Glucocorticoids improve acute dizziness symptoms following acute unilateral vestibulopathy.

Acute unilateral vestibulopathy (AUV) is characterized by acute vertigo, nausea, and imbalance without neurological deficits or auditory symptomatology. Here, we explore the effect of glucocorticoid treatment on the degree of canal paresis in patients with AUV, and critically, establish its relationship with dizziness symptom recovery. We recruited consecutive patients who were retrospectively assigned to one of the two groups according to whether they received glucocorticoid treatment (n = 32) or not (n = 44). All patients underwent pure-tone audiometry, bithermal caloric testing, MRI brain imaging, and were asked to complete a dizziness handicap inventory on admission to hospital and just prior to hospital discharge. In the treatment group, the canal paresis at discharge was significantly lower than in the control group (mean ± SD % 38.04 ± 21.57 versus 82.79 ± 21.51, p < 0.001). We also observed a significant reduction in the intensity of nystagmus in patients receiving glucocorticoid treatment compared to the non-treatment group (p = 0.03). DHI test score was significantly lower at discharge in the treatment group (mean ± SD % 23.15 ± 12.40 versus 64.07 ± 12.87, p < 0.001), as was the length of hospital stay (2.18 ± 1.5 days versus 3.6 ± 1.7 days, p = 0.002). Glucocorticoid treatment leads to acute symptomatic improvement, with a reduced hospital stay and reduction in the intensity of acute nystagmus. Our findings suggest that glucocorticoids may accelerate vestibular compensation via a restoration of peripheral vestibular function, and therefore has important clinical implications for the treatment of AUV

Association between preoperative levels of 25-hydroxyvitamin D and hospital-acquired infections after hepatobiliary surgery: A prospective study in a third-level hospital

Introduction Evidence implicates vitamin D deficiency in poorer outcomes and increased susceptibility to hospital-acquired infections (HAIs). This study examined the association between serum vitamin D levels and HAIs in a population of hepatobiliary surgery patients. Methods Participants in this prospective analytical observational study were patients who underwent hepatobiliary surgery in a tertiary hospital in Aragon, Spain, between February 2018 and March 2019. Vitamin D concentrations were measured at admission and all nosocomial infections during hospitalization and after discharge were recorded. Results The mean 25-hydroxyvitamin D concentration of the study population (n = 301) was 38.56 nmol/L, which corresponds to vitamin D deficiency. Higher vitamin D concentrations were associated with a decreased likelihood of developing a HAI in general (p = 0.014), and in particularly surgical site infection (p = 0.026). The risk of HAI decreased by 34% with each 26.2-nmol/L increase in serum vitamin D levels. Conclusions Vitamin D levels may constitute a modifiable risk factor for postoperative nosocomial infections in hepatobiliary surgery patients

The HADES RV Programme with HARPS-N@TNG IV. Time resolved analysis of the Ca ii H&K and H{\alpha} chromospheric emission of low-activity early-type M dwarfs

M dwarfs are prime targets for planet search programs, particularly of those focused on the detection and characterization of rocky planets in the habitable zone. Understanding their magnetic activity is important because it affects our ability to detect small planets, and it plays a key role in the characterization of the stellar environment. We analyze observations of the Ca II H&K and H{\alpha} lines as diagnostics of chromospheric activity for low-activity early-type M dwarfs. We analyze the time series of spectra of 71 early-type M dwarfs collected for the HADES project for planet search purposes. The HARPS-N spectra provide simultaneously the H&K doublet and the H{\alpha} line. We develop a reduction scheme able to correct the HARPS-N spectra for instrumental and atmospheric effects, and to provide flux-calibrated spectra in units of flux at the stellar surface. The H&K and H{\alpha} fluxes are compared with each other, and their variability is analyzed. We find that the H and K flux excesses are strongly correlated with each other, while the H{\alpha} flux excess is generally less correlated with the H&K doublet. We also find that H{\alpha} emission does not increase monotonically with the H&K line flux, showing some absorption before being filled in by chromospheric emission when H&K activity increases. Analyzing the time variability of the emission fluxes, we derive a tentative estimate of the rotation period (of the order of a few tens of days) for some of the program stars, and the typical lifetime of chromospheric active regions (a few stellar rotations). Our results are in good agreement with previous studies. In particular, we find evidence that the chromospheres of early-type M dwarfs could be characterized by different filaments coverage, affecting the formation mechanism of the H{\alpha} line. We also show that chromospheric structure is likely related to spectral type

The Low Redshift survey at Calar Alto (LoRCA)

The Baryon Acoustic Oscillation (BAO) feature in the power spectrum of galaxies provides a standard ruler to measure the accelerated expansion of the Universe. To extract all available information about dark energy, it is necessary to measure a standard ruler in the local, z<0.2, universe where dark energy dominates most the energy density of the Universe. Though the volume available in the local universe is limited, it is just big enough to measure accurately the long 100 Mpc/h wave-mode of the BAO. Using cosmological N-body simulations and approximate methods based on Lagrangian perturbation theory, we construct a suite of a thousand light-cones to evaluate the precision at which one can measure the BAO standard ruler in the local universe. We find that using the most massive galaxies on the full sky (34,000 sq. deg.), i.e. a K(2MASS)<14 magnitude-limited sample, one can measure the BAO scale up to a precision of 4\% and 1.2\% using reconstruction). We also find that such a survey would help to detect the dynamics of dark energy.Therefore, we propose a 3-year long observational project, named the Low Redshift survey at Calar Alto (LoRCA), to observe spectroscopically about 200,000 galaxies in the northern sky to contribute to the construction of aforementioned galaxy sample. The suite of light-cones is made available to the public.Comment: 15 pages. Accepted in MNRAS. Please visit our website: http://lorca-survey.ft.uam.es

Presentación del Observatorio de las Empresas de Servicios Energéticos (ESEs) en España

[EN] The Observatory on the Market of Energy Services Companies (ESEs) 2016 in Spain has been jointly conducted by ANESE and the Higher Technical School of Engineering and Industrial Design of Technical University of Madrid. The core of the study was based on the analysis of the data obtained from a specifically designed questionnaire, which has been completed by numerous representatives of ESEs in Spain. The questionnaire has allowed to study the ESE market, showing a detailed vision of its true protagonists, the ESEs. In this way, it is possible to know the main opportunities and barriers for the development of the business.González Sanchez, E.; Martínez Beloto, J.; Martín Rubio, I.; Florence Sandoval, AE. (2017). Presentation of Energy and Services Companies (Escos) Observatory in Spain. Working Papers on Operations Management. 8(SP):115-119. doi:10.4995/wpom.v8i0.7189SWORD1151198SPChai, K.-H., & Yeo, C. (2012). Overcoming energy efficiency barriers through systems approach—A conceptual framework. Energy Policy, 46, 460-472. doi:10.1016/j.enpol.2012.04.012Gluch, P., Johansson, K., & Räisänen, C. (2013). Knowledge sharing and learning across community boundaries in an arena for energy efficient buildings. Journal of Cleaner Production, 48, 232-240. doi:10.1016/j.jclepro.2012.10.020Martin Rubio, I.; Florence Sandoval, A.; González Sánchez, E. (2016) Agency and Learning Relations-hips against energy efficiency barriers. En Lefebvre, G., Jiménez, E., y Caba-as, B. "Environment, Energy and Climate ChangeII: Energies from New Resources and the Climate Change. Hdb. Env. Chem, 34". Springer, Switzzerland ppp.227-259.Rohdin, P., Thollander, P., & Solding, P. (2007). Barriers to and drivers for energy efficiency in the Swedish foundry industry. Energy Policy, 35(1), 672-677. doi:10.1016/j.enpol.2006.01.01

Energy savings measures in compressed air systems

Compressed air is one of the most widely used application energies in the industry, such as good transportability, safety, purity, cleanliness, storage capacity and ease of use. In many countries, compressed air systems account for approximately 10% of the industry’s total electricity consumption. Despite all its advantages, compressed air is expensive, only between 10% and 30% of the energy consumed reaches the point of final use. Energy is lost as heat, leaks, pressure drop, misuse, among others. Energy efficiency measures such as: reducing compressor pressure, lowering air inlet temperature, adequate storage capacity, recovering residual heat from the air compressor and reducing leakage, can produce energy savings between 20% and 60%, with an average return on investment lower than 2 years. This paper analyzes the main energy efficiency measures that can be applied in the CASs, the potential energy savings, implementation costs and return rate of each of them are being calculated giving a necessary tool for companies in their objectives to reduce greenhouse gas emissions and energy consumption

HADES RV Programme with HARPS-N at TNG VI. GJ 3942 b behind dominant activity signals

Short- to mid-term magnetic phenomena on the stellar surface of M-type stars cannot only resemble the effects of planets in radial velocity data, but also may hide them. We analyze 145 spectroscopic HARPS-N observations of GJ 3942 taken over the past five years and additional photometry to disentangle stellar activity effects from genuine Doppler signals as a result of the orbital motion of the star around the common barycenter with its planet. To achieve this, we use the common methods of pre-whitening, and treat the correlated red noise by a first-order moving average term and by Gaussian-process regression following an MCMC analysis. We identify the rotational period of the star at 16.3 days and discover a new super-Earth, GJ 3942 b, with an orbital period of 6.9 days and a minimum mass of 7.1 Me. An additional signal in the periodogram of the residuals is present but we cannot claim it to be related to a second planet with sufficient significance at this point. If confirmed, such planet candidate would have a minimum mass of 6.3 Me and a period of 10.4 days, which might indicate a 3:2 mean-motion resonance with the inner planet