1,425 research outputs found

    Mujer y star system arquitectónico. Algunas cuestiones de género en la arquitectura de Zaha Hadid

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    Nos encontramos ante la posibilidad cercana de la consecución de la igualdad de género en el ámbito de la arquitectura, algo único en la historia. Este hecho hace augurar un período en que nuevos modelos arquitectónicos desplacen a los del star system patriarcal y blanco. La esperanza de una arquitectura más humilde y sensible al entorno natural y social está puesta en gran parte en la irrupción de la mujer en lo constructivo. Zaha Hadid, arquitecta pionera, reproduce sin embargo los antiguos patrones impuestos desde el poder capitalista, dejando escapar la posibilidad de la subversión de los cánones que supuestamente habrían sido un obstáculo a su trabajo. Su megalómana posición visibiliza la supuesta genialidad de su persona para, finalmente, desacreditar la posibilidad de un cambio profundo arquitectónico, un cambio silencioso que permanece oculto tras los focos mediáticos que ella acapara

    El hombre diluido. El ser humano entre el engaño y la desaparición

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    Sometido al frenético ritmo de vida contemporáneo el ser humano se debate entre su desaparición como tal o su redefinición. El avance de las nuevas tecnologías y la necesidad de supervivencia ante una realidad física en crisis han provocado el imparable desarrollo de lo virtual. El doble, la copia, se plantearán así como única vía de salida, convertida ya la realidad en un mero simulacro. Si el mundo y el hombre a día de hoy han demostrado no ser más que representación, el arte deberá ser el principal ámbito de reflexión sobre los mismos.Under the hectic speed of contemporary life, the human being struggles between its disappearance and its redefinition. The advances in the technologies and the need for survival in the face of a physical reality in crisis have provoked the unstoppable development of virtual reality. The double, the copy are to be considered the only way out once reality has become a mock. If the world and today’s human being have demonstrated to be just a representation, art will become the space for reflection on them.peerReviewe

    Violencia y control de la imagen. La identidad femenina en la obra de Ana Mendieta

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    In the society of information, images of violence are multiplied until they make the reflection about them complicated. This research proposes to recover the work of the artist Ana Mendieta. Her art, as opposed to the ways used by the mechanism of power, appears as a tool to face gender-based violence from an artistic and personal point of view. Thus, using the main currents of gender studies theory in contrast to the work of the Cuban artist, the possibility of the exhibition of body and violence it is described through body art and performance. Thereby, women achieve a search mechanism for identity, creating their own image and showing social problems usually silenced by the patriarchal power, engaged in ascribing them to a non visible private realm

    Ayala en la metrópolis. Cuidad, cine y literatura de vanguardia en España a principios de siglo XX

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    p. 261-278Esta investigación analiza el período comprendido entre finales de los años 20 y principios de los 30 en la literatura de Francisco Ayala. La cuestión principal gira en torno a la denominación como vanguardista de los escritos del granadino, poniéndolos en relación con otras corrientes de vanguardia españolas y europeas del momento. Ayala fue un escritor fuertemente marcado por la vivencia del cine y de la metrópolis en un momento clave de la historia contemporánea europea, un autor preocupado por el posicionamiento del artista en su contexto político y social.S

    Characterization and comparability of biosimilars: A filgrastim case of study and regulatory perspectives for Latin America

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    Background: Developing countries have an estimate of ten times more approved biosimilars than developed countries. This disparity demands the need of an objective regulation that incorporates health policies according to the technological and economical capabilities of each country. One of the challenges lies on the establishment of comparability principles based on a physicochemical and biological characterization that should determine the extent of additional non-clinical and clinical studies. This is particularly relevant for licensed biosimilars in developing countries, which have an extensive clinical experience since their approval as generics, in some cases more than a decade. To exemplify the current status of biosimilars in Mexico, a characterization exercise was conducted on licensed filgrastim biosimilars using pharmacopeial and extended characterization methodologies. Results: Most of the evaluated products complied with the pharmacopeial criteria and showed comparability in their Critical Quality Attributes (CQAs) towards the reference product. These results were expected in accordance with their equivalent performance during their licensing as generics. Accordingly, a rational approval and registration renewal scheme for biosimilars is proposed, that considers the proper identification of CQAs and its thoroughly evaluation using selected techniques. Conclusions: This approach provides support to diminish uncertainty of exhibiting different pharmacological profiles and narrows or even avoids the necessity of comparative clinical studies. Ultimately, this proposal is intended to improve the accessibility to high quality biosimilars in Latin America and other developing countries

    Predictors of Hospitalized Exacerbations and Mortality in Chronic Obstructive Pulmonary Disease

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    Background and Aim Exacerbations of chronic obstructive pulmonary disease (COPD) carry significant consequences for patients and are responsible for considerable health-care costs?particularly if hospitalization is required. Despite the importance of hospitalized exacerbations, relatively little is known about their determinants. This study aimed to analyze predictors of hospitalized exacerbations and mortality in COPD patients. Methods This was a retrospective population-based cohort study.We selected 900 patients with confirmed COPD aged 35 years by simple random sampling among all COPD patients in Cantabria (northern Spain) on December 31, 2011. We defined moderate exacerbations as events that led a care provider to prescribe antibiotics or corticosteroids and severe exacerbations as exacerbations requiring hospital admission.We observed exacerbation frequency over the previous year (2011) and following year (2012). We categorized patients according to COPD severity based on forced expiratory volume in 1 second (Global Initiative for Chronic Obstructive Lung Disease [GOLD] grades 1?4). We estimated the odds ratios (ORs) by logistic regression, adjusting for age, sex, smoking status, COPD severity, and frequent exacerbator phenotype the previous year. Results Of the patients, 16.4%had 1 severe exacerbations, varying from 9.3%in mild GOLD grade 1 to 44%in very severe COPD patients. A history of at least two prior severe exacerbations was positively associated with new severe exacerbations (adjusted OR, 6.73; 95%confidence interval [CI], 3.53?12.83) and mortality (adjusted OR, 7.63; 95%CI, 3.41?17.05). Older age and several comorbidities, such as heart failure and diabetes, were similarly associated. Conclusions Hospitalized exacerbations occurred with all grades of airflow limitation. A history of severe exacerbations was associated with new hospitalized exacerbations and mortality

    Epidemiological trends of HIV/HCV coinfection in Spain, 2015-2019

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    Altres ajuts: Spanish AIDS Research Network; European Funding for Regional Development (FEDER).Objectives: We assessed the prevalence of anti-hepatitis C virus (HCV) antibodies and active HCV infection (HCV-RNA-positive) in people living with HIV (PLWH) in Spain in 2019 and compared the results with those of four similar studies performed during 2015-2018. Methods: The study was performed in 41 centres. Sample size was estimated for an accuracy of 1%. Patients were selected by random sampling with proportional allocation. Results: The reference population comprised 41 973 PLWH, and the sample size was 1325. HCV serostatus was known in 1316 PLWH (99.3%), of whom 376 (28.6%) were HCV antibody (Ab)-positive (78.7% were prior injection drug users); 29 were HCV-RNA-positive (2.2%). Of the 29 HCV-RNA-positive PLWH, infection was chronic in 24, it was acute/recent in one, and it was of unknown duration in four. Cirrhosis was present in 71 (5.4%) PLWH overall, three (10.3%) HCV-RNA-positive patients and 68 (23.4%) of those who cleared HCV after anti-HCV therapy (p = 0.04). The prevalence of anti-HCV antibodies decreased steadily from 37.7% in 2015 to 28.6% in 2019 (p < 0.001); the prevalence of active HCV infection decreased from 22.1% in 2015 to 2.2% in 2019 (p < 0.001). Uptake of anti-HCV treatment increased from 53.9% in 2015 to 95.0% in 2019 (p < 0.001). Conclusions: In Spain, the prevalence of active HCV infection among PLWH at the end of 2019 was 2.2%, i.e. 90.0% lower than in 2015. Increased exposure to DAAs was probably the main reason for this sharp reduction. Despite the high coverage of treatment with direct-acting antiviral agents, HCV-related cirrhosis remains significant in this population

    Identification of regulatory variants associated with genetic susceptibility to meningococcal disease.

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    Non-coding genetic variants play an important role in driving susceptibility to complex diseases but their characterization remains challenging. Here, we employed a novel approach to interrogate the genetic risk of such polymorphisms in a more systematic way by targeting specific regulatory regions relevant for the phenotype studied. We applied this method to meningococcal disease susceptibility, using the DNA binding pattern of RELA - a NF-kB subunit, master regulator of the response to infection - under bacterial stimuli in nasopharyngeal epithelial cells. We designed a custom panel to cover these RELA binding sites and used it for targeted sequencing in cases and controls. Variant calling and association analysis were performed followed by validation of candidate polymorphisms by genotyping in three independent cohorts. We identified two new polymorphisms, rs4823231 and rs11913168, showing signs of association with meningococcal disease susceptibility. In addition, using our genomic data as well as publicly available resources, we found evidences for these SNPs to have potential regulatory effects on ATXN10 and LIF genes respectively. The variants and related candidate genes are relevant for infectious diseases and may have important contribution for meningococcal disease pathology. Finally, we described a novel genetic association approach that could be applied to other phenotypes

    Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

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    This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

    Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

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    One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI
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