Diseño y actuación de un exoesqueleto para rehabilitación de hombro

En el presente Trabajo de fin de Grado se presenta el desarrollo del diseño y la actuación de un exoesqueleto vestible para rehabilitación de hombro de bajo coste. El exoesqueleto cuenta con tres grados de libertad que permiten: flexo-extensión, abducción-aducción y rotación interna y externa. La posibilidad de reproducir estos movimientos permite alcanzar posiciones muy beneficiosas para la terapia de recuperación. El diseño cuenta con mecanismos de ajuste que permiten acomodar el exoesqueleto adecuadamente a los pacientes. Los ajustes colocados en los diferentes puntos del exoesqueleto facilitan la alineación de los ejes de rotación del hombro del paciente con los ejes de rotación del dispositivo. Estos ajustes permiten además adaptar el dispositivo a personas con diferentes dimensiones tanto de brazo como de espalda. El dispositivo presentado incorpora un sistema de sensores. Los datos de estos sensores serán empleados en el sistema de control. Es necesario conocer la posición del exoesqueleto y por lo tanto la posición del brazo del paciente para actuar adecuadamente en cada momento. Como ya se ha indicado anteriormente, el exoesqueleto que aquí se presenta, es un dispositivo vestible. Puesto que no se encuentra anclado a ninguna estructura, conseguir el menor peso posible es uno de los objetivos que ha estado presente durante el diseño. El dispositivo integra componentes comerciales y piezas fabricadas. Los componentes comerciales se han seleccionados por su funcionalidad y coste. Las piezas no comerciales se han diseñado para que su fabricación sea viable y no represente un coste elevado. Los materiales seleccionados para esta fabricación son adecuados tanto en resistencia como en ligereza. El aspecto más innovador del diseño es el empleo de actuadores basados en Aleaciones con Memoria de Forma, SMA por sus siglas en inglés (Shape Memory Alloy). Estos actuadores presentan un peso muy reducido, lo que es adecuado para el diseño. Son actuadores lineales, por lo que el sistema de actuación del exoesqueleto debe transformar este movimiento lineal en el movimiento de rotación que requieren los movimientos del hombro.In the current Final Project Degree a low-cost wearable rehabilitation shoulder exoskeleton design and actuation is developed. The exoskeleton has three degrees of freedom which allow: shoulder flexo-extension, abduction-adduction, and internal and external rotation. The possibility of reproducing these movements allows to achieve very beneficial positions to the rehabilitation therapy. The design has adjustment mechanisms which allow to fix the exoskeleton properly to the patient. The adjustments in different exoskeleton positions make easy to aline the patient´s shoulder rotation axes with the device´s rotation axes. These adjustments allow to fix the device in people with different arm and black dimensions too. The submit device has a sensor system. The sensors´ data will be used later in the control system. It is necessary to know the exoskeleton position and thus the patient´s arm position to proceed properly in each moment. As has been said before, the exoskeleton which is being introduced here, is a wearable device. Since it is not hold in any structure, achieve the least possible weight has been a present objective during the design. The device integrates both commercial components and manufactured parts. The commercial components have been selected attending to their functionality and cost. Non-commercial parts have been designed to be manufactured by a viable way and it does not represent a high cost. Materials selected to this manufacturing are suitable for both resistance and lightness. The most innovative point of the design is the use of Shape Memory Alloys (SMA) actuators. These actuators have a very low weight, what is adequate to the design. They are linear actuators, so the exoskeleton´s actuation system must change this linear movement to rotation movement required by the shoulder movements.Ingeniería Electrónica Industrial y Automátic

The effect of rapid thermal annealing on the photoluminescence of InAsN/InGaAs dot-in-a-well structures

The effect of post-growth rapid thermal annealing on the optical characteristics of InAsN/InGaAs dot-in-a-well DWELL structures grown by molecular beam epitaxy on GaAs(1 0 0) has been studied. InAs/InGaAs DWELL structures have been used as a reference. Photoluminescence measurements of these samples show similar optical effects, such as a blueshift of the peak wavelength and a reduction of the full width of at half maximum PL emission, in both types of structures up to an annealing temperature of 750 °C. Nevertheless, at 850 °C, these effects are much more pronounced in the structures with N. These results suggest that an additional As–N interdiffusion process inside the InAsN quantum dots plays a dominant role in these effects at high annealing temperatures (850 °C) on InAsN/InGaAs structures

Assessing population-sampling strategies for reducing the COVID-19 incidence

As long as critical levels of vaccination have not been reached to ensure heard immunity, and new SARS-CoV-2 strains are developing, the only realistic way to reduce the infection speed in a population is to track the infected individuals before they pass on the virus. Testing the population via sampling has shown good results in slowing the epidemic spread. Sampling can be implemented at different times during the epidemic and may be done either per individual or for combined groups of people at a time. The work we present here makes two main contributions. We first extend and refine our scalable agent-based COVID-19 simulator to incorporate an improved socio-demographic model which considers professions, as well as a more realistic population mixing model based on contact matrices per country. These extensions are necessary to develop and test various sampling strategies in a scenario including the 62 largest cities in Spain; this is our second contribution. As part of the evaluation, we also analyze the impact of different parameters, such as testing frequency, quarantine time, percentage of quarantine breakers, or group testing, on sampling efficacy. Our results show that the most effective strategies are pooling, rapid antigen test campaigns, and requiring negative testing for access to public areas. The effectiveness of all these strategies can be greatly increased by reducing the number of contacts for infected individual.This work has been supported by the Carlos III Institute of Health under the project grant 2020/00183/001, the project grant BCV-2021-1-0011, of the Spanish Supercomputing Network (RES) and the European Union's Horizon 2020 JTI-EuroHPC research and innovation program under grant agreement No 956748. The role of all study sponsors was limited to financial support and did not imply participation of any kind in the study and collection, analysis, and interpretation of data, nor in the writing of the manuscript.S

Data management in epiGraph COVID-19 epidemic simulator

The transmission of COVID-19 through a population depends on many factors which model, incorporate, and integrate a large number of heterogeneous data sources. The work we describe in this paper focuses on the data management aspect of EpiGraph, a scalable agent-based virus-propagation simulator. We describe the data acquisition and pre-processing tasks that are necessary to map the data to the different models implemented in EpiGraph in a way that is efficient and comprehensible. We also report on post-processing, analysis, and visualization of the outputs, tasks that are fundamental to make the simulation results useful for the final users. Our simulator captures complex interactions between social processes, virus characteristics, travel patterns, climate, vaccination, and non-pharmaceutical interventions. We end by demonstrating the entire pipeline with one evaluation for Spain for the third COVID wave starting on December 27th of 2020.This work has been supported by the Spanish Instituto de Salud Carlos III under the project grant 2020/00183/001, the project grant BCV-2021-1-0011, of the Spanish Supercomputing Network (RES) and the European Union's Horizon 2020 JTI-EuroHPC research and innovation program under grant agreement No 956748

Resonant Raman-active localized vibrational modes in AlyGa{1-y}NxAs{1-x} alloys: Experiment and firstprinciples calculations

The localized vibrational modes associated with substitutional aluminium and nitrogen atoms in AlyGa1−yNxAs1−x have been studied within first-principles density functional theory using a supercell approach. Localized vibrational modes related to N-AlmGa4−m (1≤m≥4) complexes have been identified, which reveal the formation of N-Al4 units well above random abundance, in qualitative agreement with a large calculated value (391 meV) of the Al-N bond formation energy. We determine the resonant Raman-active modes from the selection rule obtained by calculating the electron-phonon coupling strength and optical transition matrix elements and compare them with resonant Raman spectroscopy measurements. The localized modes from Raman scattering measurements with frequencies around 325, 385, 400, 450, 500, and 540 cm−1 are found to be in good agreement with the calculated modes (326, 364, 384, 410, 456, 507, and 556 cm−1). The modes are classified as follows: the two modes at 326 and 556 cm−1 belong to the N-AlGa3 configuration; there are three modes which belong to N-Al2Ga2 with frequencies at 326, 364, and 507 cm−1; the N-Al3Ga configuration gives rise to modes whose frequencies are 384 and 456 cm−1; and the mode at a frequency of 410 cm−1 belongs to the N-Al4 complex. The comparison of line intensities from samples before and after rapid thermal annealing allows us to experimentally distinguish vibrational modes associated with different clusters, in agreement with the theoretical assignments

Tuning the activity of iminosugars: novel N-alkylated deoxynojirimycin derivatives as strong BuChE inhibitors

We have designed unprecedented cholinesterase inhibitors based on 1-deoxynojirimycin as potential anti-Alzheimer’s agents. Compounds are comprised of three key structural motifs: the iminosugar, for interaction with cholinesterase catalytic anionic site (CAS); a hydrocarbon tether with variable lengths, and a fragment derived from 2-phenylethanol for promoting interactions with peripheral anionic site (PAS). Title compounds exhibited good selectivity towards BuChE, strongly depending on the substitution pattern and the length of the tether. The lead compounds were found to be strong mixed inhibitors of BuChE (IC50 = 1.8 and 1.9 µM). The presumptive binding mode of the lead compound was analysed using molecular docking simulations, revealing H-bond interactions with the catalytic subsite (His438) and CAS (Trp82 and Glu197) and van der Waals interactions with PAS (Thr284, Pro285, Asn289). They also lacked significant antiproliferative activity against tumour and non-tumour cells at 100 µM, making them promising new agents for tackling Alzheimer’s disease through the cholinergic approach.Dirección General de Investigación de España. CTQ2016-78703-PJunta de Andalucía. FQM134Fondo Europeo de Desarrollo Regional (FEDER) y Consejo Nacional de Ciencia y Tecnología de México (CONACYT). CB-2015/257465Ministerio de Ciencia, Innovación y Universidades y Agencia Estatal de Investigación de España y Fondos FEDER de la Unión Europea (MCIU/AEI/FEDER). PGC2018-094503-B-C2

Risk Factors and Predictive Score for Bacteremic Biliary Tract Infections Due to Enterococcus faecalis and Enterococcus faecium: a Multicenter Cohort Study from the PROBAC Project

Biliary-tract bloodstream infections (BT-BSI) caused by Enterococcus faecalis and E. faecium are associated with inappropriate empirical treatment and worse outcomes compared to other etiologies. The objective of this study was to investigate the risk factors for enterococcal BT-BSI. Patients with BT-BSI from the PROBAC cohort, including consecutive patients with BSI in 26 Spanish hospitals between October 2016 and March 2017, were selected; episodes caused by E. faecalis or E. faecium and other causes were compared. Independent predictors for enterococci were identified by logistic regression, and a predictive score was developed. Eight hundred fifty episodes of BT-BSI were included; 73 (8.5%) were due to target Enterococcus spp. (48 [66%] were E. faecium and 25 [34%] E. faecalis). By multivariate analysis, the variables independently associated with Enterococcus spp. were (OR; 95% confidence interval): cholangiocarcinoma (4.48;1.32 to 15.25), hospital acquisition (3.58;2.11 to 6.07), use of carbapenems in the previous month (3.35;1.45 to 7.78), biliary prosthesis (2.19;1.24 to 3.90), and moderate or severe chronic kidney disease (1.55;1.07 to 2.26). The AUC of the model was 0.74 [95% CI0.67 to 0.80]. A score was developed, with 7, 6, 5, 4, and 2 points for these variables, respectively, with a negative predictive value of 95% for a score # 6. A model, including cholangiocarcinoma, biliary prosthesis, hospital acquisition, previous carbapenems, and chronic kidney disease showed moderate prediction ability for enterococcal BT-BSI. Although the score will need to be validated, this information may be useful for deciding empirical therapy in biliary tract infections when bacteremia is suspected. IMPORTANCE Biliary tract infections are frequent, and a significant cause of morbidity and mortality. Bacteremia is common in these infections, particularly in the elderly and patients with cancer. Inappropriate empirical treatment has been associated with increased risk of mortality in bacteremic cholangitis, and the probability of receiving inactive empirical treatment is higher in episodes caused by enterococci. This is because many of the antimicrobial agents recommended in guidelines for biliary tract infections lack activity against these organisms. To the best of our knowledge, this is the first study analyzing the predictive factors for enterococcal BT-BSI and deriving a predictive score.8 página

Marco activo de recursos de innovación docente: Madrid

Una guía de espacios e instituciones para actividades educativas complementarias en enseñanza secundaria y Formación Profesional

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

EDUCACIÓN AMBIENTAL Y SOCIEDAD. SABERES LOCALES PARA EL DESARROLLO Y LA SUSTENTABILIDAD

Este texto contribuye al análisis científico de varias áreas del conocimiento como la filosofía social, la patología, la educación para el cuidado del medio ambiente y la sustentabilidad que inciden en diversas unidades de aprendizaje de la Licenciatura en Educación para la Salud y de la Maestría en Sociología de la SaludLas comunidades indígenas de la sierra norte de Oaxaca México, habitan un territorio extenso de biodiversidad. Sin que sea una área protegida y sustentable, la propia naturaleza de la región ofrece a sus visitantes la riqueza de la vegetación caracterizada por sus especies endémicas que componen un paisaje de suma belleza