1,784 research outputs found

    Pseudoartrosis de escafoides carpiano tratadas mediante la técnica de Matti-Russe: estudio retrospectivo de 36 casos

    Get PDF
    Presentamos un estudio retrospectivo de una serie de 36 pacientes con pseudoartrosis de escafoides operados mediante la técnica de Matti-Russe entre 1985 y 1991. Utilizamos injerto córtico esponjoso obtenido del radio (50%), cresta ilíaca (42%) y cúbito (8%) sin diferencias en la incorporación. La tasa de curación fue mayor en las pseudoartrosis medias y distales (80%) que en las de localización proximal (54%). El 80% de los fracasos de curación en la localización media y distal eran pseudoartrosis de más de 30 meses de evolución. Los cambios degenerativos en el carpo de las pseudoartrosis no curadas fueron significativamente mayores (p< 0,001) que en las que se obtuvo la consolidación. La localización y la antiguedad de la pseudoartrosis parecen ser dos importantes factores pronósticos. La técnica de Matti-Russe presenta limitaciones en la pseudoartrosis de localización proximal y en los carpos muy degenerados.We reported a retrospective study of 36 patients with a pseudoarthrosis of the carpal scaphoid bone treated by the Matti-Russe operation from 1985 to 1991. We used radial (50%), iliac (42%) or ulnar (8%) autogenous grafts without any difference in the rate of incorporation. The rate of healing of the pseudoarthrosis was higher in mid and distal location (80%) than in proximal location (54%). In 80% of cases, healing failures in the mid and distal location occurred in old pseudoarthrosis ( >3 0 months evolution). Carpal degenerative changes were significantly higher (p < 0,01) in patients with not healed pseudoarthrosis. The location and the age of the pseudoarthrosis appear to be important prognostic factors. The Matti-Russe technique has limitations when is performed either in proximal pseudoarthrosis or in the presence of advanced radiocarpal osteoarthritis

    SPITZER observations of the λ Orionis cluster. II. Disks around solar-type and low-mass stars

    Get PDF
    We present IRAC/MIPS Spitzer Space Telescope observations of the solar-type and the low-mass stellar population of the young (~5Myr) λ Orionis cluster. Combining optical and Two Micron All Sky Survey photometry, we identify 436 stars as probable members of the cluster. Given the distance (450 pc) and the age of the cluster, our sample ranges in mass from 2 M_⊙ to objects below the substellar limit. With the addition of the Spitzer mid-infrared data, we have identified 49 stars bearing disks in the stellar cluster. Using spectral energy distribution slopes, we place objects in several classes: non-excess stars (diskless), stars with optically thick disks, stars with “evolved disks” (with smaller excesses than optically thick disk systems), and “transitional disk” candidates (in which the inner disk is partially or fully cleared). The disk fraction depends on the stellar mass, ranging from ~6% for K-type stars (R_C − J 4). We confirm the dependence of disk fraction on stellar mass in this age range found in other studies. Regarding clustering levels, the overall fraction of disks in the λ Orionis cluster is similar to those reported in other stellar groups with ages normally quoted as ~5Myr

    Los procesos de construcción de conocimiento agroecológico y la transición hacia agricultura más sustentables en Jalisco, México

    Get PDF
    El presente trabajo parte de la noción de multifuncionalidad en la agricultura familiar sustentable, y se detiene a analizar la función cultural de la agricultura en la construcción de conocimiento agroecológico en dos experiencias de la región centro de Jalisco. Además, muestra la relevancia de las articulaciones entre diferentes actores sociales para formar redes de construcción e intercambio de conocimientos agroecológicos que fortalecen la transición hacia agriculturas más sustentables y más justas para los agricultores familiares.ITESO A

    SERGHEI (SERGHEI-SWE) v1.0: a performance-portable high-performance parallel-computing shallow-water solver for hydrology and environmental hydraulics

    Get PDF
    The Simulation EnviRonment for Geomorphology, Hydrodynamics, and Ecohydrology in Integrated form (SERGHEI) is a multi-dimensional, multi-domain, and multi-physics model framework for environmental and landscape simulation, designed with an outlook towards Earth system modelling. At the core of SERGHEI's innovation is its performance-portable high-performance parallel-computing (HPC) implementation, built from scratch on the Kokkos portability layer, allowing SERGHEI to be deployed, in a performance-portable fashion, in graphics processing unit (GPU)-based heterogeneous systems. In this work, we explore combinations of MPI and Kokkos using OpenMP and CUDA backends. In this contribution, we introduce the SERGHEI model framework and present with detail its first operational module for solving shallow-water equations (SERGHEI-SWE) and its HPC implementation. This module is designed to be applicable to hydrological and environmental problems including flooding and runoff generation, with an outlook towards Earth system modelling. Its applicability is demonstrated by testing several well-known benchmarks and large-scale problems, for which SERGHEI-SWE achieves excellent results for the different types of shallow-water problems. Finally, SERGHEI-SWE scalability and performance portability is demonstrated and evaluated on several TOP500 HPC systems, with very good scaling in the range of over 20 000 CPUs and up to 256 state-of-the art GPUs

    Immunodiagnosis of Neurocysticercosis: Ways to Focus on the Challenge

    Get PDF
    Neurocysticercosis (NCC) is a disease of the central nervous system that is considered a public health problem in endemic areas. The definitive diagnosis of this disease is made using a combination of tools that include imaging of the brain and immunodiagnostic tests, but the facilities for performing them are usually not available in endemic areas. The immunodiagnosis of NCC is a useful tool that can provide important information on whether a patient is infected or not, but it presents many drawbacks as not all infected patients can be detected. These tests rely on purified or semipurified antigens that are sometimes difficult to prepare. Recent efforts have focused on the production of recombinant or synthetic antigens for the immunodiagnosis of NCC and interesting studies propose the use of new elements as nanobodies for diagnostic purposes. However, an immunodiagnostic test that can be considered as “gold standard” has not been developed so far. The complex nature of cysticercotic disease and the simplicity of common immunological assumptions involved explain the low scores and reproducibility of immunotests in the diagnosis of NCC. Here, the most important efforts for developing an immunodiagnostic test of NCC are listed and discussed. A more punctilious strategy based on the design of panels of confirmed positive and negative samples, the use of blind tests, and a worldwide effort is proposed in order to develop an immunodiagnostic test that can provide comparable results. The identification of a set of specific and representative antigens of T. solium and a thorough compilation of the many forms of antibody response of humans to the many forms of T. solium disease are also stressed as necessary

    EXPERIENCIAS DE AGRICULTURA SUSTENTABLE Y COMERCIO JUSTO EN EL ESTADO DE JALISCO, OCCIDENTE DE MÉXICO

    Get PDF
    En este artículo se describen las experiencias de diferentes grupos de productores en el estado de Jalisco y sus esfuerzos para desarrollar un modelo de desarrollo alternativo. Desde hace varios años, han trasformado sus sistemas de producción convencionales en sustentables, asimismo han buscado canales de comercialización diferentes. Los grupos tienen en común su participación en la Red de Alternativas Sustentables Agropecuarias —RASA—, donde también participan diferentes instituciones no gubernamentales y grupos de consumidores. Esta red se puede considerar como un nuevo movimiento social que busca desarrollar nuevos esquemas de desarrollo rural sustentable. Terminamos con una discusión y conclusión en relación con las posibilidades y desafíos de la Red para fortalecer la agricultura sustentable y el comercio justo. ABSTRACT This article describes the experiences of different groups of producers in the state of Jalisco and their efforts to develop an alternative development model. Beginning several years ago, they have transformed their conventional production systems into sustainable systems, and have also sought different commercialization channels. The groups have in common their participation in the Network of Sustainable Agricultural Alternatives (Red de Alternativas Sustentables Agropecuarias –RASA) in which different nongovernmental institutions and consumer groups also participate. This network may be considered a new social movement that aims to develop new schemes of sustainable rural development. We end with a discussion and conclusion in relation with the possibilities and challenges of the Network to strengthen sustainable agriculture and fair trade
    corecore