Involvement, consistency and adaptability in the new style of relations (ner). The experience of ner Group in the Basque Country

[ES] Este artículo analiza la percepción que tienen las personas de las organizaciones de ner Group ubicadas en el País Vasco, de las características culturales del nuevo estilo de relaciones (ner), desarrollado por Koldo Saratxaga durante su exitosa dirección en Irizar Group. El ner, una innovación en cultura y gestión organizacional, una respuesta a los retos planteados por las tecnologías de la información y la comunicación y la sociedad del conocimiento, se basa en las personas, pilares básicos de las organizaciones, quienes trabajan en equipos autogestionados con responsabilidad, confianza y libertad para alcanzar la satisfacción del cliente. El compromiso de las personas con sus organizaciones se potencia mediante la solidaridad interna, expresada en la reducción de las diferencias salariales, el reparto de resultados, y la seguridad en el empleo ante situaciones de crisis, garantizada por las reubicaciones entre organizaciones del grupo. El estudio empírico desarrollado, para el que se ha diseñado un cuestionario específico, permite concluir que la gran mayoría de las personas manifiesta un alto grado de Implicación, considera que el ner facilita orientar la actividad hacia la satisfacción del cliente, perciben la Consistencia existente, facilitadora de relaciones de igualdad en un entorno de confianza mutua, y otorgan altas puntuaciones a la Adaptabilidad, interna (compromiso con la solidaridad interna) y externa (compromiso con el entorno social).[EN] This paper analyses the perception the people working at the organizations of ner Group in the Basque Country have of the cultural features of the new style of relationships (ner), created by Koldo Saratxaga during his successful running of Irizar Group. The ner, an innovation in culture and management, an answer to the challenges placed by the Technologies of Information and Communication and the Knowledge Society, is based on persons, basic pillars of the organizations; persons who work in self-managed teams with responsibility, confidence and freedom to reach customers satisfaction. The commitment and integration of persons with the organization they work for are strengthened by implementing internal solidarity based on the reduction of the wage differences, the profit sharing and the employment security in case of crisis, using then the relocations between organizations of ner Group. The developed empirical research, once designed an specific questionnaire, allows us to conclude that the majority of the people declare a high level of Involvement, consider the ner an organizational and management tool which makes directing activity to reach customer satisfaction feasible, they perceive the existing Consistency and voice that this makes possible relationships based on mutual trust and they judge positively the existing Adaptability, portrayed by commitment to the internal solidarity and to society and community

Los titulados universitarios que reciben las empresas

La demanda de puestos de trabajo para los universitarios en las empresas españolas es relativamente baja como consecuencia de las bases del crecimiento económico y el escaso tamaño medio del tejido empresarial español

Aplicación de la prospección geofísica a la caracterización geológica del entorno de Zaragoza

Los valles de fondo plano son uno de los relieves más característicos y abundantes del sector central de la Cuenca del Ebro. Existe la incógnita de si estos valles en profundidad tienen la geometría de la base plana o en embudo (“V”), como los valles fluviales. Para caracterizar estos valles se ha realizado una prospección magnética y tomado muestras de suelos, con el propósito de realizar un modelo 2,5D, un mapa de anomalías magnéticas y curvas termomagnéticas. A partir de todos estos métodos se observa que los valles de fondo plano tienen una susceptibilidad magnética mayor que las litologías que los rodean. Otra de las conclusiones que se obtienen, en este caso, a partir de la modelización 2,5D, es que muy probablemente, la base de los valles de fondo plano es plana. A estas conclusiones se llega únicamente a partir del estudio de las propiedades magnéticas. Para poder realizar una óptima caracterización de los valles de fondo plano sería conveniente utilizar más métodos geofísicos e incluirlos a un estudio multidisciplinar junto con el estudio mineralógico, estratigráfico y sedimentológico

Aplicación de la prospección geofísica a la caracterización geológica del entorno de Zaragoza

Los valles de fondo plano son uno de los relieves más característicos y abundantes del sector central de la Cuenca del Ebro. Existe la incógnita de si estos valles en profundidad tienen la geometría de la base plana o en embudo (“V”), como los valles fluviales. Para caracterizar estos valles se ha realizado una prospección magnética y tomado muestras de suelos, con el propósito de realizar un modelo 2,5D, un mapa de anomalías magnéticas y curvas termomagnéticas. A partir de todos estos métodos se observa que los valles de fondo plano tienen una susceptibilidad magnética mayor que las litologías que los rodean. Otra de las conclusiones que se obtienen, en este caso, a partir de la modelización 2,5D, es que muy probablemente, la base de los valles de fondo plano es plana. A estas conclusiones se llega únicamente a partir del estudio de las propiedades magnéticas. Para poder realizar una óptima caracterización de los valles de fondo plano sería conveniente utilizar más métodos geofísicos e incluirlos a un estudio multidisciplinar junto con el estudio mineralógico, estratigráfico y sedimentológico

"INTERGROWTH21st vs customized fetal growth curves in the assessment of the neonatal nutritional status: a retrospective cohort study of gestational diabetes"

Background Gestational diabetes mellitus is associated with increased incidence of adverse perinatal outcomes including newborns large for gestational age, macrosomia, preeclampsia, polyhydramnios, stillbirth, and neonatal morbidity. Thus, fetal growth should be monitored by ultrasound to assess for fetal overnutrition, and thereby, its clinical consequence, macrosomia. However, it is not clear which reference curve to use to define the limits of normality. Our aim is to determine which method, INTERGROWTH21st or customized curves, better identifies the nutritional status of newborns of diabetic mothers. Methods This retrospective cohort study compared the risk of malnutrition in SGA newborns and the risk of overnutrition in LGA newborns using INTERGROWTH21st and customized birth weight references in gestational diabetes. The nutritional status of newborns was assessed using the ponderal index. Additionally, to determine the ability of both methods in the identification of neonatal malnutrition and overnutrition, we calculate sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratios. Results Two hundred thirty-one pregnant women with GDM were included in the study. The rate of SGA indentified by INTERGROWTH21st was 4.7% vs 10.7% identified by the customized curves. The rate of LGA identified by INTERGROWTH21st was 25.6% vs 13.2% identified by the customized method. Newborns identified as SGA by the customized method showed a higher risk of malnutrition than those identified as SGA by INTERGROWTH21st. (RR 4.24 vs 2.5). LGA newborns according to the customized method also showed a higher risk of overnutrition than those classified as LGA according to INTERGROWTH21st. (RR 5.26 vs 3.57). In addition, the positive predictive value of the customized method was superior to that of INTERGROWTH21st in the identification of malnutrition (32% vs 27.27%), severe malnutrition (22.73% vs 20%), overnutrition (51.61% vs 32.20%) and severe overnutrition (28.57% vs 14.89%). Conclusions In pregnant women with DMG, the ability of customized fetal growth curves to identify newborns with alterations in nutritional status appears to exceed that of INTERGROWTH21s

“External and total hip rotation range of motion predispose to low back pain in elite Spanish inline hockey player”

Low back pain (LBP) is a common ailment in competitive athletes. Although the association between limited range of motion (ROM) and prevalence of LBP has been widely investigated in other sports, there is no research about this topic in inline hockey (IH). The main purposes of this study in IH players were (1) to analyze the association between hip ROM and LBP and (2) to establish a diagnostic cuto for ROM of high risk of LBP. Twenty elite IH players from the two Spanish National Teams (male and female) were assessed for passive maximum hip ROMs; the movement evaluated were the hip external [HER] and internal [HIR] rotation, hip flexion with flexed [HF-KF] and extended [HF-KE] knee, hip adduction with flexed hip [HAD-HF], hip abduction with neutral [HAB] and flexed [HAB-HF] hip, and hip extension [HE]. LBP was retrospectively monitored for the last 12 months before the date of ROM assessment by using a questionnaire. The data were analyzed via a binary logistic regression and receiver operating characteristic curves. The 70% of players had developed LBP during the retrospective study period. Significant dierences between LBP group and asymptomatic group for HER (p = 0.013, d [Cohen’s eect size] = 1.17) and hip total rotation [HTR] (p = 0.032, d [Cohen’s eect size] = 1.05) were observed. The cuto points with the greatest discriminatory capacity were 56.5 for HER and 93 for HTR ROMs

Neuroanatomical differences between first-episode psychosis patients with and without neurocognitive deficit: a 3-year longitudinal study

This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY).[Background]: The course of cognitive function in first-episode psychosis (FEP) patients suggests that some individuals are normal or near normal whereas some cases present a marked decline. The goal of the present longitudinal study was to identify neuroanatomical differences between deficit and non-deficit patients. [Methods]: Fifty nine FEP patients with neuroimage and neurocognitive information were studied at baseline and 3 year after illness onset. A global cognitive function score was used to classify deficit and non-deficit patients at baseline. Analysis of covariances and repeated-measures analysis were performed to evaluate differences in brain volumes. Age, premorbid IQ, and intracranial volume were used as covariates. We examined only volumes of whole brain, whole brain gray and white matter, cortical CSF and lateral ventricles, lobular volumes of gray and white matter, and subcortical (caudate nucleus and thalamus) regions. [Results]: At illness onset 50.8% of patients presented global cognitive deficit. There were no significant differences between neuropsychological subgroups in any of the brain regions studied at baseline [all F(1, 54) ≤ 3.42; all p ≥ 0.07] and follow-up [all F(1, 54) ≤ 3.43; all p ≥ 0.07] time points. There was a significant time by group interaction for the parietal tissue volume [F(1, 54) = 4.97, p = 0.030] and the total gray matter volume [F(1, 54) = 4.31, p = 0.042], with the deficit group showing a greater volume decrease. [Conclusion]: Our results did not confirm the presence of significant morphometric differences in the brain regions evaluated between cognitively impaired and cognitively preserved schizophrenia patients at the early stages of the illness. However, there were significant time by group interactions for the parietal tissue volume and the total gray matter volume during the 3-year follow-up period, which might indicate that cognitive deficit in schizophrenia would be associated with progressive brain volume loss.The present study was carried out at the Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain, under the following grant support: Instituto de Salud Carlos III PI020499, PI050427, PI060507, PI1000183, SENY Fundació Research Grant CI 2005-0308007, and Fundación Marqués de Valdecilla API07/011. We wish to thank the PAFIP researchers. Adele Ferro was sustained by the funds of the 2007/2013 European Social Fund Operational Programme of the Autonomous Region Friuli Venezia Giulia.Peer Reviewe

¿Pueden los factores clínicopatológicos mejorar la predicción de metástasis en ganglios linfáticos no centinelas en pacientes con cáncer de mama?

Introduction: To determine whether clinicopathological characteristics can improve the prediction of metastasis to nonsentinel lymph nodes (NSLNs) over the use of only mRNA copy number in sentinel lymph node (SLN) biopsies. Methods: This was a retrospective, observational study that included a total of 824 patients with T1-3 breast cancer who had clinically negative, ultrasound-negative axilla without evidence of metastasis and who underwent one-step nucleic acid amplification in SLN biop-sies. Results: 118 required a complete axillary lymph node dissection (ALNhD). About 35.6% (42/118) had metastases to a NSLN, and 64.4% (76/118) had no metastasis to a NSLN. The ROC curve of the total tumor load (TTL) presented an area under the curve (AUC) of 0.651 (95%; CI: 0.552-0.751). The 7294 copies of CK19 mRNA were established as the optimal cutoff point, with sensitivity: 93%, specificity: 63%, positive predictive value: 44%, and negative predictive value: 91%. By as-sociating the clinicopathological parameters (multicentricity, pooled immunohistochemistry [IHC], and progesterone receptors), the AUC went up to 0.752 (95% CI: 0.663-0.841). Conclusions: Clinicopathological factors should be considered together with the total CK19 mRNA copy number (the TTL) of the SLNs to improve the predictive capacity of metastatic involvement of the NSLNs

Sinorhizobium fredii Strains HH103 and NGR234 Form Nitrogen Fixing Nodules With Diverse Wild Soybeans (Glycine soja) From Central China but Are Ineffective on Northern China Accessions

Sinorhizobium fredii indigenous populations are prevalent in provinces of Central China whereas Bradyrhizobium species (Bradyrhizobium japonicum, B. diazoefficiens, B. elkanii, and others) are more abundant in northern and southern provinces. The symbiotic properties of different soybean rhizobia have been investigated with 40 different wild soybean (Glycine soja) accessions from China, Japan, Russia, and South Korea. Bradyrhizobial strains nodulated all the wild soybeans tested, albeit efficiency of nitrogen fixation varied considerably among accessions. The symbiotic capacity of S. fredii HH103 with wild soybeans from Central China was clearly better than with the accessions found elsewhere. S. fredii NGR234, the rhizobial strain showing the broadest host range ever described, also formed nitrogen-fixing nodules with different G. soja accessions from Central China. To our knowledge, this is the first report describing an effective symbiosis between S. fredii NGR234 and G. soja. Mobilization of the S. fredii HH103 symbiotic plasmid to a NGR234 pSym-cured derivative (strain NGR234C) yielded transconjugants that formed ineffective nodules with G. max cv. Williams 82 and G. soja accession CH4. By contrast, transfer of the symbiotic plasmid pNGR234a to a pSym-cured derivative of S. fredii USDA193 generated transconjugants that effectively nodulated G. soja accession CH4 but failed to nodulate with G. max cv. Williams 82. These results indicate that intra-specific transference of the S. fredii symbiotic plasmids generates new strains with unpredictable symbiotic properties, probably due to the occurrence of new combinations of symbiotic signals.España, Junta de Andalucía P11-CVI-7500España Ministerio de Economía y Competitividad BIO2016-78409-

Perioperative management and early complications after intestinal resection with ileocolonic anastomosis in Crohn’s disease: analysis from the PRACTICROHN study

This study is aimed at describing the prevalence of and risk factors associated with early post-operative complications after Crohn’s disease-related intestinal resection. Methods: This was a retrospective analysis of data from the PRACTICROHN cohort. Adult Crohn’s disease patients who underwent ileocolonic resection with ileocolonic anastomosis between January 2007 and December 2010 were included. The complications evaluated included death, ileus, anastomotic leak, abscess, wound infection, catheter-related infection, digestive bleeding and other extra-abdominal infections that occurred in the 30 days after surgery.Results: A total of 364 patients (median age at surgery 38 years and 50% men) were included. Indication for surgery was: stricturing disease (46.4%), penetrating disease (31.3%), penetrating and stricturing disease (14.0%) or resistance to medical treatment (5.8%). Early complications were recorded in 100 (27.5%) patients, with wound infection, intra-abdominal abscess and anastomotic leakage being the most frequent complications. Median hospitalization duration was 16 days for patients with complications vs. 9 days without complications (P<0.001). Complications were more common among patients with penetrating disease (36/114, 31.6%) and those refractory to treatment (9/21, 42.9%) compared with stricturing disease (45/169, 26.6%) or stricturingþpenetrating disease (6/51, 11.8%) (P¼0.040). The rate of complications was higher among patients with diagnosis made at the time of surgery (15/31, 48.4%) compared with the rest (85/331, 25.7%) (P¼0.013). Medication received at the time of surgery did not affect the rate of complications. Conclusions: Almost a quarter of patients developed early complications after intestinal resection. Penetrating disease and urgent surgery were associated with an increased risk of complicationsThis study was supported by Merck Sharp and Dohme, Spai