Search Results (106,632)

Introduction: With the emergence of the expert patient and the expansion of health literacy, the importance of planning and building health technologies aimed at teaching and training health professionals, especially nurses, due to their activities with patients in Primary Health Care, with the aim of meeting the real and constant demands of the expert patient, is evident. Methods: Methodological study with a quantitative approach. The course was constructed based on a scope review, scientific reference, and observational visits during the months of September 2021 and August 2022. For validation, an organized electronic form was used with general information about the research and items of the course constructed for later evaluation by the judges with the three-point Likert scale and with the application of the Delphi Technique between the months of September and October 2022; for the agreement of the judges, the Content Validation Coefficient > 0.8 was considered. Results: Based on the content selected in the scope review, the reference contribution, and the observational visits, the course was constructed. Nine judges participated in the validation stage in Delphi I with a total Content Validation Coefficient above 0.90 and with some suggestions for modifications and improvements pointed out by them. In Delphi II, six judges evaluated the course, resulting in a total Content Validation Coefficient of 0.99. Conclusions: The course developed was considered valid to support the training of Primary Health Care nurses in the formation of the expert patient, with a view to promoting patient autonomy in self-care management, optimizing Primary Health Care, and reducing unnecessary hospital admissions. Full article

This article presents a case of strategic and participatory institutional innovation in higher education, focused on developing teacher digital competence (TDC) as a key enabler of sustainable digital transformation. In response to the post-pandemic challenges faced by the National University of Cuyo (UNCuyo), a large and multi-campus public university in Argentina, the European CUTE methodology was adapted and implemented to align professional development with institutional planning. Grounded in the DigCompEdu framework, this action-oriented process moved beyond individual initiatives to create a coordinated, multi-level strategy involving educators, department leaders, and university authorities. Through a research-based design that included context analysis, participatory diagnosis, and co-designed interventions, the project built a shared understanding of digital teaching needs and institutional readiness. The implementation highlights how locally adapted frameworks, collaborative structures, and iterative decision-making can drive meaningful change across a complex university system. This case contributes to the international conversation on how higher education institutions can operationalize innovation at scale by investing in teacher competence, inclusive processes, and strategic alignment. Lessons learned from this experience are relevant for universities seeking to build institutional capacity for digital transformation in diverse educational contexts with potential downstream benefits for student learning and inclusion. Full article

This article examines the significant contributions of Helga de Alvear as a gallerist, collector, and patron, a pivotal figure in the evolution of the Spanish and international contemporary art market. Her legacy is particularly notable through the establishment of the Helga de Alvear Museum in the city of Cáceres, intended to share her vast collection of over 3000 works and foster exhibition, research, conservation, and education. The study analyzes her art collection, highlighting its substantial international minimalist art component, contextualizing its development with her personal and professional journey. Furthermore, it explores the institutionalization of her legacy, from the Helga de Alvear Foundation to the creation and evolution of the museum, its innovative architecture and museography, and its impact on Cáceres’s urban landscape. Full article

Medieval Islamic bustān gardens in the western Mediterranean played a crucial role in preserving and enriching rose diversity through the cultivation of species from the eastern Mediterranean and western Asia. These gardens, particularly in Al-Andalus, maintained distinctive rose varieties characterized by diverse flower morphology—ranging from white to deep crimson and near-black hues, including various yellow shades—and complex fragrance profiles with multiple olfactory nuances. The botanical heritage from these medieval Islamic gardens demonstrates remarkable persistence, with several of these cultivated rose species still found today in abandoned cortijos and aldeas throughout the mountains of eastern Spain. This study examines the transmission of rose culture through medieval Islamic bustān gardens, analyzing how these gardens served as repositories for ancient cultivars while introducing new varieties from eastern regions. Through examination of historical texts, iconographic evidence, and field documentation of surviving populations, we trace the continuity of medieval Islamic rose cultivation practices and their lasting impact on the rural landscape of eastern Spain. Flower scent is prominent as the leading factor determining preferences for medieval heritage rose cultivars, together with color and shape. The survival of these roses in abandoned settlements provides unique insight into the durability of medieval horticultural systems and the adaptation of cultivated species to semi-wild conditions over centuries. Full article

The precipitation of minerals, in particular carbonates, is a widespread phenomenon in all ecosystems, where it assumes a high relevance both from a geological and biogeochemical standpoint. Most carbonate rocks are of biological origin and made in an aquatic environment. In particular, bioprecipitation of carbonates is believed to have started in the Mesoproterozoic Era, thanks to a process often driven by photosynthetic microorganisms. Nevertheless, an important contribution to carbonate precipitation is also due to the metabolic activity of heterotrophic bacteria, which is not restricted to specific taxonomic groups or to specific environments, making this process a ubiquitous phenomenon. In this framework, the relationship between carbonatogenic microorganisms and other living organisms assumes a particular interest. This study aims to isolate and identify the culturable heterotrophic bacterial component associated with the coenosarc of Corallium rubrum in order to evaluate the occurrence of strains able to precipitate carbonates. In particular, the study was focused on the identification and characterisation of bacterial strains isolated from a coral coenosarc showing a high carbonatogenic capacity under laboratory conditions. Samples of C. rubrum were taken in the coastal waters of three Italian regions. The concentration of the aerobic heterotrophic microflora colonising C. rubrum coenosarc samples spanned from 3 to 6∙10⁶ CFU/cm². This variation in microbial populations colonising the C. rubrum coenosarc, spanning over 6 orders of magnitude, is not mirrored by a corresponding variability in the colony morphotypes recorded, with the mean being 5.1 (±2.1 sd). Among these bacteria, the carbonatogenic predominant species was Staphylococcus equorum (93% of the isolates), whereas Staphylococcus xylosus and Shewanella sp. accounted only for 3% of isolates each. All these strains showed a remarkable capacity of precipitating calcium carbonate, in the form of calcite crystals organised radially as well crystalised spherulites (S. equorum) or coalescing spherulites (Shewanella sp.). S. xylosus only produced amorphous precipitates of calcium carbonate. All bacterial strains identified were positive both for the production of urease and carbon anhydrase in vitro at 30 °C. It seems that they potentially possess the major biochemical abilities conducive to Ca²⁺ precipitation, as they showed in vitro. In addition, all our carbonatogenic isolates were able to hydrolyse the phytic acid calcium salt and then were potentially able to induce precipitation of calcium phosphates also through such a mechanism. Full article

Obstructive sleep apnea (OSA), characterized by intermittent hypoxia (IH), is strongly associated with metabolic syndrome and metabolic dysfunction-associated steatotic liver disease (MASLD). IH exacerbates MASLD progression through oxidative stress, inflammation, and lipid accumulation. This study aims to investigate the impact of oxygen normalization on metabolic dysfunction in OSA patients using continuous positive airway pressure (CPAP) therapy, and in mice exposed to IH followed by a reoxygenation period. In the clinical study, 76 participants (44 OSA patients and 32 controls) were analyzed. OSA patients had higher insulin resistance, triglycerides, very low density lipoprotein (VLDL) content, and liver enzyme levels, along with a higher prevalence of liver steatosis. After 18 months of CPAP therapy, OSA patients showed significant improvements in insulin resistance, lipid profiles (total cholesterol and VLDL), liver function markers (AST and albumin), and steatosis risk scores (Fatty Liver Index and OWLiver test). In the experimental study, IH induced hepatic lipid accumulation, oxidative stress, and inflammation, and reoxygenation reversed these deleterious effects in mice. At the molecular level, IH downregulated fatty acid oxidation (FAO)-related genes, thus impairing the FAO process. Reoxygenation maintained elevated levels of lipogenic genes but restored FAO gene expression and activity, suggesting enhanced lipid clearance despite ongoing lipogenesis. Indeed, serum β hydroxybutyrate, a key marker of hepatic FAO in patients, was impaired in OSA patients but normalized after CPAP therapy, supporting improved FAO function. CPAP therapy improves lipid profiles, liver function, and MASLD progression in OSA patients. Experimental findings highlight the therapeutic potential of oxygen normalization in reversing IH-induced liver damage by FAO pathway restoration, indicating a metabolic reprogramming in the liver. Full article

The use of remote sensing technologies for mapping forest fires has experienced significant growth in recent decades, driven by advancements in remote sensors, processing platforms, and artificial intelligence algorithms. This study presents a review of 192 scientific articles published between 1990 and 2024, selected using PRISMA criteria from the Scopus database. Trends in the use of active and passive sensors, spectral indices, software, and processing platforms as well as machine learning and deep learning approaches are analyzed. Bibliometric analysis reveals a concentration of publications in Northern Hemisphere countries such as the United States, Spain, and China as well as in Brazil in the Southern Hemisphere, with sustained growth since 2015. Additionally, the publishers, journals, and authors with the highest scientific output are identified. The normalized burn ratio (NBR) and the normalized difference vegetation index (NDVI) were the most frequently used indices in fire mapping, while random forest (RF) and convolutional neural networks (CNN) were prominent among the applied algorithms. Finally, the main technological and methodological limitations as well as emerging opportunities to enhance fire detection, monitoring, and prediction in various regions are discussed. This review provides a foundation for future research in remote sensing applied to fire management. Full article

Background/Objectives: This study investigates the potential of Anisakis sp. as a novel source of α-Gal (Galα1-3Galβ1-4GlcNAc-R) epitopes capable of inducing allergic sensitization in humans. While α-Gal is classically associated with delayed IgE-mediated hypersensitivity following tick bites, emerging evidence suggests that parasitic helminths such as Anisakis sp. may also express α-Gal-containing glycoconjugates, offering an alternative sensitization pathway. Methods: Protein extracts from Anisakis sp. third-stage larvae and mammalian tissues (beef, pork) were analyzed by SDS-PAGE and Western blot using a monoclonal anti-α-Gal antibody (clone M86), and α-Gal epitopes were detected by ELISA. Sera from urticaria patients, stratified by Anisakis sp. sensitization status, were evaluated for anti-α-Gal IgG, IgE, and IgG4 antibodies. Inhibition assays assessed cross-reactivity. Results: Results confirmed the presence of α-Gal epitopes on Anisakis sp. proteins, with prominent bands at ~250 kDa and 65 kDa. Urticaria patients sensitized to Anisakis sp. exhibited significantly elevated anti-α-Gal antibody levels compared to controls. Inhibition ELISA demonstrated substantial reduction in antibody binding with Anisakis sp. extracts, indicating shared antigenic determinants with mammalian α-Gal. Conclusions: These findings establish Anisakis sp. as a source of α-Gal-containing glycoproteins capable of eliciting specific antibody responses in humans, highlighting a potential parasitic route for α-Gal sensitization. Full article

Active learning strategies and methodologies place the students at the core of the learning process. The objective is to engage students in their own learning through significant activities that involve active participation. These activities are designed to promote collaboration, reflection, and practical application of the knowledge acquired to develop cognitive, social, and emotional competences. These methodologies are of particular interest in STEM disciplines and vocational education, where practice is a key element in the assimilation of theoretical concepts. In this line, a case study is presented where active methodologies have been applied to two groups of Vocational Education and Training in the area of Computer Science to improve interest and commitment. The present study focuses on two groups of first-year students enrolled in the Web Application Design course, one in the Programming subject and the other in the Markup Language subject. Both groups are heterogeneous, composed of young adults with significantly different backgrounds, skills, and motivation. The teaching–learning process is based on active methodologies, such as Project-Based Learning, Design Thinking, Flipped Classroom, or gamification, which are adapted for different subjects in the field of Computer Science. These methodologies facilitate the experimental design and testing of diverse solutions for programming problems, thereby enhancing students’ motivation and interest, while promoting creativity and reflection. The results show an improvement in the interest and commitment of the students in both groups. Despite the fact that less than 50% of students successfully passed in the initial examination, more than 75% students passed after the second-chance examination. The findings have consistently suggested that the implementation of active methodologies leads to significant enhancements in the proficiency, development, motivation, and self-learning capabilities of students, and that these methodologies make students more aware of their learning process. Full article

Background/Objectives: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have transformed the management of type 2 diabetes mellitus and obesity. However, their sustained effect on delaying gastric emptying raises new challenges in gastrointestinal endoscopy performed under sedation. This narrative review aims to summarize current evidence on the impact of GLP-1 RAs on gastric motility and to propose clinical strategies to mitigate associated procedural risks. Methods: A narrative review was conducted integrating findings from scintigraphy, capsule endoscopy, gastric ultrasound, and existing clinical guidelines. Emphasis was placed on studies reporting residual gastric content (RGC), anesthetic safety outcomes, and procedural feasibility in patients undergoing endoscopy while treated with GLP-1 RAs. Results: GLP-1 RAs significantly increase the prevalence of clinically relevant RGC, despite prolonged fasting, with potential implications for airway protection and sedation safety. Although the risk of pulmonary aspiration remains low (≤0.15%), procedural delays, modifications, or cancellations can occur in up to 30% of cases without adapted protocols. Several professional societies (AGA, ASGE, AASLD) advocate for individualized management based on procedure type, symptomatology, treatment phase, and point-of-care gastric ultrasound (POCUS), in contrast to the systematic discontinuation recommended by the ASA. Conclusions: Effective management requires personalized fasting protocols, risk-based stratification, tailored anesthetic approaches, and interprofessional coordination. We propose a clinical decision algorithm and highlight the need for training in gastrointestinal pharmacology, POCUS, and airway management for endoscopists. Future priorities include prospective validation of clinical algorithms, safety outcome studies, and the development of intersocietal consensus guidelines. Full article

Background/Objectives: The pain associated with invasive procedures is one of the most common experiences in the pediatric population. Its management remains insufficient due to gaps in healthcare training and knowledge. The aim of this study was to analyze the attitudes, beliefs, care practices, and training of healthcare professionals in relation to pediatric pain, through the development and application of the questionnaire ‘Humanisation of Pediatric Care in Pain Management with a Non-Pharmacological Approach (HUPEDCARE-Q)’. Methods: A cross-sectional, observational, and descriptive study with a quantitative approach was conducted to validate a questionnaire. The process was carried out in three phases: (1) design and initial development of the instrument; (2) evaluation of content validity through expert judgment, using the Content Validity Coefficient (CVC); (3) administration of the questionnaire to a large sample of healthcare professionals to assess its internal consistency and psychometric structure. Results: The evaluation involved five experts, and the items were assessed using the Content Validity Coefficient (CVC), with the overall CVC of the questionnaire exceeding 0.80. The average item scores given by the experts ranged from 0.88 to 0.95, indicating a high level of agreement in their evaluations. The results showed statistically significant positive correlations among most items (p < 0.001), indicating adequate internal consistency. Conclusions: The content validation and pilot study confirmed the theoretical relevance and appropriateness of the HUPEDCARE-Q questionnaire items in the Spanish context. The results support its usefulness as a valid and reliable tool to identify attitudes, beliefs, knowledge, and training needs in the humanized management of pediatric pain. Full article

The increasing shortage of drinking water, driven by reduced rainfall and the intensification of industrial and agricultural activities, has raised justified concerns about the quantity and quality of available water resources. These sectors not only demand high water consumption but also discharge large amounts of toxic substances such as organic matter, metal ions and inorganic anions, posing risks to both public health and the environment. This study evaluated the effectiveness of clay-based nanomaterials in the treatment of contaminated industrial wastewater from the mining sector. The materials tested included montmorillonite, high-loading expandable synthetic mica, and their organically functionalized forms (MMT, Mica-Na-4, C18-MMT, and C18-Mica-4). The experimental results show that these clays had minimal impact on the pH of the water, while a notable decrease in the chemical oxygen demand (COD) was observed. Ion chromatography indicated an increase in nitrogen and sulfur compounds with higher oxidation states. Inductively coupled plasma analysis revealed a significant reduction in the calcium concentration and an increase in the sodium concentration, likely due to cation exchange mechanisms. However, the removal of copper and iron was ineffective, possibly due to competitive interactions with other cations in the solution. Fourier transform infrared spectroscopy (FTIR) and X-ray diffraction (XRD) confirmed the structural modifications and interlayer spacing changes in the clay materials upon exposure to contaminated water. These findings demonstrate the potential of clay minerals as effective and low-cost materials for the remediation of industrial wastewater. Full article

Most crops accumulate above-ground biomass (AGB) through photosynthesis, inspiring the development of the Photosynthetic Accumulation Model (PAM) and Simplified PAM (SPAM). Both models estimate AGB based on time-series optical vegetation indices (VIs) and canopy height. To further enhance the model performance and evaluate its applicability across different crop types, an improved PAM model (IPAM) is proposed with three strategies. They are as follows: (i) using numerical integration to reduce reliance on dense observations, ($ii$) introduction of Fibonacci sequence-based structural correction to improve model accuracy, and ($iii$) non-photosynthetic area masking to reduce overestimation. Results from both soybean and cotton demonstrate the strong performance of the PAM-series models. Among them, the proposed IPAM model achieved higher accuracy, with mean $R^2$ and RMSE values of 0.89 and 207 g/m² for soybean and 0.84 and 251 g/m² for cotton, respectively. Among the vegetation indices tested, the recently proposed Near-Infrared Reflectance of vegetation (NIRv) and Kernel-based normalized difference vegetation index (Kndvi) yielded the most accurate results. Both Monte Carlo simulations and theoretical error propagation analyses indicate a maximum deviation percentage of approximately 20% for both crops, which is considered acceptable given the expected inter-annual variation in model transferability. In addition, this paper discusses alternatives to height measurements and evaluates the feasibility of incorporating synthetic aperture radar (SAR) VIs, providing practical insights into the model’s adaptability across diverse data conditions. Full article

Fungi of the genus Trichoderma show strong potential as biological control agents (BCAs) against grapevine trunk diseases (GTDs) through mechanisms like antibiotic metabolite production and lytic enzymes. This study evaluated the biocontrol activity of four native Trichoderma strains—T. gamsii T065 and T071, T. carraovejensis T154, and T. harzianum T214—against Phaeoacremonium minimum, Phaeomoniella chlamydospora, and Diplodia seriata. Culture filtrates obtained at 8, 16, and 24 days post-incubation were tested using antibiogram and mycelial inhibition assays. Strains T071, T154, and T214 effectively inhibited D. seriata, while T154 and T214 also suppressed P. chlamydospora. Nevertheless, the limited effectiveness of all filtrates against P. minimum suggests that antibiosis is not the predominant mechanism involved in its control. These findings highlight the potential of specific Trichoderma strains and incubation times to directly control GTD pathogens and support the development of scalable biocontrol solutions. Full article

This work aims to perform a detailed mineralogical, crystal-chemical, and geochemical characterization of bentonites from the Benavila outcrop, the largest known deposit of bentonites in continental Portugal. Bulk samples and different size fractions were characterized through X-Ray Diffraction (XRD). Structural formulae of the smectites were fitted from point analyses acquired by analytical electron microscopy (AEM) with transmission electron microscopy (TEM). Smectites are the major component with variable amounts of calcite and minor amounts of quartz, feldspar, illite, and chlorite. Occasionally, amphiboles and dolomite have also been identified. The high content of carbonates in different parts of the sampling area is related to the circulation of carbonate-rich fluids. The smectites present high-layer charge, are intermediate terms of the montmorillonite–beidellite series, and also show an intermediate cisvacant–transvacant configuration. Major and trace elements concentrations were determined by ICP-MS. The geochemical analysis of the samples indicates an enrichment in SiO₂ and Al₂O₃ and a depletion of the more clayey materials in REE, HFSE, and Y, among others. The calculation of the PIA and CIA alteration indices, along with other parameters observed, shows the possible alteration pathways of the Benavila deposit. Research to evaluate the ability of these bentonites to be used as engineering barrier systems (EBS) and sealing materials for radioactive waste repositories is ongoing. Full article