Chagas disease (CD) is an emergent disease in Europe, due to immigration. The aims of this study are to describe the epidemiological characteristics of a cohort of Chagas infected pregnant women in ...Spain, to assess the vertical transmission (VT) rate and evaluate the usefulness of the PCR in the diagnosis of congenital infection in the first months of life.
A descriptive, retrospective study including Chagas seropositive pregnant women who were attended at three tertiary hospitals in Madrid, from January 2012 to September 2016. Infants were examined by PCR at birth and 1 month later and serologically studied at 9 months or later. Children were considered infected when the parasite was detected by PCR at any age or when serology remained positive without decline over the age of 9 months.
We included 122 seropositive-infected pregnant women, 81% were from Bolivia and only 8.2% had been treated before. 125 newborns were studied and finally 109 were included (12.8% lost the follow-up before performing the last serology). The VT rate was 2.75% (95% CI: 0,57-8,8%). Infected infants had positive PCR at birth and 1 month later. All of them were treated successfully with benznidazole (PCR and serology became negative later on). All non-infected children presented negative PCR. The mean age at which uninfected patients had negative serology was 10.5 months.
The VT rate is in keeping with literature and confirms the need to carry out a screening in pregnant women coming from endemic areas. PCR seems to be a useful tool to provide early diagnosis of congenital CD.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Los problemas ambientales han llevado a que los consumidores exijan productos y servicios sostenibles, pero esto ha conducido a que algunas organizaciones hagan prácticas de greenwashing, situación ...que puede resolverse con conocimiento sobre Green Marketing en las empresas. Esta investigación mixta busca identificar las bases para implementar el green marketing desde la práctica y por ello explora la percepción del tema con organizaciones, expertos en marketing y consumidores en la ciudad de Pereira en Colombia. Los resultados del estudio evidencian el interés por implementar el green marketing en las organizaciones y se contrasta con la percepción de consumidores, aportando, desde bases teóricas, regulatorias y prácticas, aspectos para proponer estrategias y modelos para hacer la transición al green marketing en las organizaciones y hacia las personas.
Purpose
This study aims to analyze the effect of institutional dimensions and corporate reputation (CR) on the performance of Latin American companies using a study framework built on institutional ...theory.
Design/methodology/approach
The authors used a panel data analysis of 45 companies from the 6 biggest economies in Latin America for 5 years.
Findings
The authors found a positive effect between institutional independence and transparency perception, certifications, social norms, chief executive officer (CEO) international experience, board of directors' networks and CR with international performance (IP) and a negative effect between property rights protection and the perception of corporate social responsibility (CSR) with performance.
Originality/value
The uniqueness of this paper is based on the analysis of institutional and reputational variables on the IP of firms from emerging markets.
Propósito
Este estudio busca analizar el efecto de las dimensiones institucionales y la reputación corporativa en el desempeño internacional de las compañías latinoamericanas, desde una perspectiva de la teoría institucional.
Diseño/metodología/enfoque
Los autores usan un análisis de datos de panel de cuarenta y cinco compañías provenientes de las seis economías más grandes de Latinoamérica, durante cinco años.
Resultados
Se encontró un efecto positivo entre la interdependencia y la transparencia institucional, certificaciones internacionales, normas sociales, experiencia internacional del gerente, las redes de la junta directiva y la reputación corporativa con el desempeño internacional. Así mismo, se encontró un efecto negative entre la protección a la propiedad intelectual y la percepción de responsabilidad social con el desempeño.
Originalidad
La excepcionalidad de este artículo se basa en el análisis de variables institucional y reputacionales en el desempeño de compañías provenientes de mercados emergentes.
Las artes plásticas y visuales son parte de las industrias culturales y creativas, y, como tal, requieren esfuerzos para su fomento y promoción. Este estudio identifica prácticas e iniciativas del ...sector en Medellín para describirlas con una visión ecosistémica, de la mano de una investigación cualitativa que integra revisión de noticias online, políticas públicas, detección de actores del sector cultural y entrevistas que permiten interpretar las acciones, experiencias y relaciones estratégicas que se dan al interior del ecosistema. Los hallazgos permiten visualizar una serie de interacciones que evidencian un ecosistema de gestión y promoción de las artes plásticas en la ciudad, los roles de sus componentes, las acciones hacia la producción cultural y las estrategias de marketing actuales y posibles que pueden aplicarse en otros contextos.
Chagas disease (CD) has become an emerging global health problem in association with the immigration of individuals from endemic areas (in LatinAmerica) to other countries.Spain is the country in ...Europe with the highest number of CD cases. Concerning pediatric CD, treatment is not only better tolerated by younger children but also has greater cure possibilities. The aim of this study was to describe clinical and epidemiological aspects of CD in a pediatric population diagnosed of 10 hospitals in the Community of Madrid during the 2004-2018 period, as well as the safety and efficacy of CD treatment on this population.
A multicenter, retrospective, descriptive study was conducted. The studied population included all identified children under the age of 18 with a diagnosis of CD. Diagnosis was performed with a positive parasitological test (with subsequent confirmation) or confirmed persistence of positive serology beyond 9 months, for children younger than one year-old, and with two different positive serological tests, for children older than one. Fifty-one children were included (59% male; 50.9% born in Spain). All mothers were from Latin America. The median age at diagnosis was 0.7 months for those under one year of age, and 11.08 years for those older than one year-old. Only one case presented a symptomatic course (hydrops faetalis, haemodynamic instability at birth, ascites, anaemia). For 94% treatment was completed. Considering patients who received benznidazole (47), AE were recorded in 48,9%. Among the 32 patients older than one year-old treated with benznidazole, 18 (56.25%) had adverse events whereas in the 15 under one year, 5(33,3%) did. Eigtheen (78.2%) of the patients with benznidazole AE were older than one year-old(median age 11.4 years). Of the patients treated with nifurtimox (9), AE were reported in 3 cases (33,3%). Cure was confirmed in 80% of the children under one year-old vs 4.3% in those older (p<0.001). Loss to follow- up occurred in 35.3% of patients.
Screening programs of CD since birth allow early diagnosis and treatment, with a significantly higher cure rate in children treated before one year of age, with lower incidence of adverse events. The high proportion of patients lost to follow-up in this vulnerable population is of concern.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
The Nature of Leisure Revisited Sintas, Jordi López; de Francisco, Laura Rojas; Álvarez, Ercilila García
Journal of leisure research,
01/2015, Letnik:
47, Številka:
1
Journal Article
Recenzirano
Information and communication technologies have made it possible to engage in leisure and paid-work activities outside their usual context, thereby challenging the construction of their meanings. We ...explored 30 individuals' narratives in an endeavour to identify the properties of digital leisure and paid-work activities performed in and out of their usual contexts. Our interpretation suggests that the nature of leisure activities is only associated with the freedom of individuals to choose which activity to do and how to do it. The patterns of interpenetration, integration, and segmentation of spaces varied according to informants occupations, but were also moderated by marital status and gender. We conclude with a discussion of how these findings challenge the traditional divisions between work and leisure.
Anxiety in children triggered by a scheduled surgical intervention is a major issue due to its frequency and consequences. Preoperative anxiety is associated with increased patient fear and agitation ...on anesthetic induction. The aim of this study is to compare three preoperative anxiety scales for children undergoing elective outpatient surgery, and to correlate each of these tools with the degree of patient compliance on induction, as assessed by the Induction Compliance Checklist (ICC).
An observational prospective study was performed on a cohort of children with ages between 2 and 16 years old, scheduled for outpatient surgery. Anxiety was assessed upon arrival to the hospital (M0), during transfer to the surgical unit (M1), and in the operating room during anesthetic induction (M2). Anxiety in the parents (measured with the State-Trait Anxiety Inventory, STAI) and in the children (measured with the Spence Anxiety Scale-Pediatric, SCAS-P, the State-Trait Anxiety Inventory Children, STAIC, and Modified Yale Preoperative Anxiety Scale, m-YPAS) was assessed. Compliance with anesthetic induction was assessed with ICC.
The study included 76 patients (72.4% male, median age 7.9 years). Anxiety scores (m-YPAS) increased as the moment of surgery approached, being greater at the entrance to the surgical unit (M0 = 26.1 ± 9.5; M1 = 31.8 ± 18.1; M2 = 33.5 ± 21.1). A strong correlation was found between ICC scale and m-YPAS at M1 (0.738) and M2 timepoints (0.794), but not with the rest of scales at M0.
Standard anxiety assessment scales do not predict the quality of anesthetic induction. m-YPAS scale can detect increasing anxiety in children as they approach the surgical procedure and this correlates strongly with a worse anesthetic induction, defined by higher score on ICC scale.
El estudio presenta una exploración acerca de las percepciones de docentes de instituciones oficiales sobre sus acciones innovadoras, en Bogotá, Colombia. Se utilizaron métodos mixtos, para explorar ...percepciones sobre la generación y desarrollo de acciones de innovación educativa, identificar los mecanismos utilizados para difundirlas y conocer las problemáticas asociadas al logro de las actividades innovadoras en la educación pública. Los resultados ofrecen las bases para construir estrategias de difusión y reconocimiento de las acciones innovadoras en la práctica docente, y muestran la necesidad de comprender mejor las condiciones, situación, intereses y posibilidades de los docentes de instituciones oficiales.
Home-based digital leisure López-Sintas, Jordi; Rojas de Francisco, Laura; García-Álvarez, Ercilia
World leisure journal,
11/2017, Letnik:
59, Številka:
sup1
Journal Article
Recenzirano
The introduction and domestication of the information and communication technologies -ICT, in the home has transformed leisure activities Now, those technologies have an important role on leisure of ...households' members and the transformation in leisure activities and experiences is a necessary issue to explore, because we actually know little about these changes and transformations. Leisure at home has a digital aspect we called here as home-based digital leisure. In this article we expose some aspects from a study developed under a constructivist and interpretive perspective, analysing 30 informants narratives that explain leisure activities undertaken during informant's free time at home, using any kind of digital technologies in different households of Barcelona, Spain. Analysis was conducted under thematic analysis to construct and interpret texts, looking for patterns, creating categories and properties to find themes and elements shared in order to describe and interpret how digital technologies have transformed home-based leisure activities. Main findings show how individuals use available technologies for home-based leisure activities, how traditional leisure activities are changing, how domestic leisure and individual and household maintenance activities overlap, and how the appeal of traditional leisure activities has changed in the home when digital leisure activities are performed. Changes brought about are qualitatively different from those produced by radio and television devices, digital technologies increase the exposure to different experiences and allow people to control them. Technologies consumption for leisure is no longer homogeneous within household members due to the nature of ICT and Internet, narrative led us to report how our informants have greater freedom regarding their choice to do home-based leisure activities with more satisfaction given a decrease in time and money costs. Findings can be used for the design and development of home leisure technologies and services. There is an opportunity to go deeper and find more information about digital leisure in other areas of people's life, considering social connections and according to the evolution of digital technologies, devices and applications.
The preparation and reactions of cis-PtCl2(TPPTS)2 (TPPTS = P(m-C6H4SO3Na)3) in aqueous solution are described. In the absence of excess Cl-, cis-PtCl2(TPPTS)2 exists as a mixture with 20% of ...cis-Pt(Cl)(H2O)(TPPTS)2 +; the aqua complex was prepared independently by reaction with Ag+. As a result of the aquation cis-PtCl2(TPPTS)2 is slightly acidic. Increasing the pH for a solution of cis-PtCl2(TPPTS)2 leads to Pt2(TPPTS)4(μ-OH)2 2+; a subsequent decrease in pH leads to cis-Pt(OH2)2(TPPTS)2 2+ and, ultimately, cis-PtCl2(TPPTS)2. All of these complexes were characterized by 31P and 195Pt NMR. cis-PtCl2(TPPTS)2 functions as an effective hydration catalyst for the water-soluble alkynes 4-pentyn-1-ol and 3-pentyn-1-ol. Both hydrations are stereospecific to 5-hydroxy-2-pentanone. Hydration of 4-pentyn-1-ol occurs by a 5-exo-dig mechanism, while hydration of 3-pentyn-1-ol occurs through a 5-endo-dig mechanism.
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