99 results on '"Díez N."'
Search Results
2. Atención a la enfermedad cerebrovascular aguda en Guipúzcoa: descripción de los resultados de un hospital de referencia en un modelo de atención centralizado
- Author
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Fernández-Eulate, G., Arocena, P., Muñoz-Lopetegi, A., Rodriguez-Antigüedad, J., Campo-Caballero, D., Equiza, J., Andrés, N., de Arce, A., Gonzalez, F., Diez, N., Basterrechea, J., Suquia, E., de la Riva, P., and Martinez-Zabaleta, M.
- Published
- 2022
- Full Text
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3. Dense (non-hollow) carbon nanospheres: synthesis and electrochemical energy applications
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Díez, N., Sevilla, M., and Fuertes, A.B.
- Published
- 2021
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4. Model carbon materials derived from tannin to assess the importance of pore connectivity in supercapacitors
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Castro-Gutiérrez, J., Díez, N., Sevilla, M., Izquierdo, M.T., Celzard, A., and Fierro, V.
- Published
- 2021
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5. Androgen deprivation therapy in patients with localized disease: Comparison with curative intent treatments and time to castration resistance. Results of the Spanish Prostate Cancer Registry
- Author
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Pórtela, P., Blanco, E., González, J.A., Baena, V., Morales, P., Villavicencio, H., Palou, J., Loizaga, A., Ciudin, A., Mihai, D., Martínez Jabaloyas, J.M., Castelló, A., Díez, N., Romero, F.J., Subirá, J., Chávez, A.I., Capapé, V., Mata, M., Elizalde, J., Lobato, J.J., Jiménez, J., Pérez Llorca, L., Tenza, J.A., Herranz, F., Husillos, A., López, E., Ramírez, D., Blaha, I., Izquierdo, E., Reina, L., Passas, J., Díez, L., Hevia, M.A., Castells, M., Concepción Masip, T., Plata, A.C., Asuar Aydillo, S., Alonso, J., Mateos, J., Carballido, J., Martínez, C., Areche, J., Rodríguez, R., Hevia, V., Álvarez, S., Requena, M.J., Prieto, R., Carazo, J.L., Márquez, J., Gómez, E., García, J.H., Amón, J., Cepeda, M., Álvarez, L., Rodríguez, V., de la Cruz, B., Rivero, A., Sánchez, J.F., Mainez, J.A., Medina, R., Conde, M., Castiñeiras, J., González Baena, A.C., Sánchez, E., Campanario, R., Saiz, R., Romero, E., Morote, J., Raventós, C.X., Celma, A., Vázquez, F., Gómez, A., Buendía, E., García, N., Garcia-Rodriguez, J., Fernandez-Gomez, J.M., Cozar, J.M., Miñana, B., Gomez-Veiga, F., and Rodriguez-Antolin, A.
- Published
- 2020
- Full Text
- View/download PDF
6. Terapia de privación de andrógenos en pacientes con enfermedad localizada: comparación de las opciones de tratamiento y tiempo hasta la resistencia a la castración. Resultados del Registro Español de Cáncer de Próstata
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Pórtela, P., Blanco, E., González, J.A., Baena, V., Morales, P., Villavicencio, H., Palou, J., Loizaga, A., Ciudin, A., Mihai, D., Martínez Jabaloyas, J.M., Castelló, A., Díez, N., Romero, F.J., Subirá, J., Chávez, A.I., Capapé, V., Mata, M., Elizalde, J., Lobato, J.J., Jiménez, J., Pérez Llorca, L., Tenza, J.A., Herranz, F., Husillos, A., López, E., Ramírez, D., Blaha, I., Izquierdo, E., Reina, L., Passas, J., Díez, L., Hevia, M.A., Castells, M., Concepción Masip, T., Plata, A.C., Asuar Aydillo, S., Alonso, J., Mateos, J., Carballido, J., Martínez, C., Areche, J., Rodríguez, R., Hevia, V., Álvarez, S., Requena, M.J., Prieto, R., Carazo, J.L., Márquez, J., Gómez, E., García, J.H., Amón, J., Cepeda, M., Álvarez, L., Rodríguez, V., de la Cruz, B., Rivero, A., Sánchez, J.F., Mainez, J.A., Medina, R., Conde, M., Castiñeiras, J., González Baena, A.C., Sánchez, E., Campanario, R., Saiz, R., Romero, E., Morote, J., Raventós, C.X., Celma, A., Vázquez, F., Gómez, A., Buendía, E., García, N., Garcia-Rodriguez, J., Fernandez-Gomez, J.M., Cozar, J.M., Miñana, B., Gomez-Veiga, F., and Rodriguez-Antolin, A.
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- 2020
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7. Physical restraint in critical care units from the experience of doctors and nursing assistants: In search of an interdisciplinary interpretation
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Acevedo-Nuevo, M., González-Gil, M.T., Solís-Muñoz, M., Arias-Rivera, S., Toraño-Olivera, M.J., Carrasco Rodríguez-Rey, L.F., Velasco-Sanz, T.R., Martín Rivera, B.E., Carmona-Monge, F.J., Rodríguez-Huerta, M.D., Lospitao-Gómez, S., Martínez Álvarez, A., García-González, S., and Láiz-Díez, N.
- Published
- 2020
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8. La contención mecánica en unidades de cuidados críticos desde la experiencia de los médicos y técnicos en cuidados auxiliares de enfermería: buscando una lectura interdisciplinar
- Author
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Acevedo-Nuevo, M., González-Gil, M.T., Solís-Muñoz, M., Arias-Rivera, S., Toraño-Olivera, M.J., Carrasco Rodríguez-Rey, L.F., Velasco-Sanz, T.R., Martín Rivera, B.E., Carmona-Monge, F.J., Rodríguez-Huerta, M.D., Lospitao-Gómez, S., Martínez Álvarez, A., García-González, S., and Láiz-Díez, N.
- Published
- 2020
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9. Hydrothermally reduced graphene oxide for the effective wrapping of sulfur particles showing long term stability as electrodes for Li-S batteries
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Gómez-Urbano, J.L., Gómez-Cámer, J.L., Botas, C., Díez, N., López del Amo, J.M., Rodríguez-Martinez, L.M., Carriazo, D., and Rojo, T.
- Published
- 2018
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10. Manejo de la inmovilización terapéutica en Unidades de Cuidados Críticos: aproximación fenomenológica a la realidad enfermera
- Author
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Acevedo-Nuevo, M., González-Gil, M.T., Solís-Muñoz, M., Láiz-Díez, N., Toraño-Olivera, M.J., Carrasco-Rodríguez-Rey, L.F., García-González, S., Velasco-Sanz, T.R., Martínez-Álvarez, A., and Martin-Rivera, B.E.
- Published
- 2016
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11. D1E.1 Impact of high speed hydrogen flow on system integrity and noise
- Author
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González Díez, N., van Lier, L., Belfroid, S., and Meijer, I.
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hydrogen in the gas grid ,natural gas infrastructure ,hydrogen ,hydelta ,erosion ,hythane - Abstract
The Netherlands has an extensive pipeline infrastructure for the transport and storage of natural gas. This existing infrastructure could be used in the future for hydrogen transport. For reasons of personal and environmental safety and to ensure reliable supply, the infrastructure is built and operated according to standards and norms for pipeline integrity. Currently, the reliability is ensured by complying with design codes and standards and by using systematic approaches for maintenance and trouble-shooting. The question arises whether the same amount of energy transported with hydrogen as currently with natural gas results in a larger impact on the integrity of the system and the environment around it. High flow velocities are associated to larger pressure drop and higher risk of noise emissions, vibrations and erosion. The flow speed is determined by the selection of system capacity, operating conditions, hardware sizing and economic evaluation. The combination that provides the lowest levelized cost of transport determines what the resulting flow velocity is at all points of the transport system. However, the flow velocity itself can be a constraint in this optimization due to the risks mentioned. For natural gas, this limit is commonly set at 20 m/s (72 km/h), though this is not the case for every segment of the network and at specific locations this can reach higher values. If the same limit would be applied to hydrogen, it may be an unnecessarily conservative constraint on the capacity of new and re-used systems to transport energy. In this study, a review is made of flow-induced risk mechanisms for intrusive equipment, flow-induced turbulence, flow-induced pulsations, acoustics-induced vibration, flow-induced noise and erosion. Capacity from a pressure drop perspective is also checked. This is done scoping the Dutch high-pressure gas transport system (GTS), through the RNB systems, up to the gas receiving spot for the end user. A generic benchmark between natural (G-) gas and hydrogen is presented, when an equal energy transport capacity between the two carriers is assumed, which in practice means whether hydrogen can flow 3 times faster than natural gas. The objective of the benchmark is to evaluate whether under this assumption, any of the phenomena analysed hinders transport at such conditions. In other words, whether the allowable flow velocity for hydrogen can be larger than the value traditionally used for natural gas., Dit project is medegefinancierd door TKI Nieuw Gas | Topsector Energie uit de PPS-toeslag onder referentienummer TKI2020-HyDelta.
- Published
- 2022
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12. VP13.10: Prenatal findings in a fetus presenting pulmonary stenosis, polyhydramnios, nuchal fold and bell‐shaped thorax with coat‐hanger sign
- Author
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Baró, A.M., primary, Rovira, M. Comas, additional, Pina, S., additional, Lapiedra, M. Zamora, additional, Díez, N. Baena, additional, and Heredia, C.L., additional
- Published
- 2021
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13. Caso clínico de urgencias
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Avedillo, C., Navajo, B., Daza, Mª. Ángeles, Portero, M., Fermín, M. L., Díez, N., and Fragío, C.
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Urgencias veterinarias - Published
- 2021
14. An Alternative Carcass Design to Prevent Flow-Induced Pulsations in Flexibles
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González Díez, N., additional, Belfroid, S. P. C., additional, Iversen Solfeldt, T., additional, and Kristiansen, C., additional
- Published
- 2021
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15. Influenza vaccination during the first 6 months after solid organ transplantation is efficacious and safe
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Alamo, J.M., Gasch, A., Gentil-Govantes, M.A., Molina-Ortega, F.J., Lage, E., Martínez-Atienza, J., Sánchez, M., Rosso, C., Arizón, J.M., Aguera, M., Cantisán, S., Montero, J.L., Páez, A., Rodríguez, A., Santos, S., Vidal, E., Berasategui, C., Campins, M., López-Meseguer, M., Saez, B., Marcos, M.A., Sanclemente, G., Diez, N., Goikoetxea, J., Casafont, F., Cobo-Beláustegy, M., Durán, R., Fábrega-García, E., Fernández-Rozas, S., González-Rico, C., Zurbano-Goñi, F., Bodro, M., Niubó, J., Oriol, S., Sabé, N., Anaya, F., Bouza, E., Catalán, P., Diez, P., Eworo, A., Kestler, M., Lopez-Roa, P., Rincón, D., Rodríguez, M., Salcedo, M., Sousa, Y., Valerio, M., Morales-Barroso, I., Aguado, J.M., Origuen, J., Pérez-Romero, P., Bulnes-Ramos, A., Torre-Cisneros, J., Gavaldá, J., Aydillo, T.A., Moreno, A., Montejo, M., Fariñas, M.C., Carratalá, J., Muñoz, P., Blanes, M., Fortún, J., Suárez-Benjumea, A., López-Medrano, F., Barranco, J.L., Peghin, M., Roca, C., Lara, R., and Cordero, E.
- Published
- 2015
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16. Androgen deprivation therapy in patients with localized disease: Comparison with curative intent treatments and time to castration resistance. Results of the Spanish Prostate Cancer Registry
- Author
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Garcia-Rodriguez, J., primary, Fernandez-Gomez, J.M., additional, Cozar, J.M., additional, Miñana, B., additional, Gomez-Veiga, F., additional, Rodriguez-Antolin, A., additional, Pórtela, P., additional, Blanco, E., additional, González, J.A., additional, Baena, V., additional, Morales, P., additional, Villavicencio, H., additional, Palou, J., additional, Loizaga, A., additional, Ciudin, A., additional, Mihai, D., additional, Martínez Jabaloyas, J.M., additional, Castelló, A., additional, Díez, N., additional, Romero, F.J., additional, Subirá, J., additional, Chávez, A.I., additional, Capapé, V., additional, Mata, M., additional, Elizalde, J., additional, Lobato, J.J., additional, Jiménez, J., additional, Pérez Llorca, L., additional, Tenza, J.A., additional, Herranz, F., additional, Husillos, A., additional, López, E., additional, Ramírez, D., additional, Blaha, I., additional, Izquierdo, E., additional, Reina, L., additional, Passas, J., additional, Díez, L., additional, Hevia, M.A., additional, Castells, M., additional, Concepción Masip, T., additional, Plata, A.C., additional, Asuar Aydillo, S., additional, Alonso, J., additional, Mateos, J., additional, Carballido, J., additional, Martínez, C., additional, Areche, J., additional, Rodríguez, R., additional, Hevia, V., additional, Álvarez, S., additional, Requena, M.J., additional, Prieto, R., additional, Carazo, J.L., additional, Márquez, J., additional, Gómez, E., additional, García, J.H., additional, Amón, J., additional, Cepeda, M., additional, Álvarez, L., additional, Rodríguez, V., additional, de la Cruz, B., additional, Rivero, A., additional, Sánchez, J.F., additional, Mainez, J.A., additional, Medina, R., additional, Conde, M., additional, Castiñeiras, J., additional, González Baena, A.C., additional, Sánchez, E., additional, Campanario, R., additional, Saiz, R., additional, Romero, E., additional, Morote, J., additional, Raventós, C.X., additional, Celma, A., additional, Vázquez, F., additional, Gómez, A., additional, Buendía, E., additional, and García, N., additional
- Published
- 2020
- Full Text
- View/download PDF
17. Terapia de privación de andrógenos en pacientes con enfermedad localizada: comparación de las opciones de tratamiento y tiempo hasta la resistencia a la castración. Resultados del Registro Español de Cáncer de Próstata
- Author
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Garcia-Rodriguez, J., primary, Fernandez-Gomez, J.M., additional, Cozar, J.M., additional, Miñana, B., additional, Gomez-Veiga, F., additional, Rodriguez-Antolin, A., additional, Pórtela, P., additional, Blanco, E., additional, González, J.A., additional, Baena, V., additional, Morales, P., additional, Villavicencio, H., additional, Palou, J., additional, Loizaga, A., additional, Ciudin, A., additional, Mihai, D., additional, Martínez Jabaloyas, J.M., additional, Castelló, A., additional, Díez, N., additional, Romero, F.J., additional, Subirá, J., additional, Chávez, A.I., additional, Capapé, V., additional, Mata, M., additional, Elizalde, J., additional, Lobato, J.J., additional, Jiménez, J., additional, Pérez Llorca, L., additional, Tenza, J.A., additional, Herranz, F., additional, Husillos, A., additional, López, E., additional, Ramírez, D., additional, Blaha, I., additional, Izquierdo, E., additional, Reina, L., additional, Passas, J., additional, Díez, L., additional, Hevia, M.A., additional, Castells, M., additional, Concepción Masip, T., additional, Plata, A.C., additional, Asuar Aydillo, S., additional, Alonso, J., additional, Mateos, J., additional, Carballido, J., additional, Martínez, C., additional, Areche, J., additional, Rodríguez, R., additional, Hevia, V., additional, Álvarez, S., additional, Requena, M.J., additional, Prieto, R., additional, Carazo, J.L., additional, Márquez, J., additional, Gómez, E., additional, García, J.H., additional, Amón, J., additional, Cepeda, M., additional, Álvarez, L., additional, Rodríguez, V., additional, de la Cruz, B., additional, Rivero, A., additional, Sánchez, J.F., additional, Mainez, J.A., additional, Medina, R., additional, Conde, M., additional, Castiñeiras, J., additional, González Baena, A.C., additional, Sánchez, E., additional, Campanario, R., additional, Saiz, R., additional, Romero, E., additional, Morote, J., additional, Raventós, C.X., additional, Celma, A., additional, Vázquez, F., additional, Gómez, A., additional, Buendía, E., additional, and García, N., additional
- Published
- 2020
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18. Flow-induced vibration analysis of a water injection system at elevated flow rates of an FPSO
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González Díez, N., Pontaza, J.P., Awe, O.M., Beek, P.J.G. van, and Tümer, C.
- Subjects
Industrial Innovation - Abstract
The water injection system of an FPSO active in the Gulf of Guinea is to increase injection capacity to levels that are threatening from a flow-induced vibration perspective, such that hydrocarbon recovery can be accelerated. A three-tier method based on the internal guidelines of the system operator has been employed to assess the level of FIV threat expected from the increase in flow rate. A high-level screening analysis is followed by a more detailed approach, modified in this case by introducing knowledge obtained from field data gathered during a comprehensive measurement campaign aboard the FPSO. In particular, the data has been used to calibrate the finite element model of the mechanical layout of the pipework and associated supporting by making use of an optimization technique. The PSD of the flow excitation has been calibrated to match the measured response of the system, with descriptions of the turbulent excitation introduced in elbows by means of PSD functions available in the open literature. The PSDs, once calibrated, are further scaled to the future flow-rates so that they can be used as input to the mechanical response analysis. Though the high-level screening analysis delivers the conclusion that flow rates should be limited, the detailed analysis proves that the expected vibrations will be acceptable.
- Published
- 2019
19. Boosting the energy transition: the importance of reliable energy transport in the future
- Author
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González Díez, N.
- Subjects
Sustainable Energy ,Energy - Abstract
The energy transition will profoundly change the energy infrastructure. The target is to decarbonize applications and processes currently supplied with fossil fuels: industry, power generation, households, agriculture and mobility. This must be done as quickly as possible, attaining full decarbonization by 2050. The speed of the energy transition depends on public and industrial acceptance of the energy system infrastructure, which are mainly driven by affordability and reliability. Though sometimes perceived as competing goals, experience shows that reliable designs are also the most costeffective in the long term. To keep costs low in the short term, new, lean infrastructure needs to be developed, or re-purposing existing infrastructure must be enabled. The energy transition requires more flexibility in the energy system to accommodate the intermittent nature of renewable sources and guarantee security of supply. This is achieved by long-term energy storage enabled by novel energy carriers. Natural gas, as one of the most important fossil energy carriers in our system, will be replaced by renewable gas, such as biogas, synthetic gas and hydrogen. Key molecules such as hydrogen and carbon dioxide are to be handled at scales and operating conditions for which there is no precedent, posing unknowns and challenges to operators and engineering contractors. Luckily, neither these substances alone nor the scales alone are alien to industry. However the application range is now expanding. This is the time to make the most of the knowledge developed for over a century in the production, storage and transport of traditional fuels as well as in the chemical industry. In this paper, an inventory of points of attention with regards to reliability of energy infrastructure is offered, contributing to the affordability and reliability of the energy system of the future. A basis from which we can boost the energy transition.
- Published
- 2019
20. Recent Advances in the Prediction and Mitigation of Flow Induced Pulsations in Flexible Risers and Flowlines
- Author
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Belfroid, S. P. C., primary, González Díez, N., additional, and Korst, H., additional
- Published
- 2019
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21. Genetic contribution in statin treatment response: Cholesterol LDL and NonHDL targets achievement and changes in the lipid profile
- Author
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Ruiz-Iruela, C., primary, Padró-Miquel, A., additional, Pintó-Sala, X., additional, Baena-Díez, N., additional, Caixàs-Pedragós, A., additional, Güell-Miró, R., additional, Navarro-Badal, R., additional, Jusmet-Miguel, X., additional, Calmarza, P., additional, Puzo-Foncilla, J.L., additional, Alía-Ramos, P., additional, and Candás-Estébanez, B., additional
- Published
- 2019
- Full Text
- View/download PDF
22. Damping and source strength characteristics of corrugated pipes: influence gap width
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Belfroid, S.P.C., González Díez, N., Golliard, J., Lunde, K., and Naess, S.
- Subjects
Industrial Innovation ,Mechanics - Abstract
To be able to predict the onset of flow induced pulsations in real risers, with variations in corrugation geometry and process conditions along the risers, a set of experiments was done with a variation of gap width and Reynolds number. In addition to configurations with constant cavity geometry also a geometry was tested in which the gap width varied. The damping, source strength and onset were determined via passive damping experiments and flow tests. The source strength was proportional to the (gap width)1.55 and with the Reynolds number according (1+M)Re0.25. The measured source strength of the varied geometry could be reconstructed from the power curves of individual cavities. That means no hydrodynamic interaction between cavities was observed in the geometries containing a mixture of different cavity geometries
- Published
- 2018
23. Guidelines for the use of interferon-? release assays in the diagnosis of tuberculosis infection
- Author
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Santin M., García-García J.-M., Domínguez J., Rigau D., Altet N., Anibarro L., Casas I., Díez N., García-Gasalla M., Martínez-Lacasa X., Penas A., Pérez-Escolano E., and Sánchez F.
- Subjects
tuberculin test ,child ,predictive value ,health care personnel ,adult ,practice guideline ,screening ,organ transplantation ,immune deficiency ,preventive medicine ,Article ,inflammatory disease ,biological therapy ,contact examination ,sensitivity and specificity ,Spain ,Human immunodeficiency virus infection ,hematopoietic stem cell transplantation ,Practice Guidelines as Topic ,standards ,Humans ,Tuberculosis ,human ,interferon gamma release assay ,Interferon-gamma Release Tests - Abstract
Introduction: Interferon-gamma release assays are widely used for the diagnosis of tuberculosis infection in low-prevalence countries. However, there is no consensus on their application. The objective of this study was to develop guidelines for the use of interferon-gamma release assays in specific clinical scenarios in Spain. Methods: A panel of experts comprising specialists in infectious diseases, respiratory diseases, microbiology, pediatrics and preventive medicine, together with a methodologist, formulated the clinical questions and outcomes of interest. They conducted a systematic literature search, summarized the evidence and rated its quality, and prepared the recommendations following the GRADE (Grading of Recommendations of Assessment Development and Evaluations) methodology. Results: The panel prepared recommendations on the use of interferon-gamma release assays for the diagnosis of tuberculosis infection in the contact-tracing study (both adults and children), health care workers, immunosuppressed patients (patients infected with human immunodeficiency virus, patients with chronic immunomediated inflammatory diseases due to start biological therapy and patients requiring organ transplant) and for the diagnosis of active tuberculosis. Most recommendations were weak, mainly due to the lack of good quality evidence to balance the clinical benefits and disadvantages of the interferon-gamma release assays as compared with the tuberculin skin test. Conclusion: This document provides evidence-based guidance on the use of interferon-gamma release assays for the diagnosis of tuberculosis infection in patients at risk of tuberculosis or with suspicion of active disease. The guidelines will be applicable in specialist and primary care and in public health settings. © 2016 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.
- Published
- 2016
24. Condiciones y razones del Procés
- Author
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Jaráiz Gulías, E., primary, Lagares Díez, N., additional, and Barreiro Rivas, X. L., additional
- Published
- 2017
- Full Text
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25. Guanidine, amitrole and imidazole as nitrogen dopants for the synthesis of N-graphenes
- Author
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Grzyb, B., primary, Gryglewicz, S., additional, Śliwak, A., additional, Díez, N., additional, Machnikowski, J., additional, and Gryglewicz, G., additional
- Published
- 2016
- Full Text
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26. Numerical modelling of the slurry flow in pipelines and prediction of flow regimes
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Swamy, M., primary, Díez, N. González, additional, and Twerda, A., additional
- Published
- 2015
- Full Text
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27. 486 Medical simulator: Is it really useful in urology?
- Author
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Merino, Narro I., primary, Ancizu, F.J., additional, Hevia, M., additional, Velis, J.M., additional, Tienza, A., additional, Algarra, R., additional, Diez-Caballero, F., additional, Rosell, D., additional, Pascual, J.I., additional, Rodríguez-Díez, C., additional, Díez, N., additional, Zudaire, J.J., additional, and Robles, J.E., additional
- Published
- 2015
- Full Text
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28. Satisfacción de los estudiantes ante una sesión de exploración cardiológica impartida por compañeros entrenados
- Author
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Rodríguez-Díez, M.C., primary, Mañeru-Zunzarren, G., additional, Artaiz-Urdaci, M., additional, Ferrer-Puga, M., additional, Baraibar-Argota, I., additional, Lage-Fernandez, F.J., additional, and Díez, N., additional
- Published
- 2015
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29. Levels of infection, pathology and nodule size of Onchocerca flexuosa (Nematoda: Onchocercidae) in red deer (Cervus elaphus) from northern Spain.
- Author
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Hidalgo, M.R., Martínez, A., Carreño, R.A., González, S., Ferreras, M.C., and Díez, N.
- Subjects
NEMATODE infections ,ONCHOCERCA ,RED deer hunting ,MITOCHONDRIAL DNA ,EOSIN ,DIAGNOSIS - Abstract
Between 2005 and 2007, the presence of Onchocerca flexuosa (Wedl, 1856) was discovered and investigated in 110 red deer (Cervus elaphus) shot in the Riaño Regional Hunting Reserve, in the province of León (north-western Spain). Nodules containing O. flexuosa were located in the dorsal region and flanks of the deer. These were collected and measured, and some adult parasites were extracted from the nodules and identified by morphology and by obtaining mitochondrial 12S rDNA sequences, which were identical to those of previously published sequences for O. flexuosa. Some nodules were prepared for histology, embedded in paraffin, sectioned and stained with haematoxylin–eosin. Histologically, the worms were found in several compartments separated by an infiltrated fibrous tissue. These compartments were inhabited by several females and males, surrounded by a fibrous capsule. A total of 85.45% (95% confidence interval (CI): 78.86–92.04%) of red deer were parasitized, with a mean intensity of 9.53 ± 12.27 nodules/host, ranging between 1 and 74 nodules/deer. Significant differences in prevalence and intensity of infection were found between young and adult red deer, and also between seasons. However, no significant differences between males and females were observed. Five hundred and ninety-seven nodules were measured (15.81 ± 3.94 mm) and classified by sizes into small ( < 10 mm), medium (10–20 mm) and large (>20 mm). No relation was found between the size of the nodules and the time of infection. The high values found in the studied parameters show that northern Spain is an area of high-intensity infection for deer. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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30. Political and structural elements influencing the credibility of news on social networking sites
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Lagares-Díez, N. (Nieves)
- Abstract
During lockdown, as a consequence of the coronavirus crisis in 2020, the majority of Spanish people (70% of social media users) were exposed to a social media consumer space: news without journalistic filters, with a multitude of fake data and a systematic existence of misinformation that has had a close relationship with the perception of credibility. 1,000 surveys were conducted between March 30 and April 30, in Spain. This work describes the consumption patterns of political parties in social networking sites, describing the facts that determine to what extent Spanish people trust the news they receive. The amount of information consumed online, age and the party identification with Vox and Ciudadanos are the most relevant communicative, structural or political variables that explain the increase or decrease in the credibility of the information that Spaniards receive through these channels.
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- 2022
31. The sustainable materials roadmap
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Magda Titirici, Sterling G Baird, Taylor D Sparks, Shirley Min Yang, Agnieszka Brandt-Talbot, Omid Hosseinaei, David P Harper, Richard M Parker, Silvia Vignolini, Lars A Berglund, Yuanyuan Li, Huai-Ling Gao, Li-Bo Mao, Shu-Hong Yu, Noel Díez, Guillermo A Ferrero, Marta Sevilla, Petra Ágota Szilágyi, Connor J Stubbs, Joshua C Worch, Yunping Huang, Christine K Luscombe, Koon-Yang Lee, Hui Luo, M J Platts, Devendra Tiwari, Dmitry Kovalevskiy, David J Fermin, Heather Au, Hande Alptekin, Maria Crespo-Ribadeneyra, Valeska P Ting, Tim-Patrick Fellinger, Jesús Barrio, Olivia Westhead, Claudie Roy, Ifan E L Stephens, Sabina Alexandra Nicolae, Saurav Ch Sarma, Rose P Oates, Chen-Gang Wang, Zibiao Li, Xian Jun Loh, Rupert J Myers, Niko Heeren, Alice Grégoire, Clément Périssé, Xiaoying Zhao, Yael Vodovotz, Becky Earley, Göran Finnveden, Anna Björklund, Gavin D J Harper, Allan Walton, Paul A Anderson, Díez Nogués, Noel, Álvarez Ferrero, Guillermo, Sevilla Solís, Marta, Titirici, M [0000-0003-0773-2100], Baird, SG [0000-0002-4491-6876], Sparks, TD [0000-0001-8020-7711], Yang, SM [0000-0003-4989-7210], Brandt-Talbot, A [0000-0002-5805-0233], Parker, RM [0000-0002-4096-9161], Vignolini, S [0000-0003-0664-1418], Berglund, LA [0000-0001-5818-2378], Li, Y [0000-0002-1591-5815], Díez, N [0000-0002-6072-8947], Ferrero, GA [0000-0001-8606-781X], Sevilla, M [0000-0002-2471-2403], Worch, JC [0000-0002-4354-8303], Lee, KY [0000-0003-0777-2292], Luo, H [0000-0002-5876-0294], Tiwari, D [0000-0001-8225-0000], Fermin, DJ [0000-0002-0376-5506], Au, H [0000-0002-1652-2204], Alptekin, H [0000-0001-6065-0513], Crespo-Ribadeneyra, M [0000-0001-6455-4430], Ting, VP [0000-0003-3049-0939], Fellinger, TP [0000-0001-6332-2347], Barrio, J [0000-0002-4147-2667], Stephens, IEL [0000-0003-2157-492X], Sarma, SC [0000-0002-6941-9702], Oates, RP [0000-0002-2513-7666], Wang, CG [0000-0001-6986-3961], Li, Z [0000-0002-0591-5328], Loh, XJ [0000-0001-8118-6502], Zhao, X [0000-0003-3709-3143], Harper, GDJ [0000-0002-4691-6642], Walton, A [0000-0001-8608-7941], Anderson, PA [0000-0002-0613-7281], Apollo - University of Cambridge Repository, Titirici, Maria-Magdalena [0000-0003-0773-2100], Parker, Richard [0000-0002-4096-9161], Vignolini, Silvia [0000-0003-0664-1418], Fermin, David [0000-0002-0376-5506], Ting, Valeska [0000-0003-3049-0939], Loh, Xian Jun [0000-0001-8118-6502], Engineering and Physical Sciences Research Council, Engineering & Physical Science Research Council (EPSRC), Titirici, Magda [0000-0003-0773-2100], Baird, Sterling G [0000-0002-4491-6876], Sparks, Taylor D [0000-0001-8020-7711], Yang, Shirley Min [0000-0003-4989-7210], Brandt-Talbot, Agnieszka [0000-0002-5805-0233], Parker, Richard M [0000-0002-4096-9161], Berglund, Lars A [0000-0001-5818-2378], Li, Yuanyuan [0000-0002-1591-5815], Díez, Noel [0000-0002-6072-8947], Ferrero, Guillermo A [0000-0001-8606-781X], Sevilla, Marta [0000-0002-2471-2403], Worch, Joshua C [0000-0002-4354-8303], Lee, Koon-Yang [0000-0003-0777-2292], Luo, Hui [0000-0002-5876-0294], Tiwari, Devendra [0000-0001-8225-0000], Fermin, David J [0000-0002-0376-5506], Au, Heather [0000-0002-1652-2204], Alptekin, Hande [0000-0001-6065-0513], Crespo-Ribadeneyra, Maria [0000-0001-6455-4430], Ting, Valeska P [0000-0003-3049-0939], Fellinger, Tim-Patrick [0000-0001-6332-2347], Barrio, Jesús [0000-0002-4147-2667], Stephens, Ifan E L [0000-0003-2157-492X], Sarma, Saurav Ch [0000-0002-6941-9702], Oates, Rose P [0000-0002-2513-7666], Wang, Chen-Gang [0000-0001-6986-3961], Li, Zibiao [0000-0002-0591-5328], Zhao, Xiaoying [0000-0003-3709-3143], Harper, Gavin D J [0000-0002-4691-6642], Walton, Allan [0000-0001-8608-7941], and Anderson, Paul A [0000-0002-0613-7281]
- Subjects
Technology ,CELLULOSE NANOCRYSTALS ,Science & Technology ,research ,Materials Science ,INDUSTRIAL ECOLOGY ,H900 ,Materials Science, Multidisciplinary ,MECHANICAL-PROPERTIES ,Condensed Matter Physics ,Atomic and Molecular Physics, and Optics ,ENVIRONMENTAL-IMPACT ,materials ,project ,DIRECT (HETERO)ARYLATION POLYMERIZATION ,POROUS CARBON ,sustainable materials ,ACTIVE-SITES ,BIO-BASED PLASTICS ,General Materials Science ,ION BATTERIES ,sustainable ,Topical Review ,CONJUGATED POLYMERS - Abstract
Over the past 150 years, our ability to produce and transform engineered materials has been responsible for our current high standards of living, especially in developed economies. However, we must carefully think of the effects our addiction to creating and using materials at this fast rate will have on the future generations. The way we currently make and use materials detrimentally affects the planet Earth, creating many severe environmental problems. It affects the next generations by putting in danger the future of the economy, energy, and climate. We are at the point where something must drastically change, and it must change now. We must create more sustainable materials alternatives using natural raw materials and inspiration from nature while making sure not to deplete important resources, i.e. in competition with the food chain supply. We must use less materials, eliminate the use of toxic materials and create a circular materials economy where reuse and recycle are priorities. We must develop sustainable methods for materials recycling and encourage design for disassembly. We must look across the whole materials life cycle from raw resources till end of life and apply thorough life cycle assessments (LCAs) based on reliable and relevant data to quantify sustainability. We need to seriously start thinking of where our future materials will come from and how could we track them, given that we are confronted with resource scarcity and geographical constrains. This is particularly important for the development of new and sustainable energy technologies, key to our transition to net zero. Currently ‘critical materials’ are central components of sustainable energy systems because they are the best performing. A few examples include the permanent magnets based on rare earth metals (Dy, Nd, Pr) used in wind turbines, Li and Co in Li-ion batteries, Pt and Ir in fuel cells and electrolysers, Si in solar cells just to mention a few. These materials are classified as ‘critical’ by the European Union and Department of Energy. Except in sustainable energy, materials are also key components in packaging, construction, and textile industry along with many other industrial sectors. This roadmap authored by prominent researchers working across disciplines in the very important field of sustainable materials is intended to highlight the outstanding issues that must be addressed and provide an insight into the pathways towards solving them adopted by the sustainable materials community. In compiling this roadmap, we hope to aid the development of the wider sustainable materials research community, providing a guide for academia, industry, government, and funding agencies in this critically important and rapidly developing research space which is key to future sustainability., The authors would like to thank The Faraday Institution ReLiB Project Grant Numbers FIRG005 and FIRG006, the UKRI Interdisciplinary Circular Economy Centre for Technology Metals (Met4Tech) Grant No. EP/V011855/1 and the EPSRC Critical Elements and Materials Network (CREAM) EP/R020140/1 for providing financial assistance for this research.
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- 2022
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32. From Green to Black Gold: Highly Microporous Carbons from Pistachio Shells by a Controlled Physical Activation Process.
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Fernández-Lera A, Casal MD, Judalet Q, Díez N, Valdés-Solís T, and Sevilla M
- Abstract
Highly microporous carbons with BET surface areas of up to ca. 3300 m
2 g-1 and pore volumes of up to 1.6 cm3 g-1 have been successfully synthesized from pistachio shells, a waste whose generation is growing on account of the nutritive value of pistachios and the resilience of this crop to climate change. Such a high pore development has been achieved by a simple and benign CO2 physical activation process assisted by a custom pre-treatment of the biomass. Different approaches have been explored in this work for the transformation of pistachio shells into carbon materials with diverse microstructures, mineral matter content and particle size/morphology, tuning thereby their reactivities towards CO2 and diffusion kinetics and, in this way, pore development. In particular, the most efficient route for the production of highly microporous carbons from pistachio shells involves a hydrothermal carbonization process which increases the degree of aromatization and effectively removes the mineral matter, enhancing thereby the efficiency of both carbon production and porosity generation. By increasing the activation temperature, substantial shortening of the operation time can be achieved without compromising pore development. This work provides new integral strategies towards the production of biomass-based, CO2 -activated carbons with a focus on optimizing pore structure, minimizing energy consumption and maximizing product yield., (© 2024 The Authors. ChemSusChem published by Wiley-VCH GmbH.)- Published
- 2024
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33. Recycling and Reutilization of Metals Aided by Deep Eutectic Solvents: from NMC Cathodes of Spent Li-ion Batteries to Electrolytes for Supercapacitors.
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Xu B, Díez N, Sevilla M, Ferrer ML, Gutiérrez MC, and Del Monte F
- Abstract
With the rapidly increasing demand for lithium ion batteries (LIBs), recycling the metals found in spent cathodes is mandatory to both alleviate shortages resulting from the mining of natural metal ores and manage the disposal of spent LIBs. The use of deep eutectic solvents (DESs) for metals recovery from spent cathodes of LIBs (e. g., LCO and NMC types) offers a sustainable yet efficient alternative to conventional hydrometallurgical processes. Nonetheless, g efforts are required to use milder temperatures and higher mass loadings, thus ensuring cost-effectiveness. In this latter regard, addressing the reutilization of DESs in subsequent stages of metal extraction, and streamlining or eliminating the chemical procedures employed for metal separation, is even more crucial to guarantee the economic feasibility of the recycling process. Herein, we have prepared a DES that provides extraction efficiencies of ca. 100 % for every metal of NMC cathodes even at mild experimental conditions (e. g., 60 °C) and for loadings as high as 70 mg
NMC /gDES . Moreover, we have pioneered the direct use of leachates containing DESs and metals as electrolytes for supercapacitors. This approach enables the reintroduction of DESs and the recovered metals into the value chain with a minimal economic and environmental impact., (© 2024 The Authors. ChemSusChem published by Wiley-VCH GmbH.)- Published
- 2024
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34. Electronic Decoupling and Hole-Doping of Graphene Nanoribbons on Metal Substrates by Chloride Intercalation.
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Kinikar A, Englmann TG, Di Giovannantonio M, Bassi N, Xiang F, Stolz S, Widmer R, Borin Barin G, Turco E, Eimre K, Merino Díez N, Ortega-Guerrero A, Feng X, Gröning O, Pignedoli CA, Fasel R, and Ruffieux P
- Abstract
Atomically precise graphene nanoribbons (GNRs) have a wide range of electronic properties that depend sensitively on their chemical structure. Several types of GNRs have been synthesized on metal surfaces through selective surface-catalyzed reactions. The resulting GNRs are adsorbed on the metal surface, which may lead to hybridization between the GNR orbitals and those of the substrate. This makes investigation of the intrinsic electronic properties of GNRs more difficult and also rules out capacitive gating. Here, we demonstrate the formation of a dielectric gold chloride adlayer that can intercalate underneath GNRs on the Au(111) surface. The intercalated gold chloride adlayer electronically decouples the GNRs from the metal and leads to a substantial hole-doping of the GNRs. Our results introduce an easily accessible tool in the in situ characterization of GNRs grown on Au(111) that allows for exploration of their electronic properties in a heavily hole-doped regime.
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- 2024
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35. Edge Artificial Intelligence (AI) for real-time automatic quantification of filariasis in mobile microscopy.
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Lin L, Dacal E, Díez N, Carmona C, Martin Ramirez A, Barón Argos L, Bermejo-Peláez D, Caballero C, Cuadrado D, Darias-Plasencia O, García-Villena J, Bakardjiev A, Postigo M, Recalde-Jaramillo E, Flores-Chavez M, Santos A, Ledesma-Carbayo MJ, Rubio JM, and Luengo-Oroz M
- Subjects
- Humans, Animals, Filariasis diagnosis, Filariasis parasitology, Microfilariae isolation & purification, Algorithms, Smartphone, Elephantiasis, Filarial diagnosis, Elephantiasis, Filarial parasitology, Artificial Intelligence, Microscopy methods
- Abstract
Filariasis, a neglected tropical disease caused by roundworms, is a significant public health concern in many tropical countries. Microscopic examination of blood samples can detect and differentiate parasite species, but it is time consuming and requires expert microscopists, a resource that is not always available. In this context, artificial intelligence (AI) can assist in the diagnosis of this disease by automatically detecting and differentiating microfilariae. In line with the target product profile for lymphatic filariasis as defined by the World Health Organization, we developed an edge AI system running on a smartphone whose camera is aligned with the ocular of an optical microscope that detects and differentiates filarias species in real time without the internet connection. Our object detection algorithm that uses the Single-Shot Detection (SSD) MobileNet V2 detection model was developed with 115 cases, 85 cases with 1903 fields of view and 3342 labels for model training, and 30 cases with 484 fields of view and 873 labels for model validation before clinical validation, is able to detect microfilariae at 10x magnification and distinguishes four species of them at 40x magnification: Loa loa, Mansonella perstans, Wuchereria bancrofti, and Brugia malayi. We validated our augmented microscopy system in the clinical environment by replicating the diagnostic workflow encompassed examinations at 10x and 40x with the assistance of the AI models analyzing 18 samples with the AI running on a middle range smartphone. It achieved an overall precision of 94.14%, recall of 91.90% and F1 score of 93.01% for the screening algorithm and 95.46%, 97.81% and 96.62% for the species differentiation algorithm respectively. This innovative solution has the potential to support filariasis diagnosis and monitoring, particularly in resource-limited settings where access to expert technicians and laboratory equipment is scarce., Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: LL, ED, ND, DB-P, CCab, DC, OD, JG-V, AB, MP, ER-J, AS, MJL-C and MLO work for Spotlab and/or hold shares of Spotlab., (Copyright: © 2024 Lin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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36. Flexible metallic core-shell nanostructured electrodes for neural interfacing.
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Rodilla BL, Arché-Núñez A, Ruiz-Gómez S, Domínguez-Bajo A, Fernández-González C, Guillén-Colomer C, González-Mayorga A, Rodríguez-Díez N, Camarero J, Miranda R, López-Dolado E, Ocón P, Serrano MC, Pérez L, and González MT
- Subjects
- Rats, Animals, Electrodes, Microelectrodes, Neurons physiology, Electric Impedance, Nanostructures, Nanowires
- Abstract
Electrodes with nanostructured surface have emerged as promising low-impedance neural interfaces that can avoid the charge-injection restrictions typically associated to microelectrodes. In this work, we propose a novel approximation, based on a two-step template assisted electrodeposition technique, to obtain flexible nanostructured electrodes coated with core-shell Ni-Au vertical nanowires. These nanowires benefit from biocompatibility of the Au shell exposed to the environment and the mechanical properties of Ni that allow for nanowires longer and more homogeneous in length than their only-Au counterparts. The nanostructured electrodes show impedance values, measured by electrochemical impedance spectroscopy (EIS), at least 9 times lower than those of flat reference electrodes. This ratio is in good accordance with the increased effective surface area determined both from SEM images and cyclic voltammetry measurements, evidencing that only Au is exposed to the medium. The observed EIS profile evolution of Ni-Au electrodes over 7 days were very close to those of Au electrodes and differently from Ni ones. Finally, the morphology, viability and neuronal differentiation of rat embryonic cortical cells cultured on Ni-Au NW electrodes were found to be similar to those on control (glass) substrates and Au NW electrodes, accompanied by a lower glial cell differentiation. This positive in-vitro neural cell behavior encourages further investigation to explore the tissue responses that the implantation of these nanostructured electrodes might elicit in healthy (damaged) neural tissues in vivo, with special emphasis on eventual tissue encapsulation., (© 2024. The Author(s).)
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- 2024
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37. Impact of a longitudinal course on medical professionalism on the empathy of medical students.
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Del Barrio LG, Rodríguez-Díez C, Gea A, Arbea L, Pereira J, and Díez N
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- Humans, Empathy, Professionalism, Physician-Patient Relations, Surveys and Questionnaires, Students, Medical
- Abstract
Objective: Medical education should enhance empathy. We examined, using self-assessment instruments and standardized patients (SPs), the impact on empathy, of a multi-year intervention (years 4-6 of medical training) that uses reflective learning approaches., Methods: 241 final-year medical students participated; 110 from the 2018 graduation class (non-intervention group) and 131 from the 2019 graduation class (intervention group). Participants completed two self-reported empathy questionnaires - the Jefferson Scale of Empathy-Students (JSE-S) and the Interpersonal Reactivity Index (IRI) - and a personality questionnaire, the NEO Five-Factor Inventory. Additionally, SPs in a simulated station assessed participants' empathy with two patient-reported instruments: the Consultation and Relational Empathy (CARE) scale and the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE)., Results: Empathy scores were significantly higher in the intervention group compared to the non-intervention group when assessed by the SP (p < 0.001). No differences were found in self-reported questionnaires between the two groups., Conclusion: A longitudinal, multi-year reflection-based intervention enhanced empathy amongst medical students as assessed by SPs, but not when assessed by student self-reported measures., Practice Implications: Multi-year reflective learning interventions during clinical training nurture empathy in medical students. Assessments completed by SPs or patients may enhance the evaluation of empathy., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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38. Detecting the spin-polarization of edge states in graphene nanoribbons.
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Brede J, Merino-Díez N, Berdonces-Layunta A, Sanz S, Domínguez-Celorrio A, Lobo-Checa J, Vilas-Varela M, Peña D, Frederiksen T, Pascual JI, de Oteyza DG, and Serrate D
- Abstract
Low dimensional carbon-based materials can show intrinsic magnetism associated to p-electrons in open-shell π-conjugated systems. Chemical design provides atomically precise control of the π-electron cloud, which makes them promising for nanoscale magnetic devices. However, direct verification of their spatially resolved spin-moment remains elusive. Here, we report the spin-polarization of chiral graphene nanoribbons (one-dimensional strips of graphene with alternating zig-zag and arm-chair boundaries), obtained by means of spin-polarized scanning tunnelling microscopy. We extract the energy-dependent spin-moment distribution of spatially extended edge states with π-orbital character, thus beyond localized magnetic moments at radical or defective carbon sites. Guided by mean-field Hubbard calculations, we demonstrate that electron correlations are responsible for the spin-splitting of the electronic structure. Our versatile platform utilizes a ferromagnetic substrate that stabilizes the organic magnetic moments against thermal and quantum fluctuations, while being fully compatible with on-surface synthesis of the rapidly growing class of nanographenes., (© 2023. Springer Nature Limited.)
- Published
- 2023
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39. Evaluation of the Performance of a 3D-Printed Smartphone-Based Retinal Imaging Device as a Screening Tool for Retinal Pathology in Mozambique.
- Author
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Varo R, Postigo M, Bila R, Dacal E, Chiconela H, García-Villena J, Cuadrado D, Vladimirov A, Díez N, Vallés-López R, Sitoe A, Vitorino P, Mucasse C, Beltran-Agullo L, Pujol O, García V, Abdala M, Sallé L, Anton A, Santos A, Ledesma-Carbayo MJ, Luengo-Oroz M, and Bassat Q
- Subjects
- Humans, Mozambique epidemiology, Pilot Projects, Mass Screening methods, Printing, Three-Dimensional, Smartphone, Retinal Diseases diagnostic imaging, Retinal Diseases epidemiology
- Abstract
Low-income countries carry approximately 90% of the global burden of visual impairment, and up to 80% of this could be prevented or cured. However, there are only a few studies on the prevalence of retinal disease in these countries. Easier access to retinal information would allow differential diagnosis and promote strategies to improve eye health, which are currently scarce. This pilot study aims to evaluate the functionality and usability of a tele-retinography system for the detection of retinal pathology, based on a low-cost portable retinal scanner, manufactured with 3D printing and controlled by a mobile phone with an application designed ad hoc. The study was conducted at the Manhiça Rural Hospital in Mozambique. General practitioners, with no specific knowledge of ophthalmology or previous use of retinography, performed digital retinographies on 104 hospitalized patients. The retinographies were acquired in video format, uploaded to a web platform, and reviewed centrally by two ophthalmologists, analyzing the image quality and the presence of retinal lesions. In our sample there was a high proportion of exudates and hemorrhages-8% and 4%, respectively. In addition, the presence of lesions was studied in patients with known underlying risk factors for retinal disease, such as HIV, diabetes, and/or hypertension. Our tele-retinography system based on a smartphone coupled with a simple and low-cost 3D printed device is easy to use by healthcare personnel without specialized ophthalmological knowledge and could be applied for the screening and initial diagnosis of retinal pathology.
- Published
- 2023
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40. Cork-Derived Carbon Sheets for High-Performance Na-Ion Capacitors.
- Author
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Casal MD, Díez N, Payá S, and Sevilla M
- Abstract
S-doped carbon sheets have been easily prepared by deconstructing the 3D cellular structure of a fully sustainable and renewable biomass material such as cork through a mild ball-milling process. S-doping of the material (>14 wt % S) has been achieved by using sulfur as an earth-abundant, cost-effective, and environmentally benign S-dopant. Such synthesized materials provide large Na storage capacities in the range of 300-550 mAh g
-1 at 0.1 A g-1 and can handle large current densities of 10 A g-1 , providing 55-140 mAh g-1 . Their increased packing density compared to the 3D pristine structure allows them to also provide good volumetric capacities in the range of 285-522 mAh cm-3 at 0.1 A g-1 and 53-133 mAh cm-3 at 10 A g-1 . In addition, highly porous carbon sheets ( SBET > 2700 m2 g-1 ) have been produced from the same carbon precursor by rationally designing the chemical activation approach. These materials are able to provide good anion storage capacities/capacitances of up to 100-114 mAh g-1 /163-196 F g-1 . A sodium-ion capacitor assembled with the optimized S-doped carbon sheets and the highly porous carbon sheets with mass matching ratios provided the best energy/power characteristics (90 Wh kg-1 at 29 kW kg-1 ) in combination with robust cycling stability over 10,000 cycles, with a capacity fade of only 0.0018% per cycle., Competing Interests: The authors declare no competing financial interest., (© 2023 The Authors. Published by American Chemical Society.)- Published
- 2023
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41. Development and validation of a low-cost laparoscopic simulation box.
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Martín-Calvo N, Gómez B, Díez N, Llorente M, Fernández S, Ferreiro Abal A, and Javier Pueyo F
- Subjects
- Humans, Computer Simulation, Laparoscopy methods, Surgeons
- Abstract
Introduction: The acquisition of laparoscopic technique skills in an operating room is conditioned by the expertise of the tutor and the number of training interventions by the trainee. For students and surgeons to use a laparoscopic simulator to train their skills, it must be validated beforehand., Methods: A laparoscopic simulator box was designed, along with 6 interchangeable training games. The simulator was validated by a group of 19 experts, physicians with an experience from at least 100 laparoscopic surgeries, and 20 students of 4
th to 6th grades of medical school (non-experts). To evaluate its construct validity, time-to-completion and the number of successfully completed games were assessed. We used 11 and 9-item questionnaires to gather information on content and face validity respectively. In both questionnaires, answers were collected through Likert-type scales, scored from 1 to 5., Results: The group of experts required less time and successfully completed more games than the group of non-experts (p < 0.01). The group of non-experts gave a score ≥ 4 points on each of the questions regarding the content validity of the tool, however, the experts rated with a significant lower mean score the need for the simulator to learn the surgical technique (3.68 points; p < 0.01). Regarding the face validity, all items were graded with a score ≥ 4 points except for the question relating to the spatial realism (3.82 points)., Conclusion: The laparoscopy simulation box and the games were valid means for training surgeons and medical students to develop the skills required for the laparoscopic technique., (Copyright © 2022. Published by Elsevier España, S.L.U.)- Published
- 2023
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42. Endothelial NO synthase 786T/T polymorphism increases hemorrhagic transformation after endovascular thrombectomy.
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de la Riva P, Rodríguez-Antigüedad J, Gómez V, Arenaza G, Gorostidi A, Díez N, de Arce A, Martínez-Zabaleta M, González F, Luttich A, Garmendia E, Sola A, Larrea JA, Bergareche A, and Sobrino T
- Subjects
- Humans, Treatment Outcome, Thrombectomy adverse effects, Thrombectomy methods, Nitric Oxide Synthase, Retrospective Studies, Brain Ischemia etiology, Stroke etiology
- Abstract
Background and Purpose: This study examined whether the 786 NOS3 polymorphism is associated with the risk of hemorrhagic transformation (HT) in stroke patients with anterior large vessel occlusion (ALVO) treated using endovascular thrombectomy (EVT)., Methods: We performed an observational cohort study that included 118 patients with ALVO who underwent EVT. HT was assessed in follow-up CT and MRI. HT and non-HT patients were compared in terms of the 786 NOS3 polymorphism, flow mediated dilation (FMD) values within 3 days after the stroke, and collateral status based on three grading scales. Demographics, vascular risk factors, additional radiological data including ASPECT score, thrombus length and infarct size, and EVT procedure and outcome variables were also included., Results: Radiological HT occurred in 55 (46.6%) patients and the 786T/T NOS3 polymorphism was associated with HT (unadjusted OR of 2.33, 95%CI: 1.05-5.20, adjusted OR of 3.14, 95%CI: 1.16-8.54). Collateral status and systemic endothelial function assessed by FMD were not mediators of this relationship as no differences were seen in the median FMD percentage values or collateral status between NOS3 genotypes., Conclusions: Our results suggest that genetic variations affecting the NO pathway, such as the 786 NOS3 polymorphism, may contribute to individual variability in the occurrence of HT and these results support involvement of this pathway in the pathogenesis of ischemia-reperfusion injury after EVT., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2022
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43. Eco-Friendly Synthesis of 3D Disordered Carbon Materials for High-Performance Dual Carbon Na-Ion Capacitors.
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Fombona-Pascual A, Díez N, Fuertes AB, and Sevilla M
- Abstract
An eco-friendly and sustainable salt-templating approach was proposed for the production of anode materials with a 3D sponge-like structure for sodium-ion capacitors using gluconic acid as carbon precursor and sodium carbonate as water-removable template. The optimized carbon material combined porous thin walls that provided short diffusional paths, a highly disordered microstructure with dilated interlayer spacing, and a large oxygen content, all of which facilitated Na ion transport and provided plenty of active sites for Na adsorption. This material provided a capacity of 314 mAh g
-1 at 0.1 A g-1 and 130 mAh g-1 at 10 A g-1 . When combined with a 3D highly porous carbon cathode (SBET ≈2300 m2 g-1 ) synthesized from the same precursor, the Na-ion capacitor showed high specific energy/power, that is 110 Wh kg-1 at low power and still 71 Wh kg-1 at approximately 26 kW kg-1 , and a good capacity retention of 70 % over 10000 cycles., (© 2022 The Authors. ChemSusChem published by Wiley-VCH GmbH.)- Published
- 2022
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44. Impact on functional outcome of an adaptive Stroke Unit based system of care for patients undergoing endovascular treatment during pandemic times.
- Author
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Equiza J, de la Riva P, Angel Larrea J, Marta-Enguita J, Albájar I, Lüttich A, Garmendia E, Alonso M, de Arce A, Díez N, Gonzalez F, Iruzubieta P, Sulibarria N, Puig J, and Martínez-Zabaleta M
- Abstract
Introduction: The COVID19 pandemic collapsed intensive care units (ICUs) all around the world, conditioning systems of care (SOC) for other critical conditions such as severe ischemic stroke requiring endovascular treatment (EVT). Our aim was to evaluate the impact of an adaptive Stroke Unit (SU) based SOC on functional outcomes, with the goal of avoiding both general anesthesia (GA) and ICU admission in stroke patients treated with EVT., Material and Methods: We performed an observational study comparing data from our traditional ICU-GA based SOC and the adaptive SU-Conscious Sedation (CS) based SOC (consecutive patients undergoing EVT 1 year prior and after onset of the pandemic). Primary outcome was 90-days modified Rankin Scale (mRS), and secondary outcomes included, among others, in-hospital complications, and hospital length of stay (LOS)., Results: A total of 210 EVT were performed during the study period (107 under the traditional-SOC and 103 under the adaptive-SOC). A significantly greater proportion of patient was treated under CS (15.9% vs 57.3%; p < 0.001) and admitted for post-procedural care at SU (15% vs 66%; p < 0.001) in the adaptive SOC. Rates of in-hospital complications were similar in both periods, with reduced hospital LOS in the adaptive SOC (10 (7-15) vs 8 (6-12); p = 0.005). The adaptive SOC was associated with higher odds for 90 days favorable outcome (mRS 0-2) (aOR 3.15 (1.34-7.39); p = 0.008)., Conclusion: In our case, an adaptive SOC that combined both preference for CS and postprocedural care in SU was associated with better functional outcomes and reduced healthcare resource use for patients undergoing EVT., Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© European Stroke Organisation 2022.)
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- 2022
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45. Validation of the Jefferson Scale of Patient Perception of Physician Empathy Spanish (Spain) Version in Primary Care.
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Díez N, García Del Barrio L, Cristina Rodríguez-Díez M, Martín-Lanas R, Gea A, and João Costa M
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- Humans, Perception, Primary Health Care, Reproducibility of Results, Spain, Empathy, Physicians
- Abstract
Background and Objectives: Empathy is considered a prerequisite for a successful physician-patient relationship. The Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) is a regularly-used, patient-rated measure of physician empathy. The aim of this study is to translate and analyze the reliability and validity of the JSPPPE Spanish (Spain) version (Sp-JSPPPE) in primary care in order to use it with medical trainees., Methods: After translation and back translation of the JSPPPE, 369 patients from 21 primary care physicians in Pamplona (Navarre, Spain) completed the Sp-JSPPPE, a sociodemographic questionnaire, the Spanish (Spain) Consultation and Relational Empathy Measure (Sp-CARE), and a question about overall satisfaction. We studied internal reliability (Cronbach's α and ordinal α), homogeneity (corrected item-total correlations), construct validity (confirmatory factor analysis [CFA]) and concurrent validity (Spearman's correlation) of Sp-JSPPPE., Results: Cronbach's α and ordinal α were 0.870 and 0.919, respectively, for the Sp-JSPPPE, and all corrected item-total correlations exceeded the accepted cutoff of 0.30, demonstrating high internal reliability and homogeneity. CFA corroborated the one-factor structure proposed in the original version. The total score for the Sp-JSPPPE was significantly correlated with sp-CARE (Spearman's ϱ 0.651, P<.001) and with overall patient satisfaction (Spearman's ϱ 0.504, P<.001)., Conclusions: The results support the reliability and validity of the Sp-JSPPPE in primary care. Sp-JSPPPE could be useful in empathy assessment of medical trainees, both graduate and postgraduate, in the Spanish context.
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- 2022
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46. Development and validation of a low-cost laparoscopic simulation box.
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Martín-Calvo N, Gómez B, Díez N, Llorente M, Fernández S, Ferreiro Abal A, and Pueyo FJ
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Introduction: The acquisition of laparoscopic technique skills in an operating room is conditioned by the expertise of the tutor and the number of training interventions by the trainee. For students and surgeons to use a laparoscopic simulator to train their skills, it must be validated beforehand., Methods: A laparoscopic simulator box was designed, along with 6 interchangeable training games. The simulator was validated by a group of 19 experts, physicians with an experience from at least 100 laparoscopic surgeries, and 20 students of 4th to 6th grades of medical school (non-experts). To evaluate its construct validity, time-to-completion and the number of successfully completed games were assessed. We used 11 and 9-item questionnaires to gather information on content and face validity respectively. In both questionnaires, answers were collected through Likert-type scales, scored from 1 to 5., Results: The group of experts required less time and successfully completed more games than the group of non-experts (p < 0.01). The group of non-experts gave a score ≥4 points on each of the questions regarding the content validity of the tool, however, the experts rated with a significant lower mean score the need for the simulator to learn the surgical technique (3.68 points; p < 0.01). Regarding the face validity, all items were graded with a score ≥4 points except for the question relating to the spatial realism (3.82 points)., Conclusion: The laparoscopy simulation box and the games were valid means for training surgeons and medical students to develop the skills required for the laparoscopic technique., (Copyright © 2022. Published by Elsevier España, S.L.U.)
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- 2022
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47. Factors associated with the workload of health professionals in hospital at home: a systematic review.
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Cordero-Guevara JA, Parraza-Díez N, Vrotsou K, Machón M, Orruño E, Onaindia-Ecenarro MJ, Millet-Sampedro M, and Regalado de Los Cobos J
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- Health Personnel, House Calls, Humans, Male, Hospitals, Workload
- Abstract
Background: Understanding the factors related to workload, could help hospital at home (HaH) managers to make decisions on the most appropriate and efficient use of the HaH services. Published studies on this topic are scarce, so we have conducted a systematic review to identify such factors according to published evidence., Methods: Due to the heterogeneity of HaH models, HaH was defined as a care that provides a set of medical and nursing care and attention of hospital rank to patients at home, when they no longer require hospital infrastructure but still need active monitoring and complex care. The electronic data base literature search was conducted in MEDLINE (Ovid), EMBASE (Ovid), and Cinahl (EBSCOhost) from inception to December 2021, including grey literature. Search terms related to `hospital at home´, `workload´ and `care time´ were used. There was no restriction on language, type of study or year of publication. Quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist and certainty in the body of evidence was assessed using the GRADE Pro Tool. Results were summarised in a tabulated format., Results: Eighteen studies with 56,706 patients were included. Workload was measured as time, number of visits or both. The predictive factors of the workload included variables related to patient characteristics and other valid and reliable patient classification systems, as well as characteristics of the institutions where the studies were conducted. The factors associated with higher workloads were: being older, male, living in a rural environment, presenting a higher number of diagnoses, having worse functional status and being unable to assume self-care., Conclusions: The identified predictors of workload are mostly associated with home nursing care. The results could be useful and applicable to different organisational models of HaH health systems. More studies that include physicians and proxy measures of workload are needed., (© 2022. The Author(s).)
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- 2022
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48. Topological phase transition in chiral graphene nanoribbons: from edge bands to end states.
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Li J, Sanz S, Merino-Díez N, Vilas-Varela M, Garcia-Lekue A, Corso M, de Oteyza DG, Frederiksen T, Peña D, and Pascual JI
- Abstract
Precise control over the size and shape of graphene nanostructures allows engineering spin-polarized edge and topological states, representing a novel source of non-conventional π-magnetism with promising applications in quantum spintronics. A prerequisite for their emergence is the existence of robust gapped phases, which are difficult to find in extended graphene systems. Here we show that semi-metallic chiral GNRs (chGNRs) narrowed down to nanometer widths undergo a topological phase transition. We fabricated atomically precise chGNRs of different chirality and size by on surface synthesis using predesigned molecular precursors. Combining scanning tunneling microscopy (STM) measurements and theory simulations, we follow the evolution of topological properties and bulk band gap depending on the width, length, and chirality of chGNRs. Our findings represent a new platform for producing topologically protected spin states and demonstrate the potential of connecting chiral edge and defect structure with band engineering., (© 2021. The Author(s).)
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- 2021
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49. Reliability and validity of the Spanish (Spain) version of the consultation and relational empathy measure in primary care.
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García Del Barrio L, Rodríguez-Díez C, Martín-Lanas R, Costa P, Costa MJ, and Díez N
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- Humans, Physician-Patient Relations, Primary Health Care, Psychometrics, Referral and Consultation, Reproducibility of Results, Spain, Surveys and Questionnaires, Empathy, Physicians, Primary Care
- Abstract
Background: Empathy is an essential competence in the medical field. There are no validated patient-rated empathy measures in Spanish (Spain). The Consultation and Relational Empathy (CARE) measure is a widely used patient-rated measure of physician empathy., Objective: To analyse the reliability and validity of the Spanish (Spain) version of the CARE measure in primary care., Methods: After translation, back translation and pilot testing, a convenient sample of 369 patients recruited through 21 primary care physicians in five primary care centres in Pamplona (Navarre, Spain) completed the Spanish (Spain) CARE (Sp-CARE) measure. The number of 'does not apply' or blank responses was calculated to assess acceptability. We analysed internal reliability by means of Cronbach's alpha and ordinal alpha and homogeneity with corrected item-total correlations. The construct validity was examined by confirmatory factor analysis (CFA) and concurrent validity by Spearman's correlation., Results: We observed high acceptability; only 37 (1%) responses were marked 'does not apply' and only 3 (0.08%) were left blank. Cronbach's alpha and ordinal alpha for the Sp-CARE measure were 0.953 and 0.970, respectively, and all corrected item-total correlations exceeded the accepted cut of 0.30, demonstrating high internal reliability and homogeneity. CFA corroborated the one-factor structure proposed in the original version. The Sp-CARE measure total score was significantly correlated with overall patient satisfaction (Spearman's rho 0.45, P < 0.001)., Conclusion: The results support the reliability and validity of the Sp-CARE measure as a patient-rated empathy measure in the primary care setting., (© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2021
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50. Monitoring winemaking process using tyrosine influence in the excitation-emission matrices of wine.
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Palomino-Vasco M, Acedo-Valenzuela MI, Rodríguez-Cáceres MI, and Mora-Díez N
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- Biogenic Amines chemistry, Spectrometry, Fluorescence, Tyrosine analysis, Tyrosine chemistry, Wine analysis
- Abstract
Wine samples collected during the winemaking process have been analyzed employing a previously optimized UHPLC-FD method, determining their biogenic amines and amino acids profile. The results obtained have been submitted to a statistical analysis from which it was extracted that the most influential analyte was tyrosine. Thanks to its fluorescence, a method for its determination by excitation-emission matrices has been proposed. The accuracy of the method has been checked by means of Elliptical Joint Confidence Region test. The winemaking process has been monitored with this method, obtaining a faster and cheaper way to follow the process., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
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- 2021
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