777 research outputs found

    Medios de comunicación y derecho a la información en Jalisco, 2021

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    Este volumen de la serie de "Medios de comunicación y derecho a la información en Jalisco", escrito por académicos y estudiantes, ofrece información sobre cinco temas generales: artículos sobre la comunicación política durante las elecciones locales de 2021; un informe dedicado a los medios de comunicación en Jalisco: otro artículo sobre el derecho a la información, una investigación académica sobre las inequidades de género en las coberturas periodísticas en el ámbito global y en la sección de las y los que se fueron, ofrece semblanzas de dos personajes importantes para el estado de Jalisco: el periodista radiofónico Marcos Arana y el fotoperiodista José Hernández Claire.ITESO, A.C

    Short-term clinical results with a trifocal diffractive toric intraocular lens using an optimized preoperative and intraoperative protocol

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    Purpose: To evaluate the short-term clinical outcomes of a specific toric diffractive trifocal intraocular lens (IOL) implanted following an optimized clinical protocol in a large population. Methods: Retrospective analysis of 337 eyes of 231 patients (mean age, 62.2 years) undergoing cataract surgery with implantation of the trifocal diffractive IOL AT.LISA tri toric 939M/MP (Carl Zeiss Meditec). A strict and careful clinical protocol was followed, including an accurate measurement of corneal astigmatism, use of a latest generation IOL power calculator, photography-based method intraoperative control of IOL alignment and IOL reposition at 1 week postoperatively if needed. Clinical outcomes in terms of visual acuity, refraction, efficacy of astigmatic correction analysed by vector analysis and patient satisfaction were evaluated during a 3-month follow-up. Results: A total of 82% and 98% of eyes achieved a postoperative uncorrected distance visual acuity of 0.00 and 0.10 logMAR or better, respectively. Furthermore, 99.7%, and 100.0% of eyes showed a postoperative spherical equivalent within‚ÄȬĪ‚ÄČ0.50 D and‚ÄȬĪ‚ÄČ1.00 D, with 97.9% of eyes having a postoperative cylinder‚ÄȂȧ‚ÄČ0.50 D. Uncorrected near and intermediate visual acuities were 0.2 logMAR or better in 89.0% and 99.1% of eyes, respectively. Mean difference vector, magnitude of error and angle of error were 0.02‚ÄČ‚ÄȬĪ‚ÄČ‚ÄČ0.14 D, 0.02‚ÄČ‚ÄȬĪ‚ÄČ‚ÄČ0.13 D and 0.11‚ÄČ‚ÄȬĪ‚ÄČ‚ÄČ1.18¬į. Patient satisfaction was referred as high or very high by 97.6% of patients. Conclusions: The implantation of the trifocal toric IOL evaluated following a careful clinical protocol provides an efficacious visual rehabilitation and astigmatic correction, leading to high levels of patient satisfaction.The author David P Pi√Īero has been supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ram√≥n y Cajal, RYC-2016-20471

    Vitamin D and myasthenia gravis

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    Transition-Metal Catalyzed C‚ÄďH Bond Activation for the Formation of C‚ÄďC Bonds in Complex Molecules

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    Site-predictable and chemoselective C-H bond functionalization reactions offer synthetically powerful strategies for the step-economic diversification of both feedstock and fine chemicals. Many transition-metal-catalyzed methods have emerged for the selective activation and functionalization of C-H bonds. However, challenges of regio- and chemoselectivity have emerged with application to highly complex molecules bearing significant functional group density and diversity. As molecular complexity increases within molecular structures the risks of catalyst intolerance and limited applicability grow with the number of functional groups and potentially Lewis basic heteroatoms. Given the abundance of C-H bonds within highly complex and already diversified molecules such as pharmaceuticals, natural products, and materials, design and selection of reaction conditions and tolerant catalysts has proved critical for successful direct functionalization. As such, innovations within transition-metal-catalyzed C-H bond functionalization for the direct formation of carbon-carbon bonds have been discovered and developed to overcome these challenges and limitations. This review highlights progress made for the direct metal-catalyzed C-C bond forming reactions including alkylation, methylation, arylation, and olefination of C-H bonds within complex targets

    Informe VINCat

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    Infeccions nosocomials; Hospitals; Vigil√†ncia epidemiol√≤gicaInfecciones nosocomiales; Hospitales; Vigilancia epidemiol√≥gicaNosocomial infections; Hospitals; Epidemiological surveillanceVINCat √©s un programa que estableix un sistema de vigil√†ncia unificat de les infeccions nosocomials als hospitals de Catalunya. La seva missi√≥ √©s contribuir a reduir les taxes d'aquestes infeccions mitjan√ßant la vigil√†ncia epidemiol√≤gica activa i continuada. El programa es fonamenta en la tasca que porten a terme els professionals dels equips multidisciplinaris de control d'infecci√≥ dels hospitals catalans.VINCat is a program of the Catalan Health Service that establishes a unified surveillance system for nosocomial infections in hospitals in Catalonia. Its mission is to help reduce the rates of these infections through active and ongoing epidemiological surveillance. The program is based on the work carried out by the multidisciplinary teams of infection control of Catalan hospitals.VINCat es un programa del Servicio Catal√°n de la Salud que establece un sistema de vigilancia unificado de las infecciones nosocomiales en los hospitales de Catalu√Īa. Su misi√≥n es contribuir a reducir las tasas de estas infecciones mediante la vigilancia epidemiol√≥gica activa y continuada. El programa se fundamenta en la tarea que llevan a cabo los profesionales de los equipos multidisciplinares de control de infecci√≥n de los hospitales catalanes

    Prevalence of rheumatic diseases in Baix Empordà

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    Background: In Spain, the prevalence of different rheumatic diseases is known mainly through the EPISER studies coordinated by the Spanish Society of Rheumatology and based on surveys in a population sample. The aim of our study is to describe the prevalence in 2016 of different rheumatic diseases in the population residing in Baix Emporda according to healthcare coding records.Materials and methods: Observational, descriptive and cross-sectional study carried out on the popula-tion attended from 2016 to 2017 in SIBBE (Serveis de Salut Integrats del Baix Emporda), an organizational service that includes all the healthcare facilities in the Baix Emporda area with a unique information sys-tem. Patients >= 20 years of age were selected and the ICD9-CM coding of all their healthcare contacts was analysed according to 11 entities and 28 diseases. The entities were: polyarthritis, spondyloarthri-tis, microcrystalline arthritis, osteoarthritis, soft tissue rheumatism, fibromyalgia, chronic spinal pain, osteoporosis, connective tissue diseases, vasculitis and others. The studied population was assigned to the categories: .with rheumatic disease,.p.ossible rheumatic diseaseand .without rheumatic disease..Results: In total, 71,785 patients were distributed as: 36.2% with rheumatic disease (n = 25,990); 6.1% with possible rheumatic disease (n = 4406) and 57.7% without rheumatic disease (n = 41,389). The group .with rheumatic diseases.howed a predominance of women (59.7% vs. 44.9%) and older age (59.1 +/- 17.7 vs. 45.1 +/- 16.2; p < .001) compared to the group .without rheumatic disease.. The presence of rheumatic disease increased progressively with age, being maximum in the group between 55-75 years.Conclusions: 36.2% of our population has some type of rheumatic disease. The estimated prevalence of some rheumatic diseases in the Baix Emporda population is partially consistent with that estimated by the EPISER 2016 study. Rheumatic disease affects women in a greater proportion and is more frequent in patients over 45 years of age

    Consenso de la Asociaci√≥n Mexicana de Gastroenterolog√≠a sobre el diagn√≥stico y tratamiento de pancreatitis aguda en ni√Īas, ni√Īos y adolescentes

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    Resumen: La pancreatitis aguda (PA) y la pancreatitis aguda recurrente (PAR) son enfermedades cuya incidencia aparentemente va en incremento. A pesar de la creciente evidencia sobre el manejo de la PA en adultos y ni√Īos, a√ļn se siguen teniendo conductas que potencialmente podr√≠an impactar en un pron√≥stico no tan adecuado de estos pacientes, sobre todo en poblaci√≥n pedi√°trica. Es por esto que la Asociaci√≥n Mexicana de Gastroenterolog√≠a convoc√≥ a un grupo de 24 gastroenter√≥logos pediatras expertos, de diferentes instituciones y de diferentes zonas geogr√°ficas de M√©xico, 2 nutri√≥logas pediatras, as√≠ como 2 especialistas en cirug√≠a pedi√°trica para discutir sobre diferentes aspectos de la epidemiolog√≠a, diagn√≥stico y tratamiento de la PA y PAR en poblaci√≥n pedi√°trica. El objetivo de este documento es presentar los resultados obtenidos de este consenso. Se organizaron 6 mesas de trabajo con diferentes t√≥picos sobre la PA. Cada mesa de trabajo revis√≥ la informaci√≥n y gener√≥ los enunciados/declaraciones que consideraron pertinentes para cada m√≥dulo, en t√≥picos que representaran recomendaciones o puntos de debate sobre cuestiones de abordaje diagn√≥stico o terap√©utico. Se presentaron y discutieron todas las declaraciones. Posteriormente, se sometieron a evaluaci√≥n mediante un proceso Delphi, de voto an√≥nimo, v√≠a electr√≥nica, para conocer el nivel de acuerdo en los enunciados/declaraciones. Se elaboraron un total de 29 enunciados/declaraciones. Todas las declaraciones tuvieron un porcentaje de consenso mayor del 75% en la primera ronda de votaci√≥n. Abstract: Acute pancreatitis (AP) and recurrent acute pancreatitis (RAP) are conditions, whose incidence is apparently on the rise. Despite the ever-increasing evidence regarding the management of AP in children and adults, therapeutic actions that could potentially affect having a poor prognosis in those patients, especially in the pediatric population, continue to be carried out. Therefore, the Asociaci√≥n Mexicana de Gastroenterolog√≠a convened a group of 24 expert pediatric gastroenterologists from different institutions and areas of Mexico, as well as 2 pediatric nutritionists and 2 specialists in pediatric surgery, to discuss different aspects of the epidemiology, diagnosis, and treatment of AP and RAP in the pediatric population. The aim of this document is to present the consensus results. Different AP topics were addressed by 6 working groups, each of which reviewed the information and formulated statements considered pertinent for each module, on themes involving recommendations and points of debate, concerning diagnostic or therapeutic approaches. All the statements were presented and discussed. They were then evaluated through a Delphi process, with electronic and anonymous voting, to determine the level of agreement on the statements. A total of 29 statements were formulated, all of which reached above 75% agreement in the first round of voting

    Programas de optimización del uso de antimicrobianos en hospitales: guía de recomendaciones de expertos para actividades en poblaciones específicas, síndromes y otros aspectos (PROA-2) de la SEIMC, SEFH, SEMPSPGS, SEMICYUC y SEIP

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    [EN] In 2012, The Spanish Societies of Infectious Diseases and Clinical Microbiology (SEIMC), Hospital Pharmacy (SEFH), and Preventive Medicine, Public Health and Healthcare Management (SEMPSGS) lead a consensus document including recommendations for the implementation of antimicrobial stewardship (AMS) programs (AMSP; PROA in Spanish) in acute care hospitals in Spain. While these recommendations were critical for the development of these programs in many centres, there is a need for guidance in the development of AMS activities for specific patient populations, syndromes or other specific aspects which were not included in the previous document or have developed significantly since then. The objective of this expert recommendation guidance document is to review the available information about these activities in these patient populations or circumstances, and to provide guidance recommendations about them. With this objective the SEIMC, SEFH, SEMPSPGS, the Spanish Society of Intensive Care Medicine (SEMICYUC) and the Spanish Pediatric Infectious Disease Society (SEIP) selected a panel of experts who chose the different aspects to include in the document. Because of the lack of high-level evidence in the implementation of the activities, the panel opted to perform a narrative review of the literature for the different topics for which recommendations were agreed by consensus. The document was open to public consultation for the members of these societies for their comments and suggestions, which were reviewed and considered by the panel.[ES] En 2012, las Sociedades Espa√Īolas de Enfermedades Infecciosas y Microbiolog√≠a Cl√≠nica (SEIMC), Farmacia Hospitalaria (SEFH) y Medicina Preventiva, Salud P√ļblica y Gesti√≥n Sanitaria (SEMPSPGS) lideraron un documento de consenso que inclu√≠a recomendaciones para la implementaci√≥n de Programas de optimizaci√≥n del uso de antimicrobianos (PROA) en hospitales de agudos en Espa√Īa. Si bien estas recomendaciones fueron cr√≠ticas para el desarrollo de estos programas en muchos centros, actualmente es necesario establecer unas gu√≠as para la implementaci√≥n de las actividades de los PROA en determinadas poblaciones de pacientes, s√≠ndromes cl√≠nicos y otros aspectos espec√≠ficos que no se incluyeron en el documento previo o que desde entonces se han desarrollado significativamente. El objetivo de esta gu√≠a de recomendaciones de expertos es revisar la informaci√≥n disponible acerca de esas actividades en estas poblaciones o circunstancias de pacientes y proporcionar unas recomendaciones que sirvan de gu√≠a sobre ellas. Con este objetivo, la SEIMC, la SEFH y la SEMPSPGS, as√≠ como la Sociedad Espa√Īola de Medicina Intensiva, Cr√≠tica y Unidades Coronarias (SEMICYUC) y la Sociedad Espa√Īola de Infectolog√≠a Pedi√°trica (SEIP), seleccionaron un panel de expertos que eligieron los diferentes aspectos a incluir en el documento. Debido a la ausencia de evidencia de alto nivel en la implementaci√≥n de las diferentes actividades, el panel opt√≥ por realizar una revisi√≥n narrativa de la literatura de los diferentes aspectos, en los que las recomendaciones se acordaron por consenso. El documento se abri√≥ para consulta p√ļblica a los miembros de estas sociedades para sus comentarios y sugerencias, que fueron revisadas y consideradas por el panel.Peer reviewe

    The Asociación Mexicana de Gastroenterología consensus on the diagnosis and treatment of acute pancreatitis in children and adolescents

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    Acute pancreatitis (AP) and recurrent acute pancreatitis (RAP) are conditions, whose incidence is apparently on the rise. Despite the ever-increasing evidence regarding the management of AP in children and adults, therapeutic actions that could potentially affect having a poor prognosis in those patients, especially in the pediatric population, continue to be carried out. Therefore, the Asociaci√≥n Mexicana de Gastroenterolog√≠a convened a group of 24 expert pediatric gastroenterologists from different institutions and areas of Mexico, as well as 2 pediatric nutritionists and 2 specialists in pediatric surgery, to discuss different aspects of the epidemiology, diagnosis, and treatment of AP and RAP in the pediatric population. The aim of this document is to present the consensus results. Different AP topics were addressed by 6 working groups, each of which reviewed the information and formulated statements considered pertinent for each module, on themes involving recommendations and points of debate, concerning diagnostic or therapeutic approaches. All the statements were presented and discussed. They were then evaluated through a Delphi process, with electronic and anonymous voting, to determine the level of agreement on the statements. A total of 29 statements were formulated, all of which reached above 75% agreement in the first round of voting. Resumen: La pancreatitis aguda (PA) y la pancreatitis aguda recurrente (PAR) son enfermedades cuya incidencia aparentemente va en incremento. A pesar de la creciente evidencia sobre el manejo de la PA en adultos y ni√Īos, a√ļn se siguen teniendo conductas que potencialmente podr√≠an impactar en un pron√≥stico no tan adecuado de estos pacientes, sobre todo en poblaci√≥n pedi√°trica. Es por esto que la Asociaci√≥n Mexicana de Gastroenterolog√≠a convoc√≥ a un grupo de 24 gastroenter√≥logos pediatras expertos, de diferentes instituciones y de diferentes zonas geogr√°ficas de M√©xico, 2 nutri√≥logas pediatras, as√≠ como 2 especialistas en cirug√≠a pedi√°trica para discutir sobre diferentes aspectos de la epidemiolog√≠a, diagn√≥stico y tratamiento de la PA y PAR en poblaci√≥n pedi√°trica. El objetivo de este documento es presentar los resultados obtenidos de este consenso. Se organizaron 6 mesas de trabajo con diferentes t√≥picos sobre la PA. Cada mesa de trabajo revis√≥ la informaci√≥n y gener√≥ los enunciados/declaraciones que consideraron pertinentes para cada m√≥dulo, en t√≥picos que representaran recomendaciones o puntos de debate sobre cuestiones de abordaje diagn√≥stico o terap√©utico. Se presentaron y discutieron todas las declaraciones. Posteriormente, se sometieron a evaluaci√≥n mediante un proceso Delphi, de voto an√≥nimo, v√≠a electr√≥nica, para conocer el nivel de acuerdo en los enunciados/declaraciones. Se elaboraron un total de 29 enunciados/declaraciones. Todas las declaraciones tuvieron un porcentaje de consenso mayor del 75% en la primera ronda de votaci√≥n
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