61 research outputs found

    Knowledge transmission in industrial clusters: evidence from EuroClusTex

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    Covering the knowledge economy scenario, this article attempts to illustrate the analysis of the employment of knowledge transmission channels in the EuroClusTex, cross-border textile and clothing cluster between northern Portugal and Galicia. Therefore, an exploratory research was conducted. Primary data were obtained through participation in events, from interviews with key informants (entrepreneurs, leaders of cluster support institutions and government representatives). The secondary data were provided by the cluster support institutions, international organizations and the literature review. The results showed that EuroClusTex contributes to the competitiveness of regions, boosting trade relations between Galicia and northern Portugal. The most effective knowledge transmission channels in EuroClusTex were identified as: imitation, relationship with suppliers, public policy and human resources training. Experiences similar to EuroClusTex can be considered and served as examples for the development of clustering policies in other countries.This work was financially supported by the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) (National Council for the Improvement of Higher Education).info:eu-repo/semantics/publishedVersio

    suspected transmission of tuberculosis in a maternity ward from a smear positive nurse preliminary results of clinical evaluations and testing of neonates potentially exposed rome italy 1 january to 28 july 2011

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    We report preventive measures adopted after tuberculosis (TB) transmission from a nurse to a newborn assessed in late July 2011. All exposed neonates born between January and July 2011 were clinically evaluated and tested by QuantiFERON TB gold in-tube; newborns testing positive were referred for prophylaxis. Of 1,340 newborns, 118 (9%) tested positive and no other active cases of TB were found. Active surveillance for TB will be continued over the next three years for all those exposed

    Surgical site infection after caesarean section. Space for post-discharge surveillance improvements and reliable comparisons

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    Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive

    Effect of natalizumab on disease progression in secondary progressive multiple sclerosis (ASCEND). a phase 3, randomised, double-blind, placebo-controlled trial with an open-label extension

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    Background: Although several disease-modifying treatments are available for relapsing multiple sclerosis, treatment effects have been more modest in progressive multiple sclerosis and have been observed particularly in actively relapsing subgroups or those with lesion activity on imaging. We sought to assess whether natalizumab slows disease progression in secondary progressive multiple sclerosis, independent of relapses. Methods: ASCEND was a phase 3, randomised, double-blind, placebo-controlled trial (part 1) with an optional 2 year open-label extension (part 2). Enrolled patients aged 18–58 years were natalizumab-naive and had secondary progressive multiple sclerosis for 2 years or more, disability progression unrelated to relapses in the previous year, and Expanded Disability Status Scale (EDSS) scores of 3·0–6·5. In part 1, patients from 163 sites in 17 countries were randomly assigned (1:1) to receive 300 mg intravenous natalizumab or placebo every 4 weeks for 2 years. Patients were stratified by site and by EDSS score (3·0–5·5 vs 6·0–6·5). Patients completing part 1 could enrol in part 2, in which all patients received natalizumab every 4 weeks until the end of the study. Throughout both parts, patients and staff were masked to the treatment received in part 1. The primary outcome in part 1 was the proportion of patients with sustained disability progression, assessed by one or more of three measures: the EDSS, Timed 25-Foot Walk (T25FW), and 9-Hole Peg Test (9HPT). The primary outcome in part 2 was the incidence of adverse events and serious adverse events. Efficacy and safety analyses were done in the intention-to-treat population. This trial is registered with ClinicalTrials.gov, number NCT01416181. Findings: Between Sept 13, 2011, and July 16, 2015, 889 patients were randomly assigned (n=440 to the natalizumab group, n=449 to the placebo group). In part 1, 195 (44%) of 439 natalizumab-treated patients and 214 (48%) of 448 placebo-treated patients had confirmed disability progression (odds ratio [OR] 0·86; 95% CI 0·66–1·13; p=0·287). No treatment effect was observed on the EDSS (OR 1·06, 95% CI 0·74–1·53; nominal p=0·753) or the T25FW (0·98, 0·74–1·30; nominal p=0·914) components of the primary outcome. However, natalizumab treatment reduced 9HPT progression (OR 0·56, 95% CI 0·40–0·80; nominal p=0·001). In part 1, 100 (22%) placebo-treated and 90 (20%) natalizumab-treated patients had serious adverse events. In part 2, 291 natalizumab-continuing patients and 274 natalizumab-naive patients received natalizumab (median follow-up 160 weeks [range 108–221]). Serious adverse events occurred in 39 (13%) patients continuing natalizumab and in 24 (9%) patients initiating natalizumab. Two deaths occurred in part 1, neither of which was considered related to study treatment. No progressive multifocal leukoencephalopathy occurred. Interpretation: Natalizumab treatment for secondary progressive multiple sclerosis did not reduce progression on the primary multicomponent disability endpoint in part 1, but it did reduce progression on its upper-limb component. Longer-term trials are needed to assess whether treatment of secondary progressive multiple sclerosis might produce benefits on additional disability components. Funding: Biogen

    Functional biogeography of vertebrate scavengers drives carcass removal across biomes

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    Resumen del trabajo presentado en el XVI Congreso Nacional de la AEET 2023: la ecología en una biosfera humanizada, celebrado en Almería entre el 16 y el 20 de octubre de 2023.Vertebrate scavengers play a crucial role in food web stability and cycling of organic matter and nutrients. However, the global factors that influence their functional biogeography and impact on ecosystem functioning at regional and local levels remain poorly understood. We aim to address this challenge by analyzing a global dataset covering 49 regions in all inhabited continents, including information on 1,847 locally monitored carcasses and 204 vertebrate scavenger species along with their functional traits. We investigate the importance of biogeographical (spatial), environmental and anthropogenic factors in structuring vertebrate scavengers¿ functional trait composition, diversity and abundance. Additionally, we investigate how these biodiversity attributes affect carcass removal at regional and local scales. Our results show that the functional trait composition of assemblages across studied regions was primarily explained by latitude and lon¬gitude, suggesting a strong biogeographical signature. In addition, while functional richness remained unexplained, scavenger abundance responded to both environmental and spatial factors. Further, we found that carcass removal was mainly driven by functional composition, but with the relative importance of particular functional traits varying from local to regional scales. At the local scale, carcass removal was positively related to large carnivorous species with large home ranges, while at the regional scale, carcass removal was better explained by the presence of vultures, other raptors and diurnal birds. Our study provides a better understanding of the factors controlling the func¬tional biogeography of terrestrial vertebrates and their role in maintaining essential ecological functions and services.Peer reviewe

    SNAPSHOT USA 2020: A second coordinated national camera trap survey of the United States during the COVID-19 pandemic

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    Managing wildlife populations in the face of global change requires regular data on the abundance and distribution of wild animals, but acquiring these over appropriate spatial scales in a sustainable way has proven challenging. Here we present the data from Snapshot USA 2020, a second annual national mammal survey of the USA. This project involved 152 scientists setting camera traps in a standardized protocol at 1485 locations across 103 arrays in 43 states for a total of 52,710 trap-nights of survey effort. Most (58) of these arrays were also sampled during the same months (September and October) in 2019, providing a direct comparison of animal populations in 2 years that includes data from both during and before the COVID-19 pandemic. All data were managed by the eMammal system, with all species identifications checked by at least two reviewers. In total, we recorded 117,415 detections of 78 species of wild mammals, 9236 detections of at least 43 species of birds, 15,851 detections of six domestic animals and 23,825 detections of humans or their vehicles. Spatial differences across arrays explained more variation in the relative abundance than temporal variation across years for all 38 species modeled, although there are examples of significant site-level differences among years for many species. Temporal results show how species allocate their time and can be used to study species interactions, including between humans and wildlife. These data provide a snapshot of the mammal community of the USA for 2020 and will be useful for exploring the drivers of spatial and temporal changes in relative abundance and distribution, and the impacts of species interactions on daily activity patterns. There are no copyright restrictions, and please cite this paper when using these data, or a subset of these data, for publication
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