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1.
J Geophys Res Space Phys ; 126(4): e2020JA028922, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33868890

ABSTRACT

Electromagnetic ion cyclotron (EMIC) waves play important roles in particle loss processes in the magnetosphere. Determining the evolution of EMIC waves as they propagate and how this evolution affects wave-particle interactions requires accurate knowledge of the wave vector, k. We present a technique using the curl of the wave magnetic field to determine k observationally, enabled by the unique configuration and instrumentation of the Magnetospheric MultiScale (MMS) spacecraft. The wave curl analysis is demonstrated for synthetic arbitrary electromagnetic waves with varying properties typical of observed EMIC waves. The method is also applied to an EMIC wave interval observed by MMS on October 28, 2015. The derived wave properties and k from the wave curl analysis for the observed EMIC wave are compared with the Waves in Homogenous, Anisotropic, Multi-component Plasma (WHAMP) wave dispersion solution and with results from other single- and multi-spacecraft techniques. We find good agreement between k from the wave curl analysis, k determined from other observational techniques, and k determined from WHAMP. Additionally, the variation of k due to the time and frequency intervals used in the wave curl analysis is explored. This exploration demonstrates that the method is robust when applied to a wave containing at least 3-4 wave periods and over a rather wide frequency range encompassing the peak wave emission. These results provide confidence that we are able to directly determine the wave vector properties using this multi-spacecraft method implementation, enabling systematic studies of EMIC wave k properties with MMS.

2.
Geophys Res Lett ; 47(19): e2020GL089362, 2020 Oct 16.
Article in English | MEDLINE | ID: mdl-33380756

ABSTRACT

Energetic neutral atoms (ENAs) created by charge-exchange of ions with the Earth's hydrogen exosphere near the subsolar magnetopause yield information on the distribution of plasma in the outer magnetosphere and magnetosheath. ENA observations from the Interstellar Boundary Explorer (IBEX) are used to image magnetosheath plasma and, for the first time, low-energy magnetospheric plasma near the magnetopause. These images show that magnetosheath plasma is distributed fairly evenly near the subsolar magnetopause; however, low-energy magnetospheric plasma is not distributed evenly in the outer magnetosphere. Simultaneous images and in situ observations from the Magnetospheric Multiscale (MMS) spacecraft from November 2015 (during the solar cycle declining phase) are used to derive the exospheric density. The ~11-17 cm-3 density at 10 RE is similar to that obtained previously for solar minimum. Thus, these combined results indicate that the exospheric density 10 RE from the Earth may have a weak dependence on solar cycle.

3.
Nat Commun ; 11(1): 141, 2020 Jan 09.
Article in English | MEDLINE | ID: mdl-31919351

ABSTRACT

The Magnetospheric Multiscale (MMS) spacecraft encounter an electron diffusion region (EDR) of asymmetric magnetic reconnection at Earth's magnetopause. The EDR is characterized by agyrotropic electron velocity distributions on both sides of the neutral line. Various types of plasma waves are produced by the magnetic reconnection in and near the EDR. Here we report large-amplitude electron Bernstein waves (EBWs) at the electron-scale boundary of the Hall current reversal. The finite gyroradius effect of the outflow electrons generates the crescent-shaped agyrotropic electron distributions, which drive the EBWs. The EBWs propagate toward the central EDR. The amplitude of the EBWs is sufficiently large to thermalize and diffuse electrons around the EDR. The EBWs contribute to the cross-field diffusion of the electron-scale boundary of the Hall current reversal near the EDR.

4.
Cuad. med. forense ; 24(1/2): 14-22, ene.-jun. 2018. graf, tab
Article in Spanish | IBECS | ID: ibc-187839

ABSTRACT

Una de las hipótesis que se barajan para explicar la relación entre las bajas puntuaciones entre la dimensión de la extraversión (E) y las elevadas puntuaciones entre la dimensión del neuroticismo (N) del modelo psicobiológico de Eysenck y la conducta criminal, respectivamente, es la influencia del tiempo de permanencia en prisión. En el presente estudio, se ha realizado un estudio correlacional de las dimensiones E y N con el tiempo de permanencia en prisión de los sujetos, empleando para ello una muestra heterogénea de 55 varones presos y en libertad, a los que se les pasó el cuestionario de personalidad desarrollado por Eysenck, EPQ-A. Los resultados son indicativos de que no existe relación entre el tiempo de estancia prolongado en prisión y la dimensión E, mientras sí parece existir una relación entre la prisionización y la dimensión N; no obstante, parecen existir variables mediadoras en dichas relaciones


One of the hypothesis which are being considered in order to explain the connection between the low scores in the extroversion (E) dimension and the high scores in the neuroticism (N) dimension from the Eysenck psychobiological pattern and the criminal behaviour, respectively, is the influence of the period of imprisonment. In the present study, a correlated research of dimensions E and N with the period of imprisonment of individuals has been done by using a heterogeneous sample of 55 imprisoned and free men, to whom the personality test developed by Eysenck EPQ-A was given. The results are indicative of not existing connection between the prolonged period of imprisonment and the dimension E, whereas a connection between the imprisonment and the dimension N does seem to exist. It seems, however, there are variables interceding in these connections


Subject(s)
Young Adult , Adult , Middle Aged , Aged , Prisoners/psychology , Extraversion, Psychological , Neuroticism , Criminal Behavior , Surveys and Questionnaires , Time Factors
5.
Oncogene ; 36(41): 5695-5708, 2017 10 12.
Article in English | MEDLINE | ID: mdl-28581514

ABSTRACT

Despite the promising targeted and immune-based interventions in melanoma treatment, long-lasting responses are limited. Melanoma cells present an aberrant redox state that leads to the production of toxic aldehydes that must be converted into less reactive molecules. Targeting the detoxification machinery constitutes a novel therapeutic avenue for melanoma. Here, using 56 cell lines representing nine different tumor types, we demonstrate that melanoma cells exhibit a strong correlation between reactive oxygen species amounts and aldehyde dehydrogenase 1 (ALDH1) activity. We found that ALDH1A3 is upregulated by epigenetic mechanisms in melanoma cells compared with normal melanocytes. Furthermore, it is highly expressed in a large percentage of human nevi and melanomas during melanocyte transformation, which is consistent with the data from the TCGA, CCLE and protein atlas databases. Melanoma treatment with the novel irreversible isoform-specific ALDH1 inhibitor [4-dimethylamino-4-methyl-pent-2-ynthioic acid-S methylester] di-methyl-ampal-thio-ester (DIMATE) or depletion of ALDH1A1 and/or ALDH1A3, promoted the accumulation of apoptogenic aldehydes leading to apoptosis and tumor growth inhibition in immunocompetent, immunosuppressed and patient-derived xenograft mouse models. Interestingly, DIMATE also targeted the slow cycling label-retaining tumor cell population containing the tumorigenic and chemoresistant cells. Our findings suggest that aldehyde detoxification is relevant metabolic mechanism in melanoma cells, which can be used as a novel approach for melanoma treatment.


Subject(s)
Aldehyde Oxidoreductases/genetics , Alkynes/administration & dosage , Melanocytes/drug effects , Melanoma/drug therapy , Sulfhydryl Compounds/administration & dosage , Aldehyde Oxidoreductases/antagonists & inhibitors , Animals , Apoptosis/drug effects , Cell Line, Tumor , Cell Proliferation/drug effects , Cell Transformation, Neoplastic/drug effects , Cell Transformation, Neoplastic/genetics , Epigenesis, Genetic , Gene Expression Regulation, Neoplastic , Humans , Melanocytes/pathology , Melanoma/genetics , Melanoma/pathology , Mice , Neoplastic Stem Cells/drug effects , Xenograft Model Antitumor Assays
8.
Rev. clín. esp. (Ed. impr.) ; 216(6): 293-300, ago.-sept. 2016. tab
Article in Spanish | IBECS | ID: ibc-154667

ABSTRACT

Objetivos. Pretendemos aportar datos más fiables sobre la epidemiología de la leucemia mieloide crónica (LMC) en España que los disponibles hasta la fecha. Material y métodos. El registro poblacional EUTOS, de la European LeukemiaNet, es un registro de casos nuevos de LMC en pacientes ≥ de 18 años de 22 áreas europeas. La sección española incluyó las comunidades autónomas de Madrid, Castilla-La Mancha y Aragón, en el periodo comprendido entre el 1-2-2010 y el 31-12-2012. Resultados. Se registraron 250 casos en 35 meses. La incidencia global fue de 1,08 casos/105 habitantes-año, con predominio masculino (58% de varones) y claras diferencias entre comunidades autónomas. La incidencia estandarizada por edad fue similar (global 1,04, varones 1,31, mujeres 0,81). La mediana de edad fue de 54 años. La incidencia aumentó con la edad, siendo máxima en>65 años, aunque un 31,7% de los casos aparecieron entre los 20 y los 44 años. Un 4% se diagnosticaron en fases avanzadas (2,4% en fase acelerada, 1,6% en crisis blástica), el 56% estaban asintomáticos, el 38% tenían esplenomegalia, y el score Sokal era alto en el 11% (inferior a lo previamente reflejado en la literatura). Conclusiones. La incidencia actual de LMC en España es superior a la previamente descrita y similar a la de los estudios europeos. A diferencia de las descripciones clásicas, la LMC se presenta mayoritariamente de forma asintomática, sin esplenomegalia, con menor leucocitosis y en estadios con mejor pronóstico (AU)


Objectives. To provide more reliable data on the epidemiology of chronic myeloid leukaemia (CML) in Spain than are currently available. Material and methods. The EUTOS population-based project of European LeukemiaNet is a population registry of new CML cases in patients 18 years of age or older from 22 European areas. The Spanish section included the autonomous communities of Madrid, Castilla-La Mancha and Aragon, from 1-2-2010 to 31-12-2012. Results. A total of 250 cases were recorded in 35 months. The overall incidence was 1.08 cases/105 inhabitants-year, with a predominance of men (58%) and clear differences among the communities. The incidence standardised by age was similar (overall, 1.04; men, 1.31; women, 0.81). The median age was 54 years. The incidence increased with age, reaching a peak at>65 years, although 31.7% of cases appeared between the ages of 20 and 44 years. Four percent of cases were diagnosed in advanced stages (2.4% in accelerated phase, 1.6% in blast crisis), 56% were asymptomatic, 38% had splenomegaly, and the Sokal score was high in 11% (lower than what was previously reflected in the literature). Conclusions. The current incidence of CML in Spain is higher than previously reported and similar to that of the European studies. Unlike the classical descriptions, CML presented mostly in asymptomatic form, with no splenomegaly, less leucocytosis and in stages with better prognosis (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/epidemiology , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/prevention & control , Splenomegaly/complications , Splenomegaly/physiopathology , Leukocytosis/complications , Spain/epidemiology , Research and Development Projects , Health Services/standards , 28599 , Cytogenetics/methods , Cytogenetics/statistics & numerical data , Retrospective Studies
10.
Rev Clin Esp (Barc) ; 216(6): 293-300, 2016.
Article in English, Spanish | MEDLINE | ID: mdl-27061504

ABSTRACT

OBJECTIVES: To provide more reliable data on the epidemiology of chronic myeloid leukaemia (CML) in Spain than are currently available. MATERIAL AND METHODS: The EUTOS population-based project of European LeukemiaNet is a population registry of new CML cases in patients 18 years of age or older from 22 European areas. The Spanish section included the autonomous communities of Madrid, Castilla-La Mancha and Aragon, from 1-2-2010 to 31-12-2012. RESULTS: A total of 250 cases were recorded in 35 months. The overall incidence was 1.08 cases/10(5) inhabitants-year, with a predominance of men (58%) and clear differences among the communities. The incidence standardised by age was similar (overall, 1.04; men, 1.31; women, 0.81). The median age was 54 years. The incidence increased with age, reaching a peak at>65 years, although 31.7% of cases appeared between the ages of 20 and 44 years. Four percent of cases were diagnosed in advanced stages (2.4% in accelerated phase, 1.6% in blast crisis), 56% were asymptomatic, 38% had splenomegaly, and the Sokal score was high in 11% (lower than what was previously reflected in the literature). CONCLUSIONS: The current incidence of CML in Spain is higher than previously reported and similar to that of the European studies. Unlike the classical descriptions, CML presented mostly in asymptomatic form, with no splenomegaly, less leucocytosis and in stages with better prognosis.

13.
Colorectal Dis ; 17(4): 342-50, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25580989

ABSTRACT

AIM: The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. METHOD: Patients scheduled for colorectal surgery randomly received a 48-h preperitoneal CWI of either 0.38% ropivacaine or 0.9% saline at rates of 5 ml/h after laparotomy or 2 ml/h after laparoscopy. The primary end-point was total morphine consumption in surgery and afterwards through a patient-controlled analgesia device. Results in the laparotomy and laparoscopy subgroups were also compared. RESULTS: Sixty-seven patients were included, 33 in the ropivacaine CWI group and 34 in the saline group. Median [interquartile range (IQR)] morphine consumption was lower in the ropivacaine group [23.5 mg (11.25-42.75)] than in the saline group [52 mg (24.5-64)] (P = 0.010). Morphine consumption was also lower in the laparotomy subgroup receiving ropivacaine [21.5 (15.6-34.7)] than in the saline group [52.5 (22.5-65) ml] (P = 0.041). Consumption was statistically similar in laparoscopy patients on ropivacaine or saline. No side effects were observed. Sixteen patients had a surgical wound infection (23.9%); 11 (16.4%) presented wound infection and five (7.5%) organ space infection. Forty-six catheter cultures were obtained; 10 (21.7%) were positive, assessed to be due to contamination. CONCLUSION: Preperitoneal CWI of ropivacaine is a good, safe addition to a multimodal analgesia regimen for colorectal surgery. CWI can reduce morphine consumption without increasing adverse effects.


Subject(s)
Analgesics, Opioid/therapeutic use , Anesthetics, Local/therapeutic use , Colectomy , Morphine/therapeutic use , Pain Management/methods , Pain, Postoperative/drug therapy , Rectum/surgery , Surgical Wound Infection , Adolescent , Adult , Aged , Aged, 80 and over , Amides , Digestive System Surgical Procedures , Double-Blind Method , Female , Humans , Infusions, Intralesional , Laparoscopy , Laparotomy , Male , Middle Aged , Postoperative Care/methods , Ropivacaine , Sodium Chloride , Young Adult
15.
Nutr Hosp ; 30(3): 602-8, 2014 Sep 01.
Article in English | MEDLINE | ID: mdl-25238837

ABSTRACT

INTRODUCTION: Nonagenarian population, clearly increasing, shows different characteristics from the rest of elderly people. Health-related quality of life is a way to study population health in physical, psychological and social dimensions. OBJECTIVES: To examine the relationship between nutritional status and health-related quality of life in a group of free-living nonagenarians. Differences with octogenarians were also studied. METHODS: Within Villanueva Older Health Study, 20 non-institutionalised people (92.5 ± 3.5 years; 80% women) make the nonagenarian subsample. Nutritional risk was assessed by Mininutritional Assessment questionnaire, dietary intake by a 24-hour dietary recall and health-related quality of life by EuroQoL-5D questionnaire. SPSS was used for statistical analysis. RESULTS: 40% nonagenarians were at risk of malnutrition. Dietary assessment showed magnesium, zinc, potassium, folic acid, vitamin D and vitamin E deficiencies. Problems in mobility were more frequently reported (80%). EQ-5Dindex was associated with MNA(p<0.05). Self-care dimension was associated with calcium and niacin(p<0.05), retinol and cholesterol(p<0.01) intake. Usual activities dimension was associated with niacin(p<0.01) and cholesterol(p<0.05) intake. Pain/discomfort dimension was associated with protein(p<0.01), energy, selenium and niacin(p<0.05) intake. Anxiety/depression was associated with protein(p<0.01) and selenium(p<0.05) intake. CONCLUSIONS: Risk of malnutrition is a factor associated to health-related quality of life. Results suggest that energy and some nutrient intakes could be possibly associated to health-related quality of life but further research on this influence is required.


Introducción: La población nonagenaria, en claro crecimiento, muestra características diferentes del resto de la población anciana. La calidad de vida relacionada con la salud es una forma de estudiar la salud de la población en sus dimensiones física, psicológica y social. Objetivos: Observar la relación entre el estado nutricional y la calidad de vida relacionada con la salud en un grupo de nonagenarios de vida independiente. También se estudian las diferencias con los octogenarios. Método: Dentro del Estudio sobre Salud en Mayores de Villanueva de la Cañada, 20 personas (92,5±3,5 años; 80% mujeres) forman la submuestra de nonagenarios. El riesgo nutricional fue valorado mediante el Mininutritional Assessment, la ingesta dietética mediante un recuerdo de 24 horas y la calidad de vida relacionada con la salud usando el cuestionario EuroQoL-5D (EQ-5D). Para el análisis estadístico se utilizó el programa SPSS. Resultados: 40% de los nonagenarios presentaban riesgo de malnutrición. Se detectaron posibles deficiencias de magnesio, cinc, potasio, ácido fólico, vitamina D y vitamina E. Los problemas de movilidad fueron los más frecuentes (80%). El EQ-5Dindice se asoció con el MNA(p.


Subject(s)
Nutritional Status , Quality of Life , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Surveys and Questionnaires
16.
Nutr. hosp ; 30(3): 602-608, sept. 2014. tab, graf
Article in English | IBECS | ID: ibc-143783

ABSTRACT

Introduction: Nonagenarian population, clearly increasing, shows different characteristics from the rest of elderly people. Health-related quality of life is a way to study population health in physical, psychological and social dimensions. Objectives: To examine the relationship between nutritional status and health-related quality of life in a group of free-living nonagenarians. Differences with octogenarians were also studied. Methods: Within Villanueva Older Health Study, 20 non-institutionalised people (92.5±3.5 years; 80% women) make the nonagenarian subsample. Nutritional risk was assessed by Mininutritional Assessment questionnaire, dietary intake by a 24-hour dietary recall and health-related quality of life by EuroQoL-5D questionnaire. SPSS was used for statistical analysis. Results: 40% nonagenarians were at risk of malnutrition. Dietary assessment showed magnesium, zinc, potassium, folic acid, vitamin D and vitamin E deficiencies. Problems in mobility were more frequently reported (80%). EQ-5Dindex was associated with MNA (p<0.05). Self-care dimension was associated with calcium and niacin (p<0.05), retinol and cholesterol (p<0.01) intake. Usual activities dimension was associated with niacin (p<0.01) and cholesterol (p<0.05) intake. Pain/discomfort dimension was associated with protein (p<0.01), energy, selenium and niacin(p<0.05) intake. Anxiety/depression was associated with protein(p<0.01) and selenium(p<0.05) intake. Conclusions: Risk of malnutrition is a factor associated to health-related quality of life. Results suggest that energy and some nutrient intakes could be possibly associated to health-related quality of life but further research on this influence is required (AU)


Introducción: La población nonagenaria, en claro crecimiento, muestra características diferentes del resto de la población anciana. La calidad de vida relacionada con la salud es una forma de estudiar la salud de la población en sus dimensiones física, psicológica y social. Objetivos: Observar la relación entre el estado nutricional y la calidad de vida relacionada con la salud en un grupo de nonagenarios de vida independiente. También se estudian las diferencias con los octogenarios. Método: Dentro del Estudio sobre Salud en Mayores de Villanueva de la Cañada, 20 personas (92,5±3,5 años; 80% mujeres) forman la submuestra de nonagenarios. El riesgo nutricional fue valorado mediante el Mininutritional Assessment, la ingesta dietética mediante un recuerdo de 24 horas y la calidad de vida relacionada con la salud usando el cuestionario EuroQoL-5D (EQ-5D). Para el análisis estadístico se utilizó el programa SPSS. Resultados: 40% de los nonagenarios presentaban riesgo de malnutrición. Se detectaron posibles deficiencias de magnesio, cinc, potasio, ácido fólico, vitamina D y vitamina E. Los problemas de movilidad fueron los más frecuentes (80%). El EQ-5Dindice se asoció con el MNA (p <0,05). La dimensión de cuidado personal se asoció con la ingesta de calcio y niacina (p<0,05), retinol y colesterol (p<0,01). La presencia de problemas al realizar las actividades cotidianas se asoció con la ingesta de niacina (p<0,01) y colesterol (p<0,05). La dimensión de dolor/malestar se asoció con la ingesta de proteína (p<0,01), energía, selenio y niacina (p<0,05). Ansiedad/depresión se asoció con la ingesta de proteína (p<0,01) y selenio (p<0,05). Conclusiones: El riesgo de malnutrición es un factor asociado a la calidad de vida relacionada con la salud. Los resultados sugieren que la ingesta de energía y algunos nutrientes podrían estar asociados a la calidad de vida relacionada con la salud pero se requiere más investigación sobre esta influencia (AU)


Subject(s)
Aged, 80 and over , Nutritional Status/physiology , Personal Autonomy , Feeding Behavior , Psychometrics/instrumentation , Malnutrition/epidemiology , Geriatric Assessment/methods , Quality of Life , Risk Factors
17.
Rev. calid. asist ; 29(3): 127-134, mayo-jun. 2014. graf, tab
Article in Spanish | IBECS | ID: ibc-122758

ABSTRACT

Objetivos: Evaluar la calidad, la accesibilidad y la presencia de herramientas 2.0 de las páginas webs de los hospitales del Sistema Sanitario Público de Andalucía. Métodos: Estudio observacional descriptivo durante el periodo 2010-2012. Las variables analizadas fueron: calidad, accesibilidad y presencia de herramientas 2.0. La calidad se evaluó mediante el cuestionario de Bermúdez-Tamayo, la accesibilidad con la herramienta Test de Accesibilidad Web y las herramientas 2.0 por observación directa. Resultados: Disponían de página web en 2010, 31 de los 45 hospitales (68,9%), incrementándose hasta 34 (75,5%) en 2012. La puntuación media + desviación estándar (DE) del cuestionario de calidad Bermúdez Tamayo fue de 11,1 + 3,8 puntos en 2010 y de 12,3 + 3,9 puntos en el año 2012, observándose una diferencia entre las medias de 0,25 (IC del 95%, 0,00 a 0,50) estadísticamente significativa (p = 0,007). En la evaluación de la accesibilidad, solo 7 páginas webs (n = 31) en 2010 y 10 (n = 34) en 2012 cumplían criterios legales de accesibilidad. El uso de herramientas 2.0 se incrementó a lo largo del estudio. En 2010 disponían de este tipo de herramientas el 19,4% (n = 6) de las páginas webs de los hospitales y en 2012 el 58,8% (n = 20). Conclusiones: La calidad evaluada con el cuestionario Bermúdez-Tamayo, en general, fue buena. Sin embargo, se observó un incumplimiento de la legislación en materia de accesibilidad, que debe ser revisada y adaptada a la normativa legal vigente. Se constató la incipiente utilización de los recursos web 2.0 como estrategias de educación y comunicación en materia de salud (AU)


Objectives: Evaluate the quality, accessibility and presence of Web 2.0 tools in the Andalusia Public Health System hospitals websites Methods: Observational, descriptive study carried out between 2010 and 2012. The variables analyzed were: quality, accessibility and innovation. The quality was evaluated using a Bermudez-Tamayo questionnaire. Accessibility was measured using the Web Accessibility Test (TAW) tool. Web 2.0 tools were identified by direct observation. Results: A total of 31 of the 45 hospitals (68.9%) had a website in the year 2010, increasing to 34 (75.5%) in 2012. The average score + standard deviation (SD) of the Bermudez-Tamayo quality questionnaire was 11.1 + 3.8 points in 2010, and 12.3 + 3.9 points in 2012, observing a statistically significant difference of 0.25 being observed between the means (P=.007), 95% CI; 0.00 to 0.50) In the accessibility evaluation only 7 websites (n = 31) in 2010, and 10 (n = 34) in 2012, fulfilled the legal criteria for accessibility. The use of Web 2.0 tools has increased throughout the study. In 2010, 19.4% (n = 6) of the hospital websites had this type of tool, in comparison to 58.8% (n = 20) in 2012. Conclusions: In general, the quality of the websites studied is good. However, current legislation regarding accessibility is not fulfilled and must be revised and adapted to the current legal rules. There is an incipient use of Web 2.0 resources as education and communication strategies with regard to health


Subject(s)
Humans , Access to Information/legislation & jurisprudence , Webcasts as Topic/organization & administration , Hospital Information Systems/trends , Consumer Health Information/trends , Selective Dissemination of Information , Total Quality Management/trends
18.
Rev Calid Asist ; 29(3): 127-34, 2014.
Article in Spanish | MEDLINE | ID: mdl-24755271

ABSTRACT

OBJECTIVES: Evaluate the quality, accessibility and presence of Web 2.0 tools in the Andalusia Public Health System hospitals websites METHODS: Observational, descriptive study carried out between 2010 and 2012. The variables analyzed were: quality, accessibility and innovation. The quality was evaluated using a Bermudez-Tamayo questionnaire. Accessibility was measured using the Web Accessibility Test (TAW) tool. Web 2.0 tools were identified by direct observation. RESULTS: A total of 31 of the 45 hospitals (68.9%) had a website in the year 2010, increasing to 34 (75.5%) in 2012. The average score+standard deviation (SD) of the Bermudez-Tamayo quality questionnaire was 11.1+3.8 points in 2010, and 12.3+3.9 points in 2012, observing a statistically significant difference of 0.25 being observed between the means (P=.007), 95% CI; 0.00 to 0.50) In the accessibility evaluation only 7 websites (n=31) in 2010, and 10 (n=34) in 2012, fulfilled the legal criteria for accessibility. The use of Web 2.0 tools has increased throughout the study. In 2010, 19.4% (n=6) of the hospital websites had this type of tool, in comparison to 58.8% (n=20) in 2012. CONCLUSIONS: In general, the quality of the websites studied is good. However, current legislation regarding accessibility is not fulfilled and must be revised and adapted to the current legal rules. There is an incipient use of Web 2.0 resources as education and communication strategies with regard to health.


Subject(s)
Hospitals, Public , Internet , Public Health , Humans , Internet/standards , Internet/supply & distribution , Spain , Time Factors
19.
J Nutr Health Aging ; 18(4): 359-64, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24676315

ABSTRACT

OBJECTIVES: Health-related quality of life (HRQoL) is a multidimensional health measurement and a key to optimal aging. The aim of this study was to examine the association of nutritional status with HRQoL in the elderly. DESIGN: Cross-sectional study. SETTING: Villanueva Older Health Study, a community-based study in Villanueva de la Cañada (Madrid, Spain). PARTICIPANTS: 83 (53 women) non-institutionalized inhabitants aged 80 years and above. MEASUREMENT: HRQoL was assessed by EuroQoL-5D (EQ-5D) questionnaire, nutritional risk by Mini Nutritional Assessment (MNA) questionnaire and dietary intake by 24-hour dietary recall. Statistical significance was evaluated at 95% confidence level (P<0.05). RESULTS: EQ-5D pointed out differences between men and women (0.782±0.235 and 0.633±0.247; p=0.02). Problems in mobility (total sample) and pain/discomfort (women) dimensions were most frequently reported. MNA (26.5±3.2 men and 24.3±3.2 women; p=0.03) revealed malnutrition in 3.3% of men and 1.9% of women, and risk of malnutrition in 6.7% and 37.7%, respectively. Total sample was at risk of folic acid, zinc, magnesium, vitamin D and vitamin E deficiency. EQ-5D was associated with MNA (p<0.001). EQ-5Dindex was associated with energy intake (p=0.04) and EQ-5Dvas was negatively correlated with body mass index (p=0.02). EQ-5D pain/discomfort dimension was associated with energy (p=0.006), protein (p=0.005), lipid (p=0.03), magnesium (p=0.032), phosphorus (p=0.012), selenium (p=0.043) and niacin (p=0.004) intake. CONCLUSIONS: Women showed poorer HRQoL and higher malnutrition risk. A relationship between HRQoL and risk of malnutrition was observed. Results suggest that when energy and protein, lipid, phosphorus, magnesium, selenium and niacin intake increase, HRQoL is promoted, although the increase does not seem to have a strong direct effect on it. The limited influence of energy and nutrient intake on HRQoL observed requires further research.


Subject(s)
Geriatric Assessment , Nutrition Assessment , Nutritional Status , Quality of Life , Aged, 80 and over , Body Mass Index , Cross-Sectional Studies , Female , Health Status Indicators , Humans , Male , Malnutrition/epidemiology , Residence Characteristics , Spain , Surveys and Questionnaires
20.
Acta Biomater ; 10(5): 2177-86, 2014 May.
Article in English | MEDLINE | ID: mdl-24394636

ABSTRACT

Much effort is currently devoted to implementing new materials in electrodes that will be used in the central nervous system, either for functional electrostimulation or for tests on nerve regeneration. Their main aim is to improve the charge capacity of the electrodes, while preventing damaging secondary reactions, such as peroxide formation, occurring while applying the electric field. Thus, hybrids may represent a new generation of materials. Two novel hybrid materials are synthesized using three known biocompatible materials tested in the neural system: polypyrrole (PPy), poly(3,4-ethylenedioxythiophene) (PEDOT) and iridium oxide (IrO2). In particular, PPy-IrO2 and PEDOT-IrO2 hybrid nanocomposite materials are prepared by chemical polymerization in hydrothermal conditions, using IrO2 as oxidizing agent. The reaction yields a significant ordered new hybrid where the conducting polymer is formed around the IrO2 nanoparticles, encapsulating them. Scanning electron microscopy and backscattering techniques show the extent of the encapsulation. Both X-ray photoelectron and Fourier transform infrared spectroscopies identify the components of the phases, as well as the absence of impurities. Electrochemical properties of the final phases in powder and pellet form are evaluated by cyclic voltammetry. Biocompatibility is tested with MTT toxicity tests using primary cultures of cortical neurons grown in vitro for 6 and 9days.


Subject(s)
Culture Media/chemistry , Electric Conductivity , Electrochemistry/methods , Iridium/chemistry , Nanocomposites/chemistry , Polymers/chemistry , Animals , Bridged Bicyclo Compounds, Heterocyclic/chemistry , Mice , Nanocomposites/toxicity , Nanocomposites/ultrastructure , Neurons/cytology , Photoelectron Spectroscopy , Pyrroles/chemistry , Spectrometry, X-Ray Emission , Spectroscopy, Fourier Transform Infrared
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