Global palliative care: from need to action

Katherine Sleeman and colleagues report the first worldwide projection of the future global burden of serious health-related suffering. The calculation followed the methods used by the Lancet Commission on Palliative Care and Pain Relief assessing global palliative care need. Combining these methods with WHO’s revised global and regional projections of mortality up to 2060,3 the authors estimate the global burden of serious health-related suffering requiring palliative care by world regions and age groups for 20 health conditions. The vision of the future delivered by this Article is alarming: “By 2060, an estimated 48 million people (47% of all deaths globally) will die each year with serious healthrelated suffering, and 83% of these deaths will occur in low-income and middle-income countries”.1 These numbers indicate that 130000 people worldwide will die every day with serious health-related suffering by 2060, the equivalent to twice the size of a Super Bowl stadium. The real burden of serious health-related suffering is even greater because the authors’ calculations are based on mortality data and do not include the burden of people living with serious health-related suffering who do not die in a given period

Exóstosis cartilaginosas múltiples como causa de compresión medular en un husky de 6 meses

Se describe un raro caso de Exóstosis Cartilaginosas Múltiples en una localización poco frecuente como es la lámina dorsal vertebral, produciendo una mielopatía comprensiva. La paresia posterior progresiva resultante fue tratada con éxito quirúrgicamente mediante una laminectomía. El animal recuperó el estado neurológico normal en el postoperatorio inmediato, manteniéndolo a lo largo de un periodo de seguimiento de un año y medio

TPM implementation and maintenance strategic plan: a case study

Maintenance has assumed an increasing importance in the reorganization of the industrial sector. However, there are several companies where a maintenance strategic plan needs to be implemented. This work was developed in an industrial context, in a company of Clutches and Hydraulic Controls. The focus was the implementation of a strategic plan for maintenance. The methodology chosen was Total Productive Maintenance (TPM) and the cells chosen for implementation were CNC Lathes and CNC Machining Centers. The TPM uses some maintenance activities, whose come from preventive maintenance (PM), and focuses on eliminating efficiency losses. The main problems of the cell equipment were analyzed and eliminated. Through the analysis of maintenance manuals and internal know-how, autonomous maintenance (AM) procedures and preventive maintenance plans have been created to be executed following a given timeframe. At the end of the study, the results were clearly positive due to the corrective and preventive maintenance. There was a decrease in breakdowns due to failure by 23% for CNC lathes and by 38% for CNC machining centers, which resulted in an evident increase in machine availability and OEE (Overall Equipment Effectiveness) improved by 5%.info:eu-repo/semantics/publishedVersio

Improving Preventive Maintenance Management in an Energy Solutions Company

30th International Conference on Flexible Automation and Intelligent Manufacturing (FAIM2021)In industry, production processes and assets are constantly evolving, Thus, continually improving and updating them is essential to their sustainability. This work intended to apply a set of methods and philosophies to improve the Preventive Maintenance Management process in a case study company dedicated to the development, production and maintenance of power and distribution transformers. Thus, a Action – Research methodology was used. After identifying the main problems, a mixed maintenance strategy based on Reliability Centered Maintenance (RCM) and Total Productive Maintenance (TPM) was applied. The following achievements were obtained by this work: (a) method of grading equipment critically based on its importance to the production process was developed and implemented;(b) a new flowchart of decisions and actions was developed for Preventive Maintenance Plan Management; (c) a reduction of the waste time in Preventive Maintenance (PM) was obtained; (d) the implementation of Autonomous Maintenance (AM) resulted in a reduction of 66% in equipment failures; (e) a set of new Key Performance Indicators (KPI´s) were introduced; (f) maintenance plans compliance rates increased by 12%. At the end of the work a reduction of € 120 060 could be achieved. Thus, the main contribution of this work was to show that bringing to the action different tool together in an organized way and share the information and responsibilities with the workers can result in important savings to the company, becoming the maintenance function more effective.info:eu-repo/semantics/publishedVersio

Short-range charge-order in RRNiO3_{3} perovskites (RR=Pr,Nd,Eu) probed by X-ray absorption spectroscopy

The short-range organization around Ni atoms in orthorhombic $R$NiO$_{3}$ ($R$=Pr,Nd,Eu) perovskites has been studied over a wide temperature range by Ni K-edge x-ray absorption spectroscopy. Our results demonstrate that two different Ni sites, with different average Ni-O bond lengths, coexist in those orthorhombic compounds and that important modifications in the Ni nearest neighbors environment take place across the metal-insulator transition. We report evidences for the existence of short-range charge-order in the insulating state, as found in the monoclinic compounds. Moreover, our results suggest that the two different Ni sites coexists even in the metallic state. The coexistence of two different Ni sites, independently on the $R$ ion, provides a common ground to describe these compounds and shed new light in the understanding of the phonon-assisted conduction mechanism and unusual antiferromagnetism present in all $R$NiO$_{3}$ compounds.Comment: 4 pages, 3 figures, accepted PRB - Brief Report Dec.200

The importance of assessing the need for palliative care to avoid unnecessary suffering at life's end

El interesante estudio de Martínez Ríos y col1, sobre pacientes susceptibles de cuidados paliativos que fallecen en domicilio en Málaga, concluye que un tercio de ellos no se identificaron como pacientes paliativos en su historia clínica y, por tanto, no se incluyeron en el Proceso Asistencial Integrado de Cuidados Paliativos de la Junta de Andalucía. Se recoge en el mismo trabajo que la proporción de pacientes fallecidos en el domicilio en 2015, e identificados como susceptibles de cuidados paliativos, fue muy alta para pacientes con cáncer (87%) y muy baja para pacientes con EPOC (38%), insuficiencia cardíaca (23%) y demencias (20%)

Ulva ohnoi (Ulvales, Chlorophyta) como potencial biofiltro en sistemas de AMTI-RAS: Influencia del pH, reserva alcalina y concentraciones de N y P en su cultivo

En el presente trabajo se estudia la influencia de las variaciones de pH, reserva alcalina, concentraciones de nitrógeno y fósforo en el crecimiento en cultivo de Ulva ohnoi con el fin de optimizar su integración en sistemas de AMTI-RASPostprint (published version