Ambulatory MiniArc Precise sling under local anesthesia for stress urinary incontinence: Feasibility and outcome

Aims: The aim of the study is to assess the feasibility of ambulatory stress urinary incontinence (SUI) surgery using the MiniArc Precise single-incision urethral sling without increasing the number of complications. Settings and design: This was a retrospective observational study of prospectively collected data carried out in a Tertiary Referral Hospital in Barcelona, Spain. Materials and methods: Forty patients diagnosed with SUI or stress predominant mixed urinary incontinence (MUI) treated surgically between November 2011 and November 2013. The MiniArc Precise® sling was inserted under local anesthesia in the ambulatory setting. Satitistical analysis used: Descriptive statistics included frequencies and percentages for categorical variables and mean and range for quantitative variables. The statistical package used was SPSS version 17.0. Results: Urodynamic studies showed SUI in 78% of cases and stress predominant MUI in 17%. Clinical findings included SUI in 56% of cases and MUI in 44%, with positive stress tests in all participants. The mean intraoperative pain (1-10 Visual Analog Scale) was 2. All patients were satisfied with the use of local anesthesia in the outpatient setting. Perioperative complications did not occur. One case of urinary retention and two cases of urinary tract infection (UTI) developed within this 1st month after operation and were successfully managed conservatively. Midterm complications included eight cases of UTI and four de novo urge incontinence. Conclusions: Placement of the MiniArc Precise sling under local anesthesia is a feasible and safe technique, which when carried out by an experienced surgeon allows to be done as an outpatient basis without increasing the rate of postprocedural complications. Keywords: Ambulatory surgical procedures, local anesthesia, MiniArc Precise, patient satisfaction, stress urinary incontinence, suburethral sling

Support effects on NiO-based catalysts for the oxidative dehydrogenation (ODH) of ethane

[EN] We report on the effect of NiO-support interactions on the chemical nature of Ni species in a series of supported NiO catalysts for the ODH of ethane. SiO2, TiO2-anatase, a high surface area TiO2 and a porous clay hetero-structure (PCH) with TiO2 and SiO2 pillars were used as supports, which led to a selectivity to ethylene in the range 30-90% over supported NiO catalysts. The catalysts were characterized by means of XRD, N-2-Adsorption, H-2-TPR, XPS and in situ (under H-2 reductive atmosphere) and ex situ XAS spectroscopy. The catalytic performance of supported materials is discussed in terms of their reducibility and specific reduction kinetics, but also taking into account the specific chemical nature of Ni species on each catalyst. The influence of the particle size and the presence of Ni and O vacancies on the catalytic performance in the ODH of ethane is inferred.Authors would like to thank the DGICYT in Spain CTQ2015-68951-C3-1-R, CTQ2015-68951-C3-3-R, CTQ2012-37925-C03-2 and ENE2017-88818-C2-1-R. Also authors want to acknowledge the ALBA Synchrotron Light Source (Project ID: 2015021258 at CLAESS beamline). Authors from ITQ thank Project SEV-2016-0683 for financial support. D. D. also thanks MINECO and Severo Ochoa Excellence Program for his fellowship (SVP-2014-068669). Authors from UV thank the University of Valencia (UV-INV-AE16-484416 project) and MINECO (MAT2017-84118-C2-1-R project) for funding.Delgado-Muñoz, D.; Sanchís, R.; Cecilia, JA.; Rodríguez-Castellón, E.; Caballero, A.; Solsona, B.; López Nieto, JM. (2019). Support effects on NiO-based catalysts for the oxidative dehydrogenation (ODH) of ethane. Catalysis Today. 333:10-16. https://doi.org/10.1016/j.cattod.2018.07.010S101633

Enhanced NiO Dispersion on a High Surface Area Pillared Heterostructure Covered by Niobium Leads to Optimal Behaviour in the Oxidative Dehydrogenation of Ethane

This is the peer reviewed version of the following article: E. Rodríguez-Castellón, D. Delgado, A. Dejoz, I. Vázquez, S. Agouram, J. A. Cecilia, B. Solsona, J. M. López Nieto, Chem. Eur. J. 2020, 26, 9371, which has been published in final form at https://doi.org/10.1002/chem.202000832. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.[EN] A Nb-containing siliceous porous clay heterostructure (PCH) with Nb contents from 0 to 30 wt %) was prepared from a bentonite and used as support in the preparation of supported NiO catalysts with NiO loading from 15 to 80 wt %. Supports and NiO-containing catalysts were characterised by several physicochemical techniques and tested in the oxidative dehydrogenation (ODH) of ethane. The characterisation studies on Nb-containing supports showed the presence of well-anchored Nb(5+)species without the formation of Nb(2)O(5)crystals. High dispersion of nickel oxide with low crystallinity was observed for the Nb-containing PCH supports. In addition, when NiO is supported on these Nb-containing porous clays, it is more effective in the ODH of ethane (ethylene selectivity of ca. 90 %) than NiO supported on the corresponding Nb-free siliceous PCH or on Nb2O5(ethylene selectivities of ca. 30 and 60 %, respectively). Factors such as the NiO-Nb(5+)interaction, the NiO particle size and the properties of surface Ni(n+)species were shown to determine the catalytic performance.The authors would like to acknowledge the Ministerio de Ciencia, Innovacion y Universidades of Spain (CRTl2018-099668-B-C21, RTl2018-099668-B-C22 and MAT2017-84118-C2-1-R projects). Authors from ITQ also thank Project SEV-2016-0683 for supporting this research. D.D. thanks MINECO and Severo Ochoa Excellence Program for his fellowship (SVP-2014-068669).Rodríguez-Castellón, E.; Delgado-Muñoz, D.; Dejoz, A.; Vázquez, I.; Agouram, S.; Cecilia, JA.; Solsona, B.... (2020). Enhanced NiO Dispersion on a High Surface Area Pillared Heterostructure Covered by Niobium Leads to Optimal Behaviour in the Oxidative Dehydrogenation of Ethane. Chemistry - A European Journal. 26(42):9371-9381. https://doi.org/10.1002/chem.202000832S937193812642L. Nichols Industry Perspectives: Global petrochemical sector to see robust growth to 2020 Hydrocarbon Processing 2017.Hermabessiere, L., Dehaut, A., Paul-Pont, I., Lacroix, C., Jezequel, R., Soudant, P., & Duflos, G. (2017). Occurrence and effects of plastic additives on marine environments and organisms: A review. Chemosphere, 182, 781-793. doi:10.1016/j.chemosphere.2017.05.096Jia, L., Evans, S., & Linden, S. van der. (2019). Motivating actions to mitigate plastic pollution. 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Metal oxides modified NiO catalysts for oxidative dehydrogenation of ethane to ethylene. Catalysis Today, 228, 58-64. doi:10.1016/j.cattod.2013.11.061Zhu, H., Rosenfeld, D. C., Anjum, D. H., Sangaru, S. S., Saih, Y., Ould-Chikh, S., & Basset, J.-M. (2015). Ni–Ta–O mixed oxide catalysts for the low temperature oxidative dehydrogenation of ethane to ethylene. Journal of Catalysis, 329, 291-306. doi:10.1016/j.jcat.2015.05.023HERACLEOUS, E., LEE, A., WILSON, K., & LEMONIDOU, A. (2005). Investigation of Ni-based alumina-supported catalysts for the oxidative dehydrogenation of ethane to ethylene: structural characterization and reactivity studies. Journal of Catalysis, 231(1), 159-171. doi:10.1016/j.jcat.2005.01.015Zhang, Z., Ding, J., Chai, R., Zhao, G., Liu, Y., & Lu, Y. (2018). Oxidative dehydrogenation of ethane to ethylene: A promising CeO2-ZrO2-modified NiO-Al2O3/Ni-foam catalyst. Applied Catalysis A: General, 550, 151-159. doi:10.1016/j.apcata.2017.11.005Zhang, Z., Zhao, G., Chai, R., Zhu, J., Liu, Y., & Lu, Y. (2018). Low-temperature, highly selective, highly stable Nb2O5–NiO/Ni-foam catalyst for the oxidative dehydrogenation of ethane. Catalysis Science & Technology, 8(17), 4383-4389. doi:10.1039/c8cy01041bSkoufa, Z., Heracleous, E., & Lemonidou, A. A. (2015). On ethane ODH mechanism and nature of active sites over NiO-based catalysts via isotopic labeling and methanol sorption studies. Journal of Catalysis, 322, 118-129. doi:10.1016/j.jcat.2014.11.014Solsona, B., Concepción, P., López Nieto, J. M., Dejoz, A., Cecilia, J. A., Agouram, S., … Rodríguez Castellón, E. (2016). Nickel oxide supported on porous clay heterostructures as selective catalysts for the oxidative dehydrogenation of ethane. Catalysis Science & Technology, 6(10), 3419-3429. doi:10.1039/c5cy01811kPopescu, I., Heracleous, E., Skoufa, Z., Lemonidou, A., & Marcu, I.-C. (2014). Study by electrical conductivity measurements of semiconductive and redox properties of M-doped NiO (M = Li, Mg, Al, Ga, Ti, Nb) catalysts for the oxidative dehydrogenation of ethane. Physical Chemistry Chemical Physics, 16(10), 4962. doi:10.1039/c3cp54817aPopescu, I., Skoufa, Z., Heracleous, E., Lemonidou, A., & Marcu, I.-C. (2015). A study by electrical conductivity measurements of the semiconductive and redox properties of Nb-doped NiO catalysts in correlation with the oxidative dehydrogenation of ethane. Physical Chemistry Chemical Physics, 17(12), 8138-8147. doi:10.1039/c5cp00392jLópez Nieto, J. M., Solsona, B., Grasselli, R. K., & Concepción, P. (2014). Promoted NiO Catalysts for the Oxidative Dehydrogenation of Ethane. Topics in Catalysis, 57(14-16), 1248-1255. doi:10.1007/s11244-014-0288-2Delgado, D., Solsona, B., Ykrelef, A., Rodríguez-Gómez, A., Caballero, A., Rodríguez-Aguado, E., … López Nieto, J. M. (2017). 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Accesibilidad a acciones de promoción de la salud y prevención de población Hipertensa de Pereira, Colombia, 2008. La mirada del paciente

Introducción: la accesibilidad a los servicios de promoción y revención de la población hipertensa, es una de las estrategias de salud pública para reducir los riesgos de enfermar y morir en esta población. Evaluar las barreras al acceso a estos servicios, permite reorientar políticas saludables para garantizar calidad de vida y disminuir la inequidad. Métodos: este es un estudio descriptivo donde participaron 422 personas hipertensas, y se evaluó la percepción que tienen sobre acciones de promoción y prevención. Resultados: la distribución de los pacientes según el régimen de salud fue 39.9% del contributivo, 54.5% subsidiado y el 5.2% eran pobres no asegurados; el 70.5% con ingresos mensuales iguales o inferiores al mínimo, baja escolaridad; sólo el 8% accede a programas de actividad física. Conclusiones: la accesibilidad está determinada por 5 componentes de promoción y prevención garantizados en la población de bajos ingresos que pertenecen al régimen subsidiado: participan en clubes de la salud y realizan actividad física. Estos hallazgos no se encontraron en la población de régimen contributivo.AbstractIntroduction: the accessibility to promotional and preventive services for the hypertensive population, is one of the strategies of public health, in order to reduce the risks of getting sick and dying in this population. Evaluating the obstacles to access these services, allows the reorientation of healthy policies, in order to be able to guarantee a good quality of life and decrease the inequality. Methods: descriptive study of 422 hypertensive people, which evaluated their perceptions of promotional and preventive actions. Results: patients from different health institutions participated. 70.5% with equal or lesser monthly incomes to the minimum salary wage, low schooling; only 8% has access to programs of physical activity. Conclusions: the accessibility is determined by 5 components and the promotional and preventive services are guaranteed among the lower income population that belongs to the subsidiary regime: participating in health clubs and executing physical activity. These findings were not found in the population with a regime by contribution.Keywords: accessibility to health services, promotional health, health attention providers, attention to health controlled programs, hypertension, motor activity, validity of the tests, analysis of main components

Acceso al programa de Hipertensión en el Sistema General de Seguridad Social en Salud, 2008.

Con esta investigación se evaluó el acceso de los usuarios con hipertensión arterial a las actividades de promoción y prevención del programa, para lo cual se realizó un estudio evaluativo, con una entrevista aplicada a una muestra de 403 hipertensos seleccionados aleatoriamente de las bases de datos de tres Empresas Promotoras de Salud (EPS), cuatro Empresas Promotoras de Salud del Régimen Subsidiado (EPSS) y la Secretaría de Salud, y a responsables del programa y profesionales de estas instituciones. Se realizó análisis univariado y multivariado que permitió la conformación de tres tipologías de pacientes. Se encontró que en Manizales los hipertensos se caracterizan por tener una edad promedio de 69,7 años, y ser el 55,6% del sexo masculino. El acceso al programa de hipertensión se caracteriza porque se tiene implementado el programa acorde con la guía con algunas diferencias entre instituciones, como existencia de clubes y estrategias de educación. Los hipertensos tienen garantizado el acceso potencial, evidenciándose una falencia en el suministro de medicamentos y en la oportunidad de la cita con el especialista, los pacientes asisten de manera oportuna a los controles, sin embargo la integridad del programa se ve afectada por la inasistencia de la mayoría de éstos a las actividades grupales justificadas en razones como la oferta del programa, falta de tiempo y recursos económicos. La mayoría de los usuarios se encuentran satisfechos con la atención que reciben en los controles. This paper present the results of a research to evaluate the access of hypertensive users to the activities of the Promotion and Prevention Programs. This evaluative study was carried out through  interviews applied to a population of 403 hypertensive patients selected at random out of three Health Promotion Entities (EPS by its initials in Spanish), four Institutions of Social Protection Health Promotion Center (EPSS), the Health Secretary, and the people responsible for the programs and professionals from these institutions. Univariated  and multivariate analyses were carried out, in order to construct three sets of patients. In Manizales, hypertensive patients have an average age of 69.7 years and 55,6% are male. Access to the hypertension program was characterized by the fact that the program is based on the norm, with some differences among institutions, such as the existence of clubs, and educational strategies. Potential access to hypertensive patients is guaranteed, but the provision of medications and  the opportunity to have appointment with specialists were found to be deficient. Hypertensive patients attend their individual check-ups, but their absence in group activities affects the integrality of the program. They justify their absence with lack of offers of the program, lack of time, and economic problems. Most users find the control session attention satisfactory.Com esta pesquisa se avalio o aceso dos usuários com hipertensão arterial as atividades de promoção e prevenção do programa, para o qual se  realizou uma pesquisa evaluativo, com uma entrevista aplicada a uma amostra de 403 hipertensos selecionados  aleatoriamente das bases de três Empresas Promotoras de saúde (EPS), quatro Empresas Promotoras de Saúde do Regime Subsidiado (EPSS) e a Secretária de Saúde, e responsáveis de programas e profissionais destas instituições. Realizou-se  análise uni-variado que permitiu u conformação de três tipologias de  pacientes. Encontrou-se  que em Manizales os hipertensos se caracterizam por ter uma idade média de 69,7 anos, e ser o 55,6% do sexo masculino. O acesoo ao programa de hipertensão se caracteriza por que se tem implementado o programa acorde com a guia com algumas diferenças entre instituições, como existência de clubes e estratégias de educação. Os hipertensos tem garantido o acesso potencial, evidenciando se uma falência n subministro de medicamentos e na oportunidade do encontro com o especialista, os pacientes assistem  de maneira oportuna aos controles, sem embargo a integralidade do programa se vê afetado por a não assistência da maioria destes ás atividades grupais justificadas em razões como a oferta do programa, falta de tempo e recursos económicos. As maiorias dos usuários se encontram satisfeitos com a atenção que recebem nos controles. Con esta investigación se evaluó el acceso de los usuarios con hipertensión arterial a las actividades de promoción y prevención del programa, para lo cual se realizó un estudio evaluativo, con una entrevista aplicada a una muestra de 403 hipertensos seleccionados aleatoriamente de las bases de datos de tres Empresas Promotoras de Salud (EPS), cuatro Empresas Promotoras de Salud del Régimen Subsidiado (EPSS) y la Secretaría de Salud, y a responsables del programa y profesionales de estas instituciones. Se realizó análisis univariado y multivariado que permitió la conformación de tres tipologías de pacientes. Se encontró que en Manizales los hipertensos se caracterizan por tener una edad promedio de 69,7 años, y ser el 55,6% del sexo masculino. El acceso al programa de hipertensión se caracteriza porque se tiene implementado el programa acorde con la guía con algunas diferencias entre instituciones, como existencia de clubes y estrategias de educación. Los hipertensos tienen garantizado el acceso potencial, evidenciándose una falencia en el suministro de medicamentos y en la oportunidad de la cita con el especialista, los pacientes asisten de manera oportuna a los controles, sin embargo la integridad del programa se ve afectada por la inasistencia de la mayoría de éstos a las actividades grupales justificadas en razones como la oferta del programa, falta de tiempo y recursos económicos. La mayoría de los usuarios se encuentran satisfechos con la atención que reciben en los controles. This paper present the results of a research to evaluate the access of hypertensive users to the activities of the Promotion and Prevention Programs. This evaluative study was carried out through  interviews applied to a population of 403 hypertensive patients selected at random out of three Health Promotion Entities (EPS by its initials in Spanish), four Institutions of Social Protection Health Promotion Center (EPSS), the Health Secretary, and the people responsible for the programs and professionals from these institutions. Univariated  and multivariate analyses were carried out, in order to construct three sets of patients. In Manizales, hypertensive patients have an average age of 69.7 years and 55,6% are male. Access to the hypertension program was characterized by the fact that the program is based on the norm, with some differences among institutions, such as the existence of clubs, and educational strategies. Potential access to hypertensive patients is guaranteed, but the provision of medications and  the opportunity to have appointment with specialists were found to be deficient. Hypertensive patients attend their individual check-ups, but their absence in group activities affects the integrality of the program. They justify their absence with lack of offers of the program, lack of time, and economic problems. Most users find the control session attention satisfactory.Com esta pesquisa se avalio o aceso dos usuários com hipertensão arterial as atividades de promoção e prevenção do programa, para o qual se  realizou uma pesquisa evaluativo, com uma entrevista aplicada a uma amostra de 403 hipertensos selecionados  aleatoriamente das bases de três Empresas Promotoras de saúde (EPS), quatro Empresas Promotoras de Saúde do Regime Subsidiado (EPSS) e a Secretária de Saúde, e responsáveis de programas e profissionais destas instituições. Realizou-se  análise uni-variado que permitiu u conformação de três tipologias de  pacientes. Encontrou-se  que em Manizales os hipertensos se caracterizam por ter uma idade média de 69,7 anos, e ser o 55,6% do sexo masculino. O acesoo ao programa de hipertensão se caracteriza por que se tem implementado o programa acorde com a guia com algumas diferenças entre instituições, como existência de clubes e estratégias de educação. Os hipertensos tem garantido o acesso potencial, evidenciando se uma falência n subministro de medicamentos e na oportunidade do encontro com o especialista, os pacientes assistem  de maneira oportuna aos controles, sem embargo a integralidade do programa se vê afetado por a não assistência da maioria destes ás atividades grupais justificadas em razões como a oferta do programa, falta de tempo e recursos económicos. As maiorias dos usuários se encontram satisfeitos com a atenção que recebem nos controles.

A Responsabilidade Social Corporativa, um olhar para a sua aplicação no sector dos transportes públicos Automotivo

Corporate Social Responsibility (CSR) is one of the modern concepts that has gained the most relevance in the world in recent years, since it implies a commitment from organizations and corporations for common welfare. This paper resulted from research. It begins by identifying CSR practices that public transportation applies in Valle de Aburrá according to the three Global Reporting Initiative (GRI) dimensions: economic, social, and environmental. To this end, all transportation companies (buses) were identified, and the CSR practices they apply were evaluated as per the GRI.Keywords: Corporate social responsibility, public transportation, Global Reporting Initiative (GRI), corporate social responsibility guidelines, sustainability.La Responsabilidad Social Empresarial, RSE, es uno de los conceptos modernos que ha adquirido mayor relevancia en los últimos años en el mundo, en tanto implica un compromiso de las organizaciones y empresas para el bienestar común. Este artículo, resultado de investigación, parte por identificar las prácticas de RSE que aplica el sector transporte público automotor en el Valle de Aburrá, conforme con las tres dimensiones de la Guía Global Reporting Initiative (GRI): económico, social y ambiental; para lo cual se identificaron todas las empresas de transporte (buses) dedicadas a esta actividad y se evaluaron las prácticas de RSE que aplican, en concordancia con la guía.Palabras clave: RSE, transporte público, GRI, prácticas de responsabilidad social empresarial, sostenibilidad.La Responsabilité Sociale d'Entreprise, la RSE - est l'un des concepts modernes qui a acquis plus d'importance au cours des dernières années dans le monde entier, en tant implique un engagement des organisations et entreprises pour le bien-étre commun, cet article part de déterminer des pratiques de RSE qui applique le secteur public de transport dans la Vallée de Aburrá, en accord avec la GRI. Par conséquent, a identifié toutes les entreprises de transport consacrées à cette activité et a évalué les pratiques de RSE qui appliquent, en accord avec le guide.Mots-clés: responsabilité sociale des entreprises, chaîne d'approvisionnement, l'environnement, logistique.Responsabilidade Social Corporativa (CSR) é um dos conceitos modernos que adquiriu maior importáncia nos últimos anos em todo o mundo, em ambos implica um compromisso das organizações e empresas para o bem comum. Este artigo, dos resultados de investigação, parte identificando as práticas de RSE que aplica o sector de transportes públicos no vale de Aburrá automotivo, de acordo com as trés dimensões do Guia Global Reporting Initiative - GRI: económico, social e ambiental, para o qual todas as empresas de transporte (ônibus) dedicados a esta actividade e implementação de práticas de RSE, de acordo com o guia identifica avaliada.Palavras-chave: Responsabilidade Social Corporativa, transportes públicos, da Global Reporting Initiative (GRI), práticas de responsabilidade social empresarial e sustentabilidade

Use and therapeutic effects of diaries in intensive care units

Objetivo principal: analizar el uso del diario en las unidades de cuidados intensivos y sus efectos terapéuticos. Metodología: revisión cualitativa de la literatura publicada entre 2006 y 2019 en las principales bases de datos biomédicas. Resultados principales: seleccionados 48 artículos. Los diarios son utilizados en países europeos desde los años 70. Existe controversia metodológica en la redacción y elaboración del diario. Sus efectos terapéuticos son positivos para: familiares (favorecen comunicación y expresión sentimientos), pacientes (ayudan a comprender lo sucedido) y profesionales (producen satisfacción personal/profesional). Conclusión principal: el uso de los diarios es una práctica enfermera habitual en Europa, no evidencia en España. Los diarios mejoran la ansiedad y la depresión a pacientes y a familiares, mejoran el estrés postraumático en familias. Es una herramienta útil que promueve el desarrollo enfermero

Decisions about the diagnostic and treatment criteria of dental caries among a group of dental students, faculty staff and dentists within the city of Medellin, Colombia

Objective: To analyze the criteria for diagnosis and treatment decision-making in relation to dental caries in different participants (teachers of dentistry, dental students at dental schools, and dentists practicing at public oral health services) in the city of Medellin (Colombia). Material and Methods: A cross-sectional study was applied in the period September 2015-december 2016 by means of an international validated questionnaire in 340 participants (dental teachers: 69, dental students: 193, dentists: 78). The survey addressed several topics related to detection and restorative threshold, preferences of preparation type, restorative materials used and opinions about diagnosis and treatment for dental caries. A descriptive analysis was carried out and Chi square tests were applied to observe statistically significant differences between the study variables. Results: 340 participants were surveyed among teachers who teach cariology, health care dentists, and undergraduate final-year students. Most participants were women (70%). The age mean was higher for DDSs (46 ± 9 years). On average, practicing dentists and dental teachers had a work experience of 21 ± 9 years. In case of treatment decisions, the majority of the surveyed would use immediate operative restorative treatment for advanced carious lesions (inner one-third of the dentin for approximal and grade 5 for occlusal). In addition, respondents reported different cavities diagnosis for clinical occlusal cases and some significant statistically differences were found for restorative treatment decisions and type of materials according to the type of participant. Conclusion: Criteria for diagnosis and treatment of dental caries differed among the student, dentist and dental teachers with variety in diagnosis and treatment concepts. However, a conservative tendency for restorative treatment decisions was observed. Strategies for incorporating non-restorative and minimal measures in professional practice should be considered in curricula of universities