Fractura de la apófisis coracoides asociada con luxación de la articulación acromio clavicular

Las fracturas de la apófisis coracoides asociada con luxación de la articulación acromioclavicular y con rotura de los ligamentos coracoclaviculares en los adultos ocurren infrecuentemente. Este artículo añade otro caso más a la literatura, para enfatizar la importancia del reconocimiento de este tipo de lesiones. El diagnóstico se realiza mediante una radiografía anteroposterior y una lateral axial y/o la TAC. El tratamiento puede ser quirúrgico u ortopédico con mínimas alteraciones residuales.A coracoid process fracture associated with acromioclavicular joint dislocation is an unusual lesion in adults. This report adds another case to the literature to reemphasize the importance of recognizing this unusual lesion. An anteroposterior and axillary lateral radiograph or CT-scan often is needed for diagnosis of the fracture. Surgical and nonsurgical treatment appear to ofter equally favorable results

Estudio del grado de control metabólico de la DM tipo 2 y de su tratamiento en un cupo de AP

18 páginas.Trabajo de Curso de Experto Universitario en Abordaje del Paciente en Atención Primaria (2013-14). Tutor: Juan Bedoya Belmonte. Fundamento: Valorar el cumplimiento de los objetivos de control metabólico en los pacientes diabéticos tipo 2 incluidos en el PAI de DM, comparándolo con los valores recomendados por la American Diabetes Association (ADA), así como el grado de cumplimiento del Proceso Asistencial Integrado (PAI) y del tipo de tratamiento . Diseño: Estudio descriptivo, observacional y retrospectivo. Emplazamiento: UGC de Ayamonte. Distrito Huelva-Costa Métodos: Se tomaron como muestra los pacientes mayores de 18 años, incluidos en el Programa Asistencial Integrado (PAI) de Diabetes Mellitus de una clave médic. Se obtuvieron las variables desde la Historia Clínica de Salud Digital (HCSD). Fueron seleccionadas para su procesamiento los sociodemográficos, tiempo de evolución, HbA1c, retinografías y retinopatía, cribado de neuropatía mediante monofilamento y presencia de neuropatía; se obtuvieron también variables procedentes del tratamiento en base al tipo del mismo en función de los tipos de fármacos utilizados y el grado de control que se obtenían con los mismos. Resultados: La prevalencia de diabéticos incluidos en el PAI 7,2%. Se incluyeron en el estudio el 53,4% Prevalencia de DM tipo 2 65,64% que corresponde al 4,6% de la población adscrita. El grado de control de la DM fue del 65,6%. El grado de cumplimentación del cribado de la neuropatía fue del 98% con un 11,5% de resultados positivos. La retinopatía tuvo un grado de cumplimentación insuficiente con datos próximos al 60% y resultados positivos en el 12,9% de los explorados. El tratamiento con antidiabéticos orales ocupó el 67%, en terapia combinada el 25% y con insulina solo el 2%. Conclusiones: Existe una baja detección de pacientes diabéticos. El grado de control de la diabetes fue aceptable, pero el cumplimento del programa es insuficiente. El grado de control es menor cuanto mayor es el tiempo de evolución y las necesidades de tratamiento aumentan parejas al tiempo de evolución, disminuyendo su eficacia

Las evaluaciones externas y el rendimiento académico de los alumnos como instrumento de mejora educativa

El presente artículo refleja la importancia que han adquirido las evaluaciones externas como instrumento de control, por parte de las Administraciones, del estado general de los sistemas educativos. Aunque es un tema de actualidad, la utilización de pruebas externas estandarizadas es tan antigua como los propios sistemas educativos, girando ya desde el inicio en torno al rendimiento académico de los alumnos. En la actualidad esas pruebas sirven de guía para la elaboración de leyes educativas que sin duda, están consiguiendo una auténtica renovación pedagógica en la que las instituciones educativas tratan de obtener los mejores resultados en el rendimiento de sus alumnos, suponiendo todo ello, la mejora general de los sistemas educativosThis article shows the importance of the external evaluation employed by the Administration as a tool to supervise the overall status of the educational system. Being a current issue, the use of a standardised external test is, however, as old as educational systems themselves which since their origin have always been related to students´academic performance. Currently, these tests serve as a guidance to elaborate educational laws that are undoubtedly acquiring an authentic pedagogical renewal through which educational institutions attempt to obtain the best results of their students´ performance and, consequently, the general improvement of the educational syste

Effect of mold temperature on the impact behavior and morphology of injection molded foams based on polypropylene polyethylene–octene copolymer blends

Producción CientíficaIn this work, an isotactic polypropylene (PP) and a polyethylene–octene copolymer (POE) have been blended and injection-molded, obtaining solids and foamed samples with a relative density of 0.76. Different mold temperature and injection temperature were used. The Izod impact strength was measured. For solids, higher mold temperature increased the impact resistance, whereas in foams, the opposite trend was observed. In order to understand the reasons of this behavior, the morphology of the elastomeric phase, the crystalline morphology and the cellular structure have been studied. The presence of the elastomer near the skin in the case of high mold temperature can explain the improvement produced with a high mold temperature in solids. For foams, aspects as the elastomer coarsening in the core of the sample or the presence of a thicker solid skin are the critical parameters that justify the improved behavior of the materials produced with a lower mold temperature.Ministerio de Economía, Industria y Competitividad (grant DI-15-07952

La Corporación Financiera Nacional y su incidencia en el desarrollo de las pymes período 2008-2014

TributaciónLa presente investigación busca determinar el impacto de los recursos colocados por parte de la Corporación Financiera Nacional en la pequeña y mediana empresa de los diferentes sectores económicos, así como identificar los principales aspectos en la que estas se han beneficiado, tomando como referencia sus principales indicadores económicos-financieros.This research aims to determine the impact of the resources placed by the National Finance Corporation in the small and medium enterprises of different economic sectors and identify major aspects in which these have benefited, with reference to its main indicators economic-financial

Representative datasets for neural networks

Neural networks present big popularity and success in many fields. The large training time process problem is a very important task nowadays. In this paper, a new approach to get over this issue based on reducing dataset size is proposed. Two algorithms covering two different shape notions are shown and experimental results are given.Ministerio de Economía y Competitividad MTM2015-67072-

Towards a Philological Metric through a Topological Data Analysis Approach

The canon of the baroque Spanish literature has been thoroughly studied with philological techniques. The major representatives of the poetry of this epoch are Francisco de Quevedo and Luis de Góngora y Argote. They are commonly classified by the literary experts in two different streams: Quevedo belongs to the Conceptismo and Góngora to the Culteranismo. Besides, traditionally, even if Quevedo is considered the most representative of the Conceptismo, Lope de Vega is also considered to be, at least, closely related to this literary trend. In this paper, we use Topological Data Analysis techniques to provide a first approach to a metric distance between the literary style of these poets. As a consequence, we reach results that are under the literary experts’ criteria, locating the literary style of Lope de Vega, closer to the one of Quevedo than to the one of Góngora

Torque distribution strategy for a four In-wheel fully electric car

Jornadas de Automática, 2 - 4 de septiembre de 2015. BilbaoElectromobility promises to have a strong impact in several aspects of our life: introducing new means of transport concepts, proposing new business models and allowing to create new vehicle configurations impossible with traditional combustion engines. Regarding the latter, this paper presents a novel torque distribution strategy for a 4 in-wheel electric vehicle which aims to reduce the total longitudinal slip. The control strategy is designed off-line supported by a simulator and tested both in simulation (with a different model from the used for designing) as well as on a real sized prototype. The results show that the total longitudinal slip is successfully reduced after applying the control strategy and additionally, the radius described by the vehicle while cornering is slightly closer to the theoretical Ackerman radius.Ministerio de Economía y Competitividad DPI2013-46912-C2-

Representative Datasets: The Perceptron Case

One of the main drawbacks of the practical use of neural networks is the long time needed in the training process. Such training process consists in an iterative change of parameters trying to minimize a loss function. These changes are driven by a dataset, which can be seen as a set of labeled points in an n-dimensional space. In this paper, we explore the concept of representative dataset which is smaller than the original dataset and satisfies a nearness condition independent of isometric transformations. The representativeness is measured using persistence diagrams due to its computational efficiency. We also prove that the accuracy of the learning process of a neural network on a representative dataset is comparable with the accuracy on the original dataset when the neural network architecture is a perceptron and the loss function is the mean squared error. These theoretical results accompanied with experimentation open a door to the size reduction of the dataset in order to gain time in the training process of any neural network

Topology-based representative datasets to reduce neural network training resources

One of the main drawbacks of the practical use of neural networks is the long time required in the training process. Such a training process consists of an iterative change of parameters trying to minimize a loss function. These changes are driven by a dataset, which can be seen as a set of labeled points in an n-dimensional space. In this paper, we explore the concept of a representative dataset which is a dataset smaller than the original one, satisfying a nearness condition independent of isometric transformations. Representativeness is measured using persistence diagrams (a computational topology tool) due to its computational efficiency. We theoretically prove that the accuracy of a perceptron evaluated on the original dataset coincides with the accuracy of the neural network evaluated on the representative dataset when the neural network architecture is a perceptron, the loss function is the mean squared error, and certain conditions on the representativeness of the dataset are imposed. These theoretical results accompanied by experimentation open a door to reducing the size of the dataset to gain time in the training process of any neural networkAgencia Estatal de Investigación PID2019-107339GB-100Agencia Andaluza del Conocimiento P20-0114