Nutritional status and nutritional treatment are related to outcomes and mortality in older adults with hip fracture

Malnutrition is very prevalent in geriatric patients with hip fracture. Nevertheless, its importance is not fully recognized. The objective of this paper is to review the impact of malnutrition and of nutritional treatment upon outcomes and mortality in older people with hip fracture. We searched the PubMed database for studies evaluating nutritional aspects in people aged 70 years and over with hip fracture. The total number of studies included in the review was 44, which analyzed 26,281 subjects (73.5% women, 83.6 ± 7.2 years old). Older people with hip fracture presented an inadequate nutrient intake for their requirements, which caused deterioration in their already compromised nutritional status. The prevalence of malnutrition was approximately 18.7% using the Mini-Nutritional Assessment (MNA) (large or short form) as a diagnostic tool, but the prevalence was greater (45.7%) if different criteria were used (such as Body Mass Index (BMI), weight loss, or albumin concentration). Low scores in anthropometric indices were associated with a higher prevalence of complications during hospitalization and with a worse functional recovery. Despite improvements in the treatment of geriatric patients with hip fracture, mortality was still unacceptably high (30% within 1 year and up to 40% within 3 years). Malnutrition was associated with an increase in mortality. Nutritional intervention was cost effective and was associated with an improvement in nutritional status and a greater functional recovery. To conclude, in older people, the prevention of malnutrition and an early nutritional intervention can improve recovery following a hip fracture

Group decision-making based on heterogeneous preference relations with self-confidence

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.Preference relations are very useful to express decision makers’ preferences over alternatives in the process of group decision-making. However, the multiple self-confidence levels are not considered in existing preference relations. In this study, we define the preference relation with self-confidence by taking multiple self-confidence levels into consideration, and we call it the preference relation with self-confidence. Furthermore, we present a two-stage linear programming model for estimating the collective preference vector for the group decision-making based on heterogeneous preference relations with self-confidence. Finally, numerical examples are used to illustrate the two-stage linear programming model, and a comparative analysis is carried out to show how self-confidence levels influence on the group decision-making results

Dynamic model for energy predicting in WECS

This paper presents a dynamic simulation model of a wind generator, that allow to predict the quantity of removable energy in a specific place, using as initial condition wind measurements register in that place. The model is composed of four modules.The frist one is used to model de wind behaviour. The second is orientend to the aerodynamics model. The third is focused on the mechanical connection between the hub and the electrical machine. Finally, the fourth is dedicated to the electrical machine. The first model dedicated to the wind behaviour, includes an stochastic model. The aerodynamics conversion is base on the Strip Theory. The connection between the hub and the electrical machine used the mechanical differential equations. Finally, the electrical machine is modelled using the Power System Blockset including in Matlab Simulink

Photophysical properties of [(norharmane)Re(CO)3 (L)]+ complexes (L = bpy, phen or dppz). Redox behavior of the excited states and their interaction with Calf Thymus DNA

The photochemical and photophysical properties of [(nHo)Re(CO)3(L)]+ complexes, where nHo = 9H-pyrido[3,4-b]indole and L = 2,2′ bipyridine (bpy), 1,10 phenantroline (phen) or dipyridil[3,2-a:2′3′-c]phenazine (dppz) were investigated by Laser Flash Photolysis (LFF) and Pulse Radiolysis (PR) techniques. While complexes with L = bpy or phen show absorption transients compatible with MLCTRe→L excited states, [(nHo)Re(CO)3(dppz)]+ showed an excited state assignable to a dppz-centered, 3ππ*dppz. In aqueous solutions, the last complex does not generate any absorption transient. However, when Calf thymus DNA was added, the same absorption spectrum was obtained. These results suggest that this complex can intercalate into DNA. The species generated in either reductive or oxidative conditions in LFF experiments were compared with those obtained in PR. Also, the quenching rate constants (kq) of the excited states with MV2+ were calculated. The intercalation of the [(nHo)Re(CO)3(dppz)]+ into DNA, increases kq ∼100 times. This result is rationalized in terms of the conditions created by the intercalation using the biopolymer as a well-organized matrix.Fil: Maisuls, Iván. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones Biotecnológicas. Instituto de Investigaciones Biotecnológicas "Dr. Raúl Alfonsín" (sede Chascomús). Universidad Nacional de San Martín. Instituto de Investigaciones Biotecnológicas. Instituto de Investigaciones Biotecnológicas "Dr. Raúl Alfonsín" (sede Chascomús); Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas; ArgentinaFil: Cabrerizo, Franco Martín. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones Biotecnológicas. Instituto de Investigaciones Biotecnológicas "Dr. Raúl Alfonsín" (sede Chascomús). Universidad Nacional de San Martín. Instituto de Investigaciones Biotecnológicas. Instituto de Investigaciones Biotecnológicas "Dr. Raúl Alfonsín" (sede Chascomús); ArgentinaFil: Lappin, Alexander G.. University of Notre Dame-Indiana; Estados UnidosFil: Ruiz, Gustavo Teodosio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas; ArgentinaFil: Ferraudi, Guillermo J.. University of Notre Dame-Indiana; Estados Unido

Topographic characterisation of dental implants for commercial use

To characterize the surface topography of several dental implants for commercial use. Dental implants analyzed were Certain (Biomet 3i), Tissue Level (Straumann), Interna (BTI), MG-InHex (MozoGrau), SPI (Alphabio) and Hikelt (Bioner). Surface topography was ascertained using a confocal microscope with white light. Roughness parameters obtained were: Ra, Rq, Rv, Rp, Rt, Rsk and Rku. The results were analysed using single-factor ANOVA and Student-Neuman-Keuls(p<0.05) tests. Certain and Hikelt obtained the highest Ra and Rq scores, followed by Tissue Level. Interna and SPI obtained lower scores, and MG-InHex obtained the lowest score. Rv scores followed the same trend. Certain obtained the highest Rp score, followed by SPI and Hikelt, then Interna and Tissue Level. MG-InHex obtained the lowest scores. Certain obtained the highest Rt score, followed by Interna and Hikelt, then SPI and Tissue Level. The lowest scores were for MG-InHex. Rsk was negative (punctured surface) in the MG-InHex, SPI and Tissue Level systems, and positive (pointed surface) in the other systems. Rku was higher than 3 (Leptokurtic) in Tissue Level, Interna, MG-InHex and SPI, and lower than 3 (Platykurtic) in Certain and Hikelt. The type of implant determines surface topography, and there are differences in the roughness parameters of the various makes of implants for clinical use

Increased nutrients from aeolian-dust and riverine origin decrease the CO2-sink capacity of coastal South Atlantic waters under UVR exposure

Increases in ultraviolet radiation (UVR) levels due to the ongoing stratification of water bodies and higher nutrient concentrations either through riverine or aeolian-dust-inputs are expected in the near future in coastal surface waters. Here, we combined remote-sensing data of particulate organic carbon (POC; 1997–2016 period), observational data of solar radiation (1999–2015 period), and a mid-term experimental approach with coastal plankton communities from South Atlantic Ocean (SAO) to test how the interaction between increased nutrients by riverine and aeolian-dust inputs and high UVR may alter the community dynamics and the CO2 sink capacity of these ecosystems in the future. Our results show a decline ∼ 27% in the sink capacity of the coastal ecosystems regardless of the nutrient source considered and under high UVR levels. This decreased CO2 uptake was coupled with a high dynamic photoinhibition and dark recovery of photosystem II and shifts in the community structure toward the dominance by nano-flagellates. Moreover, remote-sensing data also evidences an incipient tipping point with decreasing POC values in this area over the annual planktonic succession. Therefore, we propose that to continue this climate and human-mediated pressure, these metabolic responses could be strengthened and extended to other productive coastal areas.Fil: Cabrerizo, Marco J.. Universidad de Granada; España. Fundación Playa Unión. Estación de Fotobiología Playa Unión; ArgentinaFil: Carrillo, Presentación. Universidad de Granada; EspañaFil: Villafañe, Virginia Estela. Fundación Playa Unión. Estación de Fotobiología Playa Unión; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Medina Sánchez, Juan Manuel. Universidad de Granada; EspañaFil: Helbling, Eduardo Walter. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación Playa Unión. Estación de Fotobiología Playa Unión; Argentin

El altar de San Ildefonso ( Granada, s. XVII): aparición de Santa Leocadia y disputa con los herejes, permanencia de una tradición iconográfica que se remonta al siglo XIII. (Lámina II, del cód. Tll, Cantigas de Santa María núm. 2)

The present paper offers a comparative study of accounts of the life of St. lldefonso and demonstrates that this topic has been a recurren! one both in literature and painting from the 13th century (miniatures from the Cantigas de Santa María) to the 17th century (St. Ildefonso Church, Granada) onwards. We establish the principal themes of this legend and analyse its rhetorical representations in both visual and narrative art. A study of the altar paintings reveals a picture of Erasmus of Rotterdam, and the political and educational relevance of this find coincides with the enthusiasm for the ideas of Erasmus prevalen! in the Granada of that time.Estudio comparativo de los textos que narran la historia de San Ildefonso y comprobación de su permanencia literaria e iconográfica desde el siglo XIII (miniaturas de las Cantigas de Santa María) hasta el XVII (iglesia de San lldefonso, Granada), en el que constatamos la presencia de los principales tópicos de la leyenda y de su ordenación retórica dentro de la narrativa visual, análoga a la literaria. El estudio de las pinturas del altar descubre una representación de Erasmo de Rotterdam, cuyo valor didáctico-político se confirma dentro del ambiente erasmista que se vivía en la Granada del momento

Multiple interacting environmental drivers reduce the impact of solar UVR on primary productivity in Mediterranean lakes

Increases in rainfall, continental runoff, and atmospheric dust deposition are reducing water transparency in lakes worldwide (i.e. higher attenuation Kd). Also, ongoing alterations in multiple environmental drivers due to global change are unpredictably impacting phytoplankton responses and lakes functioning. Although both issues demand urgent research, it remains untested how the interplay between Kd and multiple interacting drivers affect primary productivity ( Pc). We manipulated four environmental drivers in an in situ experiment—quality of solar ultraviolet radiation (UVR), nutrient concentration (Nut), CO2 partial pressure ( CO2), and light regime (Mix)—to determine how the Pc of nine freshwater phytoplankton communities, found along a Kd gradient in Mediterranean ecosystems, changed as the number of interacting drivers increased. Our findings indicated that UVR was the dominant driver, its effect being between 3–60 times stronger, on average, than that of any other driver tested. Also, UVR had the largest difference in driver magnitude of all the treatments tested. A future UVR × CO2 × Mix × Nut scenario exerted a more inhibitory effect on Pc as the water column became darker. However, the magnitude of this synergistic effect was 40–60% lower than that exerted by double and triple interactions and by UVR acting independently. These results illustrate that although future global-change conditions could reduce Pc in Mediterranean lakes, multiple interacting drivers can temper the impact of a severely detrimental driver (i.e. UVR), particularly as the water column darkens.Ministerio de Economía y Competividad (MINECO)European Union (EU) MICROSENSCGL2011-23681 METAS-CGL2015-67682-RMedio Ambiente, Rural, y Marino PN2009/067Junta de Andalucía CVI-02598 P09-RNM-5376Fundación Playa Unión (Argentina)Juan de la Cierva-Formacion from the Ministerio de Ciencia, Innovación y Universidades FJCI2017-32318Postdoctoral contract "Contrato Puente" from Plan Propio (FP7/2017) of the University of GranadaMETAS projec

Massless particles in three-dimensional Lorentzian warped products

The model of a massless relativistic particle with curvature-dependent Lagrangian is well known in (d+1)-dimensional Minkowski space. For other gravitational fields less rigid than those with constant (zero) curvature only a few results are known. In this paper, we give a geometric approach in order to solve the field equations associated with that Lagrangian in the setting of an interesting three-dimensional background, namely, a three-dimensional warped product with Lorentzian fibers. When some rigidity conditions are imposed to the fiber (constant Gauss curvature), the trajectories can be totally described. Several examples help us clarify this.Ministerio de Educación y CienciaFondo Europeo de Desarrollo RegionalJunta de Andalucí

Saharan dust inputs and high UVR levels jointly alter the metabolic balance of marine oligotrophic ecosystems

The metabolic balance of the most extensive bioma on the Earth is a controversial topic of the global-change research. High ultraviolet radiation (UVR) levels by the shoaling of upper mixed layers and increasing atmospheric dust deposition from arid regions may unpredictably alter the metabolic state of marine oligotrophic ecosystems. We performed an observational study across the south-western (SW) Mediterranean Sea to assess the planktonic metabolic balance and a microcosm experiment in two contrasting areas, heterotrophic nearshore and autotrophic open sea, to test whether a combined UVR × dust impact could alter their metabolic balance at mid-term scales. We show that the metabolic state of oligotrophic areas geographically varies and that the joint impact of UVR and dust inputs prompted a strong change towards autotrophic metabolism. We propose that this metabolic response could be accentuated with the global change as remote-sensing evidence shows increasing intensities, frequencies and number of dust events together with variations in the surface UVR fluxes on SW Mediterranean Sea. Overall, these findings suggest that the enhancement of the net carbon budget under a combined UVR and dust inputs impact could contribute to boost the biological pump, reinforcing the role of the oligotrophic marine ecosystems as CO2 sinks.This work was funded by the Ministerio Español de Ciencia e Innovación (CGL2011–23681 and CGL2015-67682-R), and Campus de Excelencia Internacional del Mar (CeiMar). M.J.C. and J.M.G.-O. were supported by the Spanish Government Fellowship “Formación de Profesorado Universitario” (FPU12/01243 and FPU14/00977, respectively)