1,371 research outputs found

    Long-Term Adherence to IFN Beta-1a Treatment when Using RebiSmart® Device in Patients with Relapsing-Remitting Multiple Sclerosis

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    The effectiveness of disease-modifying drugs in the treatment of multiple sclerosis is associated with adherence. RebiSmart (R) electronic device provides useful information about adherence to the treatment with subcutaneous (sc) interferon (IFN) beta-1 alpha (Rebif (R)). The aim of the study was to determine long-term adherence to this treatment in patients with relapsing-remitting multiple sclerosis (RRMS). This retrospective multicentre observational study analysed 258 patients with RRMS who were receiving sc IFN beta-1 alpha (Rebif (R)) treatment by using RebiSmart (R) until replacement (36 months maximum lifetime) or treatment discontinuation. Adherence was calculated with data (injection dosage, time, and date) automatically recorded by RebiSmart (R). Patients in the study had a mean age of 41 years with a female proportion of 68%. Mean EDSS score at start of treatment was 1.8 (95% CI, 1.6-1.9). Overall adherence was 92.6%(95% CI, 90.6-94.5%). A total of 30.2% of patients achieved an adherence rate of 100%, 80.6% at least 90%, and only 13.2% of patients showed a suboptimal adherence (<80%). A total of 59.9% of subjects were relapse-free after treatment initiation. Among 106 subjects (41.1%) who experienced, on average, 1.4 relapses, the majority were mild (40.6%) or moderate (47.2%). Having experienced relapses from the beginning of the treatment was the only variable significantly related to achieving an adherence of at least 80% (OR = 3.06, 1.28-7.31). Results of this study indicate that sc IFN beta-1 alpha administration facilitated by RebiSmart (R) could lead to high rates of adherence to a prescribed dose regimen over 36 months

    Hyper-Cross-Linked Porous Polymer Featuring B−N Covalent Bonds (HCP-BNs): A Stable and Efficient Metal-Free Heterogeneous Photocatalyst

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    The first example of a porous polymer containing B-Ncovalentbonds, prepared from a tetraphene B-N monomer and biphenylas a comonomer, is reported. It was prepared using the solvent knittingstrategy, which allows the connection between the aromatic rings ofthe two monomers through methylene groups provided by an externalcross-linking agent. The new polymer exhibited micromeso porositywith an S (BET) of 612 m(2)/g, highthermal stability, and potential properties as a heterogeneous photocatalyst,since it is very active in the aza-Henry coupling reaction (>98%ofconversion and selectivity). After the first run, the catalyst improvesits photocatalytic activity, shortening the reaction time to only2 h and maintaining this activity in successive runs. The presenceof a radical in this structure that remains stable with successiveruns makes it a new type of material with potential applications asa highly stable and efficient photocatalyst.Ministerio de Ciencia e InnovaciónComunidad de Madri

    Uncertainty quantification and predictability of wind speed over the Iberian Peninsula

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    During recent decades, the use of probabilistic forecasting methods has increased markedly. However, these predictions still need improvement in uncertainty quantification and predictability analysis. For this reason, the main aim of this paper is to develop tools for quantifying uncertainty and predictability of wind speed over the Iberian Peninsula. To achieve this goal, several spread indexes extracted from an ensemble prediction system are defined in this paper. Subsequently, these indexes were evaluated with the aim of selecting the most appropriate for the characterization of uncertainty associated to the forecasting. Selection is based on comparison of the average magnitude of ensemble spread (ES) and mean absolute percentage error (MAPE). MAPE is estimated by comparing the ensemble mean with wind speed values from different databases. Later, correlation between MAPE and ES was evaluated. Furthermore, probability distribution functions (PDFs) of spread indexes are analyzed to select the index with greater similarity to MAPE PDFs. Then, the spread index selected as optimal is used to carry out a spatiotemporal analysis of model uncertainty in wind forecasting. The results indicate that mountainous regions and the Mediterranean coast are characterized by strong uncertainty, and the spread increases more rapidly in areas affected by strong winds. Finally, a predictability index is proposed for obtaining a tool capable of providing information on whether the predictability is higher or lower than average. The applications developed may be useful in the forecasting of wind potential several days in advance, with substantial importance for estimating wind energy production

    Learning Self-Regulation Questionnaire (SRQ-L): Psychometric and Measurement Invariance Evidence in Peruvian Undergraduate Students

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    Given the theoretical and applied importance of self-regulation in learning, our study aimed to report the internal structure of the psychometric properties of the Learning Self-Regulation Questionnaire. Five hundred and ninety-six Peruvian university students participated in their first to tenth semesters on campuses in Lima, Trujillo, and Cajamarca. Nonparametric scalability, dimensionality, reliability (score and item levels), and latent invariance were analyzed. The results showed that reducing the number of response options was necessary. Reducing the number of items also produced better scaling. Two slightly related dimensions were strong internal validity and acceptable item reliability; furthermore, reliability was adequate. Age and gender had trivial correlations in item variability. Finally, differences between the semesters were obtained in the means, variances, and latent correlations. In conclusion, we propose a better definition of the constructs of autonomy and control measured by the SRQ-L. This article also discusses the limitations and implications of the study

    Genetic characterization of domestic pigs in the core zone of swine production of Argentina

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    Argentina is a small player in the global pork market, contributing only 0.7% of the total production. With increasing global demand for meat, there is an opportunity for countries with an agricultural profile to grow their pork production. However, there is a need to understand the current state of the pork production sector in all aspects to inform decision-making. The aim of this study was to genetically characterize pig herds from different production strata in the primary region for pork production in the country. For this purpose, phylogenetic and genetic variability analyses were performed using the mitochondrial control region marker (n=95 pig samples). Moreover, genotyping of ryr1 and PRKAG3 genes (n=108 pig samples) were performed to evaluate the frequency of deleterious alleles for meat quality traits in the region. The results showed high levels of genetic variability in the pig herds (Hd= 0.840 ± 0.031 and π= 0.010 ± 0.001), with a creole sow and Iberian lineage standing out in the phylogeny. The genotyping of the ryr1 marker revealed the presence of the deleterious t allele in all analyzed strata. However, the RN-allele of the PRKAG3 gene was detected only in the two lower strata. This study represents the first analysis of the phylogenetic relationships among domestic pigs from Argentina and provides an initial assessment of genetic variability in the region. Additionally, the results present, for the first time, the frequency of deleterious alleles for pig production in the productive core area, demonstrating their prevalence.Fil: Figueroa, Carlos Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires; ArgentinaFil: Mac Allister, Matias Exequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires; ArgentinaFil: Acosta, Diana Belén. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires; ArgentinaFil: Fernández, G. P.. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Bioinvestigaciones (Sede Pergamino); ArgentinaFil: Merino, M. L.. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; Argentin

    The influence of Ga composition of GaInAsN QDs on N incorporation.

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    Currently, dilute nitride III-N-As semiconductors, such as InGaAsN/GaAs quantum well material system, allow to develop very competitive lasers at long wavelength emission (1.3 µm). However, longer wavelengths, such as 1.55 µm, are very difficult to achieve without making worse the performance of the device. Alternatively, as it is well known, great efforts are being devoted to the study of dilute nitride III-N-As quantum dots (QDs) semiconductor [1]. Mainly, this is due to the attractive advantages that they show over other materials and structures: the strong reduction in the bandgap of the III-As semiconductor by adding even a few percent of nitrogen into them, and the interesting physical properties that the QDs offer to laser characteristics (e.g. low threshold current, etc

    Reconstructing the impact of human activities in a NW Iberian Roman mining landscape for the last 2500 years

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    This article was made available through the Brunel Open Access Publishing Fund.Little is known about the impact of human activities during Roman times on NW Iberian mining landscapes beyond the geomorphological transformations brought about by the use of hydraulic power for gold extraction. We present the high-resolution pollen record of La Molina mire, located in an area intensely used for gold mining (Asturias, NW Spain), combined with other proxy data from the same peat core to identify different human activities, evaluate the strategies followed for the management of the resources and describe the landscape response to human disturbances. We reconstructed the timing and synchronicity of landscape changes of varying intensity and form occurred before, during and after Roman times. An open landscape was prevalent during the local Late Iron Age, a period of relatively environmental stability. During the Early Roman Empire more significant vegetation shifts took place, reflected by changes in both forest (Corylus and Quercus) and heathland cover, as mining/metallurgy peaked and grazing and cultivation increased. In the Late Roman Empire, the influence of mining/metallurgy on landscape change started to disappear. This decoupling was further consolidated in the Germanic period (i.e., Visigothic and Sueve domination of the region), with a sharp decrease in mining/metallurgy but continued grazing. Although human impact was intense in some periods, mostly during the Early Roman Empire, forest regeneration occurred afterwards: clearances were local and short-lived. However, the Roman mining landscape turned into an agrarian one at the onset of the Middle Ages, characterized by a profound deforestation at a regional level due to a myriad of human activities that resulted in an irreversible openness of the landscape. © 2014 The Authors

    Expression and prognostic significance of apolipoprotein D in breast cancer.

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    En esta publicación se evaluó la expresión y la significación pronostica de la apolipoproteína D (apo D) en 163 carcinomas mamarios. La apo D es una glicoproteína involucrada en el sistema de transporte de lípidos del plasma humano y presente en grandes cantidades en el líquido de los quistes de mujeres con enfermedad macroquistica mamaria. Además, se ha propuesto como marcador de la acción esteroidea en células de cáncer de mama. La técnica empleada para evaluar la expresión de Apo D en carcinomas de mama fue la tinción con inmunoperoxidasa. Del total, 103 tumores se tiñeron para la apo D con una amplia variabilidad en la intensidad y el porcentaje de positividad. Para la cuantificación de la tinción se utilizó el sistema HSCORE que considera tanto la intensidad de la tinción como el porcentaje de células teñidas. Los resultados de este estudio mostraron una asociación significativa entre la apo D y el estado menopáusico de pacientes y el grado de diferenciación de los tumores. Los valores de apo D fueron más bajos en tumores de mujeres premenopáusicas o en carcinomas pobremente diferenciados, sugiriendo el valor potencial de esta glicoproteína como factor pronóstico en cáncer de mama. Además, el análisis preliminar de supervivencia libre de enfermedad y supervivencia global en un subgrupo de 152 mujeres con un seguimiento medio de 42 meses confirmó que los valores bajos de apo D se asociaban significativamente con una supervivencia libre de enfermedad más corta y una supervivencia global más pobre. No encontramos ninguna correlación significativa entre la apo D y el tamaño del tumor, la afectación de los ganglios linfáticos o parámetros bioquímicos como los receptores de estrógenos, la catepsina D o la proteína pS2. Los resultados de este estudio fueron muy trascendentes ya que nos permitieron proponer que la apo D, en combinación con otros factores pronósticos bien establecidos, podría contribuir a identificar con mayor precisión a subgrupos de pacientes con cáncer de mama con bajo o alto riesgo de recaída y muerte. La importancia de esta publicación se ha visto refrendada en publicaciones recientes donde se ha corroborado que esta lipoproteína está relacionada con la gravedad del cáncer de mama
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