Acerca de la oposición imperfecto / indefinido en los manuales de E/LE

La dificultad que supone la oposición imperfecto / indefinido para los aprendices de E/LE es de todos conocida. Algunas propuestas se sustentan sobre la base de la noción de aspecto léxico y sobre las predicciones que se siguen de la llamada Hipótesis del aspecto. Este trabajo pretende verificar hasta qué punto los manuales de E/LE articulan la didáctica de la oposición imperfecto / indefinido sobre la base de la noción de aspecto léxico en dos manuales de E/LE.La dificultat que suposa l'oposició imperfecte/ indefinit per als aprenents d'E/LE és per a tots coneguda. Algunes propostes es basen en la noció d'aspecte lèxic i en les prediccions de la hipòtesi de l'aspecte. Aquest treball pretén verificar fins a quin punt els manuals d'E/LE articulen la didàctica de l'oposició imperfet / indefinit sobre la noció d'aspecte lèxic en dos manuals d'E/LE seleccionats

Success in entering the labour market: Principal component factor analysis of labour competences

How to approach the relationship between educational supply and labour market is becoming a severe problem faced by governments, social organizations and education institutions. In this sense, the efforts devoted to the quality of training and education must take into account how to meet the labour market needs, as well as the social needs. Economic growth and citizens' progress are at the basis of the future development through education and training, that is the reason why the quality of training and education cannot forget the labour market needs. There is a basic consensus that the 21st century education must be transformed by assuming new roles and committing to economic and social development. To do so, a dynamic social and productive model based on knowledge is needed to forge the innovation necessary to boost competitiveness and economic growth. In this context, competency-based education has experienced a growing interest in the last decades. Since then, numerous studies have focused on the analysis of the skills graduate students should have acquired. Several of them show that the type and level of skills acquired by graduates tend to be lower than the required for the job. This paper explores the idea of competences through the internships last-year undergrad students carry out in firms as their first contact to labour market. It aims at analysing to which extent they fit into the firms' requirements. To do so we use data from a survey conducted amongst the firms' supervisors of 192 students granted the Santander fellowship during the 2015-16 academic year. The database covers all University of Barcelona Schools. The survey consisted of 35 questions, 10 of them referring to the explicit assessment of each of the 38 competences analysed from two points of view (required and observed) and grouped into the three standard blocks: instrumental, interpersonal and professional. The principal components multivariate analysis is applied to analyse the competencies favouring success in entering the labour market. The multivariate analysis allows us to reduce the dimensionality of the variables under study, contributing to identify the aspects that summarize and group the 38 competencies studied from the required firms' perspective into 4 factors: knowledge, operational, understanding the environment and interaction. On the contrary, the analysis from the observed perspective groups them into three factors: knowledge, interaction and management. The results shows the need for professionals who are able to communicate their ideas, work both autonomously and as a team, apply knowledge to practice, search and manage information, have continuous learning capacity, and analyse and solve problems. This requires practically oriented training processes in order to meet the society future needs, focused on versatility, flexibility and adaptability. The rapprochement to these needs will certainly favour graduates' employability

Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: implementation and results

Background: Venous catheterization for diagnostic and therapeutic purposes is part of routine hospital practice, as approximately 70% of hospitalized patients have a peripheral venous catheter (PVC). This practice, however, can lead to both local complications, (e.g., chemical, mechanical and infectious phlebitis) and systemic complications (e.g., PVC-related bloodstream infections [PVC-BSIs]). Surveillance data and activities are central to preventing nosocomial infections, phlebitis and improving patient care and safety. The aim of this study was to evaluate the impact of a care bundle on reducing PVC-BSI rates and phlebitis at a secondary care hospital in Mallorca, Spain. Methods: Three-phase intervention study targeting hospitalized patients with a PVC. The VINCat criteria were used to define PVC-BSIs and calculate incidence. In phase I (August-December 2015), we retrospectively analyzed baseline PVC-BSI rates at our hospital. In phase II (2016-2017), we conducted safety rounds and developed a care bundle with the goal of reducing PVC-BSI rates. In phase III (2018), we expanded the PVC-BSI bundle to prevent phlebitis and analyzed its impact. Results: The incidence of PVC-BSIs decreased from 0.48 episodes per 1000 patient-days in 2015 to 0.17 episodes per 1000 patient-days in 2018. The 2017 safety rounds also detected a reduction in phlebitis (from 4.6% of 2.6%). Overall, 680 healthcare professionals were trained in catheter care and five safety rounds were conducted to assess bedside care. Conclusion: Implementation of a care bundle significantly reduced PVC-BSI rates and phlebitis at our hospital. Continuous surveillance programs are needed to adapt measures to improve patient care and guarantee safety

Pulmonary hemodynamic profile in chronic obstructive pulmonary disease

Introduction: Few data are available in regards to the prevalence of pulmonary hypertension (PH) in the broad spectrum of COPD. This study was aimed at assessing the prevalence of PH in a cohort of COPD patients across the severity of airflow limitation, and reporting the hemodynamic characteristics at rest and during exercise. Methods: We performed a retrospective analysis on COPD patients who underwent right-heart catheterization in our center with measurements obtained at rest (n=139) and during exercise (n=85). PH was defined as mean pulmonary artery pressure (mPAP) >/25 mmHg and pulmonary capillary wedge pressure 3. Results: PH was present in 25 patients (18%). According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification, PH prevalence in GOLD 2 was 7% (3 patients); 25% (14 patients) in GOLD 3; and 22% (8 patients) in GOLD 4. Severe PH (mPAP >/35 mmHg) was identified in four patients (2.8%). Arterial partial oxygen pressure was the outcome most strongly associated with PH (r=-0.29, P<0.001). EIPH was observed in 60 patients (71%)and had a similar prevalence in both GOLD 2 and 3, and was present in all GOLD 4 patients. Patients with PH had lower cardiac index during exercise than patients without PH (5.0±1.2 versus 6.7±1.4 L/min/m2 ,respectively; P=0.001). Conclusion: PH has a similar prevalence in COPD patients with severe and very-severe airflow limitation, being associated with the presence of arterial hypoxemia. In contrast, EIPH is highly prevalent, even in moderate COPD, and might contribute to limiting exercise tolerance

Energy-dense diets increase FGF23, lead to phosphorus retention and promote vascular calcifications in rats

Rats with normal renal function (Experiment 1, n = 12) and uninephrectomized (1/2Nx) rats (Experiment 2, n = 12) were fed diets with normal P (NP) and either normal (NF) or high fat (HF). Rats with intact renal function (Experiment 3, n = 12) were also fed NF or HF diets with high P (HP). Additionally, uremic (5/6Nx) rats (n = 16) were fed HP diets with NF or HF. Feeding the HF diets resulted in significant elevation of plasma FGF23 vs rats fed NF diets: Experiment 1, 593 ± 126 vs 157 ± 28 pg/ ml (p < 0.01); Experiment 2, 538 ± 105 vs 250 ± 18 pg/ml (p < 0.05); Experiment 3, 971 ± 118 vs 534 ± 40 pg/ml (p < 0.01). Rats fed HF diets showed P retention and decreased renal klotho (ratio klotho/actin) vs rats fed NF diets: Experiment 1, 0.75 ± 0.06 vs 0.97 ± 0.02 (p < 0.01); Experiment 2, 0.69 ± 0.07 vs 1.12 ± 0.08 (p < 0.01); Experiment 3, 0.57 ± 0.19 vs 1.16 ± 0.15 (p < 0.05). Uremic rats fed HF diet showed more severe vascular calcification (VC) than rats fed NF diet (aortic Ca = 6.3 ± 1.4 vs 1.4 ± 0.1 mg/g tissue, p < 0.001). In conclusion, energy-rich diets increased plasma levels of FGF23, a known risk factor of cardiovascular morbidity and mortality. Even though FGF23 has major phosphaturic actions, feeding HF diets resulted in P retention, likely secondary to decreased renal klotho, and aggravated uremic V

A personalized intervention to prevent depression in primary care based on risk predictive algorithms and decision support systems: protocol of the e-predictD study

The predictD is an intervention implemented by general practitioners (GPs) to prevent depression, which reduced the incidence of depression-anxiety and was cost-effective. The e-predictD study aims to design, develop, and evaluate an evolved predictD intervention to prevent the onset of major depression in primary care based on Information and Communication Technologies, predictive risk algorithms, decision support systems (DSSs), and personalized prevention plans (PPPs). A multicenter cluster randomized trial with GPs randomly assigned to the e-predictD intervention + care-as-usual (CAU) group or the active-control + CAU group and 1-year follow-up is being conducted. The required sample size is 720 non-depressed patients (aged 18–55 years), with moderate-to-high depression risk, under the care of 72 GPs in six Spanish cities. The GPs assigned to the e-predictD-intervention group receive brief training, and those assigned to the control group do not. Recruited patients of the GPs allocated to the e-predictD group download the e-predictD app, which incorporates validated risk algorithms to predict depression, monitoring systems, and DSSs. Integrating all inputs, the DSS automatically proposes to the patients a PPP for depression based on eight intervention modules: physical exercise, social relationships, improving sleep, problem-solving, communication skills, decision-making, assertiveness, and working with thoughts. This PPP is discussed in a 15-min semi-structured GP-patient interview. Patients then choose one or more of the intervention modules proposed by the DSS to be self-implemented over the next 3 months. This process will be reformulated at 3, 6, and 9 months but without the GP–patient interview. Recruited patients of the GPs allocated to the control-group+CAU download another version of the e-predictD app, but the only intervention that they receive via the app is weekly brief psychoeducational messages (active-control group). The primary outcome is the cumulative incidence of major depression measured by the Composite International Diagnostic Interview at 6 and 12 months. Other outcomes include depressive symptoms (PHQ-9) and anxiety symptoms (GAD-7), depression risk (predictD risk algorithm), mental and physical quality of life (SF-12), and acceptability and satisfaction (‘e-Health Impact' questionnaire) with the intervention. Patients are evaluated at baseline and 3, 6, 9, and 12 months. An economic evaluation will also be performed (cost-effectiveness and cost-utility analysis) from two perspectives, societal and health systems.Trial registrationClinicalTrials.gov, identifier: NCT03990792

Derivació de línies de cèl·lules mare embrionàries humanes

Les cèl·lules mare embrionàries (CME) representen una font potencial de cèl·lules per a ús terapèutic en algunes malalties produïdes per la pèrdua de la funció cel·lular. Normalment, aquestes cèl·lules procedeixen d'embrions donats per les parelles sotmeses a tècniques de reproducció assistida (TRA). Es presenten els resultats obtinguts en el Banc de Línies Cel·lulars del Centre de Medicina Regenerativa de Barcelona (CMRB), on s'han descongelat 254 embrions donats per parelles sotmeses al programa de fecundació in vitro (FIV) de l'Institut Universitari Dexeus. La taxa de supervivència va ser del 51,9 %. S'han obtingut cinc línies de CME. Tres d'aquestes línies procedeixen d'embrions de mala qualitat i presenten la capacitat d'autorenovació, pluripotència i diferenciació característiques d'aquestes cèl·lules. Els embrions de mala qualitat, sovint descartats en els centres de RA, poden ser una font útil per a la derivació de CME.Human embryonic stem cells (hESC) represent a potential source for cell therapy for many degenerative diseases. Usually hESC lines are derived from surplus embryos donated from couples undergoing In Vitro Fertilisation (IVF). We here present the results obtained in the Stem Cell Bank at the Center of Regenerative Medicine in Barcelona. 254 embryos have been thawed. The embryos were donated from couples from the IVF programme at the Institut Universitari Dexeus. The embryo survival rate was 51.9%. Five ESC lines were obtained. Three of these lines came from poor quality embryos. The cell lines present self-renewal, pluripotency, and differentiation properties characteristic of these cells Poor quality embryos, usually discarded in assisted reproduction centres, could be useful for ESC derivation

Identification of novel candidate target genes in amplicons of Glioblastoma multiforme tumors detected by expression and CGH microarray profiling

BACKGROUND: Conventional cytogenetic and comparative genomic hybridization (CGH) studies in brain malignancies have shown that glioblastoma multiforme (GBM) is characterized by complex structural and numerical alterations. However, the limited resolution of these techniques has precluded the precise identification of detailed specific gene copy number alterations. RESULTS: We performed a genome-wide survey of gene copy number changes in 20 primary GBMs by CGH on cDNA microarrays. A novel amplicon at 4p15, and previously uncharacterized amplicons at 13q32-34 and 1q32 were detected and are analyzed here. These amplicons contained amplified genes not previously reported. Other amplified regions containg well-known oncogenes in GBMs were also detected at 7p12 (EGFR), 7q21 (CDK6), 4q12 (PDGFRA), and 12q13-15 (MDM2 and CDK4). In order to identify the putative target genes of the amplifications, and to determine the changes in gene expression levels associated with copy number change events, we carried out parallel gene expression profiling analyses using the same cDNA microarrays. We detected overexpression of the novel amplified genes SLA/LP and STIM2 (4p15), and TNFSF13B and COL4A2 (13q32-34). Some of the candidate target genes of amplification (EGFR, CDK6, MDM2, CDK4, and TNFSF13B) were tested in an independent set of 111 primary GBMs by using FISH and immunohistological assays. The novel candidate 13q-amplification target TNFSF13B was amplified in 8% of the tumors, and showed protein expression in 20% of the GBMs. CONCLUSION: This high-resolution analysis allowed us to propose novel candidate target genes such as STIM2 at 4p15, and TNFSF13B or COL4A2 at 13q32-34 that could potentially contribute to the pathogenesis of these tumors and which would require futher investigations. We showed that overexpression of the amplified genes could be attributable to gene dosage and speculate that deregulation of those genes could be important in the development and progression of GBM. Our findings highlight the important influence in GBM of signaling pathways such as the PI3K/AKT, consistent with the invasive features of this tumor

RGD-Dendrimer-Poly(L-lactic) Acid Nanopatterned Substrates for the Early Chondrogenesis of Human Mesenchymal Stromal Cells Derived from Osteoarthritic and Healthy Donors

Aiming to address a stable chondrogenesis derived from mesenchymal stromal cells (MSCs) to be applied in cartilage repair strategies at the onset of osteoarthritis (OA), we analyzed the effect of arginine-glycine-aspartate (RGD) density on cell condensation that occurs during the initial phase of chondrogenesis. For this, we seeded MSC-derived from OA and healthy (H) donors in RGD-dendrimer-poly(L-lactic) acid (PLLA) nanopatterned substrates (RGD concentrations of 4 × 10−9, 10−8, 2.5 × 10−8, and 10−2 w/w), during three days and compared to a cell pellet conventional three-dimensional culture system. Molecular gene expression (collagens type-I and II-COL1A1 and COL2A1, tenascin-TNC, sex determining region Y-box9-SOX9, and gap junction protein alpha 1-GJA1) was determined as well as the cell aggregates and pellet size, collagen type-II and connexin 43 proteins synthesis. This study showed that RGD-tailored first generation dendrimer (RGD-Cys-D1) PLLA nanopatterned substrates supported the formation of pre-chondrogenic condensates from OA- and H-derived human bone marrow-MSCs with enhanced chondrogenesis regarding the cell pellet conventional system (presence of collagen type-II and connexin 43, both at the gene and protein level). A RGD-density dependent trend was observed for aggregates size, in concordance with previous studies. Moreover, the nanopatterns' had a higher effect on OA-derived MSC morphology, leading to the formation of bigger and more compact aggregates with improved expression of early chondrogenic markers