Background and Aims Diabetic Kidney Disease (DKD) is the most common cause of end-stage chronic kidney disease (CKD), conditioning these patients to a worse renal prognosis and higher cardiovascular mortality and/or requirement for renal replacement therapy. The use of novel information and communication technologies (ICTs) focused on the field of health, may facilitates a better quality of life and disease control in these patients. Our objective is to evaluate the effect of monitoring DKD patients using NORA-app. Method Prospective feasibility/validation study of NORA-app in patients with DKD stage G3bA3 or higher, followed in outpatient clinics of a tertiary care hospital. NORA-app is an application for smartphones designed to control risk factors, share educational medical information, communicate via chat with health professionals, increase treatment compliance (Morisky-Green), and collect patient reported outcomes such as anxiety and depression using HADs scale. Clinical-laboratory variables were collected at 3 months and compared to control patients who declined using NORA-app. Results From 01/01/2021 to 03/03/2022 the use of NORA-app was offered to 118 patients, 82 accepted and 36 declined (controls). After a mean follow-up period of 6,04 months and at the time of data extraction 71(86.6%) NORA-app patients remain active users, 2 have completed the follow-up at one year and 9 are inactive (3 due to death and 6 due to non-locatable). There were no differences in baseline characteristics including Creatinine [2.1 (1.6-2.4) vs. 1.9 (1.5-2.5)] mg/dL and alb/creat [962 (475-1784) vs. 1036 (560-2183)] mg/gr between Nora and control patients respectively. The therapeutic compliance rate in the NORA-app group was 77%, improving at 90 days to 91%. Patients in the NORA-group showed significantly lower levels of alb/creat than controls (768(411-1971) mg/g Vs 2039 (974-3214) p = 0.047) at 90-day follow-up. Conclusions In patients with DKD the use of NORA-app was maintained in the long-term, leading to high levels of treatment compliance, and achieving a better disease control. Our study suggests that the generalized use of ICTs may help in the personalized monitoring of these patients to delay the progression of kidney disease.
A pesar de que en los últimos tiempos han tenido lugar avances considerables en la paridad y en la representación de las mujeres en las industrias culturales, todavía existen sectores de este ámbito, en concreto el sector artístico, donde persiste la subrepresentación de los bienes producidos por mujeres. El objetivo principal de este artículo es investigar la persistencia de este sesgo en los principales espacios de legitimación de los bienes artísticos como son los museos, instituciones y centros culturales que programan arte contemporáneo en los últimos diez años. Para ello, se ha procedido metodológicamente a realizar un análisis cuantitativo sobre la tasa de mujeres que exponen su obra artística, la tasa de mujeres comisarias y la de puestos de dirección y gestión, tomando como caso de estudio las principales instituciones artísticas de la ciudad de Alicante desde 2011 a 2021. Como resultado del presente trabajo, cabe mencionar, una ligera mejora hacia la presencia equilibrada de mujeres y hombres en las exposiciones de arte analizadas en el periodo estudiado.
Cartography is a manifestation of visual culture. In the beginning of the 21st century, the technology that provides access to digital maps allowing them to be associated with all types of data, has opened up innumerable possibilities, contributing a new reference framework to architectural culture. This article presents the project of a digital platform, Interactive Atlas | Visual Register of Urban Architecture | Latin America 1940-1970, in which the map is its central element. Its aim is to visually articulate a collection of photographic materials of exceptional quality linked to a digital mapping base. A compendium that brings together architectural works relevant for their urban insertion in the cities of Latin America, from the 1940s to the 1970s, while discovering the legacy of a number of photographers from the mid-twentieth that historiography has related until now.
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