Optimizador de operarios industriales

Este es un proyecto orientado hacia la optimización de actividades productivas en plantas industriales de empresas pymes (pequeñas y medianas empresas) mediante entornos de programación. Más concretamente la idea es realizar una aplicación que permita realizar planificaciones eficientes de cómo distribuir el trabajo a los operarios de producción dentro de una planta industrial convencional. Dichas plantas disponen de una serie de recursos, máquinas, que junto a su plantilla de trabajadores deben realizar las diferentes órdenes de fabricación. Estas tareas se han de poder realizar dentro de un marco de tiempo aceptable y a la vez adecuado al servicio que desea dar la planta a sus clientes. Por tal de abarcar de forma correcta este problema se distribuye el proyecto final de carrera en tres bloques principales: El primero de ellos es buscar un algoritmo/s que permita encontrar una solución aceptable, una buena solución. En segundo lugar realizar un estudio de los datos necesarios para poder llevar a cabo dicho algoritmo y diseñar una base de datos que disponga de la información adecuada para la organización de los recursos. Seguidamente, el programa que ejecutará la planificación del conjunto de órdenes de fabricación de la planta y su evaluación del nivel de eficiencia de la solución propuesta. El programa será realizado en el lenguaje de programación Java. Y finalmente, la presentación de los resultados y la bondad de la heurística desarrollada

Evaluation of a New Monoclonal Chemiluminescent Immunoassay Stool Antigen Test for the Diagnosis of Helicobacter pylori Infection: A Spanish Multicentre Study

The stool antigen test (SAT) represents an attractive alternative for detection of Helicobacter pylori. The aim of this study was to assess the accuracy of a new SAT, the automated LIAISON(R) Meridian H. pylori SA based on monoclonal antibodies, compared to the defined gold standard C-13-urea breath test (UBT). This prospective multicentre study (nine Spanish centres) enrolled patients >= 18 years of age with clinical indication to perform UBT for the initial diagnosis and for confirmation of bacterial eradication. Two UBT methods were used: mass spectrometry (MS) including citric acid (CA) or infrared spectrophotometry (IRS) without CA. Overall, 307 patients (145 naive, 162 with confirmation of eradication) were analysed. Using recommended cut-off values (negative SAT = 1.10) the sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 67%, 97%, 86%, 92% and 91%, respectively, obtaining an area under the receiver operating characteristic (ROC) curve (AUC) of 0.85. Twenty-eight patients, including seven false positives and 21 false negatives, presented a discordant result between SAT and UBT. Among the 21 false negatives, four of six tested with MS and 11 of 15 tested with IRS presented a borderline UBT delta value. In 25 discordant samples, PCR targeting H. pylori DNA was performed to re-assess positivity and SAT accuracy was re-analysed: sensitivity, specificity, positive predictive value, negative predictive value, accuracy and AUC were 94%, 97%, 86%, 99%, 97% and 0.96, respectively. The new LIAISON(R) Meridian H. pylori SA SAT showed a good accuracy for diagnosis of H. pylori infection

Caracterización multianalítica de meteorito marciano NWA2975 mediante CF-LIBS, fluorescencia de rayos X y espectroscopía Raman

La caracterización isotópica y elemental de los meteoritos de Marte ha permitido determinar la cronología de los procesos de formación del planeta y avanzar en la comprensión de su evolución biogeoquímica e hidrológica. Los meteoritos más abundantes son las rocas de origen ígneo, como las shergottitas. Los estudios petrológicos y geoquímicos previos del meteorito Northwest Africa 2975 (NWA 2975), revelaron que se trata de una roca volcánica de grano medio, entre subofítica y granular, compuesta predominantemente por piroxenos (57,3 vol.%) y plagioclasa (38,3 vol. %) completamente enmascarados con fases opacas (2,7 vol.%) y fosfatos (1,7 vol.%) [1]. El instrumento SuperCam a bordo del rover Perseverance (misión MARS 2020 de la NASA) está equipado con técnicas atómicas y moleculares (incluyendo LIBS y Raman) para la detección y análisis a distancia de muestras geológicas en la superficie del Planeta Rojo. La capacidad de estas técnicas se ha demostrado ampliamente en la caracterización de rocas, minerales y suelos en varias misiones espaciales. En el presente trabajo, se analizó un fragmento del meteorito NWA 2975 mediante un sistema de micro-LIBS con el objetivo de revelar su composición química elemental. Debido a la heterogeneidad intrínseca de la muestra, se analizaron diferentes posiciones de su superficie. El análisis cuantitativo de los elementos principales (Si, Al, Fe, Mg, Mn, Ca y O) y de otros elementos menores se llevó a cabo utilizando la metodología Calibration-Free [2]. Los resultados sugieren la presencia de piroxenos como principal componente mineral en las posiciones inspeccionadas, aunque también se pueden encontrar otras fases minerales como la plagioclasa. La información extraída del análisis LIBS se ha comparado con la de fluorescencia de rayos X (XRF) y la espectroscopia Raman. El uso combinado de diferentes técnicas espectroscópicas ha permitido obtener una mejor interpretación de los resultados composicionales.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Accurate and timely diagnosis of Eosinophilic Esophagitis improves over time in Europe. An analysis of the EoE CONNECT Registry

BACKGROUND: Poor adherence to clinical practice guidelines for eosinophilic esophagitis (EoE) has been described and the diagnostic delay of the disease continues to be unacceptable in many settings. OBJECTIVE: To analyze the impact of improved knowledge provided by the successive international clinical practice guidelines on reducing diagnostic delay and improving the diagnostic process for European patients with EoE. METHODS: Cross‐sectional analysis of the EoE CONNECT registry based on clinical practice. Time periods defined by the publication dates of four major sets of guidelines over 10 years were considered. Patients were grouped per time period according to date of symptom onset. RESULTS: Data from 1,132 patients was analyzed and median (IQR) diagnostic delay in the whole series was 2.1 (0.7‐6.2) years. This gradually decreased over time with subsequent release of new guidelines (p < 0.001), from 12.7 years up to 2007 to 0.7 years after 2017. The proportion of patients with stricturing of mixed phenotypes at the point of EoE diagnosis also decreased over time (41.3% vs. 16%; p < 0.001), as did EREFS scores. The fibrotic sub‐score decreased from a median (IQR) of 2 (1‐2) to 0 (0‐1) when patients whose symptoms started up to 2007 and after 2017 were compared (p < 0.001). In parallel, symptoms measured with the Dysphagia Symptoms Score reduced significantly when patients with symptoms starting before 2007 and after 2012 were compared. A reduction in the number of endoscopies patients underwent before the one that achieved an EoE diagnosis, and the use of allergy testing as part of the diagnostic workout of EoE, also reduced significantly over time (p = 0.010 and p < 0.001, respectively). CONCLUSION: The diagnostic work‐up of EoE patients improved substantially over time at the European sites contributing to EoE CONNECT, with a dramatic reduction in diagnostic delay

EoE CONNECT, the European Registry of Clinical, Environmental, and Genetic Determinants in Eosinophilic Esophagitis: rationale, design, and study protocol of a large-scale epidemiological study in Europe

Background: The growing prevalence of eosinophilic esophagitis (EoE) represents a considerable burden to patients and health care systems. Optimizing cost-effective management and identifying mechanisms for disease onset and progression are required. However, the paucity of large patient cohorts and heterogeneity of practice hinder the defining of optimal management of EoE. Methods: EoE CONNECT is an ongoing, prospective registry study initiated in 2016 and currently managed by EUREOS, the European Consortium for Eosinophilic Diseases of the Gastrointestinal Tract. Patients are managed and treated by their responsible specialists independently. Data recorded using a web-based system include demographic and clinical variables; patient allergies; environmental, intrapartum, and early life exposures; and family background. Symptoms are structurally assessed at every visit; endoscopic features and histological findings are recorded for each examination. Prospective treatment data are registered sequentially, with new sequences created each time a different treatment (active principle, formulation, or dose) is administered to a patient. EoE CONNECT database is actively monitored to ensure the highest data accuracy and the highest scientific and ethical standards. Results: EoE CONNECT is currently being conducted at 39 centers in Europe and enrolls patients of all ages with EoE. In its aim to increase knowledge, to date EoE CONNECT has provided evidence on the effectiveness of first- and second-line therapies for EoE in clinical practice, the ability of proton pump inhibitors to induce disease remission, and factors associated with improved response. Drug effects to reverse fibrous remodeling and endoscopic features of fibrosis in EoE have also been assessed. Conclusion: This prospective registry study will provide important information on the epidemiological and clinical aspects of EoE and evidence as to the real-world and long-term effectiveness and safety of therapy. These data will potentially be a vital benchmark for planning future EoE health care services in Europe

The SuperCam Instrument Suite on the Mars 2020 Rover: Science Objectives and Mast-Unit Description

On the NASA 2020 rover mission to Jezero crater, the remote determination of the texture, mineralogy and chemistry of rocks is essential to quickly and thoroughly characterize an area and to optimize the selection of samples for return to Earth. As part of the Perseverance payload, SuperCam is a suite of five techniques that provide critical and complementary observations via Laser-Induced Breakdown Spectroscopy (LIBS), Time-Resolved Raman and Luminescence (TRR/L), visible and near-infrared spectroscopy (VISIR), high-resolution color imaging (RMI), and acoustic recording (MIC). SuperCam operates at remote distances, primarily 2-7 m, while providing data at sub-mm to mm scales. We report on SuperCam's science objectives in the context of the Mars 2020 mission goals and ways the different techniques can address these questions. The instrument is made up of three separate subsystems: the Mast Unit is designed and built in France; the Body Unit is provided by the United States; the calibration target holder is contributed by Spain, and the targets themselves by the entire science team. This publication focuses on the design, development, and tests of the Mast Unit; companion papers describe the other units. The goal of this work is to provide an understanding of the technical choices made, the constraints that were imposed, and ultimately the validated performance of the flight model as it leaves Earth, and it will serve as the foundation for Mars operations and future processing of the data.In France was provided by the Centre National d'Etudes Spatiales (CNES). Human resources were provided in part by the Centre National de la Recherche Scientifique (CNRS) and universities. Funding was provided in the US by NASA's Mars Exploration Program. Some funding of data analyses at Los Alamos National Laboratory (LANL) was provided by laboratory-directed research and development funds

Optimizador de operarios industriales

Este es un proyecto orientado hacia la optimización de actividades productivas en plantas industriales de empresas pymes (pequeñas y medianas empresas) mediante entornos de programación. Más concretamente la idea es realizar una aplicación que permita realizar planificaciones eficientes de cómo distribuir el trabajo a los operarios de producción dentro de una planta industrial convencional. Dichas plantas disponen de una serie de recursos, máquinas, que junto a su plantilla de trabajadores deben realizar las diferentes órdenes de fabricación. Estas tareas se han de poder realizar dentro de un marco de tiempo aceptable y a la vez adecuado al servicio que desea dar la planta a sus clientes. Por tal de abarcar de forma correcta este problema se distribuye el proyecto final de carrera en tres bloques principales: El primero de ellos es buscar un algoritmo/s que permita encontrar una solución aceptable, una buena solución. En segundo lugar realizar un estudio de los datos necesarios para poder llevar a cabo dicho algoritmo y diseñar una base de datos que disponga de la información adecuada para la organización de los recursos. Seguidamente, el programa que ejecutará la planificación del conjunto de órdenes de fabricación de la planta y su evaluación del nivel de eficiencia de la solución propuesta. El programa será realizado en el lenguaje de programación Java. Y finalmente, la presentación de los resultados y la bondad de la heurística desarrollada

Comorbidity identification and referral in atopic dermatitis: a consensus document

Background Atopic dermatitis (AD) is associated with different comorbidities. Objective To develop evidence-based and practical recommendations for comorbidity detection in patients with AD in daily practice. Methods We employed a modified RAND/UCLA methodology, including a systematic literature review (SLR). A group of six experts on AD was established. We conducted a comprehensive search strategy on Medline, Embase, and Cochrane Library up to June 2020. The selection criteria included studies with AD patients with any comorbidity reporting data on comorbidity prevalence, burden, and management. The included studies quality was assessed. The SLR results were discussed in a nominal group meeting, and several recommendations were generated. The recommendation agreement grade was tested on additional experts through a Delphi process. Results The recommendations cover the following issues: (1) Which comorbidities should be investigated at the first and subsequent visits; (2) how and when should comorbidities be investigated (screening); (3) how should patients with specific comorbidities be referred to confirm their diagnosis and initiate management; (4) specific recommendations to ensure an integral care approach for AD patients with any comorbidity. Conclusions These recommendations seek to guide dermatologists, patients, and other stakeholders in regard to early comorbidity identification and AD patient referral to improve decision-making

Ultrasound findings of lung ultrasonography in COVID-19: A systematic review.

To identify the defining lung ultrasound (LUS) findings of COVID-19, and establish its association to the initial severity of the disease and prognostic outcomes. Systematic review was conducted according to the PRISMA guidelines. We queried PubMed, Embase, Web of Science, Cochrane Database and Scopus using the terms ((coronavirus) OR (covid-19) OR (sars AND cov AND 2) OR (2019-nCoV)) AND (("lung ultrasound") OR (LUS)), from 31st of December 2019 to 31st of January 2021. PCR-confirmed cases of SARS-CoV-2 infection, obtained from original studies with at least 10 participants 18 years old or older, were included. Risk of bias and applicability was evaluated with QUADAS-2. We found 1333 articles, from which 66 articles were included, with a pooled population of 4687 patients. The most examined findings were at least 3 B-lines, confluent B-lines, subpleural consolidation, pleural effusion and bilateral or unilateral distribution. B-lines, its confluent presentation and pleural abnormalities are the most frequent findings. LUS score was higher in intensive care unit (ICU) patients and emergency department (ED), and it was associated with a higher risk of developing unfavorable outcomes (death, ICU admission or need for mechanical ventilation). LUS findings and/or the LUS score had a good negative predictive value in the diagnosis of COVID-19 compared to RT-PCR. The most frequent ultrasound findings of COVID-19 are B-lines and pleural abnormalities. High LUS score is associated with developing unfavorable outcomes. The inclusion of pleural effusion in the LUS score and the standardisation of the imaging protocol in COVID-19 LUS remains to be defined