Beyond Service Learning: Building Research Capacity Among Undergraduate Students and Community Residents

Historically, undergraduate students and community residents have been underutilized in research. Community-based Participatory Research (CBPR) allows for a bidirectional learning process that facilitates the training of both groups so that they can be future researchers who sustain research activities in the community. In this research, we present how a CBPR project has helped a group of undergraduate students from University of Massachusetts Boston and community residents from Springfield to transform their perceptions about community, research, and working together as a research team

Characterization at the debut of type 1 diabetic children in Pinar del Río, 1980-2018

Introduction: diabetes mellitus is an important public health problem and constitutes one of the priorities of chronic non-communicable diseases. Objective: to clinically and epidemiologically characterize the type 1 diabetic population with onset before the age of 15 years. Methods: a cross-sectional and descriptive study was carried out in patients with type 1 diabetes mellitus under 15 years old in Pinar del Río province from January 1st, 1980 to December 31, 2019. The universe was constituted by 294 patients. The data were obtained from the medical records. For the analysis of the information the Statistical Package for Social Sciences statistical system was used, univariate analysis of descriptive character was applied, descriptive statistics such as the distribution of absolute and relative frequencies were used. The non-parametric Chi-square test was applied with a significance level of 95 % (p<0,05). Results: female sex and age group 10-14 years predominated, as age increased there was an increase in the incidence of type 1 diabetes mellitus with debut in ketosis, over the years the frequency of early stage diagnosis increased with a decrease in the more severe forms of presentation, associations that showed statistical significance. Conclusions: there is a progressive tendency to increase the number of cases with type 1 diabetes mellitus in childhood with predominance in puberty.  Ketoacidosis predominates as a form of presentation in younger children and clinical symptoms in older children

SOC-V-11 New serum miRNA biomarkers to predict liver steatosis by valproic acid in paediatric epileptic patients

Depakine (Valproate, VPA) has been the first line, most-frequently prescribed, anti-epileptic drug in children for the past 50 years. Idiosyncratic hepatotoxicity (iDILI) by VPA has been demonstrated in several case reports, where microvesicular liver steatosis was the most frequent feature. Moreover, more than half of VPA-treated patients could have silent fatty liver as demonstrated by ultrasounds. Extensive experimental studies support that VPA has a high potential to induce steatosis in hepatocytes. However, there is an apparent lack of significant hepatic problems in the Neuropediatric Units, despite transaminitis is not uncommon. One of the reasons could be that iDILI and liver steatosis diagnosis lack specific biomarkers. Thus, it is likely that a relevant number of children under VPA treatment may have a significant, but sub-clinical, hepatosteatosis

Blood Rheological Characterization of β-Thalassemia Trait and Iron Deficiency Anemia Using Front Microrheometry

The purpose of this work is to develop a hematocrit-independent method for the detection of beta-thalassemia trait (β-TT) and iron deficiency anemia (IDA), through the rheological characterization of whole blood samples from different donors. The results obtained herein are the basis for the development of a front microrheometry point-of-care device for the diagnosis and clinical follow-up of β-TT patients suffering hematological diseases and alterations in the morphology of the red blood cell (RBC). The viscosity is calculated as a function of the mean front velocity by detecting the sample fluid-air interface advancing through a microfluidic channel. Different viscosity curves are obtained for healthy donors, β-TT and IDA samples. A mathematical model is introduced to compare samples of distinct hematocrit, classifying the viscosity curve patterns with respect to the health condition of blood. The viscosity of the fluid at certain shear rate values varies depending on several RBC factors such as shape and size, hemoglobin (Hb) content, membrane rigidity and hematocrit concentration. Blood and plasma from healthy donors are used as reference. To validate their potential clinical value as a diagnostic tool, the viscosity results are compared to those obtained by the gold-standard method for RBC deformability evaluation, the Laser-Optical Rotational Red Cell Analyzer (LoRRCA).LM-M and JF-T received funding from programs Doctorat Industrial (2018 DI 068) and (2018 DI 064) from AGAUR (Generalitat de Catalunya). EK receives funding from Institut Josep Carreras (IJC) under program Equality Plus, project number 2019-1-TR01-KA202-076789. TA acknowledges funding under grant numbers MTM2015-71509-C2-1-R and MDM-2014-0445. TA has been partially funded by the CERCA Program of the Generalitat de Catalunya. AH-M acknowledges funding under project FIS2016-78883-C2-1P, Ministerio de Ciencia e Innovacion (Spain) under project PID2019-106063GB-100 and AGAUR (Generalitat de Catalunya) under project 2017 SGR-1061. CT-S and AH-M acknowledge partial support from ANID/PCI (Chile) under project MEC80180021

Plan de transporte para la Universidad Politécnica de Valencia

Este Plan de Transporte se elabora en el marco del sistema de gestión ambiental de la UPV, como desarrollo de uno de los objetivos planteados en el Plan Ambiental 2009El documento presenta un diagnóstico de la situación de la Universidad Politécnica de Valencia respecto a la movilidad para luego proponer una serie de actuaciones que permitan mejorar la forma en la que empleados y estudiantes se trasladan desde y hasta la UPV.Torres Martínez, AJ.; Colomer Ferrandiz, JV.; Gallego Pérez, MR.; Pino Hernandez, EM.; Ruiz Sánchez, T.; Fiore ., MF. (2010). Plan de transporte para la Universidad Politécnica de Valencia. http://hdl.handle.net/10251/7301

Competencias socioeducativas del profesorado ante situaciones de crisis sanitaria (Caso COVID-19), en Paraguay.

Esta investigación tiene por finalidad conocer las implicaciones de la crisis generada por la COVID-19 en el profesorado y el alumnado de educación superior y cuál debe ser nuestra contribución como investigadores para la mejora de la situación.CONACYT - Consejo Nacional de Ciencia y TecnologíaPROCIENCI

Evaluation of integrated care services in Catalonia: population-based and service- based real-life deployment protocols

Background: Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability of both healthcare policies and services in the transition toward a coordinated service delivery scenario. To this end, the manuscript articulates four different protocols aiming at assessing large-scale implementation of integrated care, which are being developed within the umbrella of the regional project Nextcare (2016-2019), undertaken to foster innovation in technologically-supported services for chronic multimorbid patients in Catalonia (ES) (7.5 M inhabitants). Whereas one of the assessment protocols is designed to evaluate population-based deployment of care coordination at regional level during the period 2011-2017, the other three are service-based protocols addressing: i) Home hospitalization; ii) Prehabilitation for major surgery; and, iii) Community-based interventions for frail elderly chronic patients. All three services have demonstrated efficacy and potential for health value generation. They reflect different implementation maturity levels. While full coverage of the entire urban health district of Barcelona-Esquerra (520 k inhabitants) is the main aim of home hospitalization, demonstration of sustainability at Hospital Clinic of Barcelona constitutes the core goal of the prehabilitation service. Likewise, full coverage of integrated care services addressed to frail chronic patients is aimed at the city of Badalona (216 k inhabitants). Methods: The population-based analysis, as well as the three service-based protocols, follow observational and experimental study designs using a non-randomized intervention group (integrated care) compared with a control group (usual care) with a propensity score matching method. Evaluation of cost-effectiveness of the interventions using a Quadruple aim approach is a central outcome in all protocols. Moreover, multi-criteria decision analysis is explored as an innovative method for health delivery assessment. The following additional dimensions will also be addressed: i) Determinants of sustainability and scalability of the services; ii) Assessment of the technological support; iii) Enhanced health risk assessment; and, iv) Factors modulating service transferability. Discussion: The current study offers a unique opportunity to undertake a comprehensive assessment of integrated care fostering deployment of services at regional level. The study outcomes will contribute refining service workflows, improving health risk assessment and generating recommendations for service selection. Trials registration: NCT03130283 (date released 04/06/2018), NCT03768050 (date released 12/05/2018), NCT03767387 (date released 12/05/2018)

Characterization of the Skin Microbiota of the Cane Toad Rhinella cf. marina in Puerto Rico and Costa Rica

Rhinella marina is a toad native to South America that has been introduced in the Antilles, likely carrying high loads of microorganisms, potentially impacting local community diversity. The amphibian skin is involved in pathogen defense and its microbiota has been relatively well studied, however, research focusing on the cane toad microbiota is lacking. We hypothesize that the skin microbial communities will differ between toads inhabiting different geographical regions in Central America and the Caribbean. To test our hypothesis, we compared the microbiota of three populations of R. cf. marina toads, two from Costa Rican (native) and one Puerto Rican (exotic) locations. In Costa Rica, we collected 11 toads, 7 in Sarapiquí and 4 from Turrialba while in Puerto Rico, 10 animals were collected in Santa Ana. Separate swab samples were collected from the dorsal and ventral sites resulting in 42 samples. We found significant differences in the structure of the microbial communities between Puerto Rico and Costa Rica. We detected as much as 35 different phyla; however, communities were dominated by Proteobacteria, Bacteroidetes, Firmicutes, and Actinobacteria. Alpha diversity and richness were significantly higher in toads from Puerto Rico and betadiversity revealed significant differences between the microbiota samples from the two countries. At the genus level, we found in Santa Ana, Puerto Rico, a high dominance of Kokuria, Niabella, and Rhodobacteraceae, while in Costa Rica we found Halomonas and Pseudomonas in Sarapiquí, and Acinetobacter and Citrobacter in Turrialba. This is the first report of Niabella associated with the amphibian skin. The core microbiome represented 128 Operational Taxonomic Units (OTUs) mainly from five genera shared among all samples, which may represent the symbiotic Rhinella’s skin. These results provide insights into the habitat-induced microbial changes facing this amphibian species. The differences n the microbial diversity in Puerto Rican toads compared to those in Costa Rica provide additional evidence of the geographically induced patterns in the amphibian skin microbiome, and highlight the importance of discussing the microbial tradeoffs in the colonization of new ecosystemsNational Institute of General Medical Sciences/[GM103475-15]/NIGMS/Estados UnidosMinisterio de Ciencia Tecnología y Telecomunicaciones/[849-PINN-2015-I]/MICIT/Costa RicaUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Básicas::Centro de Investigación en Estructuras Microscópicas (CIEMIC)UCR::Vicerrectoría de Docencia::Salud::Facultad de Medicina::Escuela de MedicinaUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Básicas::Centro de Investigación en Biología Celular y Molecular (CIBCM

p38γ is essential for cell cycle progression and liver tumorigenesis

The cell cycle is a tightly regulated process that is controlled by the conserved cyclin-dependent kinase (CDK)–cyclin protein complex1. However, control of the G0-to-G1 transition is not completely understood. Here we demonstrate that p38 MAPK gamma (p38γ) acts as a CDK-like kinase and thus cooperates with CDKs, regulating entry into the cell cycle. p38γ shares high sequence homology, inhibition sensitivity and substrate specificity with CDK family members. In mouse hepatocytes, p38γ induces proliferation after partial hepatectomy by promoting the phosphorylation of retinoblastoma tumour suppressor protein at known CDK target residues. Lack of p38γ or treatment with the p38γ inhibitor pirfenidone protects against the chemically induced formation of liver tumours. Furthermore, biopsies of human hepatocellular carcinoma show high expression of p38γ, suggesting that p38γ could be a therapeutic target in the treatment of this disease