Diatom biostratigraphy and datum levels of sediments from ODP Leg 167 sites

Ocean Drilling Program Leg 167 represents the first time since 1978 that the North American Pacific margin was drilled to study ocean history. More than 7500 m of Quaternary to middle Miocene (14 Ma) sediments were recovered from 13 sites, representing the most complete stratigraphic sequence on the California margin. Diatoms are found in most samples in variable abundance and in a moderately well-preserved state throughout the sequence, and they are often dominated by robust, dissolution-resistant species. The Neogene North Pacific diatom zonation of Yanagisawa and Akiba (1998, doi:10.5575/geosoc.104.395) best divides the Miocene to Quaternary sequences, and updated ages of diatom biohorizons estimated based on the geomagnetic polarity time scale of Cande and Kent (1995, doi:10.1029/94JB03098) are slightly revised to adjust the differences between the other zonations. Most of the early middle Miocene through Pleistocene diatom datum levels that have been proven to be of stratigraphic utility in the North Pacific appear to be nearly isochronous within the level of resolution constrained by sample spacing. The assemblages are characterized by species typical of middle-to-high latitudes and regions of high surface-water productivity, predominantly by Coscinodiscus marginatus, Stephanopyxis species, Proboscia barboi, and Thalassiothrix longissima. Latest Miocene through Pliocene assemblages in the region of the California Current, however, are intermediate between those of subarctic and subtropical areas. As a result, neither the existing tropical nor the subarctic (high latitude) zonal schemes were applicable for this region. An interval of pronounced diatom dissolution detected throughout the Pliocene sequence apparently correspond to a relatively warmer paleoceanographic condition resulting in a slackening of the southward flow of the California Current.

Propuesta de indicadores de sustentabilidad para la producción de vid en Mendoza, Argentina

El concepto de sustentabilidad implica una relación a largo plazo entre los seres humanos y la naturaleza. Un sistema productivo sustentable es aquel capaz de permanecer en el tiempo ya que promueve la conservación de los recursos naturales, del capital social y genera una renta económica suficiente para la subsistencia de los mismos. La vitivinicultura brinda numerosos beneficios al sector agrícola, sector responsable del uso y contaminación de recursos naturales de la provincia de Mendoza (Argentina). Si bien existen algunos indicadores inherentes al sector vitivinícola, la mayoría se concentran en aspectos físicos y económicos. El trabajo consiste en elaborar indicadores para evaluar la sustentabilidad de la producción de vid en Mendoza, sobre la base del concepto de sustentabilidad que integra las tres dimensiones de un sistema: la económica, la social y la ambiental. Esto se aplicó a la producción vitícola, para lo cual se construyeron indicadores que caracterizaron al sistema siguiendo el concepto de sustentabilidad. Los indicadores se probaron con encuestas a productores (estudio de caso). Los indicadores seleccionados resultaron apropiados para determinar en qué estado de sustentabilidad está un viñedo respecto de cada una de las dimensiones (económica, social y ambiental); fáciles de obtener y de interpretar.

Chemical and isotopic compositions of sediments from DSDP Hole 21-204

The highly depleted intra-oceanic Tonga-Kermadec island arc forms an endmember of arc systems and a unique location in which to isolate the effects of the slab flux. High precision TIMS uranium, thorium, strontium, neodymium, and lead isotopes, along with complete major and trace element data, have been obtained on an extensive sample set comprising fifty-eight lavas along the arc as well as nineteen samples of the subducting sediments at DSDP site 204 just to the east of the Tonga-Kermadec trench. Ca/Ti and Al/Ti ratios extend from values appropriate to an N-MORB source in the southern Kermadecs to very high ratios in Tonga interpreted to reflect increasing degrees of depletion of the mantle wedge due to backarc basalt extraction. The isotope data emphasize the need for four components in the petrogenesis of the lavas: (1) the mantle wedge; (2) a component with elevated 207Pb/204Pb towards which the Kermadec and southern Tongan lavas extend; (3) a component characterised by high 206Pb/204Pb, Ta/Nd, and low 143Nd/144Nd observed only in the northernmost Tongan islands of Tafahi and Niuatoputapu; (4) a fluid component characterised by strong enrichments of Rb, Ba, U, K, Ph, and Sr, relative to Th, Zr, and the REE and producing large 238U excesses ((230Th/238U) = 0.8-0.5) in the more depleted lavas. The mantle wedge (Component 1) is isotopically similar to the source of the Lau BABB. Component 2 is average pelagic sediment on the downgoing Pacific plate as observed at DSDP sites 595/596 and in the upper sections of the sediment pile at DSDP site 204. Mass balance calculations indicate that less than 0.5% is recycled into the arc lavas; essentially all the subducted sediment is returned to the upper mantle (~0.03 km**3/yr). Exceptionally low concentrations of Ta and Nb relative to Th and the LREE requires that this sediment component is added as a partial melt which was in equilibrium with residual rutile or ilmenite. Component 3 is identified as volcaniclastics from the Louisville Ridge which comprise the lower 44 m of the sediment section intersected at DSDP site 204. These volcaniclastics are spatially restricted to the vicinity of the Louisville Ridge and provide a unique sediment tracer which can be used to show that it takes 4 Myr from the time of subduction to its first appearance in the arc lava signature. Component 4, the fluid contribution to the lava source is inferred to contribute ~1 ppm Rb, 10 ppm Ba, 0.02 ppm U, 600 ppm K, 0.2 ppm Ph, and 30 ppm Sr. It has 87Sr/86Sr = 0.7035 and 206Pb/204Pb = 18.5 and thus it is inferred to have been derived from dehydration of the subducting altered oceanic crust. U-Th isotope disequilibria reflect the time since fluid release from the subducting slab and a reference line through the lowest (230Th/232Th) lavas constrains this to be 30000-50000 yr. The U-Th and Th-Ra isotope systematics are decoupled, and it is suggested that Th-Ra isotope disequilibria record the time since partial melting and thus indicate rapid channelled magma ascent. Olivine gabbro xenoliths from Raoul are interpreted as cumulates to their host lavas with which they form zero age U-Th isochrons indicating that minimal time was spent in magma chambers. The subduction signature is not observed in lavas from the backarc island of Niuafo'ou. These were derived from partial melting of fertile peridotite at 130-160 km depth with melt rates around 0.0002 kg/m**3/yr.

Physical and chemical oceanography in the Arctic Ocean

Data from sections across the Eurasian Basin of the Arctic Ocean occupied by the German Research Vessel Polarstern in 1987 and by the Swedish icebreaker Oden in 1991 are used to derive information on the freshwater balance of the Arctic Ocean halocline and on the sources of the deep waters of the Nansen, Amundsen and Makarov basins. Salinity, d18O and mass balances allow separation of the river-runoff and the sea-ice meltwater fractions contained in the Arctic halocline. This provides the basis for tracking the river-runoff signal from the shelf seas across the central Arctic Ocean to Fram Strait. The halocline has to be divided into at least three lateral regimes: the southern Nansen Basin with net sea-ice melting, the northern Nansen Basin and Amundsen Basin with net sea-ice formation and increasing river-runoff fractions, and the Canadian Basin with minimum sea-ice meltwater and maximum river-runoff fractions and water of Pacific origin. In the Canadian Basin, silicate is used as a tracer to identify Pacific water entering through Bering Strait and an attempt is made to quantify its influence on the halocline waters of the Canadian Basin. For this purpose literature data from the CESAR and LOREX ice camps are used. Based on mass balances and depending on the value of precipitation over the area of the Arctic Ocean the average mean residence time of the river-runoff fraction contained in the Arctic Ocean halocline is determined to be about 14 or 11 years. Water column inventories of river-runoff and sea-ice meltwater are calculated for a section just north of Fram Strait and implications for the ice export rate through Fram Strait are discussed. Salinity, tritium, 3He and the d18O ratio of halocline waters sampled during the 1987 Polarstern cruise to the Nansen Basin are used to estimate the mean residence time of the river-runoff component in the halocline and on the shelves of the Arctic Ocean. These estimates are done by comparing ages of the halocline waters based on a combination of tracers yielding different time information: the tritium 'vintage' age which records the time that has passed since the river-runoff entered the shelf and the tritium/3He age which reflects the time since the shelf waters left the shelf. The difference between the ages determined by these two methods is about 3 to 6 years. Correction for the initial tritium/3He age of the shelf waters (about 0.5 to 1.5 years) yields a mean residence time of the river-runoff on the shelves of about 3.5 ± 2 years. Comparison of the 18O/16O ratios of shelf water, Atlantic water and the deep waters of the Arctic Ocean indicate that the sources of the deep and bottom waters of the Eurasian Basin are located in the Barents and Kara seas.

Chemical, isotope and mineral composition of hydrothermally altered upper oceanic crust drilled at ODP Site 129-801C

ODP Hole 801C penetrates >400 m into 170-Ma oceanic basement formed at a fast-spreading ridge. Most basalts are slightly (10-20%) recrystallized to saponite, calcite, minor celadonite and iron oxyhydroxides, and trace pyrite. Temperatures estimated from oxygen isotope data for secondary minerals are 5-100°C, increasing downward. At the earliest stage, dark celadonitic alteration halos formed along fractures and celadonite, and quartz and chalcedony formed in veins from low-temperature (<100°C) hydrothermal fluids. Iron oxyhydroxides subsequently formed in alteration halos along fractures where seawater circulated, and saponite and pyrite developed in the host rock and in zones of restricted seawater flow under more reducing conditions. Chemical changes include variably elevated K, Rb, Cs, and H2O; local increases in FeT, Ba, Th, and U; and local losses of Mg and Ni. Secondary carbonate veins have 87Sr/86Sr = 0.706337 - 0.707046, and a negative correlation with d18O results from seawater-basalt interaction. Carbonates could have formed at any time since the formation of Site 801 crust. Variable d13C values (-11.2? to 2.9?) reflect the incorporation of oxidized organic carbon from intercalated sediments and changes in the d13C of seawater over time. Compared to other oceanic basements, a major difference at Site 801 is the presence of two hydrothermal silica-iron deposits that formed from low-temperature hydrothermal fluids at the spreading axis. Basalts associated with these horizons are intensely altered (60-100%) to phyllosilicates, calcite, K-feldspar, and titanite; and exhibit large increases in K, Rb, Cs, Ba, H2O, and CO2, and losses of FeT, Mn, Mg, Ca, Na, and Sr. These effects may be common in crust formed at fast-spreading rates, but are not ubiquitous. A second important difference is that the abundance of brown oxidation halos along fractures at Site 801 is an order of magnitude less than at some other sites (2% vs. 20-30%). Relatively smooth basement topography (<100 m) and high sedimentation rate (8 m/Ma) probably restricted the access of oxygenated seawater. Basement lithostratigraphy and early low-temperature hydrothermal alteration and mineral precipitation in fractures at the spreading axis controlled permeability and limited later flow of oxygenated seawater to restricted depth intervals.

Sediment and stable carbon isotope record of the Helgoland mud area

The Helgoland mud area in the German Bight is one of the very few sediment depocenters in the North Sea. Despite the shallowness of the setting (<30 m water depth), its topmost sediments provide a continuous and high-resolution record allowing the reconstruction of regional paleoenvironmental conditions for the time since ~400 a.d. The record reveals a marked shift in sedimentation around 1250 a.d., when average sedimentation rates drop from >13 to ~1.6 mm/year. Among a number of major environmental changes in this region during the Middle Ages, the disintegration of the island of Helgoland appears to be the most likely factor which caused the very high sedimentation rates prior to 1250 a.d. According to historical maps, Helgoland used to be substantially bigger at around 800 a.d. than today. After the shift in sedimentation, a continuous and highly resolved paleoenvironmental record reflects natural events, such as regional storm-flood activity, as well as human impacts at work at local to global scales, on sedimentation in the Helgoland mud area.

Phenotypic plasticity of coralline algae in a High CO2 world

It is important to understand how marine calcifying organisms may acclimatize to ocean acidification to assess their survival over the coming century. We cultured the cold water coralline algae, Lithothamnion glaciale, under elevated pCO2 (408, 566, 770, and 1024 µatm) for 10 months. The results show that the cell (inter and intra) wall thickness is maintained, but there is a reduction in growth rate (linear extension) at all elevated pCO2. Furthermore a decrease in Mg content at the two highest CO2 treatments was observed. Comparison between our data and that at 3 months from the same long-term experiment shows that the acclimation differs over time since at 3 months, the samples cultured under high pCO2 showed a reduction in the cell (inter and intra) wall thickness but a maintained growth rate. This suggests a reallocation of the energy budget between 3 and 10 months and highlights the high degree plasticity that is present. This might provide a selective advantage in future high CO2 world.

Design of a remote controlled hovercraft

Este informe trata el diseño, desarrollo y construcción de un aerodeslizador de pequeño tamaño, equipado con control remoto que permite al usuario actuar sobre la velocidad y dirección del mismo. Este proyecto podrá ser utilizado en un futuro como base para el desarrollo de aplicaciones más complejas. Un aerodeslizador es un medio de transporte cuyo chasis se eleva sobre el suelo por medio de un motor impulsor que hincha una falda colocada en la parte inferior del mismo. Además, uno o más motores se colocan en la parte trasera del vehículo para propulsarlo. El hecho de que el aerodeslizador no este en contacto directo con la tierra, hace que pueda moverse tanto por tierra como sobre el agua o hielo y que sea capaz de superar pequeños obstáculos. Por otra parte, este hecho se convierte a su vez en un problema debido a que su fuerza de rozamiento al desplazarse es muy pequeña, lo que provoca que sea muy difícil de frenar, y tienda a girar por sí mismo debido a la inercia del movimiento y a las fuerzas provocadas por las corrientes de aire debajo del chasis. Sin embargo, para este proyecto no se ha colocado una falda debajo del mismo, debido a que su diseño es bastante complicado, por lo tanto la fricción con el suelo es menor, aumentando los problemas detallados con anterioridad. El proyecto consta de dos partes, mando a distancia y aerodeslizador, que se conectan a través de antenas de radiofrecuencia (RF). El diseño y desarrollo de cada una ha sido realizado de manera separada exceptuando la parte de las comunicaciones entre ambas. El mando a distancia se divide en tres partes. La primera está compuesta por la interfaz de usuario y el circuito que genera las señales analógicas correspondientes a sus indicaciones. La interfaz de usuario la conforman tres potenciómetros: uno rotatorio y dos deslizantes. El rotatorio se utiliza para controlar la dirección de giro del aerodeslizador, mientras que cada uno de los deslizantes se emplea para controlar la fuerza del motor impulsor y del propulsor respectivamente. En los tres casos los potenciómetros se colocan en el circuito de manera que actúan como divisores de tensión controlables. La segunda parte se compone de un microcontrolador de la familia PSoC. Esta familia de microcontroladores se caracteriza por tener una gran adaptabilidad a la aplicación en la que se quieran utilizar debido a la posibilidad de elección de los periféricos, tanto analógicos como digitales, que forman parte del microcontrolador. Para el mando a distancia se configura con tres conversores A/D que se encargan de transformar las señales procedentes de los potenciómetros, tres amplificadores programables para trabajar con toda la escala de los conversores, un LCD que se utiliza para depurar el código en C con el que se programa y un módulo SPI que es la interfaz que conecta el microcontrolador con la antena. Además, se utilizan cuatro pines externos para elegir el canal de transmisión de la antena. La tercera parte es el módulo transceptor de radio frecuencia (RF) QFM-TRX1-24G, que en el mando a distancia funciona como transmisor. Éste utiliza codificación Manchester para asegurar bajas tasas de error. Como alimentación para los circuitos del mando a distancia se utilizan cuatro pilas AA de 1,5 voltios en serie. En el aerodeslizador se pueden distinguir cinco partes. La primera es el módulo de comunicaciones, que utiliza el mismo transceptor que en el mando a distancia, pero esta vez funciona como receptor y por lo tanto servirá como entrada de datos al sistema haciendo llegar las instrucciones del usuario. Este módulo se comunica con el siguiente, un microcontrolador de la familia PSoC, a través de una interfaz SPI. En este caso el microcontrolador se configura con: un modulo SPI, un LCD utilizado para depurar el código y tres módulos PWM (2 de 8 bits y uno de 16 bits) para controlar los motores y el servo del aerodeslizador. Además, se utilizan cuatro pines externos para seleccionar el canal de recepción de datos. La tercera y cuarta parte se pueden considerar conjuntamente. Ambas están compuestas por el mismo circuito electrónico basado en transistores MOSFET. A la puerta de cada uno de los transistores llega una señal PWM de 100 kilohercios que proviene del microcontrolador, que se encarga de controlar el modo de funcionamiento de los transistores, que llevan acoplado un disipador de calor para evitar que se quemen. A su vez, los transistores hacen funcionar al dos ventiladores, que actúan como motores, el impulsor y el propulsor del aerodeslizador. La quinta y última parte es un servo estándar para modelismo. El servo está controlado por una señal PWM, en la que la longitud del pulso positivo establece la posición de la cabeza del servo, girando en uno u otra dirección según las instrucciones enviadas desde el mando a distancia por el usuario. Para el aerodeslizador se han utilizado dos fuentes de alimentación diferentes: una compuesta por 4 pilas AA de 1,5 voltios en serie que alimentarán al microcontrolador y al servo, y 4 baterías de litio recargables de 3,2 voltios en serie que alimentan el circuito de los motores. La última parte del proyecto es el montaje y ensamblaje final de los dispositivos. Para el chasis del aerodeslizador se ha utilizado una cubierta rectangular de poli-estireno expandido, habitualmente encontrado en el embalaje de productos frágiles. Este material es bastante ligero y con una alta resistencia a los golpes, por lo que es ideal para el propósito del proyecto. En el chasis se han realizado dos agujeros: uno circular situado en el centro del mismo en el se introduce y se ajusta con pegamento el motor impulsor, y un agujero con la forma del servo, situado en uno del los laterales estrechos del rectángulo, en el que se acopla el mismo. El motor propulsor está adherido al cabezal giratorio del servo de manera que rota a la vez que él, haciendo girar al aerodeslizador. El resto de circuitos electrónicos y las baterías se fijan al chasis mediante cinta adhesiva y pegamento procurando en todo momento repartir el peso de manera homogénea por todo el chasis para aumentar la estabilidad del aerodeslizador. SUMMARY: In this final year project a remote controlled hovercraft was designed using mainly technology that is well known by students in the embedded systems programme. This platform could be used to develop further and more complex projects. The system was developed dividing the work into two parts: remote control and hovercraft. The hardware was of the hovercraft and the remote control was designed separately; however, the software was designed at the same time since it was needed to develop the communication system. The result of the project was a remote control hovercraft which has a user friendly interface. The system was designed based on microprocessor technologies and uses common remote control technologies. The system has been designed with technology commonly used by the students in Metropolia University so that it can be readily understood in order to develop other projects based on this platform.

Medida de características acústicas de la sala 3 de Kinépolis Madrid

Kinépolis Madrid es uno de los mayores complejos cinematográficos del mundo contando incluso con records Guinness como el del complejo cinematográfico con mayor número de butacas del mundo. Está compuesto por 25 salas con capacidades entre 220 y 996 espectadores. Todas estas salas están equipadas con las últimas tecnologías de sonido e imagen y están adecuadamente acondicionadas para que las características acústicas de las mismas sean óptimas; no obstante, en el complejo no disponen de información sobre estas características. El presente PFG tratará de medir algunos de estos parámetros acústicos como la claridad, la definición o la inteligibilidad de la sala, pero se prestará especial atención al tiempo de reverberación de la misma ya que es uno de los parámetros más significativos a la hora de caracterizar acústicamente una sala. En concreto, se trabajará sobre la sala número 3, con capacidad para 327 espectadores, lo que la convierte en una de las salas de medio tamaño del recinto. Por otro lado, además de medir las características acústicas de la sala, se medirán las dimensiones de la misma para, posteriormente, construir dos modelos virtuales de la misma. Uno de ellos será un modelo detallado, mientras que el otro será más simple. A partir de estos modelos, se realizarán simulaciones para obtener los mismos parámetros medidos en la sala real. Una vez se obtengan los parámetros acústicos de ambas maneras, se compararán las medidas entre sí, estudiando si las diferencias entre los medidos y los simulados superan ciertos umbrales que estimarán si los modelos creados por ordenador realmente pueden representar a la sala real, o no. Por último, se obtendrán conclusiones para saber cuál de los dos modelos creados se acerca más a las medidas reales, cómo realizar las simulaciones, qué tipos de señal utilizar en las medidas y qué parámetros tener en cuenta, para así facilitar el trabajo en futuras experiencias ahorrando tiempo. ABSTRACT. Kinepolis Madrid is one of the largest cinema complexes in the world, having won even a Guinness as the cinema complex with more seats in the world. It consists of 25 cinemas whose capacities are between 220 and 996 people. All these cinemas are fully equipped with the latest audio and video technologies and are appropriately conditioned for the optimal acoustic characteristics; nevertheless, the resort does not have information on these features. This PFG’s aim, is trying to measure some acoustic parameters such as clarity, definition or intelligibility of the room, but paying special attention to the reverberation time since, it is one of the most significant acoustic parameters to characterize a room. In particular, the study will be developed at the cinema number 3 with capacity for 327 spectators, which turns it into one of the rooms of average size of the enclosure. In addition to measuring the acoustic characteristics of the room, the dimensions of it will be also measured, to then build two virtual models of it. One will be a detailed model, while the other one, will be much simpler. After that, simulations from those models will be performed in order to obtain the same data measured at the real room. Once the acoustic parameters had been obtained in both ways, there will be a comparison of all the measures together, studying whether differences between the real measured data and simulated ones exceed an estimated limit. This comparison, will give information about whether the computer models created can really represent the real room or not. Finally, conclusions to know which of the two created models is more appropriate to use, how to perform the simulations, what types of signal should be used in the measurements and which parameters to take into account in order to facilitate and saving time in future experiences, will be drawn.

Managing daily surgery schedules in a teaching hospital: a mixed-integer optimization approach

Background: This study examined the daily surgical scheduling problem in a teaching hospital. This problem relates to the use of multiple operating rooms and different types of surgeons in a typical surgical day with deterministic operation durations (preincision, incision, and postincision times). Teaching hospitals play a key role in the health-care system; however, existing models assume that the duration of surgery is independent of the surgeon's skills. This problem has not been properly addressed in other studies. We analyze the case of a Spanish public hospital, in which continuous pressures and budgeting reductions entail the more efficient use of resources. Methods: To obtain an optimal solution for this problem, we developed a mixed-integer programming model and user-friendly interface that facilitate the scheduling of planned operations for the following surgical day. We also implemented a simulation model to assist the evaluation of different dispatching policies for surgeries and surgeons. The typical aspects we took into account were the type of surgeon, potential overtime, idling time of surgeons, and the use of operating rooms. Results: It is necessary to consider the expertise of a given surgeon when formulating a schedule: such skill can decrease the probability of delays that could affect subsequent surgeries or cause cancellation of the final surgery. We obtained optimal solutions for a set of given instances, which we obtained through surgical information related to acceptable times collected from a Spanish public hospital. Conclusions: We developed a computer-aided framework with a user-friendly interface for use by a surgical manager that presents a 3-D simulation of the problem. Additionally, we obtained an efficient formulation for this complex problem. However, the spread of this kind of operation research in Spanish public health hospitals will take a long time since there is a lack of knowledge of the beneficial techniques and possibilities that operational research can offer for the health-care system.

Inherited susceptibility to uterine leiomyomas and renal cell cancer

Herein we report the clinical, histopathological, and molecular features of a cancer syndrome with predisposition to uterine leiomyomas and papillary renal cell carcinoma. The studied kindred included 11 family members with uterine leiomyomas and two with uterine leiomyosarcoma. Seven individuals had a history of cutaneous nodules, two of which were confirmed to be cutaneous leiomyomatosis. The four kidney cancer cases occurred in young (33- to 48-year-old) females and displayed a unique natural history. All these kidney cancers displayed a distinct papillary histology and presented as unilateral solitary lesions that had metastasized at the time of diagnosis. Genetic-marker analysis mapped the predisposition gene to chromosome 1q. Losses of the normal chromosome 1q were observed in tumors that had occurred in the kindred, including a uterine leiomyoma. Moreover, the observed histological features were used as a tool to diagnose a second kindred displaying the phenotype. We have shown that predisposition to uterine leiomyomas and papillary renal cell cancer can be inherited dominantly through the hereditary leiomyomatosis and renal cell cancer (HLRCC) gene. The HLRCC gene maps to chromosome 1q and is likely to be a tumor suppressor. Clinical, histopathological, and molecular tools are now available for accurate detection and diagnosis of this cancer syndrome.

Risco cardiovascular e sua associação com variáveis demográficas, clínicas e psicossociais em pessoas vivendo com HIV/aids

Trata-se de um estudo analítico de corte transversal, que visa avaliar o risco cardiovascular de PVHA segundo o Escore de Framingham e identificar a associação entre o risco e as variáveis demográficas, comportamentais, psicossociais e clínicas de PVHA. O estudo foi aprovado na Secretaria Municipal de Saúde e no Comitê de Ética da Escola de Enfermagem de Ribeirão Preto, a coleta de dados foi realizada no período de outubro de 2014 a agosto de 2015 em cinco Serviços de Atendimento Especializado às PVHA utilizando questionário sociodemográfico, clínico e comportamental, avaliação da alimentação saudável, Inventário de Sintomas de Stress para Adultos de Lipp e avaliação do risco cardiovascular por meio do Escore de Framingham. A análise dos dados ocorreu através de estatística descritiva e teste de associação entre as variáveis, onde foi adotado nível de significância com valor de p<0,05. Identificou-se que 58,3% pertenciam ao sexo masculino, 69,1% apresentavam idade acima de 40 anos, com média de 44,4 anos, 40,6% referiram ser brancos e 40,0% pardos, e 70,9% eram heterossexuais. Observou-se que 64,0% eram sedentários, 35,4% tabagistas e 40,0% faziam uso de bebida alcóolica regularmente. Do mesmo modo, 73,7% consideraram sua alimentação saudável, no entanto, ao ser avaliado de acordo com o escore da alimentação saudável, 70,9% obtiveram score intermediário para alimentação. Com relação às variáveis psicossociais, foi identificado que 52,0% tinham menos de oito anos de estudo, e 80,6% referiram receber até três salários mínimos por mês. Quanto aos sintomas de estresse, foi visto que 29,1% e 22,3% estavam nas fases de resistência e exaustão, respectivamente. Além disso, identificou-se que 15,4% da amostra tinha diagnóstico médico para depressão e que 71,4% não realizavam atividades de lazer regularmente. Com relação às variáveis clínicas gerais, 57,7% referiram antecedentes familiares para HAS, 40,6% para DM, 21,7% para IAM e 27,4% para AVE. Quanto aos antecedentes pessoais, foi visto que 15,4% eram hipertensos, 8,0% eram diabéticos e 8,0% tinham dislipidemia. Desta mesma amostra, 45,2% apresentavam IMC maior que 25,0 kg/m² e 41,7% estavam em síndrome metabólica. Com relação às variáveis clínicas relacionadas ao HIV, observou-se que 42,2% e 32,0% possuíam o diagnóstico de soropositividade e fazem uso de TARV há mais de dez anos, respectivamente. A contagem de células TCD4+ e carga viral mostrou que 82,8% dos participantes apresentaram contagem maior que 350 cels/mm³, e 80,6% tinham carga viral indetectável. Foi identificado que 25,8% dos sujeitos apresentam risco cardiovascular de médio a alto, segundo o Escore de Framingham. Apenas as variáveis sociodemográficas sexo (p=0,006), idade (p<0,001) e estado civil (p=0,003) apresentaram associação com o risco cardiovascular calculado pelo Escore de Framingham. Nas variáveis comportamentais, as fases de estresse (p=0,039) tiveram associação com o risco cardiovascular, e com relação às variáveis clínicas, antecedentes familiares para DM (p=0,035), HAS, DM e SM (p<0,001) e DLP (p=0,030) apresentaram significância estatística. Nas variáveis clínicas relacionadas ao HIV, o tempo de diagnóstico (p=0,005) e o tempo de TARV (p=0,038) também apresentaram associação. Conclui-se que 25,8% de PVHA no município de Ribeirão Preto apresentam risco cardiovascular de moderado a alto, medido pelo Escore de Framingham

Confirming the Association Between Affective Disturbance and Perceived Cognitive Dysfunction Among Breast Cancer Patients: A Meta-Analysis of Available Literature

Purpose: Breast cancer is the most frequently diagnosed cancer among women worldwide. While undergoing chemotherapy treatment for breast cancer, patients often report experiencing "chemobrain." Previous literature reports correlations between psychological distress and these perceived cognitive problems. The aim of the present study was to examine the strength of the association between affective disturbance and subjective cognitive dysfunction.Methods: This study included a meta-analysis of the literature reporting a correlation between mood and subjective cognitive dysfunction. Eight studies with 1344 breast cancer patients treated with chemotherapy were selected based on stringent study inclusion criteria. Studies reporting a correlation coefficient between mood and subjective cognitive dysfunction were included.Results: In these data, there was no significant correlation between affective disturbance and subjective cognitive dysfunction. A random effects model yielded an overall weighted mean effect size of 0.12.Conclusion: Although this meta-analysis did not confirm the correlation between mood and subjective cognitive dysfunction, there was a clear association between these factors in the original disaggregated analyses, and they are clearly impactful from the time of diagnosis through long-term after care. The clinical implications of the present study and future directions for research are discussed.

Evidence-based editing: factors influencing the number of citations in a national journal

Purpose: Citations received by papers published within a journal serve to increase its bibliometric impact. The objective of this paper was to assess the influence of publication language, article type, number of authors, and year of publication on the citations received by papers published in Gaceta Sanitaria, a Spanish-language journal of public health. Methods: The information sources were the journal website and the Web of Knowledge, of the Institute of Scientific Information. The period analyzed was from 2007 to 2010. We included original articles, brief original articles, and reviews published within that period. We extracted manually information regarding the variables analyzed and we also differentiated among total citations and self-citations. We constructed logistic regression models to analyze the probability of a Gaceta Sanitaria paper to be cited or not, taking into account the aforementioned independent variables. We also analyzed the probability of receiving citations from non-Spanish authors. Results: Two hundred forty papers fulfilled the inclusion criteria. The included papers received a total of 287 citations, which became 202 when excluding self-citations. The only variable influencing the probability of being cited was the publication year. After excluding never cited papers, time since publication and review papers had the highest probabilities of being cited. Papers in English and review articles had a higher probability of citation from non-Spanish authors. Conclusions: Publication language has no influence on the citations received by a national, non-English journal. Reviews in English have the highest probability of citation from abroad. Editors should decide how to manage this information when deciding policies to raise the bibliometric impact factor of their journals.

Health-related quality of life and determinant factors in celiac disease. A population-based analysis of adult patients in Spain

Background: Celiac disease (CD) has a negative impact on the health-related quality of life (HRQL) of affected patients. Although HRQL and its determinants have been examined in Spanish CD patients specifically recruited in hospital settings, these aspects of CD have not been assessed among the general Spanish population. Methods: An observational, transversal study of a non-randomized, representative sample of adult celiac patients throughout all of Spain's Autonomous Regions. Subjects were recruited through celiac patient associations. A Spanish version of the self-administered Celiac Disease-Quality of Life (CD-QOL) questionnaire was used. Determinant factors of HRQL were assessed with the aid of multivariate analysis to control for confounding factors. Results: We analyzed the responses provided by 1,230 patients, 1,092 (89.2%) of whom were women. The overall mean value for the CD-QOL index was 56.3 ± 18.27 points. The dimension that obtained the most points was dysphoria, with 81.3 ± 19.56 points, followed by limitations with 52.3 ± 23.43 points; health problems, with 51.6 ± 26.08 points, and inadequate treatment, with 36.1 ± 21.18 points. Patient age and sex, along with time to diagnosis, and length of time on a gluten-free diet were all independent determinant factors of certain dimensions of HRQL: women aged 31 to 40 expressed poorer HRQL while time to diagnosis and length of time on a gluten-free diet were determinant factors for better HRQL scores. Conclusions: The HRQL of adult Spanish celiac subjects is moderate, improving with the length of time patients remain on a gluten-free diet.