Structural analysis of the future of the coffee industry in the Amazonas region using a MICMAC approach.

Currently there are problems in improving the competitiveness of the coffee industry in Amazonas, in this context the present research seeks to analyze the future behavior of the coffee industry through a structural analysis with MICMAC. For this purpose, 14 coffee guilds of Amazonas were interviewed, followed by an external and internal evaluation and a structural analysis with MICMAC. Subsequently, future events were analyzed and validated by experts. MICMAC identified in the short term the importance of local and regional governments supporting the coffee associations in order to achieve their objectives, such as increasing organic coffee production and expanding the coffee frontier; in the medium term, a coffee research center should be created; and in the long term, studies on the different microclimates should be carried out in order to achieve a high price and international demand. The motricity and dependency study contributed to the generation of eight probable events, of which five events are likely to occur by 2030 and a desirable scenario is the ideal.

Characterization and phylogenetic analysis of the complete plastid genome of Theobroma bicolor (Malvaceae) from Peru.

Theobroma bicolor Bonpl. 1806 is distributed in the Neotropics from southern Mexico to the Peruvian and Brazilian Amazon. High-throughput sequencing of T. bicolor from Peru (KUELAP2926) resulted in the assembly of its complete plastid genome (GenBank accession number OQ557154). The chloroplast genome of T. bicolor is A + T-rich (62.97%), having 160,317 bp in size and containing 130 genes; including a pair of inverted repeat regions (IRs) of 25,462 bp separated by a large single copy region (LSC) of 89,221 bp and a small single copy region (SSC) of 20,172 bp. This plastid genome is similar in length, content, and organization to other members of the genus Theobroma. Phylogenetic analyses of T. bicolor support its sistership to the clade comprising T. cacao and T. grandiflorum. This study may contribute valuable information to the phylogenetic relationships within the genus Theobroma.

Study of the physicochemical characteristics, antimicrobial activity, and in vitro multiplication of wild blackberry species from the Peruvian highlands.

The Peruvian Andes are the natural habitat of several wild blackberry species that are little known and exploited due to the lack of technological and scientific development to support their agricultural potential. In this context, a study was conducted to understand the physicochemical composition, bioactive compounds, antimicrobial activity, and in vitro multiplication of four wild blackberry (Rubus sp.) species from the northern Peruvian highlands. The results indicate that fruits of R. floribundus presented the highest content of total soluble solids (9.58 ± 1.83°Brix) and titratable acidity (1.88 ± 0.07% citric acid). The fruits of R. weberbaueri recorded the highest total phenolic content (415.06 ± 8.69 mg GAE/100 g Ff). The antioxidant capacity determined by the DPPH assay varied significantly among species, with the highest value found in fruits of R. andicola (50.27 ± 0.11 mg TE/100 g Ff). The fruit extracts of R. weberbaueri and R. andicola showed better antimicrobial activity, with Staphylococcus aureus being the most sensitive bacterium. In the in vitro multiplication phase, the results show that BAP (6-Benzylaminopurine) has a significant effect at a dose of 1.5 mg l-1 on shoot number, leaf number, and shoot length. The results may help in the management of genetic resources.

New and noteworthy species of the genus Epidendrum (Orchidaceae, Laeliinae) from the Área de Conservación Privada La Pampa del Burro, Amazonas, Peru.

Fourteen species of the genus Epidendrum, recently collected in the Área de Conservación Privada La Pampa del Burro (ACPPB), five of them new to science (Epidendrumechinatiantherumsp. nov., E.imazaensesp. nov., E.parvireflexilobumsp. nov., E.rosulatumsp. nov., and E.ochrostachyumsp. nov.), are described and illustrated. The other species include a new record for Peru (E.acrobatesii) and four for the department of Amazonas (E.brachyblastum, E.forcipatum, E.mavrodactylon, and E.tridens). Epidendrumenantilobum is here considered a synonym of Epidendrumbrachyblastum. The type locality of Epidendrumcryptorhachis, originally stated as Ecuador, Guayabamba, is corrected to indicate that it refers to the valley of Guayabamba, Rodríguez de Mendoza, Amazonas, Peru. Our results show the need to continue conducting botanical exploration in the ACPPB as a baseline for subsequent studies, including a full inventory of the orchid diversity.

Impact of wild solanaceae rootstocks on morphological and physiological response, yield, and fruit quality of tomato (Solanum lycopersicum L.) grown under deficit irrigation conditions.

It has been established that climate change has a direct impact on water availability, an essential resource for agricultural development. As a result, controlling, mitigating, and adapting to water deficit requires the advancement of research on promising wild flora species. As recent studies have shown, wild relatives of certain cultivars are tolerant to adverse factors, enabling the development of sustainable and resilient agriculture. The present study evaluated the morpho-physiology and productivity of tomato scions grafted on wild Solanaceae (Datura stramonium, Solanum sisymbriifolium, Solanum quitoense, and Cyphomandra betacea) grown under water deficit conditions (100% ETc - high level, 75% ETc - moderate level, 50% ETc - medium level, and 25% ETc - low level). The results showed that tomato plants grafted on Datura stramonium rootstocks performed better morpho-physiologically under deficit irrigation. The improved osmoregulation caused by a higher relative water content (98.49%) allowed the scion to be more tolerant to water stress. In addition, these scions showed high water potential during their phenological stages (vegetative -0.47 MPa, flowering -0.59 MPa, and production -0.64 MPa), as well as improved photosynthetic efficiency. The overall tolerance of the scion resulted in better yield (8.14 kg/plant) with higher number of commercially valuable fruits. The D. stramonium rootstock allowed better management and use of irrigation water, increasing productivity (54.95 kg/m3); that is, it is presented as a species with potential for establishing tomato production areas in scenarios of water scarcity or cultivation under deficit irrigation.

A Rainwater Harvesting and Treatment System for Domestic Use and Human Consumption in Native Communities in Amazonas (NW Peru): Technical and Economic Validation.

The inhabitants of Tunants and Yahuahua face water supply problems in terms of quantity and quality, leading to socio-environmental and health impacts in the areas. The objective of this research, therefore, is to determine the technical and economic feasibility of a proposal for a rainwater harvesting and treatment system for human consumption in the native communities. For the technical feasibility, monthly water demand per family was compared with the amount of water collected in the rainy and dry seasons. In addition, 16 physical, chemical, and microbiological parameters were evaluated at the inlet and outlet of the water system. The economic feasibility was determined by the initial investment and maintenance of the systems; with the benefits, we obtained the net present social value (NPSV), social internal rate of return (SIRR), and cost-effectiveness (CE). Technically, oxygenation and chlorination in the storage tanks allowed for water quality in physical, chemical, and microbiological aspects, according to the D.S. N° 031-2010-SA standard, in all cases. Finally, with an initial investment of S/2,600 and S/70.00 for annual maintenance of the system, it is possible to supply up to six people per family with an average daily consumption of 32.5 L per person. It is suggested that the system be used at scale in the context of native communities in north-eastern Peru.

Emergency severity level-3 patient flow based on point-of-care testing improves patient outcomes.

BACKGROUND: Overcrowding of the Emergency Department is rapidly becoming a global challenge and a major source of concern for emergency physicians. The desire to improve Emergency Department throughput requires novel approaches to patient flow. MATERIALS AND METHODS: We conducted a prospective and cluster-randomized study, to evaluate the impact in patient outcomes of a new patient flow based on Point-of-Care Testing (POCT). A total of 380 Emergency Severity Level-3 patients were enrolled and studied in two different groups, interventional arm (laboratory analyses performed on POCT analyzers implemented in the Emergency Department) or control arm (central laboratory). The primary outcome was the Emergency Department length of stay. Secondary outcome included the time to first medical intervention, the laboratory turnaround time and the time to disposition decision. Readmission within the 7 days after discharge was also calculated. RESULTS: Length of stay significantly decreased by 88.50 min (from 247.00 to 158.50), time to disposition decision by 89.00 min (from 192.00 to 103.00) and laboratory turnaround time by 67.11 min (from 89.84 to 22.73) in the POCT group. No increase in readmission was found. CONCLUSION: Our strategy based on POCT represents a good approach to optimize patient flow in the Emergency Department and it should be seen as a starting point for further studies focusing on improving throughput.

Three new species of Trichoderma in the Harzianum and Longibrachiatum lineages from Peruvian cacao crop soils based on an integrative approach.

The hyperdiverse genus Trichoderma is one of most useful groups of microbes for a number of human activities, and their accurate identification is crucial. The structural simplicity and lack of distinctive phenotypic variation in this group enable the use of DNA-based species delimitation methods in combination with phylogenies (and morphology when feasible) to establish well-supported boundaries among species. Our study employed a multilocus phylogeny and four DNA-based methods (automated barcode gap discovery [ABGD], statistical parsimony [SPN], generalized mixed Yule coalescent [GMYC], and Bayesian phylogenetics and phylogeography [BPP]) for four molecular markers (acl1, act, rpb2, and tef1) to delimit species of two lineages of Trichoderma. Although incongruence among these methods was observed in our analyses, the genetic distance (ABGD) and coalescence (BPP) methods and the multilocus phylogeny strongly supported and confirmed recognition of 108 and 39 different species in the Harzianum and Longibrachiatum lineages, including three new species associated with cacao farms in northern Peru, namely, T.awajun, sp. nov., T.jaklitschii, sp. nov., and T.peruvianum, sp. nov. Morphological distinctions between the new species and their close relatives are primarily related to growth rates, colony appearance, and size of phialides and conidia. This study confirmed that an integrative approach (DNA-based methods, multilocus phylogeny, and phenotype) is more likely to reliably verify supported species boundaries in Trichoderma.

An integrative approach reveals five new species of highland papayas (Caricaceae, Vasconcellea) from northern Peru.

The assignment of accurate species names is crucial, especially for those with confirmed agronomic potential such as highland papayas. The use of additional methodologies and data sets is recommended to establish well-supported boundaries among species of Vasconcellea. Accordingly, six chloroplast (trnL-trnF, rpl20-rps12, psbA-trnH intergenic spacers, matK and rbcL genes) and nuclear (ITS) markers were used to delimit species in the genus Vasconcellea using phylogeny and four DNA-based methods. Our results demonstrated congruence among different methodologies applied in this integrative study (i.e., morphology, multilocus phylogeny, genetic distance, coalescence methods). Genetic distance (ABGD, SPN), a coalescence method (BPP), and the multilocus phylogeny supported 22-25 different species of Vasconcellea, including the following five new species from northern Peru: V. badilloi sp. nov., V. carvalhoae sp. nov., V. chachapoyensis sp. nov., V. pentalobis sp. nov., and V. peruviensis sp. nov. Genetic markers that gave better resolution for distinguishing species were ITS and trnL-trnF. Phylogenetic diversity and DNA-species delimitation methods could be used to discover taxa within traditionally defined species.

Predictive Modelling of Current and Future Potential Distribution of the Spectacled Bear (Tremarctos ornatus) in Amazonas, Northeast Peru.

The spectacled, or Andean, bear (Tremarctos ornatus) is classified as vulnerable by the IUCN due to climate change and human-induced habitat fragmentation. There is an urgent need for the conservation of spectacled bear at real time. However, the lack of knowledge about the distribution of this species is considered as one of the major limitations for decision-making and sustainable conservation. In this study, 92 geo-referenced records of the spectacled bear, 12 environmental variables and the MaxEnt entropy modelling have been used for predictive modelling for the current and future (2050 and 2070) potential distribution of the spectacled bear in Amazonas, northeastern Peru. The areas of "high", "moderate" and "low" potential habitat under current conditions cover 1.99% (836.22 km2), 14.46% (6081.88 km2) and 20.73% (8718.98 km2) of the Amazon, respectively. "High" potential habitat will increase under all climate change scenarios, while "moderate" and "low" potential habitat, as well as total habitat, will decrease over the time. The "moderate", "low" and total potential habitat are distributed mainly in Yunga montane forest, combined grasslands/rangelands and secondary vegetation and Yunga altimontane (rain) forest, while "high" potential habitat is also concentrated in the Jalca. The overall outcome showed that the most of the important habitats of the spectacled bear are not part of the protected natural areas of Amazonas, under current as well as under future scenarios.

Booktrailer y lectura en la formación inicial del maestro: un estudio de caso / Booktrailer and reading in the initial teacher training: a case study / Booktrailer e leitura na formação inicial de professores. Um estudo de caso

Resumen Introducción: el booktrailer está convirtiéndose en un recurso digital importante para promocionar la lectura entre los estudiantes y, por ende, para el fomento lector. Dentro de este panorama, los futuros maestros deben tener una formación no solo en las áreas específicas de la didáctica, sino también en el ámbito tecnológico para poder utilizarlas; es decir, es importante en la formación inicial del maestro. Objetivo: analizar las oportunidades que nos ofrece el booktrailer y las creencias de los futuros maestros. Materiales y métodos: para realizar esta investigación se decidió escoger un estudio de caso cuya muestra son los estudiantes de la asignatura Competencia Comunicativa del curriculum integrado de la Universidad de Cádiz. En este sentido, se utilizaron cuestionarios, diario de campo, entrevistas y matriz DAFO. Resultados: se consideró que el booktrailer presenta un potencial educativo y, por consiguiente, es necesario incluirlo en las aulas. Conclusiones: con todo lo anterior se consideró que la lectura se puede fomentar y promocionar a través el booktrailer.

Abstract Introduction: the booktrailer is becoming an important digital resource to promote reading among students and thus encourage reading. Within this panorama, future teachers must have an academic background not only in specific areas of didactics, but also in the field of technology in order to be able to use them; that is, it is important in the initial training of the teacher. Objective: to analyse the opportunities offered by the booktrailer and the beliefs of future teachers. Materials and methods: to carry out this research, we decided to choose a case study which sample is the students of the subject Communicative Competence of the integrated Curriculum of the University of Cadiz. In this context, questionnaires, field diary, interviews and SWOT matrix were used. Results: the booktrailer was considered to have an educational potential and, therefore, it is necessary to include it in the classrooms. Conclusions: with all the above, it was considered that reading can be encouraged and promoted through the booktrailer.

Resumo Introdução: o booktrailer está se tornando um importante recurso digital para promover a leitura entre os alunos e, portanto, para a promoção da leitura. Dentro desse panorama, os futuros professores devem ter treinamento não apenas em áreas específicas do ensino, mas também no campo tecnológico para poder usá-los; isto é, é importante na formação inicial do professor. Objetivo: analisar as oportunidades oferecidas pelo booktrailer e as crenças dos futuros professores. Métodos e Materiais: para a realização desta pesquisa, optou-se por escolher um estudo de caso, cuja amostra são os alunos da Competência em Comunicação do currículo integrado da Universidade de Cádiz. Nesse sentido, foram utilizados questionários, diário de campo, entrevistas e matriz SWOT. Resultados: o booktrailer foi considerado com potencial educacional e, portanto, é necessário incluí-lo na sala de aula. Conclusões: com todas as considerações acima, considerou-se que a leitura pode ser promovida e promovida através do booktrailer.

Phylogeny and species delimitations in the entomopathogenic genus Beauveria (Hypocreales, Ascomycota), including the description of B. peruviensis sp. nov.

The genus Beauveria is considered a cosmopolitan anamorphic and teleomorphic genus of soilborne necrotrophic arthropod-pathogenic fungi that includes ecologically and economically important species. Species identification in Beauveria is difficult because of its structural simplicity and the lack of distinctive phenotypic variation. Therefore, the use of multi-locus sequence data is essential to establish robust species boundaries in addition to DNA-based species delimitation methods using genetic distance, coalescent, and genealogical concordance approaches (polyphasic approaches). In this regard, our study used multilocus phylogeny and five DNA-based methods to delimit species in Beauveria using three molecular makers. These polyphasic analyses allowed for the delimitation of 20-28 species in Beauveria, confirming cryptic diversity in five species (i.e. B. amorpha, B. bassiana, B. diapheromeriphila, and B. pseudobassiana) and supporting the description of B. peruviensis as a new taxon from northeastern Peru. The other five species were not evaluated as they did not have enough data (i.e. B. araneola, B. gryllotalpidicola, B. loeiensis, B. medogensis, and B. rudraprayagi). Our results demonstrate that the congruence among different methods in a polyphasic approach (e.g. genetic distance and coalescence methods) is more likely to show reliably supported species boundaries. Among the methods applied in this study, genetic distance, coalescent approaches, and multilocus phylogeny are crucial when establishing species boundaries in Beauveria.

Pupil size and search performance in low and high perceptual load.

The ability to focus on a task while disregarding irrelevant information is an example of selective attention. The perceptual-load hypothesis argues that the occurrence of early or late selection mechanisms is determined by task-relevant perceptual load. Additionally, evidence shows that pupil size serves as proxy of locus coeruleus-norepinephrine (LC-NE) activity, a system associated with cognitive and attentional mediation. Here, we assessed pupil baseline (and pupil dilation) as predictors of load-related early and late selection performance. Participants were asked to search for a target in conditions of high and low perceptual load, while ignoring irrelevant stimuli. The results showed that pupil baseline size, measured prior trial onset, significantly predicted the upcoming search efficiency only in low perceptual load, when-according to the perceptual-load hypothesis-all perceptual information receives attentional resources. In addition, pupil dilation was linked to the time course of perceptual processing and predicted response times in both perceptual load conditions, an association that was enhanced in high load. Thus, this study relates attentional selection mechanisms, as defined by the perceptual-load theory, with pupil-related LC-NE activity. Because pupil baseline predicted attentional performance in low load but not in high load, this suggests that different attentional mechanisms are involved, one in which the LC-NE system plays a key role (low load) and one in which it is less relevant (high load). This suggests that the degree with which LC-NE influences behavioral performance is related to the perceptual load of the task at hand.

Analysis of the complete organellar genomes of the economically valuable kelp Lessonia spicata (Lessoniaceae, Phaeophyceae) from Chile.

Lessonia spicata (Suhr) Santelices is the most ecologically and economically important kelp from Pacific South America. Here, we contribute to the bioinformatics and evolutionary systematics of the species by performing high throughput sequencing on L. spicata from Valparaiso, Chile. The L. spicata complete mitogenome is 37,097 base pairs (bp) in length and contains 66 genes (GenBank accession MK965907), the complete plastid genome is 130,305 bp and has 173 genes (accession MK965908), and the data assembled 7,630 bp of the nuclear ribosomal cistron (accession MK965909). The organellar genomes are similar in structure and content to others published from the Laminariales.

The complete mitochondrial genome of the national bird of Peru: Rupicola peruvianus (Aves, Passeriformes, Cotingidae).

Rupicola peruvianus Latham, known as the Andean Cock-of-the-Rock or locally as Tunqui, is distributed in the Andean cloud forests of South America from Venezuela to Bolivia. Here, we contribute to the bioinformatics and evolutionary systematics of the Cotingidae by performing high-throughput sequencing analysis on R. peruvianus from Luya, Amazonas, Peru. The R. peruvianus mitogenome is 17,035 base pairs (bp) in length and contains 37 genes (GenBank accession No. MN602289). The mitogenome is similar in structure and content to published mitogenomes from the neognathid orders Passeriformes and Falconiformes. Phylogenomic analysis of the R. peruvianus mitogenome situates it in a clade with the Pipridae, sister to the Tyrannidae. We anticipate that further mitogenome sequencing of the parvorder Tyrannida will improve the phylogenetic resolution and our understanding of the evolutionary history of this taxon.

Pupil dilation reflects the time course of emotion recognition in human vocalizations.

The processing of emotional signals usually causes an increase in pupil size, and this effect has been largely attributed to autonomic arousal prompted by the stimuli. Additionally, changes in pupil size were associated with decision making during non-emotional perceptual tasks. Therefore, in this study we investigated the relationship between pupil size fluctuations and the process of emotion recognition. Participants heard human nonverbal vocalizations (e.g., laughing, crying) and indicated the emotional state of the speakers as soon as they had identified it. The results showed that during emotion recognition, the time course of pupil response was driven by the decision-making process. In particular, peak pupil dilation betrayed the time of emotional selection. In addition, pupil response revealed properties of the decisions, such as the perceived emotional valence and the confidence in the assessment. Because pupil dilation (under isoluminance conditions) is almost exclusively promoted by norepinephrine (NE) release from the locus coeruleus (LC), the results suggest an important role of the LC-NE system during emotion processing.

Perception survey on the value of the hospital pharmacist at the emergency department / Encuesta de percepción del valor del farmacéutico de hospital en el servicio de urgencias

Objective: To determine the perception and evaluation of the Emergency pharmacist by the medical and nursing staff at the Emergency department. Methods: A multicenter study based on a survey sent to the Spanish Society of Hospital Pharmacists (SEFH) for Emergency pharmacists (EPh) to distribute among the Emergency staff. Descriptive statistics were used, with a 95% confidence interval. Results: 102 (12%) questionnaires were completed by 73 Emergency Physicians (71.6%) and 29 Emergency Nurses (28.4%), out of 835 surveys sent. The most common pharmaceutical activities, and perceived as more relevant for patient safety, were: consultation solution, prescription validation, and medication reconciliation. 63% of respondents supported the prospective review of high-risk medications, while 89% believed that the Pharmacist improves the quality of care. EPh are considered useful for training healthcare staff and patients, and 77% of respondents considered them as an integral member of the team. They would resort more to Pharmacists if they were present at the hospital department. Conclusions: The results show the acceptance of Hospital Pharmacists in the Emergency Department; their functions are known and valued. They are considered an integral member of the team, who will provide safety and improve patient care Medication reconciliation and prescription validation are highlighted because of their relevance in terms of safety. Further studies are needed to assess health outcomes and their economic impact (AU)

Objetivo: Determinar la percepción y valoración del farmacéutico de Urgencias por el personal médico y de enfermería de este servicio. Métodos: Estudio multicéntrico basado en una encuesta que se envió a la SEFH para que los farmacéuticos de Urgencias lo dirigieran al personal de esta unidad. Se aplica una estadística descriptiva con intervalos de confianza del 95%. Resultados: 102 (12%) encuestas cumplimentadas por 73 médicos (71,6%) y 29 enfermeras (28,4%) de Urgencias, de un total de 835 enviadas. Se aprecian como actividades farmacéuticas más comunes y relevantes para la seguridad del paciente: la resolución de consultas, la validación de prescripciones y la conciliación de la medicación. El 63% apoya la validación prospectiva de los medicamentos de alto riesgo. Para el 89% el farmacéutico mejora la calidad de la atención. Lo consideran útil en la formación del personal sanitario y de los pacientes y, para un 77% del total, es parte integral del equipo. Recurren más a él si está presente en el servicio. Conclusiones: Los resultados muestran la aceptación del farmacéutico de hospital en Urgencias; se conocen y valoran sus funciones. Es considerado parte integral del equipo, aporta seguridad y mejora la atención de los pacientes. Se refuerzan la conciliación de la medicación y la validación de las prescripciones por su relevancia en la seguridad. Su visibilidad facilita que recurran a sus servicios, si bien un reciente informe de la SEFH refleja una reducida presencia en las Urgencias hospitalarias. Hacen falta más estudios que valoren los resultados en salud y su repercusión económica (AU)

Perception survey on the value of the hospital pharmacist at the emergency department.

OBJECTIVE: To determine the perception and evaluation of the Emergency pharmacist by the medical and nursing staff at the Emergency department. METHODS: A multicenter study based on a survey sent to the Spanish Society of Hospital Pharmacists (SEFH) for Emergency pharmacists (EPh) to distribute among the Emergency staff. Descriptive statistics were used, with a 95% confidence interval. RESULTS: 102 (12%) questionnaires were completed by 73 Emergency Physicians (71.6%) and 29 Emergency Nurses (28.4%), out of 835 surveys sent. The most common pharmaceutical activities, and perceived as more relevant for patient safety, were: consultation solution, prescription validation, and medication reconciliation. 63% of respondents supported the prospective review of high-risk medications, while 89% believed that the Pharmacist improves the quality of care. EPh are considered useful for training healthcare staff and patients, and 77% of respondents considered them as an integral member of the team. They would resort more to Pharmacists if they were present at the hospital department. CONCLUSIONS: The results show the acceptance of Hospital Pharmacists in the Emergency Department; their functions are known and valued. They are considered an integral member of the team, who will provide safety and improve patient care. Medication reconciliation and prescription validation are highlighted because of their relevance in terms of safety. Further studies are needed to assess health outcomes and their economic impact.

Objetivo: Determinar la percepción y valoración del farmacéutico de Urgencias por el personal médico y de enfermería de este servicio.Métodos: Estudio multicéntrico basado en una encuesta que se envió a la SEFH para que los farmacéuticos de Urgencias lo dirigieran al personal de esta unidad. Se aplica una estadística descriptiva con intervalos de confianza del 95%.Resultados: 102 (12%) encuestas cumplimentadas por 73 médicos (71,6%) y 29 enfermeras (28,4%) de Urgencias, de un total de 835 enviadas. Se aprecian como actividades farmacéuticas más comunes y relevantes para la seguridad del paciente: la resolución de consultas, la validación de prescripciones y la conciliación de la medicación. El 63% apoya la validación prospectiva de los medicamentos de alto riesgo. Para el 89% el farmacéutico mejora la calidad de la atención. Lo consideran útil en la formación del personal sanitario y de los pacientes y, para un 77% del total, es parte integral del equipo. Recurren más a él si está presente en el servicio. Conclusiones: Los resultados muestran la aceptación del farmacéutico de hospital en Urgencias; se conocen y valoran sus funciones. Es considerado parte integral del equipo, aporta seguridad y mejora la atención de los pacientes. Se refuerzan la conciliación de la medicación y la validación de las prescripciones por su relevancia en la seguridad. Su visibilidad facilita que recurran a sus servicios, si bien un reciente informe de la SEFH refleja una reducida presencia en las Urgencias hospitalarias. Hacen falta más estudios que valoren los resultados en salud y su repercusión económica.

Influence of Coactors on Saccadic and Manual Responses.

Two experiments were conducted to investigate the effects of coaction on saccadic and manual responses. Participants performed the experiments either in a solitary condition or in a group of coactors who performed the same tasks at the same time. In Experiment 1, participants completed a pro- and antisaccade task where they were required to make saccades towards (prosaccades) or away (antisaccades) from a peripheral visual stimulus. In Experiment 2, participants performed a visual discrimination task that required both making a saccade towards a peripheral stimulus and making a manual response in reaction to the stimulus's orientation. The results showed that performance of stimulus-driven responses was independent of the social context, while volitionally controlled responses were delayed by the presence of coactors. These findings are in line with studies assessing the effect of attentional load on saccadic control during dual-task paradigms. In particular, antisaccades - but not prosaccades - were influenced by the type of social context. Additionally, the number of coactors present in the group had a moderating effect on both saccadic and manual responses. The results support an attentional view of social influences.

A Pilot Study Using Intratympanic Methylprednisolone for Treatment of Persistent Posterior Canal Benign Paroxysmal Positional Vertigo.

OBJECTIVE: To assess the effect of intratympanic methylprednisolone (ITMP) in posterior canal benign paroxysmal positional vertigo (BPPV) that fails treatment involving repositioning maneuver in a case series. MATERIALS AND METHODS: Nine patients with persistent posterior canal BPPV after 6 or more repositioning maneuvers were treated by ITMP (two weekly doses of 0.3-0.4 mL at 40 mg/mL) before repeating the repositioning procedures. RESULTS: Following ITMP treatment, 7 out of 9 patients were relieved of their symptoms and did not exhibit positional nystagmus after 1 or 2 repositioning maneuvers. The number of positional maneuvers performed before and after ITMP treatment in these 7 patients showed a statistically significant (p=0.016) reduction in the amount of repositioning treatments required. None of the 7 respondent patients showed any relapses during the follow-up period (follow-up range: 11-95 months). CONCLUSION: Administering ITMP before resuming repositioning procedures can be a useful treatment for persistent BPPV of the posterior canal.