Peer support between healthcare workers in hospital and out-of-hospital settings: a scoping review

Background and aim: the healthcare workers, mostly in emergency departments, are exposed to emotionally strong situations: this condition often can lead them to operate incorrectly. In the face of the mistake, many of them experience psychological trauma, becoming “second victims” of the event. In this case they can find comfort in dealing with Peers that can help to understand emotions and normalize lived experiences. A scoping review was conducted to clarify the key concepts available in the literature and understand Peer Support characteristics and methods of implementation. Methods: scoping review approach of Joanna Briggs Institute was used. The reviewers analyzed the last twenty-one years of literature and extracted data from relevant studies. Results: 49 articles were relevant. Articles involve mostly physicians and nurses, but all the other healthcare professionals are included. 56% of the articles have been published in the last two years during the Covid 19 pandemic, which revealed the growing need of developing Peer Support programs; the Anglo-Saxon countries are the main geographical area of origin (82%). Peer support emerges as a preclinical psychological support for people involved in tiring situations. It’s based on mutual respect and on voluntary and not prejudicial help. Peers are trained to guide the support relationship. Peer Support can be proposed as one to one/group peer support, or through online platforms. Conclusions: many of the studies affirm that the personnel involved have benefited from the programs available. It is necessary to carry out further research to determine the pre and post intervention benefits. (www.actabiomedica.it)

Total Synthesis of Asparenydiol by Two Sonogashira Cross-Coupling Reactions Promoted by Supported Pd and Cu Catalysts

Asparenydiol, which is an important natural compound with potential pharmacological activities, was synthesized through two Sonogashira cross-coupling reactions catalyzed by supported Pd and Cu catalysts and by a Mitsunobu etherification. The optimization of the Sonogashira couplings allowed the use of catalysts supported on different matrices with good results in terms of catalytic efficiency and yields

The Ocean Biomolecular Observing Network (OBON)

Ocean life-from viruses to whales-is built from "biomolecules." Biomolecules such as DNA infuse each drop of ocean water, grain of sediment, and breath of ocean air. The Ocean Biomolecular Observing Network (OBON) is developing a global collaboration that will allow science and society to understand ocean life like never before. The program will transform how we sense, harvest, protect, and manage ocean life using molecular techniques, as it faces multiple stresses including pollution, habitat loss, and climate change. It will also help communities detect biological hazards such as harmful algal blooms and pathogens, and be a key component of next-generation ocean observing systems. OBON will encourage continuous standardization and intercalibration of methods and data interoperability to help enhance and future-proof capabilities. OBON's objectives are: 1) to build a coastal-to-open ocean multi-omics biodiversity observing system; 2) to develop and transfer capacity between partners; 3) to enhance marine ecosystem digitization and modelling and 4) to coordinate action on pressing scientific, management, and policy questions

A new cell primo-culture method for freshwater benthic diatom communities

A new cell primo-culture method was developed for the benthic diatom community isolated from biofilm sampled in rivers. The approach comprised three steps: (1) scraping biofilm from river pebbles, (2) diatom isolation from biofilm, and (3) diatom community culture. With a view to designing a method able to stimulate the growth of diatoms, to limit the development of other microorganisms, and to maintain in culture a community similar to the original natural one, different factors were tested in step 3: cell culture medium (Chu No 10 vs Freshwater “WC” medium modified), cell culture vessel, and time of culture. The results showed that using Chu No 10 medium in an Erlenmeyer flask for cell culture was the optimal method, producing enough biomass for ecotoxicological tests as well as minimising development of other microorganisms. After 96 h of culture, communities differed from the original communities sampled in the two rivers studied. Species tolerant of eutrophic or saprobic conditions were favoured during culture. This method of diatom community culture affords the opportunity to assess, in vitro, the effects of different chemicals or effluents (water samples andindustrial effluents) on diatom communities, as well as on diatom cells, from a wide range of perspectives

PM10 Resuspension of Road Dust in Different Types of Parking Lots: Emissions, Chemical Characterisation and Ecotoxicity

The thoracic fraction of road dust (PM10) was measured for the first time in Portugal in parking areas, both outdoors and indoors, with the aim of completing existing studies carried out in active lanes of various roads. An in situ resuspension chamber was used to collect a total of 23 samples in three parking areas of Aveiro, whilst the laboratory procedures included determination of carbonaceous content (OC and EC) by a thermo-optical technique, elemental composition by ICP-MS and ICP-OES after acid digestion, and the Aliivribrio fisherii bioluminescent bacteria ecotoxicity bioassay. Dust loadings (DL10) obtained were 18.5 ± 9.8 mg PM10 m−2, in outdoor parking, and 1.8–23.7 mg PM10 m−2 for indoor parking, corresponding to emission factors of 476 and 75–589 mg veh−1 km−1, respectively. OC represented 9–30 % of PM10 for the indoor parking areas. However, for the outdoor samples, the high iron oxide content jeopardised the OC-EC separation. In those samples, carbonates accounted for 10.0 ± 3.3% of the PM10 mass. The analysis of elemental components focused on major elements (Al, Ca, Fe, K, and Mg) as well as minor elements. The total mass fraction of element oxides accounted for 27.1% (outdoor) and 23.6–34.3% (indoor). ΣPAH calculated for all parking areas accounted for 8.38–36.9 μg g−1 PM10. The ecotoxicological bioassay showed that all aqueous solutions were toxic to bioluminescent bacteria, whereas no clear correlations could be made with specific component groups, with the exception of ΣPAH and EC50.This research was funded by FEDER, through COMPETE2020–Programa Operacional Competitividade e Internacionalização (POCI), and by national funds (OE), through FCT/MCTES, through the implementation of the project “Big data to improve atmospheric emission inventories (BigAir)”, PTDC/EAM-AMB/2606/2020. Furthermore, the authors also acknowledge the financial support to CESAM (UIDB/50017/2020+UIDP/50017/2020+LA/P/0094/2020), to FCT/MCTES through national funds, and the co-funding by the FEDER, within the PT2020 Partnership Agreement and COMPETE2020. Ismael Casotti Rienda is grateful to the Portuguese Foundation of Science and Technology (FCT) for funding the scholarship SFRH/BD/144550/2019. The research work was also supported by the LIFE-REMY (LIFE20 PRE/IT/000004) and the Spanish National Research Project NEXT (PID2019-110623RB-I00), funded by MCIN/AEI/10.13039/501100011033/

European marine omics biodiversity observation network: a strategic outline for the implementation of omics approaches in ocean observation

Marine ecosystems, ranging from coastal seas and wetlands to the open ocean, accommodate a wealth of biological diversity from small microorganisms to large mammals. This biodiversity and its associated ecosystem function occurs across complex spatial and temporal scales and is not yet fully understood. Given the wide range of external pressures on the marine environment, this knowledge is crucial for enabling effective conservation measures and defining the limits of sustainable use. The development and application of omics-based approaches to biodiversity research has helped overcome hurdles, such as allowing the previously hidden community of microbial life to be identified, thereby enabling a holistic view of an entire ecosystem’s biodiversity and functioning. The potential of omics-based approaches for marine ecosystems observation is enormous and their added value to ecosystem monitoring, management, and conservation is widely acknowledged. Despite these encouraging prospects, most omics-based studies are short-termed and typically cover only small spatial scales which therefore fail to include the full spatio-temporal complexity and dynamics of the system. To date, few attempts have been made to establish standardised, coordinated, broad scaled, and long-term omics observation networks. Here we outline the creation of an omics-based marine observation network at the European scale, the European Marine Omics Biodiversity Observation Network (EMO BON). We illustrate how linking multiple existing individual observation efforts increases the observational power in large-scale assessments of status and change in biodiversity in the oceans. Such large-scale observation efforts have the added value of cross-border cooperation, are characterised by shared costs through economies of scale, and produce structured, comparable data. The key components required to compile reference environmental datasets and how these should be linked are major challenges that we address.</jats:p

Factors associated with paradoxical immune response to antiretroviral therapy in HIV infected patients: a case control study

<p>Abstract</p> <p>Background</p> <p>A paradoxical immunologic response (PIR) to Highly Active Antiretroviral Therapy (HAART), defined as viral suppression without CD4 cell-count improvement, has been reported in the literature as 8 to 42%, around 15% in most instances. The present study aims to determine, in a cohort of HIV infected patients in Brazil, what factors were independently associated with such a discordant response to HAART.</p> <p>Methods</p> <p>A case-control study (1:4) matched by gender was conducted among 934 HIV infected patients on HAART in Brazil. Cases: patients with PIR, defined as CD4 < 350 cells/mm³(hazard ratio for AIDS or death of at least 8.5) and undetectable HIV viral load on HAART for at least one year. Controls: similar to cases, but with CD4 counts ≥ 350 cells/mm³. Eligibility criteria were applied. Data were collected from medical records using a standardized form. Variables were introduced in a hierarchical logistic regression model if a p-value < 0.1 was determined in a bivariate analysis.</p> <p>Results</p> <p>Among 934 patients, 39 cases and 160 controls were consecutively selected. Factors associated with PIR in the logistic regression model were: total time in use of HAART (OR 0.981; CI 95%: 0.96-0.99), nadir CD4-count (OR 0.985; CI 95%: 0.97-0.99), and time of undetectable HIV viral load (OR 0.969; CI 95%: 0.94-0.99).</p> <p>Conclusions</p> <p>PIR seems to be related to a delay in the management of immunodeficient patients, as shown by its negative association with nadir CD4-count. Strategies should be implemented to avoid such a delay and improve the adherence to HAART as a way to implement concordant responses.</p