41 research outputs found

    Quality assurance through laboratory reference materials (LRMs): dataset for non-certified elements (Al, Fe, Li, Mn and Pb) in estuarine sediment BCR-277R

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    Datasets for aluminium (Al), iron (Fe), lithium (Li), manganese (Mn) and lead (Pb) in the commercial estuarine sediment BCR-277RThree specialized laboratories examined the determination of non-certified trace elements (Al, Fe, Li, Mn and Pb) in a commercial CRM and therefore, produced a so-called laboratory reference material (LRM). The dataset (total mass fractions and their associated uncertainties) were estimated both using parametric and non-parametric methods. The results provided a coherent assessment for all except for Pb, in agreement with the results found by the CRM producer. We discuss the feasibility of the implementation of small-sized specialized laboratory comparisons to produce LRMs (from CRMs) for non-certified chemicals and strongly discourage attempts by a single laboratory

    New uses of the Migraine Screen Questionnaire (MS-Q): validation in the Primary Care setting and ability to detect hidden migraine. MS-Q in Primary Care

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    <p>Abstract</p> <p>Background</p> <p>PC plays an important role in early diagnosis of health disorders, particularly migraine, due to the financial impact of this disease for the society and its impact on patients' quality of life. The aim of the study was to validate the self-administered MS-Q questionnaire for detection of hidden migraine in the field of primary care (PC), and to explore its use in this setting.</p> <p>Methods</p> <p>Cross-sectional, observational, and multicentre study in subjects above 18 years of age patients attending PC centers (regardless of the reason for consultation). A MS-Q score ≥ 4 was considered possible migraine. Level of agreement with IHS criteria clinical diagnosis (kappa coefficient), and instrument's validity properties: sensitivity, specificity, positive (PPV) and negative (NPV) predictive values were determined. The ability of the instrument to identify possible new cases of migraine was calculated, as well as the ratio of hidden disease compared to the ratio obtained by IHS criteria.</p> <p>Results</p> <p>A total of 9,670 patients were included [48.9 ± 17.2 years (mean ± SD); 61.9% women], from 410 PC centers representative of the whole national territory. The clinical prevalence of migraine according to the IHS criteria was 24.7%, and 20.4% according to MS-Q: Kappa index of agreement 0.82 (p < 0.05). MS-Q sensitivity was 0.82 (95% CI, 0.81 - 0.84), specificity 0.97 (95% CI, 0.98 - 0.99), PPV 0.95 (95% CI, 0.94 - 0.96), and NPV 0.94 (95% CI, 0.93 - 0.95). No statistically significant differences were found in the percentages of patients with <it>de novo </it>and hidden migraine identified by MS-Q and by IHS criteria: 5.7% vs. 6.1% and 26.6% vs. 24.1%, respectively.</p> <p>Conclusions</p> <p>The results of the present study confirm the usefulness of the MS-Q questionnaire for the early detection and assessment of migraine in PC settings, and its ability to detect hidden migraine.</p

    Phylodynamics and movement of Phycodnaviruses among aquatic environments

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    Phycodnaviruses have a significant role in modulating the dynamics of phytoplankton, thereby influencing community structure and succession, nutrient cycles and potentially atmospheric composition because phytoplankton fix about half the carbon dioxide (CO2) on the planet, and some algae release dimethylsulphoniopropionate when lysed by viruses. Despite their ecological importance and widespread distribution, relatively little is known about the evolutionary history, phylogenetic relationships and phylodynamics of the Phycodnaviruses from freshwater environments. Herein we provide novel data on Phycodnaviruses from the largest river system on earth—the Amazon Basin—that were compared with samples from different aquatic systems from several places around the world. Based on phylogenetic inference using DNA polymerase (pol) sequences we show the presence of distinct populations of Phycodnaviridae. Preliminary coarse-grained phylodynamics and phylogeographic inferences revealed a complex dynamics characterized by long-term fluctuations in viral population sizes, with a remarkable worldwide reduction of the effective population around 400 thousand years before the present (KYBP), followed by a recovery near to the present time. Moreover, we present evidence for significant viral gene flow between freshwater environments, but crucially almost none between freshwater and marine environments

    The influence of heart disease on characteristics, quality of life, use of health resources, and costs of COPD in primary care settings

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    <p>Abstract</p> <p>Background</p> <p>To evaluate the influence of heart disease on clinical characteristics, quality of life, use of health resources, and costs of patients with COPD followed at primary care settings under common clinical practice conditions.</p> <p>Methods</p> <p>Epidemiologic, observational, and descriptive study (EPIDEPOC study). Patients ≥ 40 years of age with stable COPD attending primary care settings were included. Demographic, clinical characteristics, quality of life (SF-12), seriousness of the disease, and treatment data were collected. Results were compared between patients with or without associated heart disease.</p> <p>Results</p> <p>A total of 9,390 patients with COPD were examined of whom 1,770 (18.8%) had heart disease and 78% were males. When comparing both patient groups, significant differences were found in the socio-demographic characteristics, health profile, comorbidities, and severity of the airway obstruction, which was greater in patients with heart disease. Differences were also found in both components of quality of life, physical and mental, with lower scores among those patients with heart disease. Higher frequency of primary care and pneumologist visits, emergency-room visits and number of hospital admissions were observed among patients with heart diseases. The annual total cost per patient was significantly higher in patients with heart disease; 2,937 ± 2,957 vs. 1,749 ± 2,120, p < 0.05. Variables that were showed to be independently associated to COPD in subjects with hearth conditions were age, being inactive, ex-smokers, moderate physical exercise, body mass index, concomitant blood hypertension, diabetes, anxiety, the SF-12 physical and mental components and per patient per year total cost.</p> <p>Conclusion</p> <p>Patients with COPD plus heart disease had greater disease severity and worse quality of life, used more healthcare resources and were associated with greater costs compared to COPD patients without known hearth disease.</p

    Portable X-ray fluorescence identification of the Cretaceous–Paleogene boundary: Application to the Agost and Caravaca sections, SE Spain

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    It is shown that portable X-ray fluorescence (pXRF) is a powerful tool for the identification and geochemical characterization of prospective Cretaceous–Paleogene (K–Pg) boundary sites. Field measurements in two well-known K–Pg boundary sequences, located at Agost and Caravaca, SE Spain, have been performed. A sizable enrichment around the K–Pg horizon of several elements such as K, Ti, Fe, Ni, Cr, Cu, Zn, As or Pb, together with a strong reduction in the Ca content, is found with the pXRF instrument. These observations represent a primary geochemical signature of the K–Pg boundary in distal marine sections such as those of Agost and Caravaca. Also, the intensities of the pXRF peaks correlate well with elemental composition data obtained by inductively coupled plasma-mass spectrometry (ICP-MS) on collected samples. Hence, the pXRF field measurements are shown to provide fast and useful quantitative information about K–Pg boundary sequences.Work co-funded by ERDF-EU Ref. CSIC10-4E-141 (XRD-pXRF laboratory) and by ERDF-EU Ref. CSIC08-516 4E-001 (LabGEOTOP infrastructure). This study was carried out within the framework of the Research Consolidated Group GEOPAM (Generalitat de Catalunya, 2014SGR869). VF and JP-C acknowledge support from the Spanish Ministerio de Economía, Industria y Competitividad (FPI grants BES-2012-052366 and BES-2016-076469, respectively).Peer reviewe
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