Análisis de la mortalidad en pacientes con fracturas subcapitales de cadera

El objetivo del presente trabajo es realizar un estudio analítico restrospectivo de la mortalidad de una serie de 528 fracturas subcapitales de cadera en 523 pacientes tratados en nuestro centro mediante prótesis cérvico-cefálica cementada durante el periodo de 1978-1986. De estos 523 pacientes, 190 (36%) habían fallecido en el momento de realizar el estudio. Hemos analizado la mortalidad hospitalaria, 47 casos (9%) y 6 meses después de la intervención, 104 (20%). Se han demostrado como factores de alto riesgo: edad superior a 85 años, presentar tres o más enfermedades asociadas, complicaciones generales en el postoperatorio (escaras, tromboembolismo pulmonar, infarto agudo de miocardio, neumonía, etc.) complicaciones locales como la luxación de la prótesis y finalmente, una demora en la intervención superior a 6 días.We report a retrospective study analyzing the mortality of 528 femoral neck fractures in 523 patients treated with Thompson or Cathcart prosthesis during the period 1978-1986. The hospital mortality was 9% (47 cases) and 20% (104 cases) the mortality and six-months after surgery. High risk factors, were found to be: age more than 85 years-old, three o more preoperative illness, postoperative general complications (Pulmonar tromboembolism, Acute myocardial infarction, sores, pneumonia), dislocation of the prosthesis and a more than 6 days delay surgery

Formation of atom wires on vicinal silicon

The formation of atomic wires via pseudomorphic step-edge decoration on vicinal silicon surfaces has been analyzed for Ga on the Si(112) surface using Scanning Tunneling Microscopy and Density Functional Theory calculations. Based on a chemical potential analysis involving more than thirty candidate structures and considering various fabrication procedures, it is concluded that pseudomorphic growth on stepped Si(112), both under equilibrium and non-equilibrium conditions, must favor formation of Ga zig-zag chains rather than linear atom chains. The surface is non-metallic and presents quasi-one dimensional character in the lowest conduction band.Comment: submitte

Construyendo dominios de encuentro para problematizar acerca de las prácticas pedagógicas de profesores secundarios de Ciencias: Incorporando el modelo de Investigación-Acción como plan de formación continua

Frente a la actual crisis de la educación científica, la capacidad docente de transformar sus prácticas para mejorar el logro de aprendizajes parece ser fundamental. Los programas de formación docente continua tradicionales, generalmente prescriptivos y descontextualizados del aula, han tenido bajo impacto en los procesos de transformación de las prácticas docentes. El presente trabajo describe la primera fase de un programa de formación continua consistente en la construcción de dominios de encuentro entre el saber académico generado en la Universidad y el saber profesional de 16 profesores secundarios de Ciencias a través de un proceso de investigación-acción conjunta, basado en el trabajo colaborativo, la reflexión y la retroalimentación. Los resultados dan cuenta de la complejidad de generar significados comunes, los que una vez logrados, permiten fortalecer el razonamiento científico, la autoeficacia y conformación de una comunidad de aprendizaje que posibilita una actitud indagatoria hacia sus prácticas en Ciencias. / Considering the current scientific education crisis, teachers' capacity to transform their practice in order to improve learning achievement seems fundamental. The traditional programs of continuous professional development, generally prescriptive and uncontextualized from the classroom, have had a low impact on processes of teachers' practice transformation. This work describes the first stage of continuous development program, consisting on building encounter domains between the academic knowledge of Universities, and professional knowledge of 16 secondary science teachers, through a joint action-research process, based on collaborative work, reflection and feedback. The results show the complexity of building shared sense which, once achieved, allows strong scientific reasoning, self-efficacy and the construction of a learning community facilitating an inquiry-driven attitude towards their science teaching practice

Improving the Working Memory During Early Childhood Education Through the Use of an Interactive Gesture Game-Based Learning Approach

One of the most socially and culturally advantageous uses of human–computer interaction is enhancing playing and learning for children. In this paper, gesture interactive game-based learning (GIGL) is tested to see if these kinds of applications are suitable to stimulate working memory (WM) and basic mathematical skills (BMS) in early childhood (5–6 years old) using a hand gesture recognition system. Hand gesture is being performed by the user and to control a computer system by that incoming information. The research was developed using a quasi-experimental design with a pre-test and post-test, using both an experimental and control group through three phases: the first one was the prior evaluation of the learner’s skills; a second phase in which the use of the technology was developed; and a final phase of evaluation. In the evaluation phases, working memory was measured using the Corsi task, and the basic mathematical skills using the test for the diagnosis of basic mathematical competencies (TEDI-MATH). The results provide clear evidence that the use of these technologies improved both working memory and basic mathematical skills. We can conclude that the children who used GIGL technology showed a significant increase in their learning performance in WM and BMS, surpassing those who did normal school activitiesS

Ga-induced atom wire formation and passivation of stepped Si(112)

We present an in-depth analysis of the atomic and electronic structure of the quasi one-dimensional (1D) surface reconstruction of Ga on Si(112) based on Scanning Tunneling Microscopy and Spectroscopy (STM and STS), Rutherford Backscattering Spectrometry (RBS) and Density Functional Theory (DFT) calculations. A new structural model of the Si(112)6 x 1-Ga surface is inferred. It consists of Ga zig-zag chains that are intersected by quasi-periodic vacancy lines or misfit dislocations. The experimentally observed meandering of the vacancy lines is caused by the co-existence of competing 6 x 1 and 5 x 1 unit cells and by the orientational disorder of symmetry breaking Si-Ga dimers inside the vacancy lines. The Ga atoms are fully coordinated, and the surface is chemically passivated. STS data reveal a semiconducting surface and show excellent agreement with calculated Local Density of States (LDOS) and STS curves. The energy gain obtained by fully passivating the surface calls the idea of step-edge decoration as a viable growth method toward 1D metallic structures into question.Comment: Submitted, 13 pages, accepted in Phys. Rev. B, notational change in Fig.

Examining the influence of seasonality, condition, and species composition on mangrove leaf pigment contents and laboratory based spectroscopy data

The purpose of this investigation was to determine the seasonal relationships (dry vs. rainy) between reflectance (400-1000 nm) and leaf pigment contents (chlorophyll-a (chl-a), chlorophyll-b (chl-b), total carotenoids (tcar), chlorophyll a/b ratio) in three mangrove species (Avicennia germinans (A. germinans), Laguncularia racemosa (L. racemosa), and Rhizophora mangle (R. mangle)) according to their condition (stressed vs. healthy). Based on a sample of 360 leaves taken from a semi-arid forest of the Mexican Pacific, it was determined that during the dry season, the stressed A. germinans and R. mangle show the highest maximum correlations at the green (550 nm) and red-edge (710 nm) wavelengths (r = 0.8 and 0.9, respectively) for both chl-a and chl-b and that much lower values (r = 0.7 and 0.8, respectively) were recorded during the rainy season. Moreover, it was found that the tcar correlation pattern across the electromagnetic spectrum was quite different from that of the chl-a, the chl-b, and chl a/b ratio but that their maximum correlations were also located at the same two wavelength ranges for both seasons. The stressed L. racemosa was the only sample to exhibit minimal correlation with chl-a and chl-b for either season. In addition, the healthy A. germinans and R. mangle depicted similar patterns of chl-a and chl-b, but the tcar varied depending on the species. The healthy L. racemosa recorded higher correlations with chl-b and tcar at the green and red-edge wavelengths during the dry season, and higher correlation with chl-a during the rainy season. Finally, the vegetation index Red Edge Inflection Point Index (REIP) was found to be the optimal index for chl-a estimation for both stressed and healthy classes. For chl-b, both the REIP and the Vogelmann Red Edge Index (Vog1) index were found to be best at prediction. Based on the results of this investigation, it is suggested that caution be taken as mangrove leaf pigment contents from spectroscopy data have been shown to be sensitive to seasonality, species, and condition. The authors suggest potential reasons for the observed variability in the reflectance and pigment contents relationships

Major genomic mitochondrial lineages delineate early human expansions

BACKGROUND: The phylogeographic distribution of human mitochondrial DNA variations allows a genetic approach to the study of modern Homo sapiens dispersals throughout the world from a female perspective. As a new contribution to this study we have phylogenetically analysed complete mitochondrial DNA(mtDNA) sequences from 42 human lineages, representing major clades with known geographic assignation. RESULTS: We show the relative relationships among the 42 lineages and present more accurate temporal calibrations than have been previously possible to give new perspectives as how modern humans spread in the Old World. CONCLUSIONS: The first detectable expansion occurred around 59,000–69,000 years ago from Africa, independently colonizing western Asia and India and, following this southern route, swiftly reaching east Asia. Within Africa, this expansion did not replace but mixed with older lineages detectable today only in Africa. Around 39,000–52,000 years ago, the western Asian branch spread radially, bringing Caucasians to North Africa and Europe, also reaching India, and expanding to north and east Asia. More recent migrations have entangled but not completely erased these primitive footprints of modern human expansions

Metal-insulator transition in one-dimensional lattices with chaotic energy sequences

We study electronic transport through a one-dimensional array of sites by using a tight binding Hamiltonian, whose site-energies are drawn from a chaotic sequence. The correlation degree between these energies is controlled by a parameter regulating the dynamic Lyapunov exponent measuring the degree of chaos. We observe the effect of chaotic sequences on the localization length, conductance, conductance distribution and wave function, finding evidence of a Metal-Insulator Transition (MIT) at a critical degree of chaos. The one-dimensional metallic phase is characterized by a Gaussian conductance distribution and exhibits a peculiar non-selfaveraging.Comment: 5 pages, 5 figures (one figure replaced). Includes new results and a few additional references. Improved style for publication. Accepted in Physics Letters

Prevalence of sensorineural hearing loss in children and adolescents with diabetes mellitus

To establish the prevalence of sensorineural hearing loss (SNHL), as well as the predisposing risk factors, in children and adolescents with type 1 diabetes mellitus (T1DM) attending the Service of Endocrino-Pediatrics and Otolaryngology Department of the ‘‘Dr. José Eleuterio González’’ University Hospital and the Materno-Infantil Hospital, from January 2011 to December 2012. Material and methods: A total of 84 children with T1DM, with ages between 6 and 18 years old, were studied. Values of glycated hemoglobin (HbA1c) were assessed and Tonal audiometry and Speech audiometry tests were performed. Results: A total of 84 patients with a diagnosis of T1DM were studied, out of which 12 (14.3%) presented SNHL. Fifty percent of patients with hearing loss were in the age range of 10---13 years old. Regarding time of evolution with the disease (T1DM), 33% of patients with more than 5 years with T1DM presented SNHL, and nearly 88.9% of the patients with less than 5 years with T1DM presented normal hearing (p = 0.011). Moreover, 65.47% of the patients presented complications due to poor glycemic control at some point in the evolution of their disease. All (100%) diabetic patients with SNHL and 91% of the patients without SNHL had HbA1c values greater than 6%. In patients with hearing impairments, 83.3% suffered mild and 16.4% suffered moderate hearing loss. Most presented bilateral hearing loss, with the right ear dominating. Acute frequencies, mainly 8000 kHz, were the most affected

Inverse Low Gain Avalanche Detectors (iLGADs) for precise tracking and timing applications

Low Gain Avalanche Detector (LGAD) is the baseline sensing technology of the recently proposed Minimum Ionizing Particle (MIP) end-cap timing detectors (MTD) at the Atlas and CMS experiments. The current MTD sensor is designed as a multi-pad matrix detector delivering a poor position resolution, due to the relatively large pad area, around 1 $mm^2$; and a good timing resolution, around 20-30 ps. Besides, in his current technological incarnation, the timing resolution of the MTD LGAD sensors is severely degraded once the MIP particle hits the inter-pad region since the signal amplification is missing for this region. This limitation is named as the LGAD fill-factor problem. To overcome the fill factor problem and the poor position resolution of the MTD LGAD sensors, a p-in-p LGAD (iLGAD) was introduced. Contrary to the conventional LGAD, the iLGAD has a non-segmented deep p-well (the multiplication layer). Therefore, iLGADs should ideally present a constant gain value over all the sensitive region of the device without gain drops between the signal collecting electrodes; in other words, iLGADs should have a 100${\%}$ fill-factor by design. In this paper, tracking and timing performance of the first iLGAD prototypes is presented.Comment: Conference Proceedings of VCI2019, 15th Vienna Conference of Instrumentation, February 18-22, 2019, Vienna, Austri