Dispensación de medicamentos para el tratamiento del dolor en oficinas de farmacias comunitarias de la isla de Gran Canaria

[ES] El objetivo general del trabajo fue ampliar los conocimientos sobre el uso de fármacos utilizados en el tratamieno del dolor como los antiinflamatorios no esteroides (AINEs), los opioides y antimigrañosos, princpalmente para esclarecer posibles invonvenientes asociados a una utilización incorrecta. Se diseño y llevó a cabo un estudio descriptivo transversal. Mediante un cuestionario previamente elaborado, se entrevistó a 403 pacientes y se obtuvieron datos de 1378 dispensaciones entre 2009 y 2010, desde siete farmacias comunitarias. El análisis de los datos situó a los AINEs como el grupo más destacado en la población estudiada respecto a casi todas las variables que se definieron, con valores máximos en frecuencia de utilización, dispensación sin receta, efectos adversos y otros incovenientes. Su amplio consumo puede estar relacionado con muchos de los efectos adversos especificados por los pacientes encuestados y también con el aumento del uso de otros medicamentos. La información sanitaria no está adaptada a la comunidad estudiada, lo que puede magnificar los problemas e influir sobre la salud y el nivel de satisfacción, mientras la contribución de los AINEs al gasto farmacéutico cada vez está siendo más elevado.

Design and control techniques of optical networks

The world of communication has changed quickly in the last decade resulting in the the rapid increase in the pace of peoples’ lives. This is due to the explosion of mobile communication and the internet which has now reached all levels of society. With such pressure for access to communication there is increased demand for bandwidth. Photonic technology is the right solution for high speed networks that have to supply wide bandwidth to new communication service providers. In particular this Ph.D. dissertation deals with DWDM optical packet-switched networks. The issue introduces a huge quantity of problems from physical layer up to transport layer. Here this subject is tackled from the network level perspective. The long term solution represented by optical packet switching has been fully explored in this years together with the Network Research Group at the department of Electronics, Computer Science and System of the University of Bologna. Some national as well as international projects supported this research like the Network of Excellence (NoE) e-Photon/ONe, funded by the European Commission in the Sixth Framework Programme and INTREPIDO project (End-to-end Traffic Engineering and Protection for IP over DWDM Optical Networks) funded by the Italian Ministry of Education, University and Scientific Research. Optical packet switching for DWDM networks is studied at single node level as well as at network level. In particular the techniques discussed are thought to be implemented for a long-haul transport network that connects local and metropolitan networks around the world. The main issues faced are contention resolution in a asynchronous variable packet length environment, adaptive routing, wavelength conversion and node architecture. Characteristics that a network must assure as quality of service and resilience are also explored at both node and network level. Results are mainly evaluated via simulation and through analysis.

Gloria y María Egipcíaca de Galdós: Los peligros del ángel caído y del que regresa al cielo. Dos respuestas distintas a un mismo papel social

[ES] Gloria, publicada en 1877, y La familia de León Roch, editada un año más tarde, son las dos últimas novelas de la primera etapa novelística de Benito Pérez Galdós, previa a lo que el mismo autor llamará su «segunda manera de hacer novelas». Las obras que me propongo estudiar corresponden, por tanto, a lo que la crítica ha llama- do, unánimemente, Novelas de Tesis, cuyo ejemplo más conocido es Doña Perfecta de 1876. Como tales, estas novelas responden, desde su concepción, a un plantea- miento ideológico que intenta demostrar fallas en determinados aspectos esenciales de la sociedad, a través de situaciones y personajes bastante arquetípicos.

Determination of bioactive and potentially toxic compounds in food: raw material analysis and shelf life evaluation

"Bioactive compounds" are extranutritional constituents that typically occur in small quantities in food. They are being intensively studied to evaluate their effects on health. Bioactive compounds include both water soluble compounds, such as phenolics, and lipidic substances such as n-3 fatty acids, tocopherols and sterols. Phenolic compounds, tocopherols and sterols are present in all plants and have been studied extensively in cereals, nuts and oil. n-3 fatty acids are present in fish and all around the vegetable kingdom. The aim of the present work was the determination of bioactive and potentially toxic compounds in cereal based foods and nuts. The first section of this study was focused on the determination of bioactive compounds in cereals. Because of that the different forms of phytosterols were investigated in hexaploid and tetraploid wheats. Hexaploid cultivars were the best source of esterified sterols (40.7% and 37.3% of total sterols for Triticum aestivum and Triticum spelta, respectively). Significant amounts of free sterols (65.5% and 60.7% of total sterols for Triticum durum and Triticum dicoccon, respectively) were found in the tetraploid cultivars. Then, free and bound phenolic compounds were identified in barley flours. HPLCESI/ MSD analysis in negative and positive ion mode established that barley free flavan-3- ols and proanthocyanidins were four dimers and four trimers having (epi)catechin and/or (epi)gallocatechin (C and/or GC) subunits. Hydroxycinnamic acids and their derivatives were the main bound phenols in barley flours. The results obtained demonstrated that barley flours were rich in phenolic compounds that showed high antioxidant activity. The study also examined the relationships between phenolic compounds and lipid oxidation of bakery. To this purpose, the investigated barley flours were used in the bakery production. The formulated oven products presented an interesting content of phenolic compounds, but they were not able to contain the lipid oxidation. Furthermore, the influence of conventional packaging on lipid oxidation of pasta was evaluated in n-3 enriched spaghetti and egg spaghetti. The results proved that conventional packaging was not appropriated to preserve pasta from lipid oxidation; in fact, pasta that was exposed to light showed a high content of potentially toxic compounds derived from lipid oxidation (such as peroxide, oxidized fatty acids and COPs). In the second section, the content of sterols, phenolic compounds, n-3 fatty acids and tocopherols in walnuts were reported. Rapid analytical techniques were used to analyze the lipid fraction and to characterize phenolic compounds in walnuts. Total lipid chromatogram was used for the simultaneous determination of the profile of sterols and tocopherols. Linoleic and linolenic acids were the most representative n-6 and n-3 essential dietary fatty acids present in these nuts. Walnuts contained substantial amounts of γ- and δ-tocopherol, which explained their antioxidant properties. Sitosterol, Δ5-avenasterol and campesterol were the major free sterols found. Capillary electrophoresis coupled to DAD and microTOF was utilized to determine phenolic content of walnut. A new compound in walnut ((2E,4E)- 8-hydroxy-2,7-dimethyl-2,4-decadiene-1,10-dioic acid 6-O-β-D-glucopiranosyl ester, [M−H]− 403.161m/z) with a structure similar to glansreginins was also identified. Phenolic compounds corresponded to 14–28% of total polar compounds quantified. Aglycone and glycosylated ellagic acid represented the principal components and account for 64–75% of total phenols in walnuts. However, the sum of glansreginins A, B and ((2E,4E)-8-hydroxy- 2,7-dimethyl-2,4-decadiene-1,10-dioic acid 6-O-β-D-glucopiranosyl ester was in the range of 72–86% of total quantified compounds.

Tropospheric carboxylic acids in tropical rainforest environments

Der Übergang der Grenzschicht von stark ozeanisch auf kontinental beeinflusst wurde in 2 tropischen Küstenwaldgebieten Amerikas untersucht, wo Luftmassen vom Meer kommend über den Kontinent transportiert werden.Zwei Feldkampagnen wurden durchgeführt; in Costa Rica (CR; 07.1996) und in Surinam (04.1998). In CR wurde im nordöstlichen Flachgebiet (etwa 10°25' N; 84°W) Regenwasser gesammelt, in dem später Carboxylate, anorganischen Anionen, Ca2+, K+, NH4+ und Mg2+ gemessen wurden. Die Proben wurden an 5 verschiedenen Stellen entlang der Windrichtung 1, 20, 60, 60 und 80 km von der Küste gesammelt. In Surinam (Sipaliwini, 2°02' N, 56°08' W) wurden organischen Säuren aus der Gasphase gesammelt etwa 550 km von der Küste entfernt, sowohl wie O3 und CO. Die Proben wurden mittels Ionenchromatographie und Kapillarelektrophorese analysiert. Morgendliche Einmischung der nächtlichen residualen Schicht und Luft der unteren freien Troposphäre war Hauptquelle für HCOOH und CH3COOH in der Tagesmischschicht. Es wurde gezeigt, dass lokale Produktion dieser Säuren durch chemische Reaktionen eine kleine Rolle gespielt hat und dass direkte Emission vernachlässigbar war.Aus den beiden Feldkampagnen folgt, dass die Konzentrationen der sekundären Verbindungen HCOOH, CH3COOH, Ozon und CO in der Tagesmischschicht von Importen bestimmt wurden, was gilt für Regen- und Trockenzeit bis zu Entfernungen von 550 km zur Küste.