Evaluación formativa mediante el portafolio de 4 promociones de residentes de medicina de familia y comunitaria de la Unidad Docente de Murcia

ObjectiveTo evaluate the performance and quality of the 10 groups of training tasks envisaged in the portfolio training model undertaken by all residents of the Primary Care Teaching Unit in Murcia.DesignA cross-sectional study was conducted on the portfolios provided and completed by all residents in May 2011.ParticipantsAll residents who were in training at that time (131).MethodTen groups of training tasks were established from those recommended by the National Commission for the specialty. The performance of each one in each of the portfolios was evaluated, and the compliance for each training task was calculated. The quality of the performance of each of the tasks was given a score, 0 points (very poor) to 10 points (excellent).ResultsAs regards compliance, the tasks that were most performed were: filling in the Resident book correctly and using the resident skills guide, both with 99.24%, followed by reflection reports on the training visits. All tasks had a compliance rate higher than 67%. The mean percentage of compliance was 86.49%. All tasks obtained an average score greater than 7 (outstanding). The overall mean score was 7,8 points.ConclusionsThe level of perfomance of the tasks set out in the portfolio by the residents was very satisfying. It is necessary to continue working on improving the performance of the portfolio.     

Non-systemic fungal endophytes in Festuca rubra plants infected by Epichloë festucae in subarctic habitats

Epichloë festucae is an endophytic fungus that infects systemically the aerial tissues of the host grass Festuca rubra. This fungus is transmitted vertically from the mother plant to seeds. Hypothetically, the presence of E. festucae could affect the infection of a plant by other fungal species. This could occur if E. festucae metabolites produced in planta interfere negatively with other fungal infections; or alternatively, if the modulation of plant defenses by the endophyte favour further fungal infections. We have analyzed the presence of culturable non-systemic endophytes in plants of F. rubra infected (E+) and not infected (E?) by E. festucae in two subarctic habitats, meadows and riverbanks in Northern Finland. The observed non-systemic endophyte infection frequencies were similar among E+ and E? plants from riverbanks, and E+ plants from meadows. In contrast to these, the infection frequency was significantly lower in E? plants from meadows. This result suggests that the presence of E. festucae is not a main factor determining the presence of non-systemic endophytes in plants. Instead, plant genetic characteristics related to compatibility with E. festucae and other endophytes in the more stable meadow populations might play a role in these fungus–fungus–plant interactions. As a result of the survey, 18 different taxa of non-systemic endophytes were identified in plants of F. rubra. All were ascomycetes except for one basidiomycete. Three endophytic taxa could not be ascribed to a genus, but sequence data indicated that they were conspecific with other unidentified endophytes that have been isolated in cold biomes at different locations.     

When is injury potentially reversible in a lung ischemia–reperfusion model?

ObjectiveTo verify the impact of ischemic time on lung cell viability in an experimental model of lung ischemia–reperfusion (IR) injury and its repercussion on lung performance after reperfusion.MethodsTwenty-four animals were subjected to selective clamping of the left pulmonary artery and divided into four groups (n = 6) according to ischemic time: 15 (IR15), 30 (IR30), 45 (IR45), and 60 min (IR60). All animals were observed for 120 min after reperfusion. The hemodynamics, arterial blood gases measurements, and histologic changes were analyzed. Immunofluorescence assays for caspase 3 and annexin V were performed. Lipid peroxidation was assessed by thiobarbituric acid–reactive substances, and caspase 3 activity was assessed by colorimetric extract.ResultsThe partial pressure of arterial oxygen significantly decreased at the end of the observation period in the IR30, IR45, and IR60 groups (P < 0.05). The final mean arterial pressure significantly decreased in the IR60 group (P < 0.05). We observed a significant increase in caspase 3 activity and caspase 3–positive cells by immunofluorescence in the IR45 group compared with the other groups (P < 0.05). Additionally, there was an increase in necrotic cells assessed by annexin V in the IR60 group. The histologic score did not show differences among the different groups.ConclusionsThe degree of cell damage had a negative impact on lung performance. Sixty minutes of lung ischemia and posterior reperfusion resulted in an increased number of necrotic cells, suggesting that these cells may not be able to reverse the effects of the IR injury because of the lack of viable cells.     

Picture naming and identification in bilingual speakers of Spanish and English with and without aphasia

Background: Equivalent language knowledge is assumed in interpreting assessment results from bilingual speakers with aphasia, regardless of pre‐morbid language experience. Aims: The purpose of this study was to investigate the affect of pre‐morbid language skill, estimated from the performance of 20 neurologically normal bilinguals, on picture identification and naming in four bilingual speakers of Spanish and English with aphasia. Methods & Procedures: Statistical and qualitative analyses of proficiency, language use patterns, literacy, and concentrated language experience were investigated in relation to between‐language differences in picture identification and naming. Outcomes & Results: Three patterns of impairment were identified: higher scores in English consistent with pre‐morbid skill, higher scores in Spanish inconsistent with pre‐morbid skill, and variable performance inconsistent with pre‐morbid skill. Conclusions: Results suggest that interpretation of language impairment in adult bilingual speakers within a given bilingual community must consider expected variability in the proficiency and use of the languages spoken and the differential effects of proficiency on expressive and receptive language performance.