Obstructive Jaundice Due to Hepatocarcinoma With Intraductal Growth. Report of a Successful Resection

We present a patient with hepatocellular carcinoma causing obstructive jaundice due to intraductal growth, diagnosed intraoperatively by cholangiography and histological examination, and radically treated by left lobectomy, extrahepatic biliary tract resection and Roux-en-Y hepaticojejunostomy. Survival after operation was 13 months. Other similar cases reported in the literature are reviewed

Depressive symptoms, ruminative thinking, marijuana use motives, and marijuana outcomes: A multiple mediation model among college students in five countries

Treball Final de Grau en Medicina. Codi: MD1158. Curs acadèmic: 2018/2019.Background: Previous studies have evidenced that rumination and drinking motives may mediate the association between depressive symptoms and alcohol outcomes. The present study cross-culturally examined whether a similar mediation model may extend to marijuana. Specifically, we tested distinct rumination facets (problem-focused thoughts, counterfactual thinking, repetitive thoughts, and anticipatory thoughts) and marijuana use motives (social, coping, expansion, conformity, enhancement) as double-mediators of the paths from depressive symptoms to marijuana outcomes (use and consequences). Method: A comprehensive mediation path model was tested in a cross-sectional sample of college student marijuana users (n = 1,175) from five countries (U.S., Argentina, Uruguay, Spain, Netherlands). Multi-group models were tested to determine if the proposed mediational model was invariant across sex and different cultures/countries. Results: Depressive symptoms and marijuana outcomes were indirectly associated through ruminative thinking and marijuana motives. Specifically, higher depressive symptoms were associated with higher problem-focused thoughts; which in turn were associated with: a) higher endorsement of coping motives which in turn was associated with higher marijuana use and related consequences and b) lower endorsement of enhancement motives which in turn was associated with lower marijuana use and related consequences. The multi-group analyses showed that the model was invariant across sex and the five countries. Conclusions: The present research supports the existence of a universal (i.e., cross-national invariant) negative affect regulation pathway to marijuana use/misuse similar to those previously found with alcohol. Additional research is needed to confirm the role of enhancement motives in the associations of depression, rumination and marijuana outcomes

Brasil x Espanha: consumo de energia térmica e emissões de CO2 envolvidos na fabricação de revestimentos cerâmicos

A demanda de energia térmica da indústria de revestimentos cerâmicos é bastante elevada, sendo atendida quase por completo pela combustão do gás natural. Os gastos com geração de energia térmica representam uma grande parte do custo de produção de revestimentos cerâmicos, e as emissões de CO2 resultantes desta atividade industrial são muito expressivas. Neste sentido, o aumento da eficiência térmica nos processos produtivos conhecidos atualmente deve ser buscado constantemente com o objetivo de reduzir o custo de fabricação e as emissões de CO2. Para isso, é necessário dispor de uma base de dados de consumos energéticos e emissões de CO2, a fim de conhecer a situação atual do setor e as possibilidades de aumentar a eficiência energética do processo. Dessa forma, o presente trabalho foi realizado com o objetivo de levantar dados baseados em medições diretas em equipamentos industriais consumidores de gás natural, no Brasil e na Espanha, utilizando a mesma metodologia. Foram visitadas 65 empresas e analisados 130 equipamentos, sendo possível estabelecer comparações entre o consumo de diversas tipologias de produtos, etapas do processo produtivo, distintas rotas de processamento, equipamentos com características construtivas diferenciadas, dentre outros. As informações obtidas constituem um inédito banco de dados que representa a real situação dos setores de revestimentos cerâmicos do Brasil e da Espanha, com respeito ao consumo energético e às emissões de CO2

Reduction of CO2-emissions in ceramic tiles manufacture by combining energy-saving measures

Ceramic tile manufacture requires a great quantity of energy, mainly in the form of heat. The heat is principally used in the kilns and dryers, and it is obtained by natural gas combustion. The increasing cost of natural gas, as well as the application of a new gas tax, the new legislation in regard to emissions trading, and the difficult current economic situation have driven the ceramic tile sector to implement energy-saving actions in the production process with the twofold aim of reducing energy costs and abating carbon dioxide emissions. One such course of action is the European project REDUCER, funded by the European Commission and led by Azulev S.A.U., in which the Instituto de Tecnología Cerámica (ITC) also participates. This project seeks to implement energy-saving actions in company kilns and dryers in order to lower natural gas consumption and reduce carbon dioxide emissions in the tile manufacturing process. One of the saving actions envisaged is the installation of a system of waste heat recovery from one of the company kilns to the tile body dryers. This new waste heat recovery system is to be added to and will complement the already existing system at the company, thus achieving maximum heat recovery from the kiln stacks. The recovered heat will go entirely to the green tile body dryers, thus reducing natural gas consumption in the dryers. The designed installation seeks to recover 600 kW heat from the stacks of one of the kilns, entailing a natural gas saving of more than 120 k€/year and suppressing the emission into the atmosphere of 720 tons of CO2/year, savings that are to be added to those attained with other energy-saving measures. This paper describes the energy-saving actions implemented at the company, as well as the resulting energy savings

Multi-Agent Architecture for Peer-to-Peer Electricity Trading based on Blockchain Technology

The security of smart grids is put at risk due to their automation and remote access features. Blockchain technology can be used as a distributed ledger where data is stored and all the data transactions between the different entities of a smart grid are signed to protect them from such attacks. This paper proposes a multi-agent system (MAS) that combines smart contracts and blockchain to enable Peer-to-Peer electricity trading in a MicroGrid (MG) scenario, without the need for human intervention. The use of blockchain technology helps reduce transaction costs and allows to make micro transactions in the proposed market. Blockchain also improves the security of the platform because all the involved actors can be certain about the authorship of the information produced in the system. Finally, the use of a MAS and the possibility of negotiating between the agents helps obtain an optimal state in the system in which the costs of energy are minimal and the local production of energy is profitable.©2019 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.fi=vertaisarvioitu|en=peerReviewed

Preliminary validity and reliability evidence of the Brief Antisocial Behavior Scale (B-ABS) in young adults from four countries

The present research built on the Self-Reported Delinquency interview and the Antisocial Behavior Scale to develop an updated brief instrument to measure antisocial behavior. College students (n = 3188, 67.75% women) from the USA, Argentina, the Netherlands and Spain completed an online survey. Analyses that combined approaches from the Classical Test Theory and Item Response Theory were conducted to select the items for the brief version. Findings suggested that a 13-item Brief Antisocial Behavior Scale (B-ABS) fulfilled the high-quality criteria: salient factor loadings, adequate discrimination, variability in response endorsement, adequate fit based on infit/outfit values, nondifferent item functioning across the four participating countries, and Cronbach?s alpha and ordinal omega coefficients higher than .70. The B-ABS scores generally significantly correlated with personality scores, mental health and marijuana outcomes, showing criterion-related validity evidence. Our overall findings suggest that B-ABS adequately assesses antisocial behavior in young adults from different countries/cultures.Fil: Mezquita, Laura. Universitat Jaume I; EspañaFil: Bravo, Adrian J.. College of William and Mary; Estados UnidosFil: Pilatti, Angelina. Universidad Nacional de Córdoba. Instituto de Investigaciones Psicológicas. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones Psicológicas; ArgentinaFil: Ortet, Generós. Universitat Jaume I; EspañaFil: Ibáñez, Manuel I.. Universitat Jaume I; Españ

Effects of Social Attitude Change on Smoking Heritability

Societal attitudes and norms to female smoking changed in Spain in the mid-twentieth century from a restrictive to a tolerant, and an even pro-smoking, posture, while social attitudes remained stable for males. We explored whether this difference in gender-related social norms influenced the heritability of two tobacco use measures: lifetime smoking and number of years smoking. We used a population-based sample of 2285 twins (mean age = 55.78; SD = 7.45; 58% females) whose adolescence began between the mid-1950s and the early 1980s. After modeling the effect of sex and year of birth on the variance components, we observed that the impact of the genetic and shared environmental factors varied differently by birth cohort between males and females. For females, shared environment explained a higher proportion of variance than the genetic factors in older cohorts. However, this situation was inverted in the younger female cohorts. In contrast, no birth cohort effect was observed for males, where the impact of the genetic and environmental factors remained constant throughout the study period. These results suggest that heritability is larger in a permissive social environment, whereas shared-environmental factors are more relevant in a society that is less tolerant to smoking

Modelo de los cinco factores de los trastornos de personalidad: Baremo español y validación

The categorical approach of personality disorders (PD) has given way to a dimensional paradigm. Within this, the Five-factor model (FFM) proposes theoretical hypotheses describing personality pathologies and PD empirical prototypes based on the DSM (DSM-PD). Moreover, a methodology to score DSM-PD using the NEO PI-R facets was developed. In this ex post-facto study FFM-PD count norms were developed using data from the NEO PI-R Spanish adaptation. Furthermore, the diagnostic agreement with the IPDE and validity of FFM-PD counts was analyzed in a clinical (n = 222) and non-clinical sample (n = 742). Based on NEO PI-R scores, we presented Spanish FFM-PD normative data. FFM-PD benchmarks were highly likely to be exceeded if subjects were classified as a subclinical case in the DSM-PD. Convergent correlations of FFM-PD counts with their equivalent subclinical cases of DSM-PD were statistically significant and outperformed any divergent correlation as well as the average divergent correlations in all FFM-PD. The use of a count technique based on NEO PI-R facets and Spanish FFM-PD normative data facilitate PD understanding and interpretation in various applied psychology fields.La concepción categórica de los trastornos de personalidad (TP) ha dado paso al paradigma dimensional, donde el modelo de los Cinco Factores (MCF) propone hipótesis teóricas para describir la patología de la personalidad y prototipos empíricos de los TP del DSM, además de técnicas para valorarlos en base a facetas del NEO PI-R. En este estudio ex post-facto se han elaborado baremos para el recuento de TP-MCF a partir de la adaptación española del NEO PI-R. Además, se ha comprobado la coherencia diagnóstica con IPDE y la validez de los recuentos de TP-MCF en una muestra clínica (n = 222) y otra no clínica (n = 742). A partir de las puntuaciones en NEO PI-R se elaboró el baremo español de los TP-MCF, cuyas cotas significativas son superadas con elevada probabilidad por casos subclínicos detectados con IPDE. Las correlaciones convergentes entre los recuentos de TP-MCF y los equivalentes casos de TP-DSM fueron estadísticamente significativas y superaron a cualquier correlación divergente y a la correlación divergente media en todos los TP-MCF. El recuento de facetas relevantes en TP-MCF y el baremo español resultante facilitan la comprensión e interpretación de los TP en distintos ámbitos de la psicología aplicada

Young adult concurrent use and simultaneous use of alcohol and marijuana: A cross-national examination among college students in seven countries

Introduction: Many young adults report frequent co-use of alcohol and marijuana, with some individuals engaging in simultaneous use (SAM; use of both substances within the same occasion resulting in an overlap of their effects) and others in concurrent use (CAM; use of both substances during a similar time period [e.g., past 30 days] but not within the same occasion). Emerging work demonstrates that SAM relative to CAM use places individuals at a greater risk for substance-related harms; however, these results primarily rely on U.S. samples. The goal of the present multi-country study was to examine prevalence rates of CAM and SAM use and examine differences in past 30-day SAM/CAM use on alcohol/marijuana substance-related outcomes among college students from seven countries. Methods: A total of 9171 (70.5% women; Mean age = 20.28, SD = 3.96) college students participated in the cross-sectional online survey study. Results: Among students who endorsed use of both alcohol and marijuana in the past 30-days (n = 2124), SAM use (75.8%) was far more prevalent than CAM use (24.2%). Moreover, ∼75% of students endorsed SAM use within each country subsample. Regression models showed that SAM vs. CAM use was associated with greater alcohol and marijuana use and negative consequences. Conclusions: College students from around the world endorse high rates of SAM use, and this pattern of co-use is associated with greater frequency of use and substance-related harms. On college campuses, SAM use should be a target of clinical prevention/intervention efforts and the mechanisms underpinning the unique harms of SAM need to be clarified.Fil: Bravo, Adrian J.. College of William and Mary; Estados UnidosFil: Prince, Mark A.. State University of Colorado at Boulder; Estados UnidosFil: Pilatti, Angelina. Universidad Nacional de Córdoba. Instituto de Investigaciones Psicológicas. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones Psicológicas; ArgentinaFil: Mezquita, Laura. Universitat Jaume I; EspañaFil: Keough, Matthew T.. University of York; Reino UnidoFil: Hogarth, Lee. University of Exeter; Reino Unid

Motives to play videogames across seven countries: Measurement invariance of the Videogaming Motives Questionnaire

Introduction. Gaming motives appear to be an important predictor of time spent gaming and disordered gaming. The Videogaming Motives Questionnaire (VMQ) has shown adequate psychometric properties to assess gaming motives among Spanish college students. However, the utility of this measure has not yet been explored in other cultures. This research aimed to examine the structure and measurement invariance of the VMQ across seven countries and gender groups, and to provide criterion-related validity evidence for VMQ scores. Method. College students who reported having played videogames in the last year (n = 5192; 59.07 % women) from the US, Canada, South Africa, Spain, Argentina, England, and Uruguay completed an online survey to measure time spent gaming, disordered gaming, and the VMQ. Results. Findings support a 24-item 8-intercorrelated factor model structure for the VMQ in the total sample. Our results also support configural, metric, and scalar invariance of the VMQ across gender groups and countries. Students from North America (US and Canada) scored higher on most gaming motives (except recreation and cognitive development) than students from the other countries. The correlations between VMQ and non-VMQ variables were similar across gender and countries, except in England where VMQ correlations with time spent gaming were stronger. Discussion. These results suggest that the VMQ is a useful measure for assessing gaming motives across young adults from different countries.Funding for open access charge: CRUE-Universitat Jaume