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PURPOSE: To validate the Barcelona magnetic resonance imaging predictive model (BCN-MRI PM) in men with pre-biopsy multiparametric MRI (mpMRI) reported with the Prostate Imaging Reporting and Data System (PI-RADS) v2.1, followed by transrectal and transperineal prostate biopsies. MATERIALS AND METHODS: Prospective analysis of 3,264 men with PSA >3.0 ng/mL and/or abnormal digital rectal examination who were referred to ten participant centers in the csPCa early detection program of Catalonia (Spain), between 2021 and 2023. MpMRI was reported with the PI-RADS v2.1, and 2- to 4-core MRI-transrectal ultrasound (TRUS) fusion-targeted biopsy of suspected lesions and/or 12-core systematic biopsy were conducted. 2,295 (70.3%) individuals were referred to six centers for transrectal prostate biopsies, while 969 (39.7%) were referred to four centers for transperineal prostate biopsies. CsPCa was classified whenever the International Society of Urologic Pathology grade group was 2 or higher. RESULTS: CsPCa was detected in 41% of transrectal prostate biopsies and in 45.9% of transperineal prostate biopsies (p < 0.016). Both BCN-MRI PM calibration curves were within the ideal correlation between predicted and observed csPCa. Areas under the curve and 95% confidence intervals were 0.847 (0.830-0.857) and 0.830 (0.823-0.855), respectively (p = 0.346). Specificities corresponding to 95% sensitivity were 37.6 and 36.8%, respectively (p = 0.387). The Net benefit of the BCN-MRI PM was similar with both biopsy methods. CONCLUSIONS: The BCN-MRI PM has been successfully validated when mpMRI was reported with the PI-RADS v2.1 and prostate biopsies were conducted via the transrectal and transperineal route.

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ABSTRACT Purpose: To validate the Barcelona magnetic resonance imaging predictive model (BCN-MRI PM) in men with pre-biopsy multiparametric MRI (mpMRI) reported with the Prostate Imaging Reporting and Data System (PI-RADS) v2.1, followed by transrectal and transperineal prostate biopsies. Materials and Methods: Prospective analysis of 3,264 men with PSA >3.0 ng/mL and/or abnormal digital rectal examination who were referred to ten participant centers in the csPCa early detection program of Catalonia (Spain), between 2021 and 2023. MpMRI was reported with the PI-RADS v2.1, and 2- to 4-core MRI-transrectal ultrasound (TRUS) fusion-targeted biopsy of suspected lesions and/or 12-core systematic biopsy were conducted. 2,295 (70.3%) individuals were referred to six centers for transrectal prostate biopsies, while 969 (39.7%) were referred to four centers for transperineal prostate biopsies. CsPCa was classified whenever the International Society of Urologic Pathology grade group was 2 or higher. Results: CsPCa was detected in 41% of transrectal prostate biopsies and in 45.9% of transperineal prostate biopsies (p <0.016). Both BCN-MRI PM calibration curves were within the ideal correlation between predicted and observed csPCa. Areas under the curve and 95% confidence intervals were 0.847 (0.830-0.857) and 0.830 (0.823-0.855), respectively (p = 0.346). Specificities corresponding to 95% sensitivity were 37.6 and 36.8%, respectively (p = 0.387). The Net benefit of the BCN-MRI PM was similar with both biopsy methods. Conclusions: The BCN-MRI PM has been successfully validated when mpMRI was reported with the PI-RADS v2.1 and prostate biopsies were conducted via the transrectal and transperineal route.

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Abstract Introduction: Inspite of the great advances in dentistry, aging populations imply that there are still significant numbers of edentulous people worldwide. In most cases, implant-assisted prosthetic rehabilitation is the best solution. However, economic issues constrain access to this therapeutic approach, meaning that conventional removable prosthetics continue to be the most frequent treatment. In the removable denture making process, the so-called traditional method has been widely taught and used. It involves taking two impressions: a preliminary one followed by a definitive one (or functional). The simplified method constructs the prosthesis directly from the first impression obtained with a stock tray, without the need of a second impression. Purpose: To review the scientific evidence comparing both methods in terms of patient satisfaction, clinical quality, and masticatory performance and capacity. Results: No advantages have been found in favor of the traditional method regarding the four variables selected. Conclusions: According to the available information, the traditional method of taking impressions for complete removable dental prostheses does not provide significantly superior clinical results when compared to those obtained using the simplified method in terms of clinical quality, patient satisfaction, performance and masticatory capacity.

Resumen Introducción: Pese a los avances de la odontología, el fenómeno del envejecimiento de la población ha generado que la cantidad de personas desdentadas totales aún represente una cifra significativa. Los artificios protésicos implanto-asistidos constituyen, en la mayoría de los casos, la mejor alternativa rehabilitadora. Sin embargo, la variable económica surge como el principal impedimento para que los pacientes accedan a este recurso, y por este motivo, mantienen la prótesis total removible como una opción terapéutica. Para su confección, el método tradicional indica la necesidad de tomar dos impresiones: una preliminar y una definitiva o funcional. El método simplificado, confecciona la prótesis a partir de la primera impresión, obtenida con cubeta de stock. Objetivo: Revisar evidencia científica que compara ambos métodos en cuanto a las variables de: satisfacción del paciente, calidad clínica, rendimiento y capacidad masticatoria. Resultados: No se verifican ventajas a favor del método tradicional en relación a las variables estudiadas. Conclusiones: En concordancia con la información recabada, los resultados clínicos obtenidos mediante el método tradicional de toma de impresiones para prótesis totales no son significativamente superiores a los del método simplificado en relación a calidad clínica, satisfacción del paciente, rendimiento y capacidad masticatoria.

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AIM: To explore the use ofthe Ecological Validity Model as a guiding framework in the provision of a culturally-sensitive assistive technology (AT) intervention for community older people. METHODS: Twenty-seven Hispanic adultsaged 70 years and older, and four individuals with expertisein AT participated in a concurrent nested mixed method study where the quantitative method (content validity ratio exercise) was embedded in the dominant qualitative method (focus groups). RESULTS: Findings informedthe development of the Assistive Technology Life Enhancement Program (ATLEP); an intervention consisting of seven modules addressing AT devices with culturally sensitive elements. CONCLUSIONS: The Ecological Validity Model, as well as, the input from older adults were both effective methodological strategies in tailoring the ATLEP intervention to the needs and circumstances of community-living older people living in Puerto Rico.

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Assistive technologies (AT) are tools that enhance the independence, safety, and quality of life of older people with functional limitations. While AT may extend independence in ageing, there are racial and ethnic disparities in late-life AT use, with lower rates reported among Hispanic older populations. The aim of this study was to identify barriers experienced by Hispanic community-living older adults for using AT. Sixty Hispanic older adults (70 years and older) with functional limitations participated in this study. A descriptive qualitative research design was used guided by the principles of the Human Activity Assistive Technology Model to gain in-depth understanding of participants' perspectives regarding barriers to using AT devices. Individual in-depth semi-structure interviews were conducted, using the Assistive Technology Devices Cards (ATDC) assessment as a prompt to facilitate participants' qualitative responses. Data analysis included descriptive statistics and rigorous thematic content analysis. Lack of AT awareness and information, cost of AT, limited coverage of AT by heath care plans, and perceived complexity of AT were the predominant barriers experienced by the participants. A multi-level approach is required for a better understanding of the barriers for using AT devices. The personal, contextual, and activity-based barriers found in this study can be used to develop culturally sensitive AT interventions to reduce existent disparities in independent living disabilities among older Hispanics.

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Introduction: Inspite of the great advances in dentistry, aging populations imply that there are still significant numbers of edentulous people worldwide. In most cases, implant-assisted prosthetic rehabilitation is the best solution. However, economic issues constrain access to this therapeutic approach, meaning that conventional removable prosthetics continue to be the most frequent treatment. In the removable denture making process, the so-called traditional method has been widely taught and used. It involves taking two impressions: a preliminary one followed by a definitive one (or functional). The simplified method constructs the prosthesis directly from the first impression obtained with a stock tray, without the need of a second impression. Purpose: To review the scientific evidence comparing both methods in terms of patient satisfaction, clinical quality, and masticatory performance and capacity. Results: No advantages have been found in favor of the traditional method regarding the four variables selected. Conclusions: According to the available information, the traditional method of taking impressions for complete removable dental prostheses does not provide significantly superior clinical results when compared to those obtained using the simplified method in terms of clinical quality, patient satisfaction, performance and masticatory capacity.

Introducción: Pese a los avances de la odontología, el fenómeno del envejecimiento de la población ha generado que la cantidad de personas desdentadas totales aún represente una cifra significativa. Los artificios protésicos implanto-asistidos constituyen, en la mayoría de los casos, la mejor alternativa rehabilitadora. Sin embargo, la variable económica surge como el principal impedimento para que los pacientes accedan a este recurso, y por este motivo, mantienen la prótesis total removible como una opción terapéutica. Para su confección, el método tradicional indica la necesidad de tomar dos impresiones: una preliminar y una definitiva o funcional. El método simplificado, confecciona la prótesis a partir de la primera impresión, obtenida con cubeta de stock. Objetivo: Revisar evidencia científica que compara ambos métodos en cuanto a las variables de: satisfacción del paciente, calidad clínica, rendimiento y capacidad masticatoria. Resultados: No se verifican ventajas a favor del método tradicional en relación a las variables estudiadas. Conclusiones: En concordancia con la información recabada, los resultados clínicos obtenidos mediante el método tradicional de toma de impresiones para prótesis totales no son significativamente superiores a los del método simplificado en relación a calidad clínica, satisfacción del paciente, rendimiento y capacidad masticatoria.

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En este trabajo se informa el hallazgo de huevos de Diphyllobothrium sp. en ejemplares de Canis familiaris (perro doméstico) de Puerto Iguazú, una ciudad subtropical de la provincia de Misiones, Argentina. Durante 2013, en el marco de un relevamiento de la fauna parasitológica de los perros de Puerto Iguazú, se detectaron dos casos positivos en la búsqueda de huevos de Diphyllobothrium sp. La materia fecal de los perros fue recolectada en frascos con formol al 10% y procesada mediante las técnicas de sedimentación de Telemann y de flotación de Sheather. Dado que Misiones no forma parte de la zona endémica de difilobotriasis y considerando, además, su ubicación fronteriza, este hallazgo reviste gran importancia para la salud pública. Se señala la necesidad de actualizar el estado de conocimiento sobre el ciclo de vida de estos parásitos identificando el rango de hospederos intermediarios y definitivos, su potencial zoonótico y la situación epidemiológica en áreas no endémicas

This paper reports the first finding of Diphyllobothrium sp. eggs in Canis familiaris (domestic dog) from Puerto Iguazú, a subtropical city of Misiones province, Argentina. In 2013, two positive cases of Diphyllobothrium sp. eggs were detected during an annual parasitological survey of dogs. Dog feces were collected in vials containing 10% formalin and processed using Telemann's sedimentation and Sheather's flotation techniques. The two cases were detected in rural areas of the municipality. Since Misiones is not a part of the endemic area of diphyllobothriasis and given the fact that it is located in the three-border area of Argentina, Brazil and Paraguay, we consider this finding of great importance to public health. We stress the need for updating the current knowledge about the life cycle of these parasites considering the range of intermediate and definitive hosts, their zoonotic potential, and the epidemiological situation in non-endemic areas

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En la actualidad una de las cuestiones más defendidas, es la necesidad de priorizar el perfeccionamiento del desempeño investigativo de los docentes, dadas las características de la sociedad contemporánea y la incidencia que este desempeño puede tener para el cumplimiento efectivo de sus funciones.Objetivo: Determinar el estado inicial de la evaluación del desempeño investigativo de los docentes del área básica de Medicina en la Universidad de Ciencias Médica de Sancti Spíritus.Metodología: Se realizó una investigación con enfoque cualitativo y paradigma integrado. La población estuvo constituida por 77 profesores del área básica, de ellos por muestreo intencional se seleccionaron 31 docentes, que representó el 40 por ciento de la población. Resultados: En la base teórica para la evaluación no se profundiza en el desempeño investigativo de los docentes que posibilite la organización como un proceso sistemático de obtención de datos válidos y fiables que orienten la transformación en función de la mejora y existe insuficiente protagonismo de los docentes en este proceso.Conclusiones: La evaluación del desempeño investigativo de los docentes estudiados, tiene limitaciones que la alejan del estado deseado y limitan su carácter procesal y sistemático(AU)

Actually one of the most defended matters, is the need of priority in the improvement of the researching performance of teachers, due to the characteristic of the contemporaneous society and the incidence that this performance can has for the effective fulfillment of their functions. Objective: To determine the initial state of the evaluation of the searching performance of teachers in the basic medical area in the science medical university in Sancti Spiritus. Methodology: An investigation was done with a quality approach and an integrated paradigm. The population was formed by 77 professors of the basic area, by intentional modeling 31 teachers were selected, which represented the 44 percent of the population. Results: In the theoretical base for theevaluation it was not deepen into the researching performance of teachers to facilitate the organization as a systematic process of getting valid and trustworthy data which gather the transformation in function of the improvement and there is an insufficient protagonist of teachers in this process. Conclusions: The evaluation of the researching performance in the studied teachers, has its limitations which put it far from the stated wished and limitate its systematic and processing character(AU)

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Fundamento: En la actualidad una de las cuestiones más defendidas, es la necesidad de priorizar el perfeccionamiento del desempeño investigativo de los docentes, dadas las características de la sociedad contemporánea y la incidencia que este desempeño puede tener para el cumplimiento efectivo de sus funciones Objetivo: Determinar el estado inicial de la evaluación del desempeño investigativo de los docentes del área básica de Medicina en la Universidad de Ciencias Médica de Sancti Spíritus Metodología: Se realizó una investigación con enfoque cualitativo y paradigma integrado. La población estuvo constituida por 77 profesores del área básica, de ellos por muestreo intencional se seleccionaron 31 docentes, que representó el 40 % de la población. Resultados: En la base teórica para la evaluación no se profundiza en el desempeño investigativo de los docentes que posibilite la organización como un proceso sistemático de obtención de datos válidos y fiables que orienten la transformación en función de la mejora y existe insuficiente protagonismo de los docentes en este proceso Conclusiones: La evaluación del desempeño investigativo de los docentes estudiados, tiene limitaciones que la alejan del estado deseado y limitan su carácter procesal y sistemático.

Background: Actually one of the most defended matters, is the need of priority in the improvement of the researching performance of teachers, due to the characteristic of the contemporaneous society and the incidence that this performance can has for the effective fulfillment of their functions Objective: To determine the initial state of the evaluation of the searching performance of teachers in the basic medical area in the science medical university in Sancti Spiritus. Methodology: An investigation was done with a quality approach and an integrated paradigm. The population was formed by 77 professors of the basic area, by intentional modeling 31 teachers were selected, which represented the 44% of the population. Results: In the theoretical base for the evaluation it was not deepen into the researching performance of teachers to facilitate the organization as a systematic process of getting valid and trustworthy data which gather the transformation in function of the improvement and there is an insufficient protagonist of teachers in this process. Conclusions: The evaluation of the researching performance in the studied teachers, has its limitations which put it far from the stated wished and limitate its systematic and processing character.

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Se señalan las características del CARDIOCID, un sistema de análisis automatizado del electrocardiograma desarrollado en Cuba, del cual existen 2 versiones CARDIOCID-I y CARDIOCID-M. La primera consiste en un electrocardiografo acoplado a una microcomputadora mediante un conversor analógico-digital. El CARDIOCID-M es una versión móvil, autónoma, que utiliza el mismo conjunto de programas que el CARDIOCID-I. Se presentan los resultados preliminares de la evaluación del sistema para lo cual se registraron 412 electrocardiogramas. De 144 trazados normales el CARDIOCID identificó el 94 % y entre 545 anormalidades presentes en los restantes electrocardiogramas, el sistema detectó el 94,6 %. No identificó como normal ninguno de los registros anormales. La sensibilidad y el valor predictivo positivo del sistema fueron superiores al 80 % para la mayor parte de los criterios de diagnóstico representados en la muestra y la especificidad y el valor predictivo negativo estuvieron muy cercanos al 100 % en todos

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Se estudiaron 116 enfermos a los que se les había realizado ultrasonografía por presentar síntomas y signos clínicos sugestivos de una enfermedad aguda del abdomen dependiente de un órgano digestivo o de un absceso intra-abdominal, con el fin de determinar la sensibilidad de este método. En 69 casos se encontraron alteraciones y todos fueron sometidos a tratamiento quirúrgico. Se comprobó la alta sensibilidad del ultrasonido en el diagnóstico de estas enfermedades(AU)

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Se estudiaron 116 enfermos a los que se les había realizado ultrasonografía por presentar síntomas y signos clínicos sugestivos de una enfermedad aguda del abdomen dependiente de un órgano digestivo o de un absceso intra-abdominal, con el fin de determinar la sensibilidad de este método. En 69 casos se encontraron alteraciones y todos fueron sometidos a tratamiento quirúrgico. Se comprobó la alta sensibilidad del ultrasonido en el diagnóstico de estas enfermedades.

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