Learning outcomes and cost-utility analysis of hybrid patient and mannequin-based simulation

Introduction: There is no clear evidence on the relationship between nursing student learning outcomes and the type of simulator used or its cost-effectiveness. Objectives: Compare nursing student learning outcomes using either the hybrid patient or mannequin and the cost-utility of both simulators. Method: A randomised experimental study with an experimental group (hybrid patient = 99) and a control group (mannequin = 97). A training intervention was carried out for polytrauma patients. Results: Statistically significant differences were found between the simulator used and the performance results for tourniquet (hybrid 5.37 ± 1.33, mannequin 4.95 ± 1.09; p = .008) and spinal board (hybrid 6.18 ± 2.02, mannequin 6.97 ± 20.2; p = .001) application. The cost-utility ratio was estimated to be 3.29 for the hybrid patient and 1.92 for the mannequin. Conclusion: The use of a hybrid patient or mannequin has not been shown to be a determinant of performance outcomes or student perceptions in training interventions in polytrauma patient care. However, as the cost per participant with a mannequin is almost twice as high, the hybrid patient has a better cost-utility ratio.This work was supported by the University of Alicante, within the Programa de Investigación en Docencia Universitaria (Research in University Teaching Programme) 2022 (approval number: 5766)

The Effect of Regular Intake of Dry-Cured Ham Rich in Bioactive Peptides on Inflammation, Platelet and Monocyte Activation Markers in Humans.

Background and aims: Dietary studies have shown that active biopeptides provide protective health benefits, although the mediating pathways are somewhat uncertain. To throw light on this situation, we studied the effects of consuming Spanish dry-cured ham on platelet function, monocyte activation markers and the inflammatory status of healthy humans with pre-hypertension. Methods: Thirty-eight healthy volunteers with systolic blood pressure of >125 mmHg were enrolled in a two-arm crossover randomized controlled trial. Participants received 80 g/day dry-cured pork ham of >11 months proteolysis or 100 g/day cooked ham (control product) for 4 weeks followed by a 2-week washout before "crossing over" to the other treatment for 4 more weeks. Soluble markers and cytokines were analyzed by ELISA. Platelet function was assessed by measuring P-selectin expression and PAC-1 binding after ADP (adenosine diphosphate) stimulation using whole blood flow cytometry. Monocyte markers of the pathological status (adhesion, inflammatory and scavenging receptors) were also measured by flow cytometry in the three monocyte subsets after the interventional period. Results: The mean differences between dry-cured ham and cooked ham followed by a time period adjustment for plasmatic P-selectin and interleukin 6 proteins slightly failed (p = 0.062 and p = 0.049, respectively), notably increased for MCP-1 levels (p = 0.023) while VCAM-1 was not affected. Platelet function also decreased after ADP stimulation. The expression of adhesion and scavenging markers (ICAM1R, CXCR4 and TLR4) in the three subsets of monocytes was significantly higher (all p < 0.05). Conclusions: The regular consumption of biopeptides contained in the dry-cured ham but absent in cooked ham impaired platelet and monocyte activation and the levels of plasmatic P-selectin, MCP-1 and interleukin 6 in healthy subjects. This study strongly suggests the existence of a mechanism that links dietary biopeptides and beneficial health effects

Determination of mercury in sea waters by magnetic dispersive solid phase extraction prior to quantitation by FI-CV-GFAAS

Shotgun PresentationMercury is a non-essential trace element that is toxic to humans due to the bioaccumulation effect. In this work, a shell structured Fe3O4@graphene oxide nanospheres were used to develop a magnetic dispersive solid phase extraction (MDSPE) method for the extraction and preconcentration of ultra-trace amounts of Hg(II). After first enrichment, a second online preconcentration by cold vapor generation was conducted, followed by the determination of the analyte by graphite furnace atomic absorption spectrometry (CV-GFAAS). The influences of several analytical parameters were optimized for MDSPE and CV-GFAAS. Under the optimized conditions, %RSD, detection limit and determination limit were 2.9%, 0.25 ng·L-1 and 4.9 ng·L-1 , respectively. Thanks to the 500 μL loop, a high preconcentration factor can be achieved even with low sample volume. For example, 5 mL of sample would be preconcentrated 10 times. Moreover, this method is suitable for high sample volume, resulting in a preconcentration factor >250. The accuracy of the proposed method was verified using a certified reference material (mussel tissue NIST 2976) and by determining the analyte content in spiked sea waters and tap water samples collected from Málaga and Cádiz (Spain). The determined values were in good agreement with the certified values and the recoveries for the spiked samples were close to 100% in all cases. The results showed the proposed method is simple, rapid, environmentally friendly and sensitive enough for the accurate determination of mercury.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech Fondos Feder y Junta de Andalucía Proyecto UMA18-FEDERJA-060 Plan Propio, Proyecto Puente, Universidad de Málag

Enhancing photocatalytic performance of atom transfer radical addition (ATRA) reactions in water using immobilized 10-phenylphenothiazine catalysts on mesoporous silica supports

The development of catalysts is crucial for sustainable chemistry, and heterogeneous catalysis, specifically, can be environmentally friendly and recyclable. Catalyst immobilization in materials has been explored, in which mesoporous silica materials have shown outstanding results in catalysis. Photocatalysis has also gained attention, providing solutions for organic synthesis and late-state functionalization, mainly using homogeneous catalysts and organic solvents. The use of aqueous media for photocatalytic reactions is particularly attractive from a sustainability perspective yet can influence reaction chemoselectivity. However, poor solubility of the organic substrates and the catalyst limits photocatalytic methods in water. Mesoporous silicas are water-stable materials suitable for catalytic applications in such media, including photocatalysis. In this work, we demonstrate an atom transfer radical addition (ATRA) reaction in water using immobilized 10-phenylphenothiazine (PTH) catalyst on different mesoporous silica supports, showing improved photocatalytic performance compared to homogeneous conditions and substrate selectivity depending on the hydrophobicity of the alkenePID2021-122299NB-100, TED2021-129999B-C32, TED2021-130470B100, S2018/NMT-4367, Y2020/NMT-646

Rúbrica de desempeño en la aplicación del collarín cervical

Manual de uso y rúbrica de evaluaciónRúbrica validada para valorar el desempeño en la aplicación del collarín cervical en la atención al paciente politraumatizado adulto, en entornos simulados de emergencias extrahospitalarias.Universidad de Alicante. Instituto de Ciencias de la Investigación. Programa de investigación en docencia universitaria (Xarxes-2022

Effects of dry-cured ham rich in bioactive peptides on cardiovascular health: A randomized controlled trial

Establishing health effects of bioactive compounds from dry-cured meat is an active area of clinical research. The present study aims to investigate whether consuming dry-cured ham with biopeptides, among other bioactive compounds, modifies blood pressure (BP) and improves other risk factors for cardiovascular disease in humans. This two-arm, cross-over, randomised controlled trial involved 38 healthy subjects with pre-hypertension. Participants received 80 g/day dry-cured pork ham or 100 g/day cooked ham (control product). A daily intake of 80 g dry-cured ham did not impair BP or 24 h sodium excretion. Total cholesterol, LDL and basal glucose levels dropped after dry-cured ham consumption (p = 0.00019, p = 0.021 and p = 0.014, respectively). Cooked ham did not affect any of the clinical and biochemical markers. Dry-cured ham components could exert a plethora of activities over the cardiovascular system including lipid and glucose metabolism. Additional studies are needed to confirm the effects of dry-cured meat biopeptides on diverse risk factors in pathological conditions.Ciencias de la AlimentaciónFarmaciaMedicin

Beneficial Impact of Pork Dry-Cured Ham Consumption on Blood Pressure and Cardiometabolic Markers in Individuals with Cardiovascular Risk.

BACKGROUND: Evidence suggests that bioactive peptides reduce hypertension and affect certain metabolic pathways. METHODS: Fifty-four volunteers with stage 1 prehypertension and/or hypercholesterolemia and/or basal glucose >100 mg/dL were recruited and randomized to pork dry-cured ham (n = 35) or cooked ham (placebo group; n = 19) for 28 days. After a wash-out period, meat products were changed for 28 additional days. Bioactive peptides composition and enzyme inhibitory activities of both products were characterized. Treatment comparisons for the main effects were made using a two (treatment) × two (times) repeated measures minus the effect of cooked ham (placebo). RESULTS: 24 h mean systolic and diastolic pressures decreased up to 2.4 mmHg in the dry-cured ham period (treatment effect, p = 0.0382 y p = 0.0233, respectively) as well as the number of systolic pressure measures > 135 mmHg (treatment effect, p = 0.0070). Total cholesterol levels also decreased significantly after dry-cured ham intake (p = 0.049). No significant differences were observed between the two treatments for basal glucose, HOMA-IR index and insulin levels (p > 0.05). However, a significant rise of ghrelin levels was observed (treatment effect, p = 0.0350), while leptin plasma values slightly decreased (treatment effect, p = 0.0628). CONCLUSIONS: This study suggested the beneficial effects of regular dry-cured ham consumption on the improvement of systolic/diastolic blood pressures and facilitated the maintenance of metabolic pathways, which may be beneficial in the primary prevention of cardiovascular disease

Emotional intelligence: A comparison between patients after first episode mania and those suffering from chronic bipolar disorder type i

Deficits in emotional intelligence (EI) were detected in patients with Bipolar Disorder (BD), but little is known about whether these deficits are already present in patients after presenting a first episode mania (FEM). We sought (i) to compare EI in patients after a FEM, chronic BD and healthy controls (HC); (ii) to examine the effect exerted on EI by socio-demographic, clinical and neurocognitive variables in FEM patients. Methods: The Emotional Intelligence Quotient (EIQ) was calculated with the MayerSalovey-Caruso Intelligence Test (MSCEIT). Performance on MSCEIT was compared among the three groups using generalized linear models. In patients after a FEM, the influence of socio-demographic, clinical and neurocognitive variables on the EIQ was examined using a linear regression model. Results: 184 subjects were included (FEM n=48, euthymic chronic BD type I n=75, HC n=61). BD patients performed significantly worse than HC on the EIQ (Mean Difference MD=10.09, Standard Error SE=3.14, p=0.004) and on the Understanding emotions branch (MD=7.46, SE=2.53, p=0.010). FEM patients did not differ from HC and BD on other measures of MSCEIT. In patients after a FEM, EIQ was positively associated with female sex (β=-0.293, p=0.034) and verbal memory performance (β=0.374, p=0.008). FEM patients performed worse than HC but better than BD on few neurocognitive domains. Conclusions: Patients after a FEM showed preserved EI, while patients in later stages of BD presented lower EIQ, suggesting that impairments in EI might result from the burden of disease and neurocognitive decline, associated with the chronicity of the illness

Primary care randomized clinical trial: manual therapy effectiveness in comparison with TENS in patients with neck pain

This study investigated effectiveness of manual therapy (MT) with transcutaneous electrical nerve stimulation (TENS) to reduce pain intensity in patients with mechanical neck disorder (MND). A randomized multi-centered controlled clinical trial was performed in 12 Primary Care Physiotherapy Units in Madrid Region. Ninety patients were included with diagnoses of subacute or chronic MND without neurological damage, 47 patients received MT and 43 TENS. The primary outcome was pain intensity measured in millimeters using the Visual Analogue Scale (VAS). Also disability, quality of life, adverse effects and sociodemographic and prognosis variables were measured. Three evaluations were performed (before, when the procedure ?nished and six months after). Seventy-one patients (79%) completed the follow-up measurement at six months. In more than half of the treated patients the procedure had a clinically relevant ?short term? result after having ended the intervention, when either MT or TENS was used. The success rate decreased to one-third of the patients 6 months after the intervention. No differences can be found in the reduction of pain, in the decrease of disability nor in the quality of life between both therapies. Both analyzed physiotherapy techniques produce a short-term pain reduction that is clinically relevant.Ministerio de SanidadInstituto de Salud Carlos II

Carvacrol and HP-β-Cyclodextrin Complexes: Extensive Characterization and Potential Cytotoxic Effect in Human Colorectal Carcinoma Cells

The aim of this study was to obtain solid carvacrol-cyclodextrin (CD) complexes for use in the pharmaceutical industry. To this end, the complexation of carvacrol at different pH values was studied in detail, to determine the type of CD and the reaction environment that supported the highest amount of encapsulated carvacrol. Evidence of the capability of hydroxypropyl-β-cyclodextrins (HP-β-CD) to form inclusion complexes with carvacrol (KC = 5042 ± 176 L mol−1) and more high complexation efficiency (2.824) was demonstrated for HP-β-CDs using two different energy sources, ultrasound (US) (KC = 8129 ± 194 L mol−1 24 h) and microwave irradiation (MWI) (KC = 6909 ± 161 L mol−1), followed by spraying the resulting solution in a spray dryer. To confirm complex formation, the complexes were characterized using various instrumental methods to corroborate the carvacrol incorporation into the hydrophobic cavity of HP-β-CD. The obtained carvacrol solid complexes were analyzed by 1H nuclear magnetic resonance (1H-NMR) and 2D nuclear magnetic resonance (ROSEY), differential scanning calorimetry (DSC), thermogravimetric analysis (TG) and Fourier transform infrared spectroscopy (FTIR) characterization. The structures of the resulting complexes were also characterized by molecular modeling. Furthermore, 1 mM HP-β-CD-carvacrol complex has been shown to reduce cell proliferation in HCT-116 colorectal cancer cells by 43%, much more than in a healthy lung fibroblast MRC-5 cell line (11%).FarmaciaMedicin