Evaluación de la ecografía nutricional para la caracterización de la masa muscular en desnutrición relacionada con la enfermedad en enfermedades neurodegenerativas

Las enfermedades neurodegenerativas se caracterizan por una progresiva pérdida neuronal. La evaluación nutricional es una parte importante en su diagnóstico y tratamiento. Existen diferentes métodos para ello, destacando la ecografía muscular, una técnica prometedora que será sometida a evaluación en este estudio. El objetivo de este trabajo es evaluar el uso de la ecografía muscular en el diagnóstico de sarcopenia y detección de complicaciones en pacientes neurodegenerativos y compararla con las técnicas habituales. Describir la ecointensidad y compararla entre patologías neurodegenerativas. Como conclusión podemos decir que la ecografía muscular se correlaciona con las técnicas clásicas de valoración nutricional en el paciente con patología neurodegenerativa. La ecointensidad se relaciona con menor fuerza, calidad y contenido muscular y su disminución se asocia con un mayor riesgo de ingreso hospitalario y exitus.Grado en Medicin

Eradicating Female Genital Mutilation; a Viable Reality. Raising Awareness in the Men Involved

Female Genital Mutilation (FGM) is considered by a number of International Organizations as an affront on human rights and an act of violence against women and young girls. Furthermore, being the result of an intense discrimination between genders, it hierarchizes and perpetuates inequality and denies women the right to physical and psychosexual integrity. Aims. To endeavour towards the eradication of FGM via the testimony of men from countries where this practice is performed. Methodology. A qualitative methodology with an ethnonursing focus was utilized via semi-structured individual and group interviews in 25 men having some form of involvement with FGM. Results. Declarations have been identified in these interviews which display a continuous, albeit gradual rise in the awareness of the male population regarding the problems inherent in this practice and the sexist connotations harboured therein. These manifestations provide evidence of the advances supposedly achieved by anti-FGM policies, although it is noteworthy that legislative persecution alone may cause the practice to become a hidden, clandestine event, as well as provoking a defensive reaction in those in favour of this tradition, such as having the procedure performed at ever younger ages. Conclusions. The performing of FGM at increasingly younger ages belies the socio-cultural precepts used to justify its existence. This fact, together with the aforementioned process of concealment, suggests the beginning of the end of FGM

Improving the structural reliability of steel frames using posttensioned connections

In this paper, various moment-resisting steel frames (MRSFs) are subjected to 30 narrow-band motions scaled at different ground motion intensity levels in terms of spectral acceleration at first mode of vibration in order to perform incremental dynamic analysis for peak and residual interstory drift demands. The results are used to compute the structural reliability of the steel frames by means of hazard curves for peak and residual drifts. It is observed that the structures exceed the threshold residual drift of 0.5%, which is perceptible to human occupants, and it could lead to human discomfort according to recent investigations. For this reason, posttensioned connections (PTCs) are incorporated into the steel frames in order to improve the structural reliability. The results suggest that the annual rate of exceedance of peak and residual interstory drift demands are reduced with the use of PTC. Thus, the structural reliability of the steel frames with PTC is superior to that of the MRSFs. In particular, the residual drift demands tend to be smaller when PTCs are incorporated in the steel structures.Peer ReviewedPostprint (published version

Impacto da mutilação genital feminina nos objetivos do milênio

Objetivo: Relacionar la Mutilación Genital Femenina como factor negativo para la consecución de los Objetivos de Desarrollo del Milenio 1, 3, 4, 5 y 6. Métodos: Se ha realizado la recogida de datos a través de una revisión integradora de la literatura en los años 2014 y 2015. Se consultaron las bases de datos Medline/PubMed, Web of Science, LILACS, SCIELO, Tesis Doctorales TESEO y en las webs de WOK, UNICEF, UNAF y WHO utilizando los descriptores: circuncisión femenina, objetivos de desarrollo del milenio y mutilación genital femenina. Se incluyeron artículos publicados entre los años de 2010 y 2015, y se seleccionaron finalmente 24 artículos. Resultados: La Mutilación Genital Femenina es una práctica basada en discriminaciones de género que refuerza e incentiva el círculo de la pobreza. Provoca complicaciones físicas que pueden repercutir en la mortalidad y morbilidad infantil, así como en complicaciones en el embarazo y el parto y en la adquisición del virus de la inmunodeficiencia humana. Conclusión: La lucha contra la Mutilación Genital Femenina contribuye a la consecución de cinco de los ocho Objetivos del Milenio.Objective: To relate the Female Genital Mutilation as a negative factor for the achievement of the Millennium Development Goals 1, 3, 4, 5 and 6. Method: Data collection was through review literature review between in the years 2014 and 2015 in the databases Medline/PubMed, Web of Science, LILACS, SCIELO, Tesis Doctorales TESEO and in the webs of WOK, UNICEF, UNAF and WHO using the descriptors: female circumcision, millennium development goals, rights of women. Articles published between years 2010 y 2015, were included and finally 24 articles were selected. Results: The Female Genital Mutilation is based on gender discrimination, and reinforces and encourages the circle of poverty. This practice causes physical complications that may affect the infant mortality and morbidity, complications in pregnancy and childbirth and there is a relationship between the practice and the transmission of human immunodeficiency virus. Conclusion: The fight against Female Genital Mutilation contributes to the achievement of five of the eight Millennium Goals.Objetivo: Relacionar a MGF como um fator negativo para a realização dos Objetivos de Desenvolvimento do Milênio 1, 3, 4, 5 e 6. Método: Foi realizada a coleta de dados por meio da revisão da literatura nos anos de 2014 e 2015, nas bases de dados Medline/PubMed, Web of Science, LILACS, SCIELO, Tesis Doctorales TESEO e nos sites da UNICEF, UNAF e WHO utilizando-se os descritores: circuncisão feminina, objetivos de desenvolvimento do milênio e mutilação genital feminina. Foram incluídos artigos publicados entre os anos de 2010 e 2015, e selecionados finalmente 24 artigos. Resultados: A mutilação genital feminina é uma prática baseada na discriminação de género que reforça e estimula o ciclo da pobreza. Causa complicações físicas que podem afetar a mortalidade e morbidade infantil, bem como complicações na gravidez e no parto e na aquisição de HIV. Conclusão: a luta contra a MGF contribui para a realização de cinco dos oito Objetivos de Desenvolvimento do Milênio

Key points for abolishing Female Genital Mutilation from the perspective of the men involved

Introduction: female Genital Mutilation is internationally considered an affront on human rights and an act of violence against women and young girls. Furthermore, it hierarchises and perpetuates inequality and denies the right to bodily and psychosocial integrity of women and young girls. Aims: to detect the key points for the abolition of Female Genital Mutilation as well as the necessary resources for its eradication. Material and Method: a qualitative methodology with an ethnonursing perspective, via semi-structured interviews, held both individually and in groups, in 21 men familiar with Female Genital Mutilation. Findings: through the voices of men familiar with this tradition, five key points are presented for its gradual eradication: sensitisation and awareness building, team action, abolition-promoting media, focusing action on rural areas and applying educational means before punitive ones. Conclusion and practical implications: awareness-raising via the combined efforts of families, communities and governments, together with the promotion of health education programmes in demonstrating the complications derived from this practice, play a vital part in eradicating Female Genital Mutilation