ARE TEMPORARY HELP AGENCIES CHANGING MOBILITY PATTERNS IN THE SPANISH LABOUR MARKET?

This paper examines to what extent Temporary Help Agency intermediation in the labour market affects workers' transitions into and out of employment in the Spanish youth labour market throughout the nineties. Results obtained show that this intermediation presents a positive impact on the likelihood of leaving unemployment, although only for short-term unemployed individuals; at the same time, however, the employment hazard rate is substantially higher for agency workers. We also find that employment hazard rates were substantially affected in the 90's by the extensive use of fixed-term contracts, although the 1997 labour market reform is found to reduce this hazard rate. Finally, very young workers, women and those with lower qualification levels are more likely to be affected by higher labour turnover.

Purifications of multipartite states: limitations and constructive methods

We analyze the description of quantum many-body mixed states using matrix product states and operators. We consider two such descriptions: (i) as a matrix product density operator of bond dimension D; and (ii) as a purification that is written as a matrix product state of bond dimension D'. We show that these descriptions are inequivalent in the sense that D' cannot be upper bounded by D only. Then we provide two constructive methods to obtain (ii) out of (i). The sum of squares (sos) polynomial method scales exponentially in the number of different eigenvalues, and its approximate version is formulated as a semidefinite program, which gives efficient approximate purifications whose D' only depends on D. The eigenbasis method scales quadratically in the number of eigenvalues, and its approximate version is very efficient for rapidly decaying distributions of eigenvalues. Our results imply that a description of mixed states which is both efficient and locally positive semidefinite does not exist, but that good approximations do

Quality of care of patients with type-2 diabetes in Galicia (NW Spain) [OBTEDIGA project]

[Abstract] Aims:  The aim of this study was to describe the degree of compliance of agreed practices with reference to primary care patients with Type 2 diabetes of 40 years old and older in Galicia (NW Spain). Methods:  A total of 108 primary care physicians were selected at random from the totality of doctors. Each physician selected 30 patients at random from their patients suffering from diabetes of 40 years old or older. External observers gathered information from each patient’s medical record regarding their characteristics, condition and degree of compliance of selected indicators of good practice. Results:  Group of physicians participated in this study had a mean age of 50 years (standard deviation = 3.9); 48% of them were females; and 17.5% involved in medical residents training. A total of 3078 diabetic patients were included in the study: mean age = 69 years (SD = 10.9), 47.6% women, presence of high blood pressure (72%), hypercholesterolaemia (56%), and regular smokers (10.3%). Compliance with selected indicators such as foot examination (14%), ophthalmological examination (30.6%), abdominal circumference measurement (6.1%), measurement of total or LDL-cholesterol (78.1), blood pressure measurement (84.8), glycosylated haemoglobin measurement < 7% (54.3%) was observed. Adequate monitoring in cases of high blood pressure and hypercholesterolaemia were 34.2% and 27.4%, respectively. Variability between physicians differs according to the different indicators, with interquartile range for compliance of between 16.4 and 66%. Conclusions:  There is a wide margin for improvement in the adaptation of clinical practice to recommendations for diabetic patients. The large variation existing in certain indicators would suggest that certain control objectives are less demanding than advisable in those that comply least, while low compliance and low variability in other indicators point to structural problems or unsatisfactory training of doctors

Effect of an educational intervention in primary care physicians on the compliance of indicators of good clinical practice in the treatment of type 2 diabetes mellitus [OBTEDIGA project]

[Abstract] Aim. To evaluate the effect of an educational intervention among primary care physicians on several indicators of good clinical practice in diabetes care. Methods. Two groups of physicians were randomly assigned to the intervention or control group (IG and CG). Every physician randomly selected two samples of patients from all type 2 diabetic patients aged 40 years and above and diagnosed more than a year ago. Baseline and final information were collected cross-sectionally 12 months apart, in two independent samples of 30 patients per physician. The educational intervention comprised: distribution of educational materials and physicians' specific bench-marking information, an on-line course and three on-site educational workshops on diabetes. External observers collected information directly from the physicians and from the medical records of the patients on personal and family history of disease and on the evolution and treatment of their disease. Baseline information was collected retrospectively in the control group. Results. Intervention group comprised 53 physicians who included a total of 3018 patients in the baseline and final evaluations. CG comprised 50 physicians who included 2868 patients in the same evaluations. Measurement of micro-albuminuria in the last 12 months (OR = 1.6, 95% CI: 1.1–2.4) and foot examination in the last year (OR = 2.0, 95% CI: 1.1–3.6) were the indicators for which greater improvement was found in the IG. No other indicator considered showed statistically significant improvement between groups. Conclusions. The identification of indicators with very low level of compliance and the implementation of a simple intervention in physicians to correct them is effective in improving the quality of care of diabetic patients

Pressurometry and biomechanical study of the foot in padel

El pádel es un deporte muy practicado en países como España, Argentina y Brasil, pero existen poco artículos científicos que muestren la lesividad de su práctica. Los movimientos más frecuentes del pádel pueden incidir de forma lesiva en el pie y en la articulación del tobillo. Por ello el objetivo del presente estudio fue profundizar en el análisis del rol del pie en la ejecución de los movimientos más representativos del pádel mediante técnicas de video y de presurometría. El estudio fue dividido en dos partes: análisis presurométrico de dos gestos (carrera frontal y el split-step), y filmación del pié en el trascurso de dos partidos. Las principales conclusiones obtenidas del estudio son la importancia del antepié en los movimientos analizados, la importancia de un diseño específico del calzado para el pádel, y la importancia del entrenamiento neuromuscular y propioceptivo del complejo pie-tobillo, especialmente de los flexores plantares

Valorización de ceniza de bagazo de caña de la industria azucarera Nicaragüense como sustituto parcial al cemento Portland

In this study, the use of the ashes of sugarcane bagasse (ASB) from Monte Rosa sugarcane mill (Nicaragua) as an alternative material to Portland Cement (PC) was evaluated. The evaluation was performed through studies of advanced characterization and mechanical properties in pastes with 15% and 45% substitution of PC. Moreover, 100% PC pastes were used as reference. The mechanical resistance (MR), the consumption of calcium hydroxide and the development of reaction products were measured. The results showed that the highest values of MR were obtained for the reference pastes, thus indicating that the MR decreased with increase in the degree of substitution. Through the analysis of X-ray diffraction (XRD) and thermal analysis TGA / DTA was found that the consumption of Ca(OH)2 gave rise to the formation of CSH gel as the main product of hydration and caused the gain in the mechanical properties. The reaction products were observed by scanning electron microscopy (SEM) where the mechanism in solid state was noticeable. From this result, it can be concluded that the ASB are pozzolanic material with a better reactivity to Ca(OH)2 with 15% of substitution. DOI: http://dx.doi.org/10.5377/nexo.v27i2.1944En este estudio, se presenta la valoración del uso de las cenizas de bagazo de caña (CBCA) proveniente del Ingenio Monte Rosa(Nicaragua) como material alternativo al cemento Portland (CP) mediante estudios de caracterización avanzada y propiedadesmecánicas, en pastas endurecidas de CP sustituidas en 15 y 45 % por CBCA; además se utilizó pastas de referencia con 100 %CP sobre las cuales se evaluó las resistencias mecánicas (RM), el consumo de hidróxido de calcio y el desarrollo de losproductos de reacción. Los resultados revelaron que los valores más altos de RM reportados fueron por el sistema de referencia,indicando que la RM disminuyó con el incremento en el porcentaje de sustitución. Por medio de los análisis de difracción derayos X (DRX) y análisis térmicos por ATG/ATD fue demostrado el consumo de Ca(OH)2 que dio lugar a la formación de gelCSH como principal producto de hidratación y responsable de la ganancia de las propiedades mecánicas. Los productos dereacción fueron observados también por microscopia electrónica de barrido (MEB) donde el mecanismo en estado sólido fuenotable. A partir de estos resultados se puede concluir que las CBCA son un material puzolánico con una mejor reactividadfrente al Ca(OH)2 con 15 % de sustitución.DOI: http://dx.doi.org/10.5377/nexo.v27i2.194

Experimental results and modelling of humidity control strategies from greenhouses in continental and coastal setting in the Mediterranean regíon. I : Experimental results and model development.

Experimental strategies for controlling humidity were compared in a greenhouse sited in Madrid, a continental site in the Mediterranean region. Small roof window apertures significantly reduced the relative humidity with only a limited increase in associated energy consumption. A simplified climate model with four energy exchange terms (heating, insolation, losses through structure, and losses through windows) and three mass exchange terms (evapotranspiration, losses through structure, and losses through windows) was validated, allowing relative humidity to be predicted with an error of < 9%. - Se ensayaron una serie de estrategias experimentales para el control de la humedad en un invernadero de Madrid, España. Se comprobó que pequeñas aperturas de la ventana cenital reducían significativamente el nivel de humedad con limitados incrementos del consumo de energía en calefacción. Se validó un modelo climático simplificado con cuatro términos de intercambio de energía (calefacción, radiación solar, pérdidas a través de la cubierta y pérdidas a través de las ventanas) y tres términos de intercambio de humedad (evapotranspiración, pérdidas a través de la cubierta y pérdidas a través de las ventanas), modelo que permitió predecir la humedad relativa con un error inferior al 9%

Notodo es "cut-out" : reclasificación de las complicaciones mecánicas del tornillo cefálico del clavo intramedular.

The use of the intramedullary nail in extracapsular fractures of the proximal third of the femur is the most frequent stabilization system. In recent years, the biomechanical complications that affect this system have been increasing.A retrospective radiographic study of intertrochanteric fractures was performed followed by an analysis of the biomechanical complications in zone 1 of the cephalic screw. Of the 548 cases, 85 cases (15.5%) of complications were observed, with "back-out" being the most frequent minor complication and "cut-out" the most frequent major complication. 41% of the total fractures correspond to type 31-A2.3 AO / OTA. The basicervical fractures and 31-A2.3 have a high risk of complications.The biomechanical origin that Lenich describes is important to understand as the surgical solution varies depending on whether it is cut-out, cut-in (same origin of the biomechanical failure of the head screw) or cut-through (different origin) to, consequently, resolve them in the right manne

Leiomiomas cutáneos: revisión clinicopatológica y epidemiológica

Fundamento. Los leiomiomas cutáneos, superficiales o suprafasciales, se dividen en tres variantes: piloleiomiomas (PL), angioleiomiomas (AL) y leiomiomas genitales (LG) que incluyen las formas vulvares, escrotales y areolares. El objetivo fue establecer las características clinicohistológicas y la incidencia de cada variante, y las posibles asociaciones con neoplasias internas. Material y métodos. Se revisaron 255 casos de leiomiomas cutáneos diagnosticados entre 1982 y 2018 en los servicios de Anatomía Patológica de tres centros hospitalarios (Navarra y Alicante). Se describieron y compararon variables demográficas, clínicas, histológicas e inmunohistoquímicas. Resultados. La incidencia en Navarra de PL fue 4,3 casos por año y millón de habitantes, de AL 20 y de LG 1,4. Las formas cutáneas suponen aproximadamente el 3,5 % del total de leiomiomas. La población con PL sufrió más frecuentemente cáncer de mama (OR= 4,8; IC95%: 1,3-17,4; p= 0,006). Los leiomiomas areolares son de pequeño tamaño, acompañados de dolor local, predominantemente fasciculares o sólidos, con muy rara afectación del tejido celular subcutáneo y escasa atipia. Esto contrasta con el resto de LG, de tamaño medio y rara vez dolorosos, predominantemente nodulares, con frecuente afectación del tejido celular subcutáneo y atipia. Conclusiones. Se aporta información sobre las características clinicohistológicas de las distintas variantes de leiomiomas, según las cuales debería replantearse la clasificación de los leiomiomas areolares fuera del grupo de LG. Se detectó una asociación entre PL y carcinoma de mama que deberá confirmarse en futuros estudios para determinar si este leiomioma constituye un marcador de riesgo de cáncer de mama en mujeres.Background. Cutaneous, superficial and or suprafascial leiomyoma are divided into three variants: piloleiomyomas (PL), angioleiomyomas (AL) and genital leiomyomas (GL) that include the vulvar, scrotal and areolar forms. This study set out to establish the clinical and histological characteristics and incidence of each variant, and any likely associations with internal neoplasms. Methods. A review was carried out of 255 cases of cutaneous leiomyomas diagnosed between 1982 and 2018 at the Pathology departments of three hospitals (Navarra and Alicante). Demographic, clinical, histological and immunohistochemical variables were described and compared. Results. The incidence of PL in Navarra was 4.3 cases per million inhabitants a year, with another 20 cases of AL and 1.4 cases of GL. Cutaneous forms make up approximately 3.5% of the total leiomyomas. The population with PL suffered more frequently from breast cancer (OR= 4.8; CI 95%: 1.3-17.4; p= 0.006). Nipple leiomyomas are small, accompanied by localised pain, and are predominantly fascicular or solid, with very infrequent effect on the subcutaneous cellular tissue and scarce atypia. This makes for a contrast with the other GLs, which are medium sized and infrequently painful, predominantly nodular, and frequent effect on the subcutaneous tissue and atypia. Conclusions. The information provided here about the clinical and histological characteristics of the different varieties of leiomyomas indicate that there is a need to reconsider the classification of nipple leiomyomas outside the group of GLs. An association between PL and breast carcinoma was detected, which needs to be confirmed in future studies so as to determine if this leiomyoma is a risk marker for breast cancer

Chronostratigraphy and new vertebrate sites from the upper Maastrichtian of Huesca (Spain), and their relation with the K/Pg boundary

The transitional-continental facies of the Tremp Formation within the South-Pyrenean Central Unit (Spain) contain one of the best continental vertebrate records of the Upper Cretaceous in Europe. This Pyrenean area is therefore an exceptional place to study the extinction of continental vertebrates across the Cretaceous/Paleogene (K/Pg) boundary, being one of the few places in Europe that has a relatively continuous record ranging from the upper Campanian to lower Eocene. The Serraduy area, located on the northwest flank of the Tremp syncline, has seen the discovery of abundant vertebrate remains in recent years, highlights being the presence of hadrosaurid dinosaurs and eusuchian crocodylomorphs. Nevertheless, although these deposits have been provisionally assigned a Maastrichtian age, they have not previously been dated with absolute or relative methods. This paper presents a detailed stratigraphic, magnetostratigraphic and biostratigraphic study for the first time in this area, making it possible to assign most vertebrate sites from the Serraduy area a late Maastrichtian age, specifically within polarity chron C29r. These results confirm that the vertebrate sites from Serraduy are among the most modern of the Upper Cretaceous in Europe, being very close to the K/Pg boundary.Spanish Ministry of Economy and Competitiveness (grant numbers CGL2014-53548-P, CGL2015-64422-P and CGL2017-85038-P), cofinanced by the European Regional Development Fund; and by the Department of Education and Science of the Aragonese Government (grant numbers DGA groups H54 and E05), cofinanced by the European Social Fund (ESF). The paleomagnetic study was possible thanks to the complementary grants (beneficiaries of FPU, grant number CGL2010-16447/BTE: Brief Stays and Temporary Transfers, year 2015) supported by the Spanish Ministry of Culture, Education and Sports; and the Laboratory of paleomagnetism of the University of Burgos (Spain). Eduardo Puértolas Pascual is the recipient of a postdoctoral grant (SFRH/BPD/116759/2016) funded by the Fundação para a Ciência e Tecnologia (FCT-MCTES)