A new approach for operating powered wheelchairs by people with severe impairments

This paper discusses the introduction of mechanisms to adapt commercial powered wheelchairs in order to facilitate its driving by people with severe impairments. Several models of operation are proposed and the most promising, at the moment, called legacy adapted mode, is detailed. A part of the formal operation model is presented. The model is then used in the STAGE simulator, not only for its valuation, but also to tune operational parameters that will be specific of each patient and to train the patients without a real wheelchair

Continuous renal replacement therapy in children after cardiac surgery

ObjectiveThe objective was to study the clinical course of children requiring continuous renal replacement therapy (CRRT) after cardiac surgery and to analyze the factors associated with mortality.MethodsA prospective observational study was performed that included all children requiring CRRT after cardiac surgery, comparing these patients with other critically ill children requiring CRRT. Univariate and multivariate analyses were performed to determine the influence of each factor on mortality.ResultsEighty-one (4.9%) of 1650 children undergoing cardiac surgery required CRRT; 65 of them (80.2%) presented multiorgan failure. Children starting CRRT after cardiac surgery had lower mean arterial pressure and lower urea and creatinine levels, and were more likely to require mechanical ventilation than other children on CRRT. The incidence of complications was similar. Cardiac surgery increased the probability of requiring CRRT for more than 14 days. Mortality was 43% in children receiving CRRT after cardiac surgery and 29% in other children (P = .05). Factors associated with mortality in the univariate analysis were age less than 12 months, weight less than 10 kg, higher Pediatric Risk of Mortality Score, hypotension, lower urea and creatinine on starting CRRT, and use of hemofiltration. In the multivariate analysis, the only factor associated with mortality was hypotension on starting CRRT (hazard ratio, 4.01; 95% confidence interval, 1.2-13.4; P = .024).ConclusionsAlthough only a small percentage of children undergoing cardiac surgery required CRRT, mortality in these patients was high. Hypotension at the time of starting the technique was the only factor associated with a higher mortality

Prevalence Of Uterine Synechia After Abortion Evacuation Curettage.

Intrauterine adhesion (IUA) is a possible complication of uterine curettage following abortion. Because IUA is an important cause of infertility, some investigators have been advocating its inclusion in the routine investigational workup after every abortion curettage procedure. The aim of this study was to evaluate the uterine cavity of patients subjected to abortion curettage, in order to ascertain the prevalence of IUA and its association with social and clinical factors. This was a cross-sectional study at the Human Reproduction Unit, Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp). A total of 109 women were enrolled. The investigators searched the records of Unicamp's hospital for patients who had been subjected to uterine curettage following abortion. The hysteroscopy was performed 3 to 12 months after the curettage. The correlations between patients' characteristics and the prevalence of IUA were assessed by means of chi-squared and Fisher's exact test calculations. The prevalence of IUA was 37.6%. The number of previous abortions and curettage procedures did not correlate with the presence of IUA. Most of the women (56.1%) presented IUA grade I. In the present study, 37.6% of the women subjected to curettage following abortion had IUA, which was mostly mucous and grade I. None of the demographic and clinic characteristics evaluated were found to be associated with IUA. From this study, there is no firm evidence to justify carrying out routine diagnostic hysteroscopy following abortion evacuation.125261-

Interrogating the Behaviour of a Styryl Dye Interacting with a Mesoscopic 2D-MOF and Its Luminescent Vapochromic Sensing

[EN] In this contribution, we report on the solid-state-photodynamical properties and further applications of a low dimensional composite material composed by the luminescent trans-4-(dicyanomethylene)-2-methyl-6-(4-dimethylaminostyryl)-4H-pyran (DCM) dye interacting with a two-dimensional-metal organic framework (2D-MOF), Al-ITQ-HB. Three different samples with increasing concentration of DCM are synthesized and characterized. The broad UV-visible absorption spectra of the DCM/Al-ITQ-HB composites reflect the presence of different species of DCM molecules (monomers and aggregates). In contrast, the emission spectra are narrower and exhibit a bathochromic shift upon increasing the DCM concentration, in agreeance with the formation of adsorbed aggregates. Time-resolved picosecond (ps)-experiments reveal multi-exponential behaviors of the excited composites, further confirming the heterogeneous nature of the samples. Remarkably, DCM/Al-ITQ-HB fluorescence is sensitive to vapors of electron donor aromatic amine compounds like aniline, methylaniline, and benzylamine due to a H-bonding-induced electron transfer (ET) process from the analyte to the surface-adsorbed DCM. These findings bring new insights on the photobehavior of a well-known dye when interacting with a 2D-MOF and its possible application in sensing aniline derivatives.This publication is part of the I+D+I projects with references PID2020-116519RB-I00, MAT2017-86532-R, PID2020-112590GB-C21/AEI/10.13039/501100011033. This work was also supported by the JCCM and the UCLM through projects SBPLY/19/180501/000212 and 2020-GRIN-28929 (Feder), respectively. M.G. also thanks the EU for the financial support through Fondo Social Europeo Plus (FSE+).Di Nunzio, MR.; Gutiérrez, M.; Moreno, JM.; Corma Canós, A.; Díaz Morales, UM.; Douhal, A. (2022). Interrogating the Behaviour of a Styryl Dye Interacting with a Mesoscopic 2D-MOF and Its Luminescent Vapochromic Sensing. International Journal of Molecular Sciences. 23(1):1-18. https://doi.org/10.3390/ijms2301033011823

Ibero-American Society of Interventionism (SIDI) and the Spanish Society of Vascular and Interventional Radiology (SERVEI) Standard of Practice (SOP) for the Management of Inferior Vena Cava Filters in the Treatment of Acute Venous Thromboembolism

Vena cava filtersFiltres de vena cavaFiltros de vena cavaObjectives: to present an interventional radiology standard of practice on the use of inferior vena cava filters (IVCFs) in patients with or at risk to develop venous thromboembolism (VTE) from the Iberoamerican Interventional Society (SIDI) and Spanish Vascular and Interventional Radiology Society (SERVEI). Methods: a group of twenty-two interventional radiologist experts, from the SIDI and SERVEI societies, attended online meetings to develop a current clinical practice guideline on the proper indication for the placement and retrieval of IVCFs. A broad review was undertaken to determine the participation of interventional radiologists in the current guidelines and a consensus on inferior vena cava filters. Twenty-two experts from both societies worked on a common draft and received a questionnaire where they had to assess, for IVCF placement, the absolute, relative, and prophylactic indications. The experts voted on the different indications and reasoned their decision. Results: a total of two-hundred-thirty-three articles were reviewed. Interventional radiologists participated in the development of just two of the eight guidelines. The threshold for inclusion was 100% agreement. Three absolute and four relative indications for the IVCF placement were identified. No indications for the prophylactic filter placement reached the threshold. Conclusion: interventional radiologists are highly involved in the management of IVCFs but have limited participation in the development of multidisciplinary clinical practice guidelines

A comparative study of a small series of patients (50 patients) with pelvic varicose veins treated with plugs alone or plugs and polidocanol

Level of Evidence: Level 2. Purpose: To compare the safety and efficacy of vascular plug (VP) and vascular plug and polidocanol foam (VPPF) treatments for embolization in pelvic congestion syndrome (PCS). Materials and methods: A comparative, prospective, two-center study enrolled 50 women with PCS from January 2019 to January 2020. The patients were divided into two groups, and embolization was performed with VP (n = 25) and VPPF (n = 25) treatments. The mean age of the patients was 45.6 years ± 6.9. Three clinical parameters were assessed: abdominal pain, dyspareunia, and lower limb pain. The primary outcome (clinical success at 1 yr using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared. The participants were followed-up at 1, 3, 6, and 12 months. Results: At the 1-year follow-up, clinical success did not significantly differ between the two groups (VP vs. VPPF) regarding the improvement of the symptoms analyzed (pelvic pain, dyspareunia, lower extremity pain, and other symptoms (p < 0.05)). The mean number of devices per case was 4 ± 1.1 for the VP group and 2 ± 0.31 for the VPPF group (p < 0.001). No major complications were recorded in either group. The VPPF group had a significantly longer fluoroscopy time (42.8 min ± 14.2 vs. 25.4 min ± 7) and longer radiation dose (VPPF air kerma 839.4 ± 513 vs. VP air kerma 658.4 mGy ± 355 (all p < 0.001)). Conclusions: Embolization for PCS resulted in pain relief in 90% of patients; the use of polidocanol did not demonstrate changes in the clinical outcome. The use of a VP alone was associated with decreased fluoroscopy time and radiation dose

Age and weight estimate on the first breeding in the Brazilian Pantanal heifers

Esto trabajo tuvo como objetivo estimar la edad y peso a la primera monta de novillas de las razas Nelore (N), Pantaneira (P) y Mestizas Pantaneira x Nelore (PxN). Se utilizó un total de 98 hembras, siendo 51, 24 y 23 pertenecientes a las razas N, P y PxN, respectivamente. El análisis estadístico de los datos no reveló diferencia significativa (P = 0,3595) para el peso a la primera monta entre las razas estudiadas. El análisis de varianza no reveló diferencia significativa (P = 0,307) entre las edades a la primera monta entre razas, mostrando 3,5, 3,4 y 3,2 años para las novillas P, N y ½PxN, respectivamenteThe objective of this work was to estimate the age and live weight at the first breeding in the Nelore (N), Pantaneira (P), and crossbreeding Pantaneira x Nelore (PxN) heifers. A total of 98 females was used for treatments, 51, 24 and 23 from N, P and PxN heifers, respectively. The statistical analysis did not show any significant difference (P = 0.3595) to live weight in the first breeding among breeds. The variance analysis did not show any significant difference (P = 0.307) of age among breeds, showing 3.5, 3.4 and 3.2 years to P, N and ½PxN heifers, respectivel

Lo que no sabemos y lo que ya hacemos

En este artículo se narra el enfoque y desarrollo de un taller de formación de profesorado entre iguales alrededor de la evaluación y trabajo por competencias básicas. Los participantes, de siete centros educativos parten del análisis de sus propias actividades de evaluación previas para descubrir qué convierte a una evaluación en competencial y cómo transformar la práctica didáctica en las aulas. Se ofrecen ejemplos y reflexiones sobre el impacto de este enfoque formativo en la práctica en el aula