113 research outputs found

    Adaptación transcultural de un cuestionario para medir la calidad de vida de los pacientes con anticoagulación oral

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    ObjetivoAdaptar a la cultura y el idioma españoles un cuestionario desarrollado para evaluar la calidad de vida de los pacientes con tratamiento anticoagulante oral (TAO) y medir su validezDiseñoEstudio observacional, descriptivo, de validación de un instrumento de medida de calidad de vida relacionada con la salud. Emplazamiento. Atención primaria y atención especializadaParticipantesUn total de 225 pacientes que incluía a todos los pacientes de nuestro centro que utilizan TAO y una muestra consecutiva de pacientes con TAO del servicio de hematología del hospital de referenciaMediciones principalesTraducción directa,traducción inversa y prueba de validez. Análisis factorial y agrupación por dimensiones de los ítems, análisis de la consistencia interna y análisis de correlación ítem-total de la versión definitiva del cuestionario en españolResultadosLa edad media de los pacientes fue de 65 ± 13 años, el 51,1% era mujer y el 45,8% era controlado en atención primaria. En el estudio de validez se realizó un análisis factorial con la extracción de 5 factores que explican el 41,62% del valor total de la varianza y la obtención de una agrupación diferente de la original, con unvalor de alfa de Cronbach global de 0,82 y de 0,56–0,74 en las diferentes dimensiones y análisis de correlación ítem-total con valores estadísticamente significativos, excepto en la pregunta número 29ConclusionesTras realizar la adaptación a la cultura y el idioma españoles de un cuestionario desarrollado para evaluar la calidad de vida de los pacientes con TAO, se ha obtenido un instrumento útil y válido para nuestro entornoObjectiveTo adapt to Spanish culture and language a questionnaire developed to evaluate the quality of life of patients taking oral anticoagulation treatment (OAT) and to measure its validityDesignA descriptive observation study to validate an instrument to measure health-related quality of lifeSettingPrimary and specialist careParticipants225 patients, all the patients at our centre who were on OAT and a consecutive sample of patients on OAT from the referral hospital's haemotology serviceMain measurementsDirect translation, back- translation, and pilot study. Factor analysis and item-dimension grouping, internal consistency analysis and analysis of the item- total correlation of the definitive version of the questionnaire in SpanishResultsMean age was 65 (SD=13 years); 51% were women; 45.8% were monitored in PC. Validity study: factor analysis extracted 5 factors that explained 41.62% of total variance value and obtained a grouping different from the original; Cronbach's alpha was .82 overall and ran from .56 to .74 in the various dimensions; and item-total correlation analysis had statistically significant values,except for question 29ConclusionsAfter adaptation to Spanish culture and language of a questionnaire developed to evaluate the quality of life of patients taking OAT, it was found to be a useful instrument, valid for use in our milie

    An analysis of existing production frameworks for statistical and geographic information: Synergies, gaps and integration

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    The production of official statistical and geospatial data is often in the hands of highly specialized public agencies that have traditionally followed their own paths and established their own production frameworks. In this article, we present the main frameworks of these two areas and focus on the possibility and need to achieve a better integration between them through the interoperability of systems, processes, and data. The statistical area is well led and has well-defined frameworks. The geospatial area does not have clear leadership and the large number of standards establish a framework that is not always obvious. On the other hand, the lack of a general and common legal framework is also highlighted. Additionally, three examples are offered: the first is the application of the spatial data quality model to the case of statistical data, the second of the application of the statistical process model to the geospatial case, and the third is the use of linked geospatial and statistical data. These examples demonstrate the possibility of transferring experiences/advances from one area to another. In this way, we emphasize the conceptual proximity of these two areas, highlighting synergies, gaps, and potential integration. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

    Severe Deoxygenation Event Caused by the 2011 Eruption of the Submarine Volcano Tagoro (El Hierro, Canary Islands)

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    The shallow, near-shore submarine volcano Tagoro erupted in October 2011 at the Mar de las Calmas marine reserve, south of El Hierro island. The injection of lava into the ocean had its strongest episode during November 2011 and lasted until March 2012. During this time, in situ measurements of dissolved oxygen were carried out, using a continuous oxygen sensor constantly calibrated with water samples. A severe deoxygenation was observed in the area, particularly during October-November 2011, which was one of the main causes of the high mortality observed among the local marine ecosystem. The measured O2 concentrations were as low as 7.71 µmol kg-1, which represents a -96% decrease with respect to unaffected waters. The oxygen depletion was found in the first 250 m of the water column, with peaks between 70-120 m depth. The deoxygenated plume covered an area of at least 464 km2, distributed particularly south and south-west of the volcano, with occasional patches found north of the island. The oxygen levels were also monitored through the following years, during the degassing stage of the volcano, when oxygen depletion was no longer observed. Additionally, during the eruption, an island-generated anticyclonic eddy interacted with the volcanic plume and transported it for at least 80 km, where the O2 measurements still showed a -8% decrease after mixing and dilution. This feature draws attention to the permanence and transport of volcanic plumes far away from their source and long after the emission.En prens

    Transactive Response DNA-Binding Protein (TARDBP/TDP-43) Regulates Cell Permissivity to HIV-1 Infection by Acting on HDAC6

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    The transactive response DNA-binding protein (TARDBP/TDP-43) influences the processing of diverse transcripts, including that of histone deacetylase 6 (HDAC6). Here, we assessed TDP-43 activity in terms of regulating CD4+ T-cell permissivity to HIV-1 infection. We observed that overexpression of wt-TDP-43 increased both mRNA and protein levels of HDAC6, resulting in impaired HIV-1 infection independently of the viral envelope glycoprotein complex (Env) tropism. Consistently, using an HIV-1 Env-mediated cell-to-cell fusion model, the overexpression of TDP-43 levels negatively affected viral Env fusion capacity. Silencing of endogenous TDP-43 significantly decreased HDAC6 levels and increased the fusogenic and infection activities of the HIV-1 Env. Using pseudovirus bearing primary viral Envs from HIV-1 individuals, overexpression of wt-TDP-43 strongly reduced the infection activity of Envs from viremic non-progressors (VNP) and rapid progressors (RP) patients down to the levels of the inefficient HIV-1 Envs observed in long-term non-progressor elite controllers (LTNP-EC). On the contrary, silencing endogenous TDP-43 significantly favored the infectivity of primary Envs from VNP and RP individuals, and notably increased the infection of those from LTNP-EC. Taken together, our results indicate that TDP-43 shapes cell permissivity to HIV-1 infection, affecting viral Env fusion and infection capacities by altering the HDAC6 levels and associated tubulin-deacetylase anti-HIV-1 activity.This work is supported by the Spanish AIDS network “Red Temática Cooperativa de Investigación en SIDA” RD12/0017/0002, RD12/0017/0028, RD12/0017/0034, RD16/0025/0011, RDCIII16/0002/0005 and RD16/0025/0041 as part of the Plan Nacional R + D+I and co-funded by the Spanish “Instituto de Salud Carlos III (ISCIII)-Subdirección General de Evaluación y el Fondo Europeo de Desarrollo Regional (FEDER)”. J.B. is a researcher from “Fundació Institut de Recerca en Ciències de la Salut Germans Trias i Pujol” supported by the Health Department of the Catalonian Government/Generalitat de Catalunya and ISCIII grant numbers PI17/01318 and PI20/00093 (to J.B.). Work in CC Lab was supported by grants SAF (2010-17226) and (2016-77894-R) from MINECO (Spain), FIS (PI 13/02269, ISCIII) and PI20/00093. Work in CF Lab was supported by the Cabildo Insular de Tenerife (grants CGIEU0000219140 and “Apuestas científicas del ITER para colaborar en la lucha contra la COVID-19”); the agreement with the Instituto Tecnológico y de Energías Renovables (ITER) to strengthen scientific and technological education, training research, development and innovation in Genomics, Personalized Medicine and Biotechnology (grant number OA17/008). A.V.-F.’s Lab is supported by the European Regional Development Fund (ERDF), RTI2018-093747-B-100 (“Ministerio de Ciencia e Innovación”, Spain), “Ministerio de Ciencia, Innovación y Universidades” (Spain), ProID2020010093 (“Agencia Canaria de Investigación, Innovación y Sociedad de la Información” and European Social Fund), UNLL10-3E-783 (ERDF and “Fundación CajaCanarias”) and “SEGAI-ULL”. S.P-Y is funded by “Fundación Doctor Manuel Morales” (La Palma, Spain) and “Contrato Predoctoral Ministerio-ULL Formación de Doctores” (2019 Program) (“Ministerio de Ciencia, Innovación y Universidades”, Spain). R.C.-R. is funded by RD16/0025/0011 and ProID2020010093 (“Agencia Canaria de Investigación, Innovación y Sociedad de la Información” and European Social Fund). J.G.-L. is funded by the “Juan de la Cierva de Incorporación” Spanish Program (IJC2019-038902-I) (“Ayudas Juan de la Cierva de incorporación; Agencia Estatal de Investigación. Ministerio de Ciencia e Innovación”).S

    Shells and humans: molluscs and other coastal resources from the earliest human occupations at the Mesolithic shell midden of El Mazo (Asturias, Northern Spain)

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    Human populations exploited coastal areas with intensity during the Mesolithic in Atlantic Europe, resulting in the accumulation of large shell middens. Northern Spain is one of the most prolific regions, and especially the so-called Asturian area. Large accumulations of shellfish led some scholars to propose the existence of intensification in the exploitation of coastal resources in the region during the Mesolithic. In this paper, shell remains (molluscs, crustaceans and echinoderms) from stratigraphic units 114 and 115 (dated to the early Mesolithic c. 9 kys cal BP) at El Mazo cave (Asturias, northern Spain) were studied in order to establish resource exploitation patterns and environmental conditions. Species representation showed that limpets, top shells and sea urchins were preferentially exploited. One-millimetre mesh screens were crucial in establishing an accurate minimum number of individuals for sea urchins and to determine their importance in exploitation patterns. Environmental conditions deduced from shell assemblages indicated that temperate conditions prevailed at the time of the occupation and the morphology of the coastline was similar to today (rocky exposed shores). Information recovered relating to species representation, collection areas and shell biometry reflected some evidence of intensification (reduced shell size, collection in lower areas of exposed shores, no size selection in some units and species) in the exploitation of coastal resources through time. However, the results suggested the existence of changes in collection strategies and resource management, and periods of intense shell collection may have alternated with times of shell stock recovery throughout the Mesolithic.This research was performed as part of the project “The human response to the global climatic change in a littoral zone: the case of the transition to the Holocene in the Cantabrian coast (10,000–5000 cal BC) (HAR2010-22115-C02-01)” funded by the Spanish Ministry of Economy and Competitiveness. AGE was funded by the University of Cantabria through a predoctoral grant and IGZ was funded by the Spanish Ministry of Economy and Competitiveness through a Juan de la Cierva grant. We also would like to thank the University of Cantabria and the IIIPC for providing support, David Cuenca-Solana, Alejandro García Moreno and Lucia Agudo Pérez for their help. We also thank Jennifer Jones for correcting the English. Comments from two anonymous reviewers helped to improve the paper
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