University of Las Palmas de Gran Canaria

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    Un viaje de aprendizaje y competencias.

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    Rediseño Y Adaptación De Un Tótem Digital Interactivo

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    El controlador aéreo: Caso específico de Lanzarote.

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    A pesar del desconocimiento que se tiene sobre la figura del controlador aéreo sus funciones son esenciales para el correcto desarrollo de la economía de cualquier zona, sobre todo si es una isla y, especialmente si es turística, como es el caso de Lanzarote. En este estudio se analiza la profesión del controlador aéreo, su recorrido histórico y su situación actual en la isla. Estos datos se ven ampliados por los obtenidos a través de una encuesta implementada a pilotos que operan en el aeropuerto César Manrique, cuya coordinación es básica. Por medio de este análisis se busca proporcionar una visión general de esta figura, sus tareas y funciones.Despite of the unknowledge about the figure of the air traffic controller, their work is essential for the correct development of the economy in many places, especially if it is an island or if it is a tourist area, as is the case of Lanzarote. This research analyzes the air traffic controller figure, their historical journey and the current situation for them on the island. These study has been expanded by surveys accomplished by pilots operating at the César Manrique Airport, whose their coordination is essential. The porpouse of this research is to provide an overview of their figure as well as their tasks and functions

    Impact of neuromuscular block monitoring and reversal on postoperative pulmonary complications in thoracic surgery: a Bayesian analysis of the iPROVE-OLV trial

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    Background Postoperative pulmonary complications (PPCs) are a significant concern in thoracic surgery. A modifiable factor influencing PPCs is postoperative residual neuromuscular block (NMB), which impairs respiratory muscle function. Methods We performed a post hoc Bayesian analysis of data from the iPROVE-OLV study, a multicentre randomised controlled trial involving patients undergoing thoracic surgery with one-lung ventilation. We compared participants managed with any neuromuscular monitoring and any reversal vs those managed without either. The primary outcome was the occurrence of a composite of PPCs within the first 7 postoperative days. Results Of the 698 patients included, 657 received any neuromuscular monitoring and any reversal, while 41 did not. Patients managed with any neuromuscular monitoring and any reversal had a lower incidence of PPCs (20%) compared with those without either (34%). Bayesian random effect logistic regression indicated that the use of any neuromuscular monitoring and any reversal reduced PPCs with an odds ratio (OR) ranging from 0.67 (95% credibility interval, CrI, 0.39−1.11) to 0.84 (95% CrI 0.48−1.37), depending on the prior model used. The probability of benefit (OR <1) was between 77% and 94%. Subgroup analysis indicated that sugammadex was more effective than neostigmine in reducing PPCs, with a high probability of benefit (97%), and both neuromuscular monitoring and reversal reduced PCCs when evaluated separately with a high probability of benefit. Conclusion Utilising neuromuscular monitoring and reversal agents significantly reduced the risk of PPCs in thoracic surgery. Sugammadex was more efficacious in reducing PPCs compared with neostigmine. These findings support the combined use of neuromuscular monitoring and reversal drugs

    Transition in mental health from childhood to adulthood: A scoping review

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    Fundamento. En adolescentes con trastornos mentales, el control de la enfermedad puede empeorar durante su transición a servicios de adultos. El objetivo del estudio es evaluar el impacto de intervenciones y programas de transición entre servicios de salud mental infanto-juveniles y de adultos en la continuidad del tratamiento y en los resultados de salud mental. Metodología. Revisión exploratoria mediante búsqueda de los descriptores “Psiquiatría Infantil”, “Psiquiatría del Adolescente”, “Transición a la Atención de Adultos”, “Servicios de Salud Mental” y “Continuidad de la Atención al Paciente” en Medline, Web of Science, Scopus, CINAHL, Biblioteca Cochrane, LILACS y CUIDEN realizadas entre octubre y diciembre de 2023. Se incluyeron estudios de investigación con cualquier diseño, en inglés y español, sin límite temporal. La calidad se evaluó con las herramientas del Instituto Joanna Briggs. Resultados. Se incluyeron ocho estudios (cuatro cualitativos, dos de cohortes y dos revisiones), de calidad moderada a excelente. El 23,5% de los casos lograron una transición exitosa, aunque con retrasos y menor seguimiento a largo plazo, facilitada por transferencia de información, atención paralela y participación de pacientes y familias, y dificultada por alta voluntaria o consumo de drogas previo al ingreso hospitalario. Conclusiones. Las estrategias clave para optimizar la transición entre servicios de salud mental infanto-juveniles y de adultos incluyen transferencia de información, atención paralela y participación activa. Es esencial implementar medidas coordinadas que aborden barreras, reduzcan retrasos y mejoren el seguimiento, promoviendo procesos anticipados, individualizados y corresponsables entre pacientes, familias y profesionales para promover una atención integral y efectiva.Background. The management of mental health conditions may deteriorate in adolescents during the transition from adolescent mental health services to adult mental health services. This study aimes to assess the impact of interventions and transition programs on treatment continuity and mental health outcomes for individuals moving between these services. Methods. A scoping review was conducted using the descriptors “Child Psychiatry”, “Adolescent Psychiatry”, “Transition to Adult Care”, “Mental Health Services”, and “Continuity of Patient Care” in Medline, Web of Science, Scopus, CINAHL, Cochrane Library, LILACS, and CUIDEN, from October to December 2023. Studies of any design published in English and Spanish were included, with no time restrictions. The quality of the studies was assessed using Joanna Briggs Institute tools. Results. Eight studies were included (two reviews, four qualitative studies, and two cohort studies), with quality ratings ranging from moderate to excellent. Only 23.5% of young people experienced a successful transition, with many facing delays and reduced longterm follow-up. Key factors for a successful transition included the transfer of information, parallel care, and the involvement of patients and family, while voluntary discharge and prior drug use before hospitalization hindered the transition process. Conclusions. To optimize the continuity of care during the transition from child/adolescent to adult mental health services, key strategies include the transfer of information, parallel care, and active participation. Implementing coordinated measures that address barriers, reduce delays, and enhance follow-up is essential. A proactive, individualized, and collaborative approach involving patients, families, and professionals is necessary to ensure comprehensive and effective care.150,1861,0Q4Q4SCIESSCI11,

    Unveiling the high-pressure behavior of thymol+carvone NADES: A combined experimental-computational approach

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    this study considers the high-pressure behavior of thymol + carvone Natural Deep Eutectic Solvent using a combined experimental and computational approach. Experimentally, PVT (pressure – volume/density - temperature) measurements were conducted to characterize the fluid volumetric behavior as well as compressibility and internal pressure, which are directly related with hydrogen bonding and nanoscopic structuring. Likewise, these measurements provide crucial insights into the thermodynamic properties of the considered fluid under high pressure, which is pivotal for scaling up and process design for high pressure operations. Computationally, the PC-SAFT equation of state was employed to predict phase equilibria and PVT behavior, Machine Learning for density predictions, while Density Functional Theory and Classical Molecular Dynamics simulations were considered for the structural and dynamic characterization. These simulations provides insights into the electronic structure, intermolecular interactions (hydrogen bonding), liquid structuring and they unveil the pressure's impact on microscopic interactions, structural organization, and transport properties. This comprehensive investigation aims to shed light on the behavior under high pressure, facilitating their optimization for applications in chemical processing, energy storage, and materials science.190,6633,9Q2Q2SCIE11,

    No sex differences in systemic metabolic responses to acute sprint interval training performed after an oral 75-g glucose load in adults with excess adiposity

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    Background & aims: Research exploring sex-based variations in responses to acute sprint interval training (SIT) remains limited. This study aimed to examine the impact of biological sex on the systemic metabolic response to SIT. We hypothesized that acute metabolic responses to SIT would differ between males and females. Methods: Sedentary adults (15 males; 14 females) with excess adiposity (defined as body fat >30 %) were matched for age (32.8 ± 7.5 vs. 29.5 ± 6.5 years) and body fat mass (33.0 ± 2.9 vs. 33.2 ± 2.8 %). Following a 75-g glucose load, participants were randomly allocated to either a control (resting) or SIT trial (8 × 30 s of “all-out” cycling at a resistance of 0.075 % W kg−1 of muscle mass, interspersed with 1 min of recovery). Parameters assessed included respiratory quotient (RQ), resting energy expenditure (REE), substrate utilization rates (fat and carbohydrate), total energy output, and blood lactate and glucose levels. These were collected during fasting and at 60, 120, and 240 min post-glucose load, with the area under the curve (AUC) calculated for both trials. Results: An interaction was observed in time (P = 0.012) and trial (P < 0.001) for RQ; however, there was no significant interaction between sex × trial (P = 0.818). Males exhibited higher mean REE values than females in both conditions. Nevertheless, AUC analysis showed no significant interaction between sex and trial (P = 0.562). A significant trial × time relationship was found for fat and carbohydrate percentage contributions (P < 0.001). Post-SIT, AUCs for fat contribution (g min−1 and mg kg−1 min−1) to energy expenditure increased in both sexes compared with resting (P < 0.05), with differences noted among trials over time (P < 0.001). Blood lactate levels also increased similarly post-SIT in both sexes (P < 0.05), without a significant sex × trial interaction (AUC, P = 0.798). Conclusions: These data demonstrate that exercise differed between the sexes and did not support the premise that acute metabolic responses to SIT would vary between males and females.3525110,772Q2ESCI9,

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