Estudio de calidad de información de los partes de interconsulta (P.I.C.) utilizados en las derivaciones de atención primaria a una unidad de salud mental.

El grado de cumplimentación correcta de los partes de interconsulta es un indicador de la calidad de la asistencia prestada

Estudio de calidad de información de los partes de interconsulta (P.I.C.) utilizados en las derivaciones de atención primaria a una unidad de salud mental.

El grado de cumplimentación correcta de los partes de interconsulta es un indicador de la calidad de la asistencia prestada

Influence of the ripening chamber's geographical location on dry-cured Iberian ham's key odorants

Olfactometric and sensory analyses have been applied to study the possible influence of the ripening chamber’s geographical location on the aroma sensory profiles and key odorants of Iberian ham. Dry-cured Iberian ham was obtained from 3 acorn-fed pigs and, for the first time, both of the participating production facilities, located in two different Andalusian municipalities with different altitudes above mean sea level, processed one of the two hind legs from each pig. The descriptive sensory profile of orthonasal and retronasal odours was determined by trained panellists, while odour-active compounds were determined by gas chromatography/mass spectrometry-olfactometry (GC/MS-O). The results obtained showed that, separately, both techniques enable Iberian ham samples to be differentiated by their ripening chamber’s geographical location. For sensory analysis, retronasal sensory analysis appeared to be the most suitable for this goal, highlighting the “meat broth odour” and “roasted nuts odour” descriptors which presented significant differences between geographical locations for samples from all pigs. Moreover, ripening chamber’s geographical location characteristics and the initial composition of the raw material seemed to influence the content of some odour-active compounds. The odour-active compound identified as octane/acetone and isobutanol were conditioned by the ripening chamber’s geographical location, while decanal/2-ethyl-1-hexanol, 1-undecanol, 2-furanmethanol and cis-2-nonenal were also influenced by the individual pig itself. This study showed that slight climatological differences due to the location of the ripening chamber seem to have somewhat of an influence on the aromatic profile.Universidad de Sevilla VIPPIT-2019-I

Moodle at prosgraduate level: virtual platform utilization and continuous assesment

La adaptación al EEES ha implicado una reestructuración de los estudios universitarios promoviendo, entre otros, el uso de una evaluación continuada de los aprendizajes y de herramientas docentes virtuales en los nuevos grados. Estos cambios también pueden aplicarse en el posgrado, aunque hasta el momento, son pocas las experiencias al respecto. El presente trabajo muestra la opinión y los resultados obtenidos de los estudiantes de una asignatura de posgrado de un Máster Oficial Universitario URV-UB en el que se llevó a cabo evaluación continuada y se utilizó el Campus Virtual (CV) como herramienta de aprendizaje y participación activa. La aplicación del proyecto (2007PID/UB-14) se llevó a cabo en 4 fases: elaboración del aula, diseño de encuestas dirigidas a los estudiantes para obtener su opinión sobre la evaluación continuada y sus conocimientos en el uso de plataformas virtuales de forma previa al curso, gestión diaria del aula y seguimiento de las actividades propuestas y finalmente, evaluación del proyecto a través de indicadores cualitativos y cuantitativos derivados de las encuestas y de la propia aplicación virtual. Al inicio del curso la mayoría (93,75%) de los estudiantes prefería evaluación continuada y al final de éste el 100% estuvieron de acuerdo con el tipo de evaluación realizado. Respecto al CV, los estudiantes realizaron todas las actividades de autoevaluación voluntarias. La puntuación sobre la utilidad de todos los recursos del aula del CV fue muy elevada, siendo máxima la obtenida por los ejercicios de autoevaluación. En global, los estudiantes otorgaron al aula una puntuación de 8,1 sobre 10.The definition of new academic degrees according to the EHEA has promoted, among others, the utilization of graduate students learning by continuous evaluation, as well as the usage of virtual teaching tools. These changes can also be applicable for postgraduate students, although very few experiences exist in this sense. The present work shows the students’ opinion and results from a URV-UB EHEA Master’s subject in which continuous assessment and virtual teaching tools for active learning and participation have been used. The project (2007PID/UB-14) was performed in 4 steps: virtual material production, surveys to students designed to obtain information regarding continuous assessment and their knowledge about virtual platforms (VP), daily assessment of proposed activities, and finally, evaluation of the project by means of qualitative and quantitative indicators from surveys and from the virtual platform usage profiles. At the beginning of the course most of students (93.75%) preferred continuous assessment and at the end 100% agreed with the type of evaluation applied. With respect to the VP, the students performed all the voluntary activities. All virtual teaching tools were considered as very useful by the students, being the most useful for them the autoevaluation activities. Globally, the students gave a punctuation of 8.1 to this experience.Este estudio ha sido subvencionado por la Universidad de Barclona (Proyecto de innovación docente 2007PID-UB/14)

Effectiveness of lanreotide autogel 120 mg at extended dosing intervals for acromegaly

Purpose: Recent data indicate that extended dosing intervals (EDIs) with lanreotide autogel 120 mg are effective and well-received among patients with acromegaly who have achieved biochemical control with monthly injections of long-acting somatostatin analogues (SSAs). We further evaluated the effectiveness of lanreotide autogel 120 mg delivered at EDIs (>4 weeks) in routine clinical practice. Methods: Cross-sectional, multicentre, observational study conducted to determine the effectiveness—measured by control of serum insulin-like growth factor 1 (IGF-1)—of lanreotide autogel 120 mg at dosing intervals >4 weeks for ≥6 months in selected patients with acromegaly treated in routine clinical practice (NCT02807233). Secondary assessments included control of growth hormone (GH) levels, treatment adherence, patient satisfaction, and quality of life (QoL) using validated questionnaires (EQ-5D, AcroQoL, and TSQM-9). Patients who received radiotherapy within the last 6 months were excluded. Results: Among 109 patients evaluated, mean (SD) age was 59.1 (13.2) years. IGF-1 values were normal (mean [SD]: 175.0 [74.5], 95% CI: 160.8 –189.1) in 91.7% of cases and normal in 91.4% of patients without previous radiotherapy treatment (n = 81). GH levels were ≤2.5 and ≤1 ng/mL, respectively, in 80.6% and 58.3%. Most patients were treated either every 5–6 (57.8%) or 7–8 weeks (38.5%), with 2.8% treated greater than every 8 weeks. The mean AcroQoL score was 63.0 (20.1). The mean global treatment satisfaction score (TSQM-9) was 75.1 (16.6). Treatment adherence (defined as no missed injections) was 94.5%. Conclusion: Lanreotide autogel 120 mg at intervals of >4 weeks provided IGF-1 control in more than 90% of patients with acromegaly. Treatment satisfaction and adherence were good. These findings support use of extended dosing intervals in patients who have achieved good biochemical control with long-acting SSAs

Aquatic mammals from the Mexican Caribbean; a review

We present a review of the aquatic mammal species occurring in the Mexican Caribbean. Several published sources were reviewed to find information about aquatic mammals reported for the Mexican Caribbean. Additionally, we consulted 29 national and international collections and museums. Based on documents, collections, direct records and local news, we analyzed 18 confirmed species of aquatic mammals for the study area [Tursiops truncatus, Stenella clymene, S. frontalis, S. longirostris, Steno bredanensis, Grampus griseus, Globicephala macrorhynchus, Peponocephala electra; Pseudorca crassidens, Orcinus orca, Physeter macrocephalus, Kogia breviceps, K. sima, Ziphius cavirostris, Mesoplodon europaeus, Trichechus manatus manatus, Lontra longicaudis annectens and Monachus tropicalis (extinct)]. In order to gather solid baseline information that enhances efficient long-term management, regular and systematic population censuses of the aquatic mammal community are recommended. We recommend the use of the Mexican Caribbean area as a separate unit of management and conservation, differently as has been included in the macro region Gulf of Mexico/Mexican Caribbean

Observational, multicentre study to evaluate the effectiveness in routine clinical practice of Lanreotide Autogel 120 mg at extended dosing intervals (>4 weeks) for the treatment of acromegaly: SOMACROL study

Guided posterThis is not the definitive version of record of this article. This manuscript has been accepted for publication in Endocrine Abstracts, but the version presneted here has not yet been copy-edited, formatted or proofed. Consequently, Bioscientifca accepts no responsability for any errors or omissions it may contain. The definitive version in now freely avaliable at Bioscientifica web page

Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study ([email protected] study)

Background Recent reports have suggested that air pollution may impact thyroid function, although the evidence is still scarce and inconclusive. In this study we evaluated the association of exposure to air pollutants to thyroid function parameters in a nationwide sample representative of the adult population of Spain. Methods The [email protected] study is a national, cross-sectional, population-based survey which was conducted in 2008-2010 using a random cluster sampling of the Spanish population. The present analyses included 3859 individuals, without a previous thyroid disease diagnosis, and with negative thyroid peroxidase antibodies (TPO Abs) and thyroid-stimulating hormone (TSH) levels of 0.1-20 mIU/L. Participants were assigned air pollution concentrations for particulate matter <2.5 mu m (PM2.5) and Nitrogen Dioxide (NO2), corresponding to the health examination year, obtained by means of modeling combined with measurements taken at air quality stations (CHIMERE chemistry-transport model). TSH, free thyroxine (FT4), free triiodothyronine (FT3) and TPO Abs concentrations were analyzed using an electrochemiluminescence immunoassay (Modular Analytics E170 Roche). Results In multivariate linear regression models, there was a highly significant negative correlation between PM2.5 concentrations and both FT4 (p<0.001), and FT3 levels (p<0.001). In multivariate logistic regression, there was a significant association between PM2.5 concentrations and the odds of presenting high TSH [OR 1.24 (1.01-1.52) p=0.043], lower FT4 [OR 1.25 (1.02-1.54) p=0.032] and low FT3 levels [1.48 (1.19-1.84) p=<0.001] per each IQR increase in PM2.5 (4.86 mu g/m(3)). There was no association between NO2 concentrations and thyroid hormone levels. No significant heterogeneity was seen in the results between groups of men, pre-menopausal and post-menopausal women. Conclusions Exposures to PM2.5 in the general population were associated with mild alterations in thyroid function.CIBERDEM (Ministerio de Economia, Industria y Competitividad-ISCIII), Ministerio de Sanidad, Servicios Sociales e Igualdad-ISCIII, Instituto de Salud Carlos III (PI17/02136, PI20/01322), Consejeria de Salud y familias (PI-0144-2018), European Regional Development Fund (ERDF) "A way to build Europe". GRM belongs to the regional Nicolas Monardes research program of the Consejeria de Salud (RC-0006-2016; Junta de Andalucia, Spain). CMA is recipient of a "Rio Hortega" research contract (CM19/00186, Instituto de Salud Carlos III). VKDG is recipient of a "Rio Hortega" research contract (CM21/00214, Instituto de Salud Carlos III)