Mechanical characterisation of hydrophobic and hydrophilic acrylates used in intraocular lenses through depth sensing indentation

In this work, the mechanical behaviour of hydrophilic and hydrophobic acrylates has been characterised by depth sensing indentation. Time-dependent behaviour has been studied using load-relaxation tests. Experiments have been simulated with a finite element software using a visco-hyperelastic material model. The parameters of this model have been determined using deep learning techniques. The developed material models have been used to mechanically simulate a standard compression test of a prototype intraocular lens

Epidemiology of injuries in professional and amateur spanish paddle players

Se realizó un estudio epidemiológico descriptivo, observacional y retrospectivo, analizando la incidencia y las características de las lesiones sufridas por jugadores de pádel españoles profesionales y no profesionales. Se registraron las lesiones sufridas por 478 jugadores entre el 1 de enero y el 31 de diciembre de 2016. Se registraron datos sobre el número de lesiones, lesiones más frecuentes, distribución, tipo, ubicación, el momento en que ocurrieron y la causa de las lesiones que afectan el sistema locomotor. La tasa de lesiones en esta población fue de 2,75 lesiones por 1000 horas de exposición al riesgo. Las lesiones leves y aquellas con mecanismos de lesión intrínseca fueron las más frecuentes, y tuvieron lugar el final de la práctica deportiva. La extremidad inferior fue el área corporal más lesionada, y el tejido más lesionado fue el sistema musculo-tendinoso. A su vez, la epicondilitis fue la patología más comúnAn epidemiological study was conducted using retrospective, observational and descriptive methodologies. We sought to analyse the incidence and features of injuries sustained by professional and non-professional Spanish Padel players. In total, 478 injuries were registered in 2016 from January 1st to December 31st. We collected data on the number of injuries, the most frequent injuries, their distribution, type, location, the moment at which these occurred and the cause of the injuries affecting the locomotor system. We found that the injury rate in this population was 2.75 injuries per 1000 hours of risk exposure. The most frequent injuries were those which were mild or with mechanisms of intrinsic injury, and most occurred towards the end any given game or practice. The lower limb was the most frequently injured body area, and the most injured tissue was the muscle-tendinous system. In turn, epicondylitis was the most common patholog

Seasonal variability of oceanographic conditions off NW Galician waters influencing the early life trophic ecology of European hake Merluccius merluccius by stable isotope analysis

Stable isotopes of nitrogen (δ15N) and carbón (δ13C) have been used as tracers for analyzing the trophic ecology of European hake larvae collected during the winter and summer of 2012 off NW Galicia. The sampling times correspond to periods of high and low hake spawning activity, respectively. Trophic enrichment was analyzed using as baseline two different plankton size fractions, corresponding to micro- (55-200μm) and mesozooplankton (>200μm). During both seasons, the δ15N signatures of hake larvae showed higher values than the zooplankton fractions. The first survey carried out in late February was characterized by a preceding marked upwelling, low geostrophic velocities in the hydrographic circulation and an intense mixing of the water column. This environmental scenario is hypothesizing that originated a great nutrient availability for primary consumers showed its effect in the low δ15N values observed in plankton and hake larvae. During July, the environmental setting corresponded to period where the water column was stratified, an anticyclonic gyre was formed in the center of the study area that concentrated particles and weak upwelling conditions and strong geostrophic currents where found. This scenario was characterized hypothetically by low nutrient availability in which production is mainly based on regenerated nutrients which would explain the higher δ15N values found during this period. On the other hand, the greater δ13C values observed in summer in comparison to winter suggest differences in the energetic sources of carbon (Fig. 1). The discussion of results is centered in how oceanographic variability conditions signatures of stable isotope fractionation in the early life trophic food web influencing the variable trophic pathways of larval hake subject to contrasting environmental conditions, thereby affecting their larval nutritional condition as estimated by RNA/DNA ratios and the Fulton index. This study was financed by the projects: CRAMER-CTM2010-21856-CO3 y ECOPREGA-10MMA602021P

Detection of environmental SARS-CoV-2 RNA in a high prevalence setting in Spain.

Since March 2020, Spain (along with many other countries) has been severely affected by the ongoing coronavirus disease 19 (COVID-19) pandemic caused by the rapid spread of a new virus (severe acute respiratory syndrome coronavirus 2; SARS-CoV-2). As part of global efforts to improve disease surveillance, we investigated how readily SARS-CoV-2 RNA could be detected in environmental samples collected from an isolated rural community in Spain with a high COVID-19 prevalence (6% of the population of 883 inhabitants). The first diagnosis of COVID-19-compatible symptoms in the village was recorded on 3 March 2020, and the last known active case resolved on 5 June 2020. By 15 May, two months after strict movement constraints were imposed ('lockdown'), and the cumulative number of symptomatic cases had increased to 53. Of those cases, 22 (41%) had been tested and confirmed by RT-PCR. On 13 May and 5 June, samples were collected from high-use surfaces and clothes in the homes of 13 confirmed cases, from surfaces in nine public service sites (e.g. supermarket and petrol station) and from the wastewater of the village sewage system. SARS-CoV-2 RNA was detected in 7 of 57 (12%) samples, including three households and three public sites. While there is not yet sufficient evidence to recommend environmental surveillance as a standard approach for COVID-19 epidemiology, environmental surveillance research may contribute to advance knowledge about COVID-19 by further elucidating virus shedding dynamics and environmental contamination, including the potential identification of animal reservoirs.S

The volume of ERCP per endoscopist is associated with a higher technical success and a lower post-ERCP pancreatitis rate. A prospective analysis

Introduction: conflicting results have been reported regarding the influence of the annual volume of endoscopic retrograde cholangiopancreatography (ERCP) on outcome. Objective: to evaluate the influence of case volume on ERCP outcomes. Patients and methods: an analysis of a prospective database was performed, comparing the outcomes of ERCP in three consecutive periods defined by the number of endoscopists performing ERCP: five endoscopists in period I (P1), four in period II (P2) and three in period III (P3). Only patients with biliary ERCP in accessible and naïve papilla were included. Primary variables were cannulation rates and adverse effects (AE). The American Society of Gastrointestinal Endoscopy (ASGE) complexity grades III and IV were considered as highly complex procedures. Results: a total of 2,561 patients were included: 727 (P1), 972 (P2) and 862 (P3). There were no differences in age and sex between groups (p > 0.05). The cannulation rate was significantly higher in P2 and P3: 92.4 % vs 93.3 % vs 93 % (p = 0.037). The AE rate was 13.8 %, 12.6 % and 10.3 % (p > 0.05), respectively. The rate of post-ERCP pancreatitis was significantly lower in P3: 8.5 %, 7.3 % and 5 % (p = 0.01). The rate of complex procedures was 12 %, 14.8 % and 27 % (p < 0.0001), respectively. Two endoscopists participated in all periods and only one had significantly improved outcomes. Cannulation and post-ERCP pancreatitis rates remained significantly better in P3 after adjusting for sex, complexity and endoscopist. Conclusion: a higher annual volume of ERCP per endoscopist was associated with a higher rate of cannulation and a lower rate of post-ERCP pancreatitis, despite the greater complexity of the procedures. These beneficial effects seem to differ between endoscopists

Shifts in the seasonal trophic ecology of larvae and juveniles of European hake (Merluccius merluccius): From the Galician upwelling system (NW Spain).

The trophic ecology of European hake (Merluccius merluccius) larvae and early-juveniles from the Iberian shelf off Galicia (NW Spain) are assessed by means of stable isotopes (SIA) and nutritional condition in conjunction with hydrobiological variations observed during the winter and summer season of 2012. Hake early-juveniles (18–47 mm SL) showed higher δ15N than larvae (3–11 mm SL) together with the microzooplankton (55–200 μm) and mesozooplankton (>200 μm) during both seasons. Low δ15N values and high variability in both zooplankton and hake larvae were found during winter coinciding with an unusually strong upwelling event. Inversely, high δ15N content in zooplankton in summer suggests strong nitrogen reutilization. However, hake larvae sampled in summer had a higher RNA:DNA ratio in line with higher Fulton condition factors than those sampled in winter. Higher δ13C values for microzooplankton and mesozooplankton and hake larvae in summer compared to late winter point to prey availability differences. The relationship between nitrogen and carbon stable isotopes versus size or weight suggests an ontogenetic shift in the diet of hake larvae. Early-juveniles had a lower isotopic niche width compared to larvae in both late winter and summer, indicating a trophic specialization related to changes following settlement process from planktonic life to demersal habitat. Higher trophic specialization was observed in summer, which recorded a narrower isotopic niche and higher trophic position estimations.En prensa2,04

MWP true time delay implemented in PbS-SU8 waveguides

Es presenta un nou tipus de dispositiu de retard en temps real de microones (TTD) basat en la dispersió de punts quàntics col·loïdals PbS (QD) en el fotoresist SU8 disponible comercialment. Amb aquest propòsit, els nanocompostos PbS-SU8 s’integren en una plataforma de silici en forma de guies d’ones de cresta. Quan aquestes estructures es bomben a longituds d’ona per sota de l’interval de banda dels PbS QD, es realitza un desplaçament de fase en un senyal de microones transmès òpticament (a 1550 nm) i, per tant, es produeix un retard temporal. A més, es milloren els resultats mitjançant la implementació d’una nova guia d’ones de doble capa de cresta composta per un nanocompost PbS-SU8 i una capa passiva SU8 que redueix les pèrdues degudes al feix de la bomba i, per tant, millorar l’excitació dels QD. El dispositiu resultant mostra avantatges potencials respecte a les tecnologies TTD actuals, ja que permet una ràpida sintonització del retard temporal controlant la potència de la bomba i un alt nivell d’integració a causa de la seva petita mida i el material utilitzat.JCI-2012-14805FPU 13/04675PROMETEO II/2013/012EU-NAVOLCHI project 288869TEC2011-29120-C05-01TEC2011-29120-C05-05A new kind of microwave true time delay (TTD) device based on the dispersion of PbS colloidal quantum dots (QDs) in the commercially available photoresist SU8 is presented. For this purpose PbS-SU8 nanocomposites are integrated on a silicon platform in the form of ridge waveguides. When these structures are pumped at wavelengths below the band-gap of the PbS QDs, a phase shift in an optically conveyed (at 1550 nm) microwave signal is performed and therefore a temporal delay is produced. Furthermore, results are improved by implementing a novel ridge bilayer waveguide composed by a PbS-SU8 nanocomposite and a SU8 passive layer that reduces the losses due to the pump beam, and hence to improve the excitation of the QDs. The resulting device shows potential benefits respect to the current TTD technologies since it allows a fast tunability of the temporal delay by controlling the pump power and a high level of integration due to its small size and the material used

Satisfaction rating in a group of women from Granada on birthing care, support and breastfeeding lenght

Introducción: El análisis de la satisfacción se está utilizando como instrumento para crear diferentes reformas sanitarias para la mejora de la calidad y numerosos estudios apuntan al incremento de la satisfacción de la madre en relación directa con el cuidado en la maternidad. Objetivos: Identificar el grado de satisfacción de la mujer sobre la atención al parto, el acompañamiento durante el nacimiento y la duración de la lactancia materna. Objetivos: Identificar el grado de satisfacción de la mujer sobre la atención al parto, el acompañamiento durante el nacimiento y la duración de la lactancia materna. Material y método: Estudio descriptivo transversal en el Hospital Universitario San Cecilio de Granada (España), durante el periodo de tiempo agosto del 2011 al 2012, se realizo con una segunda fase de seguimeinto prospectivo a una N= 60 madres. Se utilizó un protocolo (anexo 1) a las 24 horas en el hospital y a los 14 días por teléfono. A los 3 meses, se realizó un seguimeinto relacionado con la alimentación del bebe. Resultados: El nivel de satisfacción global sobre el parto es alto en la población estudiada. Se ha demostrado que la lactancia materna (P=0,514) y el parto vía vaginal sin epidural (P=0,320) crea una mayor satisfacción en la madre. Por otro lado, la satisfacción sobre el parto guarda relación con la duración de la lactancia materna. Conclusión: La opinión satisfactoria de las madres relacionadas con la atención al parto y el acompañamiento durante el nacimiento se incrementa en aquellas mujeres cuyo parto ocurrió de forma eutócica sin epidural e iniciaron la lactancia materna precoz

Clinical outcomes of temporary mechanical circulatory support as a direct bridge to heart transplantation: a nationwide Spanish registry

Background: In Spain, listing for high-urgent heart transplantation is allowed for critically ill candidates not weanable from temporary mechanical circulatory support (T-MCS). We sought to analyse the clinical outcomes of this strategy. Methods and results: We conducted a case-by-case, retrospective review of clinical records of 291 adult patients listed for high-urgent heart transplantation under temporary devices from 2010 to 2015 in 16 Spanish institutions. Survival after listing and adverse clinical events were studied. At the time of listing, 169 (58%) patients were supported on veno-arterial extracorporeal membrane oxygenation (VA-ECMO), 70 (24%) on temporary left ventricular assist devices (T-LVAD) and 52 (18%) on temporary biventricular assist devices (T-BiVAD). Seven patients transitioned from VA-ECMO to temporary ventricular assist devices while on the waiting list. Mean time on T-MCS was 13.1 ± 12.6 days. Mean time from listing to transplantation was 7.6 ± 8.5 days. Overall, 230 (79%) patients were transplanted and 54 (18.6%) died during MCS. In-hospital postoperative mortality after transplantation was 33.3%, 11.9% and 26.2% for patients bridged on VA-ECMO, T-LVAD and T-BiVAD, respectively (P = 0.008). Overall survival from listing to hospital discharge was 54.4%, 78.6% and 55.8%, respectively (P = 0.002). T-LVAD support was independently associated with a lower risk of death over the first year after listing (hazard ratio 0.52, 95% confidence interval 0.30–0.92). Patients treated with VA-ECMO showed the highest incidence rate of adverse clinical events associated with T-MCS. Conclusion: Temporary devices may be used to bridge critically ill candidates directly to heart transplantation in a setting of short waiting list times, as is the case of Spain. In our series, bridging with T-LVAD was associated with more favourable outcomes than bridging with T-BiVAD or VA-ECMO

MWP phase shifters integrated in PbS-SU8 waveguides

We present new kind of microwave phase shifters (MPS) based on dispersion of PbS colloidal quantum dots (QDs) in commercially available photoresist SU8 after a ligand exchange process. Ridge PbS-SU8 waveguides are implemented by integration of the nanocomposite in a silicon platform. When these waveguides are pumped at wavelengths below the band-gap of the PbS QDs, a phase shift in an optically conveyed (at 1550 nm) microwave signal is produced. The strong light confinement produced in the ridge waveguides allows an improvement of the phase shift as compared to the case of planar structures. Moreover, a novel ridge bilayer waveguide composed by a PbS-SU8 nanocomposite and a SU8 passive layer is proposed to decrease the propagation losses of the pump beam and in consequence to improve the microwave phase shift up to 36.5° at 25 GHz. Experimental results are reproduced by a theoretical model based on the slow light effect produced in a semiconductor waveguide due to the coherent population oscillations. The resulting device shows potential benefits respect to the current MPS technologies since it allows a fast tunability of the phase shift and a high level of integration due to its small size