VÍNCULO AFECTIVO DEL BINOMIO MADRE-HIJO EXPERIENCIA DE UNA MADRE ANTE LA SEPARACIÓN DE SU RECIÉN NACIDO POR PREMATURIDAD; UN ESTUDIO DE CASO

Se presenta el caso de una paciente puérpera de 20 años quien se encuentra en puerperio mediato de 28 horas. Objetivo: Aplicar los cuidados de enfermería que contribuyan a una recuperación satisfactoria en la paciente a través de una valoración obstétrica guiada desde el cuidado de enfermería Metodología: La presente investigación es de tipo cualitativa descriptiva aleatoria simple y se pretende obtener información objetiva acerca de la forma como se aplican las etapas del proceso de enfermería donde la práctica formativa del programa de enfermería servicio hospitalario de gineco-obstetricia del HUEM. Resultados: la paciente expresa satisfacción con los cuidados e intervenciones realizadas por enfermería, refiere que sintió compañía y apoyo en la situación que está viviendo. Conclusión: El puerperio es una etapa del ciclo vital de la mujer y la familia que requiere de una atención especial por parte de la enfermera ya que la mujer durante este proceso no solo esta sensible en la salud física si no también su parte psicológica ya que está pasando por un periodo trascendental y se interrelacionan muchos sentimientos y aspectos que cambian de alguna forma la vida de la mujer, y como enfermeras se debe ayudar a que todos estos cambios sean guiados a un buen desarrollo y a una excelente adopción del rol maternal, facilitando la vinculación madre-hijo

Cost-effectiveness of upper extremity dry needling in the rehabilitation of patients with stroke

Introduction: Dry needling (DN) has been shown to be effective for the treatment of upper extremity hypertonia in patients with stroke. Purpose: To evaluate the cost-effectiveness of DN in patients with stroke. Methods: A cost-effectiveness analysis was performed in a research study conducted at a Spanish public hospital where patients were classified into two groups with or without DN. Hypertonia was measured using the Modified Modified Ashworth Scale (MMAS), and quality of life (QOL) was assessed using the EuroQoL 5-dimension questionnaire. Data regarding the effects and costs of physiotherapy were presented by calculating the mean and 95% confidence interval. The health outcomes were evaluated considering the rate of responders to the treatment based on the MMAS. Spanish preference weights were used to estimate quality-adjusted life years (QALYs). The incremental cost-effectiveness ratio (ICER) and incremental cost-utility ratio (ICUR) were calculated to determine the economic value of DN. Results: Eighty patients with stroke in the subacute stage of recovery were selected to participate in this study. Based on the rate of responders, the ICER of the DN group was very low. Despite the sensitivity analysis performed, the results of the ICUR were not encouraging. Discussion: Cost-effectiveness with responder rate results were favourable for the DN group and were confirmed by the sensitivity analysis according to levels of care. In addition, our findings revealed that 4 weeks of treatment could be more cost-effective than 8 weeks. DN treatment of the upper extremity appears to be cost-effective based on the rate of responders measured using the MMAS scale. © The Author(s) 2021

Multi-step ultraviolet index forecasting using long short-term memory networks

The ultraviolet index is an international standard metric for measuring the strength of the ultraviolet radiation reaching Earth’s surface at a particular time, at a particular place. Major health problems may arise from an overexposure to such radiation, including skin cancer or premature ageing, just to name a few. Hence, the goal of this work is to make use of Deep Learning models to forecast the ultraviolet index at a certain area for future timesteps. With the problem framed as a time series one, candidate models are based on Recurring Neural Networks, a particular class of Artificial Neural Networks that have been shown to produce promising results when handling time series. In particular, candidate models implement Long Short-Term Memory networks, with the models’ input ranging from uni to multi-variate. The used dataset was collected by the authors of this work. On the other hand, the models’ output follows a recursive multi-step approach to forecast several future timesteps. The obtained results strengthen the use of Long Short-Term Memory networks to handle time series problems, with the best candidate model achieving high performance and accuracy for ultraviolet index forecasting.This work has been supported by FCT - Fundação para a Ciência e a Tecnologia within the R&D Units project scope UIDB/00319/2020 and DSAIPA/AI/0099/2019. The work of Bruno Fernandes is also supported by a Portuguese doctoral grant, SFRH/BD/130125/2017, issued by FCT in Portugal

Integration of proteomics with transcriptomics and metallomics for the study of environmental issues

Comunicaciones a congreso

Synthesis and size evolution of 1D hydroxyapatite crystals under surfactant-free hydrothermal conditions

Hydroxyapatite nanoparticulate materials have received a great deal of scientific attention due to their dental and orthopedic applications but simple strategies to control particle characteristics (e.g., surface area, shape and size distribution) are still needed. Among several hydroxyapatite structures, one-dimensional nanoscale materials such as nanowires, nanorods and nanobelts can be synthesized in the presence of specific surfactants added during synthesis in order to alter the particle growth. This contribution is aim to explore strategies to obtain one dimensional hydroxyapatite crystals without the use of surfactants. Particularly, we study the effect of several variables such as temperature, reaction time and pH on shape and size of hydroxyapatite crystals produced under hydrothermal conditions. The results obtained show the formation of hydroxyapatite nanorods as well as some interesting insights about how to control particle sizes in samples obtained at temperatures between 180 °C and 220 °C. These results have potential benefits at the time of producing one dimensional hydroxyapatite crystals in a simple and not expensive way

Impact of Maturation and Vitrification Time of Human GV Oocytes on the Metaphase Plate Configuration

The combination of in vitro maturation (IVM) techniques and oocyte vitrification (OV) could increase the number of useful oocytes in different types of patients. IVM and subsequent OV is the most widely used clinical strategy. Would the results improve if we reverse the order of the techniques? Here, we evaluated survival, in vitro maturation, time to extrude the first polar body (PB), and the metaphase plate configuration of human prophase I (GV) oocytes before or after their vitrification. Specific, 195 GV oocytes from 104 patients subjected to controlled ovarian stimulation cycles were included. We stablished three experimental groups: GV oocytes vitrified and IVM (Group GV-Vit), GV oocytes IVM and vitrified at MII stage (Group MII-Vit), and GV oocytes IVM (Group not-Vit). All of them were in vitro matured for a maximum of 48 h and fixed to study the metaphase plate by confocal microscopy. According to our results, the vitrification of immature oocytes and their subsequent maturation presented similar survival, maturation, and metaphase plate conformation rates, but a significantly higher percentage of normal spindle than the standard strategy. Additionally, the extension of IVM time to 48 h did not seem to negatively affect the oocyte metaphase plate configuration.This research was funded by Department of Biotechnology of the University of Alicante (VIGROB-186)

Use of metalloproteomics to access environmental stress in the free-living mice mus spretus

Comunicaciones a congreso

Determinacion de zonas isotermicas y seleccion de estaciones meteorologicas representativas en Aragon como base para la estimacion del impacto del cambio climatico sobre la posible relacion entre mortalidad y temperatura.

Fundamento: En regiones extensas y diversificadas, como Aragón, se cree la necesidad de dividirlas en áreas en función de las variables atmosféricas disponibles, para seleccionar una estación meteorológica representativa. El objeto de este artículo es determinar la existencia de regiones isotérmicas y seleccionar las estaciones representativas con el fin de estudiar la correlación entre variables de temperatura y mortalidad diaria. Métodos: Se seleccionaron datos diarios de temperatura máxima y mínima para el periodo comprendido entre enero de 1987 y diciembre de 2006. Para determinar las zonas isotérmicas se realizó un análisis de conglomerados jerárquicos y un análisis factorial discriminante, así como un tratamiento previo de datos de relleno de lagunas y detección de heterogeneidades en las series climáticas. Se analizaron datos de 93 estaciones (44 en Huesca, 15 en Teruel y 34 en Zaragoza). Resultados: De los resultados del análisis para la regionalización de Aragón extrajimos que un solo factor explica la varianza de cada serie. En temperaturas máximas ese único factor explicó el 93,43% de la varianza y la estación que representó un mayor factor de correlación fue Huesca-Monflorite (correlación=0,984). Para temperaturas mínimas un único factor explicó el 90,88% de la varianza, siendo la estación con mayor factor de correlación Pallaruelo de Monegros (correlación=0,976). Conclusiones: Se consideró que Aragón es una única región isotérmica con una única estación representativa de la variabilidad de las temperaturas, Zaragoza-Aeropuerto, con una correlación en temperaturas máximas de 0,980 y en mínimas de 0,974. Background: In extensive and diversified regions, such as Aragon, it is believed the need to divide them into areas in terms of the available atmospheric variables with a view to select a representative weather station. The objective of this study was to determine the existence of isothermal regions and select representative stations for Aragon in order to carry out further study on the correlation between variables of temperature and daily mortality. Methods: Daily data on maximum and minimum temperature for the period between January 1987 and December 2006 was selected. In order to determine the isothermal areas a cluster analysis and a discriminate factor analysis were carried out along with a data pretreatment of filled gaps and detection of inhomogeneities in the climatic series. We analyzed data from 93 stations (44 in Huesca, 15 in Teruel and 34 in Zaragoza). Results: The results of the analysis for the regionalization of Aragon lead us to conclude that a unique factor explains the variance of each series; at high temperatures one factor explains 93.43% of the variance and the station with the highest correlation factor is Monflorite-Huesca (correlation = 0.984). At low temperatures one factor explains 90.88% of the variance, with Monegros-Pallaruelo being the station that presents the greatest correlation factor (correlation = 0.976). Conclusions: It was felt that Aragon was a unique isothermal region with one unique representative station of the temperature variability, Zaragoza-Airport with a correlation of 0.980 in maximum temperatures and 0.974 minimum

Estado actual de los estudios de conservación de las pinturas rupestres esquemáticas del Monte Valonsadero (Soria) y propuestas para su protección y salvaguarda

El primero de los autores reúne aquí su experiencia, de más de veinte años de estudio y seguimiento de las pinturas rupestres esquemáticas del Monte Valonsadero, con las síntesis —que él mismo traza y los demás autores anotan, corrigen o amplían— de los trabajos de estudio de la alteración de las areniscas que soportan los paneles pintados, de los análisis mineralógicos de sus pinturas y de la conservación y posible medidas para su protección, cuando se aproxima el año 2001, fecha en que este interesante núcleo de arte rupestre cumplirá cincuenta años de su descubrimiento. El interés de los autores está centrado en la necesidad de salvaguardar este tipo de manifestaciones, para lo cual entienden como prioritario el conocimiento de su estado de conservación y la llamada de atención a la Administración a fin de que ésta desarrolle sobre aquéllas cuantas actuaciones sean precisas para cumplir con la inexorable obligación de legarlas, al menos en su situación actual, a la posterioridad.The first one oí the authors assembles his experience of more than twenty-year-old study made of the schematic rock paintings in Monte Valonsadero, together with the syntheses —also made by him and later revised by the other authors— firstly of the studies of the alteration of the sandstone which support the paintings, secondly of the mineralogical analysis of the paint, and finally aiming to the preservation and possible actions for their protection. This article has an especial significance owing to the closeness of the year 2001, date on which the discovery of this interesting cave art nucleus will be fifty years of age. The main interest of tfie authors aims at the necessity of safeguarding tfiis type of paintings and ttiat is why they give priority to the knowledge of the preservation level in which the paintings are and, at the same time, they make a cali on the Authorities attention so that they could make any precise action to fulfil their inexorable duty to leave the paintings, at least as they are nowadays, to posterity

In-situ and Ex-situ characterization of III-V semiconductor materials and solar cells upon 10 MEV proton irradiation

In this work we present the results and analysis of a 10 MeV proton irradiation experiment performed on III-V semiconductor materials and solar cells. A set of representative devices including lattice-matched InGaP/GaInAs/Ge triple junction solar cells and single junction GaAs and InGaP component solar cells and a Ge diode were irradiated for different doses. The devices were studied in-situ before and after each exposure at dark and 1 sun AM0 illumination conditions, using a solar simulator connected to the irradiation chamber through a borosilicate glass window. Ex-situ characterization techniques included dark and 1 sun AM0 illumination I-V measurements. Furthermore, numerical simulation of the devices using D-AMPS-1D code together with calculations based on the TRIM software were performed in order to gain physical insight on the experimental results. The experiment also included the proton irradiation of an unprocessed Ge solar cell structure as well as the irradiation of a bare Ge(100) substrate. Ex-situ material characterization, after radioactive deactivation of the samples, includes Raman spectroscopy and spectral reflectivity