99 research outputs found

    The Role of Knee Arthrodesis After TKA Infection

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    An analysis of the use of systemic antifungals (fluconazole, itraconazole, and terbinafine) in Galicia, Spain, between 2019 and 2022

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    In the present work, we examined the consumption of systemic antifungals (fluconazole, itraconazole, and terbinafine) in outpatients in the four provinces of Galicia, Spain, between 2019 and 2022. We also described the variability in the use of these types of drugs between these provinces. In addition, we detected any deviation in consumption at a seasonal level and analyzed possible changes during the study period. A descriptive, cross-sectional, and retrospective study of the use of antifungals, expressed in terms of a defined daily dose per 1000 inhabitants per day, was carried out. The results obtained revealed statistically significant differences between provinces and by the active principle consumed in the four Galician provinces (p < 0.001), which can be explained by multiple factors. This study also revealed that there was stable consumption during the study period, with no significant seasonal differences observed. This study represents a contribution to the knowledge about the consumption of antifungals for systemic use in Galicia and serves as a basis for subsequent studies. This will allow us to understand the consumption patterns of these types of drugs and, ultimately, will help to establish stewardship strategies and prevent the development of resistance

    El préstamo de libros electrónicos en la Biblioteca Pública Ánxel Casal de Santiago de Compostela = E-reader and e-book lending in the Ánxel Casal Public Library in Santiago de Compostela

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    En el presente Trabajo de Fin de Grado, después de realizar una aproximación a la problemática del libro electrónico y a la dificultad que representa su incorporación a las bibliotecas, se efectúa un estudio del préstamo de dispositivos de lectura y de libros electrónicos en la Biblioteca Pública del Estado Ánxel Casal de Santiago de Compostela, una de las quince que participaron en una experiencia piloto impulsada por el Ministerio de Cultura a finales de 2010, con la finalidad de acercar esta nueva forma de lectura al mayor número de personas posibles. En la investigación del Servicio de Préstamo de este Centro Público se utilizan datos extraídos de Absysnet 1.6, Sistema Integral de Gestión de esta Biblioteca, de Galiciaebooks, primera plataforma que una Biblioteca Pública pone a disposición de sus usuarios para el préstamo de títulos electrónicos, de un cuestionario y de las sugerencias de los usuarios de este servicio. Entre las conclusiones del trabajo se destacan la valoración positiva del servicio así como la sugerencia recurrente por parte de los usuarios demandando la inclusión de novedades editoriales y contenidos en lengua gallega entre los títulos electrónicos disponibles en la bibliotec

    The survival of cultural firms: A study of multiple accounting parameters in Spain

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    Cultural firms are an important development factor in economic and social terms. Their objectives are often aimed at maintaining and disseminating the traditions and values of societies. The prosperity of these firms in a nation ensures that its tangible and intangible cultural heritage is made known to other nations and generations. Despite their importance, little is known about their survival and the factors associated with it. This paper analyses data from 6951 Spanish firms, of which 2105 are cultural firms. We have studied the survival of non-cultural firms in comparison with cultural firms and also the impact that profitability, solvency and indebtedness may have on their survival. We have used the Kaplan-Meier method in order to assess their survival and the Harrington-Fleming test and the Cox regression model to check the statistical significance of variables. These variables are key factors influencing the survival of cultural enterprises. Particularly, low solvency in firms increases by twenty the risk of disappearance. This paper contributes to literature highlighting some of the key factors for the survival of cultural enterprises. It provides administrations with a roadmap in order to implement measures for the promotion of the cultural industry, favouring the process of enhancement of cultural heritage.publishersversionpublishe

    Integrative Activities with Suppliers and Customers to Achieve Supply Chain Integration

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    This paper analyzes nine integrative activities about demand forecasts, production plans, long-term relationships, joint planning, information through technologies, product development processes, product design processes, joint goals, that companies do in their daily activities with suppliers and customers in order to achieve supply chain integration. The objective is to analyze these integrative activities to determine if it exists collaboration among external partners of the supply chain in the food industry companies, to know the level or intensity of the exchange of information, communication and collaboration between companies and their external partners of suppliers and customers. The measurement instrument was applied to 93 companies from the food industry sector of Michoacán, México which are divided into nine sectors; grinding grains and seeds, obtaining oils and fats, confectionery with and without cocoa, preserving fruits, vegetables and prepared foods, dairy products, meat and poultry processing, preparation and packaging of fish and seafood, bakery and tortillas. The Integrative activities are analyzed by means of statistical descriptions, paired samples test, one-sided contrast, mean difference and confidence intervals and associations. The results indicate that the difference is always in favor of customers than for suppliers

    Perimeter and carvacrol-loading regulate angiogenesis and biofilm growth in 3D printed PLA scaffolds

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    rvacrol is a natural low-cost compound derived from oregano which presents anti-bacterial properties against both Gram-positive and Gram-negative bacteria. In this work, carvacrol-loaded PLA scaffolds were fabricated by 3D printing as platforms to support bone tissue regeneration while preventing biofilm development. Scaffolds were printed with or without a perimeter (lateral wall) mimicking the cortical structure of bone tissue to further evaluate if the lateral interconnectivity could affect the biological or antimicrobial properties of the scaffolds. Carvacrol incorporation was performed by loading either the PLA filament prior to 3D printing or the already printed PLA scaffold. The loading method determined carvacrol localization in the scaffolds and its release profile. Biphasic profiles were recorded in all cases, but scaffolds loaded post-printed released carvacrol much faster, with 50–80% released in the first day, compared to those containing carvacrol in PLA filament before printing which sustained the release for several weeks. The presence or absence of the perimeter did not affect the release rate, but total amount released. Tissue integration and vascularization of carvacrol-loaded scaffolds were evaluated in a chorioallantoic membrane model (CAM) using a novel quantitative micro-computed tomography (micro-CT) analysis approach. The obtained results confirmed the CAM tissue ingrowth and new vessel formation within the porous structure of the scaffolds after 7 days of incubation, without leading to hemorrhagic or cytotoxic effects. The absence of lateral wall facilitated lateral integration of the scaffolds in the host tissue, although increased the anisotropy of the mechanical properties. Scaffolds loaded with carvacrol post-printing showed antibiofilm activity against Staphylococcus aureus and Pseudomonas aeruginosa as observed in a decrease in CFU counting after biofilm detachment, changes in metabolic heat measured by calorimetry, and increased contact killing efficiency. In summary, this work demonstrated the feasibility of tuning carvacrol release rate and the amount released from PLA scaffolds to achieve antibiofilm protection without altering angiogenesis, which was mostly dependent on the perimeter density of the scaffoldsThis work was supported by MCIN/AEI/http://dx.doi.org/10.13039/501100011033 [PID2020-113881RB-I00], FEDER, and Xunta de Galicia [ED431C 2020/17, ED481D-2021-014]. Xián Farto-Vaamonde acknowledges Xunta de Galicia for a predoctoral research fellowship [ED481A-2018/073]S
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