Plan Andaluz de Atención a las personas con dolor : 2010 - 2013

Publicado en la página web de la Consejería de Salud y Bienestar Social: www.juntadeandalucia.es/salud (Consejería de Salud y Bienestar Social / Ciudadanía / Quiénes somos / Planes y Estrategias)

Sociodemographic factors and clinical conditions associated to hospitalization in influenza A (H1N1) 2009 virus infected patients in Spain, 2009-2010.

The emergence and pandemic spread of a new strain of influenza A (H1N1) virus in 2009 resulted in a serious alarm in clinical and public health services all over the world. One distinguishing feature of this new influenza pandemic was the different profile of hospitalized patients compared to those from traditional seasonal influenza infections. Our goal was to analyze sociodemographic and clinical factors associated to hospitalization following infection by influenza A(H1N1) virus. We report the results of a Spanish nationwide study with laboratory confirmed infection by the new pandemic virus in a case-control design based on hospitalized patients. The main risk factors for hospitalization of influenza A (H1N1) 2009 were determined to be obesity (BMI≥40, with an odds-ratio [OR] 14.27), hematological neoplasia (OR 10.71), chronic heart disease, COPD (OR 5.16) and neurological disease, among the clinical conditions, whereas low education level and some ethnic backgrounds (Gypsies and Amerinds) were the sociodemographic variables found associated to hospitalization. The presence of any clinical condition of moderate risk almost triples the risk of hospitalization (OR 2.88) and high risk conditions raise this value markedly (OR 6.43). The risk of hospitalization increased proportionally when for two (OR 2.08) or for three or more (OR 4.86) risk factors were simultaneously present in the same patient. These findings should be considered when a new influenza virus appears in the human population.

Detection and differentiation of Cryptosporidium by real-time polymerase chain reaction in stool samples from patients in Rio de Janeiro, Brazil

This study reports the first genetic characterisation of Cryptosporidium isolates in Brazil using real-time polymerase chain reaction (RT-PCR). A total of 1,197 faecal specimens from children and 10 specimens from human immunodeficiency virus-infected patients were collected between 1999-2010 and screened using microscopy. Forty-eight Cryptosporidium oocyst-positive isolates were identified and analysed using a generic TaqMan assay targeting the 18S rRNA to detect Cryptosporidium species and two other TaqMan assays to identify Cryptosporidium hominis and Cryptosporidium parvum. The 18S rRNA assay detected Cryptosporidium species in all 48 of the stool specimens. The C. parvum TaqMan assay correctly identified five/48 stool samples, while 37/48 stool specimens were correctly amplified in the C. hominis TaqMan assay. The results obtained in this study support previous findings showing that C. hominis infections are more prevalent than C. parvum infections in Brazil and they demonstrate that the TaqMan RT-PCR procedure is a simple, fast and valuable tool for the detection and differentiation of Cryptosporidium species.

Characteristics of leprosy diagnosed through the surveillance of contacts: a comparison with index cases in Rio de Janeiro, 1987-2010

Contact surveillance is an important strategy to ensure effective early diagnosis and control of leprosy; passive detection may not be as efficient because it is directly tied to the ready availability of heath care services and health education campaigns. The aim of this study was to reinforce that contact surveillance is the most effective strategy for the control of leprosy. The analysed data were obtained from a cohort of contacts and cases diagnosed through a national referral service for leprosy. We analysed data from patients diagnosed between 1987-2010 at the Souza Araújo Ambulatory in Rio de Janeiro. Epidemiological characteristics of leprosy cases diagnosed through contact surveillance and characteristics of passively detected index cases were compared using a conditional logistic regression model. Cases diagnosed by contact surveillance were found earlier in the progression of the disease, resulting in less severe clinical presentations, lower levels of initial and final disability grades, lower initial and final bacterial indices and a lower prevalence of disease reaction. In this respect, contact surveillance proved to be an effective tertiary prevention strategy, indicating that active surveillance is especially important in areas of high endemicity, such as Brazil.

A comparative cross-sectional study on the prevalence and morbidity of schistosomiasis in a community in northeastern Brazil (1979-2010)

A cross-sectional study on the prevalence and morbidity of schistosomiasis was conducted in the main settlement of the municipality of Alhandra, in the southern coastal region of the state of Paraíba, in 2010. The results of this study were compared with the results of a previous study conducted in the same area in 1979. The systematic sampling per family conglomerate included approximately 10% of the resident population in the urban area of Alhandra. Faecal examinations were performed using the Kato-Katz method. The clinical forms of the disease were classified in accordance with FS Barbosa as Type I - intestinal form, Type II - hepatointestinal form and Type III - hepatosplenic form. The prevalence of the infection in 2010 was 10.05%, whereas in 1979 it was 46.6% among untreated patients. The percentages of the three clinical forms in 2010 were as follows: 95.3% Type I, 4.6% Type II and 0% Type III; in 1979, the percentages were 94.4%, 3% and 2.6% for Types I, II and III, respectively. In 1979, 6.07% of the Biomphalaria glabrata specimens (the intermediate host in this area) excreted cercariae, where in 2010 only 1.27% of the specimens caught excreted the parasite.

Molecular characterisation of the NSP4 gene of group A human rotavirus G2P[4] strains circulating in São Paulo, Brazil, from 1994 and 2006 to 2010

Group A human rotaviruses (HuRVA) are causative agents of acute gastroenteritis. Six viral structural proteins (VPs) and six nonstructural proteins (NSPs) are produced in RV-infected cells. NSP4 is a diarrhoea-inducing viral enterotoxin and NSP4 gene analysis revealed at least 15 (E1-E15) genotypes. This study analysed the NSP4 genetic diversity of HuRVA G2P[4] strains collected in the state of São Paulo (SP) from 1994 and 2006-2010 using reverse transcription-polymerase chain reaction, sequencing and phylogenetic analysis. Forty (97.6%) G2P[4] strains displayed genotype E2; one strain (2.4%) displayed genotype E1. These results are consistent with the proposed linkage between VP4/VP7 (G2P[4]) and the NSP4 (E2) genotype of HuRVA. NSP4 phylogenetic analysis showed distinct clusters, with grouping of most strains by their genotype and collection year, and most strains from SP were clustered together with strains from other Brazilian states. A deduced amino acid sequence alignment for E2 showed many variations in the C-terminal region, including the VP4-binding domain. Considering the ability of NSP4 to generate host immunity, monitoring NSP4 variations, along with those in the VP4 or VP7 protein, is important for evaluating the circulation and pathogenesis of RV. Finally, the presence of one G2P[4]E1 strain reinforces the idea that new genotype combinations emerge through reassortment and independent segregation.

Propuesta para un Proyecto de Evaluación de Stocks de Camarón de Profundidad en aguas de Cabo Verde (2010-2013)

A bibliographic revision on the fisheries research in the Canary, Madeira, and the Azores Islands related to stock assessment of the striped soldier shrimp (Plesionika edwardsii) (Crustacea, Decapoda, Pandalidae) was made. Biological information –reproduction, growth, mortality, recruitment– of the target species, selective technological developments –multiple semi-floating shrimp traps–, and know-how gained by the ICCM can give support to elaborate and execute an ICCM-INDP joint project, in order to explore and assess its insular stocks in the Capeverdian deepwaters (150-300 m). In the frame of the UE Trans-national Cooperation Programme MAC (2007- 2013), the next coming call for proposals seems to be an adequate source to fund it. This project should include some activities for the valorisation and promotion of this new shellfish product, as well as for scientific-technical and social divulgation, and for giving advice to the decision-makers. Lastly, with the aim of developing a new fishing activity in the Cape Verdes on a responsible and sustainable basis, authors have scheduled a second study phase. This should consist of a process of technology transfer, followed by an experimental fishing pilot project including a study on biological and commercial viability with the participation of the Capeverdian fishing sector.

Comunidade de abelhas (Hymenoptera, Apoidea) em ecossistema de dunas na Praia de Panaquatira, São José de Ribamar, Maranhão, Brasil

Comunidade de abelhas (Hymenoptera, Apoidea) em ecossistema de dunas na Praia de Panaquatira, São José de Ribamar, Maranhão, Brasil. Foi analisada a estrutura da comunidade de Apoidea de uma área restrita de dunas primárias em São José de Ribamar, Maranhão, Brasil. Amostragens foram realizadas quinzenalmente durante um ano com metodologia padronizada totalizando 24 coletas. As coletas ocorreram no período das 12:00 às 18:00 h no primeiro dia e das 6:00 às 12:00 h no segundo, realizadas por dois coletores. Um total de 3305 indivíduos de 31 espécies pertencentes a quatro famílias (Apidae>Halictidae>Megachilidae>Andrenidae em número de indivíduos) foram coletadas nas flores. Centris com 14 espécies e 890 indivíduos foi o gênero mais rico e abundante. O padrão de abundância e riqueza foi bastante semelhante ao de outros habitats de dunas no nordeste brasileiro. Das espécies amostradas, 61% foram representadas por menos de 36 indivíduos e apenas 5 espécies foram muito abundantes com mais de 177 indivíduos: Apis mellifera Linnaeus, Centris (Centris) leprieuri Spinola, Eulaema (Apeulema) nigrita Lepeletier, Eufriesea surinamensis Linnaeus e Xylocopa (Neoxylocopa) cearensis Ducke. As abelhas estiveram presentes durante todo o ano, apresentando picos de abundância no período de maior precipitação. A atividade diária foi maior entre 06:00 e 11:00 h, quando a temperatura aumentava e a umidade relativa decrescia.

Monitoreo de la pesquería comercial en Pucallpa y Yarinacocha, 2010 (Ucayali-Perú)

La pesca comercial en la Región Ucayali, se desarrolla mayormente en Pucallpa y Yarinacocha. En el 2008 IMARPE inició el monitoreo de: Hypophthalmus marginatus (maparate), Mylossoma duriventre (palometa), Prochilodus nigricans (boquichico), Psectrogaster rutiloides (chiochio), Triportheus angulatus (sardina) y Potamorhina altamazonica (llambina). En el 2010 la captura total en Pucallpa fue 1.813 t, (0,1% flota fresquera, 99,9% flota congelera), en Yarinacocha hasta julio fue 115,6 t, (31,8% flota fresquera, 68,2% flota congelera). La red hondera al desembarque aportó 77% en Pucallpa y 33% en Yarinacocha. La CPUE fue 0,20 y 0,34 t/viaje para fresqueros y de 0,72 y 0,64 t/viaje para congeleros de Pucallpa y Yarinacocha, respectivamente. El proceso reproductivo se inicia en el IV trimestre (transición a creciente) y culmina en el I trimestre (creciente). La talla media fue: maparate 23,8 cm, boquichico 20,5 cm, llambina 19,1 cm, chiochio 15,5 cm, sardina 14,5 cm y palometa 13,2 cm.

Evaluación poblacional de Chondracanthus chamissoi (C. Agardh 1820) en las bahías de Pisco y Paracas, Otoño 2010.

Entre mayo y junio 2010, se desarrolló la evaluación poblacional de la macroalga Chondracanthus chamissoi “yuyo” de las praderas en las bahías de Pisco y Paracas. Las biomasas medias fluctuaron entre 2,2 y 67,0 g.m-2, con promedio de 43,6 g.m-2. Se estimó una biomasa total de 211,96 toneladas (±56,8%); de los cuales 179,74 t correspondieron a Atenas; 30,1 t a Puerto Nuevo y 2,1 t a Playa Lobería. El sustrato de fijación estuvo compuesto, principalmente, por piedras, conchuela y arena media. En las praderas de Atenas ocupó la mayor parte del área evaluada, en las praderas de Puerto Nuevo y Playa Lobería se encontraron reducidas, respecto al 2007. Se encontró ejemplares entre 1 y 25 cm de longitud. El peso total individual varió de 0,1 a 94,6 g. Se registró biodiversidad asociada conformada por moluscos. Las condiciones oceanográficas se registraron normales, lo que permite suponer que la disminución poblacional respondería a las actividades de extracción.

Evaluación poblacional de Lessonia trabeculata Villouta y Santelices, 1986 en San Juan de Marcona, Marzo 2010

IMARPE, en marzo del 2010 realizó la evaluación poblacional de la macroalga Lessonia trabeculata en 2 sectores de San Juan de Marcona: Carro Caído (sector 1) y San Nicolás (sector 4). El diámetro mayor del rizoide (DMR) se registró en el sector 1 (59,1%), en el sector 4 solo el 30,3% presentó tamaño >20 cm (tamaño mínimo de extracción). En el sector 1 se estimó la biomasa en 38.070 t y en el sector 4 fue 3.279 t; en base a la biomasa se proyectó un rendimiento de 4.166 t para el año 2010. Se consideró evitar la extracción en la estación de otoño.

El Memorial de Barcelona a Archer Milton Huntington, el fundador de la Hispanic Society of America, y a su esposa, la escultora, Anna Hyatt Huntington.

Barcelona en 1954 se anticipo a todos los homenajes, dedicando a Archer Milton Huntington (New York, 1870- Bathel, Connecticut, 1955) un monumento en reconocimiento a su excepcional figura como coleccionista e hispanófilo y también a su esposa, Anna Vaughn Hyatt Huntington (Cambridge, 1876 - California, 1973), excelente escultora que generosamente secundo los propósitos filo hispanos de su consorte. De esta manera Barcelona quería dejar constancia de su devoción y tributo a este reconocido coleccionista y filántropo americano que ayudo a vencer el llamado "Paradigma Prescott", historiador que había defendido las tesis sobre la leyenda negra española. A la vez que se reconocía que Archer M. Huntington ocupaba un lugar preeminente en la línea del hispanismo americano conjuntamente con los nombres de George Ticknor (1791 -1871), Washington Irving (1783-1859) y Henry Longfellow (1807-1882).

Reseña de Carmen Alén Garabato / Xosé Afonso Álvarez / Mercedes Brea (dirs.) (2010): Quelle linguistique romane au XXIe siècle?. Paris: L"Harmattan, 294 p.

Con la perspectiva que se va abriendo del nuevo siglo tras el transcurso de su primera década, este volumen colectivo reúne un ramillete de contribuciones de distintos especialistas que muestran aspectos diversos de la lingüística románica, disciplina forjada en el xix y que, camino de dos centurias después, induce a los directores-coordinadores del libro en la página inicial de la Présentation a plantear las expectativas de su enseñanza futura en el marco de la ciencia y de la sociedad que vienen.

Iowa Historic Property Study: Iowa-Illinois Memorial Bridge Carrying I-74 and U.S. 6 over Mississippi River between Bettendorf, Scott County, Iowa and Moline, Rock Island County, Illinois, 2012

The 1935 Iowa-Illinois Memorial Bridge is being documented at this time to fulfill the requirements of the Memorandum of Agreement regarding the removal of the Iowa-Illinois Memorial Bridge and the Iowana Farms Milk Company Building for the proposed improvements to Interstate 7 4 in Bettendorf, Iowa, and Moline, Illinois.1 The 1959 twin suspension bridge will be removed as well, but it was determined to be ineligible for the National Register of Historic Places. Discussion of the history of the 1959 twin span is included, however, in the current report as part of the overall history of the Iowa-Illinois Memorial Bridge. Fieldwork for the documentation occurred in November 2009 and October 2010 (Fig. 1). Limitations on photography included limited shoreline access on the Illinois side, making good views of the bridge from the south somewhat challenging. Also, photographs on the bridge deck were not possible because of interstate traffic and prohibitions on pedestrian traffic. Within the last few years, online primary sources have proliferated, along with historical materials regarding the Iowa-Illinois Memorial Bridge. Sources available online for this report included numerous historical photographs, as well as historical Davenport, Iowa, and U.S. newspapers that document the bridge planning and construction. Additional primary source material was found at the University of Iowa Libraries, the State Historical Society of Iowa in Iowa City, the Bettendorf Public Library, the Richardson-Sloane Special Collections Center at the Davenport Public Library, and the Iowa State University Special Collections in Ames.

Análisis de la eficacia de los saques de esquina en la copa del mundo de fútbol 2010. Un intento de identificación de variables explicativas

In soccer, dead-ball moves are those in which the ball is returned to play from a stationary position following an interruption of play. The aim of this study was to analyse the effectiveness of one such dead-ball move, namely corner kicks, and to identify the key variables that determine the success of a shot or header following a corner, thereby enabling a model of successful corner kicks to be proposed. We recorded 554 corner kicks performed during the 2010 World Cup in South Africa and carried out a univariate, bivariate and multivariate analysis of the data. The results indicated that corners were of limited effectiveness in terms of the success of subsequent shots or headers. The analysis also revealed a series of variables that were significantly related to one another, and this enabled us to propose an explanatory model. Although this model had limited explanatory power, it nonetheless helps to understand the execution of corner kicks in practical terms.