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Jessica González, 1 Pilar Rivera-Ortega, 1 Macarena Rodríguez-Fraile, 2 Patricia Restituto, 3 Inmaculada Colina, 4 María de los Desamparados Calleja, 5 Ana B Alcaide, 1 Aránzazu Campo, 1 Juan Bertó, 1 Luis Seijo, 6 Maria Teresa Pérez-Warnisher, 6 Javier J Zulueta, 1 Nerea Varo, 3 Juan P de-Torres 7 1Pulmonary Department, Hospital Universitari Arnau de Vilanova, Lleida, Spain; 2Nuclear Medicine Department, Clínica Universidad de Navarra, Pamplona, Spain; 3Biochemistry Department, Clínica Universitaria de Navarra, Pamplona, Spain; 4Department of Internal Medicine, Clínica Universidad de Navarra, Pamplona, Spain; 5Department of Endocrinology & Nutrition, Clínica Universidad de Navarra, Pamplona, Spain; 6Pulmonary Department, Clínica Universidad de Navarra, Madrid, Spain; 7Respirology Division, Queen’s University, Kingston, ON, CanadaCorrespondence: Jessica GonzálezPulmonary department, Hospital Universitari Arnau de Vilanova, Lleida, SpainEmail jgonzalezgutierrez@gmail.comRationale: Emphysema and osteoporosis are tobacco-related diseases. Many studies have shown that emphysema is a strong and independent predictor of low bone mineral density (BMD) in smokers; however, none of them explored its association with different emphysema subtypes.Objective: To explore the association between the different emphysema subtypes and the presence of low bone mineral density in a population of active or former smokers with and without chronic obstructive pulmonary disease (COPD).Methods: One hundred and fifty-three active and former smokers from a pulmonary clinic completed clinical questionnaires, pulmonary function tests, a low-dose chest computed tomography (LDCT) and a dual-energy absorptiometry (DXA) scans. Subjects were classified as having normal BMD or low BMD (osteopenia or osteoporosis). Emphysema was classified visually for its subtype and severity. Logistic regression analysis explored the relationship between the different emphysema subtypes and the presence of low BMD adjusting for other important factors.Results: Seventy-five percent of the patients had low BMD (78 had osteopenia and 37 had osteoporosis). Emphysema was more frequent (66.1 vs 26.3%, p=< 0.001) and severe in those with low BMD. Multivariable analysis adjusting for other significant cofactors (age, sex, FEV 1, and severity of emphysema) showed that BMI (OR=0.91, 95% CI: 0.76– 0.92) and centrilobular emphysema (OR=26.19, 95% CI: 1.71 to 399.44) were associated with low BMD.Conclusion: Low BMD is highly prevalent in current and former smokers. BMI and centrilobular emphysema are strong and independent predictors of its presence, which suggests that they should be considered when evaluating smokers at risk for low BMD.Keywords: emphysema, COPD, low bone mineral density, osteopenia, osteoporosis; smokers

Additional file 1. Additional Tables.

Objective To determine the economically justifiable price (EJP) of cenobamate to become a cost-effective alternative compared with third-generation anti-seizure medications in the treatment of focal-onset seizures (FOS) in adult patients with drug-resistant epilepsy (DRE) in Spain. Methods Cost-effectiveness analysis compared cenobamate with brivaracetam, perampanel, eslicarbazepine acetate, and lacosamide. Markov model simulation of treatment pathway over a 60-year time horizon is presented. We determined the effectiveness and quality-adjusted life-years (QALYs) of health status and disutilities associated with treatment-related adverse events. Acquisition costs and use of medical resources were obtained from published literature and expert opinion. Base-case of cenobamate's EJP calculated applying a willingness-to-pay (WTP) threshold of euro21,000/QALY. Analyses were performed at different thresholds, including dominant price scenario. Result robustness was assessed through sensitivity analyses. Results Base-case shows that cenobamate's daily EJP of euro7.30 is cost-effective for a threshold of euro21,000/QALY. At a daily price of euro5.45, cenobamate becomes dominant over all treatment alternatives producing cost-savings for the national health system (NHS). Sensitivity analyses supported the robustness of base-case findings. Conclusions Treatment with cenobamate produces incremental clinical benefit over third-generation ASMs, and at the base-case, EJP could represent a cost-effective option for the adjunctive treatment of FOS in adult patients with DRE in Spain.

Objectives To determine whether nutritional risk is associated with the mortality of elderly patients hospitalized with nonvalvular atrial fibrillation (NVAF). Design Prospective, multicenter cohort study. Setting Internal medicine departments in Spain. Participants Inpatients >75 years with NVAF. Measurements We measured the thrombotic and hemorrhagic risk at admission using the CHA2DS2-VASc and HAS-BLED scales, respectively, and the nutritional risk with the controlling nutritional status (CONUT) index. We established 4 degrees of nutritional risk: null (CONUT score 0-1 point), low (2-4 points), moderate (5-8 points) and high (9-12 points). We also conducted a 1-year follow-up. Results We included 449 patients, with a mean age of 85.2(5.2) years. The nutritional risk was null for 70(15.6%) patients, low for 206 45.9%), moderate for 152(33.8%) and high for 21(4.7%). At the end of one year, 177(39.4%) patients had died. The score on the CONUT index was higher for the deceased patients (4.6 vs. 3.6, p

Background. Volumetric pollen traps are commonly used to assess pollen exposure. These traps are well suited for estimating the regional mean airborne pollen concentration but are likely not to provide an accurate index of personal exposure. In this study, we tested the hypothesis that hair sampling may provide different pollen counts from those from pollen traps, especially when the pollen exposure is diverse. Methods. We compared pollen counts in hair washes to counts provided by stationary volumetric and gravimetric pollen traps in 2 different settings: urban with volunteers living in short distance from one another and from the static trap and suburban in which volunteers live in a scattered environment, quite far from the static trap. Results. Pollen counts in hair washes are in full agreement with trap counts for uniform pollen exposure. In contrast, for diverse pollen exposure, .individual pollen counts in hair washes vary strongly in quantity and taxa composition between individuals and dates. These results demonstrate that the pollen counts method (hair washes vs. stationary pollen traps) may lead to different absolute and relative contributions of taxa to the total pollen count. Conclusions. In a geographic area with a high diversity of environmental exposure to pollen, static pollen traps, in contrast to hair washes, do not provide a reliable estimate of this higher diversity.

Cypress belongs to the Cupressaceae family, which includes 140 species with non-deciduous foliage. The most important genera in allergic diseases are Cupressus sempervirens or Green cypress, Cupressus arizonica or Blue cypress, Juniperus oxycedrus, Juniperus communis and Thuya. Because J. oxycedrus pollinates in October, C. sempervirens in January and February, C. arizonica in February and March, J. communis in April, the symptomatic period is long-lasting. Because of global warming, the pollination period is tending to last longer and Cupressaceae species are becoming established further the north. In Mediterranean countries, cypress is by far the most important pollinating species, accounting for half of the total pollination. The major allergens belong to group 1. The other allergens from cypress and Juniper share 75 to 97 % structural homology with group 1 major allergens. The prevalence of cypress allergy in the general population ranges from 5 % to 13 %, according to exposure to the pollen. Among outpatients consulting an allergist, between 9 and 35 %, according to different studies, are sensitized to cypress pollen. Repeated cross-sectional studies performed at different time intervals have demonstrated a threefold increase in the percentage of cypress allergy. Risk factors include a genetic predisposition and/or a strong exposure to pollen, but air pollutants could play a synergistic role. The study of the natural history of cypress allergy allows the identification of a subgroup of patients who have no personal or family history of atopy, whose disease began later in life, with low total IgE and often monosensitization to cypress pollen. In these patients, the disease is allergic than rather atopic. In the clinical picture, rhinitis is the most prevalent symptom but conjunctivitis the most disabling. A cross-reactivity between cypress and peach allergy has been demonstrated. The pharmacological treatment of cypress allergy is not different from that for other allergies. Hyposensitization has been used, at first by injection, but nowadays mostly through the sublingual route, but clinical trials have included few patients. Avoidance can be implemented at the individual level but also at the community levels using alternative plants, low-pollinating cypresses or by trimming hedges prior to pollination.

Introducción: la enuresis nocturna (EN) es un problema de salud infantil frecuente, con repercusión personal y social, que requiere un manejo adecuado y personalizado por parte de los profesionales sanitarios. Se ha realizado un estudio cuyo objetivo es establecer la prevalencia de EN en la ciudad de Burgos (España) en población pediátrica entre siete y diez años de edad. Pacientes y métodos: estudio observacional transversal en el que se han obtenido datos de una muestra aleatoria de niños escolarizados entre segundo y quinto curso de Educación Primaria Obligatoria en la ciudad de Burgos mediante la cumplimentación de una encuesta. Resultados: se ha obtenido una prevalencia de EN del 7,3%. La EN es más frecuente en varones, con antecedentes familiares de enuresis nocturna, con algún tipo de enfermedad crónica, que asocian trastornos del sueño y del comportamiento y con bajo rendimiento escolar. Conclusiones: la prevalencia es menor a la de otras poblaciones de características similares. Los niños con EN de Burgos presentan características epidemiológicas semejantes a las de otras poblaciones. La EN es un problema de salud infradiagnosticado en nuestro medio. Introduction: nocturnal enuresis (NE) is a common childhood health condition. This problem causes personal and social repercussion. The health professionals have to make an individualized and adequate management of this problem. The aim of this study is to know the prevalence of NE in children between seven and ten years old of the city of Burgos. Patients and methods: to this end, we have designed an observational and transversal study. We have selected a random sample of school children in Burgos between 2nd and 5th year of Obligatory Primary Education. They have completed a questionnaire. Results: the prevalence of NE was 7.3%. NE is more frequent in males and children with familiar precedents of NE, with some type of chronic illness, with associated disorders of the sleep and behavior and with low academic performance. Conclusions: the prevalence of NE in children in Burgos city is lower than in another child groups of similar characteristics. There is a low diagnosis rate of NE in Burgos city.

Série « Pollens et pollinoses »; National audience; Cypress belongs to the Cupressaceae family, which includes 140 species with non-deciduous foliage. The most important genera in allergic diseases are Cupressus sempervirens or Green cypress, Cupressus arizonica or Blue cypress, Juniperus oxycedrus, Juniperus communis and Thuya. Because J. oxycedrus pollinates in October, C. sempervirens in January and February, C. arizonica in February and March, J. communis in April, the symptomatic period is Long-Lasting. Because of global warming, the pollination period is tending to last longer and Cupressaceae species are becoming established further the north. In Mediterranean countries, cypress is by far the most important pollinating species, accounting for half of the total pollination. The major allergens belong to group 1. The other allergens from cypress and Juniper share 75 to 97% structural homology with group 1 major allergens. The prevalence of cypress allergy in the general population ranges from 5% to 13%, according to exposure to the pollen. Among outpatients consulting an allergist, between 9 and 35%, according to different studies, are sensitized to cypress pollen. Repeated cross-sectional studies performed at different time intervals have demonstrated a threefold increase in the percentage of cypress allergy. Risk factors include a genetic predisposition and/or a strong exposure to pollen, but air pollutants could play a synergistic role. The study of the natural history of cypress allergy allows the identification of a subgroup of patients who have no personal or family history of atopy, whose disease began later in life, with low total IgE and often monosensitization to cypress pollen. In these patients, the disease is allergic than rather atopic. In the clinical picture, rhinitis is the most prevalent symptom but conjunctivitis the most disabling. A cross-reactivity between cypress and peach allergy has been demonstrated. The pharmacological treatment of cypress allergy is not different from that for other allergies. Hyposensitization has been used, at first by injection, but nowadays mostly through the sublingual route, but clinical trials have included few patients. Avoidance can be implemented at the individual level but also at the community levels using alternative plants, low-pollinating cypresses or by trimming hedges prior to pollination.; Le cyprès appartient à la famille des cupressacées qui comporte 140 espèces à feuillage persistant. Les genres importants en allergologie sont Cupressus sempervirens ou cyprès vert ou de Provence, Cupressus arizonica ou cyprès bleu, Juniperus oxycedrus, communis et Thuya. Juniperus oxycedrus ouvre la saison en octobre, C. sempervirens la poursuit en janvier-février, puis C. arizonica en février-mars et Oxycedrus communis la clôt en avril, ce qui explique la très longue période symptomatique des patients allergiques au pollen de cyprès. Dans les pays méditerranéens, le cyprès est le taxon pollinique le plus important, qui représente la moitié de la production pollinique totale. Avec le réchauffement climatique, on observe une migration de l’espèce vers les zones plus septentrionales. Les allergènes majeurs sont issus du groupe 1. Les autres allergènes des cyprès et genévriers partagent une homologie de structure avec ce dernier, allant de 75 à 97 %. La prévalence de l’allergie au pollen de cyprès en population générale s’établit de 5 % à 13 %, selon l’intensité de l’exposition à ce pollen. Parmi les patients consultant en allergologie, le pourcentage de sensibilisation vis-à-vis de cet allergène se situe, dans les pays méditerranéens, de 9 à 35 %. Les études qui ont évalué l’évolution de la sensibilisation au pollen de cyprès à 10 ou 15 années d’intervalle trouvent un triplement du pourcentage. Les facteurs de risque de cette allergie sont représentés par la prédisposition génétique et l’exposition à ces pollens, mais probablement aussi le cofacteur représenté par les polluants atmosphériques. L’histoire naturelle de l’allergie au pollen de cyprès est particulière dans un sous-groupe de patients dénués d’antécédents atopiques personnels et familiaux, qui développent l’allergie plus tard dans la vie que les autres polliniques, ont un taux d’IgE totales bas et une monosensibilisation fréquente vis-à-vis de ce pollen. Chez ces patients, la maladie relève davantage d’une manifestation d’allergie que d’atopie. En clinique, la rhinite est le symptôme le plus fréquent mais la conjonctivite est le plus invalidant. Une allergie croisée avec la pêche a été décrite. Le traitement symptomatique n’a rien de particulier. Les traitements de désensibilisation sont appliqués depuis longtemps, d’abord par la voie injectable, puis actuellement surtout par la voie sublinguale mais les essais cliniques n’ont porté que sur de faibles effectifs de patients. L’éviction peut s’envisager à l’échelon individuel avec des mesures destinées à éviter le contact avec l’allergène et aussi au plan collectif avec la diversification végétale, le choix de cyprès moins pollinisateurs et la taille des haies avant pollinisation.

Siliceous aggregates are characterized for presenting certain chemical reactivity opposite to the calcium hydroxide liberated in the hydration of the Portland cement. The consequence of this reaction between the aggregate and the components of the intermediate concrete phase is the formation of gels very eager for water that can generate important disruptive pressures in the deeper structure of concrete. We have assessed the potential reactivity of several siliceous aggregates (granites, gneiss, hornfels, granites, quartzite and serpentine) by means of the accelerated method in concrete bars (normalized method) and the superficial reactivity method, observing by scanning electron microscopy (SEM) the formation of silica calcium alkaline gels. On the other hand, we explore the way of minimizing this disruptive reaction employing ground clay bricks and cement type CEM IV UNE-EN 197-1. Los áridos silíceos se caracterizan por reaccionar con el hidróxido cálcico liberado en el proceso de hidratación del cemento, lo que debido a su elevada avidez por el agua genera geles expansivos, que provocan importantes tensiones disruptivas en el seno del hormigón. En este trabajo hemos evaluado la reactividad potencial de varios áridos silíceos (granitos, gneis, corneanas, granitos, cuarcita y serpentina) mediante el método acelerado de barras de mortero (normalizado), y el método de reactividad superficial, observando los geles silicocalcoalcalinos formados mediante microscopía electrónica de barrido (SEM). Por otra parte, aportamos dos vías de minimización de esta reacción disruptiva, empleando ladrillo cerámico molido en un caso, y cemento CEM IV UNE-EN 197-1 en el otro.

Andesitic rocks produce an alkali-silica reaction with the components of the interstitial phase of concrete. This reaction can be considered as belonging to the slow-kinetic type, since the incongruent dissolution of the rock-forming minerals leads to the late formation of siliceous calc-alkaline gel. As a conquence, the conventional mortar-bar method does not detect such reaction until 90 days later. Las rocas andesíticas producen una reacción álcalis-sílice con los componentes de la fase intersticial del hormigón. Esta reacción puede encuadrarse dentro de las de cinética lenta, ya que la disolución incongruente de los minerales constituyentes de las rocas, da lugar a la formación tardía de geles silicocalco-alcalinos. En consecuencia, la utilización convencional del método de ensayo de barras de mortero no detecta la reacción hasta transcurridos al menos 90 días.

Air-sea CO2 exchange depends on the air-sea CO2 gradient and the gas transfer velocity (k), computed as a function of wind speed. Large discrepancies among relationships predicting k from wind suggest that other processes also contribute significantly to modulate CO2 exchange. Here we report, on the basis of the relationship between the measured gas transfer velocity and the organic carbon concentration at the ocean surface, a significant role of surface organic matter in suppressing air-sea gas exchange, at low and intermediate winds, in the open ocean, confirming previous observations. The potential role of total surface organic matter concentration (TOC) on gas transfer velocity (k) was evaluated by direct measurements of air-sea CO2 fluxes at different wind speeds and locations in the open ocean. According to the results obtained, high surface organic matter contents may lead to lower air-sea CO2 fluxes, for a given air-sea CO2 partial pressure gradient and wind speed below 5 m s−1, compared to that observed at low organic matter contents. We found the bias in calculated gas fluxes resulting from neglecting TOC to co-vary geographically and seasonally with marine productivity. These results support previous evidences that consideration of the role of organic matter in modulating air-sea CO2 exchange may improve flux estimates and help avoid possible bias associated to variability in surface organic concentration across the ocean.

Objetivo: El dolor es una de las causas de consulta más frecuente en los centros de atención primaria. Aproximadamente la mitad de la población sufre crisis de dolor alguna vez al año, y un tercio de la misma sufre dolor crónico. Los objetivos del estudio son describir la incidencia y tipos de problemas relacionados con los medicamentos (PRM) de la terapia antiálgica con fentanilo transdérmico en pacientes hospitalizados, las intervenciones farmacéuticas realizadas, su aceptación por parte de los clínicos y su resolución. También comparar la incidencia de PRM, de intervenciones farmacéuticas, su aceptación y resolución según las variables: servicio clínico y diagnóstico, oncológico o no. Material y método: Evaluación y detección de PRM en pacientes que inician tratamiento con fentanilo transdérmico (FT) en un hospital de tercer nivel. El seguimiento de los pacientes fue de 7 días o superior hasta resolución de los PRM. Para la valoración del dolor se utilizó la Escala Visual Analógica (EVA). Resultados: Se estudiaron 30 pacientes, 129 pacientes-día. Se detectaron un total de 51 PRM. La incidencia de PRM ha sido mayor en pacientes con dolor de origen no oncológico (p

Objetivo: El dolor es una de las causas de consulta más frecuente en los centros de atención primaria. Aproximadamente la mitad de la población sufre crisis de dolor alguna vez al año, y un tercio de la misma sufre dolor crónico. Los objetivos del estudio son describir la incidencia y tipos de problemas relacionados con los medicamentos (PRM) de la terapia antiálgica con fentanilo transdérmico en pacientes hospitalizados, las intervenciones farmacéuticas realizadas, su aceptación por parte de los clínicos y su resolución. También comparar la incidencia de PRM, de intervenciones farmacéuticas, su aceptación y resolución según las variables: servicio clínico y diagnóstico, oncológico o no. Material y método: Evaluación y detección de PRM en pacientes que inician tratamiento con fentanilo transdérmico (FT) en un hospital de tercer nivel. El seguimiento de los pacientes fue de 7 días o superior hasta resolución de los PRM. Para la valoración del dolor se utilizó la Escala Visual Analógica (EVA). Resultados: Se estudiaron 30 pacientes, 129 pacientes-día. Se detectaron un total de 51 PRM. La incidencia de PRM ha sido mayor en pacientes con dolor de origen no oncológico (p

Planktonic and benthic incubations (bare and Posidonia oceanica vegetated sediments) were performed at monthly intervals from March 2001 to October 2002 in a seagrass vegetated area of the Bay of Palma (Mallorca, Spain). Results showed a contrast between the planktonic compartment, which was on average near metabolic balance (-4.6±5.9 mmol O2 m-2 d -1) and the benthic compartment, which was autotrophic (17.6±8.5 mmol O2 m-2 d-1). During two cruises in March and June 2002, planktonic and benthic incubations were performed at several stations in the bay to estimate the whole-system metabolism and to examine its relationship with partial pressure of CO-2 (pCO-2) and apparent oxygen utilisation (AOU) spatial patterns. Moreover, during the second cruise, when the residence time of water was long enough, net ecosystem production (NEP) estimates based on incubations were compared, over the Posidonia oceanica meadow, to rates derived from dissolved inorganic carbon (DIC) and oxygen (O2) mass balance budgets. These budgets provided NEP estimates in fair agreement with those derived from direct metabolic estimates based on incubated samples over the Posidonia oceanica meadow. Whereas the seagrass community was autotrophic, the excess organic carbon production therein could only balance the planktonic heterotrophy in shallow waters relative to the maximum depth of the bay (55 m). This generated a horizontal gradient from autotrophic or balanced communities in the shallow seagrass-covered areas, to strongly heterotrophic communities in deeper areas of the bay. It seems therefore that, on an annual scale in the whole bay, the organic matter production by the Posidonia oceanica may not be sufficient to fully compensate the heterotrophy of the planktonic compartment, which may require external organic carbon inputs, most likely from land.

Analizamos secuencias genÛmicas de variantes mexi- canas del HPV-16, 18, 31 y 35. Entre 112 muestras HPV-16 se detectaron catorce variantes E y 98 AA. Entre 15 muestras HPV-18, trece E y dos africanas. Se construyeron árboles filogenÈticos con las varian- tes del HPV-31 y 35. En 46 asilados HPV-31 se detectaron 35 cambios nucleotÌdicos. En 27 muestras HPV-35 se detectaron once mutaciones. La alta prevalencia de las variantes carcinogÈnicas AA del HPV- 16 y la extensiva diversidad de las variantes del HPV18, 31 y 35, con propiedades patogÈnicas, originan la posibilidad de que la variaciÛn intratÌpica contribuya a la alta carga de c·ncer cervical en MÈxico.

In this article we describe the eMinerals mini grid, which is now running in production mode. Thisis an integration of both compute and data components, the former build upon Condor, PBS and thefunctionality of Globus v2, and the latter being based on the combined use of the Storage ResourceBroker and the CCLRC data portal. We describe how we have integrated the middleware components,and the different facilities provided to the users for submitting jobs within such an environment. We willalso describe additional functionality we found it necessary to provide ourselves.

La herbivoría en aves es una estrategia poco común. Solo el 3% de las aves actuales consumen plantas como fuente de energía. Tanto la composición química de las plantas como las restricciones asociadas al vuelo y digestión en aves pueden explicar el reducido número de pequeños endotermos, como las aves, que son herbívoros. Nuestro objetivo es explicar como las aves herbívoras satisfacen sus requerimientos nutricionales y energéticos cuando consumen dietas extremadamente pobres. Para lo cual nos centramos en Phytotoma rara (Phytotomidae), posiblemente el ave herbívora más pequeña. Phytotoma rara presenta numerosas características, como el rápido tiempo de transito, un efectivo rompimiento de la pared celular, y la alta y constante actividad de las enzimas digestivas, que le permiten disponer de nutrientes y energía celulares, sin los costos energéticos asociados al desarrollo de estructuras anatómicas de fermentación bacteriana o lentos tiempos de transito. Estos son posiblemente adaptaciones cruciales en la evolución de la herbivoría en aves pequeñas. Herbivory is a rare strategy in birds. Only 3% of extant birds exploit plant material as an energy source. Both plant chemical composition and bird constraints associated to flight and digestion may explain why herbivory is so scarce in small endotherms such as birds. Here we tackle the question of how herbivorous birds meet energy/nutrient requirements when feeding on extremely poor diets. We focus on Phytotoma rara (Phytotomidae), possibly the smallest herbivorous bird. From our mini-review we conclude that several features such as the fast passage rates, an effective physical breakdown of cell walls, and constant and high activities of digestive enzymes make available the highly nutritious cell contents to the small herbivore, without the energy costs of anatomical structures for bacterial fermentation or slow passage rates. These are possible crucial adaptations in the evolution of herbivory in small birds.

3 pages, 4 figures., Local oxidation of silicon surfaces by atomic force microscopy is a very promising lithographic approach at nanometer scale. Here, we study the reproducibility, voltage dependence, and kinetics when the oxidation is performed by dynamic force microscopy modes. It is demonstrated that during the oxidation, tip and sample are separated by a gap of a few nanometers. The existence of a gap increases considerably the effective tip lifetime for performing lithography. A threshold voltage between the tip and the sample must be applied in order to begin the oxidation. The existence of a threshold voltage is attributed to the formation of a water bridge between tip and sample. It is also found that the oxidation kinetics is independent of the force microscopy mode used (contact or noncontact)., This work was supported financially by the Commission of the European Communities, ESPRIT Project 22955 (LASMEDS).

En Madrid y su area de influencia se ha incrementado la demanda de materiales de construcción, como consecuencia del espectacular desarrollo de las obras de infraestructura y de la edificación. Los problemas derivados del impacto ambiental y la futura expansión y/o renovación de las plantas de fabricación de cemento portland, aconsejan una investigación en el area, de las materias primas para la fabricación de clinker. Los materiales aflorantes en la cuenca Terciaria sobre la que se asienta Madrid, han sido divididos en tres unidades estratigráficas, con importantes diferencias litológicas. La Unidad Superior, presenta un volumen de mas de 1500 Mt de calizas de buena calidad para ser usadas como componente principal . La Unidad Inferior o Salina, esta formada localmente por sedimentos lutítico-arcillosos, que pueden ser usados en función de su naturaleza mineralógica y química, como un buen componente secundario. Estos materiales constituyen la materia prima para la fabricación de cerámica basta, por lo que en algunas zonas ambos tipos de uso deben de coexistir. Los yesos detríticos y primarios de la Unidad Intermedia, pueden ser usados como componente regulador de fraguado. Los modelos de dosificación elaborados muestran que no es necesaria la adición de un tercer componente al crudo del portland, para obtener una composición química adecuada.

International audience

International audience; The aim of the European Project ANEMOS is to develop accurate and robust models that substantially outperform current state-of-the-art methods, for onshore and offshore wind power forecasting. Advanced statistical, physical and combined modelling approaches were developed for this purpose. Priority was given to methods for on-line uncertainty and prediction risk assessment. An integrated software platform, 'ANEMOS', was developed to host the various models. This system is installed by several end-users for on-line operation and evaluation at a local, regional and national scale. Finally, the project demonstrates the value of wind forecasts for the power system management and market integration of wind power. Keywords: Wind power, short-term forecasting, numerical weather predictions, on-line software, tools for wind integration.

The pannier (pnr) gene encodes a GATA transcription factor and acts in several developmental processes in Drosophila, including embryonic dorsal closure, specification of cardiac cells and bristle determination. We show that pnr is expressed in the mediodorsal parts of thoracic and abdominal segments of embryos, larvae and adult flies. Its activity confers cells with specific adhesion properties that make them immiscible with non-expressing cells. Thus there are two genetic domains in the dorsal region of each segment: a medial (MED) region where pnr is expressed and a lateral (LAT) region where it is not. The homeobox gene iroquois (iro) is expressed in the LAT region. These regions are not formed by separate polyclones of cells, but are defined topographically. We show that ectopic pnr in the wing induces MED thoracic development, indicating that pnr specifies the identity of the MED regions. Correspondingly, when pnr is removed from clones of cells in the MED domain, they sort out and apparently adopt the LAT fate. We propose that (1) the subdivision into MED and LAT regions is a general feature of the Drosophila body plan and (2) pnr is the principal gene responsible for this subdivision. We argue that pnr acts like a classical selector gene but differs in that its expression is not propagated through cell divisions., Dirección General de Investigación Científica y Técnica and the Fundación Ramón Areces

[EN] [Introduction] The main objective of this study is to design a methodology to evaluate international film festival Websites considering personalised content and content outcomes. [Method] This model consists of formal indicators (personalised content and Web functionalities) and impact indicators (outcomes of the content on search engines). [Analysis] The sample chosen to validate the model is composed of all fourteen film festivals from the category of competitive film festivals, according to the 2011 international federation of film producers associations criteria. For each festival URL, all the indicators from the proposed model were calculated manually. [Results] Only 28.57% of the festivals analysed have adequate content quality (i.e., they obtained at least 50 out of a possible 100 points). This means that the quality of Website content does not correspond to that of the associated event. [Conclusion] The proposed model is considered a valid and complementary tool for evaluating the quality of the content of international film festival Websites and suitable for inclusion in general Website evaluation models; it could also contribute to the improvement of design and construction guidelines for similar Websites., This work has been carried out in the framework of the research project with reference APOSTD/2013/002, funded by the Regional Ministry of Education, Culture and Sports (Generalitat Valenciana, Spain)

The grid community has been migrating towards service-oriented architectures as means of\ud exposing and interacting with computational resources across organizational boundaries. The\ud adoption of Web Service standards provides us with an increased level of manageability,\ud extensibility and interoperability between loosely coupled services that is crucial to the\ud development of a grid infrastructure spanning multiple organizations and incorporating a wide\ud range of different services. Providing support for Web Services in existing middleware and tools\ud would ensure open interoperability with future mainstream grid developments. We cover in this\ud paper the work that we have done in incorporating Web Service support into Condor – a widely\ud adopted and sophisticated high-throughput computing software package, and present an overview\ud of the motivations, implementation and achievements of this work. In order to demonstrate\ud Condor’s new capabilities, we also present work that we have done in adapting GridSAM, a Web-\ud Service based job submission and monitoring system that endorses the emerging Job Submission\ud Description Language (JSDL) standard, in order for it to interact with Condor through its Web\ud Service API – as well as demonstrate the use of this combination of services to deploy real-world\ud scientific workflows in the context of the e-Minerals project using the Web Service based workflow\ud specification standard BPEL (Business Process Execution Language).

La implantación percutánea de prótesis aórtica es una opción prometedora para los pacientes de riesgo quirúrgico prohibitivo. Presentamos el caso de una cirugía de emergencia por implante fallido de implante valvular aórtico transcatéter (TAVI) por insuficiencia periprotésica grave.Material y métodosVarón de 85 años sometido a implantación de TAVI CoreValve por estenosis aórtica degenerativa, descartándose previamente para cirugía. Tras el despliegue de la endoválvula se objetivó una fuga periprotésica muy grave que no disminuyó tras inflados seriados con balón y que producía gran compromiso hemodinámico. Dada la mala evolución inmediata con tratamiento conservador se optó por tratamiento quirúrgico urgente. En quirófano se observó la presencia de calcificación muy grave y rígida en comisura intercoronariana que condicionaba un gap amplio a dicho nivel. Se explantó la endoprótesis y se sustituyó la válvula aórtica por una bioprótesis Carpentier-Edwards.ResultadosLa salida de circulación extracorpórea (CEC) se produjo sin incidencias, mejorando ostensiblemente la hemodinámica del paciente. No obstante, la evolución ulterior fue desfavorable, produciéndose la muerte por fallo multiorgánico precoz (renal, hepático y pulmonar), probablemente por la situación de bajo gasto preoperatorio.ConclusionesLa implantación de TAVI está demostrando ser una buena opción para el tratamiento de la estenosis aórtica grave no susceptible de sustitución quirúrgica. Sin embargo, está terapia aún está lejos de estar libre de complicaciones que requieran cirugía urgente de rescate.

ObjetivosLa cocaína posee un potente efecto simpaticomimético, produciendo vasoconstricción coronaria e infarto miocárdico. Presentamos un inusual caso de insuficiencia mitral postinfarto tras consumo de cocaína inhalada.Material y métodosVarón de 26 años que acude a urgencias por cuadro de opresión retrosternal y disnea aguda tras inhalación de cocaína que progresa rápidamente hacia edema pulmonar y parada cardiorrespiratoria (PCR), requiriendo 15min de reanimación cardiopulmonar (RCP) avanzada. El electrocardiograma (ECG) evidenciaba elevación posterolateral del ST, y la ecocardiografía transesofágica (ETE) mostró una insuficiencia mitral grave por rotura parcial del músculo posterolateral con basculación de la cabeza del mismo, generando un prolapso de velo anterior e hipocinesia lateral de ventrículo izquierdo (VI). El paciente fue intervenido de manera emergente previa inserción de balón de contrapulsación. Durante la preparación del campo quirúrgico presentó una fibrilación ventricular (FV) rebelde a cardioversión externa (CVE), procediéndose a la esternotomía y canulación para circulación extracorpórea (CEC) con masaje cardíaco simultáneo. Tras confirmación de la imposibilidad de conservación del músculo papilar posteromedial, se resecó el velo anterior mitral y se implantó una prótesis mecánica St. Jude número 27, conservando el velo posterior.ResultadosLa salida de CEC fue dificultosa por la presencia de fallo biventricular grave, presentando un cuadro de shock cardiogénico que derivó en fallo multiorgánico en el postoperatorio inicial. Finalmente, el paciente fallece al séptimo día postoperatorio en situación de muerte encefálica.ConclusionesLa insuficiencia mitral aguda postinfarto por rotura del músculo papilar tras el consumo de cocaína es excepcional. La cirugía en estas condiciones conlleva un riesgo muy elevado.

Medicamentos anticonvulsivos; Cenobamato; Eficiencia Medicaments anticonvulsius; Cenobamat; Eficiència Anti-seizure medications; Cenobamate; Efficiency Introduction Epilepsy is a serious neurological disease, ranking high in the top causes of disability. The main goal of its treatment is to achieve seizure freedom without intolerable adverse effects. However, approximately 40% of patients suffer from Drug-Resistant Epilepsy (DRE) despite the availability of the latest options called third-generation Anti-Seizure Medications(ASMs). Cenobamate is the first ASM approved in Spain for the adjunctive treatment of Focal-Onset Seizures (FOS) in adult patients with DRE. The introduction of a new drug increases the number of therapeutic options available, making it important to compare it with existing alternatives in terms of clinical benefit and efficiency. Purpose This study aimed to compare the clinical benefit, in terms of the Number Needed to Treat (NNT), and the efficiency, in terms of Cost per NNT (CNT), associated with cenobamate versus third-generation ASMs used in Spain for the adjunctive treatment of FOS in patients with DRE. Methods The Number Needed to Treat data was calculated based on the ≥50% responder rate and seizure freedom endpoints (defined as the percentage of patients achieving 50% and 100% reduction in seizure frequency, respectively), obtained from pivotal clinical trials performed with cenobamate, brivaracetam, perampanel, lacosamide, and eslicarbazepine acetate. The NNT was established as the inverse of the treatment responder rate minus the placebo responder rate and was calculated based on the minimum, mid-range Daily Defined Dose (DDD), and maximum doses studied in the pivotal clinical trials of each ASM. CNT was calculated by multiplying the annual treatment cost by NNT values for each treatment option. Results In terms of NNT, cenobamate was the ASM associated with the lowest values at all doses for both ≥50% responder rate and seizure freedom compared with the alternatives. In terms of CNT, for ≥50% responder rate, cenobamate was the ASM associated with the lowest CNT values at DDD and lacosamide and eslicarbazepine acetate at the minimum and maximum dose, respectively. For seizure freedom, cenobamate was associated with the lowest CNT value at DDD and the maximum dose and lacosamide at the minimum dose. Conclusions Cenobamate could represent the most effective ASM in all doses studied compared to the third-generation ASMs and the most efficient option at DDD for both ≥50% responder rate and seizure freedom. This study could represent an important contribution towards informed decision-making regarding the selection of the most appropriate therapy for FOS in adult patients with DRE from a clinical and economical perspective in Spain. This study was sponsored by Angelini Pharma España, S.L.U.

We present the results of simulations, using density functional theory (DFT) with generalized gradient corrections (GGA), on the troilite (FeS), pyrrhotite (Fe(1-x)S) and MnP phases of FeS. The values obtained for the cell parameters and c/a ratio of troilite accurate to within 1% of those determined by experiment, a significant improvement on previous simulations. Energy-volume curves for FeS in the troilite and MnP structures indicate a pressure-induced transition at 4 GPa (experimentally observed at 3.4 GPa). Comparison of spin-polarised and non-spin-polarised simulations of the troilite structure demonstrate the significance of magnetostructural effects in determining the c/a ratio and shed light on the magnetic and volume collapse of FeS on its transition from the MnP to a monoclinic structure at 6.7 GPa. Simulations of different (001) surface terminations of troilite indicate that stable surfaces are characterised by triangles of iron atoms "capped" with a sulphur atom.