Evaluación del sistema archivístico del Hospital de León

This paper studies the origin and evolution of three health archives at the Hospital de León that forms part of the Public Health Service of the region of Castilla and León (Spain). The principle of provenance is essential to decide upon the organisation of medical histories archives and all the documents included in them. The study assesses the management of the above mentioned health archives in order to highlight the importance of appropriate cataloguing, shelving and storage of medical records for an efficient day–to–day running of hospitals. The results will be useful in estimating the approximate cost of a proper archives management when taking into account factors such as patients staying longer than expected in hospital or the need to repeat medical tests

Active flux seasonality of the small dominant migratory crustaceans and mesopelagic fishes in the Gulf of California during June and October

The biological carbon pump is the process that transports carbon vertically out of the mixed layer in the ocean. Besides the sinking flux of organic particles, active flux due to the daily vertical migration of zooplankton and micronekton promotes a significant carbon transport not fully accounted for or understood in the world’s oceans. The diversity and abundance of epipelagic and mesopelagic species in the Gulf of California has been extensively studied, but the role of micronekton in carbon export has not yet been investigated. We studied the carbon flux promoted by juvenile and adult mesopelagic fishes and crustaceans (Decapoda and Euphausiidae) during the transition from the cold to warm period (June) and the onset of the warm season (October) in 2018. We provide the first estimation of migrant biomass and respiratory flux of the most abundant migratory species of mesopelagic fishes, decapods and euphausiids in the Gulf of California. The micronekton species collected accounted for a large biomass of mesopelagic fishes and pelagic crustaceans. The average migrant biomass estimates were 151.5 ± 101.2 mg C·m−2 during June and 90.9 ± 75.3 mg C·m−2 during October. The enzymatic activity of the electron transfer system (ETS) was measured as an estimate of their respiratory rates. Average specific ETS activity was significantly different between fishes and decapods, and between fishes and euphausiids (p < 0.05). The respiratory flux of fishes was predominant in the Gulf of California, followed by pelagic decapods and euphausiids. Seasonal changes in respiratory flux were observed for fishes (June: 6.1 ± 1.5 mg C·m−2·d−1; October: 3.2 ± 1.8 mg C·m−2·d−1) and decapods (June: 0.4 mg C·m−2·d−1; October: 0.7 ± 0.05 mg C·m−2·d−1). Respiratory flux estimation by crustaceans (decapods and euphausiids) and fishes together was 6.86 mg C·m−2·d−1 during June, and 4.21 mg C·m−2·d−1 during October 2018, suggesting a functional role of this large micronektonic fauna in the biological carbon export in this region.3,26

Evaluación del sistema archivístico del Hospital de León

This paper studies the origin and evolution of three health archives at the Hospital de León that forms part of the Public Health Service of the region of Castilla and León (Spain). The principle of provenance is essential to decide upon the organisation of medical histories archives and all the documents included in them. The study assesses the management of the above mentioned health archives in order to highlight the importance of appropriate cataloguing, shelving and storage of medical records for an efficient day–to–day running of hospitals. The results will be useful in estimating the approximate cost of a proper archives management when taking into account factors such as patients staying longer than expected in hospital or the need to repeat medical tests

The Journalistic Information about the European Union. The Journalistic Interest of the European Matters in Three European Countries Media: Poland, Romania and Spain

Three European research teams from the academic field meet to study the interest of media in matters concerning of the common European space. The results show that the European Union and its member countries do not constitute, at the moment, a usual priority issue in informative agendas of analyzed media in Poland, Romania and Spain. These results can be deduced of the analysis of the indicators of journalistic interest, such as, for example: the priority use of routine news to cover the European events; the low media interest in the Europeanist debate; the insignificant percentage of European news that media highlight on their front pages or summaries; the reduced length or extension of the majority of European news, the lack of an accurate knowledge by citizens of who is behind the spread news

Recent advances in the application of stable isotopes as nutritional tools in aquaculture

From an ecological point of view, aquaculture systems consist of simple food webs having a limited number of nutritional sources. These characteristics facilitate the application of stable isotope ratios of carbon and nitrogen (δ13C and δ15N) to assess the flow of dietary components. Due to rapid and measurable bioaccumulation of the heavier stable isotopes, such isotopic shifts can be tracked at different times and at each trophic step to provide an indicator of what dietary components are being incorporated into animal tissue and how fast. The present manuscript presents results from recent, controlled nutritional experiments designed to quantify the relative contribution of dietary carbon and nitrogen supplied by different dietary items. Stable isotopes ratios were measured in a range of food sources and experimental animals. In a first experiment, juvenile shrimp Litopenaeus vannamei were reared on co-feeding regimes having different proportions of live biomass of the green macroalgae Ulva clathrata and inert feed in order to identify nutritional contributions to tissue growth using dual stable isotope analysis. In another trial, nitrogen stable isotopes were measured to explore the relative dietary nitrogen contributions from fish meal and pea meal (Pisum sativum) to the growth of white shrimp postlarvae fed low protein diets having different proportions of both ingredients. In a third, multidisciplinary experiment, Senegalese sole (Solea senegalensis) larvae were used as a model to evaluate the effect of different larval feeding regimes on (1) trypsinogen gene expression (ssetryp1), (2) trypsin and chymotrypsin activities and (3) changes in stable isotope composition to estimate the assimilation of dietary carbon from the larval diets

Mapas de actividades comunitarias y activos para la salud: ¿Cómo trabajar con ellos?

El modelo de activos para la salud tiene relaciones íntimas con el paradigma de la Promoción de la Salud, de modelos de Desarrollo Comunitario o de la Teoría Salutogénica de Antonovsky, siendo su punto de partida la Salud Positiva de una comunidad y de las personas que la integran

RNA sequencing-based transcriptome profiling of cardiac tissue Implicados novela putative disease mechanisms in FLNC-associated arrhythmogenic cardiomyopathy.

Arrhythmogenic cardiomyopathy (ACM) encompasses a group of inherited cardiomyopathies including arrhythmogenic right ventricular cardiomyopathy (ARVC) whose molecular disease mechanism is associated with dysregulation of the canonical WNT signalling pathway. Recent evidence indicates that ARVC and ACM caused by pathogenic variants in the FLNC gene encoding filamin C, a major cardiac structural protein, may have different molecular mechanisms of pathogenesis. We sought to identify dysregulated biological pathways in FLNC-associated ACM. RNA was extracted from seven paraffin-embedded left ventricular tissue samples from deceased ACM patients carrying FLNC variants and sequenced. Transcript levels of 623 genes were upregulated and 486 genes were reduced in ACM in comparison to control samples. The cell adhesion pathway and ILK signalling were among the prominent dysregulated pathways in ACM. Consistent with these findings, transcript levels of cell adhesion genes JAM2, NEO1, VCAM1 and PTPRC were upregulated in ACM samples. Moreover, several actin-associated genes, including FLNC, VCL, PARVB and MYL7, were suppressed, suggesting dysregulation of the actin cytoskeleton. Analysis of the transcriptome for biological pathways predicted activation of inflammation and apoptosis and suppression of oxidative phosphorylation and MTORC1 signalling in ACM. Our data suggests dysregulated cell adhesion and ILK signalling as novel putative pathogenic mechanisms of ACM caused by FLNC variants which are distinct from the postulated disease mechanism of classic ARVC caused by desmosomal gene mutations. This knowledge could help in the design of future gene therapy strategies which would target specific components of these pathways and potentially lead to novel treatments for ACM

Pancreatic metastases from renal cell carcinoma. Postoperative outcome after surgical treatment in a Spanish multicenter study (PANMEKID)

Background: Renal Cell Carcinoma (RCC) occasionally spreads to the pancreas. The purpose of our study is to evaluate the short and long-term results of a multicenter series in order to determine the effect of surgical treatment on the prognosis of these patients. Methods: Multicenter retrospective study of patients undergoing surgery for RCC pancreatic metastases, from January 2010 to May 2020. Variables related to the primary tumor, demographics, clinical characteristics of metastasis, location in the pancreas, type of pancreatic resection performed and data on short and long-term evolution after pancreatic resection were collected. Results: The study included 116 patients. The mean time between nephrectomy and pancreatic metastases' resection was 87.35 months (ICR: 1.51-332.55). Distal pancreatectomy was the most performed technique employed (50 %). Postoperative morbidity was observed in 60.9 % of cases (Clavien-Dindo greater than IIIa in 14 %). The median follow-up time was 43 months (13-78). Overall survival (OS) rates at 1, 3, and 5 years were 96 %, 88 %, and 83 %, respectively. The disease-free survival (DFS) rate at 1, 3, and 5 years was 73 %, 49 %, and 35 %, respectively. Significant prognostic factors of relapse were a disease free interval of less than 10 years (2.05 [1.13-3.72], p 0.02) and a history of previous extrapancreatic metastasis (2.44 [1.22-4.86], p 0.01). Conclusions: Pancreatic resection if metastatic RCC is found in the pancreas is warranted to achieve higher overall survival and disease-free survival, even if extrapancreatic metastases were previously removed. The existence of intrapancreatic multifocal compromise does not always warrant the performance of a total pancreatectomy in order to improve survival. (C) 2021 The Authors. Published by Elsevier Ltd

Les droits disciplinaires des fonctions publiques : « unification », « harmonisation » ou « distanciation ». A propos de la loi du 26 avril 2016 relative à la déontologie et aux droits et obligations des fonctionnaires

The production of tt‾ , W+bb‾ and W+cc‾ is studied in the forward region of proton–proton collisions collected at a centre-of-mass energy of 8 TeV by the LHCb experiment, corresponding to an integrated luminosity of 1.98±0.02 fb−1 . The W bosons are reconstructed in the decays W→ℓν , where ℓ denotes muon or electron, while the b and c quarks are reconstructed as jets. All measured cross-sections are in agreement with next-to-leading-order Standard Model predictions.The production of $t\overline{t}$, $W+b\overline{b}$ and $W+c\overline{c}$ is studied in the forward region of proton-proton collisions collected at a centre-of-mass energy of 8 TeV by the LHCb experiment, corresponding to an integrated luminosity of 1.98 $\pm$ 0.02 \mbox{fb}^{-1}. The $W$ bosons are reconstructed in the decays $W\rightarrow\ell\nu$, where $\ell$ denotes muon or electron, while the $b$ and $c$ quarks are reconstructed as jets. All measured cross-sections are in agreement with next-to-leading-order Standard Model predictions