TERAPIA RACIONAL EMOTIVA PARA REESTRUCTURAR LAS CREENCIAS IRRACIONALES EN PACIENTES DROGODEPENDIENTES DE UNA CLÍNICA EN HUARAL LIMA 2019

La presente investigación tiene como objetivo proponer un modelo de intervención psicológica llamada Terapia Racional Emotiva (TRE) que ayude a reestructurar las creencias irracionales en los pacientes de un centro para drogodependientes de la ciudad de Huaral en el año 2019. La investigación cuantitativa, contó con un diseño no experimental transversal descriptiva y una muestra dirigida de 19 residentes del centro de rehabilitación. Se utilizó el Inventario de Creencias Irracionales de Ellis, para medir creencias irracionales y se determinó la confiabilidad de dicha variable con el alfa de Cronbach obteniendo como resultado 0.504, así mismo la creencia 9 “Determinismo del pasado” fue la más frecuente en la muestra alcanzando un 42,1 % del total de la muestra. Estos resultados encontrados en la investigación nos reafirman la iniciativa de proponer un programa de tratamiento creyendo que resulte eficiente en la práctica de reestructurar las creencias irracionales encontradas en los pacientes de la clínica en la ciudad de Huaral Lima en el año 2019, de este modo validamos nuestra hipótesis de nuestro estudio.Tesi

Monográfico sobre Europa

23 páginas.Capítulo incluido en el libro: Estudios contemporáneos sobre geopolítica, conflictos armados y cooperación internacional. Libia Arenal Lora (Dirección) ; Francisco Antonio Domínguez Díaz (Edición). Sevilla: Universidad Internacional de Andalucía, 2020. ISBN 978-84-7993-360-9. Enlace: http://hdl.handle.net/10334/5599

Role of wild rabbits as reservoirs of leishmaniasis in a non-epidemic Mediterranean hot spot in Spain

We would like to thank the hunters of the municipality of Montefrio for their support in the study. This study was funded by the Project, Ministry of Economy and Competitiveness, Instituto de Salud Carlos III, Madrid and Feder Funds for Regional Development from the European Union, "One way to make Europe". Funding for open access charge: Universidad de Granada/CBVA.There is limited information regarding the role of wild mammals in the transmission dynamics of Leishmania infantum. A potential human leishmaniasis hot spot was detected in southern Spain that could not be explained solely by canine leishmaniasis prevalence. The aim of this work was to analyse the involvement of wild rabbits as the main factor affecting this Mediterranean hot spot. A survey of wild rabbits, dogs and sand flies was conducted in the human cases environment. A nearby region without clinical leishmaniasis cases was used as reference control. 51 wild rabbits shot by hunters were analysed by molecular techniques. 1100 sand flies were captured and morphologically identified. Blood collected from patients’ relatives/ neighbours (n = 9) and dogs (n = 66) was used for molecular analysis and serology. In Mediterranean leishmaniasis hot spots such as Montefrío municipality (average incidence of 16.8 human cases per 100,000 inhabitants/year), wild rabbits (n = 40) support high L. infantum infection rates (100%) and heavy parasite burdens (average value: 503 parasites/mg) in apparently normal ear skin directly accessible to sand flies, enabling the existence of heavily parasitized Phlebotomus perniciosus females (12.5% prevalence). The prevalence of infection and median parasite load were very low among rabbits captured in Hu´escar (n = 11), a human clinical leishmaniasis-free area for the last 18 years. P. perniciosus was the most abundant Phlebotomus species in all the domestic/peridomestic microhabitats sampled, both indoors and outdoors. Accordingly, leishmaniasis is clustering in space and time at this local scale represented by Montefrío due to the proximity of two competent host reservoirs (dogs and heavily parasitized wild rabbits) associated with overlapping sylvatic and domestic transmission cycles through the main vector, P. perniciosus. We highlight the usefulness of determining the prevalence of infection and parasite burden in wild rabbits as a control leishmaniasis measure with the advantage that the use of the ear offers.Ministry of Economy and Competitiveness, Instituto de Salud Carlos III, MadridFeder Funds for Regional Development from the European Union, "One way to make Europe"Universidad de Granada/CBV

Stabilization of the Virulence Plasmid pSLT of Salmonella Typhimurium by Three Maintenance Systems and Its Evaluation by Using a New Stability Test

Certain Salmonella enterica serovars belonging to subspecies I carry low-copy-number virulence plasmids of variable size (50–90 kb). All of these plasmids share the spv operon, which is important for systemic infection. Virulence plasmids are present at low copy numbers. Few copies reduce metabolic burden but suppose a risk of plasmid loss during bacterial division. This drawback is counterbalanced by maintenance modules that ensure plasmid stability, including partition systems and toxin-antitoxin (TA) loci. The low-copy number virulence pSLT plasmid of Salmonella enterica serovar Typhimurium encodes three auxiliary maintenance systems: one partition system (parAB) and two TA systems (ccdABST and vapBC2ST). The TA module ccdABST has previously been shown to contribute to pSLT plasmid stability and vapBC2ST to bacterial virulence. Here we describe a novel assay to measure plasmid stability based on the selection of plasmid-free cells following elimination of plasmid-containing cells by ParE toxin, a DNA gyrase inhibitor. Using this new maintenance assay we confirmed a crucial role of parAB in pSLT maintenance. We also showed that vapBC2ST, in addition to contribute to bacterial virulence, is important for plasmid stability. We have previously shown that ccdABST encodes an inactive CcdBST toxin. Using our new stability assay we monitored the contribution to plasmid stability of a ccdABST variant containing a single mutation (R99W) that restores the toxicity of CcdBST. The “activation” of CcdBST (R99W) did not increase pSLT stability by ccdABST. In contrast, ccdABST behaves as a canonical type II TA system in terms of transcriptional regulation. Of interest, ccdABST was shown to control the expression of a polycistronic operon in the pSLT plasmid. Collectively, these results show that the contribution of the CcdBST toxin to pSLT plasmid stability may depend on its role as a co-repressor in coordination with CcdAST antitoxin more than on its toxic activity.The work in RD and FG's laboratories is supported by grants BFU2011-25939 (RD), CSD2008-00013 (RD and FG), and BIO2013-46281-P/BIO2015-69085-REDC (FG) from the Spanish Ministry of Economy and Competitiveness.Peer reviewedPeer Reviewe

Effectiveness of an O-Alkyl Hydroxamate in Dogs with Naturally Acquired Canine Leishmaniosis: An Exploratory Clinical Trial

Canine leishmaniosis is a challenge in veterinary medicine and no drug to date has achieved parasite clearance in dogs. Histone deacetylase inhibitors are a drug class widely used in cancer chemotherapy. We have successfully used O-alkyl hydroxamates (vorinostat derivatives) in the treatment of a laboratory model of visceral leishmaniasis without showing toxicity. In order to test the effectiveness of a particular compound, MTC-305, a parallel-group, randomized, singlecentre, exploratory study was designed in naturally infected dogs. In this clinical trial, 18 dogs were allocated into 3 groups and were treated with either meglumine antimoniate (104 mg SbV/kg), MTC-305 (3.75 mg/kg) or a combination of both using a lower MTC-305 dose (1.5 mg/kg) through a subcutaneous route for 2 treatment courses of 30 days, separated by a 30-day rest period. After treatment, a follow-up time of 4 months was established. Parasite burden in bone marrow, lymph node and peripheral blood were quantified through qPCR. Antibody titres were determined through an immunofluorescence antibody test, and cytokine expression values were calculated through RTqPCR. Treatment safety was evaluated through the assessment of haematological and biochemical parameters in blood, weight, and gastrointestinal alterations. Assessment was carried out before, between and after treatment series. Treatment with MTC-305 was effective at reducing parasite burdens and improving the animals’ clinical picture. Dogs treated with this compound did not present significant toxicity signs. These results were superior to those obtained using the reference drug, meglumine antimoniate, in monotherapy. These results would support a broader clinical trial, optimised dosage, and an expanded follow-up stage to confirm the efficacy of this drug.University of GranadaAndalusian GovernmentEuropean Commission B-CTS-270UGR18 P20_0013

High Efficiency Power Amplifier Based on Envelope Elimination and Restoration Technique

Due to complex envelope and phase modulation employed in modern transmitters it is necessary to use power amplifiers that have high linearity. Linear power amplifiers (classes A, B and AB) are commonly used, but they suffer from low efficiency especially if the transmitted signal has high peak to average power ratio (PAPR). Kahn's technique based on envelope elimination and restoration (EER) is based on idea that high efficiency power supply (envelope amplifier) could be used to modulate the envelope of high efficient non linear power amplifiers (classes D or E). This paper presents solutions for power amplifier that performs envelope modulation and class E amplifier that is used as a non linear amplifier. The envelope amplifier is implemented as a multilevel converter in series with linear regulator and can provide up to 100 W of instantaneous power and reproduce 2 MHz sine wave. The implemented Class E amplifier can operate at 120 MHz with efficiency near to 85%. The envelope amplifier and class E amplifier have been integrated and efficiency and linearity of the implemented transmitter has been measured and presente

The variable geometry central receiver system concept. First results and comparison with conventional central receiver systems

In line with the global trend for improving efficiency of existing solar power plants, the CTAER has developed and built a variable geometry central receiver facility, in which the solar field rotates around the tower axis following the sun's position during the day. The goal of this new approach is to increase the optical efficiency of the field by significantly reducing the angle of incidence of the Sun on the heliostats. This paper presents the advantages of this new variable geometry design and describes the main features of the experimental facility based on this approach as built by CTAER in Almeria. It also compares a conventional solar central receiver plant (i.e., with stationary heliostats and receiver) and an equivalent variable geometry power plant. For this study we employed published data from a real solar central receiver plant with known production (Abengoa’s PS10). The results of the study show an increase in annual energy collection and distribution by the variable geometry plant, leading to a potential reduction in the number of heliostats required compared to a conventional central receiver plant for the same annual energy collection

Circulating miR-320a as a Predictive Biomarker for Left Ventricular Remodelling in STEMI Patients Undergoing Primary Percutaneous Coronary Intervention

Restoration of epicardial coronary blood flow, achieved by early reperfusion with primary percutaneous coronary intervention (PPCI), is the guideline recommended to treat patients with ST-segment-elevation myocardial infarction (STEMI). However, despite successful blood restoration, increasing numbers of patients develop left ventricular adverse remodelling (LVAR) and heart failure. Therefore, reliable prognostic biomarkers for LVAR in STEMI are urgently needed. Our aim was to investigate the role of circulating microRNAs (miRNAs) and their association with LVAR in STEMI patients following the PPCI procedure. We analysed the expression of circulating miRNAs in blood samples of 56 patients collected at admission and after revascularization (at 3, 6, 12 and 24 h). The associations between miRNAs and left ventricular end diastolic volumes at 6 months were estimated to detect LVAR. miRNAs were also analysed in samples isolated from peripheral blood mononuclear cells (PBMCs) and human myocardium of failing hearts. Kinetic analysis of miRNAs showed a fast time-dependent increase in miR-133a, miR-133b, miR-193b, miR-499, and miR-320a in STEMI patients compared to controls. Moreover, the expression of miR-29a, miR-29b, miR-324, miR-208, miR-423, miR-522, and miR-545 was differentially expressed even before PPCI in STEMI. Furthermore, the increase in circulating miR-320a and the decrease in its expression in PBMCs were significantly associated with LVAR and correlated with the expression of miR-320a in human failing myocardium from ischaemic origin. In conclusion, we determined the time course expression of new circulating miRNAs in patients with STEMI treated with PPCI and we showed that miR-320a was positively associated with LVAR