Vinculación y transferencia de sistema tecnológico para la reutilización de aguas grises

Este trabajo tiene como objetivo exponer el proceso de vinculación y transferencia, de un sistema innovador tecnológico sustentable, que recupera las aguas grises proveniente de lavabos previo a su desecho, para reutilizarlas en depósito de inodoros. En el año 2015, el sistema fue diseñado y construido en Tucumán y difundido e implementado hasta la actualidad en Tucumán y Santiago del Estero. El mismo, tiene características de ser asequible y adaptable, por la posibilidad de instalarlo sin demasiadas intervenciones; por lo cual, es viable impactar en un gran sector de la población y en especial, en locales sanitarios de diferentes funciones edilicias de interés social (viviendas, escuelas, instituciones científico-tecnológicas, productivos, etc.). En el proceso de la investigación fue aplicado y se utilizó una combinación metodológica, que se enmarca en la Investigación Acción Participativa. Los resultados obtenidos fueron los siguientes: 1) Diseño y construcción del "Sistema ATRAG o Mochila "e"; 2) Desarrollo de "marca" y material e instrumentos para difusión, transferencia y adopción del sistema; 3) Acciones para la difusión de la vinculación, transferencia e implementación del sistema; 4) Generación de espacios para el debate y la concienciación de la problemática. En conclusión, se comprobó que el análisis y la generación de los métodos de transferencia y sus recursos, son tan importantes como el proceso de diseño, construcción, instalación y monitoreo del funcionamiento del sistema en sí mismo. Se observó que en los edificios donde se implementó el sistema, se logró su integración apropiada y apropiable. Asimismo, fue positiva la generación de espacios para la promoción y concienciación sobre los beneficios del cuidado del ambiente, ya que en cada lugar, se inició un proceso búsqueda y transformación hacia la sustentabilidad

Does needle calibre affect pain and complication rates in patients undergoing transperineal prostate biopsy? A prospective, randomized trial

Transperineal prostate biopsy is a procedure that can be used to obtain histological samples from the prostate. To improve both the quality of the biopsy core samples and prostate cancer detection, we are currently performing a prospective, randomized trial comparing prostate biopsy samples obtained using an 18 G-needle to those obtained using a 16 G needle. The aim of this preliminary study was to evaluate pain and complication rates in both groups in order to assess whether performing a prostate biopsy with a larger calibre needle is a feasible procedure. One hundred and eighty-seven patients undergoing transperineal prostate biopsy were prospectively evaluated and divided into two groups. The first group (94 patients, Group A) received a transperineal prostate biopsy using a 16 G-needle and the second group (93 patients, Group B) underwent transperineal prostate biopsy with an 18 G-needle. Anaesthesia was obtained with a single perineal injection at the prostatic apex in all subjects. A visual analogue scale (VAS) and facial expression scale (FES) were used to assess pain during multiple steps of the procedure in each group. A detailed questionnaire was used to obtain information about drug use because it could potentially influence the pain and complications that patients experienced. Two weeks after the procedure, early and late complications were evaluated. Statistical analysis was carried out using non-parametric tests. Prostate Specific Antigen (PSA) and drug use were similar at baseline between the two groups. Pain during prostate biopsy, which was measured with both the VAS and FES instruments, did not differ significantly between the 18- and 16 G-needle groups, and no significant differences were found in early or late complication rates between the groups. Transperineal prostate biopsy with a 16 G-needle is a feasible procedure in terms of pain and complication rates. Further studies with larger patient populations are required to assess whether or not this procedure can improve prostate cancer detection rates

Interprofessional collaboration between different health care professions in emilia romagna

Background and aim of the work: Interprofessional collaboration in the healthcare sector contributes to the delivery of high quality and safe services to patients across different subdivisions of the healthcare system which is faced with constant challenges. The international literature offers a plethora of tools for assessing the collaboration between health workers, but only a few of these have been validated in the Italian language. One that has undergone such validation is the interprofessional collaboration (IPC) scale, which measures the perception of collaboration among health professionals. An advantage of this scale is that is addresses all workers within the system, and is not limited to specific professions. The aim of the present study was to apply the validated Italian version of the IPC scale, to a context different to the one used for its validation, to measure the level of collaboration between different health care workers. Method: A questionnaire-based study was conducted on a sample consisting of 329 health professionals working at Azienda USL-IRCCS in Reggio Emilia. The categorical and continuous variables were analysed using descriptive statistics (frequen-cies, percentages and standard deviations). Results: The IPC scale showed physicians to express the highest level of collaboration with other professionals, in line with the results of other studies in the literature. The values calculated for the factors “accommodation” and “communication” were higher than for “isolation”, de-picting a good level collaboration. The only case in which the isolation factor, which describes an absence of collaboration, was equal to the other two factors was in relation to the evaluation of midwives by nursing aides/orderlies. Conclusions: In conclusion, the Italian version of the IPC scale provides a useful instrument for measuring interprofessional collaboration between workers in the healthcare sector. In the present study, it revealed a satisfactory level of collaboration between health professionals in an organization located in Emilia Romagna, Italy. (www.actabiomedica.it)

Functional Outcomes among Preterm Infants with Intraventricular Hemorrhage

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Influence of intensive agriculture on dry deposition of aerosol nutrients

A procedure is presented for quantification of sources contributing to atmospheric aerosol chemical nutrient concentrations and dry deposition fluxes. Source apportionment using principal component analysis (PCA) and multiple linear regression analysis (MLRA) was followed by application of a size-segregated particle dry deposition model. In a rural region of southeast Brazil, biomass burning, products of secondary reactions, and soil dust re-suspension explained 43%, 31% and 21% of PM(2.5) mass, respectively. Re-suspension and biomass burning contributed 22% and 19%, respectively, to PM(10) mass, and re-suspension accounted for approximately half of the mass of coarse particles. At least 40% of NO(3)(-)-N, 20% of phosphorus and 55% of potassium deposited originated from agriculture-related emissions. Deposition to tropical forest is currently higher than the minimum under natural conditions by factors of 12.2 (N), 6.2 (P) and 2.6 (K)

Front. Plant. Sci.

Plasmodesmata (PD) pores connect neighbouring plant cells and enable direct transport across the cell wall. Understanding the molecular composition of these structures is essential to address their formation and later dynamic regulation. Here we provide a biochemical characterisation of the cell wall co-purified with primary PD of Arabidopsis thaliana cell cultures. To achieve this result we combined subcellular fractionation, polysaccharide analyses and enzymatic fingerprinting approaches. Relative to the rest of the cell wall, specific patterns were observed in the PD fraction. Most xyloglucans, although possibly not abundant as a group, were fucosylated. Homogalacturonans displayed short methylated stretches while rhamnogalacturonan I species were remarkably abundant. Ful l rhamnogalacturonan II forms, highly methyl-acetylated, were also present. We additionally showed that these domains, compared to the broad wall, are less affected by wall modifying activities during a time interval of days. Overall, the protocol and the data presented here open new opportunities for the study of wall polysaccharides associated with PD.Ecole Universitaire de Recherche de Sciences des Plantes de Paris-SaclayThe function of membrane tethering in plant intercellular communicatio

Structural Insights from Binding Poses of CCR2 and CCR5 with Clinically Important Antagonists: A Combined In Silico Study

Chemokine receptors are G protein-coupled receptors that contain seven transmembrane domains. In particular, CCR2 and CCR5 and their ligands have been implicated in the pathophysiology of a number of diseases, including rheumatoid arthritis and multiple sclerosis. Based on their roles in disease, they have been attractive targets for the pharmaceutical industry, and furthermore, targeting both CCR2 and CCR5 can be a useful strategy. Owing to the importance of these receptors, information regarding the binding site is of prime importance. Structural studies have been hampered due to the lack of X-ray crystal structures, and templates with close homologs for comparative modeling. Most of the previous models were based on the bovine rhodopsin and β2-adrenergic receptor. In this study, based on a closer homolog with higher resolution (CXCR4, PDB code: 3ODU 2.5 Å), we constructed three-dimensional models. The main aim of this study was to provide relevant information on binding sites of these receptors. Molecular dynamics simulation was done to refine the homology models and PROCHECK results indicated that the models were reasonable. Here, binding poses were checked with some established inhibitors of high pharmaceutical importance against the modeled receptors. Analysis of interaction modes gave an integrated interpretation with detailed structural information. The binding poses confirmed that the acidic residues Glu291 (CCR2) and Glu283 (CCR5) are important, and we also found some additional residues. Comparisons of binding sites of CCR2/CCR5 were done sequentially and also by docking a potent dual antagonist. Our results can be a starting point for further structure-based drug design