Associated anomalies in multi-malformed infants with cleft lip and palate: An epidemiologic study of nearly 6 million births in 23 EUROCAT registries.

We studied 5,449 cases of cleft lip (CL) with or without cleft palate (CL/P) identified between 1980 and 2000 from the EUROCAT network of 23 registers (nearly 6 million births) in 14 European countries. We investigated specific types of defects associated with clefts. Among CL/P cases (prevalence = 9.1 per 10,000), 1,996 (36.6%) affected only the lip (CL) and 3,453 (63.4%) involved CL and palate (CLP). A total of 3,860 CL/P cases (70.8%) occurred as isolated anomalies and 1,589 (29.2%) were associated with other defects such as multiple congenital anomalies of unknown origin (970), chromosomal (455) and recognized syndromes (164). Associated malformations were more frequent in infants who had CLP (34.0%) than in infants with CL only (20.8%). Among multi-malformed infants, 2 unrelated anomalies were found in 351 cases, 3 in 242 cases, and 4 or more in 377 cases. Among 5,449 CL/P cases, 4,719 were live births (LB) (86.6%), 203 stillbirths (SB) (3.7%), while 508 (9.3%) were terminations of pregnancy (ToP). CL/P occurred significantly more frequently in males (M/F = 1.70), especially among total isolated cases (M/F = 1.87) and CLP isolated cases (M/F = 1.92). The study confirmed that musculoskeletal, cardiovascular, and central nervous system defects are frequently associated with CL/P. An association with reduction anomalies of the brain was found. This association suggests that clinicians should seek to identify structural brain anomalies in these patients with CL/P as the potential functional consequences may be important for rehabilitation and clinical management.

Estudi de qualitat d’un mòdul tèrmic-fotovoltaic de concentració

Parteix de la recerca de la normativa fotovoltaica vigent sobre mòduls fotovoltaics de concentració (CPV) en l’àmbit de les certificacions i homologacions, que correspon a l’IEC 62108. Les proves de qualificació que conté aquesta normativa són la base de l’estudi de qualitat del projecte. La realització de d’aquestes proves segueixen uns procediments adequats les condicions i a la disponibilitat dels recurs del laboratori i del prototip de seguidor solar.

Paclobutrazol e estresse hídrico no florescimento e produção da mangueira (Mangifera indica) 'Tommy Atkins'

O uso de reguladores de crescimento e do estresse hídrico são práticas fundamentais para a indução do florescimento e produção da mangueira nas regiões tropicais. Avaliaram-se o florescimento e a produção da mangueira 'Tommy Atkins' na região semi-árida do Nordeste do Brasil, em resposta às aplicações de paclobutrazol (PBZ) no solo (2 mL do i.a./planta), com irrigação da planta, e foliares em diferentes doses (0,5 e 1 mL do i.a. em aplicação única e fracionada em duas vezes), sem irrigação da planta, além da testemunha (uma aplicação foliar de água seguida de estresse hídrico). O delineamento experimental foi o inteiramente casualizado, no esquema de parcelas subdivididas no tempo. As variáveis foram avaliadas em três épocas após a aplicação PBZ (68 a 91; 131 a 179 e 190 a 216 dias após para o florescimento da planta; e 180 a 203; 267 a 287 e 299 a 337 para o número e produção de frutos por planta). Os resultados indicaram que o estresse hídrico imposto às plantas, sem uso do PBZ, foi tão eficiente na indução do florescimento e na produção de frutos da mangueira quanto a aplicação de PBZ via solo, usando irrigação, e via foliar, sem irrigação. A segunda época de avaliação foi superior à primeira e à terceira épocas no florescimento e produção por planta. A aplicação do PBZ no solo antecipou em 23 dias o florescimento da planta na segunda época em relação à aplicação do estresse hídrico. O trabalho sugere que o estresse hídrico tem potencial para a indução do florescimento e pode substituir o estresse causado pela aplicação de PBZ em mangueiras, nas condições semi-áridas tropicais.

Psychometric properties of the French version of the Zuckerman-Kuhlman Personality Questionnaire

Este estudio instrumental fue diseñado para investigar las propiedades psicométricas de la versión francesa y replicabilidad transcultural del Zuckerman-Kuhlman Personality Questionnaire (ZKPQ) en sus factores y facetas. El ZKPQ es un instrumento destinado a evaluar los cinco factores básicos del Alternative Five-Factor Model (AFFM). Los participantes fueron 843 suizos francófonos, principalmente estudiantes universitarios. Obtenidos los factores estos mostraron una fiabilidad entre 0,73 y 0,87, y sus facetas entre 0,57 y 0,77. Las diferencias entre géneros son similares a las informadas en la muestra americana. Las mujeres alcanzaron puntuaciones superiores en N-Anx, y puntuaciones más bajas en ImpSS y Act. El resultado de los análisis factoriales exploratorios respaldó la estructura de cinco factores y sus correspondientes facetas. Las correlaciones entre las escalas sostienen que los cinco factores básicos del AFFM son ortogonales. Los coeficientes de congruencia muestran la elevada eplicabilidad transcultural de los factores y sus facetas. Se puso a prueba el ajuste del modelo en sus factores y facetas mediante análisis factorial confirmatorio. Los resultados indican que la versión en lengua francesa del ZKPQ es un instrumento fiable y válido y posee buena replicabilidad transcultural.

La gestión de las cooperativas agrarias: tipificación de las cooperativas del sector oleícola de Catalunya

Las cooperativas constituyen el eje básico de la Economía Social en el sector agrario, tanto por su importancia empresarial como por las características propias de su organización. El presente trabajo de investigación pretende mostrar la situación de la gestión en el sector de las cooperativas del aceite en Catalunya. Para ello se busca establecer una tipología concreta de las cooperativas en función de su actitud frente al sector y realizar un mapa de posicionamiento de los diferentes tipos de cooperativas en función de sus características más relevantes. En las conclusiones se citan aspectos en los que el gestor de una cooperativa debe incidir para mejorar la calidad de su gestión.

Efectos del diseño de la tienda virtual en el comportamiento de compra: tipificación del consumidor online

Cuando una empresa se decide a realizar una iniciativa comercial en Internet, al igual que en el mundo físico, es necesario definir un diseño adecuado del sitio web que se ajuste a su idea de negocio y a su público objetivo. El presente trabajo trata de analizar como influye el diseño del establecimiento virtual en el desarrollo de la gestión comercial, incidiendo en los siguientes aspectos: diseño gráfico, usabilidad y accesibilidad. A partir de este análisis, se estudian los distintos grupos de consumidores con comportamientos homogéneos y se posicionan en función de sus actitudes. El análisis también permite definir la calidad del servicio prestado por este tipo de establecimientos, así como las principales dimensiones en que se despliega. En las conclusiones se citan aspectos en los que el gestor de una tienda online debe incidir para mejorar la calidad de su servicio.

The Atherosclerosis Burden Score (ABS): a Convenient Ultrasound-Based Score of Peripheral Atherosclerosis for Coronary Artery Disease Prediction.

Ultrasonographic detection of subclinical atherosclerosis improves cardiovascular risk stratification, but uncertainty persists about the most discriminative method to apply. In this study, we found that the "atherosclerosis burden score (ABS)", a novel straightforward ultrasonographic score that sums the number of carotid and femoral arterial bifurcations with plaques, significantly outperformed common carotid intima-media thickness, carotid mean/maximal thickness, and carotid/femoral plaque scores for the detection of coronary artery disease (CAD) (receiver operating characteristic (ROC) curve area under the curve (AUC) = 0.79; P = 0.027 to <0.001 with the other five US endpoints) in 203 patients undergoing coronary angiography. ABS was also more correlated with CAD extension (R = 0.55; P < 0.001). Furthermore, in a second group of 1128 patients without cardiovascular disease, ABS was weakly correlated with the European Society of Cardiology chart risk categories (R (2) = 0.21), indicating that ABS provided information beyond usual cardiovascular risk factor-based risk stratification. Pending prospective studies on hard cardiovascular endpoints, ABS appears as a promising tool in primary prevention.

Épocas e intensidades de poda de frutificação na goiabeira ' Paluma' , em Pinheiros-ES

Este trabalho teve como objetivo avaliar os efeitos de diferentes intensidades de poda de frutificação realizadas em diferentes épocas do ano sobre a fenologia e a produção da goiabeira 'Paluma', em Pinheiros-ES. As plantas foram submetidas a três intensidades de poda de frutificação (curta, média e longa), em quatro diferentes épocas (25-11-2005, 21-12-2005, 27-01-2006 e 23-02-2006). O ciclo da goiabeira 'Paluma', entre a poda até o início da colheita dos frutos, variou de 189 dias (podas em novembro e dezembro) a 203 dias (poda em fevereiro). Independentemente da época de poda, as plantas submetidas à poda longa apresentaram maior emissão de brotos novos e maior número de ramos estabelecidos. As plantas submetidas à poda curta apresentaram menores números de brotos emitidos e de ramos estabelecidos, bem como menor índice de pegamento de frutos, menor número de frutos por planta e, conseqüentemente, menor produção; entretanto produziram frutos de maior peso médio em relação às plantas submetidas à poda longa. A maior produção e o maior número de frutos colhidos por planta ocorreram nas plantas podadas em fevereiro. A época e a intensidade da poda de frutificação afetam a brotação e a produção da goiabeira 'Paluma'.

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Data triangulation in the context of opioids monitoring via wastewater analyses.

BACKGROUND: The need to contextualise wastewater-based figures about illicit drug consumption by comparing them with other indicators has been stressed by numerous studies. The objective of the present study was to further investigate the possibility of combining wastewater data to conventional statistics to assess the reliability of the former method and obtain a more balanced picture of illicit drug consumption in the investigated area. METHODS: Wastewater samples were collected between October 2013 and July 2014 in the metropolitan area of Lausanne (226,000 inhabitants), Switzerland. Methadone, its metabolite 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), the exclusive metabolite of heroin, 6-monoacetylmorphine (6-MAM), and morphine loads were used to estimate the amounts of methadone and heroin consumed. RESULTS: Methadone consumption estimated from EDDP was in agreement with the expectations. Heroin estimates based on 6-MAM loads were inconsistent. Estimates obtained from morphine loads, combined to prescription/sales data, were in agreement with figures derived from syringe distribution data and general population surveys. CONCLUSIONS: The results obtained for methadone allowed assessing the reliability of the selected sampling strategy, supporting its ability to capture the consumption of a small cohort (i.e., 743 patients). Using morphine as marker, in combination with prescription/sales data, estimates in accordance with other indicators about heroin use were obtained. Combining different sources of data allowed strengthening the results and suggested that the different indicators (i.e., administration route, average dosage and number of consumers) contribute to depict a realistic representation of the phenomenon in the investigated area. Heroin consumption was estimated to approximately 13gday(-1) (118gday(-1) at street level).

Assessing positive mental health in people with chronic physical health problems: correlations with socio-demographic variables and physical health status

Background: A holistic perspective on health implies giving careful consideration to the relationship between physical and mental health. In this regard the present study sought to determine the level of Positive Mental Health (PMH) among people with chronic physical health problems, and to examine the relationship between the observed levels of PMH and both physical health status and socio-demographic variables. Methods: The study was based on the Multifactor Model of Positive Mental Health (Lluch, 1999), which comprises six factors: Personal Satisfaction (F1), Prosocial Attitude (F2), Self-control (F3), Autonomy (F4), Problem-solving and Self-actualization (F5), and Interpersonal Relationship Skills (F6). The sample comprised 259 adults with chronic physical health problems who were recruited through a primary care center in the province of Barcelona (Spain). Positive mental health was assessed by means of the Positive Mental Health Questionnaire (Lluch, 1999). Results: Levels of PMH differed, either on the global scale or on specific factors, in relation to the following variables: age: global PMH scores decreased with age (r=-0.129; p=0.038); b) gender: men scored higher on F1 (t=2.203; p=0.028) and F4 (t=3.182; p=0.002), while women scored higher on F2 (t -3.086; p=0.002) and F6 (t=-2.744; p=0.007); c) number of health conditions: the fewer the number of health problems the higher the PMH score on F5 (r=-0.146; p=0.019); d) daily medication: polymedication patients had lower PMH scores, both globally and on various factors; e) use of analgesics: occasional use of painkillers was associated with higher PMH scores on F1 (t=-2.811; p=0.006). There were no significant differences in global PMH scores according to the type of chronic health condition. The only significant difference in the analysis by factors was that patients with hypertension obtained lower PMH scores on the factor Autonomy (t=2.165; p=0.032). Conclusions: Most people with chronic physical health problems have medium or high levels of PMH. The variables that adversely affect PMH are old age, polypharmacy and frequent consumption of analgesics. The type of health problem does not influence the levels of PMH. Much more extensive studies with samples without chronic pathology are now required in order to be able to draw more robust conclusions.

Els erudits rossellonesos del segle XIX i Jacint Verdaguer. Codis disponibles: estudis, gramàtiques i diccionaris

Com és que Jacint Verdaguer fou reconegut com a poeta nacional al Rosselló? Com és que Canigó tingué una recepció tan favorable de part rossellonesa? Què féu que els rossellonesos anomenessin Jacint Verdaguer el seu Mistral? És un mèrit indiscutible de Verdaguer haver provocat amb el poema Canigó el renaixement català al Rosselló i el desvetllament literari de la nostra llengua allí (Torrent, 1993: 195 i 202-203); tanmateix, abans que fos així l’èxit d’aquesta empresa no havia pas de semblar ben assegurat.