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Julia Sabin,1 Elisa Salas,2 Jesús Martín-Martínez,3 Antonio Candeliere-Merlicco,4 Francisco Javier Barrero Hernández,5 Ana María Alonso Torres,6 José Luis Sánchez-Menoyo,7 Laura Borrega,8 María Rodríguez-Rodríguez,9 Montserrat Gómez-Gutiérrez,10 Sara Eichau,11 Miguel Ángel Hernández-Pérez,12 Carmen Calles,13 Eva Fernandez-Diaz,14 Olga Carmona,15 Aida Orviz,16 Ana López-Real,17 Pablo López-Muñoz,18 Amelia Mendoza Rodríguez,19 Eduardo Aguera-Morales,20 Jorge Maurino2 1Department of Neurology, Hospital Universitario Puerta de Hierro, Madrid, Spain; 2Medical Department, Roche Farma, Madrid, Spain; 3Department of Neurology, Hospital Universitario Miguel Servet, Zaragoza, Spain; 4Department of Neurology, Hospital Rafael Méndez, Lorca, Spain; 5Department of Neurology, Hospital Clínico Universitario San Cecilio, Granada, Spain; 6Department of Neurology, Hospital Regional Universitario de Málaga, Málaga, Spain; 7Department of Neurology, Hospital de Galdakao-Usansolo, Galdakao, Spain; 8Department of Neurology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain; 9Department of Neurology, Hospital Universitario Lucus Augusti, Lugo, Spain; 10Department of Neurology, Hospital San Pedro de Alcántara, Cáceres, Spain; 11Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain; 12Department of Neurology, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain; 13Department of Neurology, Hospital Universitario Son Espases, Palma de Mallorca, Spain; 14Department of Neurology, Hospital Universitario de Albacete, Albacete, Spain; 15Department of Neurology, Fundació Salut Empordà, Figueres, Spain; 16Department of Neurology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain; 17Department of Neurology, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain; 18Department of Neurology, Hospital Arnau de Vilanova, Llíria, Spain; 19Department of Neurology, Complejo Asistencial de Segovia, Segovia, Spain; 20Department of Neurology, Hospital Universitario Reina Sofía, Córdoba, SpainCorrespondence: Jorge Maurino, Ribera del Loira 50, Madrid, 28042, Spain, Tel + 34 913 24 81 00, Email jorge.maurino@roche.comPurpose: Shared decision-making is critical in multiple sclerosis (MS) due to the uncertainty of the disease trajectory over time and the large number of treatment options with differing efficacy, safety and administration characteristics. The aim of this study was to assess patients’ decisional conflict regarding the choice of a disease-modifying therapy and its associated factors in patients with mid-stage relapsing-remitting multiple sclerosis (RRMS).Methods: A multicenter, non-interventional study was conducted. Adult patients with a diagnosis of RRMS (2017 revised McDonald criteria) and disease duration of 3 to 8 years were included. The level of uncertainty experienced by a patient when faced with making a treatment choice was assessed using the 4-item Decisional Conflict Scale. A battery of patient-reported and clinician-rated measures was administered to obtain information on symptom severity, illness perception, illness-related uncertainty, regret, MS knowledge, risk taking behavior, preferred role in the decision-making process, cognition, and self-management. Patients were recruited during routine follow-up visits and completed all questionnaires online using electronic tablets at the hospital. A multivariate logistic regression analysis was conducted.Results: A total of 201 patients were studied. Mean age (Standard deviation) was 38.7 (8.4) years and 74.1% were female. Median disease duration (Interquartile range) was 6.0 (4.0– 7.0) years. Median EDSS score was 1.0 (0– 2.0). Sixty-seven (33.3%) patients reported a decisional conflict. These patients had lower MS knowledge and more illness uncertainty, anxiety, depressive symptoms, fatigue, subjective symptom severity, a threatening illness perception, and poorer quality of life than their counterparts. Lack of decisional conflict was associated with MS knowledge (Odds ratio [OR]=1.195, 95% CI 1.045, 1.383, p=0.013), self-management (OR=1.049, 95% CI 1.013, 1.093, p=0.018), and regret after a healthcare decision (OR=0.860, 95% CI 0.756, 0.973, p=0.018) in the multivariate analysis.Conclusion: Decisional conflict regarding the selection of a disease-modifying therapy was a common phenomenon in patients with mid-stage RRMS. Identifying factors associated with decisional conflict may be useful to implement preventive strategies that help patients better understand their condition and strengthen their self-management resources.Keywords: multiple sclerosis, disease-modifying therapies, decision-making, decisional conflict, disease-related knowledge, self-management

To test the efficiency of playback methods to survey little owl (Athene noctua) populations we carried out two studies: (1) we recorded the replies of radio–tagged little owls to calls in a small area; (2) we recorded call broadcasts to estimate the effectiveness of the method to detect the presence of little owl. In the first study, we detected an average of 8.12 owls in the 30′ survey period, a number that is close to the real population; we also detected significant little owl movements from the initial location (before the playback) to the next locations during the survey period. However, we only detected an average of 2.25 and 5.37 little owls in the first 5′ and 10′, respectively, of the survey time. In the second study, we detected 137 little owl territories in 105 positive sample units. The occupation rate was 0.35, the estimated occupancy was 0.393, and the probability of detection was 0.439. The estimated cumulative probability of detection suggests that a minimum of four sampling times would be needed in an extensive survey to detect 95% of the areas occupied by little owls.

One of the environmental impacts associated with ceramics manufacture is the air emission of acid compounds stem from the presence of impurities in the raw materials and/or fuels. The present study was undertaken to identify the significant gaseous pollutants of an acid nature, to determine their concentrations, and to obtain the characteristic emission factors in spray dryers and firing kilns. The results show that, in spray dryers, the emission levels of the different acid pollutants are far below the current emission limit values applied in the European Union (EU). In firing kilns, the most significant acid pollutant emissions, compared with the recommended EU emission limit values (ELV-BAT), correspond to HF and HCl emissions, indicating that these emissions need to be corrected by appropriate cleaning systems before such emissions are released into the air. On the other hand, the results indicate that SO2 and NOx emissions in the Castellón industrial ceramic sector lie below the ELV–BAT proposed in the European ceramic industry BREF, owing to the widespread use of natural gas as fuel and of raw materials with reduced sulphur contents.Uno de los impactos medioambientales asociado a la fabricación de productos cerámicos es la emisión a la atmósfera de compuestos ácidos debido a la presencia de impurezas en las materias primas y/o combustibles. Los objetivos del presente estudio son: identificar los contaminantes gaseosos de naturaleza ácida significativos, determinar su concentración y obtener factores de emisión de los secaderos por atomización y los hornos de cocción. Los resultados obtenidos, en el caso de los secaderos por atomización, muestran que los niveles de emisión de los diferentes contaminantes ácidos se encuentran alejados de los valores límite de emisiones aplicados actualmente en la Unión Europea (UE). En cuanto a los hornos de cocción, la emisión más significativa de contaminantes ácidos, en comparación con los valores límite de emisión (VLE-MTD) recomendados en la UE, corresponde al HF y al HCl, e indican la necesidad de que dichas emisiones sean corregidas mediante la adopción de sistemas de depuración adecuados antes de su emisión a la atmósfera. Por su parte, los resultados indican que la emisión de SO2 y de NOx en las industrias ubicadas en el sector cerámico de Castellón, es inferior a los VLE-MTD propuestos en el BREF de la industria cerámica europea, debido al uso generalizado de gas natural como combustible y materias primas con reducidos contenidos en azufre.

Juan Francisco Mir-Bonafé,1 Jaime Piquero-Casals,2 Ludmila Prudkin,3 Jesus Delgado,3 Julia Santamaria Martínez,3 Vicente Garcia-Patos Briones4 1Department of Dermatology, Hospital Son Llàtzer, Palma de Mallorca, Spain; 2Department of Aesthetic Dermatology and Laser, Dermik, Clínica Dermatológica Multidisciplinar, Barcelona, Spain; 3Innovation and Development, ISDIN, Barcelona, Spain; 4Department of Dermatology, Hospital Vall d’Hebron, Barcelona, SpainCorrespondence: Jaime Piquero-Casals, Department of Aesthetic Dermatology and Laser, Dermik, Clínica Dermatológica Multidisciplinar, Barcelona, Spain, Tel +34 935464710, Email j.piquero@dermik.esBackground: Noninfectious inflammatory dermatoses of the scalp are common, and their symptomsin particular, those affecting appearance, can have a psychological effect that may be disproportionate to their clinical severity. Effective, cosmetically acceptable treatments are important to manage these conditions. Topical corticosteroids form the cornerstone of acute treatment for many of these conditions. We surveyed practicing dermatologists and dermatology residents to determine the current clinical practice in prescribing topical corticosteroids for these disorders in their various preparation formats.Methods: A Delphi method was used, consisting of 2 questionnaire rounds. The first round contained 34 questions and was completed by 612 dermatologists and dermatology residents via email. The first round of responses was analyzed, and points that had > 70% agreement were used to form a second questionnaire of 21 statements. This second round was completed by 346 participants, and their responses were used to generate a final report. Participants were practicing in both public and private practices.Results: Clobetasol propionate 0.05% topical solution was considered to be the most appropriate treatment for noninfectious inflammatory scalp dermatoses in general, with 75.1% agreement in the second round of questionnaire. The main advantages of clobetasol propionate over other topical corticosteroids were reported as potency, effectiveness, and broad action spectrum (94.8% agreement). The preferred pharmaceutical format was the solution of clobetasol propionate.Conclusion: Clobetasol propionate was the preferred topical treatment for the management of scalp dermatoses, usually as first-line treatment; solution was the preferred preparation.Keywords: seborrheic dermatitis, psoriasis, shampoo, topical, solution, clobetasol, scalp, therapy

The Al2O3/Y3Al5O12 eutectic system melt grown by laser heating float zone in a range of pull rates has been studied. The microstructural analysis has been made by Scaning Electron Microscopy (SEM) and Transmission Electron Microscopy (TEM) in as-fabricated and tested samples. The mechanical properties have been studied by compression tests at constant crosshead speed and compression creep for a range of stresses and temperatures in air. It has been determined that the resistance is intimately associated to processing. The presence of dislocations is clear after plastic deformation at high strain rates, being active the typical deformation mechanisms of alumina single crystals, like dislocation loop formation to avoid obstacles. The values of the stress exponents and the activation energy suggest a diffusional control for plastic deformation at low strain rates, where dislocations are not observed.En este trabajo se ha realizado un estudio del sistema eutéctico Al2O3/Y3Al5O12 crecido a distintas velocidades mediante solidificación direccional de zona flotante por calentamiento con láser. El análisis microestructural se ha realizado mediante Microscopía Electrónica de Barrido (MEB) y de Transmisión (MET), tanto en muestras tras el procesado con láser como en muestras sometidas a los distintos tratamientos termo-mecánicos. El estudio de las propiedades mecánicas se ha llevado a cabo mediante ensayos a velocidad de deformación constante y ensayos de fluencia -a carga de compresión constante- para diversos valores de tensión y de temperatura en atmósfera de aire. De los resultados obtenidos se deduce que la resistencia está íntimamente asociada a la microestructura de las muestras, la cual depende de la velocidad de solidificación. La presencia de dislocaciones es clara a altas velocidades de deformación, observándose los mecanismos activos de deformación típicos de la alúmina monocristalinas, como son la formación de bucles de dislocaciones para evitar obstáculos. Los valores de los exponentes de tensión y la energía de activación sugieren un comportamiento difusional para bajas velocidades de deformación, a las que no se observan dislocaciones.

The temperature dependence of the magnetic behaviour of Fe-based glass-coated amorphous microwires with positive magnetostriction has been studied in the temperature range from 5 to 300 K. For long enough microwires, hysteresis loops are squared shaped in the whole temperature range denoting the existence of a large domain with axial easy axis. For short microwires, magnetic bistability is partially lost near room temperature but may be recovered at low temperature. This is interpreted considering the influence of the shape anisotropy: in short wires the demagnetizing field may become large enough to destroy the single domain structure. The influence of coating is also considered by studying microwires with different coating thickness. Transverse magnetoelastic anisotropy up to around 400 MPa can be induced at low temperature as a consequence of the difference in thermal expansion coefficients between metallic nucleus and insulating coat. Additional changes in the low-temperature loops have been identified to be a consequence of the way how the microwires are fixed to the sample´s holder. Under particular circumstances transverse anisotropy induced at low temperature may destroy the bistable behavior.En este trabajo se resumen los más recientes resultados alcanzados relativos al comportamiento magnético de microhilos amorfos ricos en Fe cubiertos de capa aislante en función de la temperatura de medida (en el rango de 5 a 300 K). Estos microhilos, debido a su elevada magnetostricción, presentan comportamiento magnético biestable cuando su longitud supera un valor crítico determinado por la intensidad de la anisotropía magnética axial. Esta anisotropía depende en particular del espesor de la cubierta protectora de Pyrex, de modo que al reducir la temperatura se inducen fuertes tensiones mecánicas (hasta 400 MPa) como consecuencia de la diferencia de valor del coeficiente de expansión térmica con el núcleo metálico. Se comprueba asímismo que el modo de sujección del microhilo al portamuestras puede generar fuertes tensiones de compresión y dar lugar a la desaparición de comportamiento biestable.

Management of game species may involve a risk of alteration of their genetic properties. Local adaptations may be disrupted if artificially selected individuals from farms or those belonging to distant geographical areas are introduced to increase population density or trophy ‘quality’. In Spain, red deer (Cervus elaphus) from different European subspecies have been introduced to increase the size of trophies (antlers) of local populations. Legislation against these introductions is not effective for various reasons, and once the individuals are in the Iberian peninsula it is virtually impossible to prevent their spreading throughout the whole territory without a genetic tool to distinguish between autochthonous and foreign specimens. We have developed such a genetic test and propose a strategy to dissuade land-owners from importing foreign deer. Since deer are bred mainly for their antlers, our strategy is based on an agreement with the National Trophy Body in Spain which rejects trophies from foreign populations. Rejection decreases the value of the trophy so that it becomes more profitable to produce autochthonous deer. Using such a strategy at some critical step in the production or commercialisation process may be a good model to apply in protecting genetic properties of exploited species.

An Electron Paramagnetic Resonance study of a chiral Bis(oxazoline)-Cu(II) supported in laponite (synthetic hectorite) is presented. It is concluded that the complex is incorporated into the interllamellar space of the clay giving out isolated Cu(II) entities in which the metal is co-ordinated to oxygen or nitrogen atoms with a symmetry practically planar-square, regardless the solvent used. That point out that the chlorine ligands in the complex are exchanged in the incorporation process in agreement with the previous X-ray absorption spectroscopy data, so that the oxygen atoms of the interlayers and clay surface act as counterions.Se presenta un estudio mediante Resonancia Paramagnética Electrónica del complejo quiral Bis(oxazolina)-Cu(II) soportado en laponita (hectorita sintética) (libre de hierro. Del mismo se concluye que el complejo se incorpora en el espacio interlamelar de la arcilla dando lugar a entidades de Cu(II) aisladas en las cuales el metal se coordina a átomos de oxígenos y nitrógenos con una simetría prácticamente planocuadrada, independientemente del disolvente empleado. Ello indica, de acuerdo con los datos previos de espectroscopia de absorción de rayos-X, que los ligandos cloruro del complejo son intercambiados en el proceso de incorporación de forma que los oxígenos de la superficie interlaminar y externa de la arcilla actúan como contraiones.

Background: Social abilities include interpersonal skills, interaction, and social responsibility. The nature of these abilities has not been explored in young people with Down syndrome (DS) during the social isolation of the COVID-19 pandemic. Method: The aim of this online study was to describe the social profile of a group of 30 Mexican people with DS, with a chronological age of 15-29 years, and explore the variables related to their psychosocial profiles. A sociodemographic questionnaire, mental age examination, and socialization battery were applied. Social behavior was analyzed in domains that facilitate socialization (leadership, joviality, social sensitivity, respect/self-control), in domains that disrupt socialization (aggressiveness/stubbornness, apathy/withdrawal, anxiety/shyness), and on a global scale. Results: Participants' scores in the facilitative domains were above average, and their scores in the disruptive domains were below average, as expected. Scores on the respect/self-control scale were associated with chronological age (CA), and those on the global scale with mental age (MA). Discussion: No impairments were found in the social skills of young people with DS according to the parameters of the scale. The development of the social profile with CA and MA stimulates cognition and promotes independence, autonomy, and proactivity. Parents' role in regulating children's behavior was an important factor in managing their social isolation during the COVID-19 pandemic.