Survival of the firm and territory.

El objetivo de este trabajo es evaluar el riesgo de mortalidad empresarial. Para ello, en una muestra de más de 11.741 empresas pertenecientes al sector textil-confección se ha estudiado, junto con otros factores, la influencia de la proximidad geográfica (efecto distrito) y la actividad productiva principal (efecto subsector) en la supervivencia de las empresas textiles españolas. Desde un punto de vista teórico-práctico esta industria es especialmente relevante para realizar ese tipo de estudios al menos por dos motivos: 1) porque después de la liberalización del comercio textil se ha visto inmersa en una profunda crisis en las economías más desarrolladas, y 2) porque tiende a agruparse geográficamente en torno a clusters o distritos industriales. Los resultados obtenidos sugieren que el riesgo de mortalidad empresarial se ve reducido por aspectos relativos a la empresa como la antigüedad y el subsector de actividad y, bajo determinadas circunstancias, por la localización en un distrito industrial. PALABRAS CLAVE: mortalidad empresarial, textil, distrito industrial

Las tics en la enseñanza universitaria : blogs digitales

This study is an innovative educational experience to analyse to what extent the use of blogs contributes to the acquisition of specific skills of a subject in Early Childhood Education Degree, and assess the level of learning that students considered achieved. A quantitative methodological approach based on the analysis of a closed questionnaire and on assessment rubric was used. The results allowed to verify that the use of blogs in the university is very useful to promote the active role of the student through a critical, reflective and collaborative learning, which allows you to get a high level of professional skills acquisition. Keywords: Blogs, collaborative learning, higher education, educational innovation, web technologies 2.0

METHODOLOGY FOR SUSTAINABILITY ANALYSIS FOR THE ENERGY SECTOR: THE CASE OF LPG AS REPLACEMENT FOR FIREWOOD IN RURAL HOUSEHOLDS IN COLOMBIA

In this paper we provided a sustainability analysis for the LPG energy sector in Colombia using different methodologies: analysis of primary and secondary sources of normative documents; programmatic and regulatory framework of LPG; a study on the current tax burden of fuel gas subsidies; scenarios for the expansion of LPG subsidies; a socio-environmental sensitivity analysis; identification of relevant territorial factors to make prioritization recommendations in the replacement of firewood by LPG in specific areas; LPG emissions estimations as a strategy for replacing firewood in rural homes and the analysis of the economic sustainability of the business using different indicators. The research begins with a brief introduction which describe and highlights the importance of analyzing studies of natural gas and LPG in Colombia. The first section briefly exposes the theoretical and conceptual framework that supports the research. The second section presents the methodology used for each of the analysis topics. The third section shows some of the results achieved during the investigation and the main conclusions. Finally, we provide a series of reflections and insights for sustainability research where the dialogue of knowledge and multidisciplinary is encouraged.Presentamos un análisis de sostenibilidad para el sector energético de GLP en Colombia utilizando diferentes metodologías: análisis de fuentes documentales primarias y secundarias de documentos normativos; marco programático y regulatorio del GLP; un estudio sobre la carga tributaria actual de los subsidios al GLP; escenarios para la expansión de los subsidios al GLP; un análisis de sensibilidad socio-ambiental; identificación de factores territoriales relevantes para hacer recomendaciones de priorización en la sustitución de la leña por el GLP en áreas específicas; estimaciones de emisiones de GLP como estrategia para reemplazar la leña en hogares rurales y el análisis de la sostenibilidad económica del negocio utilizando diferentes indicadores. Se presenta una breve introducción en donde se destaca la importancia de este tipo de investigaciones en Colombia. La primera sección resume el marco conceptual que respalda la investigación. La segunda sección presenta la metodología utilizada para cada uno de los temas de análisis. La tercera sección muestra algunos de los resultados logrados durante el desarrollo de la misma. Finalmente, se proporcionan una serie de reflexiones e ideas para la investigación de sostenibilidad fomentando el diálogo del conocimiento y la multidisciplinariedad

GIS-Based Assessment of Banana Residual Biomass Potential for Ethanol Production and Power Generation: A Case Study

Banana is one of the most important fruit crops in the world. The plant bears one bunch in its life, leaving behind a large amount of agricultural residues (starchy and lignocellulosic biomass), which could be used for different purposes such as bioenergy. Ecuador is the largest exporter of banana fruits. In this work, the potential of banana residual biomass produced in the province of El Oro, Ecuador for bioenergy applications was assessed using Geographic Information Systems?GIS. The methodology included the assessment of biomass distribution, facility location, transport optimization and a novel virtual land parcel that allows for these kinds of studies in areas with lack of geo-referenced information. According to our approach, El Oro province has an available biomass potential of 190,102 t fm year?1 of starchy residual biomass and 198,602 t dm year?1 of lignocellulosic residual biomass. Two candidate points located at 79°51?12?W3°11?21?S and 79°52?49?W3°17?49?S were identified for the installment of energy conversion facilities supplied with residual biomass. From the available potential of starchy biomass it would be possible to obtain up to 19 million liters of bioethanol per year assuming an average yield of 101.2 l t?1 fresh matter; while the available lignocellulosic biomass, which energy content (Lower Heating Value, moisture free biomass) was determined at 12.9 MJ kg?1 on average, could be used for power generation with an installed capacity of 18 MW. Chemical characterization of the lignocellulosic biomass suggested that further studies should be undertaken regarding the potential application of these crop residues to second generation bioethanol

Monocyte Activation and Ageing Biomarkers in the Development of Cardiovascular Ischaemic Events or Diabetes in People with HIV

HIV infection; Cardiovascular disease; DiabetesInfecció pel VIH; Malaltia cardiovascular; DiabetisInfección por VIH; Enfermedad cardiovascular; DiabetesWe investigated whether blood telomere length (TL), epigenetic age acceleration (EAA), and soluble inflammatory monocyte cytokines are associated with cardiovascular events or diabetes (DM) in people living with HIV (PLHIV). This was a case–control study nested in the Spanish HIV/AIDS Cohort (CoRIS). Cases with myocardial infarction, stroke, sudden death, or diabetes after starting antiretroviral therapy were included with the available samples and controls matched for sex, age, tobacco use, pre-ART CD4 cell count, viral load, and sample time-point. TL (T/S ratio) was analysed by quantitative PCR and EAA with DNA methylation changes by next-generation sequencing using the Weidner formula. Conditional logistic regression was used to explore the association with cardiometabolic events. In total, 180 participants (94 cases (22 myocardial infarction/sudden death, 12 strokes, and 60 DM) and 94 controls) were included. Of these, 84% were male, median (IQR) age 46 years (40–56), 53% were current smokers, and 22% had CD4 count ≤ 200 cells/mm3 and a median (IQR) log viral load of 4.52 (3.77–5.09). TL and EAA were similar in the cases and controls. There were no significant associations between TL, EAA, and monocyte cytokines with cardiometabolic events. TL and EAA were mildly negatively correlated with sCD14 (rho = −0.23; p = 0.01) and CCL2/MCP-1 (rho = −0.17; p = 0.02). We found no associations between TL, EAA, and monocyte cytokines with cardiovascular events or diabetes. Further studies are needed to elucidate the clinical value of epigenetic biomarkers and TL in PLHIV.This study was funded by an unrestricted and competitive grant from “The Fellowship Program” of Gilead Sciences (Exp. GLD16/00133). CoRIS is supported by the Instituto de Salud Carlos III through the Red Temática de Investigación Cooperativa en Sida (RD06/006, RD12/0017/0018 and RD16/0002/0006) as part of the Plan Nacional I + D + i and co-financed by Instituto de Salud Carlos III-Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER). The integrated HIV BioBank is supported by the Instituto de Salud Carlos III RD12/0017/0037

Association of renin–angiotensin system blockers with COVID-19 diagnosis and prognosis in patients with hypertension: a population-based study

COVID-19; Angiotensin receptor blockers; HypertensionCOVID-19; Bloqueadores de los receptores de angiotensina; HipertensiónCOVID-19; Bloquejadors dels receptors d'angiotensina; HipertensióBackground The effect of renin–angiotensin system (RAS) blockade either by angiotensin-converting enzyme inhibitors (ACEis) or angiotensin-receptor blockers (ARBs) on coronavirus disease 2019 (COVID-19) susceptibility, mortality and severity is inadequately described. We examined the association between RAS blockade and COVID-19 diagnosis and prognosis in a large population-based cohort of patients with hypertension (HTN). Methods This is a cohort study using regional health records. We identified all individuals aged 18–95 years from 87 healthcare reference areas of the main health provider in Catalonia (Spain), with a history of HTN from primary care records. Data were linked to COVID-19 test results, hospital, pharmacy and mortality records from 1 March 2020 to 14 August 2020. We defined exposure to RAS blockers as the dispensation of ACEi/ARBs during the 3 months before COVID-19 diagnosis or 1 March 2020. Primary outcomes were: COVID-19 infection and severe progression in hospitalized patients with COVID-19 (the composite of need for invasive respiratory support or death). For both outcomes and for each exposure of interest (RAS blockade, ACEi or ARB) we estimated associations in age-, sex-, healthcare area- and propensity score-matched samples. Results From a cohort of 1 365 215 inhabitants we identified 305 972 patients with HTN history. Recent use of ACEi/ARBs in patients with HTN was associated with a lower 6-month cumulative incidence of COVID-19 diagnosis {3.78% [95% confidence interval (CI) 3.69–3.86%] versus 4.53% (95% CI 4.40–4.65%); P < 0.001}. In the 12 344 patients with COVID-19 infection, the use of ACEi/ARBs was not associated with a higher risk of hospitalization with need for invasive respiratory support or death [OR = 0.91 (0.71–1.15); P = 0.426]. Conclusions RAS blockade in patients with HTN is not associated with higher risk of COVID-19 infection or with a worse progression of the disease.The study was partially funded by ‘CIBER de Epidemiología y Salud Pública (CIBERESP)’

CD105 expression in cancer-associated fibroblasts: a biomarker for bone metastasis in early invasive ductal breast cancer patients

Introduction: Bone metastasis is one of the causes that mainly decrease survival in patients with advanced breast cancer. Therefore, it is essential to find prognostic markers for the occurrence of this type of metastasis during the early stage of the disease. Currently, cancer-associated fibroblasts, which represent 80% of the fibroblasts present in the tumor microenvironment, are an interesting target for studying new biomarkers and developing alternative therapies. This study evaluated the prognostic significance of the CD105 expression in cancer-associated fibroblasts in early breast cancer patients. Methods: Immunohistochemistry was used to assess CD105 expression in invasive ductal breast carcinomas (n = 342), analyzing its association with clinical and pathological characteristics. Results: High CD105 expression in cancer-associated fibroblasts was associated with an increased risk of metastatic occurrence (p = 0.0003), particularly bone metastasis (p = 0.0005). Furthermore, high CD105 expression was associated with shorter metastasis-free survival, bone metastasis-free survival, and overall survival (p = 0.0002, 0.0006, and 0.0002, respectively). CD105 expression also constituted an independent prognostic factor for metastasis-free survival, bone metastasis-free survival, and overall survival (p = 0.0003, 0.0006, and 0.0001, respectively). Discussion: The high CD105 expression in cancer-associated fibroblasts is an independent prognostic marker for bone metastasis in early breast cancer patients. Therefore, the evaluation of CD105(+) CAFs could be crucial to stratify BCPs based on their individual risk profile for the development of BM, enhancing treatment strategies and outcomes.Fil: Giorello, Maria Belen. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Martinez, Leandro Marcelo. Cornell University; Estados Unidos. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Borzone, Francisco Raúl. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Padin, María del Rosario. Hospital Italiano; ArgentinaFil: Mora, María Florencia. Hospital Italiano; ArgentinaFil: Sevic, Ina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires; ArgentinaFil: Alaniz, Laura Daniela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires. Universidad Nacional del Noroeste de la Provincia de Buenos Aires. Centro de Investigaciones y Transferencia del Noroeste de la Provincia de Buenos Aires; ArgentinaFil: Calcagno, María de Luján. Universidad de Buenos Aires. Facultad de Farmacia y Bioquímica; ArgentinaFil: Garcia Rivello, Hernan Jorge. Hospital Italiano; ArgentinaFil: Wernicke, Alejandra. Hospital Italiano; ArgentinaFil: Labovsky, Vivian. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; ArgentinaFil: Chasseing, Norma Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Biología y Medicina Experimental. Fundación de Instituto de Biología y Medicina Experimental. Instituto de Biología y Medicina Experimental; Argentin

Under-ascertainment of Respiratory Syncytial Virus infection in adults due to diagnostic testing limitations:A systematic literature review and meta-analysis

BACKGROUND: Most observational population-based studies identify RSV by nasal/nasopharyngeal swab RT-PCR only. We conducted a systematic review and meta-analyses to quantify specimen and diagnostic testing-based under-ascertainment of adult RSV infection. METHODS: EMBASE, PubMed and Web of Science were searched (Jan2000-Dec2021) for studies including adults using/comparing >1 RSV testing approach. We quantified test performance and RSV detection increase associated with using multiple specimen types. RESULTS: Among 8066 references identified, 154 met inclusion. Compared to RT-PCR, other methods were less sensitive: rapid antigen detection (pooled sensitivity, 64%), direct fluorescent antibody (83%), and viral culture (86%). Compared to singleplex PCR, multiplex PCR's sensitivity was lower (93%). Compared to nasal/nasopharyngeal swab RT-PCR alone, adding another specimen type increased detection: sputum RT-PCR, 52%; 4-fold rise in paired serology, 44%; and oropharyngeal swab RT-PCR, 28%. Sensitivity was lower in estimates limited to only adults (for RADT, DFA and Viral culture), and detection rate increases were largely comparable. CONCLUSIONS: RT-PCR, particularly singleplex testing, is the most sensitive RSV diagnostic test in adults. Adding additional specimen types to nasopharyngeal swab RT-PCR testing increased RSV detection. Synergistic effects of using ≥3 specimen types should be assessed, as this approach may improve the accuracy of adult RSV burden estimates

Assessment of Disparities Associated with a Crisis Standards of Care Resource Allocation Algorithm for Patients in 2 US Hospitals during the COVID-19 Pandemic

Importance: Significant concern has been raised that crisis standards of care policies aimed at guiding resource allocation may be biased against people based on race/ethnicity. Objective: To evaluate whether unanticipated disparities by race or ethnicity arise from a single institution\u27s resource allocation policy. Design, Setting, and Participants: This cohort study included adults (aged ≥18 years) who were cared for on a coronavirus disease 2019 (COVID-19) ward or in a monitored unit requiring invasive or noninvasive ventilation or high-flow nasal cannula between May 26 and July 14, 2020, at 2 academic hospitals in Miami, Florida. Exposures: Race (ie, White, Black, Asian, multiracial) and ethnicity (ie, non-Hispanic, Hispanic). Main Outcomes and Measures: The primary outcome was based on a resource allocation priority score (range, 1-8, with 1 indicating highest and 8 indicating lowest priority) that was assigned daily based on both estimated short-term (using Sequential Organ Failure Assessment score) and longer-term (using comorbidities) mortality. There were 2 coprimary outcomes: maximum and minimum score for each patient over all eligible patient-days. Standard summary statistics were used to describe the cohort, and multivariable Poisson regression was used to identify associations of race and ethnicity with each outcome. Results: The cohort consisted of 5613 patient-days of data from 1127 patients (median [interquartile range {IQR}] age, 62.7 [51.7-73.7]; 607 [53.9%] men). Of these, 711 (63.1%) were White patients, 323 (28.7%) were Black patients, 8 (0.7%) were Asian patients, and 31 (2.8%) were multiracial patients; 480 (42.6%) were non-Hispanic patients, and 611 (54.2%) were Hispanic patients. The median (IQR) maximum priority score for the cohort was 3 (1-4); the median (IQR) minimum score was 2 (1-3). After adjustment, there was no association of race with maximum priority score using White patients as the reference group (Black patients: incidence rate ratio [IRR], 1.00; 95% CI, 0.89-1.12; Asian patients: IRR, 0.95; 95% CI. 0.62-1.45; multiracial patients: IRR, 0.93; 95% CI, 0.72-1.19) or of ethnicity using non-Hispanic patients as the reference group (Hispanic patients: IRR, 0.98; 95% CI, 0.88-1.10); similarly, no association was found with minimum score for race, again with White patients as the reference group (Black patients: IRR, 1.01; 95% CI, 0.90-1.14; Asian patients: IRR, 0.96; 95% CI, 0.62-1.49; multiracial patients: IRR, 0.81; 95% CI, 0.61-1.07) or ethnicity, again with non-Hispanic patients as the reference group (Hispanic patients: IRR, 1.00; 95% CI, 0.89-1.13). Conclusions and Relevance: In this cohort study of adult patients admitted to a COVID-19 unit at 2 US hospitals, there was no association of race or ethnicity with the priority score underpinning the resource allocation policy. Despite this finding, any policy to guide altered standards of care during a crisis should be monitored to ensure equitable distribution of resources