Underuse of beta-blockers in heart failure and chronic obstructive pulmonary disease

Acknowledgments The data in this article have been partly presented in preliminary abstract form as a poster at the winter meeting of the British Thoracic Society, London, 2 December 2015 (10.1136/thoraxjnl-2015-207770.161).

Is health a right for all? An umbrella review of the barriers to health care access faced by migrants

Objective. To synthesise the scientific evidence concerning barriers to health care access faced by migrants. We sought to critically analyse this evidence with a view to guiding policies. Design. A systematic review methodology was used to identify systematic and scoping reviews which quantitatively or qualitatively analysed data from primary studies. The main variables analysed were structural and contextual barriers (health system organisation) as well as individual (patients and providers). The quality of evidence from the systematic reviews was critically appraised. From 2674 reviews, 79 were retained for further scrutiny, and finally 9 met the inclusion criteria. Results. The structural barriers identified were the lack of health insurance and the high cost of drugs (non-universal health system) and organisational aspects of health system (social insurance system and national health system). The individual barriers were linguistic and cultural. None of the reviews provided a quality appraisal of the studies. Conclusions. Barriers to health care for migrants range from entitlement in non-universal health systems to accessibility in universal ones, and determinants of access to the respective health services should be analysed within the corresponding national context. Generate social and institutional changes that eliminate barriers to access to health services is essential to ensure health for all.

Blogs de Lengua y Literatura Castellana y Literatura Infantil y Juvenil como modelo didáctico hacia la excelencia académica

Dentro de las múltiples herramientas 2.0 que fomentan la participación y la interacción con otros usuarios, los blogs continúan siendo un espacio central en el desarrollo de la competencia digital y también son cada vez más importantes al completar la competencia lecto-literaria por sus capacidades expresivas, hipertextuales y transmediáticas, e incluso se les considera como un nuevo género textual dentro de la Sociedad del Conocimiento. Para la didáctica de la lengua y la literatura y la literatura infantil y juvenil son una herramienta consolidada con múltiples posibilidades de uso para los distintos niveles educativos. En esta investigación se mostrarán algunos ejemplos de uso directo de blogs realizado por los miembros de la Red LIJ 2.0. Aplicaciones en Internet para la didáctica de la lengua y la literatura y la Literatura Infantil y Juvenil (2684). Este análisis precede a la selección de un listado de 25 espacios considerados como buenas prácticas en este ámbito con ejemplos para todos los niveles académicos, desde la Escuela Infantil a la Universidad que es el objetivo de esta red de investigación para el año 2013.

Marino Falliero: tragedia lirica

del Sigr. Bidèra ; posta in musica ... del mo. Gaetano Donizetti.

Marino Falliero [sic]: tragedia lirica. Se pur giungi a trucidarlo : duetto

del sigr. Bidèra ; posta in musica del maestro G. Donizetti.

Hādhihi Taqrīrāt rāʼiqah wa-taḥqīqāt fāʼiqah

nammaqahā Muḥammad al-Azharī najl al-Ḥasan al-ʻAdawī al-Ḥamzāwī. Washshaḥa bihā ḥawāshī Muḥammad al-Ḥifnī ʻalá Sharḥ al-Risālah al-waḍʻīyah al-ʻAḍudīyah / li-Abī al-Qāsim al-Samarqandī wa-bi-hāmishihā al-ḥawāshī al-madhkūrah maʻa al-sharḥ al-madhkūr.

Ḥāshīyat al-Kalanbawī ʻalá Jalāl al-Dīn al-Dawwānī fī Sharḥ al-ʻAqāʼid al-ʻAḍudīyah

[Ismāʻīl ibn Muṣṭafá al-Kalanbawī].

Ḥāshiyat al-Kaffawī ʻalá ʻIṣām al-waḍʻīyah

Muḥammad al-Kaffawī ibn al-Ḥājj Ḥumayd.

Ḥawāshin ʻalá fann al-umūr al-ʻāmmah min Sharḥ al-Mawāqif : manuscript, [ca. 1700]

Written in one column, 17 lines per page, in black and red.

Hādhihi Ḥawāshī ʻalá Sharḥ al-Risālah al-waḍʻīyah al-ʻAḍudīyah / li-shaykhinā al-Shaykh Ismāʻīl al-ʻAjlūnī : manuscript, undated

Written in one column, 19 lines per page, in black.

Kitāb Ṭabaqāt al-aqṭāb fī dhikr awliyāʼ Allāh taʻālá wa-aqwālihim wa-aḥwālihim ilá intihāʼ ājālihim / taʼlīf al-Shaykh al-Imām al-ʻĀlim al-ʻAllāmah Taqī al-Dīn al-Subkī : manuscript, 1567

A biographical dictionary of sufis.

Hādhā kitāb al-ʻAqāyid / lil-Qāḍī ʻAḍud al-Dīn muʼallif kitāb al-Mawāqif : manuscript, undated

Bound with: Baḥr al-kalām fī ʻilm al-tawḥīd / lil-Shaykh al-Imām Abū al-Muʻīn al-Nasafī (ff. 1v-25r).

Sharḥ al-Mawāqif : manuscript, 1455

Copy completed on 9 Shawwāl 859 AH [September 21, 1455 AD].

Cardiopulmonary adaptation to short-term high altitude exposure in adult Fontan patients

OBJECTIVE High altitude-related hypoxia induces pulmonary vasoconstriction. In Fontan patients without a contractile subpulmonary ventricle, an increase in pulmonary artery pressure is expected to decrease circulatory output and reduce exercise capacity. This study investigates the direct effects of short-term high altitude exposure on pulmonary blood flow (PBF) and exercise capacity in Fontan patients. METHODS 16 adult Fontan patients (mean age 28±7 years, 56% female) and 14 matched controls underwent cardiopulmonary exercise testing with measurement of PBF with a gas rebreathing system at 540 m (low altitude) and at 3454 m (high altitude) within 12 weeks. RESULTS PBF at rest and at exercise was higher in controls than in Fontan patients, both at low and high altitude. PBF increased twofold in Fontan patients and 2.8-fold in the control group during submaximal exercise, with no significant difference between low and high altitude (p=0.290). A reduction in peak oxygen uptake at high compared with low altitude was observed in Fontan patients (22.8±5.1 and 20.5±3.8 mL/min/kg, p<0.001) and the control group (35.0±7.4 and 29.1±6.5 mL/min/kg, p<0.001). The reduction in exercise capacity was less pronounced in Fontan patients compared with controls (9±12% vs 17±8%, p=0.005). No major adverse clinical event was observed. CONCLUSIONS Short-term high altitude exposure has no negative impact on PBF and exercise capacity in Fontan patients when compared with controls, and was clinically well tolerated. TRIAL REGISTRATION NUMBER NCT02237274: Results.