Objetivo: Demostrar que el efecto protector contra la Hepatitis B en estudiantes menores de 30 años del área de Ciencias de la Salud susceptibles es similar luego de completar los dos esquemas de vacunación (acortado y convencional) en menor tiempo y con menos dosis. Hipotesis: Los 3 esquemas de dosificación en la vacuna contra la hepatitis B generan anticuerpos por encima de 10 ug/100 ml generando igual efecto de protección. Diseño: Analítico, experimental, longitudinal, prospectivo y de cohortes concurrentes. Material y Métodos: Un total de 100 alumnos de ambos sexos de Tecnología Médica de la Facultad de Medicina de la UNMSM susceptibles fueron enrolados, quedaron para el análisis final, 89 alumnos tomando en cuenta los criterios de inclusión y exclusión de acuerdo al objetivo de estudio. Se administró la vacuna a la dosis de 20 ug del antigeno de superficie en 1 mL, en ...

Disordered crystalline Fe50Mn25+xSn25?x alloys, with x =-1.25, 0.0, 2.5, 5.0, 7.5 (close to the full-Heusler alloys), were arc-melted in a high purity argon atmosphere and the molten pellets were individually sealed in quartz tubes also under argon atmosphere. Subsequently, they were annealed at 1173 K for 4 days, being finally quenched in a bath with cold water. Structural and magnetic properties have systematically been studied using X-ray diffraction,57Fe, and119Sn Mössbauer spectroscopies, and magnetization measurements recorded at room temperature. Rietveld refinement of the X-ray diffraction patterns of the annealed samples with x =-1.25 and 0 has revealed the presence of two hexagonal crystallographic phases: (i) a chemically disordered solid solution identified as ??(Fe/Mn)3Sn (majority fraction) and (ii) the ??Fe5Sn3 intermetallic compound (minority fraction). For samples with ...

Fe 50 Ni 50 alloy powder was prepared by milling the 1:1 stoichiometric mixture of Fe and Ni high purity elements using high energy vibrational ball-mill. Final powdered material was obtained directly after 30 h of milling process and the Rietveld analysis of the X-ray diffraction pattern of the sample reveals the presence of two Fe–Ni phases: the disordered ?–(Fe 45 Ni 55 ) alloy, with 91% of total fraction of the material (Fe–Ni solid solution plus grain boundary regions) and the chemically-ordered FeNi phase (9%), with L1 0 tetragonal structure. Average grain sizes of these Fe–Ni phases are respectively 60 nm and 20 nm. Results of extended X-ray absorption fine structure of Ni and Fe as well as 57 Fe Mössbauer spectroscopy also suggest the presence of atomically ordered FeNi phase. Mössbauer data have also shown that both Fe–Ni phases are magnetically ordered at room tempe...

Funding This project is supported by the Medical Research Council—MRC grant number MR/S024654/1 and by the Fondo Nacional de Desarrollo Científico, Tecnológico y de Innovación Tecnológica—FONDECYT, grant number 033-2019. AJP is funded by the Wellcome Trust (108065/Z/15/Z).

Objective: To assess the impact of antimicrobial stewardship programs (ASPs) in adult medical-surgical intensive care units (MS-ICUs) in Latin America. Design: Quasi-experimental prospective with continuous time series. Setting: The study included 77 MS-ICUs in 9 Latin American countries. Patients: Adult patients admitted to an MS-ICU for at least 24 hours were included in the study.Methods: This multicenter study was conducted over 12 months. To evaluate the ASPs, representatives from all MS-ICUs performed a self-assessment survey (0-100 scale) at the beginning and end of the study. The impact of each ASP was evaluated monthly using the following measures: antimicrobial consumption, appropriateness of antimicrobial treatments, crude mortality, and multidrug-resistant microorganisms in healthcare-associated infections (MDRO-HAIs). Using final stewardship program quality self-assessment s...