Intervención breve en accidentados con alcoholemia positiva desde un centro de traumatología

E1 objetivo principal de la investigación es comprobar la efectividad de la intervención breve para reducir el consumo de alcohol en accidentados de tráfico adultos con alcoholemia positiva y sin dependencia del alcohol.En objetivo de la etapa piloto es comprobar la viabilidad estructural del proyecto (capacitación de los profesionales y viabilidad del cribado e intervención desde un centro de traumatología, así como una estimación aproximada de la prevalencia y perfil de los lesionados de tráfico con presencia de alcohol. Material: Se elabora un programa de formación con material de apoyo. Se aplica un método de detección del alcohol en saliva en lesionados de tráfico que acuden a urgencias de traumatología. A los pacientes con saliva positiva se les ofrece una intervención breve. Se recoge la opinión del personal sobre la eficacia percibida y viabilidad estimada del proyecto gobal (cribado e intervención) mediante cuestionarios de opinión. Se estudian la prevalencia y perfil de los pacientes con saliva positiva a partir del análisis comparativo de variables seleccionadas.Resultados: El personal entrenado considera (80%) útil y adecuada la formación recibida. Las enfermeras consideran (89%) que el método es fácil, no plantea demasiados problemas (55%) y es bien aceptado por el paciente (53%). El personal entrenado se ha sentido cómodo y eficiente (67%) al realizar la intervención. 261 de 264 pacientes aceptaron el cribado y el 11% tenía alcohol en saliva. Sólo 2 pacientes rechazaron la intervención, que fue practicada en 16 lesionados. Los pacientes con saliva positiva acuden más en fines de semana (p 0,005) y quedan ingresados con mayor frecuencia (p 0,05) que aquéllos con saliva negativa. Conclusión: el programa está bien estructurado, es viable y aceptado por el paciente. El estudio definitivo incluirá la determinación del alcohol en orina, en pacientes con saliva seca, y reforzará el cribado en fines de semana y politraumáticosMain research objective is to verify the effectiveness of brief intervention to reduce alcohol consumption in non-dependent adults injured in a traffic crash, presenting at the emergency department with a positive saliva alcohol test. The aim of the pilot study is to verify the feasibility of the project (staff training, screening and intervention at a trauma centre) and to roughly estimate the prevalence and profile of alcohol-attributable traffic casualties. Method: Training programme and support material are delivered. Saliva alcohol screening is performed by nurses in patients attending the emergency department because of a traffic crash. Positive patients are offered brief intervention. Staff's opinion on training, esteemed self-efficacy and feasibility of the whole procedure (screening and intervention) is collected by opinion surveys. Prevalence and profile of patients with positive saliva is drawn up by comparative analysis of selected variables. Results: Trained staff considers (80%) training useful and matching objectives. Nurses consider that, despite the nonvalid results in case of mouth dryness, the saliva test is easy (89%), doesn't pose major problems (55%), and is well accepted by the patient (53%). Trained staff have felt comfortable and self-effective (67%) in delivering the intervention. 261 out of 264 patients accepted screening and 28 (11%) had a positive result. Only 2 patients refused intervention, which was performed on 16. Patients with a positive test present more frequently in the weekends (p: 0.005) and are more hospitalised (p: 0.05) than those with a negative test. Conclusion: The programme is well designed, feasible and accepted by the patient. Main study will use urine alcohol test on patients with dry mouth, and will reinforce screening in the weekends and in sever injured patient

Organic cheese market (Río Cuarto, Argentina). Valuation associated variables

Although most argentinian ecological products are targeted for export markets, domestic markets show signs of slow, but sustained growth. In order to assess the perception and willingness to purchase a new product (an organic cheese), attitudes and consumer behaviors were studied among consumers in Rio Cuarto. Data collection methods used in the survey were personal interviews with semi-structured questionaries and tasting of the new product. Bivariate and multivariate statistical analysis were performed. It was found that the willingness to pay a premium of 25 to 35 percent for this new product was associated with: social-economical variables as well as others related to food quality, like additive free and those concerned with specific attributes of the cheese such as brand and packaging. However, price and its organic label had more influence on the products valuation and potential buying decision.Si bien la producción ecológica argentina se ha destinado principalmente al mercado externo, el mercado interno manifiesta signos de crecimiento, lento, pero sostenido. Con el objetivo de conocer la valoración de los consumidores hacia un queso ecológico se estudiaron las actitudes y el comportamiento de los consumidores de la ciudad de Río Cuarto. La investigación se implementó a través de encuestas semiestructuradas, basadas en entrevistas personales a las familias y degustación del nuevo producto. Se realizaron análisis estadísticos bivariados y multivariados. La voluntad de pagar un sobreprecio de 25 a 35 p.100 por el nuevo producto se asoció a variables socioeconómicas, como así también a variables relacionadas con la calidad alimentaria (ausencia de conservantes y aditivos) y con atributos específicos del queso, como marca y presentación. Sin embargo, el precio del producto y su imagen de calidad ecológica fueron los factores que fundamentalmente incidieron en la valoración del producto y la decisión potencial de compra

The influence of social support on the wellbeing of immigrants residing in Italy: Sources and functions as predictive factors for life satisfaction levels, sense of community and resilience

Moving from one country to another involves not only separation from the country of origin, but also the tiring process of integration into a new physical, institutional, and sociocultural context, which may expose migrants to acculturation stress. The loss of former support networks, or at the very least their transformation, presents immigrants with the need to rebuild their social support systems in the host country, involving an active search for support. Therefore, the aim of study is to analyze the structure of informal social support and its capacity to predict immigrants’ sense of community, resilience, and satisfaction with life. The results confirm that social support predicts satisfaction with life, sense of community, and resilience. Our findings highlight the way sources and frequency of support, and the satisfaction with which they are associated, have different degrees of predictive value on the dependent variables under investigation. In this study, it can be concluded that social support is an important factor in the well-being of migrants and their integration into the host community. The results have an important practical value in promoting interventions that improve immigrants’ support networks and, consequently, increase their satisfaction with life, sense of community, and resilience

Seasonal Dynamic Factor Analysis and Bootstrap Inference: Application to Electricity Market Forecasting

In this work, we propose the Seasonal Dynamic Factor Analysis (SeaDFA), an extension of Nonstationary Dynamic Factor Analysis, through which one can deal with dimensionality reduction in vectors of time series in such a way that both common and specific components are extracted. Furthermore, common factors are able to capture not only regular dynamics (stationary or not) but also seasonal ones, by means of the common factors following a multiplicative seasonal VARIMA(p, d, q) × (P, D, Q)s model. Additionally, a bootstrap procedure that does not need a backward representation of the model is proposed to be able to make inference for all the parameters in the model. A bootstrap scheme developed for forecasting includes uncertainty due to parameter estimation, allowing enhanced coverage of forecasting intervals. A challenging application is provided. The new proposed model and a bootstrap scheme are applied to an innovative subject in electricity markets: the computation of long-term point forecasts and prediction intervals of electricity prices. Several appendices with technical details, an illustrative example, and an additional table are available online as Supplementary Materials

Simulating Radiating and Magnetized Flows in Multi-Dimensions with ZEUS-MP

This paper describes ZEUS-MP, a multi-physics, massively parallel, message- passing implementation of the ZEUS code. ZEUS-MP differs significantly from the ZEUS-2D code, the ZEUS-3D code, and an early "version 1" of ZEUS-MP distributed publicly in 1999. ZEUS-MP offers an MHD algorithm better suited for multidimensional flows than the ZEUS-2D module by virtue of modifications to the Method of Characteristics scheme first suggested by Hawley and Stone (1995), and is shown to compare quite favorably to the TVD scheme described by Ryu et. al (1998). ZEUS-MP is the first publicly-available ZEUS code to allow the advection of multiple chemical (or nuclear) species. Radiation hydrodynamic simulations are enabled via an implicit flux-limited radiation diffusion (FLD) module. The hydrodynamic, MHD, and FLD modules may be used in one, two, or three space dimensions. Self gravity may be included either through the assumption of a GM/r potential or a solution of Poisson's equation using one of three linear solver packages (conjugate-gradient, multigrid, and FFT) provided for that purpose. Point-mass potentials are also supported. Because ZEUS-MP is designed for simulations on parallel computing platforms, considerable attention is paid to the parallel performance characteristics of each module. Strong-scaling tests involving pure hydrodynamics (with and without self-gravity), MHD, and RHD are performed in which large problems (256^3 zones) are distributed among as many as 1024 processors of an IBM SP3. Parallel efficiency is a strong function of the amount of communication required between processors in a given algorithm, but all modules are shown to scale well on up to 1024 processors for the chosen fixed problem size.Comment: Accepted for publication in the ApJ Supplement. 42 pages with 29 inlined figures; uses emulateapj.sty. Discussions in sections 2 - 4 improved per referee comments; several figures modified to illustrate grid resolution. ZEUS-MP source code and documentation available from the Laboratory for Computational Astrophysics at http://lca.ucsd.edu/codes/currentcodes/zeusmp2

Detection of a Corrugated Velocity Pattern in the Spiral Galaxy NGC 5427

Here we report the detection, in Halpha emission, of a radial corrugation in the velocity field of the spiral galaxy NGC 5427. The central velocity of the Halpha line displays coherent, wavy-like variations in the vicinity of the spiral arms. The spectra along three different arm segments show that the maximum amplitude of the sinusoidal line variations are displaced some 500 pc from the central part of the spiral arms. The peak blueshifted velocities appear some 500 pc upstream the arm, whereas the peak redshifted velocities are located some 500 pc downstream the arm. This kinematical behavior is similar to the one expected in a galactic bore generated by the interaction of a spiral density wave with a thick gaseous disk, as recently modeled by Martos & Cox (1998).Comment: Accepted for publication in Ap

Genetic studies in sunflower broomrape

Much research has been conducted to identify sources of genetic resistance to sunflower broomrape (Orobanche cumana Wallr.) and to study their mode of inheritance. However, studies on the parasite have been scarce. This manuscript reviews three genetic studies in sunflower broomrape. First, the inheritance of the absence of pigmentation in a natural mutant of this species with yellow plant color phenotype was studied. In a first stage, lines from the unpigmented mutant and a normally pigmented population were developed by several generations of self-pollination. Plants of both lines were crossed and the F1, F2, and F3 generations were evaluated. The results indicated that plant pigmentation is controlled by a partially dominant allele at a single locus. Second, the unpigmented mutant was used to evaluate outcrossing potential of the species. Two experiments in which single unpigmented plants were surrounded by normally pigmented plants were conducted under pot and field conditions. The cross-fertilization rate was estimated as the percentage of F1 hybrids in the progenies of unpigmented plants, which averaged 21.5% in the pot and 28.8% in the field experiment. The results indicated that, under the conditions of this study, the species was not strictly self-pollinated. Finally, the inheritance of avirulence was studied in crosses of plants from lines of O. cumana races E and F, developed by several generations of self-pollination. The F1 and F3 generations were evaluated on the differential line P-1380 carrying the race-E resistance gene Or5. The results suggested that race E avirulence and race F virulence on P-1380 are allelic and controlled by a single locus, which confirmed the gene-for-gene theory for the O. cumana-sunflower interaction.The manuscript reviews research partially funded by Fundación Ramón Areces, Madrid. The contribution of Dr. Enrique Quesada Moraga, entomologist from the University of Córdoba, Spain, to taxonomic classification of pollinators is gratefully acknowledged. R. Pineda-Martos was the recipient of a PhD fellowship from the Spanish National Research Council (CSIC) (JAEPre_08_00370)Peer Reviewe

Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea

Background: Hypoxia can reduce the levels of soluble receptor for advanced glycation end-products (sRAGE), a new anti-inflammatory biomarker of COPD. We assessed sRAGE in patients with hypoxia-related diseases such as COPD, OSA and OSA-COPD overlap. Methods: Plasma levels of sRAGE were measured in 317 subjects at baseline (57 heathy nonsmokers HNS], 84 healthy smokers HS], 79 OSA, 62 COPD and 35 OSA-COPD overlap patients) and in 294 subjects after one year of follow-up (50 HNS, 74 HS, 77 OSA, 60 COPD and 33 overlap). Results: After adjusting for age, sex, smoking status and body mass index, sRAGE levels showed a reduction in OSA (- 12.5%, p = 0.005), COPD (- 14.8%, p < 0.001) and OSA-COPD overlap (- 12.3%, p = 0.02) compared with HNS. There were no differences when comparing sRAGE plasma levels between overlap patients and those with OSA or COPD alone. At follow-up, sRAGE levels did not change significantly in healthy subjects, COPD and OSA or OSA-COPD overlap nontreated with continuous positive airway pressure (CPAP). Moreover, in patients with OSA and OSA-COPD overlap who were treated with CPAP, sRAGE increased significantly. Conclusions: The levels of sRAGE are reduced in COPD and OSA. Treatment with CPAP appears to improve sRAGE levels in patients with OSA who also had COPD

Statistical Mechanics of Soft Margin Classifiers

We study the typical learning properties of the recently introduced Soft Margin Classifiers (SMCs), learning realizable and unrealizable tasks, with the tools of Statistical Mechanics. We derive analytically the behaviour of the learning curves in the regime of very large training sets. We obtain exponential and power laws for the decay of the generalization error towards the asymptotic value, depending on the task and on general characteristics of the distribution of stabilities of the patterns to be learned. The optimal learning curves of the SMCs, which give the minimal generalization error, are obtained by tuning the coefficient controlling the trade-off between the error and the regularization terms in the cost function. If the task is realizable by the SMC, the optimal performance is better than that of a hard margin Support Vector Machine and is very close to that of a Bayesian classifier.Comment: 26 pages, 12 figures, submitted to Physical Review

Trends in socioeconomic inequalities in mortality in small areas of 33 Spanish cities

Background: In Spain, several ecological studies have analyzed trends in socioeconomic inequalities in mortality from all causes in urban areas over time. However, the results of these studies are quite heterogeneous finding, in general, that inequalities decreased, or remained stable. Therefore, the objectives of this study are: (1) to identify trends in geographical inequalities in all-cause mortality in the census tracts of 33 Spanish cities between the two periods 1996–1998 and 2005–2007; (2) to analyse trends in the relationship between these geographical inequalities and socioeconomic deprivation; and (3) to obtain an overall measure which summarises the relationship found in each one of the cities and to analyse its variation over time.Methods: Ecological study of trends with 2 cross-sectional cuts, corresponding to two periods of analysis: 1996–1998 and 2005–2007. Units of analysis were census tracts of the 33 Spanish cities. A deprivation index calculated for each census tracts in all cities was included as a covariate. A Bayesian hierarchical model was used to estimate smoothed Standardized Mortality Ratios (sSMR) by each census tract and period. The geographical distribution of these sSMR was represented using maps of septiles. In addition, two different Bayesian hierarchical models were used to measure the association between all-cause mortality and the deprivation index in each city and period, and by sex: (1) including the association as a fixed effect for each city; (2) including the association as random effects. In both models the data spatial structure can be controlled within each city. The association in each city was measured using relative risks (RR) and their 95 % credible intervals (95 % CI).Results: For most cities and in both sexes, mortality rates decline over time. For women, the mortality and deprivation patterns are similar in the first period, while in the second they are different for most cities. For men, RRs remain stable over time in 29 cities, in 3 diminish and in 1 increase. For women, in 30 cities, a non-significant change over time in RR is observed. However, in 4 cities RR diminishes. In overall terms, inequalities decrease (with a probability of 0.9) in both men (RR¿=¿1.13, 95 % CI¿=¿1.12–1.15 in the 1st period; RR¿=¿1.11, 95 % CI¿=¿1.09–1.13 in the 2nd period) and women (RR¿=¿1.07, 95 % CI¿=¿1.05–1.08 in the 1st period; RR¿=¿1.04, 95 % CI¿=¿1.02–1.06 in the 2nd period).Conclusions: In the future, it is important to conduct further trend studies, allowing to monitoring trends in socioeconomic inequalities in mortality and to identify (among other things) temporal factors that may influence these inequalities