Search

This study evaluated the effect of processing method and severity of hybrid fall rye on dry matter intake (DMI), ruminal fermentation, and apparent total tract nutrient digestibility for beef cattle. Ruminally cannulated Simmental heifers (n = 8; 327±33 kg) were used in a replicated 4×4 Latin square (21-d periods) balanced for carry-over effects with a 2×2 factorial treatment. Tempered rye [water added to achieve 80% dry matter (DM)] was compared with dry-rolled rye. Roller gap width of 1.23-mm and 0.8-mm were used for coarse and finely processed rye, respectively. This resulted in processing index values of: 80.9% for dry-rolled and coarse; 72.7% for dry-rolled and fine; 92.9% for tempered and coarse; and 88.2% for tempered and fine processed rye. Diets (DM basis) included hybrid rye grain (86%), barley silage (15%), mineral (6%), and dry distillers’ grain plus solubles (3%). Feeding tempered rye increased (P< 0.01) DMI by 0.87 kg compared with dry-rolled rye, and feeding coarse rye increased (P=0.04) DMI by 0.33 kg compared with fine rye. Cattle fed dry-rolled and finely processed rye had greater (P< 0.04) area that pH was < 5.5 compared with tempered and coarse rye, respectively. Ruminal short-chain fatty acid concentrations and ammonia were not affected (P≥0.12). Feeding dry-rolled rye increased DM digestibility by 2.4% (P=0.02), and crude protein digestibility in 3.0% (P=0.01) compared with tempered rye. Starch digestibility was not affected by processing severity of dry-rolled rye, but increased from 92.8 to 95.9% for tempered rye with increasing severity (interaction, P=0.03). Rolling tempered rye at the same roller gap as dry-rolled rye decreases processing severity but may allow for a greater severity of processing without marked reductions in DMI and ruminal pH, while achieving similar total tract starch digestibility. When increasing processing severity (81 vs. 73%), dry-rolling hybrid rye may reduce DMI and ruminal pH.

This study evaluated the impact of naturally occurring water with a high-sulfate concentration on dry matter intake (DMI), water intake, growth, and trace mineral status of yearling beef heifers. Angus-based heifers (n = 48; 398.4 ± 22.1 kg) were randomly assigned to 1 of 12 pens (4 heifers/pen) and fed for 100 d arranged into 25 d periods. Heifers were provided water containing 350 (CON); 2,300 (MEDS); or 4,300 mg/L (HIGHS) sulfate. Concentrated water (71,482 mg/L sulfate) from natural source was collected and blended to achieve the treatments. All data were analyzed using the fixed effects of treatment, period (d 1-25, 26-50, 51-75, and 76-100), and the treatment × period interaction, with period as a repeated measure. Average daily gain, and gain-to-feed were not affected (P>0.29). Provision of HIGHS decreased (interaction, P< 0.01) DMI from d 1-25, 26-50 and 51-75, with no effect from d 76-100 compared with CON. Heifers drinking CON and MEDS during d 26-50 had greater (interaction, P< 0.01) water intake than HIGHS with no differences among treatments otherwise. Total sulfate intake (g/d) was greater for HIGHS, followed by MEDS and CON with a greater difference between treatments during d 26-50 (interaction, P< 0.01). Heifers provided MEDS and HIGHS had a greater (interaction, P< 0.01) reduction in serum copper compared with CON. Liver copper concentration did not differ at the start of the study but was 74% and 62% of CON for MEDS and HIGHS, respectively at the end of the study (interaction, P< 0.01). Serum selenium was greater for MEDS and HIGHS than CON; while liver selenium was least for HIGHS heifers at the end of the study (interaction, P< 0.01). These data highlight that beef heifers were able to tolerate 213 g/d of sulfate intake with no negative impact on growth performance; however, MEDS and HIGHS decreased liver copper and liver selenium concentrations.

This study evaluated the effects of undigested neutral detergent fiber (uNDF) concentration and forage inclusion (FI) rate on dry matter (DM) intake, ruminal pH, reticular contractions, and gastrointestinal permeability for finishing beef cattle. Five ruminally cannulated Hereford′Simmental heifers (699±69.1 kg) were used in an incomplete 6×6 Latin square (26-d periods) with a 2×3 factorial treatment arrangement. Barley grain-based diets were formulated using barley silage or wheat straw to provide low or high uNDF (7.1 vs. 8.5% DM) with forage proportions of 5, 10, or 15% of dietary DM. Dry matter intake (P ≥ 0.10) and eating time (P ≥ 0.13) were not affected by uNDF, FI, or uNDF′FI. With low uNDF diets, increasing FI numerically (P = 0.02) increased rumination time (min/d); while, with high uNDF diets, rumination time increased with 5 to 10% FI, but not thereafter (P = 0.03). Mean ruminal pH was not affected by uNDF (6.17 vs. 6.19; P = 0.08), but increased with increasing FI (6.04b, 6.23a, and 6.28a; P = 0.02). Duration of ruminal pH < 5.5 was not affected by uNDF but tended (P = 0.07) to be reduced with increasing FI. High uNDF diet tended to increase the frequency of reticular contractions (1.43 vs. 1.51 contractions/min; P = 0.07) but decreased the contraction duration (13.2 vs. 14.1 sec; P = 0.04). Increasing FI increased contraction frequency (1.39b, 1.50a, and 1.53a contractions/min; P = 0.03) and tended to reduce contraction duration as forage increased from 5 to 10 and 15% (14.3, 13.1, and 13.6 sec; P = 0.07). Feeding high uNDF decreased (P = 0.05) permeability of the gastrointestinal tract based on the appearance of Cr-EDTA in urine following an intra-ruminal dose. Increasing FI tended to reduce gastrointestinal tract permeability (P = 0.06). Limited interactions indicate that uNDF and FI act independently suggesting that increasing dietary uNDF, without increasing FI rate, can stimulate frequency of reticulo-ruminal contractions and reduce gastrointestinal permeability for finishing cattle.

This study evaluated the effects of silage source, physically effective neutral detergent fiber (peNDF), and undigested neutral detergent fiber (uNDF) concentrations on eating behavior, ruminal pH, and reticular contractions for finishing beef heifers. Six Hereford′Simmental heifers (579±51.2 kg) were used in a replicated 6×6 Latin square (21-d periods) balanced for carry-over effects with 2×2 + 2 factorial treatment arrangement. Barley grain-based diets included barley (BarS) or wheat silage (WhS) at 10% of dietary DM. Silages were harvested at two chop lengths to yield low (LpeNDF) vs. high peNDF (HpeNDF) silage. For both BarS and WhS, chopped wheat straw was included (5% of DM) by replacing an equal proportion of LpeNDF silages to evaluate low vs. high uNDF (7.3 vs. 8.2% dietary DM) concentrations. Heifers fed HpeNDF WhS had greater DMI (silage′peNDF; P < 0.01) than those fed HpeNDF BarS, but DMI did not differ for LpeNDF treatments. Ruminating and eating time increased for heifers fed HpeNDF WhS relative to LpeNDF WhS, but were not different for BarS (silage′peNDF; P ≤ 0.02). Increasing uNDF increased eating and ruminating times for heifers fed WhS, but not BarS (silage′uNDF; P ≤ 0.03). Mean ruminal pH averaged 5.97 and was not affected by silage, peNDF, uNDF, or the interactions (P ≥ 0.12). Feeding BarS increased the duration (384 vs. 256 min/d; P = 0.02) and area (84.5 vs. 43.8 pH×min/d; P = 0.02) that pH was < 5.5 relative to WhS. Increasing peNDF numerically reduced the frequency of reticular contractions when fed BarS but numerically increased them when fed WhS (silage′peNDF; P < 0.01). Reticular contractions were not affected by dietary uNDF concentration (P ≥ 0.13). These data highlight that at a constant inclusion rate, silage source and chop length interact to affect DMI, eating behavior, ruminal pH, and reticular motility indicating the need to account for silage type, peNDF, and uNDF in diet formulation for finishing cattle.

BACKGROUND: Although the influence of microbial invasion of the amniotic cavity on the development of spontaneous preterm delivery is unquestionable, the use of an invasive procedure to diagnose the status of an infection limits its clinical translation. OBJECTIVE: This study aimed to use exploratory and confirmatory analyses to investigate the presence of vaginal metabolome expression of microbial invasion of the amniotic cavity in women diagnosed as having preterm labor using high-performance liquid chromatography. STUDY DESIGN: In 140 women with singleton pregnancies and a diagnosis of preterm labor at

This study was designed to evaluate the effect of silage source (barley vs. wheat silage) when harvested at two chop lengths (low vs. high physically effective neutral detergent fiber [peNDF]) and when barley silage was partially replaced with straw to increase the undigested neutral detergent fiber (uNDF) concentration on performance and carcass characteristics of finishing steers. Four hundred and fifty yearling commercial crossbred steers with an initial body weight (BW) of 432 ± 30.5 kg were allocated to 30 pens and fed diets containing 90% concentrate:10% forage for 123 d in a completely randomized block design with a 2 × 2 + 1 factorial arrangement. Treatments included 1) barley silage (BarS) with low peNDF (LpeNDF); 2) BarS with high peNDF (HpeNDF); 3) BarS with straw to yield a diet with LpeNDF + uNDF; 4) wheat silage (WhS) LpeNDF; and 5) WhS HpeNDF. There were no silage × peNDF interactions for dry matter intake (DMI), average daily gain (ADG), or gain to feed ratio (G:F), but cattle fed WhS LpeNDF had a lower (P < 0.01) proportion of yield grade 3 and a greater proportion in yield grade 2 carcasses than cattle fed BarS LpeNDF or HpeNDF and WhS HpeNDF. Cattle fed WhS LpeNDF had greater (P = 0.02) incidence of severe liver abscesses when compared with cattle fed BarS LpeNDF or HpeNDF and WhS HpeNDF. Cattle fed BarS consumed less (P < 0.01) uNDF as a percentage of BW, had increased (P = 0.02) ADG, heavier (P = 0.02) hot carcass weight, with greater (P = 0.01) back fat thickness, and (P < 0.01) incidence of minor liver abscesses when compared with cattle fed WhS. Feeding HpeNDF did not affect DMI, ADG, or G:F, but increased (P = 0.02) marbling score and reduced (P < 0.01) the proportion AA quality grade and increased (P < 0.01) those classified as AAA when compared with cattle fed LpeNDF. Cattle fed low uNDF had lesser (P < 0.01) uNDF intake as a percentage of BW, greater dressing percentage (P = 0.01), had a lower (P < 0.01) proportion of carcasses in yield grade 2, and a greater (P < 0.01) proportion of carcasses in yield grade 3 when compared with cattle fed high uNDF. Thus, silage source, peNDF, and uNDF content do not impact DMI or G:F when diets contain 10% forage, but BarS relative to WhS as well strategies increasing the peNDF concentration may increase ADG, HCW, back fat thickness, dressing percentage, marbling score, and carcasses classified as quality grade AAA. Future research is needed to evaluate the usefulness of peNDF and uNDF in rations for finishing cattle.

BACKGROUND: Early spontaneous preterm delivery is often associated with microbial invasion of the amniotic cavity and/or intraamniotic inflammation. OBJECTIVE: The objective of the study was to develop and validate clinically feasible multivariable prediction models of spontaneous delivery within 7 days and microbial invasion of the amniotic cavity in women admitted with diagnose of preterm labor and intact membranes below 34 weeks. STUDY DESIGN: We used data from a cohort of women admitted from 2012 to 2018 with diagnosis of preterm labor below 34 weeks who had undergone amniocentesis to rule out microbial invasion of the amniotic cavity. The main outcome was spontaneous delivery within 7 days from admission. The secondary outcome was microbial invasion of the amniotic cavity, defined by a positive culture and/or 16S ribosomal RNA gene in the amniotic fluid. The sample (n = 358) was divided into derivation (2012-2016) and validation cohorts (2017-2018). Logistic regression models using a stepwise selection of variables were developed for the outcomes evaluated. We explored as predictive variables ultrasound cervical length measurement at admission, maternal C-reactive protein, gestational age, amniotic fluid glucose, and interleukin-6 (expressed as log units). Models were developed in the derivation cohort and applied to the validation cohort and diagnostic performance was calculated. RESULTS: The derivation cohort included 263 women and the validation cohort 95 women. One hundred five of the women (39%, 105 of 268) spontaneously delivered in the following 7 days and 68 (19%, 68 of 358) had microbial invasion of the amniotic cavity. For spontaneous delivery within 7 days after admission, 4 predictors were identified: cervical length at admission, gestational age, amniotic fluid glucose, and interleukin-6. The diagnostic performance of the model was assessed in the validation cohort using the receiver operating characteristic curve and showed an area under curve of 0.86 (95% confidence interval, 0.77-0.95) with a detection rate of spontaneous delivery within 7 days of 87%, a false-positive rate of 33%, a negative predictive value of 80%, and a negative likelihood ratio of 0.1908. For microbial invasion of the amniotic cavity, 2 independent predictors of the amniotic cavity were identified: amniotic fluid glucose and maternal C-reactive protein. The receiver operating characteristic curve and an area under curve in the validation cohort was 0.83 (95% confidence interval, 0.70-0.96) with a detection rate of 76%, a false-positive rate of 8%, a negative predictive value of 93%, and a negative likelihood ratio of 0.2591. CONCLUSION: In women with preterm labor, we propose 2 clinically feasible prediction models to classify as low vs high risk of spontaneous delivery within 7 days and of microbial invasion of the amniotic cavity. The models showed a high diagnostic performance and could be of value to optimize clinical management.

This work shows recent theoretical contributions in the area of competition and strategy which have been expressed by a mathematical model. Taking as its starting point the theory of decision making, so that may be used for empirical research. The development objective of the model is to explain the possible outcomes of the strategic management of a firm, having as theoretical base the theory of competition and strategy. Finally, using the model it is concluded that competitive advantage is not exploitable feature, but is the result of the deployment of skills that are imperative for the best performance and business, understanding the latter as the supply of attributes of customer value. In this sense, competitive advantage is a condition with extrinsic in relation to other competitors. Furthermore, it is considered that the quality that enables a company to get better returns is the distinctive competence, whose value is evaluated in the operation of the company. El presenta trabajo muestra los últimos aportes teóricos en el área de competencia y estrategia los cuales han sido expresados mediante un modelo matemático. Tomando como punto de partida la teoría sobre toma de decisiones, a fin de que pueda emplearse para investigaciones empíricas. El objetivo del desarrollo del modelo es explicar los posibles resultados de la gestión estratégica de una empresa, teniendo como base teórica la teoría de la competencia y estrategia. Finalmente, con ayuda del modelo se concluye que la ventaja competitiva no consiste característica explotable, sino que es resultado del despliegue de competencias que son imperativas para el mejor desempeño y del negocio; entendido este último como la oferta de atributos de valor al cliente. En ese sentido, la ventaja competitiva consiste en una condición extrínseca en relación a con otros competidores. Además, se considera que la cualidad que permite a una empresa obtener mejores rendimientos es la competencia distintiva, cuyo valor se evalúa en la operación de la empresa.

OBJECTIVE: To evaluate the influence of perinatal inflammation on neurodevelopmental outcome of premature infants. STUDY DESIGN: From a retrospective cohort study of women with preterm labor with intact membranes or preterm prelabor rupture of membranes (PPROM) with an amniocentesis to rule out intra-amniotic inflammation (IAI) and microbial invasion of the amniotic cavity (MIAC), we evaluated neurodevelopmental outcome of their infants born between 24.0 and 34.0 weeks gestation. Women with clinical chorioamnionitis at admission were excluded. Neurodevelopmental outcome was screened with the Ages & Stages Questionnaire (ASQ)-3. We analyzed the relationship between an altered ASQ-3 and antenatal, intra-partum and post-partum factors related to perinatal inflammation. RESULT: Among 98 infants evaluated, 22% had an abnormal score. Amniotic fluid interleukin-6 levels and early-onset sepsis (EOS) were independent factors of an altered ASQ-3 with delivery

Objective To determine the incidence and risk factors of first cardiovascular event (CVE) in patients with chronic inflammatory rheumatic diseases (CIRD). Methods Analysis of data after 2.5 years of follow-up from the prospective study CARMA project, that includes patients with CIRD [rheumatoid arthritis (RA), ankylosing spondylitis (AS), and psoriatic arthritis (PsA)] and matched individuals without CIRD from 67 hospitals in Spain. CVE cumulative incidence per 1000 patients was calculated after 2.5 years from the start of the project. Weibull proportional hazard model was used to calculate hazard ratio (HR) and 95% confidence interval (95% CI) of the risk factors. Results 2595 (89.1%) patients completed the 2.5 years of follow-up visit. Cumulative incidence of CVE in patients with CIRD was 15.30 cases per 1000 patients (95% CI: 12.93-17.67), being higher in the subgroup with AS; 22.03 (95% CI: 11.01-33.04). Patients with AS (HR: 4.11; 95% CI: 1.07-15.79), those with older age (HR: 1.09; 95% CI: 1.05-1.13), systolic hypertension (HR: 1.02; 95% CI: 1.00-1.04) and long duration of the disease (HR: 1.07; 95% CI: 1.03-1.12) were at higher risk of first CVE during the 2.5 years of follow-up. In contrast, female gender was a protective factor (HR: 0.43; 95% CI: 0.18-1.00). Conclusion Among CIRD patients prospectively followed-up at rheumatology outpatient clinics, those with AS show higher risk of first CVE. Besides cardiovascular risk factors, such as hypertension, being a man and older

BACKGROUND: A midtrimester cervical length (CL)

Objective Cardiovascular (CV) disease is one of the main causes of morbi-mortality in spondyloarthritis (SpA), partially explained by traditional CV risk factors. Information on lipoprotein(a) [Lp(a)], a non-conventional risk factor, in SpA is scarce. In this study we assessed the prevalence of hyperlipoproteinaemia(a) in SpA patients and analysed the possible related factors. Methods A baseline analysis was made of ankylosing spondylitis (AS) and psoriatic arthritis (PsA) patients and controls included in the CARMA project (CARdiovascular in RheuMAtology), a 10-year prospective study evaluating the risk of CV events in chronic inflammatory rheumatic diseases. A multivariate logistic regression model was performed using hyperlipoproteinaemia( a) (Lp(a) >50 mg/dl) as a dependent variable and adjusting for confounding factors. Results 19.2% (95% CI: 16.80-22.05) of the SpA patients [20.7% (95% CI: 16.91-24.82) of those with AS and 17.7% (95% CI: 14.15-21.75) of those with PsA] and 16.7% (95% CI: 13.23-20.86) of the controls had hyperlipoproteinaemia(a) (p=0.326). Adjusting for age and sex, SpA patients were more likely to have hyperlipoproteinaemia(a) than controls (OR: 1.43, 95% CI: 1.00-2.04; p=0.05), especially those with AS (OR: 1.81, 95% CI: 1.18-2.77; p=0.007). In the adjusted model, apolipoprotein B in all patients, non-steroidal anti-inflammatory drugs in AS, and female sex in PsA, were associated with hyperlipoproteinaemia(a). No disease-specific factors associated with hyperlipoproteinaemia(a) were identified. Conclusion SpA patients show a moderately increased risk of hyperlipoproteinaemia(a) compared to controls, especially those with AS. Lp(a) determination may be of interest to improve the CV risk assessment in SpA patients.

In this paper, the influence of pseudohalide ligands coordinated to the ruthenium center on the hydrogenation of cyclohexene was investigated. The pseudohalide complexes containing ruthenium were synthesized from the cis-[RuCl2(dppb)(N-N)] {where N-N = 2,2′-bipyridine (bipy) (1A), 4,4′-dimethyl-2,2′-bipyridine (Me-bipy) (2), or 4,4′-dimethoxy-2,2′-bipyridine (MeO-bipy) (3), dppb = 1,4-bis(diphenylphosphino)butane}, by chloride exchange to provide complexes with general formula cis-[RuL2(dppb)(N-N)] {where L2 = N3− (4), (7) and (9) CN− (5), (8) and (10) or SCN− (6) and (11)}. All complexes were characterized using spectroscopic, electrochemical techniques, as well as elemental analyses to check their molecular formulation and purity. Furthermore, crystal structure of the complexes cis-[Ru(N3)2(dppb)(bipy)] (4), cis-[Ru(CN)2(dppb)(bipy)] (5), cis-[Ru(SCN)2(dppb)(bipy)] (6), cis-[Ru(CN)2(dppb)(Me-bipy)] (8), and cis-[Ru(SCN)2(dppb)(MeO-bipy)] (11) were determined by single-crystal X-ray diffraction, as well as the X-ray structure of the solvate complex [RuCl(CH3CN)(dppb)(bipy)](PF6) (1B). Dichloride and pseudohalide complexes containing ruthenium were applied as pre-catalysts in the hydrogenation of cyclohexene, after pre-established conditions using the cis-[RuCl2(dppb)(bipy)] (1A) as a target complex. The quantitative conversion of cyclohexene to cyclohexane was obtained in 5 h at 25 °C using 0.1 mol% of (1A) in methanol solution at 15 atm H2. The substituted bipy derivatives (2) and (3) were also effective pre-catalysts, but pseudohalides were not under these conditions.

5 Tablas, Background: Potatoes have a high glycemic load but also antioxidants, vitamins, and minerals. It is unclear what mechanisms are involved in relation to their effect on blood pressure (BP) and hypertension. Objectives: This study aimed to assess the association between potato consumption, BP changes, and the risk of hypertension in 2 Spanish populations. Methods: Separate analyses were performed in PREDIMED (PREvención con DIeta MEDiterránea), a multicenter nutrition intervention trial of adults aged 55-80 y, and the SUN (Seguimiento Universidad de Navarra) project, a prospective cohort made up of university graduates and educated adults with ages (means±SDs) of 42.7±13.3 y for men and 35.1± 10.7 y for women. In PREDIMED, generalized estimating equations adjusted for lifestyle and dietary characteristics were used to assess changes in BP across quintiles of total potato consumption during a 4-y follow-up. Controlled BP values (systolic BP < 140 mm Hg and diastolic BP < 90 mm Hg) during follow-up were also assessed. For SUN, multivariateadjusted HRs for incident hypertension during a mean 6.7-y follow-up were calculated. Results: In PREDIMED, the total potato intake was 81.9 ± 40.6 g/d. No overall differences in systolic or diastolic BP changes were detected based on consumption of potatoes. For total potatoes, the mean difference in change between quintile 5 (highest intake) and quintile 1 (lowest intake) in systolic BP after multivariate adjustment was 20.90 mm Hg (95% CI: -2.56, 0.76 mm Hg; P-trend = 0.1) and for diastolic BP was 20.02 mm Hg (95% CI: -0.93, 0.89 mm Hg; P-trend = 0.8). In SUN, the total potato consumption was 52.7 ± 33.6 g/d, and no significant association between potato consumption and hypertension incidence was observed in the fully adjusted HR for total potato consumption (quintile 5 compared with quintile 1: 0.98; 95% CI: 0.80, 1.19; P-trend = 0.8). Conclusions: Potato consumption is not associated with changes over 4 y in blood pressure among older adults in Spain or with the risk of hypertension among Spanish adults., Supported by the official funding agency for biomedical research of the Spanish Government, Instituto de Salud Carlos III through grants provided to research networks specifically developed for the trial (RTIC G03/140, to RE; RTIC RD 06/0045, to MAM-G) and through Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERobn), and by grants from Centro Nacional de Investigaciones Cardiovasculares (CNIC 06/2007), Fondo de Investigación Sanitaria–Fondo Europeo de Desarrollo Regional [Proyecto de Investigación (PI) 04-2239, PI 05/2584, CP06/00100, PI07/0240, PI07/1138, PI07/0954, PI 07/0473, PI10/01407, PI10/02658, PI11/01647, P11/02505 and PI13/00462], Ministerio de Ciencia e Innovación [Recursos y teconologia agroalimentarias (AGL)-2009-13906-C02 and AGL2010-22319-C03 and AGL2013-49083-C3-1-R], Fundación Mapfre 2010, the Consejería de Salud de la Junta de Andalucía (PI0105/2007), the Public Health Division of the Department of Health of the Autonomous Government of Catalonia, Generalitat Valenciana [Generalitat Valenciana Ayuda Complementaria (GVACOMP) 06109, GVACOMP2010-181, GVACOMP2011-151], Conselleria de Sanitat y AP; Atención Primaria (CS) 2010-AP-111 and CS2011-AP-042, and Regional Government of Navarra (P27/2011).

En 2014 se ha celebrado en Reus el Campeonato Mundial de Patinaje Artístico. Este evento acoge las distintas modalidades de patinaje. Participaron 1.200 deportistas y cerca de 20 mil espectadores. La satisfacción entre el público alcanzó la puntuación de 8,5, sobre 10, y 8,1 entre los deportistas. La fidelización se expresó favorablemente puesto que el 95% del público asistente y el el 90% de los deportistas encuestados recomendarían a sus amigos y familiares la asistencia a un espectáculo parecido. El gasto directo estimado que ha revertido en el territorio es de 2,1 millones (euros). El multiplicador de la inversión es 3,22, mientras que el multiplicador relativo al consumo alcanza la cifra de 2,29 para el gasto de la organización y 2,71 para el gasto de asistentes. El efecto total se estima, para el conjunto de la economía de Cataluña, en 5,5 millones de euros. Los sectores más beneficiados son el turismo (22,8%), comercio (14,8%), servicios a empresas (14,2%) y transporte y comunicaciones (10%). ABSTRACT: The last days of September and beginning of October 2014 was held in the city of Reus Artistic Skating World Championships. This event welcome the differents types of skating and brought together abouth 1.200 athletes and 20 thousand spectators. The degree of satisfaction among athletes reached the score of 8.5 out of 10, while among the audience was 8.1 note. The loyalty expressed favorably since 95% of respondents would recommend attending a show of similar characteristics, while 90% of athletes are also evident in this sense. The estimated direct spending that has reversed in the territory is estimated at 2.1 million euros. The investment multiplier was 3.22, while the multiplier on the consumption reached the figure of 2.29 for the expenditure of the organization and spending 2.71 assistants. In overall, it is estimated for the whole economy of Catalonia a positive effect by 5.5 million euros. The most benefited sectors from these effects are tourisme (22.8%), trade (14.8%), business services (14.2%) and transport and communications (10%).

Fundamento. El objetivo de este estudio es estimar la prevalencia de insomnio en pacientes que precisaron ingresar en unidades psiquiátricas hospitalarias de corta estancia. Metodología. Se diseñó un estudio observacional descriptivo en el que tomaron parte 16 unidades de hospitalización psiquiátrica breve de adultos de España. El instrumento utilizado fue la Escala Atenas de Insomnio. Resultados. Se reclutó a 425 pacientes, obtuvieron un valor medio de la puntuación global de la Escala Atenas de Insomnio de 8,56 (DE: 5,78). El ítem para el que se obtuvo mayor puntuación media fue el relativo a la presencia de despertares durante la noche, seguido del relativo al tiempo que lleva quedarse dormido. La prevalencia de insomnio estimada es del 53% (IC 95%). Conclusiones. El insomnio es un problema de elevada prevalencia en las unidades de hospitalización psiquiátricas. Las mayores dificultades se dan en la inducción y el mantenimiento del sueño.