Capacitación de estudiantes de Farmacia como agentes educadores de la salud

El objetivo general de la iniciativa presentada es contribuir a la capacitación de los estudiantes del último curso de Farmacia como agentes activos de educación sanitaria. Las áreas temáticas principales a desarrollar son las relacionadas con la medicación, los hábitos de salud y la prevención de la enfermedades o problemas de salud más habituales entre la población. La línea formativa se sustenta en el diseño y elaboración de los recursos didácticos más adecuados que permitan desarrollar la acción educativa a nivel de la comunidad, así como la identificación de aquellas técnicas de comunicación más favorables según las características de los contenidos a impartir.

Azacytidine for acute myeloid leukemia in elderly or frail patients: a phase II trial (SAKK 30/07).

Abstract This phase II trial treated elderly or frail patients with acute myeloid leukemia (AML) with single-agent subcutaneous azacytidine at 100 mg/m(2), on 5 of 28 days for up to six cycles. Treatment was stopped for lack of response, or continued to progression in responders. The primary endpoint was response within 6 months. A response rate ≥ 34% was considered a positive trial outcome. From September 2008 to April 2010, 45 patients from 10 centers (median age 74 [55-86] years) were accrued. Patients received four (1-21) cycles. Best response was complete response/complete response with incomplete recovery of neutrophils and/or platelets (CR/CRi) in eight (18%; 95% confidence interval [CI]: 8-32%.), 0 (0%) partial response (PR), seven (16%) hematologic improvement, 17 (38%) stable disease. Three non-responding patients stopped treatment after six cycles, 31 patients stopped early and 11 patients continued treatment for 8-21 cycles. Adverse events (grade ≥ III) were infections (n = 13), febrile neutropenia (n = 8), thrombocytopenia (n = 7), dyspnea (p = 6), bleeding (n = 5) and anemia (n = 4). Median overall survival was 6 months. Peripheral blood blast counts, grouped at 30%, had a borderline significant association with response (p = 0.07). This modified azacytidine schedule is feasible for elderly or frail patients with AML in an outpatient setting with moderate, mainly hematologic, toxicity and response in a proportion of patients, although the primary objective was not reached.

In-hospital and 1-year mortality in patients undergoing early surgery for prosthetic valve endocarditis.

IMPORTANCE: There are limited prospective, controlled data evaluating survival in patients receiving early surgery vs medical therapy for prosthetic valve endocarditis (PVE). OBJECTIVE: To determine the in-hospital and 1-year mortality in patients with PVE who undergo valve replacement during index hospitalization compared with patients who receive medical therapy alone, after controlling for survival and treatment selection bias. DESIGN, SETTING, AND PARTICIPANTS: Participants were enrolled between June 2000 and December 2006 in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS), a prospective, multinational, observational cohort of patients with infective endocarditis. Patients hospitalized with definite right- or left-sided PVE were included in the analysis. We evaluated the effect of treatment assignment on mortality, after adjusting for biases using a Cox proportional hazards model that included inverse probability of treatment weighting and surgery as a time-dependent covariate. The cohort was stratified by probability (propensity) for surgery, and outcomes were compared between the treatment groups within each stratum. INTERVENTIONS: Valve replacement during index hospitalization (early surgery) vs medical therapy. MAIN OUTCOMES AND MEASURES: In-hospital and 1-year mortality. RESULTS: Of the 1025 patients with PVE, 490 patients (47.8%) underwent early surgery and 535 individuals (52.2%) received medical therapy alone. Compared with medical therapy, early surgery was associated with lower in-hospital mortality in the unadjusted analysis and after controlling for treatment selection bias (in-hospital mortality: hazard ratio [HR], 0.44 [95% CI, 0.38-0.52] and lower 1-year mortality: HR, 0.57 [95% CI, 0.49-0.67]). The lower mortality associated with surgery did not persist after adjustment for survivor bias (in-hospital mortality: HR, 0.90 [95% CI, 0.76-1.07] and 1-year mortality: HR, 1.04 [95% CI, 0.89-1.23]). Subgroup analysis indicated a lower in-hospital mortality with early surgery in the highest surgical propensity quintile (21.2% vs 37.5%; P = .03). At 1-year follow-up, the reduced mortality with surgery was observed in the fourth (24.8% vs 42.9%; P = .007) and fifth (27.9% vs 50.0%; P = .007) quintiles of surgical propensity. CONCLUSIONS AND RELEVANCE: Prosthetic valve endocarditis remains associated with a high 1-year mortality rate. After adjustment for differences in clinical characteristics and survival bias, early valve replacement was not associated with lower mortality compared with medical therapy in the overall cohort. Further studies are needed to define the effect and timing of surgery in patients with PVE who have indications for surgery.

Pla de Defensa d’Incendis Forestals de la Serra de Montsià

La Serra de Montsià igual que altres zones mediterrànies, té en els grans incendis forestals una de les principals pertorbacions, amb impactes negatius per als ecosistemes i la societat. El Pla de Defensa d’Incendis Forestals de la Serra de Montsià, té com a objectiu l’estudi i planificació de les actuacions de defensa més efectives per fer front als incendis forestals i ho fa a partir de l’estudi adequat del territori i del comportament previst del foc en diferents situacions amb l’ajuda de simuladors d’incendis.

Pla de Prevenció d’Incendis Forestals a la Serra de Cardó (província de Tarragona)

Els incendis forestals són actualment les majors pertorbacions del sistema mediterrani, ocasionant pèrdues econòmiques, ambientals i alarma social. La nostra àrea d’estudi és la Serra de Cardó, serra prelitoral i meridional catalana representativa de l’ecosistema mediterrani, on llur règim d’incendis de baixa intensitat ha canviat en els últims anys. L’èxode rural i l' abandonament agrícola han augmentat considerablement la colonització d’aquests espais per brolles mediterrànies i masses arbrades de pi blanc, amb la conseqüent acumulació de combustible i continuïtat entre estrats. A més, l’abandonament dels aprofitaments forestals tradicionals i les polítiques medi ambientals dels últims temps, han contribuït a canviar el règim d’incendis d’aquesta zona generant sovint episodis de Grans Incendis Forestals (GIF), provocant incendis intensos, de grans proporcions i d’altes velocitats de propagació que sobrepassen la capacitat de treball dels nostres mitjans d’extinció. Partint d’una anàlisi profunda de tot el territori i per tal d’optimar la planificació territorial i la gestió forestal, analitzarem el context espacio-temporal en el que es donaren els episodis de grans incendis forestals per tal de caracteritzar el nou règim d’incendis. També analitzarem la dinàmica vegetal que afronta el territori per albirar la tendència vegetal futura. Com a resultat d’aquesta anàlisi determinarem punts estratègics de gestió i planificarem infraestructures de prevenció d’acord amb els resultats obtinguts. Analitzarem les zones d’interfície urbano-forestal i classificarem els tipus d’interfase existents, analitzarem el comportament del foc i finalment, d’acord amb els resultats obtinguts i amb la normativa vigent justificarem i pressupostarem les obres de prevenció d’incendis planificades, contribuint a la defensa de la Serra davant possibles focs forestals.

Disseny de la Fitxa Operativa d’Elements de Risc de Massissos Forestals i la implantació al Massís de l’Ardenya-Cadiretes

Les Fitxes Operatives d’Elements de Risc han de ser una eina molt valida en el món operatiu del cos de Bombers, i aquí s’ha plantejat el disseny d’una nova tipologia, les FOER de Massissos Forestals per intervencions en Grans Incendis Forestals. Unes FOER molt diferents a les fetes fins a l’actualitat. També s’ha plantejat senyalar punts crítics en el territori, punts que esdevenen possibles zones de gestió forestals emmarcada en la prevenció d’incendis.

Konserttiohjelma 1900-07-01 - Ohjelma

Helsinki 1900

Konserttiohjelma 1900-07-02 - Ohjelma

Helsinki 1900

'La Manteria'. Pinturas murales de la iglesia de Santo Tomás de Villanueva

La iglesia de Santo Tomás de Villanueva de Zaragoza es lo único que se conserva de lo que fuera el convento de agustinos observantes, llamado popularmente convento de la Mantería por ubicarse en la plaza del mismo nombre. Fué edificada entre 1663 y 1683 bajo el patronazgo del arzobispo de Zaragoza don Francisco Gamboa. Es un edificio barroco construido en ladrillo, con planta de cruz latina, de una sola nave, cubierta en sus tramos y brazos por cúpulas elípticas, siendo semiesférica la del crucero. Lo más destacable del edificio es su decoración mural. En un principio las pinturas cubrían la totalidad de las paredes y bóvedas. Los avatares históricos, desamortización y posterior empleo como almacén, así como el deterioro por efecto de la humedad, han hecho que sólo hayan llegado hasta nosotros las pinturas de las cúpulas. La ejecución de la pintura se debe al pintor de cámara de Carlos II, Claudio Coello, ayudado por su discípulo Sebastián Muñoz y por una serie de pintores locales. Claudio Coello trabajó entre 1683 y 1684, prolongándose las tareas hasta 1686.

Using vegetation to characterize the avalanche to Canal del Roc Roig, Vall de Núria (Eastern Pyrenees, Spain)

Avalanche hazard maps of high accuracy are difficult to produce. For land-use planning and management purposes, a good knowledge of extreme run-out zones and frequencies of avalanches is required. In the present work, vegetation recognition (especially focused on Pinus uncinata trees) and dendrochronological techniques are used to characterize avalanches that have occurred in historical times, helping to determine both the extent of large or extreme avalanches and their occurrence in time. Vegetation was studied at the Canal del Roc Roig (eastern Pyrenees, Spain) avalanche path. The avalanches descending this path affect the railway that reaches the Vall de Núria resort and the run-up to the opposite slope. During winter 1996, two important avalanches affecting this path were well documented. These are compared with the results of the vegetation study, consisting of an inventory of flora, the recording of vegetation damages along eight transverse profiles at different altitudes on the path and a dendrochronological sampling campaign. The data obtained contributed to a characterization of the predominant snow accumulation in the starting zone, the 1996 avalanches and the range of frequencies of large avalanches. Also, traces of avalanches that increase the path mapped in the avalanche paths map published by the Institut Cartogràfic de Catalunya in 2000 were identified, improving the initial existing information.

Using vegetation to characterize the avalanche to Canal del Roc Roig, Vall de Núria (Eastern Pyrenees, Spain)

Avalanche hazard maps of high accuracy are difficult to produce. For land-use planning and management purposes, a good knowledge of extreme run-out zones and frequencies of avalanches is required. In the present work, vegetation recognition (especially focused on Pinus uncinata trees) and dendrochronological techniques are used to characterize avalanches that have occurred in historical times, helping to determine both the extent of large or extreme avalanches and their occurrence in time. Vegetation was studied at the Canal del Roc Roig (eastern Pyrenees, Spain) avalanche path. The avalanches descending this path affect the railway that reaches the Vall de Núria resort and the run-up to the opposite slope. During winter 1996, two important avalanches affecting this path were well documented. These are compared with the results of the vegetation study, consisting of an inventory of flora, the recording of vegetation damages along eight transverse profiles at different altitudes on the path and a dendrochronological sampling campaign. The data obtained contributed to a characterization of the predominant snow accumulation in the starting zone, the 1996 avalanches and the range of frequencies of large avalanches. Also, traces of avalanches that increase the path mapped in the avalanche paths map published by the Institut Cartogràfic de Catalunya in 2000 were identified, improving the initial existing information.

The role of fibroblast growth factor (FGF) and type beta transforming growth factot beta (TGF beta1, beta2 and beta3) during rat craniofacial development

Growth factors seem to be part of a complex cellular signalling language, in which individual growth factors are the equivalents of the letters that compose words. According to this analogy, informational content lies, not in an individual growth factor, but in the entire set of growth factors and others signals to which a cell is exposed. The ways in which growth factors exert their combinatorial effects are becoming clearer as the molecular mechanisms of growth factors actions are being investigated. A number of related extracellular signalling molecules that play widespread roles in regulating development in both invertebrates and vertebrates constitute the Fibroblast Growth Factor (FGF) and type beta Transforming Growth Factor ((TGF beta). The latest research literature about the role and fate of these Growth factors and their influence in the craniofacial bone growth ad development is reviewed

The role of fibroblast growth factor (FGF) and type beta transforming growth factot beta (TGF beta1, beta2 and beta3) during rat craniofacial development

Growth factors seem to be part of a complex cellular signalling language, in which individual growth factors are the equivalents of the letters that compose words. According to this analogy, informational content lies, not in an individual growth factor, but in the entire set of growth factors and others signals to which a cell is exposed. The ways in which growth factors exert their combinatorial effects are becoming clearer as the molecular mechanisms of growth factors actions are being investigated. A number of related extracellular signalling molecules that play widespread roles in regulating development in both invertebrates and vertebrates constitute the Fibroblast Growth Factor (FGF) and type beta Transforming Growth Factor ((TGF beta). The latest research literature about the role and fate of these Growth factors and their influence in the craniofacial bone growth ad development is reviewed

Poly(beta,L-malic acid)Doxorubicin ionic complex: A pH-dependent delivery system.

Poly(ß,L-malic acid) (PMLA) was made to interact with the cationic anticancer drug Doxorubicin (DOX) in aqueous solution to form ionic complexes with different compositions and an efficiency near to 100%. The PMLA/DOX complexes were characterized by spectroscopy, thermal analysis, and scanning electron microscopy. According to their composition, the PMLA/DOX complexes spontaneously self-assembled into spherical micro or nanoparticles with negative surface charge. Hydrolytic degradation of PMLA/DOX complexes took place by cleavage of the main chain ester bond and simultaneous release of the drug. In vitro drug release studies revealed that DOX delivery from the complexes was favored by acidic pH and high ionic strength