يعرض 1 - 10 نتائج من 785 نتيجة بحث عن '"Juan Carlos Martín"', وقت الاستعلام: 0.92s تنقيح النتائج
  1. 1
    دورية أكاديمية

    المصدر: Journal of the World Aquaculture Society, Vol 55, Iss 1, Pp 329-352 (2024)

    الوصف: Abstract The economic impact of skeletal anomalies in aquaculture farming is a significant issue for the industry, as deformed fish are frequently discarded because of their low survival rate and a variety of other disadvantages, including increased costs, consumer distrust of aquaculture products, and ethical concerns. The goal of this article is to propose a method for calculating the direct costs of severe skeletal anomalies in typical Mediterranean seabream and seabass aquaculture hatcheries using a deterministic static model programmed in MATLAB that simulates their annual operation. Our findings suggest that larger hatcheries experience higher direct costs associated with severe skeletal anomalies but have better financial stability and significantly higher expected profits. Mean results indicate that the annual economic losses of severe skeletal anomalies for seabream and seabass Mediterranean aquaculture are 22.88 million euros per year for a scenario of low severe skeletal anomalies, 65.34 million euros per year for a scenario of medium severe skeletal anomalies, and 115.98 million euros per year for a scenario of high severe skeletal anomalies. Furthermore, some options for increasing the financial stability of the hatcheries are to increase the sale price of fingerlings, reduce the feed conversion ratio, and reduce the feed unit cost.

    وصف الملف: electronic resource

  2. 2
    دورية أكاديمية

    المصدر: Health Expectations, Vol 26, Iss 6, Pp 2293-2301 (2023)

    الوصف: Abstract Background Chronic diseases are associated with a range of functional and psychosocial consequences that can adversely affect patients' quality of life (QoL). Haemochromatosis (HC) is a genetically heterogeneous disorder characterized by chronic iron overload that can ultimately lead to multiple organ dysfunction. Clinical diagnosis remains challenging due to the nonspecificity of symptoms and a lack of confirmatory genotyping in a substantial proportion of patients. Illness perception among HC patients has not been extensively investigated, lacking relevant information on how to improve their QoL. Methods We present the results of the first worldwide survey conducted in nearly 1500 HC respondents, in which we collected essential demographic information and identified the aspects that concern HC patients the most. Results Out of all the participants, 45.3% (n = 676) voiced their concern about physical and psychological consequences such as HC‐related arthropathies, which can ultimately affect their social functioning. A similar proportion of patients (n = 635, 42.5%) also consider that better‐informed doctors are key for improved HC disease management. Taking a patient‐centred approach, we expose differences in patients' disease perspective by social and economic influences. Conclusions We identify potential targets to improve patients' health‐related QoL and reflect on strategic measures to foster gender equity in access to health resources. Finally, we make a call for a highly coordinated effort across a range of public policy areas to empower participants in the HC research process and design. Patient or Public Contribution Nearly 1500 patients with hereditary HC responded to an anonymized online survey in which research and clinical priorities were addressed regarding this chronic and rare disease.

    وصف الملف: electronic resource

  3. 3
    دورية أكاديمية

    المصدر: Frontiers in Psychology, Vol 15 (2024)

    الوصف: IntroductionThe health crisis of the last 3 years has revealed the weaknesses of the child and family support system based on the professional use of digital resources in social agencies. This study addresses three aims: to examine the level of professional digital competence; to analyze the user profiles in a variety of digital resources; and to test the impact of level of competences and user profiles on four aspects: professional practice, family satisfaction with the services, child and family wellbeing, and family autonomy in the exercise of the parenting role.MethodsParticipants were 148 practitioners from social agencies who voluntarily responded to an online survey with 47 questions.Results and discussionResults showed that professionals perceive themselves as more competent in areas of information / data management and communication / collaboration than in the creation of digital content, security measures, and technical problem solving. Websites, email, and instant messaging were the sources more frequently used and with higher satisfaction, than structured programs, social networks and multimedia content. Variability in the user profiles showed three clusters: Cluster 1 Social network user (n = 13), Cluster 2 Diversified user (n = 75) and Cluster 3 Communicative instant user (n = 60). Participants in Cluster 2 compared to those in the other clusters were the most proficient on their digital competences and acknowledge the positive impact of digital resources on their professional practice and the psychological and social wellbeing of families. This study points the need for improvement in professionals’ digital competences in some of the measured areas and the user profile of digital resources since both provide benefits on professional practice and family autonomy and wellbeing.

    وصف الملف: electronic resource

  4. 4
    دورية أكاديمية

    المصدر: Revista de Estudios e Investigación en Psicología y Educación, Vol 10, Iss 2 (2023)

    الوصف: El modelo de Desarrollo Positivo en la Adolescencia plantea la necesidad de identificar las competencias que permiten realizar una transición saludable a la vida adulta. Sin embargo, la evaluación de estas competencias sigue siendo un reto. Este estudio analiza las propiedades psicométricas de la Escala de Desarrollo Positivo Adolescente informada por tutores académicos y su valor discriminativo para variables del contexto educativo. Un total de 512 tutores/as académicos u orientadores/as evaluaron a 1050 adolescentes de centros de enseñanza secundaria utilizando este instrumento. El análisis factorial exploratorio y confirmatorio mostró una estructura con cinco factores (Desarrollo Personal y Resiliencia, Desarrollo Cognitivo, Desarrollo Socio-Moral, Autocuidado y Salud y Desarrollo Emocional), con propiedades psicométricas adecuadas. La escala muestra una buena discriminación del rendimiento académico y diagnosticidad para la repetición de curso y riesgo de abandono escolar. Se recomienda esta escala para la evaluación y promoción del Desarrollo Positivo Adolescente por su aplicabilidad en el contexto educativo.

    وصف الملف: electronic resource

  5. 5
    دورية أكاديمية

    المصدر: Revista Latinoamericana de Tecnología Educativa, Vol 22, Iss 2, Pp 83-99 (2023)

    الوصف: Digital leisure has become a useful and motivating didactic tool for student learning, which also contributes to the acquisition of digital skills. The aim of this study is to analyse the access and use of digital technology by university students at the Universidad de San Carlos de Guatemala (USAC), as well as their attitudes towards digital leisure. This study is framed within the quantitative paradigm, with a non-experimental, cross-sectional, descriptive, exploratory, and correlational design. A total of 203 university students (47.5% male; 52.5% female) from USAC between the ages of 17 and 49 (M=23.33; SD=5.55) participated in the study. The results indicate that the most accessed digital devices and services by university students are smartphones (91.8%) and laptops (80.3%). Additionally, 96% of the students have profiles on social networks. Specifically, younger students (17-20 years) are the ones who have the highest usage of digital technology for leisure purposes and show greater enjoyment of these digital activities. This data shows how university students, particularly newly admitted ones, are highly familiar with digital technology and possess a positive attitude towards digital leisure. Thus, teachers can make use of this openness towards technology and include it as a learning tool in the classroom to then promote digital competences and so create a motivating and effective learning environment.

    وصف الملف: electronic resource

  6. 6
    دورية أكاديمية

    المصدر: Mathematics, Vol 12, Iss 6, p 791 (2024)

    الوصف: The study analyses the hidden relationship between transport and ICT use for an extensive sample of 26,500 EU citizens. To that aim, a fuzzy clustering Eco-extended apostle model is applied to both latent variables: interurban transport trips and ICT use. The interurban long-distance trip (LDT) latent variable is measured by four different indicators (long- and medium-distance trips for work and leisure in the past twelve months), and the ICT use is based on a ten-item scale that provides information on different transport modes. The fuzzy Eco-extended apostle model is compared with the classical apostle model, translating the satisfaction and loyalty dimensions to our case. The fuzzy clustering model shows that most EU citizens are similar to the representative citizen who moved and used ICT at very low rates (56.5 and 50.4 per cent, respectively). The classical apostle model shows that the quadrants low LDT–high ICT and low LDT–low ICT are more represented by 38.5 and 35.2 per cent, respectively. However, the Eco-extended apostle model reinforces the results of the quadrant of low LDT–low ICT (40.22%) but softens those obtained in the quadrant of low LDT–high ICT (21.01%). Interesting insights of the effects of gender, age, education, and employment status are discussed.

    وصف الملف: electronic resource

  7. 7
    دورية أكاديمية

    المصدر: Nature Communications, Vol 14, Iss 1, Pp 1-10 (2023)

    مصطلحات موضوعية: Science

    الوصف: Molecular electronics represents an avenue to enrich conventional electronics, but its reproducibility and scalability are still challenging. Here, the authors report the realization of multifunctional hybrid molecular graphene field effect transistors enabling operando spectroscopy and the implementation of optoelectronic logic gates.

    وصف الملف: electronic resource

  8. 8
    دورية أكاديمية

    المصدر: MedUNAB, Vol 25, Iss 3, Pp 359-384 (2022)

    الوصف: Introduction. Managing ventral hernia remains a challenge for surgeons. Repairing it using minimally invasive techniques, such as laparoscopic totally extraperitoneal (eTEP), which allows for a wide dissection of the space to be repaired, faster postoperative recovery, less postoperative pain and shorter hospital stay. The eTEP approach is a novel technique that focus on the uses of the retromuscular space to place prosthetic material and strengthen the abdominal wall. The objective is to describe the short-term results of our initial experience with the eTEP technique in the management of ventral hernias. Methodology. Observational, descriptive, retrospective, study, which included patients with a diagnosis of ventral hernia, undergoing laparoscopic eTEP surgery, between July-2021 and June-2022. Results. Of a total of 21 patients, 61.9% were men. 47.6% were overweight and 52.4% were obese. Average hospital stay: 1.6 days. 66.7% were incisional hernias. The surgical techniques performed were: Rives-Stoppa (71.4%) with associated transversus abdominis muscle release in 28.6%. 19% of the patients presented global complications and only one was severe, requiring surgical reintervention. The presence of clinical seroma was observed in 9.5% and ultrasound in 57.1%. There was no evidence of hematomas, surgical wound infection or cases of hernia recurrence. Discussion and conclusions. The laparoscopic-eTEP Rives-Stoppa approach, associated or not with posterior separation of components, in the management of ventral hernias offers good results with a low incidence of postoperative complications, short hospital stay, low incidence of hernia recurrences, so it could be considered a safe and effective technique in the treatment of ventral hernias. Introducción. El manejo de la hernia ventral sigue siendo un desafío para los cirujanos. Su reparación mediante técnicas mínimamente invasivas, como la totalmente extraperitoneal (eTEP) laparoscópica, permite una amplia disección del espacio a reparar, una recuperación postoperatoria más rápida, menor dolor postoperatorio y estancia hospitalaria. El abordaje eTEP es un enfoque novedoso que utiliza el espacio retromuscular para colocar material protésico y fortalecer la pared abdominal. El objetivo es describir los resultados a corto plazo de nuestra experiencia inicial con la técnica eTEP en el manejo de las hernias ventrales. Metodología. Estudio observacional, descriptivo, retrospectivo, donde se incluyen pacientes con el diagnóstico de hernia ventral, sometidos a cirugía laparoscópicaeTEP, entre julio-2021 y junio-2022. Resultados. De un total de 21 pacientes, el 61.9% fueron hombres. El 47.6% tenían sobrepeso y el 52.4% obesidad. Estancia hospitalaria media: 1.6 días. El 66.7% fueron hernias incisionales. Las técnicas quirúrgicas realizadas fueron: Rives-Stoppa (71.4%) asociándose liberación del músculo transverso en el 28.6%. El 19% de los pacientes presentaron complicaciones globales y solo uno fue grave, requiriendo reintervención quirúrgica. Se observó la presencia de seroma clínico en el 9.5% y ecográfico en 57.1%. No se evidenciaron hematomas, infección de herida quirúrgica ni casos de recidiva herniaria. Discusión y conclusiones. El abordaje laparoscópico eTEP Rives-Stoppa, asociado o no a separación posterior de componentes, en el manejo de las hernias ventrales ofrece buenos resultados asociando una baja incidencia de complicaciones postoperatorias, corta estancia hospitalaria, baja incidencia de recidivas herniarias, por lo que podría considerarse una técnica segura y efectiva en el tratamiento de las hernias ventrales. Introdução. O manejo da hérnia ventral continua sendo um desafio para os cirurgiões. Seu reparo por meio de técnicas minimamente invasivas, como a totalmente extraperitoneal (eTEP) laparoscópica, permite ampla dissecção do espaço a ser reparado, recuperação pós-operatória mais rápida, menor dor pós-operatória e menor tempo de internação. A abordagem eTEP é uma nova abordagem que usa o espaço retromuscular para colocar material protético e fortalecer a parede abdominal. O objetivo é descrever os resultados de curto prazo de nossa experiência inicial com a técnica eTEP no manejo de hérnias ventrais. Metodologia. Estudo observacional, descritivo, retrospectivo, longitudinal, que inclui pacientes com diagnóstico de hérnia ventral, submetidos a cirurgia laparoscópica-eTEP, entre julho-2021 e junho-2022. Resultados. De um total de 21 pacientes, 61.9% eram homens; 47.6% estavam com sobrepeso e 52.4% obesos. Tempo médio de internação: 1.6 dias; 66.7% eran hérnias incisionais. As técnicas cirúrgicas realizadas foram: Rives-Stoppa (71.4%) associada à liberação do músculo transverso em 28.6%. 19% dos pacientes apresentaram complicações globais e apenas um foi grave, necesitando de reintervenção cirúrgica. A presença de seroma clínico foi observada em 9.5% e ultrassonográfica em 57.1%. Não houve evidência de hematoma, infecção de ferida cirúrgica ou casos de recidiva de hérnia. Discussão e conclusões. A abordagem laparoscópica eTEP Rives-Stoppa, associada ou não à separação posterior dos componentes, no manejo das hérnias ventrais oferece bons resultados associando baixa incidência de complicações pós-operatórias, curto tempo de internação, baixa incidência de recidivas de hérnias, pelo que pode ser considerada uma técnica segura e eficaz no tratamento das hérnias ventrais.

    وصف الملف: electronic resource

  9. 9
    دورية أكاديمية
  10. 10
    دورية أكاديمية

    المصدر: Anesthesia and Pain Medicine, Vol 17, Iss 4, Pp 381-385 (2022)

    الوصف: Background Propofol is a short and rapidly acting intravenous anesthetic extensively used for the induction and maintenance of general anesthesia. It is a lipid emulsion that contains soybean oil, purified egg phosphatide, and egg lecithin. Therefore, the package leaflet indicates that its administration is contraindicated in patients allergic to soy, eggs, or peanuts. Our study aimed to determine whether patients with proven food allergies are allergic to propofol. Methods Patients of all ages allergic to soy, eggs, or peanuts who agreed to undergo skin testing for propofol allergies were included. The subjects first underwent a skin test to confirm food allergies. If candidates were negative, they were excluded. If the result was positive, a propofol skin test was performed. Results Sixty-four patients with confirmed food allergies underwent a propofol skin test. Only one was positive in the propofol skin test (1.6%). The patient was allergic to peanuts and soybeans. These results reinforce the idea that there is no justification for avoiding propofol use in these subjects. Conclusions Propofol can be safely administered to patients allergic to soy, eggs, or peanuts. We recommend caution in patients with a history of anaphylaxis after ingestion of the above-mentioned foods.

    وصف الملف: electronic resource