Documentation of model components EXPAMOD and CAPRI

ISBN no.: 978-90-8585-129-

Transformation Optics Approach to Plasmon-Exciton Strong Coupling in Nanocavities

We investigate the conditions yielding plasmon-exciton strong coupling at the single emitter level in the gap between two metal nanoparticles. A quasi-analytical transformation optics approach is developed that makes possible a thorough exploration of this hybrid system incorporating the full richness of its plasmonic spectrum. This allows us to reveal that by placing the emitter away from the cavity center, its coupling to multipolar dark modes of both even and odd parity increases remarkably. This way, reversible dynamics in the population of the quantum emitter takes place in feasible implementations of this archetypal nanocavity.Comment: 5 pages, 4 figure

Urban food markets and their sustainability: the compatibility of traditional and tourist uses

The aim of this article is to highlight the importance of urban food markets as tourist icons in the current competitive race to create attractive cities. Food markets attract a large number of consumers, both local and tourists. However, their impact on the city and its dynamics should be treated to establish measures to ensure sustainable (compatible) uses for both kinds of users. This calls for the establishment of a system of indicators to determine what level of sustainability food markets are at and facilitate decision-making for the agents involved in their management

Extrusión del componente plástico de la copa acetabular sin luxación protésica: a propósito de un caso

Se present a un caso de extrusión del component e plástic o (polietileno) ocurrido en el transcurso del primer me s del postoperatorio en un pacient e que había sufrido un recambio del component e acetabular. Se destaca el hecho de que cursase de forma asintomática y de que no se acompañase de luxación de la prótesis.A case of disassembly of the polyethylene component of the acetabular cup acurred in a patient one mouth after revision surgery for loosening of a screwed acetabular cup is reported. Special emphasis is made in the asyntomati c clinic and on the no association with dislocation of the femoral component

Mistakes in the diagnosis and treatment of Helicobacter pylori infection in daily clinical practice

Background: An adequate diagnostic and therapeutic approach to Helicobacter pylori (H. pylori) infection is the cornerstone to avoid overdiagnosis, overuse of health resources, and increase in antibiotic resistances. The aim of the study was to evaluate the most common errors in clinical practice and the associated risk factors. Materials and Methods: This is a retrospective observational study including patients with H. pylori infection and no previous treatment belonging to two defined areas of the National Health System in Spain; some of them were enrolled in the European Registry on H. pylori management (Hp-EuReg). Patients were attended by gastroenterologists between 2010 and 2019. According to current guidelines, we evaluated indications for H. pylori investigation, appropriateness of diagnostic test used in dyspeptic patients and discontinuation of surveillance after treatment. Results: A total of 1730 patients were included, receiving 2260 eradication regimens. H. pylori infection was investigated in 1.7% cases in absence of a formal indication. Oral endoscopy was incorrectly used in 56% of patients with dyspepsia under 55 years without alarm signs, and urea breath test (UBT) was incorrectly used in 22.4% of patients with dyspepsia ≥55 years or red flags. Levofloxacin containing regimens were used as first-line therapy in 7.5% of non-allergic to penicillin patients. After first-line failure, clarithromycin was repeated in 2.6% of the patients who received second-line therapy. Confirmatory test of H. pylori status was absent in 2.5% cases. Men, patients under 55 years, and patients diagnosed by UBT had a higher risk of not undergoing a confirmatory test. Conclusions: Investigation of H. pylori infection by gastroenterologists is rare in absence of a formal indication; however, endoscopy is commonly used for dyspeptic patients <55 years without red flags and non-invasive tests are still used for dyspeptic patients ≥55 years or presenting alarm signs. Men, patients under 55 years, and patients diagnosed by UBT have an increased risk of being lost to follow-up after eradication treatment

Management of Helicobacter Pylori infection and effectiveness rates in daily clinical practice in Spain: 2010–2019

The management and effectiveness of the treatment of Helicobacter pylori infection are heterogeneous worldwide, despite the publication of international consensus conferences and guidelines, which have been widely available for years. The aim of the study was to describe the clinical management and the eradication rates in a region of Southern Europe (Spain). Between 2010 and 2019, we conducted a retrospective analysis of patients with H. pylori infection attended by gastroenterologists in two defined areas of the National Health System in Aragón. We compared the appropriateness of therapies according to guidelines, and described the effectiveness of each treatment. A total of 1644 penicillin non-allergic patients were included. The most prescribed therapy between 2010 and 2013 was the ‘classic’ triple therapy PCA (80%), whereas the ’concomitant’ therapy PCAM was chosen by 90% of the gastroenterologists in 2015. After 2016, the use of the quadruple bismuth-containing therapy in a single capsule (Pylera®) quickly increased, representing almost half of the overall prescriptions in 2019. Throughout the decade, adherence to guidelines was 76.4% and global efficacy was 70.7% (ITT). Triple therapies’ eradication rates were lower than 70% (ITT), whereas eradication rates with quadruple therapies achieved or were over 80% (ITT). In conclusion, despite the use of quadruple therapies and optimized treatments, the effectiveness of H. pylori management in daily clinical practice is far from the target of 90%

Complicaciones en la anestesia general del perro : revisión de 265 casos

Un total de 265 perros fueron anestesiados por diferentes motivos diagnósticos y terapéuticos en los Servicios Clínicos de la Facultad de Veterinaria de Córdoba,siguiendo diversos protocolos anestésicos