On the efficiency and sensitivity of a pyramidal classification algorithm

In this paper we propose a Pyramidal Classification Algorithm, which together with an appropriate aggregation index produces an indexed pseudo-hierarchy (in the strict sense) without inversions nor crossings. The computer implementation of the algorithm makes it possible to carry out some simulation tests by Monte Carlo methods in order to study the efficiency and sensitivity of the pyramidal methods of the Maximum, Minimum and UPGMA. The results shown in this paper may help to choose between the three classification methods proposed, in order to obtain the classification that best fits the original structure of the population, provided we have an a priori information concerning this structure.Pyramidal classification methods, aggregation index, pseudo-hierarchy, Robinsonian dissimilarity, Monte Carlo evaluation, overlapping clusters

Treatment with etamsylate reduces haemolactia in lactating dairy cows

This Research Communication describes the efficacy of etamsylate to reduce haemolactia in dairy cows. A dairy cow with haemolactia produces milk that is reddish or pinkish due to the presence of blood. Haemolactia causes economic loss because bloody milk is rejected by the industry and the consumers. A total of 58 dairy cows with haemolactia were included in the study and randomly divided into treated (n = 31) and control (n = 27) groups. Treatment consisted of three consecutive daily doses of etamsylate at 15 mg/kg, delivered intramuscularly. Milk production was recorded daily for 7 d, whether or not blood was detected in milk. The mean number of days with the presence of blood in milk in the treatment group was significantly lower (3·4 d) than in the control group (4·9 d). Treatment with etamsylate did not significantly affect milk yield. In conclusion, treatment with etamsylate reduces the number of days blood is observed in milk and it does not have any negative effect on milk production

Mandibular angle augmentation using customized PEEK implants and guides generated with 3D Planning and Printing: case estudies

Mandibular angle augmentation is a procedure that, despite its obvious aesthetic and reconstructive indications, is not routinely performed, even by experienced surgeons. We present a case series of 10 patients treated with custom-made mandibular or inferior border prostheses for aesthetic concerns and sequelae following trauma or orthognathic surgery. Customized implants were designed with CAD/CAM technology, milled from Polyetheretherketone (PEEK) and 3D-printed implant placement guides were used. Ten patients (6 men and 4 women) were included; median age was 36.5 years (28-45 years). Indications for surgery were aesthetics (5 cases) and postoperative sequelae (4 orthognathic surgery and 1 mentoplasty). No significant early complications occurred, except edema and small bruises. Three patients developed wound dehiscence and prosthesis exposure, which closed spontaneously after 2-3 weeks, except one case that required a slight reduction of the upper edge of the prosthesis. No prostheses required removal. After the initial healing period there were no exposures or any late-onset infections or prosthesis intolerance. The use of customized PEEK prostheses together with tooth-supported guides provides treatment that is safe, easier surgically and more reliable. More experience is needed to define bone beauty standards to achieve the desired aesthetic result

Improving the fertigation of soilless urban vertical agriculture through the combination of struvite and rhizobia inoculation in Phaseolus vulgaris

Altres ajuts: the authors are grateful to the Spanish Ministry of Economy, Industry and Competitiveness (Spain) for the grant awarded to V. Arcas-Pilz (FPI-MINECO 2018) to the National Commission for Scientific and Technological Research (Chile) for the grant awarded to F. Parada (PFCHA-CONICYT 2018 - Folio 72180248); and to Universitat Autònoma de Barcelona for awarding a research scholarship to M. Rufí-Salís (PIF-UAB 2017).Unidad de excelencia María de Maeztu MdM-2015-0552Soilless crop production is a viable way to promote vertical agriculture in urban areas, but relies intensively on the use of mineral fertilizer. Thus, the benefits of fresher, local food and of avoided transportation and packaging associated to reduced food imports could be counteracted by an increase in nutrient-rich wastewater, contributing to freshwater and marine eutrophication. The present study aimed to explore the use of mineral fertilizer substitutes in soilless agriculture. Phaseolus vulgaris (common bean) was fertilized with the combination of slow-releasing fertilizer struvite (a source of N, P, and Mg) that is a by-product of wastewater treatment plants and inoculated with Rhizobium (a N2-fixing soil bacteria). The experiment included three bean production lines: A) 2g/plant of struvite and rhizobium inoculation, B) 5g/plant of struvite and rhizobium inoculation, both irrigated with a Mg, P and N- free nutrient solution, and C) control treatment irrigated with a full nutrient solution and no inoculation. Plant growth, development, yield and nutrient content were determined at 35, 62 and 84 days after transplanting, as well as the biological N2 fixation using the 15N natural abundance method. Treatments A and B resulted in lower total yields per plant than the control C (59.35± 26.4ga plant-1 for A, 74.2±23.0ga plant-1 for B and 147.71± 45.3gb plant-1 for C). For A and B, nodulation and N2 fixation capacity seamed to increase with the initially available struvite, but overtime reached deficient levels of Mg and close to deficient levels of P which could explain the lower yields. Nevertheless, we conclude that the combination of struvite and the N2-fixing bacteria covered N needs of the plant throughout the growth cycle. However, further studies are needed to determine optimal struvite quantities for vertical agriculture systems that can meet P and Mg requirements throughout the lifetime of the plant

Similarities between summer nearshore and inner-shelf plankton communities in the Mediterranean Sea

55 Conference Estuarine Coastal Sciences Association (ECSA 55), Unbounded boundaries and shifting baselines: Estuaries and coastal seas in a rapidly changing world, 6-9 September 2015, LondonIn what degree nearshore plankton communities constitute an independent and distinct assemblage from shelf assemblages is a challenging question. Obvious physical and chemical differences exist among both systems but, also, important exchange and interdependencies are depicted by physical forcing. Clues to answer this question can be inferred by analyzing the degree of similarity between both systems and their respective biological communities. We analyze similarities between samples collected in nearshore and shelf waters in Palma Bay during a sampling period extending from April to September 2014. Strong differences between plankton structure at both sites are interpreted on the basis of physical and chemical variations at each site and on the degree of exchange induced by coastal currents and thermocline erosionPeer Reviewe

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat