Levantamiento de líneas de costa a escala de detalle para el litoral de Andalucía: criterios, modelo de datos y explotación

En esta comunicación se presentan los resultados del proceso de incorporación de la línea de costa andaluza al Subsistema del Medio Litoral y Marino (SSLyMM) para su integración en la Rediam (Red de Información Ambiental de la Consejeria de Medio Ambiente). En relación a su levantamiento geométrico se ha desarrollado una metodología para cubrir toda la costa andaluza (más de 800 km.) pensando en aplicaciones y representaciones a escalas 1:5000- 1:10.000, lo que conlleva su digitalización a escala 1:2.500 sobre ortofotos y ortoimágenes de resolución métrica y submétrica. Los criterios de fotointerpretación (elemento clave para su posterior uso) tienen siempre, a diferencia de otras líneas de costa “oficiales”, una base ecológica diferenciándose procedimientos separados para las formaciones sedimentarias expuestas, las costas rocosas, las zonas marismeñas/estuarinas protegidas del oleaje y las infraestructuras antrópicas. A cada tramo costero, con topología independiente, se asocia un conjunto información ambiental y territorial (topologías jerárquicas, clasificaciones temáticas, toponimia, alteraciones antrópicas…) estructurada en tablas relacionadas que tienen como nexo común (ID) el tramo costero topologicamente independiente. Todo ello define un modelo de datos de gran complejidad que, una vez incorporados los datos y realizado el control topológico, se sumaran al repositorio del SSLyMM. De este complejo modelo (modelo de explotación) se extraerán, a través de sentencias SQL, la información geométrica y alfanumérica que alimentaran las diferentes aplicaciones temáticas (clasificaciones tipológicas, toponimia, dunas costeras asociadas, etc.) y la creación de servicios OGC específicos.The results of the process of incorporation of the shoreline of Andalusia to the Littoral and Marine Environment Subsystem (SSLyMM) are presented in this paper. The update of the SSLyMM with these data was made in order to be integrated in the Andalusian Environment Information Net (REDIAM) of the Environmental Regional Ministry. A methodology has been designed in order to span the complete Andalusian coast (longer than 800 km) using a high geometric accuracy, with the intention of being used at a scale of 1:5000 – 1:10000. This implies that the digitazing process was executed at 1:2500 scale based on ortoimages and ortophotographs with a high detailed spatial resolution. The photointerpretation criteria were always and only supported by ecological elements (despite other official shorelines). Different criteria have been used for sedimentary exposed coasts, cliffs, marshes and estuaries and human infrastructures. Each shoreline segment, identified by an independent topology, have been associated with different environmental information (ranked geomorpholohgical typologies, thematic classification, toponomy, human impacts, etc) structured in related attribute tables (data model). These tables share each topologically independent segment of the shoreline using a common link (the ID). All this related alphanumeric information implies a high complexity database model that, after topological and quality controls, have been added to the repository of the SSLyMM. From this complex database model there will be obtained, by means of spatial SQL sentences, the geometric and alphanumeric simplified data that would provide different thematic layers using suitable graphic treatment and, also, the initial information for the creation of specific OGC services

The Li-8(p, alpha)He-5 reaction at low energies, and Be-9 spectroscopy around the proton threshold

We present a direct measurement of the low-energy Li-8(p, alpha)He-5 cross section, using a radioactive Li-8 beam impinging on a thick target. With four beam energies, we cover the energy range between E-c.m. = 0.2 and 2.1 MeV. An R-matrix analysis of the data is performed and suggests the existence of two broad overlapping resonances (5/2(+) at E-c.m. = 1.69 MeV and 7/2(+) at E-c.m. = 1.76 MeV). At low energies our data are sensitive to the properties of a subthreshold state (E-x = 16.67 MeV) and of two resonances above threshold. These resonances were observed in previous experiments. The R-matrix fit confirms spin assignments, and provides partial widths. We propose a new Li-8(p, alpha)He-5 reaction rate and briefly discuss its influence in nuclear astrophysics. DOI: 10.1103/PhysRevC.86.064321Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2003/10099-2, 2004/07379-6, 2008/09341-7]Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)Comissao de Aperfeicoamento do Ensino Superior (CAPES)Comissao de Aperfeicoamento do Ensino Superior (CAPES

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Gestión del conocimiento: perspectiva multidisciplinaria. Volumen 11

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 11, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro cuenta con el apoyo de los grupos de investigación: Universidad Sur del Lago “Jesús María Semprúm” (UNESUR), Zulia – Venezuela; Universidad Politécnica Territorial de Falcón Alonso Gamero (UPTAG), Falcón – Venezuela; Universidad Politécnica Territorial de Mérida Kleber Ramírez (UPTM), Mérida – Venezuela; Universidad Guanajuato (UG) - Campus Celaya - Salvatierra - Cuerpo Académico de Biodesarrollo y Bioeconomía en las Organizaciones y Políticas Públicas (C.A.B.B.O.P.P), Guanajuato – México; Centro de Altos Estudios de Venezuela (CEALEVE), Zulia – Venezuela, Centro Integral de Formación Educativa Especializada del Sur (CIFE - SUR) - Zulia - Venezuela, Centro de Investigaciones Internacionales SAS (CIN), Antioquia - Colombia.y diferentes grupos de investigación del ámbito nacional e internacional que hoy se unen para estrechar vínculos investigativos, para que sus aportes científicos formen parte de los libros que se publiquen en formatos digital e impreso

Structures rotational electric quadrupole magnetic dipole nuclei 105Rh 108Pd

As estruturas dos núcleos de ANTPOT. 105 Rhe de ANTPOT 108.Pd foram estudadas usando a reação ANTPOT. 100 Mo(ANTPOT. 11 Bxalfaypzn) na energia incidente de 43 MeV. Foram realizadas as medidas de coincidências gama-gama, gama-gama- multiplicidade de partículas carregadas e das correlações angulares utilizando o espectrômetro gama formado por 4 detectores HPGe e o sistema ancilar de detectores de partículas carregadas. No núcleo de ANTPOT. 105 Rh foi observada pela primeira vez a banda gama, indicando a existência de trixialidade em baixo spin, e uma nova estrutura baseada no orbital intruso (431)1/2 POT. +. Duas estruturas formadas por uma quasi-próton, pig IND. 9/2 e pi[301]1/2 POT. -, foram estendidas, e em ambos casos foram observadas as duas signatures. Quatro bandas de dipolo magnético foram observadas em alto spin, sendo três delas de paridade negativa e com características similares: muito regulares, alinhamento quase constante e valores de B(M1)/B(E2) relativamente grandes. Duas destas bandas são aproximadamente degeneradas em energia de excitação, e podem ser consideradas como parceiras quirais com uma configuração pig IND. 9/2 vh IND. 11/2 v(g IND. 7/2, d IND. 5/2). No núcleo de ANTPOT. 108 Pd foram observadas pela primeira vez as duas signatures da banda de configuração negativa vh IND. 11/2 v(g IND. 7/2, d IND. 5/2), e uma banda com intensidade relativa baixa, à qual pode ser atribuída uma configuração de paridade positiva (vh IND. 11/2) POT. 2. A interpretação dos resultados experimentais foi feita no contexto de Cranked Shell Model e de Total Routhian Surfaces.The structures of the 105Rh and 108Pd nuclei have been studied by the in-beam heavy-ion fusion-evaporation reaction 100Mo (11B, xaypzn) at 43 MeV incident energy. -, charged particle -- coincidences and angular correlation were measured using the spectrometer formed by four HPGe detectors and the charge-particle ancillary detector system. In 105Rh, a -vibration band was observed for the first time indicating the existence of triaxiality at low spin. A new structure based on the intruder [431]1/2+ próton orbital was identified. The structures based on one quase-proton, g9/2 and [301]1/2-, were extended, showing the two signatures partners. Four magnetic dipole bands have also been observed at high spin, three of which have negative parity and have similar characteristics: they are very regular, present nearly Constant alignments, and large values of B (M1)/B(E2) ratios. Two of them are nearly degenerate in excitation energy and could be chiral partners with , g9/2 x h 11/2 x (9 7/2 , d 5/2) configuration. Also, in 108Pd the both signatures partners of h 11/2 x (9 7/2 , d 5/2) configuration and one structure for the first time. Experimental results were interpreted within the framework of Cranked Shell Model and Total Routhian Surfaces

Structures rotational electric quadrupole magnetic dipole nuclei 105Rh 108Pd

As estruturas dos núcleos de ANTPOT. 105 Rhe de ANTPOT 108.Pd foram estudadas usando a reação ANTPOT. 100 Mo(ANTPOT. 11 Bxalfaypzn) na energia incidente de 43 MeV. Foram realizadas as medidas de coincidências gama-gama, gama-gama- multiplicidade de partículas carregadas e das correlações angulares utilizando o espectrômetro gama formado por 4 detectores HPGe e o sistema ancilar de detectores de partículas carregadas. No núcleo de ANTPOT. 105 Rh foi observada pela primeira vez a banda gama, indicando a existência de trixialidade em baixo spin, e uma nova estrutura baseada no orbital intruso (431)1/2 POT. +. Duas estruturas formadas por uma quasi-próton, pig IND. 9/2 e pi[301]1/2 POT. -, foram estendidas, e em ambos casos foram observadas as duas signatures. Quatro bandas de dipolo magnético foram observadas em alto spin, sendo três delas de paridade negativa e com características similares: muito regulares, alinhamento quase constante e valores de B(M1)/B(E2) relativamente grandes. Duas destas bandas são aproximadamente degeneradas em energia de excitação, e podem ser consideradas como parceiras quirais com uma configuração pig IND. 9/2 vh IND. 11/2 v(g IND. 7/2, d IND. 5/2). No núcleo de ANTPOT. 108 Pd foram observadas pela primeira vez as duas signatures da banda de configuração negativa vh IND. 11/2 v(g IND. 7/2, d IND. 5/2), e uma banda com intensidade relativa baixa, à qual pode ser atribuída uma configuração de paridade positiva (vh IND. 11/2) POT. 2. A interpretação dos resultados experimentais foi feita no contexto de Cranked Shell Model e de Total Routhian Surfaces.The structures of the 105Rh and 108Pd nuclei have been studied by the in-beam heavy-ion fusion-evaporation reaction 100Mo (11B, xaypzn) at 43 MeV incident energy. -, charged particle -- coincidences and angular correlation were measured using the spectrometer formed by four HPGe detectors and the charge-particle ancillary detector system. In 105Rh, a -vibration band was observed for the first time indicating the existence of triaxiality at low spin. A new structure based on the intruder [431]1/2+ próton orbital was identified. The structures based on one quase-proton, g9/2 and [301]1/2-, were extended, showing the two signatures partners. Four magnetic dipole bands have also been observed at high spin, three of which have negative parity and have similar characteristics: they are very regular, present nearly Constant alignments, and large values of B (M1)/B(E2) ratios. Two of them are nearly degenerate in excitation energy and could be chiral partners with , g9/2 x h 11/2 x (9 7/2 , d 5/2) configuration. Also, in 108Pd the both signatures partners of h 11/2 x (9 7/2 , d 5/2) configuration and one structure for the first time. Experimental results were interpreted within the framework of Cranked Shell Model and Total Routhian Surfaces

Phoswich ancillary scintillator system with 4\'pi\' detection geometry

Sistema ancilar de cintiladores tipo phoswich com geometria de detecção 4\'pi\'Phoswich ancillary scintillator system with 4\'pi\' detection geometr

Real-Life Impact of Glucocorticoid Treatment in COVID-19 Mortality: A Multicenter Retrospective Study

We aimed to determine the impact of steroid use in COVID-19 in-hospital mortality, in a retrospective cohort study of the SEMICOVID19 database of admitted patients with SARS-CoV-2 laboratory-confirmed pneumonia from 131 Spanish hospitals. Patients treated with corticosteroids were compared to patients not treated with corticosteroids; and adjusted using a propensity-score for steroid treatment. From March-July 2020, 5.262 (35.26%) were treated with corticosteroids and 9.659 (64.73%) were not. In-hospital mortality overall was 20.50%; it was higher in patients treated with corticosteroids than in controls (28.5% versus 16.2%, OR 2.068 [95% confidence interval; 1.908 to 2.242]; p = 0.0001); however, when adjusting by occurrence of ARDS, mortality was significantly lower in the steroid group (43.4% versus 57.6%; OR 0.564 [95% confidence interval; 0.503 to 0.633]; p = 0.0001). Moreover, the greater the respiratory failure, the greater the impact on mortality of the steroid treatment. When adjusting these results including the propensity score as a covariate, in-hospital mortality remained significantly lower in the steroid group (OR 0.774 [0.660 to 0.907], p = 0.002). Steroid treatment reduced mortality by 24% relative to no steroid treatment (RRR 0.24). These results support the use of glucocorticoids in COVID-19 in this subgroup of patients