Montserrat San-Martín

An Economic Hybrid Analytical Orbit Propagator Program Based on SARIMA Models

We present a new economic hybrid analytical orbit propagator program based on SARIMA models, which approximates to a 4×4 tesseral analytical theory for a Quasi-Spot satellite. The J2 perturbation is described by a first-order closed-form analytical theory, whereas the effects produced by the higher orders of J2 and the perturbation of the rest of zonal and tesseral harmonic coefficients are modelled by SARIMA models. Time series analysis is a useful statistical prediction tool, which allows building a model for making future predictions based on the study of past observations. The combination of the analytical techniques and time series analysis allows an increase in accuracy without significant loss in efficiency of the new propagators, as a consequence of modelling higher-order terms and other perturbations are not taken into account in the analytical theory.

Professionalism and Occupational Well-Being: Similarities and Differences Among Latin American Health Professionals

Context: Empathy, teamwork, and lifelong learning are described as key elements of professionalism. The first recipients of their benefits are professionals themselves. Paradoxically, scarce studies have reported association between professionalism and occupational well-being. The main purpose of this study was to characterize the influence that empathy, teamwork, and lifelong learning, play in the occupational well-being of physicians and nurses working in Latin American healthcare institutions. Materials and Methods: The Jefferson Scale of Empathy, the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration, the Jefferson Scale of Physicians Lifelong Learning, and the Scale of Collateral Effects (somatization, exhaustion, and work alienation), were administered to 522 physicians and nurses working in institutions of Mexico, Colombia, Ecuador, and Argentina. Internal reliability was calculated. Gender and discipline were used as explanatory variables in comparison analysis. Two-way analysis of variance was performed to examine differences due to the main effects of the gender, and discipline, and to determine possible combined effects. Correlation analysis was performed to measure associations between collateral effects and age, and between collateral effects and professionalism. Results: A total of 353 (68%) surveys were returned fully completed. Adequate reliability was confirmed in all instruments. No differences were found among countries for collateral effects. Correlation analysis confirmed in physicians an inverse association between empathy and collateral effects (P = -0.16; p < 0.05), and between collateral effects and lifelong learning (P = -0.18; p < 0.01). In nurses, this association was confirmed only for empathy (P = -0.19; p < 0.05). Important differences in the development of professionalism and in its effects on occupational well-being appeared associated to inter-professional collaboration and work roles. An inverse correlation between age and collateral effects was confirmed in physicians (P = -0.22; p < 0.001) and in nurses (P = -28; p < 0.001). Comparison by gender confirmed higher somatization in women physicians and nurses than in men groups (p < 0.001). On the other hand, comparison by discipline confirmed higher exhaustion and alienation in physicians than in nurses (p < 0.01). Conclusion: The findings support the importance that empathy, teamwork, and lifelong learning have in practitioners’ health and welfare, and the role that cultural behaviors, associated to work professional models and social stereotypes, play in the interaction between professionalism and occupational well-being.

Application of Computational Intelligence in Order to Develop Hybrid Orbit Propagation Methods

We present a new approach in astrodynamics and celestial mechanics fields, called hybrid perturbation theory. A hybrid perturbation theory combines an integrating technique, general perturbation theory or special perturbation theory or semianalytical method, with a forecasting technique, statistical time series model or computational intelligence method. This combination permits an increase in the accuracy of the integrating technique, through the modeling of higher-order terms and other external forces not considered in the integrating technique. In this paper, neural networks have been used as time series forecasters in order to help two economic general perturbation theories describe the motion of an orbiter only perturbed by the Earth’s oblateness.

Prevalence of Bartonella spp. by culture, PCR and serology, in veterinary personnel from Spain

BackgroundThe genus Bartonella includes fastidious, facultative intracellular bacteria mainly transmitted by arthropods and distributed among mammalian reservoirs. Bartonella spp. implicated as etiological agents of zoonoses are increasing. Apart from the classical Bartonella henselae, B. bacilliformis or B. quintana, other species (B. elizabethae, B. rochalimae, B. vinsonii arupensis and B. v. berkhoffii, B. tamiae or B. koehlerae, among others) have also been associated with human and/or animal diseases. Laboratory techniques for diagnosis (culture, PCR assays and serology) usually show lack of sensitivity. Since 2005, a method based on a liquid enrichment Bartonella alphaproteobacteria growth medium (BAPGM) followed by PCRs for the amplification of Bartonella spp. has been developed. We aimed to assess culture, molecular and serological prevalence of Bartonella infections in companion animal veterinary personnel from Spain.MethodsEach of 89 participants completed a questionnaire. Immunofluorescence assays (IFA) using B. vinsonii berkhoffii (genotypes I, II and III), B. henselae, B. quintana and B. koehlerae as antigens were performed. A cut-off of 1:64 was selected as a seroreactivity titer. Blood samples were inoculated into BAPGM and subcultured onto blood agar plates. Bartonella spp. was detected using conventional and quantitative real-time PCR assays and DNA sequencing.ResultsAmong antigens corresponding to six Bartonella spp. or genotypes, the lowest seroreactivity was found against B. quintana (11.2%) and the highest, against B. v. berkhoffii genotype III (56%). A total of 27% of 89 individuals were not seroreactive to any test antigen. Bartonella spp. IFA seroreactivity was not associated with any clinical sign or symptom. DNA from Bartonella spp., including B. henselae (nxa0=xa02), B. v. berkhoffii genotypes I (nxa0=xa01) and III (nxa0=xa02), and B. quintana (nxa0=xa02) was detected in 7/89 veterinary personnel. PCR and DNA sequencing findings were not associated with clinical signs or symptoms. No co-infections were observed. One of the two B. henselae PCR-positive individuals was IFA seronegative to all tested antigens whereas the other one was not B. henselae seroreactive. The remaining PCR-positive individuals were seroreactive to multiple Bartonella spp. antigens.ConclusionsHigh serological and molecular prevalences of exposure to, or infection with, Bartonella spp. were found in companion animal veterinary personnel from Spain. More studies using BAPGM enrichment blood culture and PCR are needed to clarify the finding of Bartonella PCR-positive individuals lacking clinical symptoms.

Human connections and their roles in the occupational well-being of healthcare professionals: a study on loneliness and empathy

Human connections are key to the promotion of health and prevention of illness; moreover, illness can cause deterioration of human connections. Healthcare professional–patient relationships are key to ensuring the preservation of adequate human connections. It is important for healthcare professionals to develop their ability to foster satisfactory human connections because: (i) they represent social support for patients; and (ii) they prevent work-related stress. In this study we assessed the relationship between absence (loneliness) and presence (empathy) of human connections with the occupational well-being of healthcare professionals. The Scale of Collateral Effects, which measures somatization, exhaustion, and work alienation; the Jefferson Scale of Empathy; and the Social and Emotional Loneliness Scale for Adults, were mailed to 628 healthcare professionals working in Spanish public healthcare institutions. The following explanatory variables were used to evaluate work well-being: (a) empathy, as a professional competence; (b) loneliness, age, and family burden, as psychological indicators; and (c) professional experience, work dedication, and salary, as work indicators. Comparison, correlation, and regression analyses were performed to measure the relationships among these variables and occupational well-being. Of 628 surveys mailed, 433 (69% response rate) were returned fully completed. Adequate reliability was confirmed for all instruments. The entire sample was divided into four groups, based on the combined variable, “occupation by sex.” Comparative analyses demonstrated differences among “occupation by sex” groups in collateral effects (p = 0.03) and empathy (p = 0.04), but not loneliness (p = 0.84). Inverse associations between empathy and collateral effects were confirmed for somatization (r = -0.16; p < 0.001), exhaustion (r = -0.14; p = 0.003), and work alienation (r = -0.16; p < 0.001). Furthermore, loneliness was positively associated with collateral effects (r = 0.22; p < 0.001). Neither family burden, nor work dedication to clinics or management activities were associated with the three collateral effects measured. These findings support an important role for empathy in the prevention of work stress in healthcare professionals. They also confirm that loneliness, as a multidimensional and domain specific experience, is detrimental to occupational well-being.

Role of a Semiotics-Based Curriculum in Empathy Enhancement: A Longitudinal Study in Three Dominican Medical Schools

Background: Empathy in the context of patient care is defined as a predominantly cognitive attribute that involves an understanding of the patient’s experiences, concerns, and perspectives, combined with a capacity to communicate this understanding and an intention to help. In medical education, it is recognized that empathy can be improved by interventional approaches. In this sense, a semiotic-based curriculum could be an important didactic tool for improving medical empathy. The main purpose of this study was to determine if in medical schools where a semiotic-based curriculum is offered, the empathetic orientation of medical students improves as a consequence of the acquisition and development of students’ communication skills that are required in clinician–patient encounters. Design: This quasi-experimental study was conducted in three medical schools of the Dominican Republic that offer three different medical curricula: (i) a theoretical and practical semiotic-based curriculum; (ii) a theoretical semiotic-based curriculum; and (iii) a curriculum without semiotic courses. The Jefferson scale of empathy was administered in two different moments to students enrolled in pre-clinical cycles of those institutions. Data was subjected to comparative statistical analysis and logistic regression analysis. Results: The study included 165 students (55 male and 110 female). Comparison analysis showed statistically significant differences in the development of empathy among groups (p < 0.001). Logistic regression confirmed that gender, age, and a semiotic-based curriculum contributed toward the enhancement of empathy. Conclusion: These findings demonstrate the importance of medical semiotics as a didactic teaching method for improving beginners’ empathetic orientation in patients’ care.

Empatía, soledad, desgaste y satisfacción personal en Enfermeras de cuidados paliativos y atención domiciliaria de Chile

INTRODUCTIONnEmpathy has been described as an essential competence of healthcare professionals who are working in palliative care and homecare services. In these services, usually accompanied by a high risk of physical and emotional burnout, empathy can play an important role in the improvement of occupational wellbeing. The aim of this study was to confirm the role of empathy in the prevention of loneliness and burn out, and in the promotion of life satisfaction.nnnMETHODSnIn 2016, an observational study was carried out in Chile with professional nurses who were working in palliative care and homecare services. Empathy with the patients, loneliness, life satisfaction, and burnout were measured using psychometric scales. Correlation analyses were applied to confirm relationships among the elements measured.nnnRESULTSnIn a sample of 64 participants, positive correlations were confirmed between empathy and life satisfaction (P = 0.40; p = 0.003), and between empathy and professional experience (P = 0.29; p = 0.04). On the other hand, inverse correlations were confirmed between empathy and burnout (P = -0.38; p = 0. 01), and between empathy and loneliness (P = -0.41; p = 0.004).nnnCONCLUSIONSnThese findings confirm the important role that empathy plays in the prevention of loneliness and burnout, and in the promotion of life satisfaction. Evidence found suggests that empathetic abilities can be improved by the professional experience.

Hybrid SGP4 orbit propagator

Abstract Two-Line Elements (TLEs) continue to be the sole public source of orbiter observations. The accuracy of TLE propagations through the Simplified General Perturbations-4 (SGP4) software decreases dramatically as the propagation horizon increases, and thus the period of validity of TLEs is very limited. As a result, TLEs are gradually becoming insufficient for the growing demands of Space Situational Awareness (SSA). We propose a technique, based on the hybrid propagation methodology, aimed at extending TLE validity with minimal changes to the current TLE-SGP4 system in a non-intrusive way. It requires that the institution in possession of the osculating elements distributes hybrid TLEs, HTLEs, which encapsulate the standard TLE and the model of its propagation error. The validity extension can be accomplished when the end user processes HTLEs through the hybrid SGP4 propagator, HSGP4, which comprises the standard SGP4 and an error corrector.

Forecasting Satellite Trajectories by Interpolating Hybrid Orbit Propagators.

A hybrid orbit propagator based on the analytical integration of the Kepler problem is designed to determine the future position and velocity of any orbiter, usually an artificial satellite or space debris fragment, in two steps: an initial approximation generated by means of an integration method, followed by a forecast of its error, determined by a prediction technique that models and reproduces the missing dynamics. In this study we analyze the effect of slightly changing the initial conditions for which a hybrid propagator was developed. We explore the possibility of generating a new hybrid propagator from others previously developed for nearby initial conditions. We find that the interpolation of the parameters of the prediction technique, which in this case is an additive Holt-Winters method, yields similarly accurate results to a non-interpolated hybrid propagator when modeling the (J_2) effect in the main problem propagation.

A Note about Certain Arbitrariness in the Solution of the Homological Equation in Deprit’s Method

Deprit’s method has been revisited in order to take advantage of certain arbitrariness arising when the inverse of the Lie operator is applied to obtain the generating function of the Lie transform. This arbitrariness is intrinsic to all perturbation techniques and can be used to demonstrate the equivalence among different perturbation methods, to remove terms from the generating function of the Lie transform, or to eliminate several angles simultaneously in the case of having a degenerate Hamiltonian.