Web per a un club esportiu

Aquest Projecte Final de Carrera va sorgir per la necessitat que tenia el Club Esportiu Escola Sant Gervasi per poder tenir un control de la seva gestió esportiva mitjançant una aplicació web i poder també emmagatzemar les valoracions que es fan sobre els esportistes del Club. L'aplicació inclou altres funcionalitats com les de poder consultar horaris d'entrenament, calendaris o classificacions. Fent servir tecnologies tals com PHP, HTML, JavaScript i AJAX, s'ha implementat aquesta aplicació que serà de gran utilitat per als coordinadors, entrenadors i jugadors que formen part del Club.Este Proyecto Final de Carrera surgió por la necesidad que tenía el Club Esportiu Escola Sant Gervasi de poder tener un control de su gestión deportiva a través de una aplicación web y poder también almacenar las valoraciones que se hacen sobre los deportistas del Club. La aplicación incluye otras funcionalidades como las de poder consultar horarios de entrenamiento, calendarios o clasificaciones. Haciendo servir tecnologías como PHP, HTML, JavaScript y Ajax, se ha implementado esta aplicación que será de gran utilidad para los coordinadores, entrenadores y jugadores que forman parte del Club.This End Of Career Project raised because of the needed that the Club Esportiu Escola Sant Gervasi had for taking control of it's sports management using a web application and also for storing the Club's players valorations. The application includes other functionalities such as consult timetables, calendars or standings. Using technologies such as PHP, HTML, JavaScript and AJAX, the application has been implemented. This application will have a great utility for coordinators, trainers and players that are part of the Club

Spatiotemporal Characteristics of the Largest HIV-1 CRF02_AG Outbreak in Spain: Evidence for Onward Transmissions

Background and Aim: The circulating recombinant form 02_AG (CRF02_AG) is the predominant clade among the human immunodeficiency virus type-1 (HIV-1) non-Bs with a prevalence of 5.97% (95% Confidence Interval-CI: 5.41–6.57%) across Spain. Our aim was to estimate the levels of regional clustering for CRF02_AG and the spatiotemporal characteristics of the largest CRF02_AG subepidemic in Spain.Methods: We studied 396 CRF02_AG sequences obtained from HIV-1 diagnosed patients during 2000–2014 from 10 autonomous communities of Spain. Phylogenetic analysis was performed on the 391 CRF02_AG sequences along with all globally sampled CRF02_AG sequences (N = 3,302) as references. Phylodynamic and phylogeographic analysis was performed to the largest CRF02_AG monophyletic cluster by a Bayesian method in BEAST v1.8.0 and by reconstructing ancestral states using the criterion of parsimony in Mesquite v3.4, respectively.Results: The HIV-1 CRF02_AG prevalence differed across Spanish autonomous communities we sampled from (p < 0.001). Phylogenetic analysis revealed that 52.7% of the CRF02_AG sequences formed 56 monophyletic clusters, with a range of 2–79 sequences. The CRF02_AG regional dispersal differed across Spain (p = 0.003), as suggested by monophyletic clustering. For the largest monophyletic cluster (subepidemic) (N = 79), 49.4% of the clustered sequences originated from Madrid, while most sequences (51.9%) had been obtained from men having sex with men (MSM). Molecular clock analysis suggested that the origin (tMRCA) of the CRF02_AG subepidemic was in 2002 (median estimate; 95% Highest Posterior Density-HPD interval: 1999–2004). Additionally, we found significant clustering within the CRF02_AG subepidemic according to the ethnic origin.Conclusion: CRF02_AG has been introduced as a result of multiple introductions in Spain, following regional dispersal in several cases. We showed that CRF02_AG transmissions were mostly due to regional dispersal in Spain. The hot-spot for the largest CRF02_AG regional subepidemic in Spain was in Madrid associated with MSM transmission risk group. The existence of subepidemics suggest that several spillovers occurred from Madrid to other areas. CRF02_AG sequences from Hispanics were clustered in a separate subclade suggesting no linkage between the local and Hispanic subepidemics

Web per a un club esportiu

Aquest Projecte Final de Carrera va sorgir per la necessitat que tenia el Club Esportiu Escola Sant Gervasi per poder tenir un control de la seva gestió esportiva mitjançant una aplicació web i poder també emmagatzemar les valoracions que es fan sobre els esportistes del Club. L’aplicació inclou altres funcionalitats com les de poder consultar horaris d’entrenament, calendaris o classificacions. Fent servir tecnologies tals com PHP, HTML, JavaScript i AJAX, s’ha implementat aquesta aplicació que serà de gran utilitat per als coordinadors, entrenadors i jugadors que formen part del Club.Este Proyecto Final de Carrera surgió por la necesidad que tenía el Club Esportiu Escola Sant Gervasi de poder tener un control de su gestión deportiva a través de una aplicación web y poder también almacenar las valoraciones que se hacen sobre los deportistas del Club. La aplicación incluye otras funcionalidades como las de poder consultar horarios de entrenamiento, calendarios o clasificaciones. Haciendo servir tecnologías como PHP, HTML, JavaScript y Ajax, se ha implementado esta aplicación que será de gran utilidad para los coordinadores, entrenadores y jugadores que forman parte del Club.This End Of Career Project raised because of the needed that the Club Esportiu Escola Sant Gervasi had for taking control of it’s sports management using a web application and also for storing the Club’s players valorations. The application includes other functionalities such as consult timetables, calendars or standings. Using technologies such as PHP, HTML, JavaScript and AJAX, the application has been implemented. This application will have a great utility for coordinators, trainers and players that are part of the Club

Web per a un club esportiu

Aquest Projecte Final de Carrera va sorgir per la necessitat que tenia el Club Esportiu Escola Sant Gervasi per poder tenir un control de la seva gestió esportiva mitjançant una aplicació web i poder també emmagatzemar les valoracions que es fan sobre els esportistes del Club. L'aplicació inclou altres funcionalitats com les de poder consultar horaris d'entrenament, calendaris o classificacions. Fent servir tecnologies tals com PHP, HTML, JavaScript i AJAX, s'ha implementat aquesta aplicació que serà de gran utilitat per als coordinadors, entrenadors i jugadors que formen part del Club.Este Proyecto Final de Carrera surgió por la necesidad que tenía el Club Esportiu Escola Sant Gervasi de poder tener un control de su gestión deportiva a través de una aplicación web y poder también almacenar las valoraciones que se hacen sobre los deportistas del Club. La aplicación incluye otras funcionalidades como las de poder consultar horarios de entrenamiento, calendarios o clasificaciones. Haciendo servir tecnologías como PHP, HTML, JavaScript y Ajax, se ha implementado esta aplicación que será de gran utilidad para los coordinadores, entrenadores y jugadores que forman parte del Club.This End Of Career Project raised because of the needed that the Club Esportiu Escola Sant Gervasi had for taking control of it's sports management using a web application and also for storing the Club's players valorations. The application includes other functionalities such as consult timetables, calendars or standings. Using technologies such as PHP, HTML, JavaScript and AJAX, the application has been implemented. This application will have a great utility for coordinators, trainers and players that are part of the Club

Liver transplantation as treatment of familial amyloid polyneuropathy in patients older than 60 years

Background and objective: Familial amyloid polyneuropathy (FAP) is the most prevalent type of hereditary systemic amyloidosis. It is an autosomal dominant disease characterized by the deposition of an abnormal variant transthyretin. It has a worldwide distribution, with localized endemic areas in Portugal, Sweden and Japan. In Spain there is an endemic focus, located in Mallorca. Liver transplantation is the only curative option for patients with FAP. The aim of this study was to describe the clinical and demographic characteristics of patients transplanted with a diagnosis of PAF. Material and method: Six patients with PAF underwent liver transplantation between April 1986 and December 2012. Results: The mean age was 57.7+16 years, patients of Spanish origin were older than 60 years. All patients had progressive symptoms as mixed polyneuropathy. In 2 patients, combined heart-liver transplants sequentially were performed. Patient survival and graft was 80% at one, 3 and 5 years. Conclusions: The only effective treatment for etiologic PAF is liver transplantation. Early detection is the key to the treatment and control, avoiding the irreversible organ damage.Depto. de CirugíaFac. de MedicinaTRUEpu

Trasplante hepático como tratamiento de la polineuropatía amiloidótica familiar en pacientes mayores de 60 años.

Fundamento y objetivo La polineuropatía amiloidótica familiar (PAF) constituye el tipo más prevalente de amiloidosis sistémica hereditaria. Es una enfermedad autosómica dominante que se caracteriza por el depósito de una variante anómala de la transtiretina. Tiene una distribución mundial, con zonas endémicas localizadas en Portugal, Suecia y Japón. En España hay un foco endémico, localizado en Mallorca. El trasplante hepático es la única opción curativa para los pacientes con PAF. El objetivo de este estudio fue describir las características clínicas y demográficas de los pacientes trasplantados con diagnóstico de PAF. Material y método Se evaluaron 6 pacientes trasplantados por PAF entre abril de 1986 y diciembre de 2012. Resultados La edad media fue de 57,7+16 años, los pacientes de origen español eran mayores de 60 años. Todos los pacientes presentaban síntomas progresivos en forma de polineuropatía mixta. En 2 pacientes se realizó un doble trasplante hepatocardiaco secuencial, efectuándose en primer lugar el trasplante hepático. La supervivencia del paciente y del injerto fue del 80% a los uno, 3 y 5 años. Conclusiones El único tratamiento etiológico eficaz para la PAF es el trasplante hepático. Una detección temprana es la clave para el tratamiento y el control, evitándose el daño orgánico irreversible.Depto. de CirugíaFac. de MedicinaTRUEpu

The error of estimated GFR in predialysis care

Abstract The error of estimated glomerular filtration rate (eGFR) and its consequences in predialysis are unknown. In this prospective multicentre study, 315 predialysis patients underwent measured GFR (mGFR) by the clearance of iohexol and eGFR by 52 formulas. Agreement between eGFR and mGFR was evaluated by concordance correlation coefficient (CCC), total deviation index (TDI) and coverage probability (CP). In a sub-analysis we assessed the impact of eGFR error on decision-making as (i) initiating dialysis, (ii) preparation for renal replacement therapy (RRT) and (iii) continuing clinical follow-up. For this sub-analysis, patients who started RRT due to clinical indications (uremia, fluid overload, etc.) were excluded. eGFR had scarce precision and accuracy in reflecting mGFR (average CCC 0.6, TDI 70% and cp 22%) both in creatinine- and cystatin-based formulas. Variations -larger than 10 ml/min- between mGFR and eGFR were frequent. The error of formulas would have suggested (a) premature preparation for RTT in 14% of stable patients evaluated by mGFR; (b) to continue clinical follow-up in 59% of subjects with indication for RTT preparation due to low GFRm and (c) to delay dialysis in all asymptomatic patients (n = 6) in whom RRT was indicated based on very low mGFR. The error of formulas in predialysis was frequent and large and may have consequences in clinical care

The Error of Estimated GFR in Type 2 Diabetes Mellitus

Type 2 diabetes mellitus represents 30–50% of the cases of end stage renal disease worldwide. Thus, a correct evaluation of renal function in patients with diabetes is crucial to prevent or ameliorate diabetes-associated kidney disease. The reliability of formulas to estimate renal function is still unclear, in particular, those new equations based on cystatin-C or the combination of creatinine and cystatin-C. We aimed to assess the error of the available formulas to estimate glomerular filtration rate in diabetic patients. We evaluated the error of creatinine and/or cystatin-C based formulas in reflecting real renal function over a wide range of glomerular filtration rate (from advanced chronic kidney disease to hyperfiltration). The error of estimated glomerular filtration rate by any equation was common and wide averaging 30% of real renal function, and larger in patients with measured glomerular filtration rate below 60 mL/min. This led to chronic kidney disease stages misclassification in about 30% of the individuals and failed to detect 25% of the cases with hyperfiltration. Cystatin-C based formulas did not outperform creatinine based equations, and the reliability of more modern algorithms proved to be as poor as older equations. Formulas failed in reflecting renal function in type 2 diabetes mellitus. Caution is needed with the use of these formulas in patients with diabetes, a population at high risk for kidney disease. Whenever possible, the use of a gold standard method to measure renal function is recommended