235 research outputs found
La formación ético-cívica y el compromiso social de los estudiantes universitarios
Estamos siendo testigos en estas últimas décadas de una creciente preocupación internacional por el escaso compromiso social de los jóvenes, que se manifiesta en su baja participación social, el exiguo interés que muestran por la política formal y la insignificante participación electoral que ejercen.
El esquema que seguimos es, en primer lugar, dibujar el marco internacional en que nos movemos. Después se indaga en la formación ético-cívica del alumnado universitario en el marco de la tercera misión de la universidad y del Espacio Europeo de Educación Superior. Posteriormente tratamos de una de las iniciativas más fructíferas en este ámbito: el service learning. Finalizamos haciendo una propuesta de algunas sugerencias para la educación superior. Está latente a lo largo del artículo la necesidad de la suscitación de una formación ético-cívica como clave para la promoción del compromiso social de los jóvenes
The importance of organizational variables in treatment time for patients with ST-elevation acute myocardial infarction improve delays in STEMI
Background: The time between arrival at the emergency department (ED) and balloon (D2B) in STEMI is one of the best indicators of the quality of care. Our aim is to describe treatment times and evaluate the causes of delay. Methods: This is an observational retrospective study, including all consecutive STEMI code patients ≥18 years old treated in the ED from 2013 to 2016.All the patients were stratified into two groups: delayed group with D2B > 70 min and non-delayed ≤70. The primary variable was D2B time. Findings: In total 327 patients were included, stratified according to their D2B as follows: 166 (67·48%) in the delayed group and 80 (32·52%) in the non-delayed group. The delayed group was older (p = 0·005), with more females (p = 0·060) and more atypical electrocardiogram (ECG) STEMI signs or symptoms (p = 0·058) (p = 0·087). Predictors of shorter D2B time were: typical STEMI ECG signs and short training sessions for nurses on identifying STEMI patients. Interpretation: There are delays particularly in specific groups with atypical clinical presentations. Short training sessions aimed at emergency nurses correlate with shorter delay. This suggests that continuing training for emergency nurses, along with organizational strategies, can contribute to increasing the quality of care. Clinical trial number: NCT0433338
Efficacy and Safety of Netakimab, A Novel Anti-IL-17 Monoclonal Antibody, in Patients with Moderate to Severe Plaque Psoriasis. Results of A 54-Week Randomized Double-Blind Placebo-Controlled PLANETA Clinical Trial
Altres ajuts: Sponsorship for this study and the Rapid Service Fee were funded by JSC BIOCAD, Ul. Italianskaya 17, St Petersburg, Russia, 191186Introduction: Netakimab (NTK), an original humanized anti-interleukin-17 monoclonal antibody, showed therapeutic efficacy in moderate-to-severe plaque psoriasis in a phase 2 clinical study. Herein we report the results of 54 weeks of a phase 3 PLANETA trial aimed to evaluate the efficacy and safety of two NTK regimens vs. placebo. Methods: Two hundred thirteen patients with moderate-to-severe plaque psoriasis were randomly assigned to receive NTK 120 mg once every 2 weeks (NTK Q2W), NTK 120 mg once every 4 weeks (NTK Q4W) or placebo. During the first 3 weeks, patients received subcutaneous injections of NTK or placebo (according to the allocation) once a week. Patients in the NTK Q2W group then received NTK at weeks 4, 6, 8 and 10. Subjects in the NTK Q4W group received NTK at weeks 6 and 10 and placebo at weeks 4 and 8. Patients in the placebo group received placebo injections at weeks 4, 6, 8 and 10. Treatment was unblinded at week 12. During the open-label phase, patients in both NTK groups continued to receive NTK Q4W. The primary efficacy endpoint was the proportion of patients in each group who achieved a ≥ 75% reduction from baseline in psoriasis area and severity index (PASI 75) at week 12. Results: A total of 77.7%, 83.3% and 0% of patients had a PASI 75 response at week 12 in the NTK Q2W, NTK Q4W and placebo groups, respectively (P < 0.0001, Fisher's exact test, ITT). The effect was maintained throughout the 1-year treatment. NTK showed a good safety profile and low immunogenicity. Conclusion: Treatment with NTK results in high rates of sustained clinical response in patients with moderate-to-severe plaque psoriasis. The study is ongoing; thus, long-term use efficacy and safety data are forthcoming. Clinical Trial Registration: The trial is registered at the US National Institutes of Health (ClinicalTrials.gov; NCT03390101)
First detection of Aedes japonicus in Spain: An unexpected finding triggered by citizen science
Background: Aedes japonicus is an invasive vector mosquito from Southeast Asia which has been spreading across central Europe since the year 2000. Unlike the Asian Tiger mosquito (Aedes albopictus) present in Spain since 2004, there has been no record of Ae. japonicus in the country until now.
Results: Here, we report the first detection of Ae. japonicus in Spain, at its southernmost location in Europe. This finding was triggered by the citizen science platform Mosquito Alert. In June 2018, a citizen sent a report via the Mosquito Alert app from the municipality of Siero in the Asturias region (NW Spain) containing pictures of a female mosquito compatible with Ae. japonicus. Further information was requested from the participant, who subsequently provided several larvae and adults that could be classified as Ae. japonicus. In July, a field mission confirmed its presence at the original site and in several locations up to 9 km away, suggesting a long-time establishment. The strong media impact in Asturias derived from the discovery raised local participation in the Mosquito Alert project, resulting in further evidence from surrounding areas.
Conclusions: Whilst in the laboratory Ae. japonicus is a competent vector for several mosquito-borne pathogens, to date only West Nile virus is a concern based on field evidence. Nonetheless, this virus has yet not been detected in Asturias so the vectorial risk is currently considered low. The opportunity and effectiveness of combining citizen-sourced data to traditional surveillance methods are discussed
Control parameters on the fabrication of ZnO hollow nanocolumns
[EN] The present work reports on the fabrication of hollow ZnO nanocolumns by a sequential combination of electrochemical deposition, chemical attack and regeneration. Initially, ZnO nanocolumns were deposited in two different substrates, namely Fluor Tin Oxide and Indium Tin Oxide. In a further step, a statistical analysis on the most influencing control parameters in the dissolution stage to produce the hollow ZnO nanowires on the FTO substrates was carried out. The control variables considered were electrolyte concentration, dissolution time and temperature, whereas the output variable was the percentage of the hollow nanocolumns obtained. The statistical analysis consisted of a two-level factorial design of experiments on three variables, therefore involving a series of 8 experiments. An analysis of variance (ANOVA) on the results was also carried out. The results showed that all the control variables were significant, the most important being the dissolution time.This work was supported by the Spanish Government through MCINN Grant MAT2009-14625-C03-03, Generalitat Valenciana programme PROMETEO/2009/063 and European Commission through NanoCIS project FP7-PEOPLE-2010-IRSES (ref. 269279). Technical support given to the authors by the Servei de Microscopia at the Universitat Politecnica de Valencia (Spain) is greatly acknowledged.Cembrero Cil, J.; Busquets Mataix, DJ.; Rayón Encinas, E.; Pascual Guillamón, M.; Pérez Puig, MA.; Marí Soucase, B. (2013). Control parameters on the fabrication of ZnO hollow nanocolumns. Materials Science in Semiconductor Processing. 16:211-216. https://doi.org/10.1016/j.mssp.2012.04.014S2112161
Human surface anatomy terminology for dermatology: a Delphi consensus from the International Skin Imaging Collaboration
BackgroundThere is no internationally vetted set of anatomic terms to describe human surface anatomy.ObjectiveTo establish expert consensus on a standardized set of terms that describe clinically relevant human surface anatomy.MethodsWe conducted a Delphi consensus on surface anatomy terminology between July 2017 and July 2019. The initial survey included 385 anatomic terms, organized in seven levels of hierarchy. If agreement exceeded the 75% established threshold, the term was considered - accepted- and included in the final list. Terms added by the participants were passed on to the next round of consensus. Terms with <75% agreement were included in subsequent surveys along with alternative terms proposed by participants until agreement was reached on all terms.ResultsThe Delphi included 21 participants. We found consensus (- ¥75% agreement) on 361/385 (93.8%) terms and eliminated one term in the first round. Of 49 new terms suggested by participants, 45 were added via consensus. To adjust for a recently published International Classification of Diseases- Surface Topography list of terms, a third survey including 111 discrepant terms was sent to participants. Finally, a total of 513 terms reached agreement via the Delphi method.ConclusionsWe have established a set of 513 clinically relevant terms for denoting human surface anatomy, towards the use of standardized terminology in dermatologic documentation.Linked Commentary: R.J.G. Chalmers. J Eur Acad Dermatol Venereol 2020; 34: 2456- 2457. https://doi.org/10.1111/jdv.16978.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163915/1/jdv16855_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163915/2/jdv16855-sup-0001-FigS1-S3.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163915/3/jdv16855.pd
Cantor and band spectra for periodic quantum graphs with magnetic fields
We provide an exhaustive spectral analysis of the two-dimensional periodic
square graph lattice with a magnetic field. We show that the spectrum consists
of the Dirichlet eigenvalues of the edges and of the preimage of the spectrum
of a certain discrete operator under the discriminant (Lyapunov function) of a
suitable Kronig-Penney Hamiltonian. In particular, between any two Dirichlet
eigenvalues the spectrum is a Cantor set for an irrational flux, and is
absolutely continuous and has a band structure for a rational flux. The
Dirichlet eigenvalues can be isolated or embedded, subject to the choice of
parameters. Conditions for both possibilities are given. We show that
generically there are infinitely many gaps in the spectrum, and the
Bethe-Sommerfeld conjecture fails in this case.Comment: Misprints correcte
Inter- and intragrain currents in bulk melt-grown YBaCuO rings
A simple contactless method suitable to discern between the intergrain
(circular) current, which flows in the thin superconducting ring, and the
intragrain current, which does not cross the weakest link, has been proposed.
At first, we show that the intergrain current may directly be estimated from
the magnetic flux density measured by the Hall sensor positioned
in the special points above/below the ring center. The experimental
and the numerical techniques to determine the value are discussed. Being
very promising for characterization of a current flowing across the joints in
welded YBaCuO rings (its dependencies on the temperature and the external
magnetic field as well as the time dissipation), the approach has been applied
to study corresponding properties of the intra- and intergrain currents flowing
across the -twisted grain boundaries which are frequent in bulk
melt-textured YBaCuO samples. We present experimental data related to the flux
penetration inside a bore of MT YBaCuO rings both in the non-magnetized, virgin
state and during the field reversal. The shielding properties and their
dependence on external magnetic fields are also studied. Besides, we consider
the flux creep effects and their influence on the current re-distribution
during a dwell.Comment: 13 pages, 16 figures (EPS), RevTeX4. In the revised version,
corrections to perturbing effects near the weak links are introduced, one
more figure is added. lin
Seroepidemiology of Toxoplasma gondii in wild ruminants in Spain
Toxoplasmosis is a parasitic zoonosis caused by Toxoplasma gondii which infects warm-blooded species worldwide. Humans can be infected through ingestion of tissue cysts from raw or undercooked meat, including game meat. A nationwide large-scale cross-sectional study was conducted to assess exposure to T. gondii in seven wild ruminant species in Spain. A total of 2,040 serum samples from 77 sampling sites randomly distributed in the five bioregions (BRs) covering mainland Spain were tested for antibodies against T. gondii using the modified agglutination test. The overall seroprevalence was 22.0% (449/2,040). Seroprevalence by species in decreasing order was as follows: 39.6% (141/356) in roe deer (Capreolus capreolus), 37.1% (138/372) in fallow deer (Dama dama), 16.6% (92/553) in red deer (Cervus elaphus), 14.0% (26/186) in Southern chamois (Rupicapra pyrenaica), 11.5% (24/209) in mouflon (Ovis aries musimon), 7.8% (27/346) in Iberian wild goat (Capra pyrenaica) and 5.6% (1/18) in Barbary sheep (Ammotragus lervia). Seropositivity was detected in 74.0% (57/77) of the sampling sites. Results indicate widespread but not homogeneous exposure to T. gondii in wild ruminant populations in Spain during the last two decades and highlight differences related to animal species and spatial distribution of these species in this country; this implies potential consequences of T. gondii for animal health, conservation and public health
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