23 research outputs found

    Consenso colombiano para el manejo de pacientes con Hipofosfatasia

    Get PDF
    La hipofosfatasia (HPP) es una enfermedad metabólica, de tipo hereditario, causada por mutaciones en el gen ALPL. Teniendo en cuenta los retos del manejo adecuado de los pacientes con HPP, se realizó un consenso interdisciplinario de expertos (endocrocrinólogos pediatras, nefrólogos pediatras, ortopedistas infantiles y genetistas clínicos) con el fin de proponer recomendaciones de utilidad clínica para el diagnóstico, tratamiento y seguimiento de los pacientes colombianos con HPP. Estas sugerencias se realizan en el contexto de los diferentes tipos de presentaciones y las edades de los pacientes.Q41-7Hypophosphatasia (HPP) is a hereditary metabolic disease caused by mutations in the ALPL gene. Taking into account the challenges found in the adequate management of patients with HPP, an interdisciplinary consensus of experts (pediatric endocrinologists, pediatric nephrologists, pediatric orthopedists and clinical geneticists) was carried out, in order to propose recommendations of clinical utility for the diagnosis, treatment and follow-up of Colombian patients with HPP. These suggestions are made in the context of the different types of presentations and the ages of the patients

    Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

    Get PDF
    A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

    Get PDF
    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Modelo espacial para la detección de sitios potenciales para la alimentación de aves playeras migratorias en el noroeste de México

    No full text
    La mayoría de las aves playeras migratorias hacen uso de los humedales principalmente como zonas de alimentación; estos sitios están sujetos a diversas amenazas debido a que en ellos convergen varios intereses humanos. El noroeste de México es una región que presenta gran abundancia de aves playeras y forma parte del corredor migratorio del Pacífico; sin embargo, aún no se cuenta con información sistemática que proporcione las bases para identificar y priorizar los hábitats aptos para la alimentación de estas aves y que brinde herramientas para desarrollar estrategias de manejo. Debido a la extensión y complejidad de estos hábitats, las imágenes de satélite son una herramienta útil para ubicarlos y caracterizarlos. En este trabajo, describimos un marco metodológico para desarrollar modelos espaciales como herramienta para identificar humedales potenciales para la alimentación de aves playeras migratorias mediante el análisis de imágenes satelitales Landsat TM, sistemas de información geográfica y métricas de paisaje. Nuestros resultados muestran diferencias consistentes en la configuración espacial de los sitios identificados en la Península de Baja California y el macizo continental. Asimismo, muestran que los sitios continentales presentan una mayor conectividad y extensión, mientras que los sitios peninsulares presentan menor extensión y mayor aislamiento. Discutimos que los aspectos que contribuyen al grado de importancia de un sitio como zona de alimentación para estas aves son su extensión, el grado de agrupamiento de los parches de sustrato húmedo dentro en cada zona y la distancia entre zonas

    Student Engagement and Academic Performance in the Colombian University Context.

    No full text
    Despite the increase in Latin America of Higher Education coverage, grave dropout problems persist that question the role of educational experiences to foster students’ academic engagement. This study was carried out in Colombia and sought to establish the relationship between the five benchmarks that compose academic engagement and the academic performance of a group of Colombian university students. The transversal and correlational study used the Spanish version of the National Survey of Student Engagement (NSSE) that measures students’ level of participation in five dimensions: Academic challenge, active and collaborative learning, student-faculty interaction, enriching educational experiences, and supportive campus environment and its relationship to academic performance. The findings of 1906 students from 7 universities indicate that there are statistically significant, but weak correlations between the items that compose the benchmarks and students’ academic performance, which lead to reflect upon key aspects to strengthen the education experiences offered to university students

    Interannual shifts in sea surface temperature and chlorophyl drive the relative abundance and group size of common bottlenose dolphins Tursiops truncatus on the Southeast Gulf of California

    No full text
    Despite being one of the most common odontocetes off Sinaloa (Mexican Pacific coast), basic studies on the ecology of common bottlenose dolphins (Tursiops truncatus) are scarce in the region. This study aimed to describe changes in the relative abundance, group size, and behavior of this species during 2007 – 2012. We used boat-based surveys and satellite images of sea surface temperature (SST) and chlorophyll-a (Chl-a) to model changes in dolphin relative abundance (RA) over time, using correlations in time series analyses. Overall, mean RA was 3.6 dolphins h-1 (SD = 8.0), and significantly higher RA (6.4 –16.7 dolphins h-1) occurred in 2008, 2011, 2012, which was concurrent with hydrographic effects of La Niña oceanographic conditions, as well as during the upwelling season (February – April) (SST: 17.3 – 25.0 °C; Chl-a: 3.7 – 21.4 mg m-3). Conversely, significantly lower RA values (0.5 – 3.8 dolphins h-1) occurred in 2007 and 2010 that were likely associated with El Niño effects on the biological productivity of the area (Chl-a: 0.3 – 7.6 mg m-3). We found significant correlations between monthly Chl-a and SST average values with mean bottlenose dolphins RA, and lags (22 – 29 days) in the trophic response to variations of the hydrographic parameters. Significantly larger dolphin groups were recorded during La Niña years possibly because of the higher availability of their prey. This hypothesis is supported by higher feeding frequencies (35 – 73%) observed during the upwelling seasons, especially during La Niña conditions, whereas the most frequent behavior throughout all other years was traveling (28 – 69%). Our results show that RA and group size of bottlenose dolphins inhabiting the waters off Sinaloa, Mexico, are likely influenced by the changes in hydrographic parameters, especially during extreme climatic events
    corecore