Mapping the intangible: The re-semanticisation of the urban landscapes through different spaces of perception.

This paper deals with the contemporary crisis in urban landscape from a phenomenological point of view, presenting new research perspectives and analytical challenges for urban and landscape stud-ies. This crisis in urban landscape is evident in the mapping of con-temporary urban territories done by architects and urban scholars. These representations do not transmit desires, ideologies, or connota-tions. First, it reviews the understanding of the city as a multiple and a de-centered research object by analyzing the space of perception, which makes possible to discover phenomenological relation of the self with the urban environment, the self-consciousness and self-awareness, and the individual’s mental engagement with ethe city. Second, it proposes research about the urban landscape carried by researchers from the Fine Arts field of study, a re-discovery of the urban spaces that are already known by visual empirical data. The city is discov-ered by individuals who take distance and “look”, individuals who “name” what they see and who “represent” it. Finally, it concludes by discussing some consequences of this exami-nation of the city, especially looking at the qualitative parameters of the urban space and the reassertion of the problem of complexity, especially urban landscape complexity as a point of arrival for these artistic methodologies.La investigación que ha dado lugar a esta comunicación se ha realizado en el marco del GpIE 22-016 "Arte y Ciudad" y del proyecto de investigación "Sistema experto de indicadores intangibles del paisaje urbano" (ULPAES) B4-2021-04, ambos financiados por el Plan de Investigación de la Universidad de Málaga y el Servicio de Formación e Innovación de la Universidad de Málaga. Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tec

Using a Robot to Treat Non-specific Low Back Pain: Results From a Two-Arm, Single-Blinded, Randomized Controlled Trial

Non-specific low back pain (NSLBP) affects many people and represents a high cost for health care. Manual pressure release of myofascial trigger points is used to treat NSLBP and is very effective but difficult to standardize since it is provided by different therapists, which also suffer musculoskeletal complications from this highly repetitive activity. A robot designed for this purpose may help in reducing these problems. Here, we present data from a two-arm, single-blinded, randomized controlled clinical trial evaluating the efficiency of a therapeutic massage robot (ADAMO) in reducing NSLBP (clinicaltrials.gov, registration number: NCT04882748). Forty-four patients were randomly distributed into the two arms of the study (robot vs. control). A physician filled the Oswestry disability index (ODI) before starting the treatment and at the end of it, in a blind fashion. In addition, patients filled a visual analogue scale (VAS) after each of the 10 treatment sessions. The ODI and the VAS were analyzed as the primary and secondary outcome measures. Both treatments (robot and control) resulted in a significantly lower ODI (p < 0.05). On the other hand, robot-treated patients significantly reduced their VAS levels (p = 0.0001) whereas control treatment did not reach statistical significance. Patients of both sexes obtained similar benefits from either treatment. Overweight patients (body mass index ≥ 25kg/m(2)) in the robot arm benefited more from the treatment (p = 0.008) than patients with normal weight. In conclusion, the ADAMO robot is, at least, as efficient as regular treatment in reducing low back pain, and may be more beneficial for specific patients, such as those with excessive weight

The Experience With Health Care of Patients With Inflammatory Arthritis: A Cross-sectional Survey Using the Instrument to Evaluate the Experience of Patients With Chronic Diseases

[Abstract] Background: Patients' experience with health care is becoming a key component for the provision of a patient-centered health care model. The aim of this study was to assess the experience with health care of patients with inflammatory arthritis and patient- and health care-related factors. Methods: Patients responded to an anonymous survey provided by their treating clinical teams. The survey comprised the validated 12-item IEXPAC (Instrument to Evaluate the EXperience of PAtients with Chronic diseases) tool and demographic variables and health care-related characteristics that may affect patients' experience. Results: A total of 359 of 625 surveys were returned (response rate, 57.4%). Overall, patient responses were positive (>60% gave "always/mostly" answers) for statements assessing the interaction between patients and health care professionals or patient self-management following health care professional guidance. However, positive patient responses for items regarding patient interaction with the health care system via the internet or with other patients were less than 13%. Only 25.6% of patients who had been hospitalized reported receiving a follow-up call or visit following discharge. In the bivariate analysis, experience scores were higher (better experience) in men, those seen by fewer specialists or by the same physician, and in patients treated with a fewer number of drugs or with subcutaneous/intravenous drugs. Multivariate analyses identified regular follow-up by the same physician and treatment with subcutaneous/intravenous drugs as variables associated with a better patient experience. Conclusions: This study identifies areas of care for patients with inflammatory arthritis with the potential to improve patients' experience and highlights the importance of patient-physician relationships and comprehensive patient care

Tutorial action in the EHEA at the Faculty of Pharmacy of US: 4 years of experience of a student mentoring program

La Facultad de Farmacia de la Universidad de Sevilla (US) tiene en marcha un Programa de Alumnos Tutores desde 2006/07 con el objetivo de que alumnos de cursos superiores (AATT) tutelen a alumnos de nuevo ingreso (1x3). Pretende generar una actitud responsable en los AATT y favorecerles el desarrollo de habilidades sociales, objetivos cualitativos dentro de la educación universitaria que sirven como preparación previa a su inserción en el mundo laboral. La actividad es supervisada por Profesores Tutores (1x3) que analizan la evolución de ambos grupos de alumnos. Es una supervisión activa a través de distintas vías de acción para ayudar a la consecución de objetivos, tales como entrevistas periódicas, revisión de informes, acciones de apoyo como charlas sobre técnicas de estudio, coloquios sobre salidas laborales, exposiciones de las experiencias personales de algunos alumnos recientemente egresados, gestión estratégica de búsqueda de empleo, elaboración de portafolios,… Con respecto a la evolución del programa, el número de profesores ha crecido moderadamente llegando a una situación estable, mientras que el número de alumnos, tanto tutores como tutelados, ha crecido en un ritmo constante acorde a las restricciones indicadas. Los resultados son muy positivos, entendiéndose que el proyecto se enmarca en un contexto más cualitativo que cuantitativo y que el principal objetivo es el robustecimiento de la experiencia y asentar una dinámica de apoyo hacia los alumnos de nuevo ingreso y de planificación de tareas, tutela y responsabilidad en general de los alumnos tutores.The Faculty of Pharmacy of the University of Seville (US) has developed a Student Mentoring Program (from 2006/07 - present). The main objective of this project is that senior students act as Mentor Students for students at their first year in the University (1x3). It aims to generate a responsible attitude in mentor students and to promote the development of social skills, qualitative goals within higher education that serve as preparation prior to their integration into the world of work. This activity is supervised by Mentor Professors (1x3) that analyze the evolution of both groups of students. It is an active monitoring through various actions such as regular interviews, review of reports, support operations such as lectures on study skills, seminars on job opportunities, statements of personal experiences of some recently graduated students, strategic management job search, portfolio development... With regard to the development of the program, the number of Mentor Professors has grown moderately, reaching a stable condition, while the number of students, both tutor and supervised, has grown steadily in line with the restrictions indicated. The results are very positive, considering the more qualitative than quantitative character of the project and that the main objectives are the strengthening of the experience and the establishment of a dynamic support to the new students and scheduling and general responsibility for mentor students

Toxic elements in blood of red-necked nightjars (Caprimulgus ruficollis) inhabiting differently polluted environments

Toxic metals have been widely reported in avian tissues due to their well-known accumulation capacity and adverse effects. However, rare earth elements (REE) and other minor elements (ME) are becoming a new threat due to their use in modern technology. Presently, exposure data are limited and no studies have been reported in wildlife. The order Caprimulgiformes is among the most understudied groups of birds lacking blood ecotoxicological data. One major constraint is the small blood sample volume that can be collected to ensure animal welfare, which limits analyses. In order to shed light on these collective issues, we sampled 48 red-necked nightjars (Caprimulgus ruficollis) inhabiting three different scenarios of contaminant exposure (agricultural-urban area, n = 15; mining area, n = 17; and control area, n = 16) in southeastern Spain, and report for the first time concentrations of 50 elements (i.e. trace elements, ATSDR’s list toxic elements, REE and ME) using a recently developed technique able to analyze them by ICP-MS in very small volumes of blood (130 μL). Concentrations of As, Cd, Pb and Mn were significantly higher in individuals captured at the mining area compared to the other sites. Lead levels in the mine site were of particular concern since it was in the range of blood concentrations related to subclinical/clinical effects in other species, and in our study were associated with decreased hematocrit values (up to 44% hematocrit depression at blood concentrations >1000 ng/ml w.w.). Moreover, additive effects related to metal cocktail exposure in the mining area could be expected. Age and gender-related differences in blood concentrations were found for some elements. Even though most REE and ME concentrations were close to the LOQ, some of these emerging contaminants may trigger sublethal effects that, together with the ATSDR’s list toxic elements, need to be carefully evaluated in a future study.</p

The role of an electronic alert system to detect acute kidney injury in hospitalized patients: DETECT-H Project

Background and aims: Acute kidney injury (AKI) is associated with higher mortality and length of stay (LOS) for hospitalized patients. To improve outcomes, an electronic detection system could be a useful tool for early diagnosis. Methods: A fully automated real-time system for detecting decreased glomerular filtration rate in adult patients was developed in our hospital, DETECT-H project. AKI was established according to KDIGO guidelines. Results: In six months, 1241 alerts from 11,022 admissions were issued. Overall incidence of AKI was 7.7%. Highest AKI stage reached was: stage 1 (49.8%), 2 (24.5%) and 3 (25.8%), in-hospital mortality was 10.9%, 22.7%, 33.9% respectively and 57.1% in AKI requiring dialysis; mortality in stable CKD was 4.3%. Median LOS was 8 days versus 5 days for all patients. AKI was associated with a mortality of 3.18 (95% CI 1.80–5.59) and a LOS 1.52 (1.11–2.08) times as high as that for admissions without AKI. Multivariate analysis indicated that a LOS higher than 8 days was associated with AKI. Previous CKD was noted in 31.9% and AKI in 45.3% at discharge. As compared to the use of the detect system, only one third of CKD patients and half of AKI episodes were identified. Conclusions: CKD and in-hospital AKI are under-recognized entities. Mortality and LOS are increased in-hospital patients with renal dysfunction. AKI severity was associated with higher mortality and LOS. An automated electronic detection system for identifying renal dysfunction would be a useful tool to improve renal outcomes. Resumen: Introducción y objetivos: El fracaso renal agudo (FRA) aumenta la mortalidad y la estancia hospitalarias (EH). El empleo de sistemas de detección electrónica podría ser una herramienta beneficiosa para mejorar estos resultados. Métodos: Se desarrolló un sistema de detección automático a tiempo real de pacientes ingresados con función renal alterada, denominado proyecto DETECT-H. El FRA se estableció de acuerdo con las guías KDIGO. Resultados: En 6 meses, 1.241 alertas fueron recogidas de 11.022 ingresos. La incidencia global del FRA fue del 7,7%. La distribución en función del estadio máximo del FRA alcanzado fue: estadio 1: 49,8%, estadio 2: 24,5% y estadio 3: 25,8%; con una mortalidad hospitalaria del 10,9, 22,7 y 33,9%, respectivamente. En el caso del FRA con necesidad de diálisis fue del 57,1%. La mortalidad en pacientes con enfermedad renal crónica (ERC) estable fue del 4,3%. La mediana de EH en pacientes detectados fue 8 vs. 5 días para todos los pacientes hospitalizados. El FRA se asoció con una mortalidad 3,18 (1,8-5,59) y una EH 1,52 (1,11-2,08) veces superior que aquellos ingresos sin FRA. El análisis multivariante indicó que el FRA se asociaba con la EH > 8 días.En los informes de alta, la presencia de ERC previa solo fue registrada en el 31,9% de los pacientes con ERC y el FRA hospitalario en el 45,3%. Conclusiones: La ERC y el FRA intrahospitalario son entidades infradiagnosticadas. La mortalidad y la EH están aumentadas en pacientes con disfunción renal. La gravedad del FRA se asoció con mayor mortalidad y EH. Un sistema de detección automático para identificarlos podría ser útil para mejorar estos resultados. Keywords: Acute kidney injury, Automated electronic detection system, Chronic kidney disease, Diagnosis, Health information technology, Mortality, Palabras clave: Fracaso renal agudo, Sistema de detección electrónica automática, Enfermedad renal crónica, Diagnóstico, Tecnología de información de la salud, Mortalida

Blood Toxic Elements and Effects on Plasma Vitamins and Carotenoids in Two Wild Bird Species: Turdus merula and Columba livia

Birds have historically suffered adverse effects by toxic elements, such as As, Pb, Hg, and Cd. However, reports on exposure to a wide range of elements, including rare earth elements and other minor elements of emerging concern, and the potential consequences for wildlife are still scarce. This study evaluates blood concentrations of 50 elements and their related effects on lutein and vitamin levels in the Eurasian blackbird (Turdus merula) and wild rock pigeon (Columba livia), inhabiting different scenarios of contaminant exposure. Blood concentrations of As, Cd, and Pb (and Mn in T. merula) were increased in both species captured in the mining area, compared to the control site. T. merula also showed increased As, Cd, and Pb concentrations in blood in the agricultural-urban area, as compared to the control area, together with the highest Hg levels, which could be related to agricultural practices and industrial activities. Decreases of 33 and 38% in the plasma retinol levels in T. merula inhabiting the mining and the agricultural-urban areas, respectively, as compared to the control site, were associated with increased Pb, As, and Cd exposure. This could be due to a metal-driven suppressive effect in retinol metabolism and/or its over-use for coping with metal-related oxidative stress

Physiological effects of toxic elements on a wild nightjar species

Nightjars are considered human-tolerant species due to the population densities reached in strongly managed landscapes. However, no studies have been done evaluating metal-related effects on physiology, condition or fitness in any nightjar species. The main aim of this study was to evaluate how metal exposure affects physiology and condition in red-necked nightjar (Caprimulgus ruficollis) populations inhabiting three different environments in southeastern Spain: agricultural-urban area (n = 15 individuals), mining area (n = 17) and control area (n = 16).Increased plasma mineral levels (magnesium and calcium) and alkaline phosphatase (ALP) activity were observed in breeding females, and ALP was significantly higher in young birds due to bone growth and development. In the mining-impacted environment, nightjars showed decreased retinol (17.3 and 23.6 mu M in the mining area and control area), uric acid (28.8 and 48.6 mg/dl in the mining area and control area) and albumin (16.2 and 19.6 g/l in the mining area and control area), probably impaired by a combination of toxic metal exposure and low prey quantity/quality in that area. Moreover, they showed increased plasma tocopherol levels (53.4 and 38.6 μM in the mining area and control area) which may be a response to cope with metal-induced oxidative stress and lipid peroxidation. Blood concentrations of toxic metals (As, Pb, Cd and Hg) were negatively associated with calcium, phosphorus, magnesium, ALP, total proteins and body condition index. This could lead to metal-related disorders in mineral metabolism and ALP activity that may potentially increase the risk of skeletal pathologies and consequent risk of fractures in the long term, compromising the survival of individuals. Further studies need to be carried out to evaluate potential metal-related effects on the antioxidant status and bone mineralization of nightjars inhabiting mining environments.</p

Blood toxic elements and effects on plasma vitamins and carotenoids in two wild bird species: Turdus merula and Columba livia

This article belongs to the Special Issue Wildlife Toxicology: An Update on Contaminant Exposure and Effects.Birds have historically suffered adverse effects by toxic elements, such as As, Pb, Hg, and Cd. However, reports on exposure to a wide range of elements, including rare earth elements and other minor elements of emerging concern, and the potential consequences for wildlife are still scarce. This study evaluates blood concentrations of 50 elements and their related effects on lutein and vitamin levels in the Eurasian blackbird (Turdus merula) and wild rock pigeon (Columba livia), inhabiting different scenarios of contaminant exposure. Blood concentrations of As, Cd, and Pb (and Mn in T. merula) were increased in both species captured in the mining area, compared to the control site. T. merula also showed increased As, Cd, and Pb concentrations in blood in the agricultural–urban area, as compared to the control area, together with the highest Hg levels, which could be related to agricultural practices and industrial activities. Decreases of 33 and 38% in the plasma retinol levels in T. merula inhabiting the mining and the agricultural–urban areas, respectively, as compared to the control site, were associated with increased Pb, As, and Cd exposure. This could be duThis research was funded by the Fundación Séneca—Agencia de Ciencia y Tecnología de la Región de Murcia (Saavedra-Fajardo Project 20031/SF/16 to S.Espín). S.Espín was financially supported by Fundación Séneca (20031/SF/16) and by Ministerio de Ciencia, Innovación y Universidades (Juan de la Cierva-Incorporación contract, IJCI-2017-34653). P. Sánchez-Virosta was financially supported by Ministerio de Ciencia, Innovación y Universidades (Juan de la Cierva-Formación contract, FJC2019-042357-I). The analysis of the vitamins was funded by University of Castilla-La Mancha (CGT13-0183). P. R. Camarero benefited from a contract, with reference PTA2017-14583-I, financed by the Spanish Ministry of Economy and Innovation and CSIC. We thank the ERBFacility COST Action (CA16224) for providing an international network for researchers.Peer reviewe