Prestacions en benefici de la comunitat i realització de tasques socioeducatives en justícia juvenil

Els joves als quals se’ls ha imposat una mesura de realització de tasques socioeducatives (RTS) o de prestacions en benefici de la comunitat (PBC) presenten un alt fracàs escolar, majoritàriament amb baix rendiment i abandonament dels estudis en la meitat dels casos. Un de cada tres joves prové d’una família amb algun tipus de problemàtica específica o una economia insuficient. Els resultats indiquen, però, que els joves que realitzen tasques socioeducatives solen acumular més problemàtiques que els de PBC, ja sigui a nivell personal, familiar o social. Quant al perfil penal i criminològic, el 63% dels nois i noies d’aquestes dues mesures té antecedents. La taxa de reincidència de RTS és del 31,1% i la de PBC del 25,2%. Alguns dels factors que els joves reincidents mostren en més proporció són tenir un grup d’iguals dissocial, estar en contacte amb els serveis socials o tenir antecedents. Els reincidents de RTS també presenten més proporció de consum de tòxics, problemes de salut mental, fracàs escolar i una ocupació del temps desestructurada i amb conductes de risc. Comparant aquests resultats amb estudis respecte altres programes i mesures de Justícia juvenil podem concloure que la taxa de reincidència global a Catalunya és del 28,9% i l’específica de Medi obert és del 27,8%.

Incidence and risk factors for chronic elevation of alanine aminotransferase levels in HIV-infected persons without hepatitis b or c virus co-infection.

BACKGROUND: Chronic liver disease in human immunodeficiency virus (HIV)-infected patients is mostly caused by hepatitis virus co-infection. Other reasons for chronic alanine aminotransferase (ALT) elevation are more difficult to diagnose. METHODS: We studied the incidence of and risk factors for chronic elevation of ALT levels (greater than the upper limit of normal at 2 consecutive semi-annual visits) in participants of the Swiss HIV Cohort Study without hepatitis B virus (HBV) or hepatitis C virus (HCV) infection who were seen during the period 2002-2008. Poisson regression analysis was used. RESULTS: A total of 2365 participants were followed up for 9972 person-years (median age, 38 years; male sex, 66%; median CD4+ cell count, 426/microL; receipt of antiretroviral therapy [ART], 56%). A total of 385 participants (16%) developed chronic elevated ALT levels, with an incidence of 3.9 cases per 100 person-years (95% confidence interval [CI], 3.5-4.3 cases per 100 person-years). In multivariable analysis, chronic elevated ALT levels were associated with HIV RNA level >100,000 copies/mL (incidence rate ratio [IRR], 2.23; 95% CI, 1.45-3.43), increased body mass index (BMI, defined as weight in kilograms divided by the square of height in meters) (BMI of 25-29.9 was associated with an IRR of 1.56 [95% CI, 1.24-1.96]; a BMI 30 was associated with an IRR of 1.70 [95% CI, 1.16-2.51]), severe alcohol use (1.83 [1.19-2.80]), exposure to stavudine (IRR per year exposure, 1.12 [95% CI, 1.07-1.17]) and zidovudine (IRR per years of exposure, 1.04 [95% CI, 1.00-1.08]). Associations with cumulative exposure to combination ART, nucleoside reverse-transcriptase inhibitors, and unboosted protease inhibitors did not remain statistically significant after adjustment for exposure to stavudine. Black ethnicity was inversely correlated (IRR, 0.52 [95% CI, 0.33-0.82]). Treatment outcome and mortality did not differ between groups with and groups without elevated ALT levels. CONCLUSIONS: Among patients without hepatitis virus co-infection, the incidence of chronic elevated ALT levels was 3.9 cases per 100 person-years, which was associated with high HIV RNA levels, increased BMI, severe alcohol use, and prolonged stavudine and zidovudine exposure. Long-term follow-up is needed to assess whether chronic elevation of ALT levels will result in increased morbidity or mortality.

Résultats à deux ans de la trabéculoplastie sélective au laser dans le glaucome à angle ouvert et l'hypertonie oculaire

BACKGROUND: Selective laser trabeculoplasty (SLT) is a relatively new treatment strategy for the treatment of glaucoma. Its principle is similar to that of argon laser trabeculoplasty (ALT), but may lead to less damage to the trabecular meshwork. METHODS: We assessed the 2-year efficacy of SLT in a noncomparative consecutive case series. Any adult patient either suspected of having glaucoma or with open-angle glaucoma, whose treatment was judged insufficient to reach target intraocular pressure (IOP), could be recruited. IOP and number of glaucoma treatments were recorded over 2 years after the procedure. RESULTS: Our sample consisted of 44 consecutive eyes of 26 patients, aged 69+/-8 years. Eyes were treated initially on the lower 180 degrees . Three of them were retreated after 15 days on the upper 180. Fourteen eyes had ocular hypertension, 17 primary open-angle/normal-tension glaucoma, 11 pseudoexfoliation (PEX) glaucoma, and two pigmentary glaucoma. Thirty-six eyes had previously been treated and continued to be treated with topical anti-glaucoma medication, ten had had prior ALT, nine iridotomy, and 12 filtering surgery. The 2-year-follow up could not be completed for eight eyes because they needed filtering surgery. In the remaining 36 eyes, IOP decreased by a mean of 17.2%, 3.3 mmHg, (19.2+/-4.7 to 15+/-3.6 mmHg) after 2 years (p<0.001). As a secondary outcome, the number of glaucoma treatments decreased from 1.44 to 1.36 drops/patient. Other results according to subgroups of patients are analyzed: the greatest IOP decrease occurred in eyes that had never been treated with anti-glaucoma medication or with PEX glaucoma. SLT was probably valuable in a few eyes after filtering surgery; however, the statistical power of the study was not strong enough to draw a firm conclusion. When expressed in survival curves after 2 years, however, only 48% and 41% of eyes experienced a decrease of more than 3 mmHg or more than 20% of preoperative intraocular pressure, respectively. CONCLUSION: SLT decreases IOP somewhat for at least 2 years without an increase in topical glaucoma treatment. However, it cannot totally replace topical glaucoma treatment. In the future, patient selection should be improved to decrease the cost/effectiveness ratio.

Secure Dynamic MANET On-demand (SEDYMO) Routing Protocol

This paper describes the state of the art of secure ad hoc routing protocols and presents SEDYMO, a mechanism to secure a dynamic multihop ad hoc routing protocol. The proposed solution defeats internal and external attacks usinga trustworthiness model based on a distributed certification authority. Digital signatures and hash chains are used to ensure the correctness of the protocol. The protocol is compared with other alternatives in terms of security strength, energy efficiency and time delay. Both computational and transmission costs are considered and it is shown that the secure protocol overhead is not a critical factor compared to the high network interface cost.

La producció vinícola i els tallers d’àmfores a l’ager Tarraconensis i l’ager Dertosanus

L’objectiu d’aquest estudi és plantejar un estat de la qüestió sobre la producció vinària i d’àmfores en època romana a l’àrea de l’ager Tarraconensis i les terres de l’Ebre (possiblement corresponents al territorium de Dertosa), intentant posar en relació el testimoni arqueològic sobre els elements de transformació agrícola (premses, dipòsits) i la producció i distribució de les àmfores. S’ha pogut documentar una producció primerenca d’àmfores de la forma Dressel 1 en època tardorepublicana, reduïda pel que ara sabem a la zona de l’Alt Camp, i potser també present a la zona de Dertosa (forn del Mas d’Aragó). Tanmateix, la producció més important correspon a l’època altimperial. En època d’August es documenta l’aparició dels tallers de l’ager Dertosanus, així com a la part oriental de l’ager Tarraconensis (Darró, el Vilarenc) i al taller de la Canaleta (Vila-seca), on es produïren àmfores de la forma Oberaden 74. Tanmateix, fou en plena època julioclàudia quan les figlinae de l’àrea del Baix Camp es posaren en marxa, amb la producció d’àmfores de les formes Dressel 2-4 i 7-11. Aquesta producció es relaciona amb el vi de Tarraco al qual fan referència les fonts escrites llatines, i arqueològicament sembla que es pot perllongar almenys fins a final del segle II i inici del III.

Una pintura d'Antoni Viladomat i Manalt (1678-1755) a Manresa : l'Assumpta de Santa Maria de l'Alba

This painting with an exceptional iconography of the Assumption of the Virgin with All the Saints, was saved from a altarpiece in the church of Santa Maria de l'Alba in Manresa, which was burnt during the Spanish Civil War. The article attributes this painting to Antoni Viladomat i Manalt (1678-1755), one of the most relevant figures in the Catalan artistic scene in the 18th century, and it dates it to the latter years of his extensive artistic career. An analysis of the work shows that the Catalan painter incorporated some figurative elements that he borrowed from an engraving of the Swiss engraver, Jakob Frey (1681-1752), interpreted from a canvas of the Italian painter Sebastiano Conca (1680-1764). This helps to relate the canvas of the Barcelona painter-based on his previous figurative work with high Roman baroque- to the new proposals of the so-called Roman barrochetto. In addition the study hopes to offer the reader an artistically cultural view of Antoni Viladomat, openly concerned by the novelties that constantly reached Catalonia by means of the engravings

Características de tolerância à seca em genótipos de uma coleção nuclear de arroz de terras altas

Resumo:O objetivo deste trabalho foi avaliar características morfofisiológicas relacionadas à tolerância ao estresse hídrico em genótipos de uma coleção nuclear temática de arroz de terras altas, bem como identificar os materiais mais tolerantes. Foram avaliados 100 genótipos de arroz de terras altas em experimentos conduzidos com e sem estresse por deficiência hídrica. Os genótipos tenderam a aumentar o número de dias para o florescimento (FLO) e a diminuir a altura (ALT), na condição de estresse, mas manifestaram ampla variação de comportamento. A esterilidade das espiguetas (EST) foi a característica mais importante para a seleção, nas duas condições de cultivo, em razão de sua elevada correlação negativa com a produtividade. O número de perfilhos não diferiu entre os genótipos na condição sem estresse, mas houve diferença significativa sob estresse hídrico. Os genótipos Ligeiro e Canela de Ferro apresentaram baixos índices de susceptibilidade à seca (ISS), mas baixa produtividade em ambas as condições de cultivo; já os materiais Catetão, Jatobá e Arroz do Maranhão apresentaram elevada produtividade sob estresse e valores de ISS relativamente baixos. EST, FLO, ALT e ISS são características morfofisiológicas relacionadas à tolerância à seca, e os genótipos Catetão, Jatobá e Arroz do Maranhão podem constituir boas fontes de genes para tolerância à seca em programas de melhoramento.

Mechanisms and drug therapy of pulmonary hypertension at high altitude.

Abstract Scherrer, Urs, Yves Allemann, Emrush Rexhaj, Stefano F. Rimoldi, and Claudio Sartori. Mechanisms and drug therapy of pulmonary hypertension at high altitude. High Alt Med Biol 14:126-133, 2013.-Pulmonary vasoconstriction represents a physiological adaptive mechanism to high altitude. If exaggerated, however, it is associated with important morbidity and mortality. Recent mechanistic studies using short-term acute high altitude exposure have provided insight into the importance of defective vascular endothelial and respiratory epithelial nitric oxide (NO) synthesis, increased endothelin-1 bioavailability, and overactivation of the sympathetic nervous system in causing exaggerated hypoxic pulmonary hypertension in humans. Based on these studies, drugs that increase NO bioavailability, attenuate endothelin-1 induced pulmonary vasoconstriction, or prevent exaggerated sympathetic activation have been shown to be useful for the treatment/prevention of exaggerated pulm9onary hypertension during acute short-term high altitude exposure. The mechanisms underpinning chronic pulmonary hypertension in high altitude dwellers are less well understood, but recent evidence suggests that they differ in some aspects from those involved in short-term adaptation to high altitude. These differences have consequences for the choice of the treatment for chronic pulmonary hypertension at high altitude. Finally, recent data indicate that fetal programming of pulmonary vascular dysfunction in offspring of preeclampsia and children generated by assisted reproductive technologies represents a novel and frequent cause of pulmonary hypertension at high altitude. In animal models of fetal programming of hypoxic pulmonary hypertension, epigenetic mechanisms play a role, and targeting of these mechanisms with drugs lowers pulmonary artery pressure. If epigenetic mechanisms also are operational in the fetal programming of pulmonary vascular dysfunction in humans, such drugs may become novel tools for the treatment of hypoxic pulmonary hypertension.

Obesity-related phenotypes are associated to parental longevity in a Swiss population-based study

METHODS. We analyzed data from a population-based sample of 2561 participants (1163 men and 1398 women) aged 55-75 years from the city of Lausanne, Switzerland (CoLaus study). Participants were stratified by the number of parents (0, 1, 2) who survived to 85 years or more. Trend across these strata was assessed using a non-parametric kmean test. The associations of parental age (independent covariate used as a proxy for longevity) with fasting blood glucose, blood pressures, blood lipids, body mass index (BMI), weight, height or liver enzymes (continuous dependent variables) were analyzed using multiple linear regressions. Models were adjusted for age, sex, alcohol consumption, smoking and educational level, and BMI for liver enzymes. RESULTS. For subjects with 0 (N = 1298), 1 (N = 991) and 2 (N = 272) long-lived parents, median BMI (interquartile range) was 25.4 (6.5), 24.9 (6.1) and 23.7 (4.8) kg/m2 in women (P <0.001), and 27.3 (4.8), 27.0 (4.5) and 25.9 (4.9) kg/m2 in men (P = 0.04), respectively; median weight was 66.5 (16.1), 65.0 (16.4) and 63.4 (13.7) kg in women (P = 0.003), and 81.5 (17.0), 81.4 (16.4) and 80.3 (17.1) kg in men (P = 0.36). Median height was 161 (8), 162 (9) and 163 (8) cm in women (P = 0.005) and 173 (9), 174 (9) and 174 (11) cm in men (P = 0.09). The corresponding medians for AST (Aspartate Aminotransferase) were 31 (13), 29 (11) and 28 (10) U/L (P = 0.002), and 28 (17), 27 (14) and 26 (19) U/L for ALT (Alanin Aminotransferase, P = 0.053) in men. In multivariable analyses, greater parental longevity was associated with lower BMI, lower weight and taller stature in women (P < 0.01) and lower AST in men (P = 0.011). No significant associations were observed for the other variables analyzed. Sensitivity analyses restricted to subjects whose parents were dead (N = 1844) led to similar results, with even stronger associations of parental longevity with liver enzymes in men. CONCLUSIONS. In women, increased parental longevity was associated with smaller BMI, attributable to lower weight and taller stature. In men, the association of increased parental longevity with lower liver enzymes, independently of BMI, suggests that parental longevity may be associated with decreased nonalcoholic fatty liver disease.

Destruction of lymphoid organ architecture and hepatitis caused by CD4 T cells.

Immune responses have the important function of host defense and protection against pathogens. However, the immune response also causes inflammation and host tissue injury, termed immunopathology. For example, hepatitis B and C virus infection in humans cause immunopathological sequel with destruction of liver cells by the host's own immune response. Similarly, after infection with lymphocytic choriomeningitis virus (LCMV) in mice, the adaptive immune response causes liver cell damage, choriomeningitis and destruction of lymphoid organ architecture. The immunopathological sequel during LCMV infection has been attributed to cytotoxic CD8(+) T cells. However, we now show that during LCMV infection CD4(+) T cells selectively induced the destruction of splenic marginal zone and caused liver cell damage with elevated serum alanin-transferase (ALT) levels. The destruction of the splenic marginal zone by CD4(+) T cells included the reduction of marginal zone B cells, marginal zone macrophages and marginal zone metallophilic macrophages. Functionally, this resulted in an impaired production of neutralizing antibodies against LCMV. Furthermore, CD4(+) T cells reduced B cells with an IgM(high)IgD(low) phenotype (transitional stage 1 and 2, marginal zone B cells), whereas other B cell subtypes such as follicular type 1 and 2 and germinal center/memory B cells were not affected. Adoptive transfer of CD4(+) T cells lacking different important effector cytokines and cytolytic pathways such as IFNγ, TNFα, perforin and Fas-FasL interaction did reveal that these cytolytic pathways are redundant in the induction of immunopathological sequel in spleen. In conclusion, our results define an important role of CD4(+) T cells in the induction of immunopathology in liver and spleen. This includes the CD4(+) T cell mediated destruction of the splenic marginal zone with consecutively impaired protective neutralizing antibody responses.

Noves aportacions al coneixement florístic de l'Empordà - III

New records of some vascular plants in the Empordà (NE of Iberian Peninsula) are given. Some of them are new for this area. We make several annotations about chorology of these taxa. Coronilla repanda (Poir.) Guss. subsp. dura (Cav.) Cout. and Ranunculus nodiflorus L. are indicated for the first time in Catalonia

Vessana a Vessana. Reflexions sobre la pràctica dels establiments emfitèutics a la regió de Girona (segles XVIII-XIX)

Tenim documentats més de 30.000 contractes d'establiment emfitèutic (la majoria, amb caràcter de subestabliment) concedits a la regió de Girona (actuals comarques del Baix i de l'Alt Empordà, del Gironès i de La Selva) entre 1768 i 1862, anys en què van ser inscrits en els llibres del Registre d’hipoteques. Sabem que durant aquests mateixos anys se'n concediren molts més, ja que ens manca la informació relativa a l'ofici de Figueres entre 1774 i 1806 i la comarca de l’Alt Empordà va concentrar un 40% dels establiments concedits entre 1806 i 1862. És molt possible, doncs, que el nombre total s'apropés als 35.000. La xifra no és negligible; a mitjan segle XIX vivien a la regió unes cinquanta mil famílies. Es fa necessari, doncs, reflexionar sobre aquesta pràctica

Problemática de género en los altos cargos empresariales

Aquest treball pretén detectar i aflorar les dificultats que afecten a les dones treballadores per accedir a llocs d'alta direcció. Tot i estar al segle XXI, aquests llocs segueixen estant, en un percentatge molt alt, en mans d'homes. Es compara la societat espanyola davant de la mundial. S'afegeix una avaluació d'enquestes efectuades al col·lectiu femení que desenvolupa el seu treball en alts càrrecs d'empreses. Per evitar aquests problemes, s'aporten diverses solucions i mesures que podrien adoptar tant per part de les dones com per les empreses i Administracions. En concret, són dues les mesures exposades: Discriminatòries positives i Conciliació de la vida laboral i personal. A la primera mesura, es comentarà la Llei d'Igualtat (cas de NH Hoteles) i la Llei de Quotes. I en la segona, s'exposen les dificultats que hi ha a les empreses espanyoles.

High-impact open access journals

Poster presented in the LIBER 43rd Annual Conference. It is shown the tool "High-impact open access journals¿" created by the Library of the Universitat Oberta de Catalunya. The tool gives access to open access journals listed in the Directory of Open Access Journals (DOAJ) with impact factor in the Journal Citation Reports 2011 or SCImago Journal Rank.

Proposta d’ordenació de l’ús públic a la Vall de Santa Magdalena (Parc Natural de l’Alt Pirineu)

El present treball pretén realitzar una proposta d’ordenació d’ús públic a la Vall de Santa Magdalena que es troba entre les comarques del Pallars Sobirà i Alt Urgell, dins del Parc Natural de l'Alt Pirineu (PNAP). Aquest projecte sorgeix de la intenció del PNAP de regular l'ús públic en aquesta vall degut a l'afluència considerable de visitants en vehicles motoritzats i a l’elevada densitat de pistes que coexisteixen amb àrees sensibles de fauna i flora. En base a tot això, es determina la capacitat d’acollida del medi i es realitzen propostes de regulació d’activitats motoritzades, entre d’altres.