Breast cancer mortality in Spain: Has it really declined?

Objectives: In recent years, the incidence of breast cancer has increased in Spain but mortality has decreased, particularly since 1992. Despite the general decrease in mortality, the intensity of this disease differs between age groups. The main objective of this study was to examine mortality due to breast cancer for different age groups in Spain from 1981 to 2007, and to forecast the mortality rate in 2023. Study design: Ecological study. Methods: Trends in mortality due to breast cancer were analysed using the LeeeCarter model, which is the typical analysis for mortality in the general population but is rarely used to analyse specific causes of death. Results: This study found a decreasing trend in mortality due to breast cancer from 1993 to 2007, and it is predicted that this trend will continue. However, mortality rates varied between age groups: a decreasing trend was seen in younger and middle-aged women, whereas mortality rates remained stable in older women. Conclusions: Preventive breast cancer practices should differ by patient age.Ministerio de Educacion y Ciencia, Spain, Projects MTM2010-14961 and MTM2008-05152.Álvaro Meca, A.; Debón Aucejo, AM.; Gil Prieto, R.; Gil De Miguel, Á. (2012). Breast cancer mortality in Spain: Has it really declined?. Public Health. 126(10):891-895. doi:10.1016/j.puhe.2012.05.031S8918951261

Convoluted intake distortion measurements using stereo particle image velocimetry

The unsteady distorted flowfields generated within convoluted aeroengine intakes can compromise the engine performance and operability. Therefore, there is a need for a better understanding of the complex characteristics of the distorted flow at the exit of S-shaped intakes. This work presents a detailed analysis of the unsteady swirl distortion based on synchronous, high-spatial-resolution measurements using stereoscopic particle image velocimetry. Two S-duct configurations with different centerline offsets are investigated. The high-offset duct shows greater levels of dynamic and steady swirl distortion and a notably greater tendency toward bulk swirl patterns associated with high swirl distortion. More discrete distortion patterns with locally high swirl levels and the potential to impact the engine operability are identified. The most energetic coherent structures of the flowfield are observed using proper orthogonal decomposition. A switching mode is identified that promotes the alternating swirl switching mechanism and is mostly associated with the occurrence of potent bulk swirl events. A vertical mode that characterizes a perturbation of the vertical velocity field promotes most of the twin swirl flow distortion topologies. It is postulated that it is associated with the unsteadiness of the centerline shear layer

A Study of the Near-Ultraviolet Spectrum of Vega

UV, optical, and near-IR spectra of Vega have been combined to test our understanding of stellar atmospheric opacities, and to examine the possibility of constraining chemical abundances from low-resolution UV fluxes. We have carried out a detailed analysis assuming Local Thermodynamic Equilibrium (LTE) to identify the most important contributors to the UV continuous opacity: H, H$^{-}$, C I, and Si II. Our analysis also assumes that Vega is spherically symmetric and its atmosphere is well described with the plane parallel approximation. Comparing observations and computed fluxes we have been able to discriminate between two different flux scales that have been proposed, the IUE-INES and the HST scales, favoring the latter. The effective temperature and angular diameter derived from the analysis of observed optical and near-UV spectra are in very good agreement with previous determinations based on different techniques. The silicon abundance is poorly constrained by the UV observations of the continuum and strong lines, but the situation is more favorable for carbon and the abundances inferred from the UV continuum and optical absorption lines are in good agreement. Some spectral intervals in the UV spectrum of Vega that the calculations do not reproduce well are likely affected by deviations from LTE, but we conclude that our understanding of UV atmospheric opacities is fairly complete for early A-type stars.Comment: 13 pages, 9 figures, to be published in Ap

The volume densities of giant molecular clouds in M83

Using observed GALEX far-ultraviolet (FUV) fluxes and VLA images of the 21-cm HI column densities, along with estimates of the local dust abundances, we measure the volume densities of a sample of actively star-forming giant molecular clouds (GMCs) in the nearby spiral galaxy M83 on a typical resolution scale of 170 pc. Our approach is based on an equilibrium model for the cycle of molecular hydrogen formation on dust grains and photodissociation under the influence of the FUV radiation on the cloud surfaces of GMCs. We find a range of total volume densities on the surface of GMCs in M83, namely 0.1 - 400 cm-3 inside R25, 0.5 - 50 cm-3 outside R25 . Our data include a number of GMCs in the HI ring surrounding this galaxy. Finally, we discuss the effects of observational selection, which may bias our results.Comment: 9 pages, 11 figure

V12 248. Reemplazo de raíz de aorta según técnica de david y de arco aórtico con injerto trifurcado, en un paciente diagnosticado de síndrome de loeys-dietz

IntroducciónSe describe la técnica quirúrgica de un paciente de 24 años de edad con síndrome de Loeys-Dietz. Se trata de una enfermedad hereditaria del tejido conectivo producida por la mutación del gen del receptor del factor de crecimiento transformante (TGF)-β;. Su característica principal y condicionante del pronóstico es la dilatación del sistema vascular, principalmente la aorta.MétodoEl paciente presentaba dilatación aneurismática de la raíz y del arco aórtico, con un diámetro máximo de 50 mm. Tenía además historia familiar de muerte súbita de origen cardíaco en tres familiares de primer grado a edades tempranas. Ante la indicación de tratamiento quirúrgico se procedió a realizar sustitución de los segmentos aneurismáticos. En la raíz aórtica se realizó técnica de preservación valvular (técnica de David, modificación de Miller). La sustitución del arco aórtico se llevó a cabo mediante interposición de injerto trifurcado, en hipotermia moderada y con perfusión cerebral anterógrada.Resultado y conclusionesNo hubo complicaciones postoperatorias. El tratamiento quirúrgico precoz en los pacientes afectos de síndrome de Loeys-Dietz es imprescindible. La experiencia acumulada hasta el momento revela la agresividad de esta enfermedad. Por ello, es necesario un abordaje completo cuando existe afectación a distintos niveles. El empleo de técnicas de preservación valvular permite además disminuir la morbimortalidad asociada a las prótesis valvulares

Evaluación de la motricidad y el carácter de los alumnos de 4 y 5 años: un estudio piloto

The aim was to assess gross motor and character in children aged 4 and 5 years old. For this, 23 participants were selected and the locomotive and object control sub-tests were applied, both belonging to the Test of Gross Motor Development (TGMD 2), as well as a rubric of character (respect, cooperation, sensitiveness, leadership, teamwork, and self-control). Results show that girls are better in the locomotive subtest, while boys excel in the object control. In general, boys have less skill in the extended jumping and in the objects catch task. In terms of character, boys are worse in leadership and girls in teamwork. Therefore, it is important to emphasize especially those motor skills and emotional aspects where children score lower. As research prospect, this study must be conducted with a bigger sample to know if these results remain similar.El objetivo fue evaluar la motricidad gruesa y el carácter en niños de 4 y 5 años. Para ello, se seleccionaron 23 participantes y se aplicaron la subprueba locomotriz y la de control de objetos, ambas pertenecientes al Test of Gross Motor Development (TGMD 2), así como una rúbrica sobre carácter (respeto, cooperación, sensibilidad, liderazgo, trabajo en equipo y autocontrol). Los resultados muestran que las chicas son mejores en la subprueba locomotriz, mientras que los chicos destacan en el control de objetos. En general, los niños tienen menos habilidad en el salto extendido y en la tarea de atrapar objetos. En cuanto al carácter, los chicos son peores en el liderazgo y las chicas en el trabajo en equipo. Por tanto, se concluye la necesidad de hacer hincapié específicamente en aquellos aspectos donde menor puntuación obtuvieron. Como prospectiva de investigación, este trabajo debe ser realizado con muestras más grandes para conocer si los resultados se mantienen similares

ParaDIME: Parallel Distributed Infrastructure for Minimization of Energy for data centers

Dramatic environmental and economic impact of the ever increasing power and energy consumption of modern computing devices in data centers is now a critical challenge. On the one hand, designers use technology scaling as one of the methods to face the phenomenon called dark silicon (only segments of a chip function concurrently due to power restrictions). On the other hand, designers use extreme-scale systems such as teradevices to meet the performance needs of their applications which in turn increases the power consumption of the platform. In order to overcome these challenges, we need novel computing paradigms that address energy efficiency. One of the promising solutions is to incorporate parallel distributed methodologies at different abstraction levels. The FP7 project ParaDIME focuses on this objective to provide different distributed methodologies (software-hardware techniques) at different abstraction levels to attack the power-wall problem. In particular, the ParaDIME framework will utilize: circuit and architecture operation below safe voltage limits for drastic energy savings, specialized energy-aware computing accelerators, heterogeneous computing, energy-aware runtime, approximate computing and power-aware message passing. The major outcome of the project will be a noval processor architecture for a heterogeneous distributed system that utilizes future device characteristics, runtime and programming model for drastic energy savings of data centers. Wherever possible, ParaDIME will adopt multidisciplinary techniques, such as hardware support for message passing, runtime energy optimization utilizing new hardware energy performance counters, use of accelerators for error recovery from sub-safe voltage operation, and approximate computing through annotated code. Furthermore, we will establish and investigate the theoretical limits of energy savings at the device, circuit, architecture, runtime and programming model levels of the computing stack, as well as quantify the actual energy savings achieved by the ParaDIME approach for the complete computing stack with the real environment

The relative abundance of fecal bacterial species belonging to the Firmicutes and Bacteroidetes phyla is related to plasma levels of bile acids in young adults

The online version contains supplementary material available at https://doi.org/10.1007/s11306-023-02016-8.Funding for open access publishing: Universidad de Granada/CBUA. The study was supported by the Spanish Ministry of Economy and Competitiveness via Fondo de Investigacion Sanitaria del Instituto de Salud Carlos III (PI13/01393) and PTA 12264-I, Retos de la Sociedad (DEP2016-79512-R), and European Regional Development Funds (ERDF), by the Spanish Ministry of Education (FPU16/05159, FPU16/02828, FPU17/01523 and FPU19/01609), the Fundacion Iberoamericana de Nutricion (FINUT), the University of Granada Plan Propio de Investigacion 2016-Excellence actions: Unit of Excellence on Exercise and Health (UCEES), AstraZeneca HealthCare Foundation, and by the Junta de Andalucia, Consejeria de Economia, Conocimiento, Empresas y Universidad (ref. P18-RT-4455), the Chinese Scholarship Council (CSC, No. 201707060012 to XD), Fundacion Alfonso Martin Escudero and Maria Zambrano fellowship by the Ministerio de Universidades y la Union Europea -NextGenerationEU (RR_C_2021_04). We would like to thank the team of Data Integration Center of University Medicine Magdeburg for local data-analysis solutions; they are supported by MIRACUM and funded by the German Federal Ministry of Education and Research (BMBF) within the "Medical Informatics Funding Scheme" (FKZ 01ZZ1801H). This study is part of a Ph.D. thesis conducted within the Biomedicine Doctoral Studies Program of the University of Granada, Spain. AL was supported by the funds from European Commission through the "European funds for regional development" (EFRE) Project ID: ZS/2018/11/95324.Background Gut bacteria play a crucial role in the metabolism of bile acids (BA). Whether an association exists between the fecal microbiota composition and circulating BA levels in humans is poorly understood. Here, we investigated the relationship between fecal microbiota diversity and composition with plasma levels of BA in young adults. Methods Fecal microbiota diversity/composition was analyzed with 16S rRNA sequencing in 80 young adults (74% women; 21.9 +/- 2.2 years old). Plasma levels of BA were measured using liquid chromatography-tandem mass spectrometry. PERMANOVA and Spearman correlation analyses were used to investigate the association between fecal microbiota parameters and plasma levels of BA. Results Fecal microbiota beta (P = 0.025) and alpha diversity indexes of evenness (rho = 0.237, P = 0.033), Shannon (rho = 0.313, P = 0.004), and inverse Simpson (rho = 0.283, P = 0.010) were positively associated with plasma levels of the secondary BA glycolithocholic acid (GLCA). The relative abundance of genera belonging to the Firmicutes and Bacteroidetes phyla was positively correlated with plasma levels of GLCA (all rho = 0.225, P = 0.049). However, the relative abundance of species from Firmicutes and Bacteroidetes phyla were negatively correlated with plasma levels of primary and secondary BA (all rho = - 0.220, P = 0.045), except for the relative abundance of Bacteroides vulgatus, Alistipes onderdonkii, and Bacteroides xylanisolvens species (Bacteroidetes phylum) that were positively correlated with the plasma levels of GLCA. Conclusions The relative abundance of specific fecal bacteria species is associated with plasma levels of BA in young adults. However, further investigations are required to validate whether the composition of the gut microbiota can regulate the plasma concentrations of BA in humans.Universidad de Granada/CBUASpanish Ministry of Economy and Competitiveness via Fondo de Investigacion Sanitaria del Instituto de Salud Carlos III PI13/01393Retos de la Sociedad DEP2016-79512-REuropean CommissionSpanish Government FPU16/05159, FPU16/02828, FPU17/01523, FPU19/01609Fundacion Iberoamericana de Nutricion (FINUT)University of Granada Plan Propio de Investigacion 2016-Excellence actions: Unit of Excellence on Exercise and Health (UCEES)AstraZenecaJunta de Andalucia P18-RT-4455China Scholarship Council 201707060012Ministerio de Universidades y la Union Europea -Next Generation EU RR_C_2021_04MIRACUMFederal Ministry of Education & Research (BMBF) FKZ 01ZZ1801HUniversity of Granada, SpainEuropean Commission Joint Research Centre ZS/2018/11/9532

Socio-economic status and the risk of developing hand, hip or knee osteoarthritis: a region-wide ecological study

SummaryObjectiveTo determine the association between socio-economic status (SES) and risk of hand, hip or knee osteoarthritis (OA) at a population level.DesignRetrospective ecological study using the System for the Development of Research in Primary Care (SIDIAP) database (primary care anonymized records for >5 million people in Catalonia (Spain)). Urban residents >15 years old (2009–2012) were eligible. Outcomes: Validated area-based SES deprivation index MEDEA (proportion of unemployed, temporary workers, manual workers, low educational attainment and low educational attainment among youngsters) was estimated for each area based on census data as well as incident diagnoses (ICD-10 codes) of hand, hip or knee OA (2009–2012). Zero-inflated Poisson models were fitted to study the association between MEDEA quintiles and the outcomes.ResultsCompared to the least deprived, the most deprived areas were younger (43.29 (17.59) vs 46.83 (18.49), years (Mean SD), had fewer women (49.1% vs 54.8%), a higher percentage of obese (16.2% vs 8.4%), smokers (16.9% vs 11.9%) and high-risk alcohol consumption subjects (1.5% vs 1.3%). Compared to the least deprived, the most deprived areas had an excess risk of OA: age-sex-adjusted Incidence Rate Ratio (IRR) 1.26 (1.11–1.42) for hand, 1.23 (1.17–1.29) hip, and 1.51 (1.45–1.57) knee. Adjustment for obesity attenuated this association: 1.06 (0.93–1.20), 1.04 (0.99–1.09), and 1.23 (1.19–1.28) respectively.ConclusionsDeprived areas have higher rates OA (hand, hip, knee). Their increased prevalence of obesity accounts for a 50% of the excess risk of knee OA observed. Public health interventions to reduce the prevalence of obesity in this population could reduce health inequalities