Aplicabilidad clínica de los índices pronósticos, PROFUND y PROFUNCTION

An 83-year-old woman with a history of hypertension, grade II obesity, dyslipidemia and paranoid schizophrenia with limited life due to polyarthrosis and basic psychiatric pathology who enter by episode of hydropic decompensation in the context of severe acute anemization. After carrying out a comprehensive assessment together with the calculation of the PROFUND index and PROFUNCTION index, a personalized action plan adapted to the patient was carried out by consensus with her family.Se presenta el caso de una mujer de 83 años con antecedentes de hipertensión arterial, obesidad grado II, dislipemia y esquizofrenia paranoide, con vida limitada por poliartrosis y patología psiquiátrica de base. Ingresó por episodio de descompensación hidrópica en contexto de anemización aguda grave. Tras realización de una valoración integral, junto con el cálculo de los índices PROFUND y PROFUNCTION, se llevó a cabo, consensuado con sus familiares, un plan de acción personalizado adaptado a la paciente

Screening Physical Activity in Family Practice : Validity of the Spanish Version of a Brief Physical Activity Questionnaire

The use of brief screening tools to identify inactive patients is essential to improve the efficiency of primary care-based physical activity (PA) programs. However, the current employment of short PA questionnaires within the Spanish primary care pathway is unclear. This study evaluated the validity of the Spanish version of a Brief Physical Activity Assessment Tool (SBPAAT). A validation study was carried out within the EVIDENT project. A convenience sample of patients (n = 1,184; age 58.9±13.7 years; 60.5% female) completed the SBPAAT and the 7-day Physical Activity Recall (7DPAR) and, in addition, wore an accelerometer (ActiGraph GT3X) for seven consecutive days. Validity was evaluated by measuring agreement, Kappa correlation coefficients, sensitivity and specificity in achieving current PA recommendations with the 7DPAR. Pearson correlation coefficients with the number of daily minutes engaged in moderate and vigorous intensity PA according to the accelerometer were also assessed. Comparison with accelerometer counts, daily minutes engaged in sedentary, light, moderate, and vigorous intensity PA, total daily kilocalories, and total PA and leisure time expenditure (METs-hour-week) between the sufficiently and insufficiently active groups identified by SBPAAT were reported. The SBPAAT identified 41.3% sufficiently active (n = 489) and 58.7% insufficiently active (n = 695) patients; it showed moderate validity (k = 0.454, 95% CI: 0.402-0.505) and a specificity and sensitivity of 74.3% and 74.6%, respectively. Validity was fair for identifying daily minutes engaged in moderate (r = 0.215, 95% CI:0.156 to 0.272) and vigorous PA (r = 0.282, 95% CI:0.165 to 0.391). Insufficiently active patients according to the SBPAAT significantly reported fewer counts/minute (-22%), fewer minutes/day of moderate (-11.38) and vigorous PA (-2.69), spent fewer total kilocalories/day (-753), and reported a lower energy cost (METs-hour-week) of physical activities globally (-26.82) and during leisure time (-19.62). The SBPAAT is a valid tool to identify Spanish-speaking patients who are insufficiently active to achieve health benefits

EVIDENT smartphone app, a new method for the dietary record: comparison with a food frequency questionnaire

Background: More alternatives are needed for recording people’s normal diet in different populations, especially adults or the elderly, as part of the investigation into the effects of nutrition on health. Objective: The aim of this study was to compare the estimated values of energy intake, macro- and micronutrient, and alcohol consumption gathered using the EVIDENT II smartphone app against the data estimated with a food frequency questionnaire (FFQ) in an adult population aged 18 to 70 years. Methods: We included 362 individuals (mean age 52 years, SD 12; 214/362, 59.1% women) who were part of the EVIDENT II study. The participants registered their food intake using the EVIDENT app during a period of 3 months and through an FFQ. Both methods estimate the average nutritional composition, including energy intake, macro- and micronutrients, and alcohol. Through the app, the values of the first week of food recording, the first month, and the entire 3-month period were estimated. The FFQ gathers data regarding the food intake of the year before the moment of interview. Results: The intraclass correlation for the estimation of energy intake with the FFQ and the app shows significant results, with the highest values returned when analyzing the app’s data for the full 3-month period (.304, 95% CI 0.144-0.434; P<.001). For this period, the correlation coefficient for energy intake is .233 (P<.001). The highest value corresponds to alcohol consumption and the lowest to the intake of polyunsaturated fatty acids (r=.676 and r=.155; P<.001), respectively. The estimation of daily intake of energy, macronutrients, and alcohol presents higher values in the FFQ compared with the EVIDENT app data. Considering the values recorded during the 3-month period, the FFQ for energy intake estimation (Kcal) was higher than that of the app (a difference of 408.7, 95% CI 322.7-494.8; P<.001). The same is true for the other macronutrients, with the exception g/day of saturated fatty acids (.4, 95% CI −1.2 to 2.0; P=.62). Conclusions: The EVIDENT app is significantly correlated to FFQ in the estimation of energy intake, macro- and micronutrients, and alcohol consumption. This correlation increases with longer app recording periods. The EVIDENT app can be a good alternative for recording food intake in the context of longitudinal or intervention studies. Trial Registration: ClinicalTrials.gov NCT02016014; http://clinicaltrials.gov/ct2/show/NCT02016014 (Archived by WebCite at http://www.webcitation.org/760i8EL8Q).Spanish Ministry of Science and Innovation and Carlos III Health Institute/European Regional Development Fund (FIS: PI13/00618, PI13/01526, PI13/00058, PI13/01635, PI13/02528, PI12/01474; RETICS: RD12/0005, RD16/0007), Regional Health Management of Castilla and León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13), and the Infosalud Foundatio

Síntesis y caracterización de heteropoliácidos aplicado a la obtención de nitrobenceno para condiciones suaves

En el presente trabajo de investigación se estudia la actividad catalítica de Heteropoliácidos soportados en zirconia para obtener su eficiencia y utilización en ciertas reacciones basándonos en las propiedades acidas de estos compuestos, principalmente la obtención de nitrobenceno, por condiciones suaves. El tratamiento de los datos cinéticos se realizó mediante la técnica de espectroscopia FTIR. También se realizó la caracterización de los catalizadores por medio de espectroscopia de infrarrojo, espectroscopia de UV-vis, difracción de rayos X y microscopía electrónica de barrido, observando sus propiedades para la determinación de la eficiencia de los catalizadores.In this research was study the catalytic activity of Heteropolyacids supported in zirconia to obtain their efficiency and use in certain reactions based on their acidic properties of these compounds, mainly obtaining nitrobenzene, for milder conditions. The treatment of kinetic data will be carried out using the FTIR spectroscopy technique. The characterization analysis of catalysts will also be done by different techniques such as Infrared Spectroscopy, UV-vis Spectroscopy, X-ray Diffraction, and Scanning Microscopy, observing its properties for the determination of the efficiency of the catalysts

Convulsion in hemodialysis with commitment airway

La aparición de crisis convulsivas en los pacientes sometidos a hemodiálisis son más frecuentes que en la población general y son debidas por diversas causas siendo las metabólicas las más frecuentes. Estos pacientes tienen mayor incidencia de coagulopatías y junto al uso de heparina durante la hemodiálisis pueden desarrollar hemorragias cerebrales que a su vez pueden ser la causa de crisis convulsivas. Ante una crisis convulsiva es imprescindible mantener una vía aérea permeable y una buena hemodinámica del paciente. El abordaje y manejo de la vía aérea (VA) en situación de urgencia supone un reto continuo para los Facultativos Especialistas. Una causa común de morbilidad y mortalidad atribuida, es el desconocimiento de la ventilación, oxigenación o la realización de la técnica de intubación. La capacitación, formación y una práctica adecuadas de los diferentes métodos de ventilación e intubación del personal Facultativo Especialista en Área, puede hacer superar en primera estancia situaciones de emergencia respiratoria.The approach and management of the airway (VA) in emergency situations is an ongoing challenge for medical specialists. A common cause of morbidity and mortality attributed, is the lack of ventilation, oxygenation or performance of the technique of intubation. The training, proper training and practice of different methods of ventilation and intubation Medical Specialist staff in area, you can overcome first stay in respiratory emergencies

The relationship of the atlantic diet with cardiovascular risk factors and markers of arterial stiffness in adults without cardiovascular disease

Background: Studying the adherence of the population to the Atlantic Diet (AD) could be simplified by an easy and quickly applied dietary index. The aim of this study is to analyse the relationship of an index measuring compliance with recommendations regarding the Atlantic diet and physical activity with cardiovascular disease risk factors, cardiovascular risk factors, obesity indexes and arterial stiffness markers. Methods: We included 791 individuals from the EVIDENT study (lifestyles and arterial ageing), (52.3 ± 12 years, 61.7% women) without cardiovascular disease. Compliance with recommendations on AD was collected through the responses to a food frequency questionnaire, while physical activity was measured by accelerometer. The number of recommendations being met was estimated using a global scale between 0 and 14 points (a higher score representing greater adherence). Blood pressure, plasma lipid and glucose values and obesity rates were measured. Cardiovascular risk was estimated with the Framingham equation. Results: In the overall sample, 184 individuals (23.3%) scored between 0–3 on the 14-point index we created, 308 (38.9%) between 4 and 5 points, and 299 (37.8%) 6 or more points. The results of multivariate analysis yield a common tendency in which the group with an adherence score of at least 6 points shows lower figures for total cholesterol (p = 0.007) and triglycerides (p = 0.002). Similarly, overall cardiovascular risk in this group is the lowest (p < 0.001), as is pulse wave velocity (p = 0.050) and the mean values of the obesity indexes studied (p < 0.05 in all cases). Conclusion: The rate of compliance with the Atlantic diet and physical activity shows that greater adherence to these recommendations is linked to lower cardiovascular risk, lower total cholesterol and triglycerides, lower rates of obesity and lower pulse wave velocity values

The relationship of the atlantic diet with cardiovascular risk factors and markers of arterial stiffness in adults without cardiovascular disease

[EN]Abstract: Background: Studying the adherence of the population to the Atlantic Diet (AD) could be simplified by an easy and quickly applied dietary index. The aim of this study is to analyse the relationship of an index measuring compliance with recommendations regarding the Atlantic diet and physical activity with cardiovascular disease risk factors, cardiovascular risk factors, obesity indexes and arterial stiffness markers. Methods: We included 791 individuals from the EVIDENT study (lifestyles and arterial ageing), (52.3 ± 12 years, 61.7% women) without cardiovascular disease. Compliance with recommendations on AD was collected through the responses to a food frequency questionnaire, while physical activity was measured by accelerometer. The number of recommendations being met was estimated using a global scale between 0 and 14 points (a higher score representing greater adherence). Blood pressure, plasma lipid and glucose values and obesity rates were measured. Cardiovascular risk was estimated with the Framingham equation. Results: In the overall sample, 184 individuals (23.3%) scored between 0–3 on the 14-point index we created, 308 (38.9%) between 4 and 5 points, and 299 (37.8%) 6 or more points. The results of multivariate analysis yield a common tendency in which the group with an adherence score of at least 6 points shows lower figures for total cholesterol (p = 0.007) and triglycerides (p = 0.002). Similarly, overall cardiovascular risk in this group is the lowest (p < 0.001), as is pulse wave velocity (p = 0.050) and the mean values of the obesity indexes studied (p < 0.05 in all cases). Conclusion: The rate of compliance with the Atlantic diet and physical activity shows that greater adherence to these recommendations is linked to lower cardiovascular risk, lower total cholesterol and triglycerides, lower rates of obesity and lower pulse wave velocity values.This study was funded by the Spanish Ministry of Science and Innovation (MICINN) and the Carlos III Health Institute/European Regional Development Fund (ERDF) (FIS: PI13/00618, PI13/01526, PI13/00058, PI13/01635, PI13/02528, PI12/01474; RETICS: RD12/0005, RD16/0007), the Regional Health Administration of Castilla and León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13) and the Infosalud Foundation. None of the funders were involved in the design, implementation, analysis or interpretation of the data

Efecto del número de cuartones en el comportamiento productivo y el control de nematodos gastrointestinales y pulmonares en bovinos en crecimiento

A completely randomized design with a factorial arrangement was applied to 960 growing bovines in order to evaluate the ef- fect of two stable systems (rotation areas of 12 and 14 stables) on calves and yearlings during dry and rainy seasons, as well as on some productive traits behavior (initial weight, final weight, and daily gain) and gastrointestinal and pulmonary nematodes con- trol in animals and grasslands (“jiribilla” grass being dominant). Data were processed by a multiple classification variance analy- sis. Nematode main genera found in animals and grassland were Haemonchus, Oesophagostomum, Bunostomum, Trichostrongy- lus, and Dictyocaulus. Larval survival in grazing showed the highest values at 28 and 21 days during dry and rainy seasons, re- spectively, and a sudden decrease was detected from that date on. Parasitic infestation in animals and grassland was mainly influ- enced by management and handling system and season. The grazing system with 14 stables showed a better parasite control and productive traits behavior than the system with 12 stables. Therefore, 14 stables with a three-day occupation and resting periods should be established for growing bovine rearing.Se utilizaron 960 bovinos en crecimiento en un diseño completamente aleatorizado con arreglo factorial, para analizar el efecto de dos sistemas de acuartonamiento (rotación en áreas de 12 y 14 cuartones) en dos categorías de animales (terneros y añojas ) y durante las dos épocas del año (período lluvioso y poco lluvioso) en el comportamiento de algunos rasgos productivos (peso inicial, peso final y ganancia diaria) y en el control de nematodos gastrointestinales y pulmonares en el animal y en el pasto, don- de predominó la jiribilla. Los datos fueron procesados mediante un análisis de varianza clasificación múltiple. Los principales géneros de nematodos encontrados en el animal y el pasto fueron: Haemonchus, Oesophagostomum, Bunostomum, Trichostrongy- lus y Dictyocaulus. La supervivencia larvaria en el pasto presentó los valores más altos a los 28 y 21 días en la época de seca y de lluvia respectivamente, con descenso rápido a partir de estos momentos. En el animal y el pasto se observó que la infestación parasitaria está influenciada fundamentalmente por el sistema de manejo y la época del año. El sistema de pastoreo con 14 cuarto- nes presentó mejor control parasitario y comportamiento de los rasgos productivos que el sistema de 12. Se concluye que en la crianza de bovinos en crecimiento se debe establecer como mínimo 14 cuartones, con 3 días máximos de ocupación y reposo mínimo de 42 días en la época de seca y de 35 días en la época de lluvia

Identifying priorities, targets, and actions for the long-term social and ecological management of invasive non-native species

Funding: The research and the workshop (December-2019; Centro Científico Tecnológico Patagonia Norte, San Carlos de Bariloche, Argentina) described in this manuscript were funded by the CONTAIN programme under the Latin American Biodiversity Programme as part of the Newton Fund (NE/S011641/1), with contributions from NERC, the Argentine National Scientific & Technical Research Council (CONICET,-2019-74-APN-DIR#CONICET), the Brazilian São Paulo Research Foundation (FAPESP 2018/14995-8), and the Chilean Agency for Research and Development (ANID; formerly CONICYT). Acknowledgments Thanks to the colleagues who replied to our informal questions about the usefulness of the methods and procedures described here. This informal survey of colleagues to obtain an initial critical evaluation was aligned with the policies relevant to the authors who contacted the participants. No one else had access to the responses and identities of the respondents. Servicio Agrícola y Ganadero, Gobierno de Chile, is one of the CONTAIN project partners, and it is represented by ER in this paper. However, the opinions and results presented in this document are entirely those of ER and may not represent SAG position on the topic. The Associate Editor and two reviewers provided feedback that helped improve a previous version of the manuscript. Open access via Springer compact agreementPeer reviewedPublisher PD

Entrevistas a los ex integrantes de los Consejos de Redacción de Lecciones y Ensayos (1956-2016)

Fil: Ortiz, Tulio. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Teoría del Estado-Profesor Emérito. Buenos Aires, ArgentinaFil: Díaz de Vivar, Elisa Matilde. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Civil I. Buenos Aires, ArgentinaFil: Dulitzky, Ariel. Universidad de Buenos Aires. Facultad de Derecho.Cátedra Derechos Humanos. Buenos Aires, ArgentinaFil: Dulitzky, Ariel. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Constitucional. Buenos Aires, ArgentinaFil: Ferrante, Marcelo. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Bloch, Ivana Verónica. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Elementos de Derecho Penal y Procesal Penal. Buenos Aires, ArgentinaFil: Bergallo, Paola. CONICET-Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Filippini, Leonardo G. Universidad de Buenos Aires. Facultad de Derecho. Centro de Estudios de Ejecución Penal (CEEP). Buenos Aires, ArgentinaFil: Sigal, Martín. Universidad de Buenos Aires. Facultad de Derecho. Centro de Derechos Humanos (CDH). Buenos Aires, ArgentinaFil: Bloch, Demise. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Freedman, Diego. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Finanzas Públicas y Derecho Tributario. Buenos Aires, ArgentinaFil: Pezzot, Romina. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Internacional Público. Buenos Aires, ArgentinaFil: Hopp, Cecilia. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Administrativo. Buenos Aires, ArgentinaFil: Rojas, Mishkila. Universidad de Buenos Aires. Facultad de Derecho. Proyectos DeCyT. Buenos Aires, ArgentinaFil: Garaventa, Carlos A. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Público II. Buenos Aires, ArgentinaFil: Kenny, Patricio Enrique. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Teoría General del Derecho. Buenos Aires, ArgentinaFil: Ramallo, María de los Ángeles. Universidad de Buenos Aires. Facultad de Derecho. Centro de Derechos Humanos (CDH). Buenos Aires, ArgentinaFil: Furfaro, Lautaro. Universidad de Buenos Aires. Facultad de Derecho; ArgentinaFil: Piqué, María Luisa. Universidad de Buenos Aires. Facutad de Derecho. Cátedra Elementos de Derecho Constitucional. Buenos Aires, ArgentinaFil: Benente, Mauro. Universidad de Buenos Aires. Facultad de Derecho. Instituto de Investigaciones Jurídicas y Sociales Ambrosio L. Gioja. Buenos Aires, ArgentinaFil: Etchegorry, María Alejandra. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Internacional Privado. Buenos Aires, ArgentinaFil: Monti, Ezequiel. Universidad de Buenos Aires. Facultad de Derecho. Teoría General y Filosofía del Derecho. Buenos Aires, ArgentinaFil: Green Martínez, Sebastián. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Derecho Internacional Público. Buenos Aires, ArgentinaFil: Bulit Goñi, Magdalena. Universidad de Buenos Aires. Facultad de Derecho. Buenos Aires, ArgentinaFil: Brodsky, Jonathan Matías. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Obligaciones Civiles y Comerciales. Buenos Aires, ArgentinaFil: Olivera, Federico Eduardo. Universidad de Buenos Aires. Facultad de Derecho. Proyecto UBACyT. Buenos Aires, Argentin