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Introducción: El Objetivo fue evaluar los efectos sobre la resistencia aeróbica de un programa de ejercicio físico basado en la marcha nórdica para la mejora de la condición física en adultos mayores. Metodología: La población se compuso de 29 sujetos, los cuales realizaron un programa de marcha nórdica de doce semanas de duración, con un mínimo de dos sesiones semanales. Se llevaron a cabo dos mediciones; una previa y otra posterior, mediante prueba de esfuerzo. Resultados: La población mostró mejoras significativas en cuanto a la intensidad alcanzada durante la prueba de esfuerzo. Así mismo se observaron aumentos significativos (p

The aim of this work is to characterize the di erences in the respiratory rhythm obtained through three video based methods by comparing the obtained respiratory signals with the one obtained with the gold standard method in adult population. The analysed methods are an RGB camera, a depth camera and a thermal camera while the gold standard is an inductive thorax plethysmography system (Respiband system from BioSignals Plux). 21 healthy subjects where measured, performing 4 tests for each subject. The respiratory rhythm and its variability was obtained from the four respiratory signals (3 video methods and gold standard). The signal acquisition was performed with custom and proprietary algorithms. To characterize the respiratory rhythm and its variability obtained with the di erent video sources and gold standard, the instantaneous frequency, Bland-Altman plots and standard deviation of the error between video methods and the gold standard have been computed. The depth and RGB camera present high agreement with no statistical di erences between them, with errors when comparing with the gold standard in the range of mHz. The thermal camera performs poorly if compared with the two other methods, nevertheless it cannot be discarded directly because some errors produced by the subjects head movement could not be corrected. From these results we conclude that the depth and RGB camera, and their respective acquisition algorithms) can be used in controlled conditions to measure respiration rhythm and its variability. The thermal camera on the other hand, although it can not be discarded directly, performed poorly if compared with the other two methods. Further studies are needed to con rm that these methods can be used in real life conditions.

Manual classification of horticultural products contributes to postharvest losses but technology and emerging algorithms offer solutions to reduce such losses. A practical fruit classification of banana (Musa acuminata AA Group 'Lakatan') using machine learning is developed based on tier-based classification instead of classifying individually (“finger”) for practical purpose. Fruit were classified into extra class, class I, class II and reject class, and compared using three widely-used machine learning classifiers – artificial neural network, support vector machines and random forest. Given only four features of banana tier, the red, green, blue (RGB) color values and the length size of the top middle finger of the banana tier, all three models performed satisfactorily. The highest classification accuracy of 94.2% was achieved using random forest classifier. In addition, ignoring the reject class, which cannot be easily predicted using only the given features, at least 97% accuracy can be achieved in all other three classes. Non-invasive tier-based classification is a practical postharvest technique that can be applied not only for banana but also for other fruit and horticultural products.

Mountain ecosystems face many challenges related to global change. Most high-altitude grasslands in the Pyrenees, despite representing valuable assets recognised in the European conservation heritage, are at risk due to the decline of traditional extensive ranging. This research intends to quantify economically the loss of the provisioning service of high-quality food for livestock of an upland area on the western side of the range. The area is experiencing degradation due to the expansion of the native tall-grass Brachypodium rupestre, favoured by disruption of traditional grazing and anthropogenic fire regimes. We implement the substitution economic approach and use floristic and husbandry data to determine that the loss of food rations for livestock results in an unitary cost of 107 (sic).ha(-1).year(-1), amounting to 21146 (sic) for the whole degraded area, according to the most conservative estimate. The study also finds evidence that the decline in grassland value is closely associated with the digestibility to herbivores of B. rupestre during the growing season. This approach may be an effective tool to raise awareness of the problem among local and regional stakeholders and encourage further environmental actions to prevent the degradation. The project was financially supported by the INTERREG SUDOE Program (European Regional Development Fund, Open2preserve Project-SOE2/P5/E0804), the Spanish Ministry of Science and Innovation (CGL2011-29746) and the UPNA's PhD programme to M. Duran (2017-2021).

To provide a description of the frequency and main features of the episodes of voluntary total fasting (VTF) taking place in Spanish prisons.Information on the episodes of VTF reported between 04/01/2013 and 03/31/2014 was gathered. Once the appropriate informed consent was given, other data on social, demographic, penitentiary and clinical aspects were collected. A descriptive study of such variables together with a bivariate analysis was then carried out by means of standard statistical techniques and binary logistic regression models. IBM SPSS Statistics v.20 software was used for this purpose. This study was approved by an accredited Clinical Research Ethics Committee.354 episodes of VTF took place among an average population of 29,762 prisoners. Therefore, the incidence rate was 11.9 VTF episodes per ‰ inmates-year. Informed consent (IC) was given in 180 cases (50.8%). 114 were of Spanish nationality and the average age was 38.7 years old (95% CI 37.2-40.1). The median duration of the episodes was 3 days (IQR 1-10), ranged between 1 and 71 days. The main reason was a disagreement on the decisions of treatment groups (57 cases, 31.7%). The average weight loss was 1.3 kg (70.8 vs. 69.5; p 0.0001) and 0.7 of the BMI (24.5 vs. 23.8; p 0.0001). 60 prisoners (33.3%) lost no weight at all and only 8 (4.4%) lost over 12% of the basal weight (8.5 kg). Ketone smell was identified in 61 cases (33.9%) and ketonuria in 63 (35%).Only one third of those who go on hunger strike in prison actually fast. Revindicative episodes of voluntary total fasting are somewhat common in Spanish prisons, but rarely are they carried out rigorously and entail a risk for those who fast.

The biolipid sphingosine-1-phosphate (S1P) is an essential modulator of innate immunity, cell migration, and wound healing. It is released locally upon acute tissue injury from endothelial cells and activated thrombocytes and, therefore, may give rise to acute post-traumatic pain sensation via a yet elusive molecular mechanism. We have used an interdisciplinary approach to address this question, and we find that intradermal injection of S1P induced significant licking and flinching behavior in wild-type mice and a dose-dependent flare reaction in human skin as a sign of acute activation of nociceptive nerve terminals. Notably, S1P evoked a small excitatory ionic current that resulted in nociceptor depolarization and action potential firing. This ionic current was preserved in “cation-free” solution and blocked by the nonspecific Cl− channel inhibitor niflumic acid and by preincubation with the G-protein inhibitor GDP-β-S. Notably, S1P3 receptor was detected in virtually all neurons in human and mouse DRG. In line with this finding, S1P-induced neuronal responses and spontaneous pain behavior in vivo were substantially reduced in S1P3−/− mice, whereas in control S1P1 floxed (S1P1fl/fl) mice and mice with a nociceptor-specific deletion of S1P1−/− receptor (SNS-S1P1−/−), neither the S1P-induced responses in vitro nor the S1P-evoked pain-like behavior was altered. Therefore, these findings indicate that S1P evokes significant nociception via G-protein-dependent activation of an excitatory Cl− conductance that is largely mediated by S1P3 receptors present in nociceptors, and point to these receptors as valuable therapeutic targets for post-traumatic pain., The authors thank K. Braun, T. Martha, and M. Doblander for expert technical assistance. This work was supported by la Generalitat Valenciana and the Ministerio de Economia y Competitividad (A.V.F.M.), the Australian National Health and Medical Research Council Project Grant 535055 to R.V.H., the Intramural Research Programs of the National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases to R.L.P., and the Austrian Research Funding Agency FWF Project Grants P20562, P25345, and SPIN to M.K.

Summary Background Imported cases of malaria constitute an important public health problem in many countries, even in those with autochthonous cases, where disease could be acquired in these areas and then seen in non-endemic regions. Non-immune populations are susceptible to complications due to malaria infection, particularly in malaria caused by Plasmodium falciparum . However, Plasmodium vivax the predominant Plasmodium spp. in Venezuela can also lead to severe malaria. Methods We reviewed retrospectively cases of malaria to identify the clinical features of those imported cases diagnosed at two institutions in Margarita Island (a non-endemic area), Venezuela, in an 8-year period. We conducted a retrospective observational study to identify the clinical and epidemiological features among hospitalized patients at Hospital Central and Hospital Agustin Hernandez with malaria acquired at malaria-endemic locations. Results We identified eighteen imported cases of malaria confirmed by thin and thick peripheral blood smears at these two institutions over an 8-year period. The mean age of diagnosis was 27 years. P. vivax was responsible for the majority of cases. All patients presented with fever, 89% with malaise, 78% with chills, and 67% with myalgia, among others symptoms. Mean haemoglobin levels on admission were 8.1 g/dL (100% 3 (89% had platelets below 150,000); and a mean total leukocyte count: 3.4 × 10 3 cells/mm 3 (78% had leukopenia). Thirty nine percent of patients required blood transfusions. Two fatalities were identified (CFR = 11%), one associated to severe malaria due to P. falciparum and the other due to a complicated case of P. vivax malaria. Discussion Imported cases of malaria due to P. vivax and P. falciparum in the studied population are associated with significant hematological complications. These findings illustrate the importance of educating non-immune populations about the malaria risk and prevention strategies; and from a pubic health perspective, the need to develop further malaria prevention strategies at a national level.

Background: Chronic obstructive pulmonary disease (COPD) is currently the fourth cause of mortality and morbility in the developed world. Patients with COPD experience a progressive deterioration of health-related quality of life (HRQOL). A new model of severity classification, the body mass index, bronchial obstruction, dyspnoea, exercise (BODE) index, has recently been proposed. Objective: To evaluate the relationship between HRQOL and the BODE index, and the predictive ability of BODE on HRQOL measurements. Methods: Two HRQOL questionnaires were administered, namely the Nottingham Health Profile (NHP) and St George's Respiratory Questionnaire (SGRQ), in a sample of 67 patients with severe COPD. Results: Pearsonś correlation coefficient analysis shows a positive correlation between the BODE index and the total scores of the specific ( P < 0.001), and general HRQOL ( P < 0.001); the analysis shows a significant correlation between the BODE index and the subscales of symptoms, activity and impact of SGRQ ( P < 0.001) and the subscales energy and physical mobility of the NHP ( P < 0.001). The regression analysis shows that the BODE index is a significant predictor of HRQOL, explaining 46,1% of the total score of the SGRQ ( P < 0.001) and 14.8% of the total score of the NHP ( P < 0.001). Conclusions: The BODE index is good at predicting the worsening of HRQOL in patients with severe COPD. Chronic Respiratory Disease 2008; 5: 7—11

This work compares several fiducial points to detect the arrival of a new pulse in a photoplethysmographic signal using the built-in camera of smartphones or a photoplethysmograph. Also, an optimization process for the signal preprocessing stage has been done. Finally we characterize the error produced when we use the best cutoff frequencies and fiducial point for smartphones and photopletysmograph and compare if the error of smartphones can be reasonably be explained by variations in pulse transit time. The results have revealed that the peak of the first derivative and the minimum of the second derivative of the pulse wave have the lowest error. Moreover, for these points, high pass filtering the signal between 0.1 to 0.8 Hz and low pass around 2.7 Hz or 3.5 Hz are the best cutoff frequencies. Finally, the error in smartphones is slightly higher than in a photoplethysmograph

Objective The objective of this study was to describe tissue procurement activity performed during 10 years (2004–2014) by trained medical students in a large university hospital. Methods In this study, third to sixth year medical students were trained as in-hospital Tissue Coordinators (Tc) to perform tissue procurement activity on a 24/7 schedule supervised by an on-call senior Transplant Coordinator (sTC) in a large university hospital. Tc duty consisted of detection, initial evaluation of all hospital deaths, donor's family approach for tissue donation, and retrieval logistics organization, including corneal tissue retrieval after training and certification. They also assist sTC in organ procurement activity. Results A total of 18,931 deaths were prospectively evaluated, 79% of whom (n = 14,879) presented medical contraindications for tissue donation. Of the remaining 4052 (21%) potential tissue donors (PTD), 2522 (62%) were not converted into real donors, mostly due to family refusal (66%; n = 1650) followed by detection system failure and other logistical issues (34%; n = 872). A total of 2814 corneal units, 225 skin donations, 327 muscleskeletal tissue donations, 91 blood vessels donations, and 177 heart valve donations were obtained from the remaining 1530 (38%) real donors. Tissue potentiality increased from 19% to 43% throughout the study period as a consequence of the fluctuating acceptance criteria used by tissue banks depending on tissue demand. Conclusions The tissue donation program performed by trained students was successful in achieving a high and sustainable tissue donation rate in a large university hospital.

Sludge management arises as a relevant problem after being accumulated in primary ponds of septage treatment plants. One of the most attractive options for sludge disposal is its use in agriculture and then specific guidelines regarding hygienic quality must be fulfilled. This study aimed at evaluating the storage time needed to inactivate Ascaris eggs and Salmonella in sludge accumulated in a primary pond treating septage. Raw septage exhibited very low concentrations of viable Ascaris eggs, thus experiments with Ascaris suum eggs spiking were conducted. The concentration of Ascaris eggs in the solids accumulated at the bottom of the pond was 20 eggs/g of total solids (g TS) at the time of pond closure. Although it decreased, some eggs remained viable (0.59 mean viable eggs/g TS) up to 20 months of in-pond storage of the biosolids. Salmonella survival was studied after developing an analytical method that inhibited the native flora. Sludge was seeded with Salmonella enteritidis . An equation adequately describing Salmonella die-off in biosolids subjected to 115 days of in-pond storage/dewatering, was found to be represented by the regression: y = log MPN Salmonella/g TS = 6.67· t −0.086 , with t = storage time elapsed in days. The initial concentration was 7.0 × 10 6 MPN/g TS and the removal efficiency was 99 %.

Waste stabilization ponds (WSP) are an often-used option to treat faecal sludges collected from on-site sanitation systems. Since agricultural use is one of the most attractive options for sludge disposal, specific guidelines on the hygienic sludge quality must be fulfilled, such as for viable helminth eggs and Salmonella sp. Although Salmonella isolation methods are well known for other types of samples, they are not suitable for faecal sludge. The reason can be attributed to the co-existence of a native bacterial sludge flora masking Salmonella development, especially if this bacteria is present at low concentrations. In order to select the best methodology for Salmonella recovery from septage sludge, different culture media were assayed at different incubation periods and temperatures. The proposed methodology for Salmonella recovery from sludge can be summarised as follows: (1) enrichment in Rappaport-Vassiliadis broth at 43°C, 48 hours, and (2) isolation in XLD agar at 40°C, 24 hours. Identification of suspected colonies by biochemical tests: TSI, LIA, urease and serological confirmation with Group O Antigen.

Spike-based motor control is very important in the field of robotics and also for the neuromorphic engineering community to bridge the gap between sensing / processing devices and motor control without losing the spike philosophy that enhances speed response and reduces power consumption. This paper shows an accurate neuro-inspired spike-based system composed of a DVS retina, a visual processing system that detects and tracks objects, and a SVITE motor control, where everything follows the spike-based philosophy. The control system is a spike version of the neuroinspired open loop VITE control algorithm implemented in a couple of FPGA boards: the first one runs the algorithm and the second one drives the motors with spikes. The robotic platform is a low cost arm with four degrees of freedom. Ministerio de Ciencia e Innovación TEC2009-10639-C04-02/01 Ministerio de Economía y Competitividad TEC2012-37868-C04-02/01

Summary Background Surgical site infection (SSI) after colorectal procedures represents a measurable quality indicator of a healthcare system. There is an increasing interest in comparing SSI rates between different hospitals and countries: however, the variability of the data regarding the incidence of SSI makes this comparison difficult. For the purposes of evaluation, data collection must be standardized and must include reliable post-discharge surveillance (PDS). Aim To determine impact and risk factors for PDS SSI after elective colorectal surgery. Methods VINCat is a nosocomial infection surveillance programme in Catalonia, Spain. Between 2007 and 2011, 52 hospitals joined the programme. Hospitals performed active, prospective, standardized surveillance of elective colorectal resection. PDS was implemented by a multimodal approach and was mandatory within the first 30 days after surgery. Findings During the study period, 13,661 elective colorectal procedures were included. SSI was diagnosed in 2826 (20.7%) patients, of whom 22.5% during PDS; of these, 52% required readmission. Patients with PDS SSI were younger (odds ratio: 1.57; 95% confidence interval: 1.29–1.91), predominantly female (1.40; 1.16–1.69), had more frequently undergone endoscopic procedures (1.56; 1.30–1.88) and had more incisional SSI (1.88; 1.54–2.28) than patients with in-hospital SSI. Conclusion SSI rates in elective colorectal procedures at VINCat hospitals were inside the higher range of those reported by other national programmes. PDS SSI increased the overall rate of SSI, had a significant clinical impact, and accounted for almost a quarter of SSI. Younger age and laparoscopic procedures were the most relevant risk factors. Standardized multimodal PDS should be implemented for hospitals performing surveillance of colorectal surgery.

SEACON is a hybrid (heuristic & algorithmic) expert system for contingency analysis and preventive or corrective control of the transmission network, that has been recently redesigned to implement new end user requirements and to increase its performance. This paper describes the main results and the operational experience from the development and implementation of a new system based on the initial idea. Software reuse strategies became capital in this project. The new design includes advanced functionalities demanded by the practical use of the former system. Because of the high performance of the new system (up to fifteen times faster than the original) and its friendly user interface, SEACON has become a very valuable tool among dispatchers. SEACON is in operation in the Red Electrica’s National Control Centre and in Iberdrola’s Central and Regional Control Centres, dealing with transmission and subtransmission networks (ranging between 4OOkV and 66kV), attached to the on-line state estimators and screening over 2000 possible contingencies. Results are presented using natural language, and a client-server scheme provided for corporate access. KeywOrdr - Expert system, security assessment, contingency analysis, power systems, real-time system

Background and objectives: The purpose of the study was to register antibody prevalences of HHV-7 in various locations of the world in comparison to the closely related HHV-6. Materials and Methods: Sera of healthy blood donors from nine countries in five continents were titered by indirect immunofluorescent assays using HHV-6 infected HSB2 and HHV-7 infected SupT1 cells. Results: Antibody prevalence for HHV-7 is high (75-98%) in practically all countries except for Northern Japan (44%), with no simple correlation to elevated HHV-6 antibody titers. There were regions of low, intermediate and high mean antibody titers against HHV-7 such as 78.5-91.3 for Belgium, Israel, Japan, USA and Australia, 175.4-182.6 for Mexico and Cologne/Germany, and 389.2 for South Africa for which geographic characteristics may be responsible. Conclusion: HHV-7, similar to HHV-6 is a widespread human herpesvirus with elevated antibody titers in the healthy human population essentially everywhere. The data warrant further studies to evaluate its possible pathologic potential, preferentially in persons with defective immune responses.

11598 Background: The NF-kappa B transcription factors family is responsible for the expression of genes including some related with proliferation, apoptosis and angiogenesis and has been associated with development of tumors and malignancy. The aim of the present study was to evaluate if NFKB is a predictive factor in breast cancer women treated with adjuvant chemotherapy (anthracyclines). Also, we would like to characterize if the inhibition of IKK/NF-KB can sensibilize breast cancer cells to anthracyclines therapy. Methods: We have studied 50 cases of frozen tissues from biopsies of patients with breast cancer (39.4% negatives and 60.6% positives lymph nodes) who were treated with anthracyclines (whole clinical follow-up). We have analyzed the expression of the subunits p65, c-Rel, RelB, p50 y p52 of the NF-KB family by ELISA and confirmed results by western blot. We have characterized the relationship between the different members and the clinical-pathological standard factors. Results: The samples of...

The aim of this paper is to present a smartphone based system for real-time pulse-to-pulse (PP) interval time series acquisition by frame-to-frame camera image processing. The developed smartphone application acquires image frames from built-in rear-camera at the maximum available rate (30 Hz) and the smartphone GPU has been used by Renderscript API for high performance frame-by-frame image acquisition and computing in order to obtain PPG signal and PP interval time series. The relative error of mean heart rate is negligible. In addition, measurement posture and the employed smartphone model influences on the beat-to-beat error measurement of heart rate and HRV indices have been analyzed. Then, the standard deviation of the beat-to-beat error (SDE) was 7.81 ± 3.81 ms in the worst case. Furthermore, in supine measurement posture, significant device influence on the SDE has been found and the SDE is lower with Samsung S5 than Motorola X. This study can be applied to analyze the reliability of different smartphone models for HRV assessment from real-time Android camera frames processing.