Estudio de viabilidad económica para una engorda de bovinos en corral en el sur del Estado de México

Se realiza una propuesta de viabilidad para la engorda en corral de bovinos carne, a través de la metodología de formulación y evaluación de proyectos de inversión. Se añaden dos indicadores de rentabilidad: Índice de deseabilidad y Tasa Verdadera de Rentabilidad o Tasa Interna de Retorno Modificada

El consumo cultural de los estudiantes de la UAEMEX. Una aproximación

El artículo tiene como propósito presentar una aproximación al consumo cultural de los alumnos de la Universidad Autónoma del Estado de México (UAEM), exponiendo algunos elementos de la oferta cultural de la Institución y la respuesta de los estudiantes ante ellos. En primer lugar se muestra una exposición sobre lo que es la difusión cultural, enmarcada en la misión y función institucionales y la problemática de su operación como tarea sustantiva de la Universidad. Enseguida se aborda un planteamiento teórico, a cierta profundidad, sobre el significado del término cultura, para asociarlo con el concepto de consumo cultural. Finalmente, aparecen reflexiones y datos aproximativos sobre el consumo cultural en la Institución

Parasites in Mexican patients with irritable bowel syndrome: a case-control study

One hundred and fifteen patients with symptoms suggestive of irritable bowel syndrome (IBS) according to Rome III criteria and 209 patients with gastrointestinal symptoms different from IBS (control) were identified through medical records from the Gastroenterology Clinic of the "Dr. Manuel Gea Gonzalez General Hospital" from January 2008 to March 2010. No statistical differences in IBS data as compared with control groups were observed except in bloating, that was more frequent in the IBS group (P = 0.043). Although the pathogenicity of specific intestinal protozoa could not be demonstrated due to lack of association with the development of gastrointestinal symptoms, Blastocystis spp, in the IBS group, exhibited a trend of association to diarrhoea (odds ratio = 2.73, 95% confidence interval = 0.84-8.80, P = 0.053), while having any parasite and diarrhoea was significant (odds ratio = 3.38, 95% confidence interval = 1.33-8.57, P = 0.008). The association between Blastocystis and diarrhoea in IBS patients although not conclusive is an interesting finding; nonetheless more extensive case-controlled studies are required to clearly define the role of some "non-pathogenic" parasites in intestinal disease and IBS

Farmacovigilancia y la relación con el regente de farmacia

Este documento recopila, documenta y resume de una manera muy concreta, la información relacionada con la Farmacovigilancia (FV), en el marco del diplomado de profundización de dicho tema. A lo largo del curso se abordaron diferentes aspectos de la FV como sus generalidades, los métodos y programas de vigilancia, las reacciones adversas, su clasificación y los tipos de reacciones adversas a medicamentos (RAM), las interacciones entre medicamentos, el quehacer del regente de farmacia, la promoción del uso racional de medicamentos, la efectividad de los mismos y las enfermedades de mayor prevalencia e incidencia en la sociedad.This document compiles, documents and summarizes in a very concrete way, the information related to Pharmacovigilance (VF), around the course. Throughout the course, different aspects of VF were addressed, such as its generalities, surveillance methods and programs, adverse reactions, their classification and the types of adverse drug reactions (ADRs), drug interactions, the regent's work of pharmacy, the promotion of the rational use of medicines, their effectiveness and the diseases with the highest prevalence and incidence in society

Time-frequency techniques for modal parameters identification of civil structures from acquired dynamic signals

A major trust of modal parameters identification (MPI) research in recent years has been based on using artificial and natural vibrations sources because vibration measurements can reflect the true dynamic behavior of a structure while analytical prediction methods, such as finite element models, are less accurate due to the numerous structural idealizations and uncertainties involved in the simulations. This paper presents a state-of-the-art review of the time-frequency techniques for modal parameters identification of civil structures from acquired dynamic signals as well as the factors that affect the estimation accuracy. Further, the latest signal processing techniques proposed since 2012 are also reviewed. These algorithms are worth being researched for MPI of large real-life structures because they provide good time-frequency resolution and noise-immunity

Co-creation Initiatives in Healthcare in Small Communities

The uses of technology in public spaces are not new, but now we find new forms of social interactions and practices, socio-spatial representations and relationships. The close relationship between real and virtual worlds also opens up new ways of advancing knowledge. In order to facilitate the implementation of Open Science, we explore different co-creation methods with multiple stakeholders. All groups are involved and have influence throughout the project lifecycle: from the beginning, to planning, to implementation, to dissemination. Research activities should involve a wide variety of stakeholders interested, including government, educators, nurses, charities, civil societies, patient groups and the publics, based in a way to (1) obtaining contributions by customers, (2) selecting the best of these contributions, and (3) incorporating these selected contributions into products, processes, or services. Interactions between Information and Communication Technologies (ICT), public spaces, and healthcare are considered as s a tool for connecting people in small communities (enhancing participation). A Platform (DXP - Digital eXperience Platform) through “headless” technologies may provide content management capabilities and easy integration with devices and various sources, driven by user needs and developed with the concept of “Community in mind” in order to create strong and active communities and transform our small communities into more human environments, rather than just more high-tech places, and to understand that “smartness” should be people-friendly. It was applies the Responsible Research and Innovation (RRI) principles on the scientific process and governance, identify drivers and barriers, interests and values for current and future societal challenges.This research was financially supported by the European Union’s Horizon 2020 research and innovation programme under the grant agreement No 741527 (project ORION).S

Evaluation of different bowel preparations for small bowel capsule endoscopy: a prospective, randomized, controlled study

To obtain an adequate view of the whole small intestine during capsule endoscopy (CE) a clear liquid diet and overnight fasting is recommended. However, intestinal content can hamper vision in spite of these measures. Our aim was to evaluate tolerance and degree of intestinal cleanliness during CE following three types of bowel preparation. PATIENTS AND METHODS: This was a prospective, multicenter, randomized, controlled study. Two-hundred ninety-one patients underwent one of the following preparations: 4 L of clear liquids (CL) (group A; 92 patients); 90 mL of aqueous sodium phosphate (group B; 89 patients); or 4 L of a polyethylene glycol electrolyte solution (group C; 92 patients). The degree of cleanliness of the small bowel was classified by blinded examiners according to four categories (excellent, good, fair or poor). The degree of patient satisfaction, gastric and small bowel transit times, and diagnostic yield were measured. RESULTS: The degree of cleanliness did not differ significantly between the groups (P = 0.496). Interobserver concordance was fair (k = 0.38). No significant differences were detected between the diagnostic yields of the CE (P = 0.601). Gastric transit time was 35.7 +/- 3.7 min (group A), 46.1 +/- 8.6 min (group B) and 34.6 +/- 5.0 min (group C) (P = 0.417). Small-intestinal transit time was 276.9 +/- 10.7 min (group A), 249.7 +/- 13.1 min (group B) and 245.6 +/- 11.6 min (group C) (P = 0.120). CL was the best tolerated preparation. Compliance with the bowel preparation regimen was lowest in group C (P = 0.008). CONCLUSIONS: A clear liquid diet and overnight fasting is sufficient to achieve an adequate level of cleanliness and is better tolerated by patients than other forms of preparation

Surgical treatment for colorectal cancer: Analysis of the influence of an enhanced recovery programme on long-term oncological outcomes-a study protocol for a prospective, multicentre, observational cohort study

Introduction The evidence currently available from enhanced recovery after surgery (ERAS) programmes concerns their benefits in the immediate postoperative period, but there is still very little evidence as to whether their correct implementation benefits patients in the long term. The working hypothesis here is that, due to the lower response to surgical aggression and lower rates of postoperative complications, ERAS protocols can reduce colorectal cancer-related mortality. The main objective of this study is to analyse the impact of an ERAS programme for colorectal cancer on 5-year survival. As secondary objectives, we propose to analyse the weight of each of the predefined items in the oncological results as well as the quality of life. Methods and analysis A multicentre prospective cohort study was conducted in patients older than 18 years of age who are scheduled to undergo surgery for colorectal cancer. The study involved 12 hospitals with an implemented enhanced recovery protocol according to the guidelines published by the Spanish National Health Service. The intervention group includes patients with a minimum implementation level of 70%, and the control group includes those who fail to reach this level. Compliance will be studied using 18 key performance indicators, and the results will be analysed using cancer survival indicators, including overall survival, cancer-specific survival and relapse-free survival. The time to recurrence, perioperative morbidity and mortality, hospital stay and quality of life will also be studied, the latter using the validated EuroQol Five questionnaire. The propensity index method will be used to create comparable treatment and control groups, and a multivariate regression will be used to study each variable. The Kaplan-Meier estimator will be used to estimate survival and the log-rank test to make comparisons. A p value of less than 0.05 (two-tailed) will be considered to be significant. Ethics and dissemination Ethical approval for this study was obtained from the Aragon Ethical Committee (C.P.-C.I. PI20/086) on 4 March 2020. The findings of this study will be submitted to peer-reviewed journals (BMJ Open, JAMA Surgery, Annals of Surgery, British Journal of Surgery). Abstracts will be submitted to relevant national and international meetings.The present research study was awarded a Ministerio de Ciencia e Innovación health research project grant (PI19/00291) from the Carlos III Institute of the Spanish National Health Service as part of the 2019 call for Strategic Action in Health