Maniobra de fiabilidad para el Músculo Peroneo Lateral Largo: Hipermobilidad del Primer Radio

The muscle Peroneus Longus is a major stabilizer of the first metatarsal bone in dynamics, since by its plantarflexor action stabilizes the bone segment to anchor the the floor and allow in this way, the correct mobility of the first metatarsophalangeal joint in the phase of toe off. But the evaluation of this muscle has not been revised in recent years and this article therefore proposes other ways of evaluating its functional integrity and to identify any functional abnormalities that resulted in a hypermobility of the first ray.El músculo Peroneo Lateral Largo es uno de los principales estabilizadores del primer Metatarsiano en la dinámica, ya que por su acción plantarflexora estabiliza dicho segmento óseo para anclarlo al suelo y permitir de esta manera la correcta movilidad de la primera Articulación Metatarso-Falángica en la fase de despegue. Pero la evaluación de este músculo no ha sido revisada en los últimos años y en este artículo por tanto se proponen otras maneras diferentes de valorar su integridad funcional y detectar las posibles anomalías funcionales que se traducen en una hipermovilidad del primer radio

Addressing potential sources of variation in several non-destructive techniques for measuring firmness in apples

Measurements of firmness have traditionally been carried out according to the Magness Taylor (MT) procedure; using a texture analyser or penetrometer in reference texture tests. Non-destructive tests like the acoustic impulse response of acoustic firmness sensors (AFSs), a low-mass impact firmness sensor Sinclair International (SIQ-FT) and impact test (Lateral Impact – UPM) have also been used to measure texture and firmness. The objectives of this study were to evaluate the influence of different sources of variation in these three non-destructive tests and to evaluate their respective capabilities of discriminating between fruit maturity at two different harvest dates, turgidity before and after dehydration treatment and ripening after different storage periods. According to our results, fruit studied an unexpected AFS trend with turgidity. Contact measurements (Lateral Impact – UPM and SIQ-FT) appeared highly sensitive to changes in turgidity, but were less able to follow changes in ripening caused by storage period. Contact measurements were suitable for detecting differences between fruits from different harvest dates and showed higher correlation coefficients with reference texture tests than acoustic measurements. The Lateral Impact – UPM test proved better at separating fruits according to turgidity than the SIQ-FT instrumen

Desarrollo de un servicio experimental de teledetección en los riegos del Porma (León) para el cálculo ajustado de necesidades hídricas y mejora en la gestión del regadío

El proyecto de innovación tecnológica OPTIREG Eficiencia Hídrica, impulsado por el Grupo Tragsa, tiene entre sus objetivos principales introducir el uso de la teledetección, como tecnología de apoyo a la gestión hídrica. Para ello se está desarrollando un servicio web gis experimental que servirá de repositorio único de imágenes y de sus productos derivados y que facilitará, tanto a los regantes, como a los gestores del riego, el seguimiento de los cultivos y de sus necesidades hídricas. Diversos estudios científicos han demostrado la buena relación lineal existente entre el índice de vegetación normalizado (NDVI), derivado de las imágenes de satélite, y el coeficiente de cultivo, Kc (Torres, 2010), utilizado en el cálculo de la evapotranspiración y las necesidades hídricas. Una primera evaluación de los resultados obtenidos en la campaña 2015 para los principales cultivos en regadío en la zona de estudio del Porma (León), indica que el Kc calculado a partir del NDVI, se ajusta mejor que el de FAO. Por ello, se considera un sistema muy válido como referencia para ajustar no sólo la cantidad de agua, sino también para determinar el momento más adecuado de riego, que redundará en una mayor eficiencia hídrica

Development and operation of a pixel segmented liquid-filled linear array for radiotherapy quality assurance

A liquid isooctane (C$_{8}$H$_{18}$) filled ionization linear array for radiotherapy quality assurance has been designed, built and tested. The detector consists of 128 pixels, each of them with an area of 1.7 mm $\times$ 1.7 mm and a gap of 0.5 mm. The small pixel size makes the detector ideal for high gradient beam profiles like those present in Intensity Modulated Radiation Therapy (IMRT) and radiosurgery. As read-out electronics we use the X-Ray Data Acquisition System (XDAS) with the Xchip developed by the CCLRC. Studies concerning the collection efficiency dependence on the polarization voltage and on the dose rate have been made in order to optimize the device operation. In the first tests we have studied dose rate and energy dependences, and signal reproducibility. Dose rate dependence was found lower than 2.5 % up to 5 Gy min$^{-1}$, and energy dependence lower than 2.1 % up to 20 cm depth in solid water. Output factors and penumbras for several rectangular fields have been measured with the linear array and were compared with the results obtained with a 0.125 cm$^{3}$ air ionization chamber and radiographic film, respectively. Finally, we have acquired profiles for an IMRT field and for a virtual wedge. These profiles have also been compared with radiographic film measurements. All the comparisons show a good correspondence. Signal reproducibility was within a 2% during the test period (around three months). The device has proved its capability to verify on-line therapy beams with good spatial resolution and signal to noise ratio.Comment: 16 pages, 12 figures Submitted to Phys. Med. Bio

Application of Drought Management Guidelines in Spain

The Spanish case study presents the drought planning process carried in the Tagus Basin. The presentation is structured in four parts: organizational, methodological, operational and public review components. The organizational component presents the framework and specific legislations and the organizations and institutions in Spain that work on drought preparedness and mitigation. The methodological component presents the analytical techniques used for drought risk analysis and management. The operational component describes the proposed structure for the drought management plan and presents the specific actions that are contemplated in it. The process review component identifies stakeholders that are involved in the decision making process and presents their views on the process

RESULTADOS PRELIMINARES EN LOS ESTUDIOS DE EFICIENCIA ENERGÉTICA DENTRO DEL PROYECTO DE I+D+i OPTIREG: GESTIÓN EFICIENTE DE REGADÍOS

[ES] El grupo de trabajo WP3 “Eficiencia energética” en el marco del proyecto I+D+i OPTIREG “Gestión Eficiente de Regadíos” del grupo Tragsa, lleva a cabo diversas actuaciones encaminadas a conocer el estado energético y organizativo de la gestión de las CC.RR. modernizadas, buscando metodologías que mejoren las herramientas de diagnóstico de la situación hídrico-energética de una C.RR., como también estrategias operativas que mejoren la eficiencia energética adaptándose a la idiosincrasia y condición de cada caso particular. Para alcanzar estos objetivos, los trabajos se están centrando en varios aspectos: – Recopilación de medidas efectivas de eficiencia energética aplicadas a los diversos ámbitos de la infraestructura y organización en que se diversifica una C.RR. – Caracterización de CC.RR. de Castilla y León con indicadores conocidos y nuevas propuestas de los mismos (benchmarking). – Evaluación de los rendimientos de la EB mediante el estudio de las curvas globales H-Q, P-Q y Rto-Q. – Estudio de curvas de frecuencia de caudales. – Elaboración y calibración de modelos hidráulicos de EB y red de riego en dos zonas piloto para análisis de escenarios simulados con fines a valorar nuevas estrategias de gestión que mejoren la eficiencia energética sin que se vea mermada la calidad del servicio (presión y caudal en el hidrante), ni aumenten el coste energético anual. – Pasarela de comunicación entre el programa de gestión de riegos Progar y Telegestar.Naranjo Hernández, D.; Colom Delgado, S.; Blanco Redondo, J.; González Muñoz, L.; Iglesias Gómez, S. (2015). RESULTADOS PRELIMINARES EN LOS ESTUDIOS DE EFICIENCIA ENERGÉTICA DENTRO DEL PROYECTO DE I+D+i OPTIREG: GESTIÓN EFICIENTE DE REGADÍOS. En XXXIII CONGRESO NACIONAL DE RIEGOS. Valencia 16-18 junio de 2015. Editorial Universitat Politècnica de València. https://doi.org/10.4995/CNRiegos.2015.1463OC

Mitochondrial echoes of first settlement and genetic continuity in El Salvador

Background: From Paleo-Indian times to recent historical episodes, the Mesoamerican isthmus played an important role in the distribution and patterns of variability all around the double American continent. However, the amount of genetic information currently available on Central American continental populations is very scarce. In order to shed light on the role of Mesoamerica in the peopling of the New World, the present study focuses on the analysis of the mtDNA variation in a population sample from El Salvador. Methodology/Principal Findings: We have carried out DNA sequencing of the entire control region of the mitochondrial DNA (mtDNA) genome in 90 individuals from El Salvador. We have also compiled more than 3,985 control region profiles from the public domain and the literature in order to carry out inter-population comparisons. The results reveal a predominant Native American component in this region: by far, the most prevalent mtDNA haplogroup in this country (at ~90%) is A2, in contrast with other North, Meso- and South American populations. Haplogroup A2 shows a star-like phylogeny and is very diverse with a substantial proportion of mtDNAs (45%; sequence range 16090–16365) still unobserved in other American populations. Two different Bayesian approaches used to estimate admixture proportions in El Salvador shows that the majority of the mtDNAs observed come from North America. A preliminary founder analysis indicates that the settlement of El Salvador occurred about 13,400±5,200 Y.B.P.. The founder age of A2 in El Salvador is close to the overall age of A2 in America, which suggests that the colonization of this region occurred within a few thousand years of the initial expansion into the Americas. Conclusions/Significance: As a whole, the results are compatible with the hypothesis that today's A2 variability in El Salvador represents to a large extent the indigenous component of the region. Concordant with this hypothesis is also the observation of a very limited contribution from European and African women (~5%). This implies that the Atlantic slave trade had a very small demographic impact in El Salvador in contrast to its transformation of the gene pool in neighbouring populations from the Caribbean facade

TEMPORAL AND SPATIAL VARIABILITY OF ATMOSPHERIC PARTICLE NUMBER SIZE DISTRIBUTIONS ACROSS SPAIN

This study synthesizes for the first time results from simultaneous aerosol measurements performed at seven diverse locations distributed all over the Spanish geography. The observations were carried out during two field campaigns in 2012–2013, one-month each and during different seasons. These field campaigns were performed in the framework of the Spanish Network of DMAs (REDMAAS) activities. Measurement sites were grouped as polluted sites (urban background) and clean sites (rural background and high-altitude sites). Seasonal differences were more important at polluted sites, mainly related to meteorology and aerosol sources. Higher total particle concentrations were found during the cold period, driven mainly by Aitken-mode particles (traffic-related aerosol particles).This work has been financed by the Ministry of Science and Innovation (CGL2011-15008-E, CGL2010-1777, CGL2011-27020, CGL2014-52877-R, CGL2010-11095-E, CGL2012-39623-C02-01, CGL2014-55230-R & PI15/0051

Long-term benefits of nevirapine-containing regimens: multicenter study with 506 patients, followed-up a median of 9 years

[Abstract] OBJECTIVE: To evaluate long-term outcomes in patients maintaining a nevirapine (NVP)-based regimen. METHODS: Retrospective, multicenter, cohort study including patients currently receiving an NVP regimen that had been started at least 5 years previously. Demographic, clinical, and analytical variables were recorded. RESULTS: Median follow-up was 8.9 (5.7-11.3) years. Baseline characteristics: 74% men, 47 years old, 36% drug users, 40% AIDS, 40% HCV+, 51.4% detectable HIV-1 viral load, CD4 count 395 (4-1,421)/μL, 19% CD4 3.37 mmol/L significantly decreased in a subsample with available values. A significant decrease in transaminases, alkaline phosphatase, and Fib4 score was observed, mainly in HCV+ and ARV-naive patients. CONCLUSIONS: In patients who tolerate NVP therapy, (even those with HCV coinfection), long term benefits may be significant in terms of a progressive improvement in general health status markers and CD4 response, a favorable lipid profile, and good liver tolerability

Epilepsy care during the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) pandemic has affected the care of all patients around the world. The International League Against Epilepsy (ILAE) COVID-19 and Telemedicine Task Forces examined, through surveys to people with epilepsy (PWE), caregivers, and health care professionals, how the pandemic has affected the well-being, care, and services for PWE. The ILAE included a link on their website whereby PWE and/or their caregivers could fill out a survey (in 11 languages) about the impact of the COVID-19 pandemic, including access to health services and impact on mental health, including the 6-item Kessler Psychological Distress Scale. An anonymous link was also provided whereby health care providers could report cases of new-onset seizures or an exacerbation of seizures in the context of COVID-19. Finally, a separate questionnaire aimed at exploring the utilization of telehealth by health care professionals since the pandemic began was available on the ILAE website and also disseminated to its members. Seventeen case reports were received; data were limited and therefore no firm conclusions could be drawn. Of 590 respondents to the well-being survey (422 PWE, 166 caregivers), 22.8% PWE and 27.5% caregivers reported an increase in seizure frequency, with difficulty in accessing medication and health care professionals reported as barriers to care. Of all respondents, 57.1% PWE and 21.5% caregivers had severe psychological distress (k score >13), which was significantly higher among PWE than caregivers (p<0.01). An increase in telemedicine use during the COVID-19 pandemic was reported by health care professionals, with 40% of consultations conducted by this method. Although 74.9% of health care providers thought that this impacted positively, barriers to care were also identified. As we move forward, there is a need to ensure ongoing support and care for PWE to prevent a parallel pandemic of unmet health care needs