Toward a Comprehension of Television Audiences Transnational Nature Imaginaries, Desterritorialization, Hybridation, Globalization

This text proposes a second thought to television audiencetransnational nature assuming that this exceeds a specificcircumstance of migrants and that due to economy globalizationof communication it installs on the nature of communicationprocesses. In the first part, .a conceptualization of what istransnational applied to audiences will be proposed, and inthe second part, the argument that this transnational characterhas been originated in the development and massification ofdigital technology and the processes of economy globalizationwhich have allowed the consolidation of media translationalcorporations is developed. In this sense, transnationality ofaudiences exceeds specific circumstances linked to migrationsand is installed on the nature of communication developed insocietyEl presente texto propone repensar el carácter trasnacional de la audiencia televisiva, asumiendo que este excede la circunstancia particular de los migrantes y que debido a la globalización de la economía y a la digitalización de la comunicación se instala en la naturaleza misma de los procesos de comunicación. Así, en la primera parte del presente artículo se propondrá una conceptualización de lo trasnacional, aplicado a las audiencias, y en la segunda parte se desarrollará el argumento de que este carácter trasnacional se origina en el desarrollo y masificación de la tecnología digital y en los procesos de globalización de la economía, que han permitido la consolidación de corporaciones transnacionales de medios. En ese sentido la trasnacionalidad de las audiencias sobrepasa circunstancias puntuales ligadas con las migraciones y se instala en la naturaleza misma de la comunicación que se desarrolla hoy en la sociedad

Young Audiovisual Audiences in Colombia: Under the Veneer of Fragmentation and Multiscreens

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Hacia la comprensión de la naturaleza transnacional de las audiencias televisivas: Imaginarios, desterritorialización, hibridación, globalización

This text proposes a second thought to television audiencetransnational nature assuming that this exceeds a specificcircumstance of migrants and that due to economy globalizationof communication it installs on the nature of communicationprocesses. In the first part, .a conceptualization of what istransnational applied to audiences will be proposed, and inthe second part, the argument that this transnational characterhas been originated in the development and massification ofdigital technology and the processes of economy globalizationwhich have allowed the consolidation of media translationalcorporations is developed. In this sense, transnationality ofaudiences exceeds specific circumstances linked to migrationsand is installed on the nature of communication developed insocietyEl presente texto propone repensar el carácter trasnacional de la audiencia televisiva, asumiendo que este excede la circunstancia particular de los migrantes y que debido a la globalización de la economía y a la digitalización de la comunicación se instala en la naturaleza misma de los procesos de comunicación. Así, en la primera parte del presente artículo se propondrá una conceptualización de lo trasnacional, aplicado a las audiencias, y en la segunda parte se desarrollará el argumento de que este carácter trasnacional se origina en el desarrollo y masificación de la tecnología digital y en los procesos de globalización de la economía, que han permitido la consolidación de corporaciones transnacionales de medios. En ese sentido la trasnacionalidad de las audiencias sobrepasa circunstancias puntuales ligadas con las migraciones y se instala en la naturaleza misma de la comunicación que se desarrolla hoy en la sociedad

Influence of dietary fiber upon in vitro microbial cecal fermentation in mexican hairless and mexican cuino pigs

The objective of the present study was to evaluate and compare the in vitro cecal fermentation (by the gas production technique), in Mexican hairless pig (MHP) and Mexican cuino pig (MCP), adding cellulose or starch as substrates (0, 100, 200, 300 and 400 mg/g DM). 12 pigs were slaughtered (BW= 104±0.5 kg), six of each genotype were collected from the cecal contents and there was a pool for every two pigs in each genotype, and thereafter, for each substrate (cellulose or starch) in its different concentration, three flasks were incubated with inoculum for each pool and made three series of incubation. The experimental design use the effect of genotype, substrate and concentration of the substrate added on the variables of in vitro fermentation. The averages of the data were compared by Tukey's method. In vitro gas production was higher (P<0.05) (mL/g DM) for MHP (206.8) vs MCP (180.2). The degradation fractional rate rhythm (b, 0.094 and c, -0.0127) and lag time (1.79) of the MHP was higher than MCP (b, 0.074; c -0.102) and lag time (1.26); with the addition of carbohydrates as substrates, in vitro gas production of potato starch was higher (P<0.05) than cellulose (238.3 vs 148.7 mL/g DM); the fractions b, c and lag time, there were differences (P<0.05) between substrates. The increasing addition of cellulose or starch had a lineal effect (P<0.05) with the gas production, level cero mg (133.46) to 400 mg of substrate (263.16 mL/g DM). MHP had a higher cecal fermentation than MCP, being higher the gas production at 9 and 12 h, there was higher gas production (cecal fermentation) when added starch as substrate

Cumulative exposure to tacrolimus and incidence of cancer after liver transplantation

Cancer is the leading cause of death after liver transplantation (LT). This multicenter case–control nested study aimed to evaluate the effect of maintenance immunosuppression on post-LT malignancy. The eligible cohort included 2495 LT patients who received tacrolimus-based immunosuppression. After 13 922 person/years follow-up, 425 patients (19.7%) developed malignancy (cases) and were matched with 425 controls by propensity score based on age, gender, smoking habit, etiology of liver disease, and hepatocellular carcinoma (HCC) before LT. The independent predictors of post-LT malignancy were older age (HR = 1.06 [95% CI 1.05–1.07]; p < .001), male sex (HR = 1.50 [95% CI 1.14–1.99]), smoking habit (HR = 1.96 [95% CI 1.42–2.66]), and alcoholic liver disease (HR = 1.53 [95% CI 1.19–1.97]). In selected cases and controls (n = 850), the immunosuppression protocol was similar (p = .51). An increased cumulative exposure to tacrolimus (CET), calculated by the area under curve of trough concentrations, was the only immunosuppression-related predictor of post-LT malignancy after controlling for clinical features and baseline HCC (CET at 3 months p = .001 and CET at 12 months p = .004). This effect was consistent for de novo malignancy (after excluding HCC recurrence) and for internal neoplasms (after excluding non-melanoma skin cancer). Therefore, tacrolimus minimization, as monitored by CET, is the key to modulate immunosuppression in order to prevent cancer after LT

Electroconvulsive Therapy in Super Refractory Status Epilepticus: Case Series with a Defined Protocol

Super-refractory status epilepticus (SRSE) represents a neurological emergency that is characterized by a lack of response to the third line of antiepileptic treatment, including intravenous general anesthetics. It is a medical challenge with high morbidity and mortality. Electroconvulsive therapy (ECT) has been recommended as a nonpharmacologic option of treatment after other alternatives are unsuccessful. Its effect on the cessation of SRSE has been minimally investigated. The objective of this article is to analyze the effect of ECT on SRSE. For this purpose, a multidisciplinary team created a protocol based on clinical guidelines similar to those described previously by Ray et al. (2017). ECT was applied to six patients with SRSE after the failure of antiepileptic treatment and pharmacologic coma.The objective of each ECT session was to elicit a motor seizure for at least 20 s. SRSE was resolved in all patients after several days of treatment, including ECT as a therapy, without relevant adverse effects. Thus, ECT is an effective and feasible option in the treatment of SRSE, and its place in the algorithm in treatment should be studied due to the uncommon adverse effects and the noninvasive character of the therapy

Genomic Characterization of Host Factors Related to SARS-CoV-2 Infection in People with Dementia and Control Populations: The GR@ACE/DEGESCO Study

Emerging studies have suggested several chromosomal regions as potential host genetic factors involved in the susceptibility to SARS-CoV-2 infection and disease outcome. We nested a COVID-19 genome-wide association study using the GR@ACE/DEGESCO study, searching for susceptibility factors associated with COVID-19 disease. To this end, we compared 221 COVID-19 confirmed cases with 17,035 individuals in whom the COVID-19 disease status was unknown. Then, we performed a meta-analysis with the publicly available data from the COVID-19 Host Genetics Initiative. Because the APOE locus has been suggested as a potential modifier of COVID-19 disease, we added sensitivity analyses stratifying by dementia status or by disease severity. We confirmed the existence of the 3p21.31 region (LZTFL1, SLC6A20) implicated in the susceptibility to SARS-CoV-2 infection and TYK2 gene might be involved in COVID-19 severity. Nevertheless, no statistically significant association was observed in the COVID-19 fatal outcome or in the stratified analyses (dementia-only and non-dementia strata) for the APOE locus not supporting its involvement in SARS-CoV-2 pathobiology or COVID-19 prognosis

Human Immunodeficiency Virus/Hepatits C Virus Coinfection in Spain: Elimination Is Feasible, but the Burden of Residual Cirrhosis Will Be Significant

Background: We assessed the prevalence of antibodies against hepatitis C virus (HCV-Abs) and active HCV infection in patients infected with human immunodeficiency virus (HIV) in Spain in 2016 and compared the results with those of similar studies performed in 2002, 2009, and 2015. Methods: The study was performed in 43 centers during October-November 2016. The sample was estimated for an accuracy of 2% and selected by proportional allocation and simple random sampling. During 2016, criteria for therapy based on direct-acting antiviral agents (DAA) were at least significant liver fibrosis, severe extrahepatic manifestations of HCV, and high risk of HCV transmissibility. Results: The reference population and the sample size were 38904 and 1588 patients, respectively. The prevalence of HCV-Abs in 2002, 2009, 2015, and 2016 was 60.8%, 50.2%, 37.7%, and 34.6%, respectively (P trend <.001, from 2002 to 2015). The prevalence of active HCV in 2002, 2009, 2015, and 2016 was 54.0%, 34.0%, 22.1%, and 11.7%, respectively (P trend <.001). The anti-HCV treatment uptake in 2002, 2009, 2015, and 2016 was 23.0%, 48.0%, 59.3%, and 74.7%, respectively (P trend <.001). In 2016, HCV-related cirrhosis was present in 7.6% of all HIV-infected individuals, 15.0% of patients with active HCV, and 31.5% of patients who cleared HCV after anti-HCV therapy. Conclusions: Our findings suggest that with universal access to DAA-based therapy and continued efforts in prevention and screening, it will be possible to eliminate active HCV among HIV-infected individuals in Spain in the short term. However, the burden of HCV-related cirrhosis will continue to be significant among HIV-infected individuals.This work was funded by grant Ref. no. GLD14-00279 from the GILEAD Fellowship Programme (Spain) and by the Spanish AIDS Research Network (RD16/0025/0017, RD16/0025/0018) that is included in the Spanish I+D+I Plan and is co-financed by ISCIII-Subdirección General de Evaluacion and European Funding for Regional Development (FEDER).S

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Regulatory sites for splicing in human basal ganglia are enriched for disease-relevant information

Genome-wide association studies have generated an increasing number of common genetic variants associated with neurological and psychiatric disease risk. An improved understanding of the genetic control of gene expression in human brain is vital considering this is the likely modus operandum for many causal variants. However, human brain sampling complexities limit the explanatory power of brain-related expression quantitative trait loci (eQTL) and allele-specific expression (ASE) signals. We address this, using paired genomic and transcriptomic data from putamen and substantia nigra from 117 human brains, interrogating regulation at different RNA processing stages and uncovering novel transcripts. We identify disease-relevant regulatory loci, find that splicing eQTLs are enriched for regulatory information of neuron-specific genes, that ASEs provide cell-specific regulatory information with evidence for cellular specificity, and that incomplete annotation of the brain transcriptome limits interpretation of risk loci for neuropsychiatric disease. This resource of regulatory data is accessible through our web server, http://braineacv2.inf.um.es/