2,478 research outputs found

    CORRESPONDENCE BETWEEN PERSONALITY AND JOB TITLE

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    Does the position held by an individual in a company fit into his/her personality? The answer to this question is yes. This is because there is significant relationship between the characteristics possessed by a worker which includes his character, personality and way of life, with the current position he/she is holding in an organization. The evolution of man is in accordance with technological advancement, new cultures, social and economic developments, among other phenomena. In other words, the success in the position given to a person will depend largely on his/her personality from a mental and physical point of view. This aim of this paper is to analyze the part of clinical psychology which is associated with human talent through a series of characteristics and personality traits. Personality traits and characteristics are crucial for the proper performance of a worker in a specific job

    Patent foramen ovale, deep venous thrombosis and stroke; a paradoxical embolism in an 80-year-old male

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    Background: A patent foramen ovale (PFO) is a congenital cardiac malformation describing a shunt in between the atrial walls. The overall incidence of a PFO is around 27.3% with a progressive decrease to 25.4% in the 4th and 8th decades. Once it has been established that a patient with an ischemic stroke/transient ischemic attack (TIA) has a PFO and other sources of the stroke have been ruled out, it is imperative to consider deep vein thrombosis (DVT) as the source of a paradoxical embolus. Case Presentation: 80-year-old gentleman with a history of right internal carotid occlusion of 80-90% status post right internal carotid endarterectomy. Presented to the emergency department (ED) for sudden left-sided weakness, left facial droop, slurred speech, and dizziness. Upon initial evaluation he was asymptomatic; NIH stroke score 1. Magnetic resonance imaging of the brain showed important watershed infarcts. Cerebral angiogram found 50% concentric stenosis of the right middle cerebral artery (MCA) with minimal lineal filling defect in the stenotic segment. The filling defect cleared after injection of intra-arterial integrillin. Post procedure, patient was started on heparin drip. Cardiology was consulted for suspected paroxysmal atrial fibrillation and a transesophageal echocardiogram (TEE). Two days after the post cerebral angiogram, the patient began to complain of severe right leg pain. He was noted to be tachycardic and hypoxemic. The venous doppler of the leg revealed a DVT and subsequent CT chest angiography revealed bilateral pulmonary embolism (PE). TEE results showed a positive agitative saline test with defect in the intra-atrial wall. The patient was on heparin drip and transitioned after 7 days to oral anticoagulation. Loop recorder was installed with possible PFO correction by cardiology in the outpatient. Patients\u27 symptoms improved and he was discharged to inpatient rehab. Conclusion: Although rare a paradoxical embolus should be considered in patients presenting with a stroke/TIA, PFO, and an unidentified source of embolus. Although this patient did have 50% occlusion of the R MCA, we cannot fully exclude a PFO-related stroke. The discovery of a DVT, and bilateral PEs supports the high suspicion for PFO-related stroke in the form of paradoxical embolus

    Estado de México y democracia en los albores del siglo XXI

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    De acuerdo con su título, este libro, compuesto por seis capítulos y dos anexos, reúne textos relativos a la democracia y al Estado de México, una de las principales entidades federativas de la República Mexicana. La importancia del Estado de México en el contexto nacional es indiscutible: de las 32 entidades que integran el país, es la que tiene más habitantes y electores (el segundo y el tercer lugares en ambos sentidos son ocupados, respectivamente, por el Distrito Federal y Veracruz), en tanto que está en el segundo lugar por el tamaño de su economía (en el primero se ubica el Distrito Federal y en el tercero, Nuevo León)

    Prevalence of metabolic syndrome in HIV patients under antiretroviral treatment in CAPASITS from Reynosa, Tamaulipas

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    Introduction: Highly effective antiretroviral therapy has been demonstrated a decrease in morbidity, mortality, life expectancy and quality of life of HIV-infected patients. However, HIV-infected persons, over time of receiving antiretroviral treatment, may develop different metabolic disorders, such as adipose tissue, lipid metabolism and the development of arterial hypertension, increase in BMI, decrease in HDL cholesterol and insulin resistance which can with lead to the development of metabolic syndrome. Methodology: A cross-sectional observational study was carried out, the sample consisted of 122 HIV patients on ART. All patients signed an informed consent form. Sociodemographic data and clinical history were collected. Subsequently, anthropometric data (height, weight and waist circumference) and vital signs (blood pressure) were measured. Results: A total population of n=122 participated in this study, of which the majority was male with 62.3% (n=76) and 37.7% (n=46) female. The mean age of the patients was 37.54 (±11.48) years, with a range of 19 to 60 years. The frequency of Metabolic Syndrome of HIV seropositive patients under antiretroviral treatment is observed, where 41%(n=50) have metabolic syndrome, while 59% (n=72) do not present metabolic syndrome. In women, the metabolic syndrome is present in 64% (n=32) while in men it is present in 36% (n=18) with statistical significance (value of p= .000). Conclusion: There is a high prevalence of metabolic syndrome in our study population 41% in which the female gender predominated in patients receiving antiretroviral treatment in the CAPASITS of the city of Reynosa, Tamaulipas

    THE “VALLE DEL SABATO” AND THE SULPHUR MINES OF TUFO AND ALTAVILLAIRPINA

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    Two the mining companies, two the properties, two the related factories: the Di Marzo and the SocietàAnonimaIndustrieMinerarie (SAIM); two the families, of noble origins, who contributed to the mid-1800s to radical changes in the Valley, including through a direct and personal relationship with social initiatives in favour of the working society. The phenomenon began a new era of development resulting in significant transformations in the social-economic structures and in the organization of the inhabitants. Along with tanning pole, sulphur mines soon became the flagship reality of entrepreneurship irpina, attracting the interest of other businessman and banking groups. The thriving mining went on until the early 1970 's when the international competition and of the oil companies made cheaper sulfur extraction for other routes. At present the Administration and municipalities concerned intended to start an enhancement of industrial archaeology, preparing a feasibility study for the use of such mines by large sections of the people. It is an immense historical, cultural, industrial and natural and anthropological heritage, that should not be lost; therefore the project of a geomining park of the sulphur mines of Tufo and AltavillaIrpina(Italy) can offer to local populations another opportunity for development. Pending its establishment, the production of DOCG wines with the presence of the Greco di Tufo, a white wine produced in the municipalities of the province of Avellino, including Tufo and AltavillaIrpina, continues to enhance the Irpinia territory

    The complex HLA-E-nonapeptide in Behçet disease

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    Behçet disease; NK cells; Gene associationMalaltia de Behçet; Cèl·lules NK; Associació de gensEnfermedad de Behçet; Células NK; Asociación genéticaIntroduction: The knowledge of the aetiology of Behçet disease (BD), an immune-mediated vasculitis, is limited. HLA-B, mainly HLA-B51, and HLA-A molecules are associated with disease, but the ultimate cause of this association remains obscure. There is evidence that NK cells participate in the etiopathology of BD. NK cells have activator and inhibitor surface receptors, like the KIR and the NKG2 families. Classical HLA-class I molecules (A, B and C) are keys in the activity control of the NK because they are KIR ligands. Most NKG2 receptors bind HLA-E, which presents only nonapeptides derived from the signal peptide of other class-I molecules. Objective: This study investigates the contribution of the pair HLA-E and ligand, nonapeptide derived from the 3-11 sequence of the signal peptides of class I classical molecules, to the susceptibility to BD. Methods: We analyzed the frequency of the HLA-derivated nonapeptide forms in 466 BD patients and 444 controls and an HLA-E functional dimorphism in a subgroup of patients and controls. Results: In B51 negative patients, the frequency of VMAPRTLLL was lower (70.4% versus 80.0% in controls; P=0.006, Pc=0.04, OR=0.60, 95%CI 0.41-0.86), and the frequency of VMAPRTLVL was higher (81.6% versus 71.4% in controls; P=0.004, Pc=0.03, OR=1.78, 95%CI 1.20-2.63). In homozygosity, VMAPRTLLL is protective, and VMAPRTLVL confers risk. The heterozygous condition is neutral. There were no significant differences in the distribution of the HLA-E dimorphism. Discussion: Our results explain the association of BD with diverse HLA-A molecules, reinforce the hypothesis of the involvement of the NK cells in the disease and do not suggest a significant contribution of the HLA-E polymorphism to disease susceptibility.This work was supported by Fondo de Investigaciones Sanitarias, Instituto de Salud Carlos III (ISCIII PI16/01373 and PI19/00605), Fondos FEDER and Plan Andaluz de Investigación (CTS-0197)

    Trypsin/α-amylase inhibitors and thionins: possible defence proteins from barley

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    This chapter reviews recent work on the trypsin/α-amylase inhibitor and thionin protein families. The genomic distribution of protein genes in barley and related species, gene expression and in vitro activities are considered. Some of the evidence of a possible defence role against stored products pests for inhibitors and thionins is briefly discusse

    Gene-environment interaction analysis of redox-related metals and genetic variants with plasma metabolic patterns in a general population from Spain: The Hortega Study

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    Background: Limited studies have evaluated the joint influence of redox-related metals and genetic variation on metabolic pathways. We analyzed the association of 11 metals with metabolic patterns, and the interacting role of candidate genetic variants, in 1145 participants from the Hortega Study, a population-based sample from Spain. Methods: Urine antimony (Sb), arsenic, barium (Ba), cadmium (Cd), chromium (Cr), cobalt (Co), molybdenum (Mo) and vanadium (V), and plasma copper (Cu), selenium (Se) and zinc (Zn) were measured by ICP-MS and AAS, respectively. We summarized 54 plasma metabolites, measured with targeted NMR, by estimating metabolic principal components (mPC). Redox-related SNPs (N = 291) were measured by oligo-ligation assay. Results: In our study, the association with metabolic principal component (mPC) 1 (reflecting non-essential and essential amino acids, including branched chain, and bacterial co-metabolism versus fatty acids and VLDL subclasses) was positive for Se and Zn, but inverse for Cu, arsenobetaine-corrected arsenic (As) and Sb. The association with mPC2 (reflecting essential amino acids, including aromatic, and bacterial co-metabolism) was inverse for Se, Zn and Cd. The association with mPC3 (reflecting LDL subclasses) was positive for Cu, Se and Zn, but inverse for Co. The association for mPC4 (reflecting HDL subclasses) was positive for Sb, but inverse for plasma Zn. These associations were mainly driven by Cu and Sb for mPC1; Se, Zn and Cd for mPC2; Co, Se and Zn for mPC3; and Zn for mPC4. The most SNP-metal interacting genes were NOX1, GSR, GCLC, AGT and REN. Co and Zn showed the highest number of interactions with genetic variants associated to enriched endocrine, cardiovascular and neurological pathways. Conclusions: Exposures to Co, Cu, Se, Zn, As, Cd and Sb were associated with several metabolic patterns involved in chronic disease. Carriers of redox-related variants may have differential susceptibility to metabolic alterations associated to excessive exposure to metals.This work was supported by the Strategic Action for Research in Health sciences [CP12/03080, PI15/00071, PI10/0082, PI13/01848, PI14/00874, PI16/01402, PI21/00506 and PI11/00726], CIBER Fisio patología Obesidad y Nutrición (CIBEROBN) (CIBER-02-08-2009, CB06/03 and CB12/03/30,016), the State Agency for Research (PID2019-108973RB- C21 and C22), the Valencia Government (GRUPOS 03/101; PROMETEO/2009/029 and ACOMP/2013/039, IDI FEDER/2021/072 and GRISOLIAP/2021/119), the Castilla-Leon Government (GRS/279/A/08) and European Network of Excellence Ingenious Hypercare (EPSS-037093) from the European Commission. The Strategic Action for Research in Health sciences, CIBERDEM and CIBEROBN are initiatives from Carlos III Health Institute Madrid and cofunded with European Funds for Regional Development (FEDER). The State Agency for Research and Carlos III Health Institute belong to the Spanish Ministry of Science and Innovation. ADR received the support of a fellowship from “la Caixa” Foundation (ID 100010434) (fellowship code “LCF/BQ/DR19/11740016”). MGP received the support of a fellowship from “la Caixa” Foundation (ID 100010434, fellowship code LCFLCF/BQ/DI18/11660001). The funding bodies had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.S

    Repeated Aspergillusisolation in respiratory samples from non-immunocompromised patients not selected based on clinical diagnoses: colonisation or infection?

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    Background: Isolation of Aspergillus from lower respiratory samples is associated with colonisation in high percentage of cases, making it of unclear significance. This study explored factors associated with diagnosis (infection vs. colonisation), treatment (administration or not of antifungals) and prognosis (mortality) in non-transplant/non-neutropenic patients showing repeated isolation of Aspergillus from lower respiratory samples. Methods: Records of adult patients (29 Spanish hospitals) presenting ≥2 respiratory cultures yielding Aspergillus were retrospectively reviewed and categorised as proven (histopathological confirmation) or probable aspergillosis (new respiratory signs/symptoms with suggestive chest imaging) or colonisation (symptoms not attributable to Aspergillus without dyspnoea exacerbation, bronchospasm or new infiltrates). Logistic regression models (step-wise) were performed using Aspergillosis (probable + proven), antifungal treatment and mortality as dependent variables. Significant (p < 0.001) models showing the highest R2 were considered. Results: A total of 245 patients were identified, 139 (56.7%) with Aspergillosis. Aspergillosis was associated (R2 = 0.291) with ICU admission (OR = 2.82), congestive heart failure (OR = 2.39) and steroids pre-admission (OR = 2.19) as well as with cavitations in X-ray/CT scan (OR = 10.68), radiological worsening (OR = 5.22) and COPD exacerbations/need for O2 interaction (OR = 3.52). Antifungals were administered to 79.1% patients with Aspergillosis (100% proven, 76.8% probable) and 29.2% colonised, with 69.5% patients receiving voriconazole alone or in combination. In colonised patients, administration of antifungals was associated with ICU admission at hospitalisation (OR = 12.38). In Aspergillosis patients its administration was positively associated (R2 = 0.312) with bronchospasm (OR = 9.21) and days in ICU (OR = 1.82) and negatively with Gold III + IV (OR = 0.26), stroke (OR = 0.024) and quinolone treatment (OR = 0.29). Mortality was 78.6% in proven, 41.6% in probable and 12.3% in colonised patients, and was positively associated in Aspergillosis patients (R2 = 0.290) with radiological worsening (OR = 3.04), APACHE-II (OR = 1.09) and number of antibiotics for treatment (OR = 1.51) and negatively with species other than A. fumigatus (OR = 0.14) and aspergillar tracheobronchitis (OR = 0.27). Conclusions: Administration of antifungals was not always closely linked to the diagnostic categorisation (colonisation vs. Aspergillosis), being negatively associated with severe COPD (GOLD III + IV) and concomitant treatment with quinolones in patients with Aspergillosis, probably due to the similarity of signs/symptoms between this entity and pulmonary bacterial infections
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