5,582 research outputs found
Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study
Introduction Primary care (PC) professionals' knowledge about alcohol use has been identified as one of the barriers PC providers face in their clinic. Both PC professionals' level of training and attitude are crucial in the clinical practice regarding alcohol use. Objective To evaluate the knowledge, attitude, and preventive practices of Spanish PC physicians and nurses towards alcohol use. Design An observational, descriptive, cross-sectional, multi-center study. Methodology Location: PC centers of the Spanish National Health System (NHS). Participants: PC physicians and nurses selected randomly from health care centers, and by sending an e-mail to semFYC and SEMERGEN members. Healthcare providers completed an online survey on knowledge, attitude, and follow-up recommendations for reducing alcohol intake. A descriptive, bivariate, and multivariate statistical analysis was conducted (p<0.05). Results Participants: 1, 760 healthcare providers completed the survey (75.6% [95% CI 73.5-77.6] family physicians; 11.4% [95% CI 9.9-12.9] medical residents; and 12.5% [95% CI 10.9-14.1] nurses), with a mean age of 44.7 (SD 11.24, range: 26-64, 95% CI: 47.2-48.2). Knowledge was higher in family physicians (p<0.001), older professionals (Spearman's r = 0.11, p<0.001), and resident trainers (p<0.001). The PC professional most likely to provide advice for reducing alcohol use was: a nurse (p<0.001), female (p = 0.010), between 46 and 55 years old (p <0.001). Conclusions PC providers' knowledge and preventive practices regarding alcohol use are scarce, hence specific training strategies to increase their knowledge and improve their attitude and skills with regard to this health problem should be considered a healthcare policy priority
Resilience and post-traumatic stress disorder among healthcare workers during the COVID-19 outbreak
First bounds on the high-energy emission from isolated Wolf-Rayet binary systems
High-energy gamma-ray emission is theoretically expected to arise in tight
binary star systems (with high mass loss and high velocity winds), although the
evidence of this relationship has proven to be elusive so far. Here we present
the first bounds on this putative emission from isolated Wolf-Rayet (WR) star
binaries, WR 147 and WR 146, obtained from observations with the MAGIC
telescope.Comment: (Authors are the MAGIC Collaboration.) Manuscript in press at The
Astrophysical Journal Letter
Observation of Pulsed Gamma-rays Above 25 GeV from the Crab Pulsar with MAGIC
One fundamental question about pulsars concerns the mechanism of their pulsed
electromagnetic emission. Measuring the high-end region of a pulsar's spectrum
would shed light on this question. By developing a new electronic trigger, we
lowered the threshold of the Major Atmospheric gamma-ray Imaging Cherenkov
(MAGIC) telescope to 25 GeV. In this configuration, we detected pulsed
gamma-rays from the Crab pulsar that were greater than 25 GeV, revealing a
relatively high cutoff energy in the phase-averaged spectrum. This indicates
that the emission occurs far out in the magnetosphere, hence excluding the
polar-cap scenario as a possible explanation of our measurement. The high
cutoff energy also challenges the slot-gap scenario.Comment: Slight modification of the analysis: Fitting a more general function
to the combined data set of COMPTEL, EGRET and MAGIC. Final result and
conclusion is unchange
Probing quantum gravity using photons from a flare of the active galactic nucleus Markarian 501 observed by the MAGIC telescope
We analyze the timing of photons observed by the MAGIC telescope during a
flare of the active galactic nucleus Mkn 501 for a possible correlation with
energy, as suggested by some models of quantum gravity (QG), which predict a
vacuum refractive index \simeq 1 + (E/M_{QGn})^n, n = 1,2. Parametrizing the
delay between gamma-rays of different energies as \Delta t =\pm\tau_l E or
\Delta t =\pm\tau_q E^2, we find \tau_l=(0.030\pm0.012) s/GeV at the 2.5-sigma
level, and \tau_q=(3.71\pm2.57)x10^{-6} s/GeV^2, respectively. We use these
results to establish lower limits M_{QG1} > 0.21x10^{18} GeV and M_{QG2} >
0.26x10^{11} GeV at the 95% C.L. Monte Carlo studies confirm the MAGIC
sensitivity to propagation effects at these levels. Thermal plasma effects in
the source are negligible, but we cannot exclude the importance of some other
source effect.Comment: 12 pages, 3 figures, Phys. Lett. B, reflects published versio
Multiwavelength Evidence for Quasi-periodic Modulation in the Gamma-ray Blazar PG 1553+113
We report for the first time a gamma-ray and multi-wavelength nearly-periodic
oscillation in an active galactic nucleus. Using the Fermi Large Area Telescope
(LAT) we have discovered an apparent quasi-periodicity in the gamma-ray flux (E
>100 MeV) from the GeV/TeV BL Lac object PG 1553+113. The marginal significance
of the 2.18 +/-0.08 year-period gamma-ray cycle is strengthened by correlated
oscillations observed in radio and optical fluxes, through data collected in
the OVRO, Tuorla, KAIT, and CSS monitoring programs and Swift UVOT. The optical
cycle appearing in ~10 years of data has a similar period, while the 15 GHz
oscillation is less regular than seen in the other bands. Further long-term
multi-wavelength monitoring of this blazar may discriminate among the possible
explanations for this quasi-periodicity.Comment: 8 pages, 5 figures. Accepted to The Astrophysical Journal Letters.
Corresponding authors: S. Ciprini (ASDC/INFN), S. Cutini (ASDC/INFN), S.
Larsson (Stockholm Univ/KTH), A. Stamerra (INAF/SNS), D. J. Thompson (NASA
GSFC
HisAK70: Progress towards a vaccine against different forms of leishmaniosis
Background: Leishmania major and Leishmania infantum are among the main species that are responsible for cutaneous leishmaniosis (CL) and visceral leishmaniosis (VL), respectively. The leishmanioses represent the second-largest parasitic killer in the world after malaria. Recently, we succeeded in generating a plasmid DNA (pCMV-HISA70m2A) and demonstrated that immunized mice were protected against L. major challenge. The efficacy of the DNA-vaccine was further enhanced by the inclusion of KMP-11 antigen into the antibiotic-free plasmid pVAX1-asd. Methods: Here, we describe the use of a HisAK70 DNA-vaccine encoding seven Leishmania genes (H2A, H2B, H3, H4, A2, KMP11 and HSP70) for vaccination of mice to assess the induction of a resistant phenotype against VL and CL. Results: HisAK70 was successful in vaccinated mice, resulting in a high amount of efficient sterile hepatic granulomas associated with a hepatic parasite burden fully resolved in the VL model; and resulting in 100 % inhibition of parasite visceralization in the CL model. Conclusions: The results suggest that immunization with the HisAK70 DNA-vaccine may provide a rapid, suitable, and efficient vaccination strategy to confer cross-protective immunity against VL and CL.This work was partially supported by grants from the Spanish Ministry of Economy and Competitiveness (AGL2010-17394 and AGL2013-44100R) and PLATESA (P2013/ABI-2906) from the Comunidad de Madrid (Spain).Peer Reviewe
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