36 research outputs found

    Medium-sized cities of the Inner Baetica

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    Hablar de ciudades medias en Europa es pensar en patrimonio urbano-territorial, en paisajes históricos que continúan conformando amplios territorios. En Andalucía, donde los efectos de la metropolización son aún puntuales, el patrimonio constituye su herencia genética. Su relevancia histórica internacional y nacional es un hecho. Actualmente, el reconocimiento patrimonial de sus ciudades en los ámbitos nacional e internacional -así como su impacto, trayectoria y potencial en el sector turístico-, señalan la necesidad de descodificar este proceso. Este libro se ha publicado con motivo de la exposición “IMPACT. Ciudades medias de la Bética Interior“, presentada en la Escuela Técnica Superior de Arquitectura de la Universidad de Sevilla, Sevilla, del 13-27 de diciembre de 2019.To speak of medium-sized cities in Europe is to think of urban-territorial heritage, in historic landscapes that continue to shape large territories. In Andalusia, where the effects of metropolisation are still punctual, heritage constitutes its genetic feature. Its international and national historical relevance is a fact. Currently, the heritage recognition of Andalusian cities at both national and international levels -as well as their impact, trajectory and potential in the tourism sector-, indicate the need to decode this process. This book has been published on the occasion of the exhibition “IMPACT. Medium-sized cities of the Inner Baetica”, presented at the Higher Technical School of Architecture of the University of Seville, Seville, from December 13-27, 2019

    Didactics of knowledge management and digital humanities for cultural heritage contemporary preservation. From traditional dictionaries to libraries as a conversation

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    De los diccionarios tradicionales a las Biblioguías virtuales en conservación del patrimonio se desarrolla el proceso de Knowledge Management y los alumnos son parte investigadora y productora del conocimiento gracias a las conversaciones con los bibliotecarios, archiveros y especialistas en digitalización. Las conversaciones e interacciones en el espectro real o presencial tienen su reflejo en el marco virtual gracias a la tecnología, cuyas narrativas pasan de ser lineales a interconectadas gracias a los metadatos y recuperadas a través de las palabras clave de los diccionarios y tesauros en conservación del patrimonio cultural. Experiencias de innovación docentes previas como el Diccionario de “Terminología básica de conservación y restauración del Patrimonio Cultural 2. Español – Inglés – Francés – Italiano – Alemán” dirigido por Ana Calvo (PID 2015 nº 293) nos sirve de punto de apoyo para comprender la importancia de los términos y palabras clave en las búsquedas digitales y están relacionadas con los tesauros de clasificación de las bibliotecas. Se pretende continuar con su desarrollo y el estudio por parte de los alumnos ampliando los términos a la praxis de la gestión de riesgos, integrados en el ciclo de gestión de conocimiento digital y haciéndolos accesibles a través de la biblioguía especializada en conservación del patrimonio, implementándose paulatinamente como fórmula de conversación con la Biblioteca.From traditional dictionaries to virtual libraries in heritage conservation, the process of Knowledge Management develops and students are part of the research and production of knowledge through conversations with librarians, archivists and digitisation specialists. Conversations and interactions in the real or face-to-face spectrum are reflected in the virtual framework thanks to technology, whose narratives go from being linear to interconnected thanks to metadata and retrieved through the keywords of dictionaries and thesauri in cultural heritage conservation. Previous teaching innovation experiences such as the Dictionary of "Basic Terminology of Conservation and Restoration of Cultural Heritage 2. Spanish - English - French - Italian - German" directed by Ana Calvo (PID 2015 no. 293) serve as a support point to understand the importance of terms and keywords in digital searches and are related to the classification thesauri of libraries. It is intended to continue with its development and study by the students by extending the terms to the praxis of risk management, integrated into the digital knowledge management cycle and making them accessible through the bibliography specialising in heritage conservation, gradually being implemented as a formula for conversation with the Library.Depto. de Pintura y Conservación-RestauraciónFac. de Bellas ArtesFALSEINNOVA-Docentiasubmitte

    COVID-19 in hospitalized HIV-positive and HIV-negative patients : A matched study

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    CatedresObjectives: We compared the characteristics and clinical outcomes of hospitalized individuals with COVID-19 with [people with HIV (PWH)] and without (non-PWH) HIV co-infection in Spain during the first wave of the pandemic. Methods: This was a retrospective matched cohort study. People with HIV were identified by reviewing clinical records and laboratory registries of 10 922 patients in active-follow-up within the Spanish HIV Research Network (CoRIS) up to 30 June 2020. Each hospitalized PWH was matched with five non-PWH of the same age and sex randomly selected from COVID-19@Spain, a multicentre cohort of 4035 patients hospitalized with confirmed COVID-19. The main outcome was all-cause in-hospital mortality. Results: Forty-five PWH with PCR-confirmed COVID-19 were identified in CoRIS, 21 of whom were hospitalized. A total of 105 age/sex-matched controls were selected from the COVID-19@Spain cohort. The median age in both groups was 53 (Q1-Q3, 46-56) years, and 90.5% were men. In PWH, 19.1% were injecting drug users, 95.2% were on antiretroviral therapy, 94.4% had HIV-RNA < 50 copies/mL, and the median (Q1-Q3) CD4 count was 595 (349-798) cells/μL. No statistically significant differences were found between PWH and non-PWH in number of comorbidities, presenting signs and symptoms, laboratory parameters, radiology findings and severity scores on admission. Corticosteroids were administered to 33.3% and 27.4% of PWH and non-PWH, respectively (P = 0.580). Deaths during admission were documented in two (9.5%) PWH and 12 (11.4%) non-PWH (P = 0.800). Conclusions: Our findings suggest that well-controlled HIV infection does not modify the clinical presentation or worsen clinical outcomes of COVID-19 hospitalization

    How do women living with HIV experience menopause? Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort

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    CatedresBackground: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by phone between September 2017 and December 2018 to determine whether they had experienced menopausal symptoms and anxiety/depression. The Menopause Rating Scale was used to evaluate the prevalence and severity of symptoms related to menopause in three subscales: somatic, psychologic and urogenital; and the 4-item Patient Health Questionnaire was used for anxiety/depression. Logistic regression models were used to estimate odds ratios (ORs) of association between menopausal status, and other potential risk factors, the presence and severity of somatic, psychological and urogenital symptoms and of anxiety/depression. Results: Of 251 women included, 137 (54.6%) were post-, 70 (27.9%) peri- and 44 (17.5%) pre-menopausal, respectively. Median age of onset menopause was 48 years (IQR 45-50). The proportions of pre-, peri- and post-menopausal women who had experienced any menopausal symptoms were 45.5%, 60.0% and 66.4%, respectively. Both peri- and post-menopause were associated with a higher likelihood of having somatic symptoms (aOR 3.01; 95% CI 1.38-6.55 and 2.63; 1.44-4.81, respectively), while post-menopause increased the likelihood of having psychological (2.16; 1.13-4.14) and urogenital symptoms (2.54; 1.42-4.85). By other hand, post-menopausal women had a statistically significant five-fold increase in the likelihood of presenting severe urogenital symptoms than pre-menopausal women (4.90; 1.74-13.84). No significant differences by menopausal status were found for anxiety/depression. Joint/muscle problems, exhaustion and sleeping disorders were the most commonly reported symptoms among all women. Differences in the prevalences of vaginal dryness (p = 0.002), joint/muscle complaints (p = 0.032), and sweating/flush (p = 0.032) were found among the three groups. Conclusions: Women living with HIV experienced a wide variety of menopausal symptoms, some of them initiated before women had any menstrual irregularity. We found a higher likelihood of somatic symptoms in peri- and post-menopausal women, while a higher likelihood of psychological and urogenital symptoms was found in post-menopausal women. Most somatic symptoms were of low or moderate severity, probably due to the good clinical and immunological situation of these women

    Discovering HIV related information by means of association rules and machine learning

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    Acquired immunodeficiency syndrome (AIDS) is still one of the main health problems worldwide. It is therefore essential to keep making progress in improving the prognosis and quality of life of affected patients. One way to advance along this pathway is to uncover connections between other disorders associated with HIV/AIDS-so that they can be anticipated and possibly mitigated. We propose to achieve this by using Association Rules (ARs). They allow us to represent the dependencies between a number of diseases and other specific diseases. However, classical techniques systematically generate every AR meeting some minimal conditions on data frequency, hence generating a vast amount of uninteresting ARs, which need to be filtered out. The lack of manually annotated ARs has favored unsupervised filtering, even though they produce limited results. In this paper, we propose a semi-supervised system, able to identify relevant ARs among HIV-related diseases with a minimal amount of annotated training data. Our system has been able to extract a good number of relationships between HIV-related diseases that have been previously detected in the literature but are scattered and are often little known. Furthermore, a number of plausible new relationships have shown up which deserve further investigation by qualified medical experts

    La expresión corporal en educación física : propuesta curricular desde la administración educativa

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    Resumen basado en el de la publicaciónSe analiza la expresión corporal en la Educación Física y se presenta un estudio de caso de un Match de improvisación. La expresión corporal es el instrumento con el cual se producen las variadas formas del arte del movimiento. Es fundamental en el proceso de comunicación y éste debe ser interactivo y dinámico. Se analiza la expresión corporal como medio educativo para la formación integral del alumnado. En el estudio del caso, se muestra cómo se aplica al marco escolar y en qué puede ayudar.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

    Comprehensive analysis and insights gained from long-term experience of the Spanish DILI Registry

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    Altres ajuts: Fondo Europeo de Desarrollo Regional (FEDER); Agencia Española del Medicamento; Consejería de Salud de Andalucía.Background & Aims: Prospective drug-induced liver injury (DILI) registries are important sources of information on idiosyncratic DILI. We aimed to present a comprehensive analysis of 843 patients with DILI enrolled into the Spanish DILI Registry over a 20-year time period. Methods: Cases were identified, diagnosed and followed prospectively. Clinical features, drug information and outcome data were collected. Results: A total of 843 patients, with a mean age of 54 years (48% females), were enrolled up to 2018. Hepatocellular injury was associated with younger age (adjusted odds ratio [aOR] per year 0.983; 95% CI 0.974-0.991) and lower platelet count (aOR per unit 0.996; 95% CI 0.994-0.998). Anti-infectives were the most common causative drug class (40%). Liver-related mortality was more frequent in patients with hepatocellular damage aged ≥65 years (p = 0.0083) and in patients with underlying liver disease (p = 0.0221). Independent predictors of liver-related death/transplantation included nR-based hepatocellular injury, female sex, higher onset aspartate aminotransferase (AST) and bilirubin values. nR-based hepatocellular injury was not associated with 6-month overall mortality, for which comorbidity burden played a more important role. The prognostic capacity of Hy's law varied between causative agents. Empirical therapy (corticosteroids, ursodeoxycholic acid and MARS) was prescribed to 20% of patients. Drug-induced autoimmune hepatitis patients (26 cases) were mainly females (62%) with hepatocellular damage (92%), who more frequently received immunosuppressive therapy (58%). Conclusions: AST elevation at onset is a strong predictor of poor outcome and should be routinely assessed in DILI evaluation. Mortality is higher in older patients with hepatocellular damage and patients with underlying hepatic conditions. The Spanish DILI Registry is a valuable tool in the identification of causative drugs, clinical signatures and prognostic risk factors in DILI and can aid physicians in DILI characterisation and management. Lay summary: Clinical information on drug-induced liver injury (DILI) collected from enrolled patients in the Spanish DILI Registry can guide physicians in the decision-making process. We have found that older patients with hepatocellular type liver injury and patients with additional liver conditions are at a higher risk of mortality. The type of liver injury, patient sex and analytical values of aspartate aminotransferase and total bilirubin can also help predict clinical outcomes

    La orientación deportiva en el marco escolar : propuesta educativa para la educación física en secundaria

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    Resumen basado en el de la publicaciónSe ofrecen directrices de cómo llevar a cabo trabajos de orientación deportivo en los centros de Educación Secundaria y se contextualiza dentro del marco escolar y su currículum. La orientación es un deporte consistente en una carrera individual cronometrada donde los participantes usan un mapa esencial y una brújula para recorrer en el orden adecuado diferentes puntos de control. Se explican las diversas modalidades de orientación existentes: como actividad en la naturaleza, como deporte competitivo, como actividad de ocio al aire libre y como modo de mantenerse en forma. La orientación guarda relación con el currículo oficial de Educación Física y forma parte del bloque de contenidos de Actividades en el Medio Natural.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

    La expresión corporal en educación física : propuesta curricular desde la administración educativa

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    Resumen basado en el de la publicaciónSe analiza la expresión corporal en la Educación Física y se presenta un estudio de caso de un Match de improvisación. La expresión corporal es el instrumento con el cual se producen las variadas formas del arte del movimiento. Es fundamental en el proceso de comunicación y éste debe ser interactivo y dinámico. Se analiza la expresión corporal como medio educativo para la formación integral del alumnado. En el estudio del caso, se muestra cómo se aplica al marco escolar y en qué puede ayudar.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

    Las actividades extraescolares y complementarias en el marco escolar : posibilidades educativas desde la educación física en secundaria

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    La oferta de actividades extraescolares deportivas es un elemento social de primer orden que deben estar reguladas por los proyectos de centro, como elemento del papel educativo de los mismos. Se analiza el concepto de actividad extraescolar, la normativa que las regula, el papel del Ampa y criterios para su organización. Se centra en las actividades desde la educación física y en las complementarias en el entorno natural.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]
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