36 research outputs found

    New Trends and Challenges in Condition Monitoring Strategies for Assessing the State-of-charge in Batteries

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    Condition monitoring strategies play an important key role to ensure the proper operation and/or working conditions in electrical, mechanical, and electronic systems; in this sense, condition monitoring methods are commonly implemented aiming to avoid undesired breakdowns and are also implemented to extend the useful life of the evaluated elements as much as possible. Therefore, the objective of this work is to report the new trends and challenges related to condition monitoring strategies for assessing the state-of-charge in batteries under the Industry 4.0 framework. Specifically, this work is focused on the analysis of those signal processing and artificial intelligence techniques that are implemented in experimental and model-based assessing approaches. With this work, important aspects may be highlighted as well as the conclusions and prospects may be included for the development trend of condition monitoring strategies to assess and ensure the state-of-charge in batteries

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

    Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

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    Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

    “LA PROBLEMÁTICA DE LA APLICACIÓN DE LA NORMA PENAL CONTRA LOS DELITOS DE LOS DERECHOS DE AUTOR”

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    La problemática que tienen los autores en nuestro entorno social y en la actualidad respecto de sus obras creadas e inscritas en la Secretaría de Educación Pública, es que estas están expuestas en un alto índice a su explotación por terceras personas, donde estas ultimas obtienen ganancias de una manera ilegal, ya que su forma de trabajar es ilícita, fuera de lo legal, debido a que sin consentimiento y sin autorización del titular de la obra, lucran con las mismas, las cuales ya se encuentran registradas y dadas a conocer por los titulares de éstas dentro de nuestra sociedad. De esta manera existen leyes que regulan la materia que es la Ley Federal de Derechos de Autor y el Código Penal Federal en sus artículos del 224 al 228, más con todo no es suficiente de que únicamente se encuentren establecidos en dichos códigos, puesto que en la mayoría de los casos, o más bien en su totalidad, no se hace uso o no se aplica de manera eficaz lo establecido en las legislaciones en mención, en virtud de que nunca se logra dar con el infractor o la persona que comete el delito, en la cuestión de su explotación, ya que únicamente se decomisa la mercancía ilegal. Por lo tanto si nunca se detiene a la persona que la oferta, mucho menos a los que se encargan de llevar a cabo toda la operación, violando así los derechos que concede la normatividad aludida al autor o al que tiene en su poder los derechos de representación sobre la obra lucrada, existiendo de esta manera una inadecuada aplicación de las normas jurídicas en la materia de Derechos de Autor, sobre los delitos de derechos de autor. Por lo tanto y con base a todo ello base a todo ello he tenido la inquietud de profundizar esta materia, titulando la presente tesis como “La Problemática de la Aplicación de la Norma Penal contra los Delitos de Derechos de Autor”, haciendo alusión de una breve reseña histórica para tener una visión de dónde surge la idea de darle protección al pensamiento del hombre a través de su intelecto hasta hoy en la actualidad. La presente tesis consta de cuatro capítulos, tratando los mismos de lo siguiente. Todo lo relacionado con el autor en este caso del de una obra o cualquier tipo de creación intelectual, y de la problemática que tiene este en cuestión de las mismas como ya lo dejamos establecido enlíneas anteriores. En esta tesis hago referencia de sus antecedentes históricos de igual forma se hace una aportación sobre su naturaleza jurídica de lo que es en si los derechos de autor, así como los derechos morales y los derechos patrimoniales, su objeto, su finalidad, exponiendo además su definición basándonos en la opinión de diverso autores expertos en la materia, también tratamos lo referente al procedimiento que se sigue en nuestro sistema mexicano de acuerdo a los Códigos y Leyes establecidas, sus infracciones los delitos a en general dentro de este ambito, haciendo un análisis general del artículo 424 y 425 del Código Penal Federal que trata lo referente a los a la tipificación de los delitos en la materia de los derechos de autor. Posterior a todo esto, un análisis general de mi tesis, así como mis conclusiones proposiciones y propuestas

    Structural Modifications in the RbxCs1-xPO 4 (0 ≤ x ≤ 1) Superprotonic Conductor Series: A Single-Crystal X-ray Diffraction and Impedance Spectroscopy Study

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    We have used single-crystal X-ray diffraction measurements to investigate the structural modifications induced by Rb-doping of the protonic conductor CsH2PO4. Data collected on the RbxCs 1-xH2PO4 (0 ≤ x ≤ 1) series shows that the monoclinic P21/m CsH2PO4 presentation persists upon Rb-doping up until x = 0.8. Rb0.8Cs0.2H2PO 4 exhibits a previously unreported P21/c monoclinic structure, where the mirror plane is lost and disorder is present in the PO4 tetrahedra even at room temperature. Higher levels of x display a tetragonal I-42d unit cell isomorphic with the known structure of RbH2PO 4. The temperature dependence of the proton conductivity determined from impedance spectroscopy data collected within the 160°C–250°C range is also markedly different at high Rb-doping levels, x = 0.8. Finally, Rb0.9Cs0.1H2PO4 undergoes a transition from its room-temperature tetragonal I-42d phase to an intermediate-temperature monoclinic P21/m modification at a significantly lower temperature (~80 °C) than pure RbH2PO4 (~120 °C)

    Growth of Amorphous SiO 2

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    To get vaccinated or not? Social psychological factors associated with vaccination intent for COVID-19

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    Pandemic control not only requires effective COVID-19 vaccines but also that they are accepted by at least 80% of the population. For this reason, understanding the social psychological variables associated with vaccination intent is essential to achieve herd immunity. Drawing on the theory of reasoned action, this study seeks to analyze vaccination intent using the beliefs about vaccine effectiveness, conspiracy theories, and injunctive norms as predictors. A non-probabilistic national online survey was conducted during December 2020. A sample of 1,033 people in Chile answered a questionnaire with the study variables. Using structural equation models, it was found that vaccination intent was explained in 62.1% by beliefs about vaccine effectiveness and injunctive norms, controlling for age, political orientation, socioeconomic status, educational level, and gender. Specifically, beliefs about vaccine effectiveness are based on people's experience with previous immunization processes, which predict vaccination intent. Regarding injunctive norms, they act by influencing and encouraging vaccination by seeking the approval of significant others. Contrary to expected, conspiracy beliefs were not directly associated with the intention to receive a COVID-19 vaccine but were highly related to lower beliefs about vaccine effectiveness. This study suggests that to enhance the vaccination intent, socio-psychological and structural variables need to be considered
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