28 research outputs found
Notas sobre flora y vegetación en el sector oriental del Sistema Central
Este trabajo contiene un total de 107 citas recogidas en el macizo de Ayilón y zonas próximas, acompañadas por una síntesis de la información previa disponible acerca de cada especie en la zona y por referencias mesológicas básicas de cada emplazamiento. En la segunda parte se incluye una descripción botánica de la l1arnada Acebeda de Becerril, ubicada en el monte núm. 64 del CUP de Segovia
Performance, behaviour and meat quality of beef heifers fed concentrate and straw offered as total mixed ration or free-choice
Eighteen Simmental heifers were fed concentrate and barley straw offered as a total mixed ration (TMR) or separately as a free choice (FCH) to compare performance, behaviour, and meat quality. The heifers were assigned to treatments in a randomized complete block design. Animals were allotted to roofed pens with 3 animals per pen, and 3 pens per treatment. Intake of concentrate, average daily gain, and gain to feed ratio were not different between diets, being on average 7.6 kg/day, 1.38 kg/day and 0.18 kg/kg, respectively. Straw intake was greater in TMR than in FCH treatment (0.7 vs 0.3 kg/day, respectively; p<0.001). Crude protein intake, neutral detergent fibre intake and water consumption did not differ between treatments. Time spent eating was longer in FCH than in TMR (p=0.001), whereas time spent ruminating and total chewing time were longer (p<0.01) in TMR than in FCH. The number of displacements resulting from competition for feed in the main feeder in TMR treatment tended to be greater than in FCH treatment. There were no differences in the carcass characteristics and quality of meat of animals assigned to the different feeding methods, but the percentage of 18:2 n-6 was higher in FCH treatment. In summary, these results suggest that the use of TMR as a feeding method in beef cattle fed high concentrate diets did not affect performance and increased time spent ruminating with a potential decrease of ruminal acidosis incidence
Feminization of the Nile tilapia Oreochromis niloticus by estradiol-17? Effects on growth, gonadal development and body composition
Conditions for the feminization of undifferentiated XY fry of Nile tilapia (Oreochromis niloticus) fed on a diet supplemented with estradiol-17? (E2) were investigated in order to produce functional phenotypical females (genetic males). Different E2 concentrations (60 and 120 mg kg-1) were tested over a period of 30 days in a closed recirculating system. Fry were fed ad libitum at 1-h intervals. The effects on growth, gonadal development and body composition were evaluated at sexual maturity. Sex-reversed females were produced in both E2 treatments. The proportion of males was significantly lower (p < 0.05) in both E2 treatments compared to the control group. Fish with atypical papilla and normal ovaries were producedin both E2 concentrations. These fish were considered sex-reversed females. Growth was significantly higher (p < 0.05) in the males compared to both the females and the sex-reversed ones in all groups analyzed. No testicular tissue was observed in any of the ovaries of the sex-reversed females analyzed. The percentage of fat in muscle increased and that of protein decreased significantly (p < 0.05) in the sex-reversed females compared to that observed in the control group. Identified sex-reversed females will be used in the production of YY males through mating with normal males, as part of a developing breeding program to produce a male genetic population in the southern region of Mexico
Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)
Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters.
Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs).
Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001).
Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio
Aprendizajes y prácticas educativas en las actuales condiciones de época: COVID-19
“Esta obra colectiva es el resultado de una convocatoria a docentes, investigadores y profesionales del campo pedagógico a visibilizar procesos investigativos y prácticas educativas situadas en el marco de COVI-19. La misma se inscribe en el trabajo llevado a cabo por el equipo de Investigación responsable del Proyecto “Sentidos y significados acerca de aprender en las actuales condiciones de época: un estudio con docentes y estudiantes de la educación secundarias en la ciudad de Córdoba” de la Facultad de Filosofía y Humanidades. Universidad Nacional de Córdoba.
El momento excepcional que estamos atravesando, pero que también nos atraviesa, ha modificado la percepción temporal a punto tal que habitamos un tiempo acelerado y angustiante que nos exige la producción de conocimiento provisorio. La presente publicación surge como un espacio para detenernos a documentar lo que nos acontece y, a su vez, como oportunidad para atesorar y resguardar las experiencias educativas que hemos construido, inventado y reinventando en este contexto. En ella encontrarán pluralidad de voces acerca de enseñar y aprender durante la pandemia. Este texto es una pausa para reflexionar sobre el hacer y las prácticas educativas por venir”.Fil: Beltramino, Lucia (comp.). Universidad Nacional de Córdoba. Facultad de Filosofía y Humanidades. Escuela de Archivología; Argentina
Performance, behaviour and meat quality of beef heifers fed concentrate and straw offered as total mixed ration or free-choice
Eighteen Simmental heifers were fed concentrate and barley straw offered as a total mixed ration (TMR) or separately as a free choice (FCH) to compare performance, behaviour, and meat quality. The heifers were assigned to treatments in a randomized complete block design. Animals were allotted to roofed pens with 3 animals per pen, and 3 pens per treatment. Intake of concentrate, average daily gain, and gain to feed ratio were not different between diets, being on average 7.6 kg/day, 1.38 kg/day and 0.18 kg/kg, respectively. Straw intake was greater in TMR than in FCH treatment (0.7 vs 0.3 kg/day, respectively; p<0.001). Crude protein intake, neutral detergent fibre intake and water consumption did not differ between treatments. Time spent eating was longer in FCH than in TMR (p=0.001), whereas time spent ruminating and total chewing time were longer (p<0.01) in TMR than in FCH. The number of displacements resulting from competition for feed in the main feeder in TMR treatment tended to be greater than in FCH treatment. There were no differences in the carcass characteristics and quality of meat of animals assigned to the different feeding methods, but the percentage of 18:2 n-6 was higher in FCH treatment. In summary, these results suggest that the use of TMR as a feeding method in beef cattle fed high concentrate diets did not affect performance and increased time spent ruminating with a potential decrease of ruminal acidosis incidence
Neurological complications of infective endocarditis: risk factors, outcome, and impact of cardiac surgery: a multicenter observational study.
Journal Article;BACKGROUND
The purpose of this study was to assess the incidence of neurological complications in patients with infective endocarditis, the risk factors for their development, their influence on the clinical outcome, and the impact of cardiac surgery.
METHODS AND RESULTS
This was a retrospective analysis of prospectively collected data on a multicenter cohort of 1345 consecutive episodes of left-sided infective endocarditis from 8 centers in Spain. Cox regression models were developed to analyze variables predictive of neurological complications and associated mortality. Three hundred forty patients (25%) experienced such complications: 192 patients (14%) had ischemic events, 86 (6%) had encephalopathy/meningitis, 60 (4%) had hemorrhages, and 2 (1%) had brain abscesses. Independent risk factors associated with all neurological complications were vegetation size ≥3 cm (hazard ratio [HR] 1.91), Staphylococcus aureus as a cause (HR 2.47), mitral valve involvement (HR 1.29), and anticoagulant therapy (HR 1.31). This last variable was particularly related to a greater incidence of hemorrhagic events (HR 2.71). Overall mortality was 30%, and neurological complications had a negative impact on outcome (45% of deaths versus 24% in patients without these complications; P<0.01), although only moderate to severe ischemic stroke (HR 1.63) and brain hemorrhage (HR 1.73) were significantly associated with a poorer prognosis. Antimicrobial treatment reduced (by 33% to 75%) the risk of neurological complications. In patients with hemorrhage, mortality was higher when surgery was performed within 4 weeks of the hemorrhagic event (75% versus 40% in later surgery).
CONCLUSIONS
Moderate to severe ischemic stroke and brain hemorrhage were found to have a significant negative impact on the outcome of infective endocarditis. Early appropriate antimicrobial treatment is critical, and transitory discontinuation of anticoagulant therapy should be considered.This study was funded by the Ministerio de Ciencia e Innovación, Instituto de Salud Carlos III, and cofinanced by the European Development Regional Fund “A way to achieve Europe”, Spanish Network for the Research in Infectious Diseases (REIPI RD06/0008).Ye
Burnout Syndrome in a Military Tertiary Hospital Staff during the COVID-19 Contingency
(1) Background: Burnout syndrome (BOS) is defined as a psychological state of physical and mental fatigue associated with work. The COVID-19 pandemic greatly impacted the physical and mental wellbeing of health professionals. The objective of this work was to determine the impact on personnel, monitoring the frequency of BOS throughout the pandemic. (2) Methods: The Maslach Burnout Inventory (MBI) was self-applied in four periods of the pandemic according to sociodemographic and employment characteristics. In this study, all hospital personnel were included; the association of BOS with sex, age, type of participant (civilian or military), military rank and profession was analyzed. (3) Results: The frequency of BOS was 2.4% (start of the pandemic), 7.9% (peak of the first wave), 3.7% (end of the first wave) and 3.6% (peak of the third wave). Emotional exhaustion (EE) was the most affected factor, and the groups most affected were men under 30 years of age, civilians, chiefs and doctors, especially undergraduate medical doctors and specialty resident doctors, and nursing personnel were less affected. (4) Conclusions: The low BOS levels show that the containment measures and military training implemented by the hospital authorities were effective, although the chief personnel were more affected in the first wave. It is probable that this combination allowed the containment of BOS, which was not observed in civilians
Discriminación y su relación con las conductas de riesgo y la salud percibida en estudiantes universitarios españoles: Un estudio transversal
Background: Discrimination during vital
moments, such as the university period, can generate a
high impact on people’s behavior and health. The aim
of this study was to analyze the possible association of
discrimination with perceived health and with different
risk behaviors, as well as to describe gender differences
in Spanish university students. Discrimination during
vital moments, such as college, can have a high impact
on people’s behavior and health.
Methods: A cross-sectional study was carried
out with data from first-year university students from
11 Spanish universities (n=9,862). Discrimination,
perceived health, alcohol consumption, smoking,
consumption of illegal substances, leisure time
connected to the Internet, risky sexual relations,
family function, risk of mental health problems and
risk of eating disorders were assessed. Prevalences
with their 95% confidence intervals were obtained
and for quantitative variables the mean and standard
deviation were calculated. Odds ratios with 95%
confidence intervals were calculated to determine
the relationship between discrimination and the other
variables.
Results: An association was found between
discrimination and fair or poor perceived health (OR:
1.7; p=0.0001), consumption of illegal substances
(OR: 1.3; p=0.002), problematic internet use (OR: 1.3;
p=0.004), family dysfunction (OR: 1.8; p=0.0001),
risk of mental health problems (OR: 1.9; p=0.0001)
and eating disorders (OR: 1.5; p=0.0001). Regarding
gender differences, higher prevalence of discrimination
was observed in men with health status perceived as fair
or worse (OR: 2.2; p=0.0001), family dysfunction (OR:
1.8; p=0.0001), risk of mental health problems (OR:
2.2; p=0.0001) and eating disorders (OR: 1.9; p=0.002).
Women, apart from the previous variables, presented
association of discrimination with consumption of
illegal substances (OR: 1.3; p=0.005) and problematic
internet use (OR: 1.4; p=0.002).
Conclusions: The study findings underline that
there is an association between discrimination and
risk behaviors among Spanish university students.
In turn, discrimination was associated with poor or
fair perceived health, this relationship being similar
in both men and women.Fundamentos: La discriminación durante los
momentos vitales, como el periodo universitario,
puede generar un alto impacto en la conducta y
en el estado de salud de las personas. El estudio
tuvo como objetivo analizar la posible asociación
de la discriminación con la salud percibida y con
distintas conductas de riesgo, así como describir las
diferencias de género en estudiantes universitarios
españoles.
Métodos: Se realizó un estudio transversal
con datos de estudiantes universitarios de primera
matrícula de primer curso de 11 universidades
españolas (n=9.862). Se valoró la discriminación,
la salud percibida, el consumo de alcohol, el hábito
tabáquico, el consumo de sustancias ilegales, el
tiempo de ocio conectado a internet, la práctica de
relaciones sexuales de riesgo, la función familiar, el
riesgo de problemas de salud mental y el riesgo de
trastornos de la conducta alimentaria. Se obtuvieron
las prevalencias con sus intervalos de confianza al
95% y para las variables cuantitativas la media y
desviación estándar. Se calcularon las Odds Ratio con
los intervalos de confianza al 95% para conocer la
relación entre la discriminación y las otras variables.
Resultados: Se encontró asociación entre la
discriminación y una regular o mala salud percibida
(OR: 1,7; p=0,0001), el consumo de sustancias
ilegales (OR: 1,3; p=0,002), el uso problemático de
internet (OR: 1,3; p=0,004), la disfunción familiar
(OR: 1,8; p=0,0001), el riesgo de problemas de
salud mental (OR: 1,9; p=0,0001) y de trastornos
de la conducta alimentaria (OR: 1,5; p=0,0001). En
cuanto a las diferencias de género, se apreciaron
mayores prevalencias de discriminación en hombres
con estado de salud percibida como regular o peor
(OR: 2,2; p=0,0001), disfunción familiar (OR: 1,8;
p=0,0001), riesgo de problemas de salud mental
(OR: 2,2; p=0,0001) y de trastornos de la conducta
alimentaria (OR: 1,9; p=0,002). Las mujeres, además
de las variables anteriores, mostraron asociación de la
discriminación con el consumo de sustancias ilegales
(OR: 1,3; p=0,005) y el uso problemático de internet
(OR: 1,4; p=0,002).
Conclusiones: Los hallazgos del estudio subrayan
que existe asociación entre la discriminación y las
conductas de riesgo de los estudiantes universitarios
españoles. A su vez, la discriminación se asoció
con una mala o regular salud percibida, siendo esta
relación similar tanto en hombres como en mujeres