 0 ppb de O3. De cada comparación se obtiene una regresión lineal.Una vez realizadas las 6 comparaciones se obtiene la Recta de calibración y se calcula la incertidumbre asociada al patrón transferido.Se ha realizado la verificación de 17 patrones transferidos de los que 11 son fotómetros UV, 2 son generadores de ozono y 4 son generadores de ozono de bancos de dilución.De los resultados se concluye que las incertidumbres de los generadores de ozono, en general, son mayores que las de los fotómetros UV, recomendándose estos últimos como patrones transferidos.Destacar que mediante la utilización de los patrones transferidos para la calibración de analizadores de ozono se garantiza tanto la calidad como la trazabilidad de los datos generados

Predicting the academic underachievement in high school in Spain over the next few years: A dynamic modelling approach

[EN] In this paper we propose a dynamic model to understand the evolution of the academic underachievement in a high school in Spain. This model is based on ideas of Christakis and Fowler where individual habits may be transmitted by social contact. Thus, to build the model we suppose that a student has academic failure when she/he gets into study habits transmitted by students with bad academic habits. From the available academic results of the Spanish high school educational system during the period 1999 2008, we fit the model to the data in order to obtain the parameters of the model. Then, we predict the academic underachievement evolution over the next few years.This work has been partially supported by the Spanish M.C.Y.T. grant MTM2009-08587 and the Universitat Politecnica de Valencia grant PAID06-09-2588Camacho Vidal, FJ.; Cortés, J.; Micle, RM.; Sánchez-Sánchez, A. (2013). Predicting the academic underachievement in high school in Spain over the next few years: A dynamic modelling approach. Mathematical and Computer Modelling. 57(7):1703-1708. https://doi.org/10.1016/j.mcm.2011.11.011S1703170857