899 research outputs found

    El sector asegurador y el Mercado Común

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    Entrepreneurial Error Does Not Equal Market Failure

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    Barnett and Block (forthcoming) claim that Bagus and Howden (2012b) support indirectly the concept of market failure. In this paper we show that maturity mismatching in an unhampered market may imply entrepreneurial error but cannot be considered a market failure. We demonstrate why fractional-reserve banking leads to business cycles even if there is no central bank and why maturity mismatching does not per se lead to clusters of errors in a free market. Finally, we assure that, in contrast to the examples provided by Barnett and Block, maturity mismatching does not imply the creation of two incompatible contracts due to the fungible nature of money

    Entrepreneurial Error Does Not Equal Market Failure

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    Barnett and Block (forthcoming) claim that Bagus and Howden (2012b) support indirectly the concept of market failure. In this paper we show that maturity mismatching in an unhampered market may imply entrepreneurial error but cannot be considered a market failure. We demonstrate why fractional-reserve banking leads to business cycles even if there is no central bank and why maturity mismatching does not per se lead to clusters of errors in a free market. Finally, we assure that, in contrast to the examples provided by Barnett and Block, maturity mismatching does not imply the creation of two incompatible contracts due to the fungible nature of money

    Ebola virus disease 2014

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    Ebola virus disease was irst described in 1976 originating from the Ebola River in the Democratic Republic of Congo. Since then, Ebola virus has become an important public health threat in Africa, and now it is of great concern worldwide due to the recent outbreaks (9216 cases with 4555 deaths up to October 20th, 2014), and it is so far the largest and deadliest recorded in history. Five Ebola virus species have been identiied (including Zaire, Sudan, Ivory Coast, Reston, and Bundibugyo Ebola virus), and four of them have proved to be highly pathogenic for both human and non-human primates, causing viral hemorrhagic fever with case fatality rates of up to 90%, for which no approved therapeutics or vaccines are currently available. Ebola virus infections are characterized by immune suppression and a systemic inlammatory response that causes impairment of the vascular, coagulation, and immune systems, leading to multiorgan failure and shock, and thus, in some ways, resembling septic shock. The major affected countries, Sierra Leone, Guinea, Liberia, and Nigeria, have been struggling to contain and to mitigate the outbreak. Gene sequencing of the 2014 virus (2014WA) outbreak has demonstrated 98% homology with the Zaire Ebola virus, with a 49% case fatality ratio across the affected countries. In this review the characteristics of the viruses, pathogenesis, diagnosis, treatment, and the cases reported in health care workers (HCW) are described, as well as a summary of outbreaks of the virus since its discovery, including these last two outbreaks in Africa

    Causes and Consequences of Inflation

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    While ethical implications of direct taxation systems have recently received renewed attention, a more veiled scheme remains unnoticed: inflation. We overview the causes of inflation and assess its consequences. Salient wealth redistributions are a defining feature of inflation, as savers and fixed income individuals see a relative wealth reduction. While avoiding this “tax” is difficult in many instances due to the primacy of money in a monetary economy, the tax codes of most developed countries allow avoidance techniques to be employed. We analyze three ways that inflation may be avoided in an attempt to preserve personal wealth, as well as the consequences of such practices

    ¿Qué saben de los ODS los alumnos de la UPV? Análisis preliminar

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    [EN] Universities play an important role in accomplishing the so-called Sustainable Development Goals (SDGs), equiping students with knowledge and skills to address the sustainability challenges through the teaching-learning process. The implementation of knowledge of the SDGs among teachers and students is urgent, being thus essential to assess their previous knowledge level. In order to evaluate the previous knowledge about the SDGs of students of different degrees and masters of the Universitat Politècnica de València (UPV), a questionnaire was designed. The questionnaire was answered by 425 students. The analysis of the answers revealed the need to review some of the questions, as well as the convenience of including others that collect evidences on sources of information and professional and personal implications of the SDGs. In general, the results showed a high level of knowledge about the SDGs. The differences observed between subjects could be related to their context within the degree, as well as the profile of the student in each of them. The information obtained will also help in the design of activities for the training of students of different subjects in relation to the SDGs.[ES] Las universidades juegan un papel importante en el cumplimiento de los Objetivos de Desarrollo Sostenible (ODS), ya que en el proceso de enseñanza-aprendizaje equipan al alumnado con conocimiento y habilidades para abordar los desafíos de la sostenibilidad. Urge la puesta en marcha del conocimiento de los ODS entre profesorado y alumnado, resultando fundamental conocer su nivel previo de conocimiento. Con el fin de evaluar el conocimiento previo sobre los ODS del alumnado de diferentes grados y másteres de la Universitat Politècnica de València (UPV), se diseñó un cuestionario, que fue respondido por un total de 425 alumnos/as de distintas titulaciones de la UPV. El análisis de las respuestas reveló la necesidad de revisar alguna de las preguntas, así como la conveniencia de incluir otras que recojan datos sobre fuentes de información e implicaciones profesionales y personales de los ODS. En general, los resultados mostraron un nivel elevado de conocimiento sobre ODS. Las diferencias observadas entre asignaturas podrían estar relacionadas con su contexto dentro de la titulación, así como con el perfil del alumnado de cada una de ellas. La información obtenida se orientará al diseño de actividades para la formación del alumnado de las distintas asignaturas en relación a los ODS.La publicación de este trabajo ha sido parcialmente financiada por el proyecto de innovación educativa (PIME 20-21/224) concedido por el Vicerrectorado de Estudios, Calidad y Acreditación de la Universitat Politècnica de València (UPV). Los autores agradecen también el apoyo proporcionado por el Instituto de Ciencias de la Educación (ICE) de la UPV.Lull Noguera, C.; Pérez De Castro, AM.; Leiva Brondo, M.; Atarés Huerta, A.; Lajara De Camilleri, N.; Llinares Palacios, JV.; Pérez Esteve, E.... (2021). ¿Qué saben de los ODS los alumnos de la UPV? Análisis preliminar. En IN-RED 2021: VII Congreso de Innovación Edicativa y Docencia en Red. Editorial Universitat Politècnica de València. 1106-1119. https://doi.org/10.4995/INRED2021.2021.137811106111

    Measurement of the Crab Nebula Spectrum Past 100 TeV with HAWC

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    We present TeV gamma-ray observations of the Crab Nebula, the standard reference source in ground-based gamma-ray astronomy, using data from the High Altitude Water Cherenkov (HAWC) Gamma-Ray Observatory. In this analysis we use two independent energy-estimation methods that utilize extensive air shower variables such as the core position, shower angle, and shower lateral energy distribution. In contrast, the previously published HAWC energy spectrum roughly estimated the shower energy with only the number of photomultipliers triggered. This new methodology yields a much improved energy resolution over the previous analysis and extends HAWC's ability to accurately measure gamma-ray energies well beyond 100 TeV. The energy spectrum of the Crab Nebula is well fit to a log parabola shape (dNdE=ϕ0(E/7 TeV)αβln(E/7 TeV))\left(\frac{dN}{dE} = \phi_0 \left(E/\textrm{7 TeV}\right)^{-\alpha-\beta\ln\left(E/\textrm{7 TeV}\right)}\right) with emission up to at least 100 TeV. For the first estimator, a ground parameter that utilizes fits to the lateral distribution function to measure the charge density 40 meters from the shower axis, the best-fit values are ϕo\phi_o=(2.35±\pm0.040.21+0.20^{+0.20}_{-0.21})×\times1013^{-13} (TeV cm2^2 s)1^{-1}, α\alpha=2.79±\pm0.020.03+0.01^{+0.01}_{-0.03}, and β\beta=0.10±\pm0.010.03+0.01^{+0.01}_{-0.03}. For the second estimator, a neural network which uses the charge distribution in annuli around the core and other variables, these values are ϕo\phi_o=(2.31±\pm0.020.17+0.32^{+0.32}_{-0.17})×\times1013^{-13} (TeV cm2^2 s)1^{-1}, α\alpha=2.73±\pm0.020.02+0.03^{+0.03}_{-0.02}, and β\beta=0.06±\pm0.01±\pm0.02. The first set of uncertainties are statistical; the second set are systematic. Both methods yield compatible results. These measurements are the highest-energy observation of a gamma-ray source to date.Comment: published in Ap

    Validation of diabetes mellitus and hypertension diagnosis in computerized medical records in primary health care

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    <p>Abstract</p> <p>Background</p> <p>Computerized Clinical Records, which are incorporated in primary health care practice, have great potential for research. In order to use this information, data quality and reliability must be assessed to prevent compromising the validity of the results.</p> <p>The aim of this study is to validate the diagnosis of hypertension and diabetes mellitus in the computerized clinical records of primary health care, taking the diagnosis criteria established in the most prominently used clinical guidelines as the gold standard against which what measure the sensitivity, specificity, and determine the predictive values.</p> <p>The gold standard for diabetes mellitus was the diagnostic criteria established in 2003 American Diabetes Association Consensus Statement for diabetic subjects. The gold standard for hypertension was the diagnostic criteria established in the Joint National Committee published in 2003.</p> <p>Methods</p> <p>A cross-sectional multicentre validation study of diabetes mellitus and hypertension diagnoses in computerized clinical records of primary health care was carried out. Diagnostic criteria from the most prominently clinical practice guidelines were considered for standard reference.</p> <p>Sensitivity, specificity, positive and negative predictive values, and global agreement (with kappa index), were calculated. Results were shown overall and stratified by sex and age groups.</p> <p>Results</p> <p>The agreement for diabetes mellitus with the reference standard as determined by the guideline was almost perfect (κ = 0.990), with a sensitivity of 99.53%, a specificity of 99.49%, a positive predictive value of 91.23% and a negative predictive value of 99.98%.</p> <p>Hypertension diagnosis showed substantial agreement with the reference standard as determined by the guideline (κ = 0.778), the sensitivity was 85.22%, the specificity 96.95%, the positive predictive value 85.24%, and the negative predictive value was 96.95%. Sensitivity results were worse in patients who also had diabetes and in those aged 70 years or over.</p> <p>Conclusions</p> <p>Our results substantiate the validity of using diagnoses of diabetes and hypertension found within the computerized clinical records for epidemiologic studies.</p

    Clinical validation of risk scoring systems to predict risk of delayed bleeding after EMR of large colorectal lesions

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    [Background and Aims]: The Endoscopic Resection Group of the Spanish Society of Endoscopy (GSEED-RE) model and the Australian Colonic Endoscopic Resection (ACER) model were proposed to predict delayed bleeding (DB) after EMR of large superficial colorectal lesions, but neither has been validated. We validated and updated these models.[Methods]: A multicenter cohort study was performed in patients with nonpedunculated lesions ≥20 mm removed by EMR. We assessed the discrimination and calibration of the GSEED-RE and ACER models. Difficulty performing EMR was subjectively categorized as low, medium, or high. We created a new model, including factors associated with DB in 3 cohort studies.[Results]: DB occurred in 45 of 1034 EMRs (4.5%); it was associated with proximal location (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.31-6.16), antiplatelet agents (OR, 2.51; 95% CI, .99-6.34) or anticoagulants (OR, 4.54; 95% CI, 2.14-9.63), difficulty of EMR (OR, 3.23; 95% CI, 1.41-7.40), and comorbidity (OR, 2.11; 95% CI, .99-4.47). The GSEED-RE and ACER models did not accurately predict DB. Re-estimation and recalibration yielded acceptable results (GSEED-RE area under the curve [AUC], .64 [95% CI, .54-.74]; ACER AUC, .65 [95% CI, .57-.73]). We used lesion size, proximal location, comorbidity, and antiplatelet or anticoagulant therapy to generate a new model, the GSEED-RE2, which achieved higher AUC values (.69-.73; 95% CI, .59-.80) and exhibited lower susceptibility to changes among datasets.[Conclusions]: The updated GSEED-RE and ACER models achieved acceptable prediction levels of DB. The GSEED-RE2 model may achieve better prediction results and could be used to guide the management of patients after validation by other external groups. (Clinical trial registration number: NCT 03050333.)Research support for this study was received from “La Caixa/Caja Navarra” Foundation (ID 100010434;project PR15/11100006)
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