Las buenas prácticas clínicas. Su aplicación en el dato primario para los eventos adversos / Good clinical practices and its use in primary data in adverse events

Las Buenas Prácticas Clínicas son estándares nacionales e internacionales con que se realizan los Ensayos Clínicos. El ejercicio de dichas prácticas ofrece credibilidad y confiabilidad a los datos aportados por la etapa de desarrollo clínico del producto en investigación; respecto a los derechos e integridad del paciente y guían al trabajador de la salud. El Evento Adverso tiene que ser recogido en el documento primario con todas sus características y transcrito al Cuaderno de Recogida de Datos de cada sujeto en investigación. Durante el l Ensayo Clínico, el sujeto en estudio puede presentar síntomas o signos desfavorables con o sin relación causal con el producto. Se revisaron nueve Historias Clínicas y sus respectivos Cuadernos de Recogida de Datos de los pacientes portadores de cáncer de próstata hormona-refractario, incluidos en el Ensayo Clínico Fase II "Evaluación clínica del uso del esquema vacuna-quimioterapia-vacuna con la vacuna de Factor de Crecimiento Epidérmico en el tratamiento de estos pacientes, tratados en el sitio de investigación Hospital 3er Congreso de Pinar del Río. Se usaron métodos estadísticos de análisis. Los eventos adversos más frecuentes resultaron las alteraciones en los exámenes de laboratorio clínicos en un 100% de los pacientes, seguidos de los digestivos 88.9% del total de pacientes. Hubo un 94% de correspondencia en la trascripción del dato del evento adverso al cuaderno de recogida de datos; un 94.1% de los eventos fueron clasificados adecuadamente y un 92.2% transcritos correctamente en el CRD. El 100% de los eventos adversos tuvo un criterio de percepción. Recomendamos monitoreos internos periódicos a cada EC del sitio. Palabras clave: Prácticas Clínicas, Ensayos Clínicos como Asunto, Investigación Biomédica., Proyectos de Investigación. ABSTRACT The good clinical practices are national or international standards for the clinical assays; these practices give credibility and confidence to data given by the stage of the clinical development of the product to be investigated. The adverse event has to be compiled in the primary document with all the characteristics and transcribed to the notebook of data in every subject in the investigation. During the I Clinical Assay, the subject may have symptoms or unfavourable signs with causal relationship with the product or not. Nine clinical records as well as its respective notebooks for data in carriers of the hormone-refractory prosthatic cancer included in the Fase II Clinical assay "Clinical evaluation of the use of the vaccine-chemotherapy -vaccine using the epidermic growing factor in the treatment of these patients were treated in "III Congreso"Pinar del Rio hospital. Statistical analysis methods were used. The most frequent adverse events were: changes in the clinical laboratory tests (100 %), followed by 94% of correspondence in the transcription data of the adverse event into the notebook of data; 94..1% of the events were properly classified and a 92.2% were transcribed properly in the CDR (Revolution Defence Committee).100 per cent of the adverse events had a perception criterion. It is recommended periodical internal monitoring in every CA of the site. Key words: Clinical Practices, Clinical Assays as an Event, Biomedical Investigation, Investigation Projec

Las buenas prácticas clínicas. Su aplicación en el dato primario para los eventos adversos / Good clinical practices and its use in primary data in adverse events

Las Buenas Prácticas Clínicas son estándares nacionales e internacionales con que se realizan los Ensayos Clínicos. El ejercicio de dichas prácticas ofrece credibilidad y confiabilidad a los datos aportados por la etapa de desarrollo clínico del producto en investigación; respecto a los derechos e integridad del paciente y guían al trabajador de la salud. El Evento Adverso tiene que ser recogido en el documento primario con todas sus características y transcrito al Cuaderno de Recogida de Datos de cada sujeto en investigación. Durante el l Ensayo Clínico, el sujeto en estudio puede presentar síntomas o signos desfavorables con o sin relación causal con el producto. Se revisaron nueve Historias Clínicas y sus respectivos Cuadernos de Recogida de Datos de los pacientes portadores de cáncer de próstata hormona-refractario, incluidos en el Ensayo Clínico Fase II "Evaluación clínica del uso del esquema vacuna-quimioterapia-vacuna con la vacuna de Factor de Crecimiento Epidérmico en el tratamiento de estos pacientes, tratados en el sitio de investigación Hospital 3er Congreso de Pinar del Río. Se usaron métodos estadísticos de análisis. Los eventos adversos más frecuentes resultaron las alteraciones en los exámenes de laboratorio clínicos en un 100% de los pacientes, seguidos de los digestivos 88.9% del total de pacientes. Hubo un 94% de correspondencia en la trascripción del dato del evento adverso al cuaderno de recogida de datos; un 94.1% de los eventos fueron clasificados adecuadamente y un 92.2% transcritos correctamente en el CRD. El 100% de los eventos adversos tuvo un criterio de percepción. Recomendamos monitoreos internos periódicos a cada EC del sitio. Palabras clave: Prácticas Clínicas, Ensayos Clínicos como Asunto, Investigación Biomédica., Proyectos de Investigación. ABSTRACT The good clinical practices are national or international standards for the clinical assays; these practices give credibility and confidence to data given by the stage of the clinical development of the product to be investigated. The adverse event has to be compiled in the primary document with all the characteristics and transcribed to the notebook of data in every subject in the investigation. During the I Clinical Assay, the subject may have symptoms or unfavourable signs with causal relationship with the product or not. Nine clinical records as well as its respective notebooks for data in carriers of the hormone-refractory prosthatic cancer included in the Fase II Clinical assay "Clinical evaluation of the use of the vaccine-chemotherapy -vaccine using the epidermic growing factor in the treatment of these patients were treated in "III Congreso"Pinar del Rio hospital. Statistical analysis methods were used. The most frequent adverse events were: changes in the clinical laboratory tests (100 %), followed by 94% of correspondence in the transcription data of the adverse event into the notebook of data; 94..1% of the events were properly classified and a 92.2% were transcribed properly in the CDR (Revolution Defence Committee).100 per cent of the adverse events had a perception criterion. It is recommended periodical internal monitoring in every CA of the site. Key words: Clinical Practices, Clinical Assays as an Event, Biomedical Investigation, Investigation Projec

At the beginnings of the funerary Megalithism in Iberia at Campo de Hockey necropolis

The excavations undertaken at the Campo de Hockey site in 2008 led to the identification of a major Neolithic necropolis in the former Island of San Fernando (Bay of Cádiz). This work presents the results of the latest studies, which indicate that the site stands as one of the oldest megalithic necropolises in the Iberian Peninsula. The main aim of this work is to present with precision the chronology of this necropolis through a Bayesian statistical model that confirms that the necropolis was in use from c. 4300 to 3800 cal BC. The presence of prestige grave goods in the earliest and most monumental graves suggest that the Megalithism phenomenon emerged in relation to maritime routes linked to the distribution of exotic products. We also aim to examine funerary practices in these early megalithic communities, and especially their way of life and the social reproduction system. As such, in addition to the chronological information and the Bayesian statistics, we provide the results of a comprehensive interdisciplinary study, including anthropological, archaeometric and genetic data.Archaeological background: the Campo de Hockey settlement Methods - Tomb typology - Radiocarbon dates and Bayesian analysis. - Bioarchaeology. - DNA - Grave goods Results - Tomb typology - Radiocarbon dating: Bayesian analysis - Bioarchaeology. - DNA - Grave goods. Discussion and conclusions

Health status and labor force participation : evidence for urban low and middle income individuals in Colombia

This paper analyzes the relationship between individual health status and labor force participation using the first wave of the Colombian Longitudinal Survey. The empirical modeling strategy accounts for the presence of potential endogeneity between these two variables. The results show that there is a positive relationship between health and labor force participation in both directions, indicating that better health is likely to lead to a higher probability of participation in the labor market, but also that individuals who participate in the labor market are more likely to report better health. Interesting differences are uncovered when comparing the results by gender and/or age groups. For instance, for younger females, health status and higher education positively affect the probability of labor participation, whereas having children under the age of 5 and being married reduce their probability of participation. Our findings also highlight the importance of public policy to guarantee good health conditions of the population which could also have a positive impact on labor productivity and consequently on long-run economic growth.info:eu-repo/semantics/publishedVersio

Capeltic y Proyecto Híbrido

ITESO, A.C

Toksikokinetika prometrina u mozgu miševa

Prometryne is a methylthio-s-triazine herbicide. Signifi cant trace amounts are found in the environment, mainly in water, soil, and food plants. The aim of this study was to establish brain and blood prometryne levels after single oral dose (1 g kg-1) in adult male and female mice. Prometryne was measured using the GC/MS assay at 1, 2, 4, 8, and 24 h after prometryne administration. Peak brain and blood prometryne values were observed 1 h after administration and they decreased in a time-dependent manner. Male mice had consistently higher brain and blood prometryne levels than female mice. The observed prometryne kinetics was similar to that reported for the structurally related herbicide atrazine.Prometrin je metiltio-s-triazinski herbicid. Značajne količine prometrina zaostaju u tragovima u okolišu, poglavito u vodi, tlu i biljkama koje rabimo za prehranu. Cilj je rada izmjeriti količinu prometrina koja se apsorbira u mozgu i krvi nakon primijenjene akutne oralne doze (1 g kg-1 tjelesne mase) u odraslih miševa obaju spolova. Razine prometrina u mozgu i krvi izmjerene su GC/MS-om tijekom 1., 2., 4., 8. i 24. sata nakon izlaganja. Utvrđeno je da je udio prometrina koji se zadržava u živčanom tkivu relativno nizak ali detektabilan u odnosu na koncentraciju u krvi i koncentraciju primijenjene doze. Najviše koncentracije u krvi i maseni udjeli u mozgu zabilježeni su tijekom 1. sata nakon izlaganja, a s vremenom izmjerene vrijednosti značajno opadaju. Uočena je značajna razlika između mužjaka i ženki pri čemu mužjaci imaju značajno više razine prometrina u mozgu i krvi nego ženke. Opisana toksikokinetika prometrina pokazuje sličnosti s otprije opisanom i poznatom toksikokinetikom strukturalno sličnog herbicida atrazina

The state of the Martian climate

60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes