Determinants of Physical Activity performed by Young Adults

Despite the World Health Organization considering it important to promote physical activity as part of a healthy lifestyle, the o cial data show an increase in the percentage of physical inactivity, which has brought about the development of strategies at di erent levels (national and international) to reverse this trend. For the development of these strategies, it is relevant to know what the determinants of physical activity (at leisure and at work) are. Therefore, this is going to be analysed in the autochthonous young adults from Seville. A cross-sectional survey of their health behaviours was carried out. The sample was selected through a proportionally stratified random sampling procedure. From the results, we highlight that the general perceived health status is good and that most physical activity is performed during leisure time. However, a majority of the population analysed reported overweight or obesity. Participants with a low perceived health status, those who have low social support from their family and friends, and those who do not smoke are the ones who have more probability of engaging in physical activity during their leisure time. However, gender, education level, and alcohol consumption are revealed as determinants of the intensity of physical activity at work. In this regard, men and/or participants with a low level of studies are those who carry out more physically demanding activities at work

Mujer senegalesa con diagnóstico de VIH durante la gestación

We present the case of a 23 years old woman from Senegal with a 26 weeks pregnancy. Recently arrived in the country without medical follow-up of her pregnancy. She consults due to the presence of an ulceration in the external genitalia that had appear recently. During the evolution of the disease, it is diagnosed with primary syphilis and HIV infection. We review the most important characteristics to be known in these pathologies in relation to pregnancy, such as their clinical management, antiretroviral treatment and the management with the newborn.Se presenta el caso de una mujer de 23 años procedente de Senegal gestante de 26 semanas. Llegada recientemente al país sin realizar seguimiento médico de su embarazo. Consulta por una ulceración en los genitales externos de reciente aparición. Durante la evolución, se diagnostica de sífilis primaria e infección por VIH. Se repasan las características más importantes a tener en cuenta en estas patologías en relación con el embarazo, como son el manejo clínico de las mismas, el tratamiento antirretroviral y el manejo del neonato

Conductas de salud en inmigrantes latinoamericanos adultos del Distrito Macarena de Sevilla (España)

Objetivo. Describir el estado de salud de la población latinoamericana inmigrante de 25 a 44 años del Distrito Macarena de la ciudad de Sevilla. Metodología. Estudio descriptivo de corte transversal, se empleó muestreo probabilístico aleatorio, estratificado y proporcional. Se realizó en 34 personas, 16 hombres y 18 mujeres, de 25 a 44 años. Para la recogida de datos se elaboró un cuestionario que unificaba los instrumentos del Sistema de Vigilancia de Factores de Riesgo asociados a Enfermedades No Transmisibles en Adultos y el del Sistema de Vigilancia de Factores de Riesgo de Riesgo de Comportamiento. Los datos se analizaron con el paquete estadístico SPSS 17.0. Resultados. El 38.2% de la muestra considera bueno su estado de salud percibida. Un 26.5% no sabe o no está seguro de cuál es su Centro de Salud. El 58.8% nunca ha acudido a la consulta de la enfermera. El 38.2% consume alcohol un día a la semana y el 58.8% se ha automedicado. El 67.7% de la muestra usa métodos para evitar la concepción pero solo de ellos el 43.5%, se protegen también de una enfermedad de transmisión sexual Conclusión. Se identificaron conductas de salud en función del origen y algunos de los factores asociados, los cuales deberían considerarse en el diseño y desarrollo de actuaciones diferenciales, orientadas a mejorar el nivel de salud en los inmigrantes.Objetivo. Descrever o estado de saúde da população latino-americana imigrante de 25 a 44 anos do Distrito Macarena da cidade de Sevilla. Metodologia. Estudo descritivo, transversal, de prevalência e observacional, empregando-se uma amostragem probabilística, aleatório, estratificado e proporcional. Realizou-se em 34 pessoas, 16 homens e 18 mulheres, de 25 a 44 anos. Para a recolhida de dados se elaborou um questionário que unificava os instrumentos do Sistema de Vigilância de Fatores de Risco associados a Doenças Não Transmissíveis em Adultos e o do Sistema de Vigilância de Fatores de Risco de Risco de Comportamento. Os dados se analisaram com o pacote estatístico SPSS 17.0. Resultados. O 38.2% da mostra considera bom seu estado de saúde percebida. Um 26.5% não sabe ou não está seguro de qual é seu Centro de Saúde. O 58.8% nunca foi à consulta da enfermeira. O 38.2% consome álcool um dia à semana e o 58.8% se tem automedicado. O 67.7% da mostra usa métodos para evitar a concepção, mas só deles o 43.5%, protegem-se também de uma doença de transmissão sexual. Conclusão. Identificaram-se condutas de saúde em função da origem e alguns dos fatores associados, os quais deveriam considerar-se no desenho e desenvolvimento de atuações diferenciais, orientadas a melhorar o nível de saúde nos imigrantes.Objective. To describe the health status of the immigrant Latin American population between 25 and 44 years old from the Macarena district of the city of Sevilla. Methodology. Cross-sectional study, it was employing a stratified ramdom sampling. It was conducted on 34 people, 16 men and 18 women, 25 to 44 years old. To collect the data a questionnaire that unified the instrument Surveillance System of Risk Factors associated to Noncommunicable Diseases in Adults and the Surveillance System of Risk Factors Risk Behavior was used. Data were analyzed with the SPSS 17.0 statistical software. Results. 38.2% of the sample perceived as good their health condition. 26.5% are unsure or don’t know about which is their Primary Care Center. 58.8% have never been attended to a nursing consult. 38.2% consume alcohol once a week and the 58.8% have selfmedicated. 67.7% of the sample use contraception, but only 43.5% also protect themselves from a sexually transmitted disease. Conclusion. Health behaviors were identified according to the origin and some related factors. This should be considered when designing and developing activities aimed at improving the health level in immigrants

Nueva localidad de Bulinus truncatus (Audouin, 1827) (Gastropoda: Planorbidae), hospedador intermediario de Schistosoma haematobium, y su distribución en la península Ibérica

This paper reports a new population of Bulinus truncatus (Audouin, 1827) (Gastropoda, Planorbidae) found in the province of Almería (Southeast Spain). B. truncatus is an intermediate host of Schistosoma haematobium, the trematode which causes urinary schistosomiasis in humans. Individuals were identified to species level by double-nested PCR, resulting in 100% homology. This population is located under the driest climate conditions of the Iberian Peninsula. Data on the distribution of this species in the Iberian Peninsula was gathered and is provided in this paper. Improved knowledge of the distribution of Bulinus truncatus is key to assess the risk of new outbreaks of schistosomiasis in the Iberian Peninsula.En este trabajo se reporta una nueva población de Bulinus truncatus (Audouin, 1827) (Gastropoda, Planorbidae) en la provincia de Almería (Sureste de España). Se trata de una especie que presenta considerable interés tanto zoológico como epidemiológico por su papel como hospedador intermediario de Schistosoma haematobium, responsable de la esquistosomiasis urogenital humana. Los ejemplares fueron determinados a nivel específico mediante PCR doble anidada, con un 100% de homología. Se trata de la población localizada más al Sureste y en condiciones de mayor aridez en la península Ibérica. Se recopilaron los datos de presencia publicados para conocer su distribución en la península. El conocimiento de la distribución de Bulinus truncatus es una pieza clave para evaluar el riesgo de nuevos focos de esquistosomiasis en la península Ibérica

Imago. Sensory diversity project

Imago. Proyecto de diversidad sensorial se ha centrado en el estudio y la accesibilidad de las imágenes artísticas desde la perspectiva y experiencia de personas con diversidad sensorial. Nuestro punto de partida quedaba así fijado por la idea de que las personas con diversidad sensorial nos ofrecen una apertura para el estudio ampliado de las imágenes en función de la facultad de imaginar. Se trataba, pues, de elaborar un material audiovisual adecuado que prestase atención a la amplitud sensorial, esto es, sinestésica, de la imagen. Con tal planteamiento, este proyecto se proponía desarrollar tanto una dimensión teórica como una práctica para el estudio de las imágenes. De una parte se trataba de trabajar a partir de autores (artistas y teóricos) de distintas épocas que permitieran un acercamiento a la concepción ampliada de las imágenes desde perspectivas integradoras. De otra, se trataba de realizar una serie de videos en colaboración con personas con diversidad sensorial que nos permitieran un estudio crítico de las posibilidades de este formato en Internet.Depto. de Historia del ArteFac. de Geografía e HistoriaFALSEsubmitte

Ampicillin Plus Ceftriaxone Combined Therapy for Enterococcus faecalis Infective Endocarditis in OPAT

Cardiovascular Infectious Study Group of the Andalusian Society of Infectious Diseases.Ampicillin plus ceftriaxone (AC) is a well-recognized inpatient regimen for Enterococcus faecalis infective endocarditis (IE). In this regimen, ceftriaxone is usually administered 2 g every 2 h (AC12). The administration of AC in outpatient parenteral antibiotic treatment (OPAT) programs is challenging because multiple daily doses are required. AC regimens useful for OPAT programs include once-daily high-dose administration of ceftriaxone (AC24) or AC co-diluted and jointly administered in bolus every 4 h (ACjoined). In this retrospective analysis of prospectively collected cases, we aimed to assess the clinical effectivity and safety of three AC regimens for the treatment of E. faecalis IE. Fifty-nine patients were treated with AC combinations (AC12 n = 32, AC24 n = 17, and ACjoined n = 10). Six relapses occurred in the whole cohort: five (29.4%) treated with AC24 regimen and one (10.0%) with ACjoined. Patients were cured in 30 (93.3%), 16 (94.1%), and eight (80.0%) cases in the AC12, AC24 and ACjoined groups, respectively. Unplanned readmission occurred in eight (25.0%), six (35.3%), and two (20.0%) patients in the AC12, AC24 and ACjoined groups, respectively. The outcome of patients with E. faecalis IE treated with AC in OPAT programs relies on an optimization of the delivery of the combination. AC24 exhibit an unexpected rate of failures, however, ACjoined might be an effective alternative which clinical results should corroborate in further studies.The authors received no financial support for the research, authorship, and/or publication of this article. GVA was supported by the Instituto de Salud Carlos III, cofinanced by the European Development Regional Fund (“A way to achieve Europe”), Subprograma Miguel Servet (grant CP19/00159). HHL was supported by the Instituto de Salud Carlos III, Subprograma Rio Hortega (grant CM19/00152)

Blood culture-negative infective endocarditis: a worse outcome? Results from a large multicentre retrospective Spanish cohort study

[Background] To assess the impact of blood cultures negative infective endocarditis (BCNIE) on in-hospital mortality.[Methods] Prospective multicentre study with retrospective analysis of a Spanish cohort including adult patients with definite IE. Cardiac implantable devices infection were excluded. Comparisons between blood cultures positive and BCNIE groups were performed to analyse in-hospital mortality.[Results] 1001 cases were included of which 83 (8.3%) had BCNIE. Alternative microbiological diagnosis was achieved for 39 (47%) out 83 cases. The most frequent identifications were: Coxiella burnetii (11; 28.2%), Tropheryma whipplei (4; 10.3%), Streptococcus gallolyticus (4;10.3%) and Staphylococcus epidermidis (3; 7.7%). Surgery was performed more frequently in BCNIE group (57.8 vs. 36.9%, p < .001). All-cause in-hospital mortality rate was 26.7% without statistical difference between compared groups. BCNIE was not associated to worse mortality rate in Cox regression model (aHR = 1.37, 95% CI 0.90–2.07, p = .14). Absence of microbiological diagnosis was also not associated to worse in-hospital prognosis (aHR = 1.62, 95% CI 0.99–2.64, p = .06).[Conclusions] In our cohort, BCNIE was not associated to greater in-hospital mortality based in multivariate Cox regression models. The variables most frequently associated with mortality were indicated but not performed surgery (aHR = 2.48, 95% CI 1.73–3.56, p < .001), septic shock (aHR = 2.24, 95% CI 1.68–2.99, p < .001), age over 65 years (aHR = 1.88, 95% CI 1.40-2.52, p < .001) and complicated endocarditis (aHR = 1.79, 95% CI 1.36–2.37, p < .001).Peer reviewe

Imago 2. Proyecto de diversidad sensorial

Proyecto de innovación docente dedicado a la relación entre la imaginación y los sentidos desde la diversidad sensorial

Hydrogen sulphide removal from biogas by an anoxic biotrickling filter packed with Pall rings

Hydrogen sulphide (H2S) is one of the most problematic contaminants in biogas. In this study, a biotrickling filter with a working volume of 2.4 L and packed with polypropylene Pall rings was tested for its ability to remove H2S from biogas under anoxic conditions. The influence of the H2S inlet concentration, nitrate feeding regime (manual and controlled) and liquid flow rate on the elimination capacity of the biotrickling filter was studied. The results indicate that 99% of the H2S was removed for H2S inlet loads lower than 120 g S m"3 h"1 when using controlled nitrate feeding by ORP