Análisis de las técnicas de movilización en pacientes con sospecha de lesión medular a través de sistemas de captura de movimiento.

La asistencia al paciente politraumatizado implica una correcta movilización a posición neutra y/o anatómica e inmovilización espinal. Es muy importante la pericia a la hora de efectuar dicha técnica y colocar el dispositivo, puesto que durante la colocación se puede generar una desalineación no deseada. Además, existe una gran controversia a la hora de determinar cuál es el método más idóneo. Objetivo: Determinar el movimiento producido en la columna vertebral cervical mediante las diferentes técnicas de movilización del paciente con sospecha de lesión medular a través de sistemas de captura de movimiento. Método: La presente tesis, es un compendio de publicaciones (según normativa de la UCAM: 3 artículos científicos indexados en el JCR en los cuartiles Q1 o Q2). Cada uno de los artículos presenta una metodología propia con una línea común: las técnicas de movilización en pacientes con sospecha de lesión medular. Resultados: Los resultados de la tesis son los resultados de cada uno de los artículos que la componen: 1) La colocación de la camilla de cuchara provoca menos desalineación que el tablero espinal cuando es aplicado por profesionales en una situación simulada, 2) La extracción del casco se realizó en 70 segundos con flexión y rotación hacia el lado donde se encuentra colocado el profesional que sujeta la cabeza, 3) Los profesionales que han recibido una formación en Soporte Vital Avanzado al Trauma, han producido una desalineación global significativamente menor de la columna vertebral. Conclusiones: Es necesaria la formación inicial y continuada de los profesionales de servicios de emergencias prehospitalarias. Además, sería recomendable que los estudios sobre evaluación de profesionales, alumnos, técnicas y/o dispositivos, utilizaran métodos objetivos de análisis cinemático de la columna vertebral.Enfermerí

An overview on armor research for the laser fusion project HiPER

During the current preparatory phase of the European laser fusion project HiPER, an intensive effort has being placed to identify an armour material able to protect the internal walls of the chamber against the high thermal loads and high fluxes of x-rays and ions produced during the fusion explosions. This poster addresses the different threats and limitations of a poly-crystalline Tungsten armour. The analysis is carried out under the conditions of an experimental chamber hypothetically constructed to demonstrate laser fusion in a repetitive mode, subjected to a few thousand 48MJ shock ignition shots during its entire lifetime. If compared to the literature, an extrapolation of the thermomechanical and atomistic effects obtained from the simulations of the experimental chamber to the conditions of a Demo reactor (working 24/7 at hundreds of MW) or a future power plant (producing GW) suggests that “standard” tungsten will not be a suitable armour. Thus, new materials based on nano-structured W and C are being investigated as possible candidates. The research programme launched by the HiPER material team is introduced

Kinematic analysis of the spine during placement on 2 transfer devices: a spinal backboard and a scoop stretcher

Objective. To analyze and compare measurements of spine kinematics during prehospital emergency responders’ placement of a patient on a spinal backboard or a scoop stretcher. Methods. Cross sectional, quasi-experimental clinical simulation to compare misalignment (main endpoint) by means of data from a 3-dimensional motion capture system. Results. Mean (SD) misalignment during placement on the 2 devices was 37.53° (14.15°). By device, mean misalignment was 31.08° (6.38°) for the scoop stretcher and 43.97° (7.97°) for the backboard (P=.048). Conclusion. Less misalignment occurs during placement on the scoop stretcher than on the spinal backboard.Actividad Física y Deport

Effect of training in advanced trauma life support on the kinematics of the spine: A simulation study.

More than 7.5 million people in the world are affected by spinal cord injury (SCI). In this study, we aimed to analyze the effect of training in advanced trauma life support (ATLS) on the kinematics of the spine when performing different mobilization and immobilization techniques on patients with suspected SCI. A quasi-experimental study, clinical simulation, was carried out to determine the effect of training in ATLS on 32 students enrolled in the Master's program of Emergency and Special Care Nursing. The evaluation was performed through 2 maneuvers: placing of the scoop stretcher (SS) and spinal board (SB), with an actor who simulated a clinical situation of suspected spinal injury. The misalignment of the spine was measured with the use of a Vicon 3D motion capture system, before (pre-test) and after (post-test) the training. In the overall misalignment of both maneuvers, statistically significant differences were found between the pre-test misalignment of 62.1° ± 25.9°, and the post-test misalignment of 32.3° ± 10.0°, with a difference between means of 29.7° [(95% confidence interval, 95% CI 22.8–36.6°), (P = .001)]. The results obtained for the placing of the SS showed that there was a pre-test misalignment of 65.1° ± 28.7°, and a post-test misalignment of 33.2° ± 10.1°, with a difference of means of 33.9° [(95% CI, 23.1–44.6°), (P = .001)]. During the placing of the SB, a pre-test misalignment of 59.0° ± 28.7° and a post-test misalignment of 33.4° ± 10.0° were obtained, as well as a difference of means of 25.6° [(95% CI 16.6–34.6°), (P = .001)]. The main conclusion of this study is that training in ATLS decreases the misalignment provoked during the utilization of the SS and SB, regardless of the device used.Actividad Física y Deport

IFE Plant Technology Overview and contribution to HiPER proposal

HiPER is the European Project for Laser Fusion that has been able to join 26 institutions and signed under formal government agreement by 6 countries inside the ESFRI Program of the European Union (EU). The project is already extended by EU for two years more (until 2013) after its first preparatory phase from 2008. A large work has been developed in different areas to arrive to a design of repetitive operation of Laser Fusion Reactor, and decisions are envisioned in the next phase of Technology Development or Risk Reduction for Engineering or Power Plant facilities (or both). Chamber design has been very much completed for Engineering phase and starting of preliminary options for Reactor Power Plant have been established and review here

Treatment of children obesity and diabetes through gamification

Childhood obesity is nowadays a global epidemic. This illness sometimes comes with another associated problem, like Diabetes type II. In this paper we present a case of study about the results of the application of a gamified educational program. A 3-year longitudinal and prospective study was conducted a patient with obesity and diabetes. Different assessments regarding the health state of the patient have been developed (family background, physical/medical, emotional state and physical activity). Using Positive outcomes have been obtained in their medical registers and also, in their health habits. Thus, the application of gamification strategies in the educational program has positive impact in the health

Síndrome de DRESS asociado a alopurinol con fracaso renal agudo: a propósito de un caso

Introducción: El síndrome de DRESS es una reacción mucocutánea y visceral grave provocada por fármacos que puede llegar a provocar la muerte por la afectación de hígado y riñón. Caso Clínico: Varón de 46 años que presentó un exantema generalizado no pruriginoso, junto con fiebre, síntomas digestivos, adenopatías cervicales y sudoración nocturna coincidiendo con la toma previa de alopurinol. Tras el ingreso en el hospital se le diagnostica hepatitis aguda y deterioro de la función renal con oliguria, necesitando realización de hemodiálisis urgente. Tras un tratamiento multidisciplinar entre los servicios de nefrología, digestivo y hematología, el paciente es dado de alta con mejora de su función renal, pero continúa en seguimiento ambulatorio. Conclusiones: El alopurinol, fármaco muy utilizado en la práctica clínica, puede tener reacciones adversas muy graves, poniendo en riesgo la vida del paciente. El síndrome de DRESS, al ser muy poco frecuente, no tiene un tratamiento estandarizado. En el caso concreto de nuestro paciente, una detección temprana, junto a un tratamiento efectivo, con recambios plasmáticos con albúmina, hemodiálisis y corticoides, propiciaron una evolución favorable del paciente, con recuperación de la función renal

On the thermal stability of the nanostructured tungsten coatings

Tungsten is a candidate to be used as plasma facing materials in future fusion nuclear reactors. There, the material has to withstand large radiation fluxes and thermal loads. Nowadays, nanostructured tungsten (NW) seems to exhibit a better radiation-resistance than the coarse grained. However, the thermal stability of NW is still an open question. On these bases, the thermal stability of NW coatings is studied in the temperature range from 1000 to 1473 K. For this purpose, Samples were isothermally annealed in vacuum at temperatures from 298 to 1473 K. The morphological and microstructural properties of the samples were characterized by atomic force microscopy (AFM), scanning electron microscopy (SEM) and X-Ray diffraction (XRD), respectively. For T 100 K, nanostructures start to grow in a bimodal fashion with activation energy of 0259 eV, reaching a submicron-sized threshold at T approximate to 1473 K

PROVITAO: a research program based on active games for help the abulatory treatment of childhood obesity

Childhood obesity is the most prevalent chronic disease in developed and developing countries. Recent studies showed that the Canary Islands are the Spanish region with the highest rate of childhood obesity. However, this disease is easy to prevent, educating children from healthy habits, and, the ICT in general and videogames in particular, represent an opportunity to work towards change. Therefore, this paper presents the design of an educational intervention program to help the ambulatory treatment of childhood obesity. This program is intended for children 8 to 12 years of age with obesity and who come for the first time to the Pediatric Service of the University Hospital of Canaries, and is currently being validated. The partial results show that the satisfaction of the minors with the program is high, emphasizing the focus in games

Nanostructured tungsten as a first wall material for the future nuclear fusion reactors

The lack of materials able to withstand the severe radiation conditions (high thermal loads and atomistic damage) expected in fusion reactors is the actual bottle neck for fusion to become a reality. The main requisite for plasma facing materials (PFM) is to have excellent structural stability since severe cracking or mass loss would hamper their protection role which turns out to be unacceptable. Additional practical requirements for plasma facing materials are among others: (i) high thermal shock resistance, (ii) high thermal conductivity (iii) high melting point (iv) low physical and chemical sputtering, and (v) low tritium retention