Design of a rib impactor equipment

The human ribs must be analyzed as long and as curved bones, due to their physiology. For the development of an experimental equipment that simulate the application of loads, over the rib in the moment of a frontal collision in an automobile with seat belt, it was applied a methodology that constituted in the identification of needs and the variables which led the design of 3D model, from this it was used the technique of fused deposition modeling for the development of the equipment pieces. The supports that hold the rib ends were design with two and three degrees of freedom that allows the simulation of rib movement with the spine and the breastbone in the breathing. For the simulation of the seat belt, it was determined to applied two loads over the front part of the rib from the sagittal and lateral plane respectively, for this it was made a displacement through a lineal actuator with a speed of 4mm/s. The outcomes shown a design of an equipment able to obtain the load parameters required to generate fractures in rib specimens. The equipment may be used for the study of specimens with nearby geometries to the rib taken as a reference

Design and manufacture of a customised temporomandibular prosthesis

In this work, design, manufacture and surgical success of a personalised temporomandibular prosthesis is featured. A fused deposition modelling technique and Die forging process constitute the methodology used in a patient who had an amputation in the upper third branch of the mandible, without considering the joint capsule. The implant was designed using a processed resection image of a computational tomography and using the methodology of Özkaya and Nordin. The jaw operating conditions were simulated by the finite element method (FEM). The main considered factors were the morphological geometry of the patient, implant fixation in the first third of the branch, implant fixation on the chin, dental post for placement of the teeth, and the form of the sub-lingual fossa weight optimisation. Special consideration was to preserve the patients facial aesthetics.Peer Reviewe

Clinical impact of a pharmacist-led medication review with follow up for aged polypharmacy patients: A cluster randomized controlled trial

Background: Medication review with follow-up (MRF) is a service where community pharmacists undertake a medication review with monthly follow-up to provide continuing care. The ConSIGUE Program assessed the impact and implementation of MRF for aged polypharmacy patients in Spanish Community Pharmacies. The present paper reports on the clinical impact evaluation phase of ConSIGUE. Objective: The main objective of the study was to measure the effect of MRF on the primary outcome of the number of uncontrolled health problems. Secondary objectives were to analyze the drug-related problems (DRPs) identified as potential causes of ineffective or unsafe medications and the pharmacists’ interventions implemented during MRF provision. Methods: An open-label multi-centered cluster randomized study with comparison group (CG) was carried out in community pharmacies from 4 provinces in Spain during 6 months. The main inclusion criteria were patients over 64 years old, using 5 or more medicines. The intervention group (IG) received the MRF service (advanced medication review-type 3 MR) whereas patients in the CG received usual care. Results: 178 pharmacies recruited 1403 patients (IG= 688 patients; CG= 715 patients). During the 6 months of the study 72 patients were lost to follow up. The adjusted multi-level random effects models showed a significant reduction in the number of uncontrolled health problems over the periods in the IG (-0.72, 95% CI: -0.80, -0.65) and no change in the CG (-0.03, 95%CI: -0.10, 0.04). Main DRPs identified as potential causes of failures of uncontrolled health problems’ treatment were undertreated condition (559 DRPs; 35.81%), lack of treatment adherence (261 DRP; 16.67%) and risk of adverse effects (207 DRPs; 13.53%). Interventions performed by pharmacist to solve DRP mainly included the addition (246 interventions; 14.67%) and change (330 interventions; 19.68%) of a medicine and educational interventions on medicine adherence (231 interventions; 13.78%) and non-pharmacological interventions (369 interventions; 22.01%). Conclusions: This study provides evidence of the impact of community pharmacist on clinical outcomes for aged patients. It suggests that the provision of an MRF in collaboration with general medical practitioners and patients contributes to the improvement of aged polypharmacy patients’ health status and reduces their problems related with the use of medicines.Cinfa Laboratorie

Resistance to Tomato leaf curl New Delhi virus in Cucurbita spp

[EN] Tomato leaf curl New Delhi virus (ToLCNDV) is a bipartite begomovirus (family Geminiviridae) first reported in India and its neighbouring countries. ToLCNDV severely affects zucchini crop (Cucurbita pepo) in the main production areas of Southern Spain since 2012. This emerging begomovirus is a serious threat to this and other cucurbit crops. Breeding resistant cultivars is the most promising method for disease control, but requires the identification of sources of resistance in the Cucurbita genus. In this work, we screened for ToLCNDV resistance a large collection of Cucurbita spp. accessions, including landraces and commercial cultivars of the main cultivated species, C. pepo, Cucurbita moschata and Cucurbita maxima and wild species. The screening was performed using mechanical and whitefly inoculation. The level of resistance was assessed by scoring symptom severity and bymeasuring the virus content with quantitative polymerase chain reaction in selected genotypes. Diversity in the response was observed within and among species. Severe symptoms and high viral amounts were found at 30 days after mechanical and whitefly inoculation in C. pepo, in all accessions belonging to the Zucchini morphotype and to other morphotypes of both subspecies, pepo and ovifera, and even in the wild relative Cucurbita fraterna. C. maxima was also highly susceptible. This species showed characteristic symptoms of leaf decay and intense yellowing, different from those of mosaic, curling and internode shortening found in C. pepo. The only species showing resistance was C. moschata. Four accessions were symptomless or had some plants with only mild symptoms after three independent rounds of mechanical inoculation with different inoculum sources. Two of them also remained symptomless after virus inoculation with viruliferous whiteflies. ToLCNDV was detected in these asymptomatic accessions at 15 and 30 days post inoculation, but viral amounts were much lower than those found in susceptible genotypes, suggesting a high level of resistance. The symptoms in the susceptible accessions of this specieswere also different, with a characteristic leaf mottling, evolving to a severe mosaic. The newly identified C. moschata resistant accessions are good candidates for breeding programmes to avoid the damage caused by ToLCNDV.This work was supported by Projects E_RTAE2013-00020-C04-03 and E-RTA2013-00020-C04-01 from the Spanish Instituto Nacional de Investigaciones Agrarias (INIA) cofunded with FEDER funds.Sáez Sánchez, C.; Martínez Martínez, C.; Ferriol Molina, M.; Manzano, S.; Velasco, L.; Jamilena, M.; López Del Rincón, C.... (2016). Resistance to Tomato leaf curl New Delhi virus in Cucurbita spp. ANNALS OF APPLIED BIOLOGY. 169(1):91-105. https://doi.org/10.1111/aab.12283S91105169

Estudi de l’abandonament en el primer curs de la titulació de telecomunicacions

Dins de la tasca de coordinació del primer curs del grau de telecomunicacions s'ha observat un grau molt elevat d'abandonament de la titulació. Aquest fet condiciona la tasca i metodologia docent. Amb la intenció d'incrementar la qualitat del nou grau i augmentar les taxes de eficàcia, hem buscat els motius que originen aquest alt grau d’abandonament dins la titulació i hem ideat possibles solucions que posen remei o pal·lien en certa mesura aquest problema. Per això es presenten estratègies i mecanismes per augmentar la qualitat de la docència, es comparen els resultats dels darrers cursos i s’analitzen els resultats de les estratègies posades en marxa. La tasca ha estat desenvolupada pels coordinadors de cada assignatura que conjuntament han analitzat com es va produir l'abandó durant l'avaluació continuada.Aquesta comunicació s’ha pogut realitzar gràcies als projectes: GITE-09006-UA i GITE-09014-U

Influence of the structural components of artificial turf systems on impact attenuation in amateur football players

The purpose of this research was to evaluate the infuence of the structural components of diferent 3rd generation artifcial turf football feld systems on the biomechanical response of impact attenuation in amateur football players. A total of 12 amateur football players (24.3±3.7 years, 73.5±5.5kg, 178.3±4.1cm and 13.7±4.3 years of sport experience) were evaluated on three third generation artifcial turf systems (ATS) with diferent structural components. ATS were composed of asphalt subbase and 45mm of fbre height with (ATS1) and without (ATS2) elastic layer or compacted granular sub-base, 60mm of fbre height without elastic layer (ATS3). Two triaxial accelerometers were frmly taped to the forehead and the distal end of the right tibia of each individual. The results reveal a higher force reduction on ATS3 in comparison to ATS1 (+6.24%, CI95%: 1.67 to 10.92, ES: 1.07; p<0.05) and ATS2 (+21.08%, CI95%: 16.51 to 25.66, ES: 2.98; p<0.05) elastic layer. Tibia acceleration rate was lower on ATS3 than ATS1 (−0.32, CI95%: −0.60 to −0.03, ES: 4.23; p<0.05) and ATS2 (−0.35, CI95%: −0.64 to −0.06; ES: 4.69; p<0.05) at 3.3m/s. A very large correlation (r=0.7 to 0.9; p<0.05) was found between energy restitution and fbre height in both head and tibial peak acceleration and stride time. In conclusion, structural components (fbre height, infll, sub-base and elastic layer) determine the mechanical properties of artifcial turf felds. A higher force reduction and lower energy restitution diminished the impact received by the player which could protect against injuries associated with impacts compared to harder artifcial turf surfaces

The H+D2 reaction in the vicinity of the conical intersection

Scattering measurements performed at an energy slightly higher than that of the lowest crossing between the ground and the first electronically excited state of the H3 system are reported. The essentials of the reactive dynamics are describable in terms of a classical motion of the nuclei on the lowest adiabatic electronic potential. © 1997 American Institute of Physics.The German part of this work was supported by the German Science Foundation. The Spanish part was funded by the DGICYT of Spain under Grant PB95-0918-C02. Both parts are grateful to the German–Spanish scientific exchange program ‘‘Acciones Integradas.’’ Partial funding by the Alexander von Humboldt StiftungPeer Reviewe

Microwave Background Anisotropies and Nonlinear Structures I. Improved Theoretical Models

A new method is proposed for modelling spherically symmetric inhomogeneities in the Universe. The inhomogeneities have finite size and are compensated, so they do not exert any measurable gravitational force beyond their boundary. The region exterior to the perturbation is represented by a Friedmann-Robertson-Walker (FRW) Universe, which we use to study the anisotropy in the cosmic microwave background (CMB) induced by the cluster. All calculations are performed in a single, global coordinate system, with nonlinear gravitational effects fully incorporated. An advantage of the gauge choices employed here is that the resultant equations are essentially Newtonian in form. Examination of the problem of specifying initial data shows that the new model presented here has many advantages over `Swiss cheese' and other models. Numerical implementation of the equations derived here is described in a subsequent paper.Comment: 10 pages, 4 figures; Monthly Notices of the Royal Astronomical Society (MNRAS), in pres

Comparison of commercial enzyme-linked immunosorbent assays for diagnosis of contagious agalactia caused by Mycoplasma agalactiae

© 2022 A. Sánchez et al. This document is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted version of a Published Work that appeared in final form in Journal of Veterinary Research. To access the final edited and published work see https://doi.org/10.2478/jvetres-2022-0010Introduction: Contagious agalactia (CA) is a disease affecting small ruminants with worldwide distribution and caused by several mycoplasmas, especially M. agalactiae. The main option for systematic diagnosis under monitoring control programmes is the enzyme-linked immunosorbent assay (ELISA) test. Material and Methods: This study was designed to appraise the performance of two commercial indirect ELISA tests using M. agalactiae p48 protein and one using total protein, for antibody detection in small ruminants after natural infection with different M. agalactiae strains. We carried out the test evaluation using sera of confirmed M. agalactiae-positive goats with clinical signs. In addition, test agreement was assessed by kappa between the three commercial ELISA tests. Results: All three ELISA tests showed high validity scores (Youden’s J: 72.9–84%). The sensitivity values for the P48 protein-based tests were 76.9% and 84.6%, and was 79% for the total protein-based test. The specificity of all tests was 100%. In addition, between the total protein-based ELISA test and the other two ELISA tests based on the P48 protein, the agreement was substantial (kappa: 0.762–0.763) and the agreement between the latter two tests was almost perfect (kappa: 0.93). Conclusion: The validity parameters for all tests allowed their application for diagnostic purposes in lactating goats excreting M. agalactiae in milk and presenting clinical signs

Assessing the impact of physical exercise on cognitive function in older medical patients during acute hospitalization: secondary analysis of a randomized trial

Background: Acute illness requiring hospitalization frequently is a sentinel event leading to long-term disability in older people. Prolonged bed rest increases the risk of developing cognitive impairment and dementia in acutely hospitalized older adults. Exercise protocols applied during acute hospitalization can prevent functional decline in older patients, but exercise benefits on specific cognitive domains have not been previously investigated. We aimed to assess the effects of a multicomponent exercise intervention for cognitive function in older adults during acute hospitalization. Methods and findings: We performed a secondary analysis of a single-blind randomized clinical trial (RCT) conducted from February 1, 2015, to August 30, 2017 in an Acute Care of the Elderly (ACE) unit in a tertiary public hospital in Navarre (Spain). 370 hospitalized patients (aged ≥75 years) were randomly allocated to an exercise intervention (n = 185) or a control (n = 185) group (usual care). The intervention consisted of a multicomponent exercise training program performed during 5–7 consecutive days (2 sessions/day). The usual care group received habitual hospital care, which included physical rehabilitation when needed. The main outcomes were change in executive function from baseline to discharge, assessed with the dual-task (i.e., verbal and arithmetic) Gait Velocity Test (GVT) and the Trail Making Test Part A (TMT-A). Changes in the Mini Mental State Examination (MMSE) test and verbal fluency ability were also measured after the intervention period. The physical exercise program provided significant benefits over usual care. At discharge, the exercise group showed a mean increase of 0.1 m/s (95% confidence interval [CI], 0.07, 0.13; p < 0.001) in the verbal GVT and 0.1 m/s (95% CI, 0.08, 0.13; p < 0.001) in the arithmetic GVT over usual care group. There was an apparent improvement in the intervention group also in the TMT-A score (−31.1 seconds; 95% CI, −49.5, −12.7 versus −3.13 seconds; 95% CI, −16.3, 10.2 in the control group; p < 0.001) and the MMSE score (2.10 points; 95% CI, 1.75, 2.46 versus 0.27 points; 95% CI, −0.08, 0.63; p < 0.001). Significant benefits were also observed in the exercise group for the verbal fluency test (mean 2.16 words; 95% CI, 1.56, 2.74; p < 0.001) over the usual care group. The main limitations of the study were patients’ difficulty in completing all the tasks at both hospital admission and discharge (e.g., 25% of older patients were unable to complete the arithmetic GVT, and 47% could not complete the TMT-A), and only old patients with relatively good functional capacity at preadmission (i.e., Barthel Index score ≥60 points) were included in the study. Conclusions: An individualized, multicomponent exercise training program may be an effective therapy for improving cognitive function (i.e., executive function and verbal fluency domains) in very old patients during acute hospitalization. These findings support the need for a shift from the traditional (bedrest-based) hospitalization to one that recognizes the important role of maintaining functional capacity and cognitive function in older adults, key components of intrinsic capacity.This study was funded by a Gobierno de Navarra project Resolución grant 2186/2014 and acknowledged with the 'Beca Ortiz de Landazuri' as the best research clinical project in 2014, as well as by a research grant PI17/01814 of the Ministerio de Economía, Industria y Competitividad (ISCIII, FEDER)