Envejecimiento: patologías más frecuentes, prevención y tratamiento fisioterápico

La población envejece progresivamente,lo que conlleva a un aumento de las patologías y de la demanda asistencial. En las Áreas Básicas de Salud, como el CAPs Eixample (ICS) de Barcelona, existe una demanda para mejorar el estado de salud y el bienestar de la población anciana, y la necesidad de encontrar innovaciones para hacer más eficiente la Asistencia sanitaria, hemos iniciado un proyecto de investigación y desarrollo para incrementar el bien estar, disminuyendo la morbilidad, y mejorando la calidad de vida de los ancianos. En este trabajo se describe el proyecto de Fisioterapia realizado en un marco multidisciplinario de profesionales de la sanidad.

A highly sensitive LC-tandem MS assay for the measurement in plasma and in urine of salbutamol administered by nebulization during mechanical ventilation in healthy volunteers.

The new-generation nebulizers are commonly used for the administration of salbutamol in mechanically ventilated patients. The different modes of administration and new devices have not been compared. We developed a liquid chromatography-tandem mass spectrometry method for the determination of concentrations as low as 0.05 ng/mL of salbutamol, corresponding to the desired plasma concentration after inhalation. Salbutamol quantification was performed by reverse-phase HPLC. Analyte quantification was performed by electrospray ionization-triple quadrupole mass spectrometry using selected reaction monitoring detection ESI in the positive mode. The method was validated over concentrations ranging from 0.05 to 100 ng/mL in plasma and from 0.18 to 135 ng/mL in urine. The method is precise, with mean inter-day coefficient of variation (CV%) within 3.1-8.3% in plasma and 1.3-3.9% in urine, as well as accurate. The proposed method was found to reach the required sensitivity for the evaluation of different nebulizers as well as nebulization modes. The present assay was applied to examine whether salbutamol urine levels, normalized with the creatinine levels, correlated with the plasma concentrations. A suitable, convenient and noninvasive method of monitoring patients receiving salbutamol by mechanical ventilation could be implemented. Copyright © 2011 John Wiley & Sons, Ltd.

Cloreto de mepiquat, thidiazuron e ethephon aplicados no algodoeiro em Ponta Porã, MS

O objetivo do presente estudo foi avaliar os efeitos de diferentes dosagens de cloreto de mepiquat, thidiazuron e ethephon, aplicadas parceladamente no algodoeiro (Gossypium hirsutum L.) na Fazenda Itamarati, Ponta Porã, MS. As dosagens de cloreto de mepiquat foram: (0; 12,5 + 12,5 + 25,0 = 50; 25 + 25 + 25 = 75; 0 + 50 + 50 = 100; 12,5 + 62,5 + 50 = 125) g ha-1, com aplicações efetuadas aos 34, 47 e 62 dias após a emergência (DAE) em 1993/94, e aos 42, 60 e 73 DAE, em 1994/95, enquanto o thidiazuron foi aplicado quando 70% dos capulhos estavam abertos, nas dosagens de 0, 45, 60 e 75 g ha-1; já o ethephon foi aplicado sete dias após o thidiazuron, quando já se observava desfolha de 85%, nas dosagens de 0, 960 e 1.440 g ha-1. O delineamento experimental utilizado foi o de blocos casualizados em faixa, com subparcelas subdivididas e quatro repetições. O cloreto de mepiquat proporcionou redução do número de frutos verdes, aumento do peso de 100 sementes e do peso médio de um capulho; a percentagem de desfolha aumentou com as dosagens de thidiazuron e ethephon; constatou-se que a interação cloreto de mepiquat x thidiazuron x ethephon foi significativa para percentagem de abertura de capulhos e produção de algodão em caroço.

Comparison between a linear ion trap and a triple quadruple MS in the sensitive detection of large peptides at femtomole amounts on column.

In addition to the importance of sample preparation and extract separation, MS detection is a key factor in the sensitive quantification of large undigested peptides. In this article, a linear ion trap MS (LIT-MS) and a triple quadrupole MS (TQ-MS) have been compared in the detection of large peptides at subnanomolar concentrations. Natural brain natriuretic peptide, C-peptide, substance P and D-Junk-inhibitor peptide, a full D-amino acid therapeutic peptide, were chosen. They were detected by ESI and simultaneous MS(1) and MS(2) acquisitions. With direct peptide infusion, MS(2) spectra revealed that fragmentation was peptide dependent, milder on the LIT-MS and required high collision energies on the TQ-MS to obtain high-intensity product ions. Peptide adsorption on surfaces was overcome and peptide dilutions ranging from 0.1 to 25 nM were injected onto an ultra high-pressure LC system with a 1 mm id analytical column and coupled with the MS instruments. No difference was observed between the two instruments when recording in LC-MS(1) acquisitions. However, in LC-MS(2) acquisitions, a better sensitivity in the detection of large peptides was observed with the LIT-MS. Indeed, with the three longer peptides, the typical fragmentation in the TQ-MS resulted in a dramatic loss of sensitivity (> or = 10x).

A LC-tandem MS assay for the simultaneous measurement of new antiretroviral agents: Raltegravir, maraviroc, darunavir, and etravirine.

Raltegravir (RAL), maraviroc (MVC), darunavir (DRV), and etravirine (ETV) are new antiretroviral agents with significant potential for drug interactions. This work describes a sensitive and accurate liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for the determination of plasma drug levels. Single-step extraction of RAL, MVC, DRV, ETV and RTV from plasma (100 microl) is performed by protein precipitation using 600 microl of acetonitrile, after the addition of 100 microl darunavir-d(9) (DRV-d(9)) at 1000 ng/ml in MeOH/H(2)O 50/50 as internal standard (I.S.). The mixture is vortexed, sonicated for 10 min, vortex-mixed again and centrifuged. An aliquot of supernatant (150 microl) is diluted 1:1 with a mixture of 20 mM ammonium acetate/MeOH 40/60 and 10 microl is injected onto a 2.1 x 50 mm Waters Atlantis-dC18 3 microm analytical column. Chromatographic separations are performed using a gradient program with 2 mM ammonium acetate containing 0.1% formic acid and acetonitrile with 0.1% formic acid. Analytes quantification is performed by electrospray ionisation-triple quadrupole mass spectrometry using the selected reaction monitoring detection in the positive mode. The method has been validated over the clinically relevant concentrations ranging from 12.5 to 5000 ng/ml, 2.5 to 1000 ng/ml, 25 to 10,000 ng/ml, 10 to 4000 ng/ml, and 5 to 2000 ng/ml for RAL, MRV, DRV, ETV and RTV, respectively. The extraction recovery for all antiretroviral drugs is always above 91%. The method is precise, with mean inter-day CV% within 5.1-9.8%, and accurate (range of inter-day deviation from nominal values -3.3 to +5.1%). In addition our method enables the simultaneous assessment of raltegravir-glucuronide. This is the first analytical method allowing the simultaneous assay of antiretroviral agents targeted to four different steps of HIV replication. The proposed method is suitable for the Therapeutic Drug Monitoring Service of these new regimen combinations administered as salvage therapy to patients having experienced treatment failure, and for whom exposure, tolerance and adherence assessments are critical.

Ensenyar a llegir i escriure i més hores de castellà. Com ho farem?

La LOCE i els decrets que la complementen estableixen que en el primer cicle de primària, els cursos en què s'aprèn a llegir i escriure, s'han impartir quatre hores setmanals de castellà. En aquest article s'analitzen les repercussions d¿aquesta mesura en el procés d'aprenentatge de la lectura i l'escriptura i en la consecució de l'objectiu lingüístic final del sistema educatiu a Catalunya (garantir el coneixement de les dues llengües oficials). La discussió gira entorn de tres eixos: la diversitat de coneixements lingüístics de l'alumnat que aprèn a llegir i escriure en una mateixa aula, la integració de l'ensenyament de la lectura i l'escriptura en les activitats que es desenvolupen al llarg de la jornada escolar, i la constatació que els infants aprenen a llegir i escriure en les llengües que fan servir els adults quan interaccionen amb ells, encara que els nens no les parlin correctament.

Comparative study of the LC-MS/MS and UPLC-MS/MS for the multi-residue analysis of quinolones, penicillins and cephalosporins in cow milk, and validation according to the regulation 2002/657/EC

The aim of this study was to develop and validate an analytical method to simultaneously determine European Union-regulated beta-lactams (penicillins and cephalosporins) and quinolones in cow milk. The procedure involves a new solid phase extraction (SPE) to clean-up and pre-concentrate the three series of antibiotics before analysis by liquid chromatography¿tandem mass spectrometry (LC-MS/MS) and ultra-high-performance liquid chromatography¿tandem mass spectrometry (UPLC-MS/MS). LC-MS/MS and UPLC-MS/MS techniques were also compared. The method was validated according to the Directive 2002/657/EC and subsequently applied to 56 samples of raw cow milk supplied by the Laboratori Interprofessional Lleter de Catalunya (ALLIC) (Laboratori Interprofessional Lleter de Catalunya, Control Laboratory Interprofessional of Milk of Catalunya).

Rapid sample pre-treatment prior to GC-MS and GC-MS/MS urinary toxicological screening.

Drug screening is an important issue in clinical and forensic toxicology. Gas chromatography coupled to mass spectrometry (GC-MS) remains the gold standard technique for the screening of unknown compounds in urine samples. However, this technique requires substantial sample preparation, which is time consuming. Moreover, some common drugs such as cannabis cannot be easily detected in urine using general procedures. In this work, a sample preparation protocol for treating 200 μL of urine in less than 30 min is described. The enzymatic hydrolysis of glucuro-conjugates was performed in 5 min thanks to the use of microwaves. The use of a deconvolution software allowed reducing the GC-MS run to 10 min, without impairing the quality of the compound identifications. Comparing the results from 139 authentic urine samples to those obtained using the current routine analysis indicated this method performed well. Moreover, additional 5-min GC-MS/MS programs are described, enabling a very sensitive target screening of 54 drugs, including THC-COOH or buprenorphine, without further sample preparation. These methods appeared as an interesting alternative to immuno-assays based screening. The analytical strategy presented in this article proved to be a promising approach for systematic toxicological analysis (STA) of drugs in urine.

L’alguer de Posidonia oceanica de les illes Medes: més de trenta anys d’estudi

Fins on hem pogut esbrinar, el primer estudi publicat en una revista científica sobre la praderia o alguer de Posidonia oceanica de les illes Medes és el de De Haro (1965). En aquella època, la investigació delsfons marins estava als seus inicis i probablement la praderia de les illes Medes va ser un dels primers llocs en què, amb mitjans força precaris i a càrrec d’uns joves estudiants, es van efectuar prospeccions en immersió, tècnica que tot just començava però que molt ràpidament havia de substituir les dragues ialtres artefactes menys fiables. Amb el Programa de Bentos, entre 1972-1974 (Ros, 1982) –precisament aquest autor (vegeu el capítol 1) era un d’aquells «joves estudiants»; l’altre era en Jordi Camp, actualment investigador del CSIC–, la recerca bentònica va agafar un primer impuls i l’escafandre autònom es va incorporar plenament com a eina d’observació i mostreig. Durant aquest programa, es va situar una de les estacions de treball a les illes Medes, i l’alguer de Posidonia va ser un dels hàbitats objecte d’estudi, tot i que més aviat amb un objectiu faunístic i biocenòtic que estrictament ecològic.

Los adhesivos empleados en el entelado de carteles modernos. Uso de la Espectrometría de Masas de Ionización/Desorción por Láser asistida por Matriz y analizador de Tiempo de Vuelo (MALDI-TOF-MS) para la identificación de éteres de celulosa

"XVIII Congreso Internacional de Conservación y Restauración de Bienes Culturales - 18th International Meeting on Heritage Conservation", Granada 9 al 11 novembre de 2011

Influência da época de semeadura no comportamento de cultivares de arroz irrigado por aspersão em Selvíria, MS

Este trabalho teve por objetivo avaliar os efeitos da época da semeadura no comportamento de diferentes cultivares de arroz (Oryza sativa L.) de sequeiro (IAC 201, Carajás, Guarani, IAC 202, CNA 7800, CNA 7801, Caiapó, Rio Paranaíba e Araguaia) irrigados por aspersão, quanto à produção e qualidade dos grãos. As sementes foram semeadas no início da segunda quinzena dos meses de setembro, outubro, novembro, dezembro, janeiro e fevereiro. Os experimentos foram instalados no Município de Selvíria, MS, durante os anos agrícolas 1995/96 e 1996/97. O delineamento experimental utilizado foi o de blocos casualizados, com quatro repetições. O controle da irrigação foi realizado por meio de tensiômetros, e a suplementação hídrica foi realizada quando o potencial matricial atingiu -0,033 MPa, durante a fase reprodutiva e -0,058 MPa, nas demais fases. De acordo com os resultados obtidos, pode-se concluir que as cultivares CNA 7801, Carajás, IAC 201, CNA 7800 e IAC 202 apresentaram comportamento superior; a semeadura realizada em novembro propiciou produtividade mais elevada; semeaduras antecipadas (setembro-outubro) ou retardada (fevereiro) resultaram em menores índices de acamamento; as cultivares IAC 202, CNA 7800 e CNA 7801 apresentaram ausência ou baixo índice de acamamento, nas diferentes épocas de semeadura e, a semeadura retardada (fevereiro) proporcionou a obtenção de maior rendimento de inteiros.

Proyecto de plaza para el barrio de La Mina. Proceso de participación ciudadana

Pre-projecte de disseny urbà d'una de les places de La Mina contemplades en el PERI d'aquesta zona

Tallers d'Espai Públic. Carril bici al barri de La Mina

Report of one of the workshops developed in 2005 under the process of public participation: Mapping La Mina (2002-2006). http://www.ub.edu/escult/mina/cartografies/html/9_fase2.html

Informe CPBoxes a l'IES LA MINA

Report of one of the workshops developed in 2003 under the process of public participation: Mapping La Mina (2002-2006). http://www.ub.edu/escult/mina