Absentismo laboral del personal de enfermería de los hospitales valencianos

SummaryA survey was carried out on a sample of 973 nurses from hospitals in the Valencian Region. The objective was to study work absenteeism due to health reasons depending on socio-demographic factors, work organization and self percepti on of health status. Information was collected by means of a self-administered questionnaire. Duration and frequency of absenteeism was analysed over the previous twelve months. A 34.4% of female nurses and 35.4% of male nurses reported at least one episode, with an average length of21 and26 days respectively. There is a relation between absenteeism and self-perception of health status. We did not find man/woman differences with regards to absenteeism

Temporal and spatial variations of the absolute reflectivity of Jupiter and Saturn from 0.38 to 1.7 μ\mum with PlanetCam-UPV/EHU

We provide measurements of the absolute reflectivity of Jupiter and Saturn along their central meridians in filters covering a wide range of visible and near-infrared wavelengths (from 0.38 to 1.7 $\mu$m) that are not often presented in the literature. We also give measurements of the geometric albedo of both planets and discuss the limb-darkening behavior and temporal variability of their reflectivity values for a period of four years (2012-2016). This work is based on observations with the PlanetCam-UPV/EHU instrument at the 1.23 m and 2.2 m telescopes in Calar Alto Observatory (Spain). The instrument simultaneously observes in two channels: visible (VIS; 0.38-1.0 $\mu$m) and short-wave infrared (SWIR; 1.0--1.7 $\mu$m). We obtained high-resolution observations via the lucky-imaging method. We show that our calibration is consistent with previous independent determinations of reflectivity values of these planets and, for future reference, provide new data extended in the wavelength range and in the time. Our results have an uncertainty in absolute calibration of 10--20\%. We show that under the hypothesis of constant geometric albedo, we are able to detect absolute reflectivity changes related to planetary temporal evolution of about 5-10\%.Comment: 13 pages, 18 figures, (in press

Hazes and clouds in a singular triple vortex in Saturn's atmosphere from HST/WFC3 multispectral imaging

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Reanalyzing Jupiter ISO/SWS Data through a More Recent Atmospheric Model

The study of isotopic ratios in planetary atmospheres gives an insight into the formation history and evolution of these objects. The more we can constrain these ratios, the better we can understand the history and future of our solar system. To help in this endeavour, we used Infrared Space Observatory Short Wavelength Spectrometer (ISO/SWS) Jupiter observations in the 793–1500 cm−1 region together with the Nonlinear Optimal Estimator for MultivariatE Spectral analySIS (NEMESIS) radiative transfer suite to retrieve the temperature–pressure profile and the chemical abundances for various chemical species. We also used the 1500–2499 cm−1 region to determine the cloud and aerosol structure of the upper troposphere. We obtained a best-fit simulated spectrum with 2/=0.47 for the 793–1500 cm−1 region and 2/=0.71 for the 1500–2499 cm−1 region. From the retrieved methane abundances, we obtained, within a 1 uncertainty, a 12C/13C ratio of 84 ± 27 and a D/H ratio of (3.5 ± 0.6) × 10−5, and these ratios are consistent with other published results from the literature.This research was funded by the Portuguese Fundação Para a Ciência e Tecnologia through the research grants UIDB/04434/2020 and UIDP/04434/2020 as well as a fellowship grants 2021.04584.BD and 2022.09859.BD

Relation between Temperature and Mortality in Thirteen Spanish Cities

In this study we examined the shape of the association between temperature and mortality in 13 Spanish cities representing a wide range of climatic and socio-demographic conditions. The temperature value linked with minimum mortality (MMT) and the slopes before and after the turning point (MMT) were calculated. Most cities showed a V-shaped temperature-mortality relationship. MMTs were generally higher in cities with warmer climates. Cold and heat effects also depended on climate: effects were greater in hotter cities but lesser in cities with higher variability. The effect of heat was greater than the effect of cold. The effect of cold and MMT was, in general, greater for cardio-respiratory mortality than for total mortality, while the effect of heat was, in general, greater among the elderly

Intervención preventiva en lugares de interacción social de hombres que mantienen relaciones sexuales con otros hombres

ResumenSe realizó una intervención en saunas y pisos para contactos sexuales entre hombres que mantienen relaciones sexuales con hombres de Valencia, cuyo objetivo era prevenir la infección por el virus de la inmunodeficiencia humana (VIH) o, en su caso, evitar el retraso en el diagnóstico y facilitar el contacto con los circuitos sanitarios. Se proporcionó información sobre prevención y se efectuó la prueba rápida para el VIH y la sífilis. Se habló con 500 hombres y se realizó la intervención en 171. El 37% de los sujetos en las saunas y de cada en los pisos nunca se había realizado una prueba. La prevalencia del VIH fue del 1,6% (n=2) en las saunas y del 11% en los pisos (n=5); para la sífilis estos porcentajes fueron del 5 y el 2,3%, respectivamente. La intervención permitió detectar la existencia de bolsas de población poco atendidas y muy expuestas, y facilitó el acceso de estos sujetos al sistema sanitario.AbstractAn intervention in venues for interaction used by men who have sex with men in Valencia (Spain) was performed to prevent human immunodeficiency virus (HIV) infection or avoid delay in diagnosis and to facilitate contact with the health circuit. Information was provided on prevention and a rapid test for HIV and syphilis was performed.We contacted 500 men and the intervention was performed in 171; 37% of the subjects in saunas and one in four of those in prostitution apartments had never been tested. The prevalence of HIV was 1.6% (n=2) in the saunas, and 11% (n=5) in the apartments (n=5). For syphilis, these percentages were 5% and 2.3% respectively. The intervention revealed the existence of highly exposed population groups with low compliance and facilitated access to the health system in these groups

Imputation of the Date of HIV Seroconversion in a Cohort of Seroprevalent Subjects: Implications for Analysis of Late HIV Diagnosis

Objectives. Since subjects may have been diagnosed before cohort entry, analysis of late HIV diagnosis (LD) is usually restricted to the newly diagnosed. We estimate the magnitude and risk factors of LD in a cohort of seroprevalent individuals by imputing seroconversion dates. Methods. Multicenter cohort of HIV-positive subjects who were treatment naive at entry, in Spain, 2004–2008. Multiple-imputation techniques were used. Subjects with times to HIV diagnosis longer than 4.19 years were considered LD. Results. Median time to HIV diagnosis was 2.8 years in the whole cohort of 3,667 subjects. Factors significantly associated with LD were: male sex; Sub-Saharan African, Latin-American origin compared to Spaniards; and older age. In 2,928 newly diagnosed subjects, median time to diagnosis was 3.3 years, and LD was more common in injecting drug users. Conclusions. Estimates of the magnitude and risk factors of LD for the whole cohort differ from those obtained for new HIV diagnoses

30-Day Mortality Following Palliative Radiotherapy

Indicador clínic; Radiació pal·liativa; PronòsticIndicador clínico: Radiación paliativa; PronósticoClinical indicator; Palliative radiation; PrognosisPurpose: 30-day mortality (30-DM) is a parameter with widespread use as an indicator of avoidance of harm used in medicine. Our objective is to determine the 30-DM followed by palliative radiation therapy (RT) in our department and to identify potential prognosis factors. Material/Methods: We conducted a retrospective cohort study including patients treated with palliative RT in our center during 2018 and 2019. Data related to clinical and treatment characteristics were collected. Results: We treated 708 patients to whom 992 palliative irradiations were delivered. The most frequent primary tumor sites were lung (31%), breast (14.8%), and gastrointestinal (14.8%). Bone was the predominant location of the treatment (56%), and the use of single doses was the preferred treatment schedule (34.4%). The 30-DM was 17.5%. For those who died in the first month the median survival was 17 days. Factors with a significant impact on 30-DM were: male gender (p < 0.0001); Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 2–3 (p = 0.0001); visceral metastases (p = 0.0353); lung, gastrointestinal or urinary tract primary tumors (p = 0.016); and single dose RT (p = <0.0001). In the multivariate analysis, male gender, ECOG PS 2–3, gastrointestinal and lung cancer were found to be independent factors related to 30-DM. Conclusion: Our 30-DM is similar to previous studies. We have found four clinical factors related to 30-DM of which ECOG was the most strongly associated. This data may help to identify terminally ill patients with poor prognosis in order to avoid unnecessary treatments

Serum Levels of CXCL13 Are Associated With Teriflunomide Response in Patients With Multiple Sclerosis

BACKGROUND AND OBJECTIVES: To identify biomarkers associated with treatment response in patients with multiple sclerosis (MS) treated with the oral therapies teriflunomide, dimethyl fumarate (DMF), and fingolimod. METHODS: Serum levels of IL-6, IL-17, TNF-α, granulocyte-macrophage colony-stimulating factor, IL-10, interferon-gamma (IFN-γ) IL-1β, and chemokine ligand 13 (CXCL13) were measured at baseline and 12 months with single molecule array (Simoa) assays in a cohort of patients with MS treated with teriflunomide (N = 19), DMF (N = 22), and fingolimod (N = 25) and classified into "no evidence of disease activity" (NEDA) and EDA patients after 1 year of treatment. RESULTS: Serum CXCL13 and TNF-α levels were significantly decreased after treatment with teriflunomide in NEDA compared with EDA patients after 1 year of treatment (p = 0.008 for both cytokines). These findings were validated in an independent cohort of patients with MS treated with teriflunomide (N = 36) and serum CXCL13, and TNF-α levels were again significantly reduced in NEDA patients (p < 0.0001 for CXCL13 and p = 0.003 for TNF-α). CXCL13, but not TNF-α, showed good performance to classify NEDA and EDA patients according to a cut-off value of 9.64 pg/mL based on the change in CXCL13 levels between baseline and 12 months, with a sensitivity of 75% and specificity of 82% in the original cohort, and sensitivity of 65.4% and specificity of 60% in the validation cohort. DISCUSSION: Altogether, these results point to CXCL13 as a treatment response biomarker to teriflunomide in relapsing-remitting patients with MS, and the change in CXCL13 levels during the first year of treatment can be used in clinical practice to identify optimal responders to teriflunomide