Wireless wearable wristband for continuous sweat pH monitoring

Several studies have shown that the determination of pH in sweat, which is one of the most accessible body fluids, can be an indicator of health and wellness, and even be used for potential disease diagnosis. On that basis, we present herein a wearable wristband for continuous and wireless monitoring of sweat pH with potential applications in the field of personal health assessment. The developed wristband consists of two main parts: a microfluidic cloth analytical device (μCAD) to collect continuously the sweat from skin with a color-based pH sensing area; and a readout and processing module with a digital color sensor to obtain the pH of sweat from the color changes in the μCAD. In addition, the readout module includes a low-power Bluetooth interface to transmit the measurements in real-time to a custom-designed smartphone application. To allow continuous operation, an absorbent pad was included in the design to retire and store thsweat from the sensing area through a passive pump path. It was found that the Hue parameter (H) in the HSV color space can be related to the sweat pH and fitted to a Boltzmann equation (R2 = 0.997). The range of use of the wristband device goes from 6 to 8, which includes the pH range of sweat, with a precision at different pH values from 3.6 to 6.0 %. Considering the typical human sweat rate, the absorbent pad allows continuous operation up to more than 1000 minutes

Development Refractoriness of MLL-Rearranged Human B Cell Acute Leukemias to Reprogramming into Pluripotency

Induced pluripotent stem cells (iPSCs) are a powerful tool for disease modeling. They are routinely generated from healthy donors and patients from multiple cell types at different developmental stages. However, reprogramming leukemias is an extremely inefficient process. Few studies generated iPSCs from primary chronic myeloid leukemias, but iPSC generation from acute myeloid or lymphoid leukemias (ALL) has not been achieved. We attempted to generate iPSCs from different subtypes of B-ALL to address the developmental impact of leukemic fusion genes. OKSM(L)-expressing mono/polycistronic-, retroviral/lentiviral/episomal-, and Sendai virus vector-based reprogramming strategies failed to render iPSCs in vitro and in vivo. Addition of transcriptomic-epigenetic reprogramming ‘‘boosters’’ also failed to generate iPSCs from B cell blasts and B-ALL lines, and when iPSCs emerged they lacked leukemic fusion genes, demonstrating non-leukemic myeloid origin. Conversely, MLL-AF4-overexpressing hematopoietic stem cells/B progenitors were successfully reprogrammed, indicating that B cell origin and leukemic fusion gene were not reprogramming barriers. Global transcriptome/DNA methylome profiling suggested a developmental/differentiation refractoriness of MLL-rearranged B-ALL to reprogramming into pluripotency

Clinical and Sociodemographic Determinants of Adherence to World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Recommendations in Breast Cancer Survivors-Health-EpiGEICAM Study

Breast cancer (BC) survivors are advised to follow the WCRF/AICR cancer prevention recommendations, given their high risk of developing a second tumour. We aimed to explore compliance with these recommendations in BC survivors and to identify potentially associated clinical and sociodemographic factors. A total of 420 BC survivors, aged 31-80, was recruited from 16 Spanish hospitals. Epidemiological, dietary and physical activity information was collected through questionnaires. A 7-item score to measure compliance with the recommendations was built according to the 2018 WCRF/AICR scoring criteria. Standardized prevalences and standardized prevalence ratios of moderate and high compliance across participant characteristics were estimated using multinomial and binary logistic regression models. The mean score was 3.9 (SD: 1.0) out of 7 points. Recommendations with the worst adherence were those of limiting consumption of red/processed meats (12% of compliance, 95% CI: 8.2-15.0) and high fibre intake (22% of compliance, 95% CI: 17.6-27.0), while the best compliance was observed for the consumption of fruits and vegetables (73% of compliance, 95% CI: 69.2-77.7). Overall, adherence was worse in women with university education and in those with first-degree relatives with BC. This information may be of interest to design and implement personalized preventive measures adapted to the characteristics of these patients.This research was funded by the Fundación Científica Asociación Española Contra el Cancer (AECC) (Scientific Foundation of the Spanish Association against Cancer 2016). This article presents independent research. The views expressed are those of the authors and not necessarily those of the Carlos III Institute of Health.S

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

The first wave of the COVID-19 epidemic in Spain was associated with early introductions and fast spread of a dominating genetic variant

SeqCOVID-Spain consortium: Álvaro Chiner-Oms, Irving Cancino-Muñoz, Mariana G. López, Manuela Torres-Puente, Inmaculada Gómez-Navarro, Santiago Jiménez-Serrano, Jordi Pérez-Tur, Darío García de Viedma, Laura Pérez-Lago, Marta Herranz, Jon Sicilia, Pilar Catalán-Alonso, Julia Suárez González, Patricia Muñoz, Mireia Coscolla, Paula Ruiz-Rodríguez, Fernando González-Candelas, Iñaki Comas, Lidia Ruiz-Roldán, María Alma Bracho, Neris García-González, Llúcia Martínez Priego, Inmaculada Galán-Vendrell, Paula Ruiz-Hueso, Griselda De Marco, María Loreto Ferrús-Abad, Sandra Carbó-Ramírez, Giuseppe D’Auria, Galo Adrian Goig, Juan Alberola, Jose Miguel Nogueira, Juan José Camarena, David Navarro, Eliseo Albert, Ignacio Torres, Maitane Aranzamendi Zaldumbide, Óscar Martínez Expósito, Nerea Antona Urieta, María de Toro, María Pilar Bea-Escudero, Jose Antonio Boga, Cristian Castelló-Abietar, Susana Rojo-Alba, Marta Elena Álvarez-Argüelles, Santiago Melón, Elisa Martró, Antoni E. Bordoy, Anna Not, Adrián Antuori, Anabel Fernández-Navarro, Andrés Canut-Blasco, Silvia Hernáez Crespo, Maria Luz Cordón Rodríguez, Maria Concepción Lecaroz Agara, Carmen Gómez-González, Amaia Aguirre-Quiñonero, José Israel López-Mirones, Marina Fernández-Torres, Maria Rosario Almela-Ferrer, Ana Carvajal, Juan Miguel Fregeneda-Grandes, Héctor Argüello, Gustavo Cilla Eguiluz, Milagrosa Montes Ros, Luis Piñeiro Vázquez, Ane Sorarrain, José María Marimón, José J. Costa-Alcalde, Rocío Trastoy, Gema Barbeito Castiñeiras, Amparo Coira, María Luisa Pérez del Molino, Antonio Aguilera, Begoña Palop-Borrás, Inmaculada de Toro Peinado, Maria Concepción Mediavilla Gradolph, Mercedes Pérez-Ruiz, Mirian Fernández-Alonso, Jose Luis del Pozo, Oscar González-Recio, Mónica Gutiérrez-Rivas, Jovita Fernández-Pinero, Miguel Ángel Jiménez Clavero, Begoña Fuster Escrivá, Concepción Gimeno Cardona, María Dolores Ocete Mochón, Rafael Medina-Gonzalez, José Antonio Lepe, Verónica González Galán, Ángel Rodríguez-Villodres, Nieves Gonzalo Jiménez, Jordi Reina, Carla López-Causapé, Maria Dolores Gómez-Ruiz, Eva M. Gonzalez-Barbera, José Luis López-Hontangas, Vicente Martín, Antonio J. Molina, Tania Fernandez-Villa, Ana Milagro Beamonte, Nieves Felisa Martínez-Cameo, Yolanda Gracia-Grataloup, Rosario Moreno-Muñoz, Maria Dolores Tirado Balaguer, José María Navarro-Marí, Irene Pedrosa-Corral, Sara Sanbonmatsu-Gámez, Antonio Oliver, Mónica Parra Grande, Bárbara Gómez Alonso, Francisco José Arjona Zaragozí, Maria Carmen Pérez González, Francisco Javier Chamizo López, Ana Bordes-Benítez, Núria Rabella, Ferran Navarro, Elisenda Miró, Antonio Rezusta, Alexander Tristancho, Encarnación Simarro Córdoba, Julia Lozano-Serra, Lorena Robles Fonseca, Álex Soriano, Francisco Javier Roig Sena, Hermelinda Vanaclocha Luna, Isabel Sanmartín, Daniel García-Souto, Ana Pequeño-Valtierra, Jose M. C. Tubio, Javier Temes, Jorge Rodríguez-Castro, Martín Santamarina García, Manuel Rodríguez-Iglesias, Fátima Galán-Sanchez, Salud Rodríguez-Pallares, José Manuel Azcona-Gutiérrez, Miriam Blasco-Alberdi, Alfredo Mayor, Alberto L. García-Basteiro, Gemma Moncunill, Carlota Dobaño, Pau Cisteró, Oriol Mitjà, Camila González-Beiras, Martí Vall-Mayans, Marc Corbacho-Monné, Andrea Alemany, Cristina Muñoz-Cuevas, Guadalupe Rodríguez-Rodríguez, Rafael Benito, Sonia Algarate, Jessica Bueno, Andrea Vergara-Gómez, Miguel J. Martínez, Jordi Vila, Elisa Rubio, Aida Peiró-Mestres, Jessica Navero-Castillejos, David Posada, Diana Valverde, Nuria Estévez, Iria Fernández-Silva, Loretta de Chiara, Pilar Gallego-García, Nair Varela, Ulises Gómez-Pinedo, Mónica Gozalo-Margüello, Maria Eliecer Cano García, José Manuel Méndez-Legaza, Jesus Rodríguez-Lozano, María Siller, Daniel Pablo-Marcos, Maria Montserrat Ruiz-García, Antonio Galiana, Judith Sánchez-Almendro, Maria Isabel Gascón Ros, Cristina Juana Torregrosa-Hetland, Eva María Pastor Boix, Paloma Cascales Ramos, Pedro Luis Garcinuño Enríquez, Salvador Raga Borja, Julia González Cantó, Olalla Martínez Macias, Adolfo de Salazar, Laura Viñuela González, Natalia Chueca, Federico García, Cristina Gómez-Camarasa, Amparo Farga Martí, Rocío Falcón, Victoria Domínguez-Márquez, Anna M. Planas, Israel Fernández-Cádenas, Maria Ángeles Marcos, Carmen Ezpeleta, Ana Navascués, Ana Miqueleiz Zapatero, Manuel Segovia, Antonio Moreno-Docón, Esther Viedma, Raúl Recio Martínez, Irene Muñoz-Gallego, Sara Gonzalez-Bodi, Maria Dolores Folgueira, Jesús Mingorance, Elias Dahdouh, Fernando Lázaro-Perona, María Rodríguez-Tejedor, María Pilar Romero-Gómez, Julio García-Rodríguez, Juan Carlos Galán, Mario Rodríguez-Dominguez, Laura Martínez-García, Melanie Abreu Di Berardino, Manuel Ponce-Alonso, Jose Maria González-Alba, Ivan Sanz-Muñoz, Diana Pérez San José, Maria Gil Fortuño, Juan B. Bellido-Blasco, Alberto Yagüe Muñoz, Noelia Hernández Pérez, Helena Buj Jordá, Óscar Pérez Olaso, Alejandro González Praetorius, Nora Mariela Martínez Ramírez, Aida Ramírez Marinero, Eduardo Padilla León, Alba Vilas Basil, Mireia Canal Aranda, Albert Bernet Sánchez, Alba Bellés Bellés, Eric López González, Iván Prats Sánchez, Mercè García-González, Miguel José Martínez-Lirola, Manuel Ángel Rodríguez Maresca, Maria Teresa Cabezas Fernández, María Eugenia Carrillo Gil, Maria Paz Ventero Martín, Carmen Molina Pardines, Nieves Orta Mira, María Navarro Cots, Inmaculada Vidal Catalá, Isabel García Nava, Soledad Illescas Fernández-Bermejo, José Martínez-Alarcón, Marta Torres-Narbona, Cristina Colmenarejo, Lidia García-Agudo, Jorge A. Pérez García, Martín Yago López, María Ángeles Goberna Bravo, Victoria Simón García, Gonzalo Llop Furquet, Agustín Iranzo Tatay, Sandra Moreno-Marro, Noelia Lozano Rodríguez, Amparo Broseta Tamarit, Juan José Badiola Díez, Amparo Martínez-Ramírez, Ana Dopazo, Sergio Callejas, Alberto Benguría, Begoña Aguado, Antonio Alcamí, Marta Bermejo Bermejo, Ricardo Ramos-Ruíz, Víctor Manuel Fernández Soria, Fernando Simón Soria & Mercedes Roig CardellsThe coronavirus disease 2019 (COVID-19) pandemic has affected the world radically since 2020. Spain was one of the European countries with the highest incidence during the first wave. As a part of a consortium to monitor and study the evolution of the epidemic, we sequenced 2,170 samples, diagnosed mostly before lockdown measures. Here, we identified at least 500 introductions from multiple international sources and documented the early rise of two dominant Spanish epidemic clades (SECs), probably amplified by superspreading events. Both SECs were related closely to the initial Asian variants of SARS-CoV-2 and spread widely across Spain. We inferred a substantial reduction in the effective reproductive number of both SECs due to public-health interventions (Re < 1), also reflected in the replacement of SECs by a new variant over the summer of 2020. In summary, we reveal a notable difference in the initial genetic makeup of SARS-CoV-2 in Spain compared with other European countries and show evidence to support the effectiveness of lockdown measures in controlling virus spread, even for the most successful genetic variants.This work was mainly funded by the Instituto de Salud Carlos III project COV20/00140, with additional funding by Spanish National Research Council project CSIC-COV19-021, Ministerio de Ciencia project PID2019-104477RB-100, ERC StG 638553 and ERC CoG 101001038 to I.C., and BFU2017-89594R to F.G.C. M.C. is supported by Ramón y Cajal program from Ministerio de Ciencia and grants RTI2018-094399-A-I00 and Generalitat Valenciana (Regional Government) project SEJI/2019/011. We gratefully acknowledge Hospital Universitari Vall d’Hebron, Instituto de Salud Carlos III, IrsiCaixa AIDS Research Lab and all the international researchers and institutions that submitted sequenced SARS-CoV-2 genomes to the GISAID’s EpiCov Database (Supplementary Table 1), as an important part of our analyses has been made possible by the sharing of their work. We also thank Unidad de Bioinformática y Estadística, Centro de Investigación Príncipe Felipe, for allowing us to use the Computer Cluster to perform some of the bioinformatic analysis.Peer reviewe

I Congreso - Convergencias y divergencias. Hacia educaciones y desarrollo otros.

La presente colección, en su primera publicación, recoge la experiencia del I Congreso Internacional de Educación para el Desarrollo en Perspectiva Latinoamericana- EpDl “Convergencias y divergencias. Hacia educaciones y desarrollos otros.” organizado por el Centro de Educación para el Desarrollo-CED de UNIMINUTO, específicamente en relación con las ponencias, libros e iniciativas fotográficas presentadas en las seis líneas temáticas de este evento académico, a saber: (a) experiencias y prácticas pedagógicas; (b) acciones colectivas, movimientos y redes sociales; (c) perspectivas críticas al desarrollo; (d) producción de conocimiento; (e) diferencias, identidades y ciudadanía; (f) cuerpos, emociones y espiritualidades; a partir de éstas propuestas y en el marco de estas líneas, se reflexionó sobre las dinámicas y problemáticas derivadas del desarrollo hegemónico, así como sobre la posibilidad de diálogo entre saberes y conocimientos construidos de forma contextualizada, que permitan agenciar apuestas y proyectos alternativos disidentes en la búsqueda de “desarrollos y educaciones otras” desde América Latina

Influencia del modelo de gestión clínica en la calidad y eficiencia de una unidad asistencial. La relación del modelo con la sostenibilidad de los sistemas públicos de salud

Los Sistemas Públicos de Salud (SPS), con financiación pública integra por impuestos, universales y que comprendan la asistencia integral de los pacientes, constituyen un logro social de gran magnitud, por cuanto proveen a los ciudadanos de una protección y prevención de la enfermedad acorde con los derechos y principios básicos recogidos en la Declaración Universal de los Derechos Humanos de 1948. El sostenimiento de los SPS ha comprendido, desde su origen, importantes dificultades para su sostenimiento, agravados en épocas como la actual, donde el gran desarrollo y coste de la ciencia médica, asociado a las profundas crisis económicas que sufren cíclicamente las sociedades que los gestionan, hacen que la viabilidad de tales sistemas, tal y como han sido concebidos, suponga quizá el mayor desafío de gestión de las sociedades occidentales. La calidad y eficiencia, como magnitudes directamente relacionadas, junto con la activa participación de los profesionales en la gestión de los SPS, según los preceptos y filosofía de la Gestión Clínica, constituyen las estrategias más racionales y de mayor eficacia potencial para conseguir el sostenimiento de los mismos, sin que la calidad en la asistencia se vea comprometida. La U.G.C. de CCV ha aplicado estos conceptos desde el año 2008, en que se constituyó, analizándose en el presente documento las estrategias utilizadas y los resultados conseguidos, especialmente en parámetros de calidad, eficiencia y seguridad de pacientes, tras 10 años de actividad continua, sobre 17.852 pacientes y 95.376 estancias en la mencionada unidad clínica de un hospital de tercer nivel.Public Health Systems (PHS), with total public funding for taxes, universal and which comprise the integral assistance of patients, constitute a social achievement of great magnitude, because they provide protection and prevention of the disease to the citizens in line with the rights and principles contained in the Universal Declaration of Human Rights, 1948. The support of PHS has included, from the beginning, significant difficulties for their support, aggravated in times like the present, where the great development and cost of medical science associated with the deep economic crisis that societies that manage them suffer cyclically, make that the feasibility of such systems, as they have been conceived, supposes perhaps the biggest management challenge in the Western Societies. The quality and efficiency together, as magnitudes directly related, with the active participation of professionals in the management of PHS, according to the precepts and the philosophy of Clinical Management, establish more rational and more effective strategies to achieve sustainability of these Services, without the quality of care would be compromised. The U.G.C. CCV has applied these concepts since 2008, when it was established, analyzed in this document the strategies used and the results achieved, especially on parameters of quality, efficiency and safety of patients, after 10 years of continuous activity, 17.852 patients and 95.376 clinic stays in the aforementioned unit of a tertiary hospital

Modelo económico de impacto en el mercado del cobre por electromovilidad

Tesis (Ingeniero Civil en Minas)El cobre corresponde al principal commodity de la actividad minera nacional, el cual a través de los años ha entregado a la cuenta chilena la posibilidad de beneficiar al país de la mejor manera posible. La demanda de este metal está propensa a aumentar los próximos años debido al crecimiento del mercado de los vehículos eléctricos que consumen unitariamente una mayor cantidad de cobre con respecto a los vehículos de motor de combustión interna. El objetivo central de este trabajo yace en desarrollar un pronóstico óptimo para la demanda de vehículos eléctricos a través de la aplicación de técnicas econométricas y microeconómicas las cuales arrojan resultados para el corto, mediano y largo plazo con una razonable medida de exactitud basados en series temporales iniciales construidas con un rango desde 2017 y 2027. La metodología inicialmente considera el análisis de la estructura de las series de tiempo mediante pruebas de estacionariedad. Posteriormente, con regresiones, suavizamiento exponencial y modelos autorregresivos son mostrados los posibles escenarios. Finalmente, se evalúan los modelos económicos a través de mediciones de exactitud, dígase MAPE, RMSE y residuos entre los pronósticos de vehículos eléctricos, cerrando así el procedimiento de desarrollo de esta tesis. Siendo así una aproximación al modelo de difusión de Bass para el desarrollo de nuevos productos tecnológicos. Un vehículo convencional usualmente consume 23 kg de cobre mientras que las tres variantes estudiadas: HEV, PHEV y BEV (Passenger cars) rondan 40, 60 y 83 kg respectivamente (cifras de ICA). De manera que, según esta tesis, con un MAPE de 3,7% los HEV alcanzarían un máximo de 10 millones de unidades vendidas rondando 2033; los PHEV a MAPE de 6,7% participarán con cantidad demandada de 20 millones de unidades como su valor máximo pronosticado en 2041; por su parte BEV, pueden alcanzar 60 millones al con error MAPE de 2,2% en 2050. Equiparando las ventas de vehículos convencionales cerca del periodo 2036 (MAPE 17%) con 55 millones de unidades. Así, esto significa una proyección total de casi 100 millones de unidades de vehículos eléctricos anualmente demandados, que impactan con un 14% de demanda adicional de cobre con 5 MTon (1,7% MAPE). Asimismo, el modelo desarrollado explica un precio afectado por la variante que ronde los 420 [cUS$/Lb] para el largo plazo.Copper is the main commodity in the national mining activity, which across the years sends to the Chilean pocket the opportunity to benefit the best possible way for the country. This metal demand is prone to increase the next years due to a growing up in the electric vehicles market that does a bigger unit consumption than internal combustion engine ones (ICE vehicles). The principal goal on this work lies in develop an optimal forecast in the EV demand through the application of econometrics and microeconomics tactics which output short, medium- and long-term results with a reasonable accuracy based on temporal series built in a range started in 2017 until 2027. Initially the methodology considers the temporal series structure analysis with stationarity tests. Then, regressions, exponential smoothing and autoregressive models show demand possible stages. Finally evaluate the economics models to define the results accuracy measured with MAPE, RMSE and the waste on the EV forecast closes this work process. Being this way, an approximation to the Bass diffusion model for new technology product. An ICE car usually consumes 23 kg and the three alternatives studied: HEV, PHEV and BEV (passenger cars) nearly 40, 60 and 83 kg respectively (ICA studies). According this thesis and with a 3,7So, this means, a total demand forecast that outputs almost 100 million units of EV that impacts a 14$/Lb]

Manual para la elaboración de la revista

Desde siempre, el ser humano ha tenido la necesidad de comunicar sus ideas, pensamientos y sentimientos, lo cual fue evolucionado a través del tiempo, comenzando con señales y signos, hasta llegar a distintos códigos complejos, que se trasmiten por medios diversos, como lo son la radio, internet, televisión, revistas y periódicos, entre otros