Factores de riesgo y consecuencias de las caídas en los residentes de un Centro Geriátrico Asistido.

Estudio Realizado sobre el fenómeno de las caídas con una muestro de 79 ancianos de un Centro Geriátrico Asistido para valorar la incidencia de determinados factores de riesgo intrínsecos y extrínsecos, así como sus consecuencias físicas y psíquicas (síndrome post-caída), evolución y tratamiento. El 80% de los ancianos sufrieron alguna caída. Las pruebas estadísticas realizadas mostraron que los ancianos que consumen benzodiacepinas e hipnóticos presentan mayor número de caídas que los que no consumen dichos fármacos, y lo mismo ocurre con el hecho de padecer demencia. La ocurrencia de las caídas también se estudió, mostrando los resultados una incidencia significativa del consumo de benzodiacepinas e hipnóticos (U=1119, p<0.001) y de neurolépticos (U=870, p<0.001). También inciden la demencia (U=937, p<0.0031 y Ios accidentes cerebro vasculares (U=347, p<0.007). El 15% de las caídas se debieron a enfermedades interrecurrentes o agudas, y un 5.1% terminaron en fractura. El 18.99% de los ancianos que sufrieron caídas mostraron el síndrome post-caída de modo objetivable

Analysis of a low ozone episode over Extremadura (Spain) in January 2006 and its influence on UV radiation

The main objectives of this work are to analyze, firstly, the detail of the causes of a low ozone event which occurred in January 2006 and, secondly, the related effects of this anomalous episode on ultraviolet (UV) radiation measured at three locations in Extremadura (South-Western Spain). On 19 January 2006, the OMI total ozone column (TOC) was 16&amp;ndash;20% below the January mean value of TOMS/NASA TOC (period 1996&amp;ndash;2005). The back trajectories analysis with the HYSplit model indicates that the notable decrease of TOC could be attributed to a fast rise of the isentropic trajectories height. Concomitantly, UV erythemal radiation greatly increases (between 23% and 37%) on 19 January 2006 respect to UV erythemal radiation measured on 19 January 2005. This notable increase in winter UV solar radiation may involve harmful effects for organisms adapted to receive less radiation during that season (e.g. early developmental stages of terrestrial plants and phytoplankton)

Property rights for grazing: study case from summer grazing in laguna del Maule (Chile)

Through contingent appraisal method, it is developed a simulation of prairies use rights in summer grazing in mountain. Three operating systems were analyzed: a) Current system, without contingency, with two winners short-ter, breeders and Administration, but changing long-term. b) Quotas system and contingency in livestock auction by batchs with what environmentaal soustenability is kept up and upheld, although paid cost is neither fairy distributed, nor is the most efficient, and c) Contingent system with rights market, the most efficient and with wich economic productivity, environmental soustenability and socila optimum are kept up.Se encuesta a ganaderos trashumantes que aprovechan pastos estivales de la Montaña del Maule, para intentar regular su uso ante el deterioro de los mismos por exceso de carga ganadera. Se aplica el método de valoración contingente para simular el establecimiento de derechos de uso de estos pastizales. El resultado de los tres sistemas de funcionamiento que se analizan es el siguiente: a) Sistema actual, sin contingentación, con dos ganadores a corto: ganaderos y administración, situación que se modifica a largo plazo. b) Sistema de cuotas y contingentación en subastas por lotes, con lo que se defiende y mantiene la sostenibilidad del ecosistema, aunque el coste pagado no es equidistribuitivo ni es el más eficiente. c) Sistema contingente con mercado de derechos, que es el más eficiente y en el que a la defensa de la productividad económica se une la sustentabilidad ambiental y el óptimo social

Morphosedimentary and phytogeography reconstruction of the middle section of the river Jarama (Madrid, Spain) during the second half of the Holocene.

[Abstract] Two sites located on the alluvial plain of the Jarama River, near Madrid, Spain, have been studied using geological, palynological and xylological techniques. Uniquely for this region, numerous wood subfossils of Alnus and Ulmus have been found together with an strobile of Pinus halepensis. This has allowed the stablishment of a coherent radiocarbon chronology, which demonstrates that these sedimentary environments began to develop during the mid Holocene. The dated sediments, which also contains appreciable amounts of pollen, have been deposited upon older palaeosols which has in turn developed directly on the geological substrate. Palynological analyses of these levels have provided valuable insights into the floristic composition of the communities associated with the different biotopes present in the area. As a result of these multiproxy analyses an interpretation of Holocene landscape history and vegetation dynamics is presente

Efectividad de las actividades preventivas a los 8 años de su introducción en una consulta de medicina general de un centro de salud

ObjetivoPrincipal: valorar la modificación del riesgo coronario (RC) en pacientes adultos tras 8 años de su incorporación al Programa Actividades Preventivas y Promoción Salud (PAPPS). Secundario: determinar nivel de vacunación antitetánica alcanzado y cumplimiento de actividades.DiseñoEstudio de intervención sin asignación aleatoria «antes-después».EmplazamientoUna consulta de medicina general de un centro de salud.PacientesUn total de 429 pacientes (204 varones, 225 mujeres) de 30-65 años seguidos durante 8 años, captados por búsqueda activa de casos en la consulta diaria.IntervencionesDeterminación de tensión arterial, colesterol, peso, tabaquismo, ingesta etílica, estado vacunal antitetánico, cálculo del RC a los 10 años según Framinghan y grado de cumplimiento de actividades. Estas variables se determinaron al inicio, a los 4 y a los 8 años. Datos obtenidos de la historia clínica.ResultadosPoblación total: a los 8 años descenso del RC, 0,8 (IC diferencia, 0,4-1,2), equivalente al 8,5% del inicial. Incremento obtenido de la vacunación antitetánica correcta del 64,4% (IC diferencia, 59,9-69%). Cumplimiento actividades al inicio y al octavo año: tensión, 100%, 71%; consumo tabaco, 99,5%, 71%; determinación colesterol, 89%, 64%. Subgrupo RC inicial alto: a los 8 años descenso del RC, 6,7 (IC diferencia, 4,9-8,5), equivalente al 24,8% del inicial.ConclusionesEn la población total el descenso del RC obtenido no es clínicamente significativo, mientras que en el subgrupo con RC inicial alto el descenso sí lo ha sido. Probablemente debería hacerse búsqueda activa de los pacientes con RC alto y actuar sobre ellos.ObjectivesMain: to assess the change in coronary risk (CR) in adults after 8 years of their involvement in the Programme of Preventive Activities and Health Promotion (PAPPS). Secondary: to determine the level of anti-tetanus vaccination reached and patients' compliance with activities.Design«Before and after» intervention study without random allocation.SettingA general medical clinic at a health centre.Patients429 patients (204 men, 225 women) between 30 and 65 monitored for 8 years, recruited by active search for cases at daily consultations.InterventionsBlood pressure, cholesterol, weight, tobacco habit, alcohol intake, anti-tetanus vaccination state, CR calculation at 10 years on the Framingham scale, and degree of compliance with activities were all determined at the start, at 4 years and at 8 years. Data was obtained from the clinical notes.ResultsTotal population: a 0.8 drop in CR (CI difference: 0.4-1.2), equivalent to 8.5% of the initial figure. 64.4% increase in correct anti-tetanus vaccination (CI difference: 59.9-69). Compliance with activities at the start and after eight years: pressure 100%, 71%; tobacco consumption 99.5%, 71%; cholesterol determination 89%, 64%. Initially high CR sub-group: 6.7 drop of CR at 8 years (CI difference: 4.9-8.5), equivalent to 24.8% of the initial figure.ConclusionsIn the total population, the CR drop found was not clinically significant, whereas in the initially high CR sub-group the drop was. There should probably be an active search made for patients with high CR and action taken on them

Impact of atmospheric deposition on the metabolism of coastal microbial communities

11 páginas, 3 tablas, 5 figurasThe impact of rain water collected at marine, urban and rural sites on coastal phytoplankton biomass, primary production and community composition as well as the effect on microbial plankton metabolism was studied in 3 microcosm experiments conducted under contrasting spring, autumn and winter conditions. The measured responses were highly variable. Rainwater additions increased chlorophyll a (Chl a) concentration (5–68% difference between rainwater treatments relative to the control) in all experiments and reduced or stimulated primary production (PP) depending on the treatment and the experiment (from −10 to +169% relative to the control). Autotrophic stimulation was highest in spring, probably related to the low initial natural nutrient concentrations. Under winter nutrient replete conditions, rainwater inputs changed the phytoplankton community although this change did not promote increases in primary production. Enhancement of net autotrophy (increase of net oxygen production up to 227%) after rainwater inputs were only found during the period of low nutrient availability. Inputs of dissolved organic nitrogen (DON) explained a large fraction of the variability in the response of PP, Chl a, community respiration (CR) and net community production (NCP). Our results suggest that differences in the initial environmental conditions (i.e. nutrient availability), rainwater composition and the ability of the present autotrophic communities to utilize the new nutrients result in substantial changes in the microbial responses and associated biologically-mediated carbon fluxes. As atmospheric nutrient inputs into coastal oceans are increasing rapidly, our results help to understand the effects of different inputs on the metabolism of distinct microbial communitiesThis research was supported by the Galician Government (Xunta de Galicia) through the grants 07MMA002402PR (IMAN) and PGIDIT06PXIB312222PR (AddEx). S.M-G. and E.E.G-M. were funded by F.P.U. fellowships and E.T. by a Ramón y Cajal contract of the Spanish Ministry of Science and InnovationPeer reviewe

The Northeast Atlantic is running out of excess carbonate in the horizon of cold-water corals communities

The oceanic uptake of atmospheric carbon dioxide (CO2) emitted by human activities alters the seawater carbonate system. Here, the chemical status of the Northeast Atlantic is examined by means of a high-quality database of carbon variables based on the GO-SHIP A25 section (1997–2018). The increase of atmospheric CO2 leads to an increase in ocean anthropogenic carbon (Cant) and a decrease in carbonate that is unequivocal in the upper and mid-layers (0–2,500 m depth). In the mid-layer, the carbonate content in the Northeast Atlantic is maintained by the interplay between the northward spreading of recently conveyed Mediterranean Water with excess of carbonate and the arrival of subpolar-origin waters close to carbonate undersaturation. In this study we show a progression to undersaturation with respect to aragonite that could compromise the conservation of the habitats and ecosystem services developed by benthic marine calcifiers inhabiting that depth-range, such as the cold-water corals (CWC) communities. For each additional ppm in atmospheric pCO2 the waters surrounding CWC communities lose carbonate at a rate of − 0.17 ± 0.02 μmol kg−1 ppm−1. The accomplishment of global climate policies to limit global warming below 1.5–2 ℃ will avoid the exhaustion of excess carbonate in the Northeast Atlantic

Technical and economical study of two tropical leguminous forages to feed dairy cows in the NW region of Dominican Republic

Two tropical leguminous forages are used as a partial substitute of the concentrate feed to milk production and its viability in the Northwest region of Dominican Republic is studied. Twelve dairy cows are used (crosses between Holstein and Brown Swiss and Jersey) in a fully random experimental design, with three treatments and four repetitions. In treatment I feed supplementation was 8 kg of concentrate per cow and day; while, in treatment II animals were fed with 4 kg of concentrate and 5 kg DM of leguminous forages. Treatment III supplementation was 4 kg of concentrate and a grass-leguminous forage mixture ad libitum. The experiment was carried out during 10 weeks and an individual milk production control was realised every day during this time. Results don"t show significant differences (p³0,05) for individual production neither accumulated one respecting the three proposed treatments. The study of gross margin according to treatment don’t show significant differences (p³0,05). However, simulation analysis of scenes for treatment I shows a high sensibility to modify the price of variable factor (concentrate). On the other hand, the treatment II showed superior margin and high stability to the price variation for inputs and outputs, and so was the treatment of choice in all the scenes simulated independently of milk and concentrate prices.Se estudió la utilización de leguminosas forrajeras tropicales como sustitutivo parcial del concentrado en la producción lechera y su viabilidad en la región noroeste de la República Dominicana. Se utilizan 12 vacas lecheras (cruces de Holstein con Pardo Suizo y Jersey) en un diseño experimental aleatorio con tres tratamientos y cuatro repeticiones. En el tratamiento I se suplementa con 8 kg de concentrado por vaca y día; en tanto que, en el tratamiento II se suplementan con 4 kg de concentrado y 5 kg de materia seca (MS) de una leguminosa forrajera tropical. En el tratamiento III se aporta una suplementación de 4 kg de concentrado y una asociación de una gramínea y otra leguminosa tropical ad libitum. La experiencia se desarrolló durante 10 semanas y cada día se realizó el control lechero individual. Los resultados muestran la ausencia de diferencias significativas (p³0,05) en la producción individual y acumulada respecto a los tres tratamientos propuestos. Al enfrentar el margen bruto respecto al tratamiento no se observan diferencias significativas (p³0,05). No obstante el análisis de simulación de escenarios muestra que el tratamiento I es muy sensible a la modificación del precio del factor variable (concentrado). Por otro lado, el tratamiento II presenta margen superior y alta estabilidad ante la variación de los precios de los insumos/productos y se muestra como tratamiento de elección en todos los escenarios simulados independientemente de los precios de la leche y el concentrado

Tuberculosis due to Mycobacterium bovis and Mycobacterium caprae in sheep

Tuberculosis was diagnosed in three flocks of sheep in Galicia, Spain, in 2009 and 2010. Two flocks were infected with Mycobacterium bovis and one flock was infected with Mycobacterium caprae. Infection was confirmed by the comparative intradermal tuberculin test, bacteriology, molecular analysis and histopathology. Sheep have the potential to act as a reservoir for tuberculosis