42 research outputs found
Las élites capitulares indianas y sus mecanismos de poder en el siglo XVII
El propósito de este trabajo es analizar los diferentes comportamientos de las élites capitulares indianas en el siglo XVII, a fin de establecer en qué medida los cabildos fueron, a través de ellas, instrumentos de las oligarquías para defender sus intereses a nivel local e, incluso, provincial, y cuáles fueron los mecanismos de que éstas se valieron para afianzar su poder. Se parte para ello del principio de que en la actuación de las élites capitulares indianas como grupos de poder el proceso fue de la unidad dentro de la diversidad, en la medida en que fueron muy similares los mecanismos de que se valieron para controlar las diferentes esferas de poder. Unos mecanismos, como el sistema de venta y renunciación de los oficios capitulares no electivos impuesto en 1606, las alianzas matrimoniales y las prácticas endogámicas, que dichas élites aplicaron en la mayor parte de los territorios indianos para consolidar su posición y adquirir cohesión y poder
Un posible modelo de explotación pecuaria en Yucatán: el caso de la propiedad de Tziskal-chacsinkin
Not available.No disponible
Implication of type 4 NADPH oxidase (NOX4) in tauopathy.
Aggregates of the microtubule-associated protein tau are a common marker of neurodegenerative diseases
collectively termed as tauopathies, such as Alzheimer’s disease (AD) and frontotemporal dementia. Therapeutic
strategies based on tau have failed in late stage clinical trials, suggesting that tauopathy may be the consequence
of upstream causal mechanisms. As increasing levels of reactive oxygen species (ROS) may trigger protein aggregation
or modulate protein degradation and, we had previously shown that the ROS producing enzyme
NADPH oxidase 4 (NOX4) is a major contributor to cellular autotoxicity, this study was designed to evaluate if
NOX4 is implicated in tauopathy. Our results show that NOX4 is upregulated in patients with frontotemporal
lobar degeneration and AD patients and, in a humanized mouse model of tauopathy induced by AVV-TauP301L
brain delivery. Both, global knockout and neuronal knockdown of the Nox4 gene in mice, diminished the
accumulation of pathological tau and positively modified established tauopathy by a mechanism that implicates
modulation of the autophagy-lysosomal pathway (ALP) and, consequently, improving the macroautophagy flux.
Moreover, neuronal-targeted NOX4 knockdown was sufficient to reduce neurotoxicity and prevent cognitive
decline, even after induction of tauopathy, suggesting a direct and causal role for neuronal NOX4 in tauopathy.
Thus, NOX4 is a previously unrecognized causative, mechanism-based target in tauopathies and blood-brain
barrier permeable specific NOX4 inhibitors could have therapeutic potential even in established disease.post-print5895 K
La conservación y reutilización de los datos científicos en España. Informe del grupo de trabajo de buenas prácticas
González Copeiro, C.; Serrano-Muñoz, J.; García-García, A.; Ferrer Sapena, A.; Peset Mancebo, MF.; Bernal, I.; Lacunza, I.... (2012). La conservación y reutilización de los datos científicos en España. Informe del grupo de trabajo de buenas prácticas. Fundación Española para la Ciencia y la Tecnología FECYT. http://hdl.handle.net/10251/58896
Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
[ES] Background
Malnutrition is a recurring problem that has become more relevant in recent years. The aim
of this study is to assess the risk of malnutrition and nutritional status on admission and its
evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System.
Methods
Prospective observational study to be carried out in the medical-surgical hospitalization
units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are
related to the care process, functionality, cognition and comorbidity, risk profile, nutritional
status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at
discharge will be calculated. The association with risk factors will be studied with logistic
regression models and multivariate Cox regression models. In addition, an analysis of participants’ satisfaction with food services will be carried out. The study was approved by the
Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and
with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for
observational studies.
Discussion
Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the
impact of hospitalization. The results of the project will provide information on the incidence
and prevalence of both pathologies in the study subjects, their associated factors and their
relationship with the average length of stay, mortality and early readmission. In addition,
early detection of a problem such as malnutrition related to the disease and/or dysphagia
during a hospital stay will favor the action of professionals to resolve both pathologies and
improve the health status of patients.This study has been funded by Instituto de Salud Carlos III (ISCIII) through the Project "PI21/00738" and co-funded by the European Union. The funders did not and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript
Impact of hospitalization on nutritional status in persons aged 65 years and over (NUTRIFRAG Study): Protocol for a prospective observational study
Background: Malnutrition is a recurring problem that has become more relevant in recent years. The aim of this study is to assess the risk of malnutrition and nutritional status on admission and its evolution until discharge in patients aged 65 and over admitted to medical and surgical hospitalization units in hospitals of the Spanish National Health System. Methods: Prospective observational study to be carried out in the medical-surgical hospitalization units of 9 public hospitals between 01/09/2022 and 31/12/2024. Using consecutive sampling, a total of 4077 patients will be included (453 in each hospital). Variables included are related to the care process, functionality, cognition and comorbidity, risk profile, nutritional status and dysphagia; as well as frailty, dietary quality and contextual variables. The incidence of risk of malnutrition, undernutrition and dysphagia during the care process and at discharge will be calculated. The association with risk factors will be studied with logistic regression models and multivariate Cox regression models. In addition, an analysis of participants' satisfaction with food services will be carried out. The study was approved by the Ethics and Research Committee on 30/09/2020, approved for funding on 02/12/2021 and with registration number RBR-5jnbyhk in the Brazilian clinical trials database (ReBEC) for observational studies. Discussion: Some studies address nutritional status or dysphagia in older people in various care settings. However, there is a lack of large sample studies including both processes of the impact of hospitalization. The results of the project will provide information on the incidence and prevalence of both pathologies in the study subjects, their associated factors and their relationship with the average length of stay, mortality and early readmission. In addition, early detection of a problem such as malnutrition related to the disease and/or dysphagia during a hospital stay will favor the action of professionals to resolve both pathologies and improve the health status of patients.This study has been funded by Instituto de Salud Carlos III (ISCIII) through the project "PI21/00738" and co-funded by the European Union. The funders did not and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.S
Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study
Background
In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery.
Methods
An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis.
Results
The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”.
Conclusions
The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies