Left Atrium Assessment by Speckle Tracking Echocardiography in Cryptogenic Stroke: Seeking Silent Atrial Fibrillation

Enfermedad auricular; Fibrilación auricular; EcocardiografíaMalaltia auricular; Fibril·lació auricular; EcocardiografiaAtrial disease; Atrial fibrillation; EchocardiographySilent atrial fibrillation (AF) may be the cause of some cryptogenic strokes (CrS). The aim of the study was to analyse atrial size and function by speckle tracking echocardiography in CrS patients to detect atrial disease. Patients admitted to the hospital due to CrS were included prospectively. Echocardiogram analysis included left atrial ejection fraction (LAEF) and atrial strain. Insertable cardiac monitor was implanted, and AF was defined as an episode of ≥1 min in the first year after stroke. Left atrial enlargement was defined as indexed volume > 34 mL/m2. Seventy-five consecutive patients were included, aged 76 ± 9 years (arterial hypertension 75%). AF was diagnosed in 49% of cases. The AF group had higher atrial volume and worse atrial function: peak atrial longitudinal strain (PALs) 19.6 ± 5.7% vs. 29.5 ± 7.2%, peak atrial contraction strain (PACs) 8.9 ± 3.9% vs. 16.5 ± 6%, LAEF 46.8 ± 11.5% vs. 60.6 ± 5.2%; p < 0.001. AF was diagnosed in 20 of 53 patients with non-enlarged atrium, and in 18 of them, atrial dysfunction was present. The multivariate logistic regression analysis demonstrated an independent association between detection of AF and atrial volume, LAEF, and strain. Cut-off values were obtained: LAEF < 55%, PALs < 21.4%, and PACs < 12.9%. In conclusion, speckle tracking echocardiography in CrS patients improves silent atrial disease diagnosis, with or without atrial enlargement.This research was funded by Instituto de Salud Carlos III-FIS (Fondo de Investigación Sanitaria, PI13/01830)

Influence of Turn Cycle Structure on Performance of Elite Alpine Skiers Assessed through an IMU in Different Slalom Course Settings

Small differences in turn cycle structure, invisible to the naked eye, could be decisive in improving descent performance. The aim of this study was to assess the influence of turn cycle structure on the performance of elite alpine skiers using an inertial measurement unit (IMU) in different slalom (SL) course settings. Four SL courses were set: a flat-turned (FT), a steep-turned (ST), a flat-straighter (FS) and a steep-straighter (SS). Five elite alpine skiers (21.2 ± 3.3 years, 180.2 ± 5.6 cm, 72.8 ± 6.6 kg) completed several runs at maximum speed for each SL course. A total of 77 runs were obtained. Fast total times correlate with a longer initiation (INI) time in FT, a shorter steering time out of the turn (STEOUT) in the FT and FS and a shorter total steering time (STEIN+OUT) in the FT and SS courses. The linear mixed model used for the analysis revealed that in the FT-course for each second increase in the INI time, the total time is reduced by 0.45 s, and for every one-second increase in the STEOUT and STEIN+OUT times, the total time increases by 0.48 s and 0.31 s, respectively. Thus, to enhance descent performance, the skier should lengthen the INI time and shorten the STEOUT and STEIN+OUT time. Future studies could use an IMU to detect turn phases and analyze them using the other built-in sensors

Neonatal overfeeding during lactation rapidly and permanently misaligns the hepatic circadian rhythm and programmes adult NAFLD

Childhood obesity is a strong risk factor for adult obesity, type 2 diabetes, and cardiovascular disease. The mechanisms that link early adiposity with late-onset chronic diseases are poorly characterised. We developed a mouse model of early adiposity through litter size reduction. Mice reared in small litters (SLs) developed obesity, insulin resistance, and hepatic steatosis during adulthood. The liver played a major role in the development of the disease. Objective: To gain insight into the molecular mechanisms that link early development and childhood obesity with adult hepatic steatosis and insulin resistance. Methods: We analysed the hepatic transcriptome (Affymetrix) of control and SL mice to uncover potential pathways involved in the long-term programming of disease in our model. Results: The circadian rhythm was the most significantly deregulated Gene Ontology term in the liver of adult SL mice. Several core clock genes, such as period 1e3 and cryptochrome 1e2, were altered in two-week-old SL mice and remained altered throughout their life course until they reached 4e6 months of age. Defective circadian rhythm was restricted to the periphery since the expression of clock genes in the hypothalamus, the central pacemaker, was normal. The period-cryptochrome genes were primarily entrained by dietary signals. Hence, restricting food availability during the light cycle only uncoupled the central rhythm from the peripheral and completely normalised hepatic triglyceride content in adult SL mice. This effect was accompanied by better re-alignment of the hepatic period genes, suggesting that they might have played a causal role in mediating hepatic steatosis in the adult SL mice. Functional downregulation of Per2 in hepatocytes in vitro confirmed that the period genes regulated lipid-related genes in part through peroxisome proliferator-activated receptor alpha (Ppara). Conclusions: The hepatic circadian rhythm matures during early development, from birth to postnatal day 30. Hence, nutritional challenges during early life may misalign the hepatic circadian rhythm and secondarily lead to metabolic derangements. Specific time-restricted feeding interventions improve metabolic health in the context of childhood obesity by partially re-aligning the peripheral circadian rhythm

Experiences of patients with chronic low back pain plus comorbid depressive symptoms in a videoconference group acceptance and commitment therapy or behavioral activation treatment for depression : a qualitative study

PURPOSE: To explore the experiences of patients with chronic low back pain (CLBP) plus comorbid depressive symptoms who received a remote synchronous videoconference group form of Acceptance and Commitment Therapy (ACT) or Behavioral Activation Treatment for Depression (BATD). METHODS: A qualitative study (IMPACT-Q) was nested within a randomized controlled trial (RCT) designed to assess the efficacy and the cost-utility/cost-effectiveness of two therapies in the management of CLBP and depression. Fifty-five patients with CLBP plus depression were selected from the RCT. Twelve focus group sessions, each approximately 60-90 min long, were audio-recorded, transcribed verbatim, and analyzed by six coders through a thematic analysis (deductive and inductive) based on a descriptive phenomenological approach. RESULTS: Patients perceived behavioral, affective, and cognitive improvements after completing group sessions. Overall, psychotherapy was perceived as a safe and non-judgmental place to express emotions and feel understood. The main barriers reported were lack of human contact and loss of social interaction. In contrast, ease of access, flexibility in the ability to connect from anywhere, avoidance of the need to travel, and savings in time and money were key facilitators to increase attendance and adherence to therapy. CONCLUSION: This study provided support for the acceptability of videoconference-delivered ACT or BATD in patients with CLBP plus comorbid depressive symptoms

Zinc-Doped Iron Oxide Nanoparticles as a Proton-Activatable Agent for Dose Range Verification in Proton Therapy

Proton therapy allows the treatment of specific areas and avoids the surrounding tissues. However, this technique has uncertainties in terms of the distal dose fall-off. A promising approach to studying the proton range is the use of nanoparticles as proton-activatable agents that produce detectable signals. For this, we developed an iron oxide nanoparticle doped with Zn (IONP@Zn-cit) with a hydrodynamic size of 10 nm and stability in serum. Cytotoxicity, defined as half of the surveillance, was 100 &mu;g Zn/mL in the U251 cell line. The effect on clonogenic cell death was tested after X-ray irradiation, which suggested a radioprotective effect of these nanoparticles at low concentrations (1&ndash;10 &mu;g Zn/mL). To evaluate the production of positron emitters and prompt-gamma signals, IONP@Zn-cit was irradiated with protons, obtaining prompt-gamma signals at the lowest measured concentration (10 mg Zn/mL). Finally, 67Ga-IONP@Zn-cit showed accumulation in the liver and spleen and an accumulation in the tumor tissue of 0.95% ID/g in a mouse model of U251 cells. These results suggest the possibility of using Zn nanoparticles as proton-activatable agents to verify the range by prompt gamma detection and face the challenges of prompt gamma detection in a specific biological situation, opening different avenues to go forward in this field

La formación en Moodle en el Campus Virtual de la Universitat de Barcelona

Este trabajo describe la planificación de la formación en Moodle en la UB. Se recoge la información descriptiva acumulada en los siguientes aspectos: tipología de cursos ofertados, facultades implicadas, participación docente, etc. desde su implantación en el curso 2006-07 hasta la actualidad. Se ha producido una implementación generalizada del uso de Moodle en la docencia cotidiana de los profesores de la UB. Como consecuencia, se están replanteando las metodologías docentes con un enfoque más acorde a las directrices que emanan del EEES. Se ha iniciado la exploración de su uso avanzado por parte de diferentes equipos docentes, al incluirlo en el desarrollo de nuevos proyectos de innovación docente de nuestra universidad

Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design

Introduction: We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. Methods: Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. Discussion: This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain.The study was partially funded by the “Accion Transversal del Cancer”, approved on the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos III-FEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773, PS09/01286, PS09/01903, PS09/02078, PS09/01662, PI11/01403, PI11/01889, PI11/00226, PI11/01810, PI11/02213, PI12/00488, PI12/00265, PI12/01270, PI12/00715, PI12/00150), by the Fundación Marqués de Valdecilla (API 10/09), by the ICGC International Cancer Genome Consortium CLL, by the Junta de Castilla y León (LE22A10-2), by the Consejería de Salud of the Junta de Andalucía (PI-0571), by the Conselleria de Sanitat of the Generalitat Valenciana (AP 061/10), by the Recercaixa (2010ACUP 00310), by the Regional Government of the Basque Country by European Commission grants FOOD-CT- 2006-036224-HIWATE, by the Spanish Association Against Cancer (AECC) Scientific Foundation, by the The Catalan Government DURSI grant 2009SGR1489

Camins de tinta

Treball de l'assignatura: Introducció a les Humanitats Digitals. Curs 2023-2024Pàgina web disponible: https://lauraradua01.wixsite.com/caminsdetintaOur project aims to compile data on the representation of Barcelona in various literary works and to offer a comprenhensive tour in an accesible and user-friendly format. Based on a careful reading of the works chosen , we have compiled a list of places in the city that are relevant to the novels and, from these, we have created four routes available in web format, with a series of information and quotations.https://lauraradua01.wixsite.com/caminsdetint

Treball de carrer i desenvolupament comunitari al Camp de Tarragona

Aquest article és el resultat de la col·laboració entre diferents professionals al voltant de la intervenció socioeducativa al carrer. Escrit a diverses mans, presenta tres experiències que desenvolupen diferents entitats del Camp de Tarragona: el projecte de treball de carrer de l’Equip d’Atenció Social Primària de Constantí, el projecte “A Peu de Carrer” de la Fundació Casal L’Amic als barris de Ponent, i el projecte “Sortim” de Càritas a la part baixa de la ciutat de Tarragona. Al mateix temps, ha estat l’excusa per vincular un munt de gent en la tasca de sistematitzar la seva experiència en aquest àmbit, i construir un marc comú per a totes les intervencions: conceptual, metodològic... però també humà

Validity of a Magnet-Based Timing System Using the Magnetometer Built into an IMU

Inertial measurement units (IMUs) represent a technology that is booming in sports right now. The aim of this study was to evaluate the validity of a new application on the use of these wearable sensors, specifically to evaluate a magnet-based timing system (M-BTS) for timing short-duration sports actions using the magnetometer built into an IMU in different sporting contexts. Forty-eight athletes (22.7 ± 3.3 years, 72.2 ± 10.3 kg, 176.9 ± 8.5 cm) and eight skiers (17.4 ± 0.8 years, 176.4 ± 4.9 cm, 67.7 ± 2.0 kg) performed a 60-m linear sprint running test and a ski slalom, respectively. The M-BTS consisted of placing several magnets along the course in both contexts. The magnetometer built into the IMU detected the peak-shaped magnetic field when passing near the magnets at a certain speed. The time between peaks was calculated. The system was validated with photocells. The 95% error intervals for the total times were less than 0.077 s for the running test and 0.050 s for the ski slalom. With the M-BTS, future studies could select and cut the signals belonging to the other sensors that are integrated in the IMU, such as the accelerometer and the gyroscope