Post-Electing Scenario Analysis, MÉXICO 2012. A Look from Monterrey and its Metropolitan Area Opinion leaders

To carry out the proposal Analysis of Post-Electing Arena, ,MÉXICO 2012, A look from Monterrey and its MetropolitanArea Opinion leaders, 11 in-depth interviews were conductedto representatives of political parties, journalists, academicsand representatives of NGOs and CSOs, which were submittedto a subsequent detailed analysis supported by Nvivo program,so that from their perspective as leaders of the regional settingopinion, they would contribute to answer the research objectivethat guides us: to comprehend the perception towards thepolitical culture of the opinion leaders in the state in the postelectingArena, Mexico 2012. During the ethnographic work, itwas emphasized on the contribution and impact of traditionalmedia and social networking to the knowledge of the electingprocess in citizens.Para la propuesta Análisis del escenario postelectoral, México 2012: una mirada desde los líderes de opinión de Monterrey y su Área Metropolitana, se realizaron 11 entrevistas a profundidad a representantes de los partidos políticos, periodistas, académicos y a representantes de ONG y OSC que se llevaron a un posterior análisis minucioso con el apoyo del programa Nvivo, para que, desde su mirada como líderes de opinión del entorno regional, contribuyeran a responder el objetivo de investigación que nos orienta que es comprender la percepción sobre la cultura política de los líderes de opinión en la entidad en el escenario postelectoral mexicano 2012. Durante el trabajo etnográfico, se profundizó sobre la contribución e impacto de los medios de comunicación tradicionales y las redes sociales al conocimiento del proceso electoral en la ciudadaní

Ranking of palliative care development in the countries of the European Union

Context There is growing interest in monitoring palliative care (PC) development internationally. One aspect of this is the ranking of such development for comparative purposes. Objectives To generate a ranking classification and to compare scores for PC development in the countries of the European Union (EU), 2007 and 2013. PC “development” in this study is understood as a combination of the existence of relevant services in a country (“resources”) plus the capacity to develop further resources in the future (“vitality”). Methods “Resources” comprise indicators of three types of PC services per population (inpatient palliative care units and inpatient hospices [IPCU], hospital support teams [HST] and home care teams [HCT]). “Vitality” of PC is estimated by numerical scores for the existence of a national association, a directory of services, physician accreditation, attendances at a key European conference and volume of publications on PC development. The leading country (by raw score) is then considered as the reference point against which all other countries are measured. Different weightings are applied to resources (75%) and vitality (25%). From this, an overall ranking is constructed. Results The U.K. achieved the highest level of development (86% of the maximum possible score), followed by Belgium and The Netherlands (81%), and Sweden (80%). In the domain resources, Luxembourg, the U.K. and Belgium were leading. The top countries in vitality were Germany and the U.K. In comparison to 2007, The Netherlands, Malta and Portugal showed the biggest improvements, whereas the positions of Spain, France and Greece deteriorated. Conclusion The ranking method permitted a comparison of palliative care development between countries and shows changes over time. Recommendations for improving the ranking include improvements to the methodology and greater explanation of the levels and changes it reveals

Juan Antonio González Iglesias: la recepción clásica en un poeta alejandrino posmoderno

This paper studies the classical elements in the poems of Juan Antonio González Iglesias, a poet and latinist from Salamanca. It will study his poetry books published until 2007. There we will observe the unusual form that greek and latin literature assumes in our poet, as in postmodernity the classical heritage is forced to asume new forms, setting this way a dialogue with the Antiquity. Of this Antiquity he will recreate some elements carefully. The classical reception will also be among other elements, old and modern, that will be mentioned when they join with the classical ones.Este artículo estudia los elementos clásicos presentes en la poesía de Juan Antonio González Iglesias, poeta y latinista salmantino, en sus poemarios publicados hasta el año 2007. Se estudiará la forma tan peculiar que toma la literatura grecolatina en nuestro poeta, ya que en la posmodernidad la herencia clásica se ve abocada a adoptar nuevas formas, estableciendo así un diálogo con la Antigüedad, de la que se recrean selectivamente algunos elementos. Además, podremos comprobar cómo los elementos clásicos conviven con otros, antiguos y modernos, que se mencionarán cuando se unan a los clásicos

Coverage and development of specialist palliative care services across the World Health Organization European region (2005-2012): results from a European association for palliative care task force survey of 53 countries

Background: The evolution of the provision of palliative care specialised services is important for planning and evaluation. Aim: To examine the development between 2005 and 2012 of three specialised palliative care services across the World Health Organization European Region – home care teams, hospital support teams and inpatient palliative care services. Design and setting: Data were extracted and analysed from two editions of the European Association for Palliative Care Atlas of Palliative Care in Europe. Significant development of each type of services was demonstrated by adjusted residual analysis, ratio of services per population and 2012 coverage (relationship between provision of available services and demand services estimated to meet the palliative care needs of a population). For the measurement of palliative care coverage, we used European Association for Palliative Care White Paper recommendations: one home care team per 100,000 inhabitants, one hospital support team per 200,000 inhabitants and one inpatient palliative care service per 200,000 inhabitants. To estimate evolution at the supranational level, mean comparison between years and European sub-regions is presented. Results: Of 53 countries, 46 (87%) provided data. Europe has developed significant home care team, inpatient palliative care service and hospital support team in 2005–2012. The improvement was statistically significant for Western European countries, but not for Central and Eastern countries. Significant development in at least a type of services was in 21 of 46 (46%) countries. The estimations of 2012 coverage for inpatient palliative care service, home care team and hospital support team are 62%, 52% and 31% for Western European and 20%, 14% and 3% for Central and Eastern, respectively. Conclusion: Although there has been a positive development in overall palliative care coverage in Europe between 2005 and 2012, the services available in most countries are still insufficient to meet the palliative care needs of the population

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

Policies and Motivations for the CO2 Valorization through the Sabatier Reaction Using Structured Catalysts. A Review of the Most Recent Advances

The current scenario where the effects of global warming are more and more evident, has motivated different initiatives for facing this, such as the creation of global policies with a clear environmental guideline. Within these policies, the control of Greenhouse Gase (GHG) emissions has been defined as mandatory, but for carrying out this, a smart strategy is proposed. This is the application of a circular economy model, which seeks to minimize the generation of waste and maximize the efficient use of resources. From this point of view, CO2 recycling is an alternative to reduce emissions to the atmosphere, and we need to look for new business models which valorization this compound which now must be considered as a renewable carbon source. This has renewed the interest in known processes for the chemical transformation of CO2 but that have not been applied at industrial level because they do not offer evident profitability. For example, the methane produced in the Sabatier reaction has a great potential for application, but this depends on the existence of a sustainable supply of hydrogen and a greater efficiency during the process that allows maximizing energy efficiency and thermal control to maximize the methane yield. Regarding energy efficiency and thermal control of the process, the use of structured reactors is an appropriate strategy. The evolution of new technologies, such as 3D printing, and the consolidation of knowledge in the structing of catalysts has enabled the use of these reactors to develop a wide range of possibilities in the field. In this sense, the present review presents a brief description of the main policies that have motivated the transition to a circular economy model and within this, to CO2 recycling. This allows understanding, why efforts are being focused on the development of different reactions for CO2 valorization. Special attention to the case of the Sabatier reaction and in the application of structured reactors for such process is paid

Compasión. Corazón del ejercicio de la Medicina

Excelentísimo Sr. Presidente, Ilustrísimos académicos, estimados compañeros: No sin emoción comienzo estas sencillas palabras en las que voy a intentar reflexionar con ustedes sobre la compasión como corazón del ejercicio profesional en Medicina. Tengo la impresión de que he vuelto a mi ciudad vendiendo miel al colmenero. Me explico. Veo en la bancada de los académicos, y también entre el público, algunas de las personas de las que yo he aprendido el ejercicio profesional de la medicina y por lo tanto también la compasión. Hoy me siento volviendo a mi ciudad para vender al colmenero. Me disculparán lo obvio que para alguno de ustedes puedan resultar mis palabras. Pero sí comprenderán que al cabo de tiempo de ejercicio profesional, como profesor necesite volver a los principios, entre otros motivos, porque siento la necesidad de enseñar a mi alumnos algo nuclear que no puede faltar en el ejercicio profesional. La compasión es el corazón del ejercicio de la medicina. A lo largo de mi exposición pretendo reflexionar sobre cuatro aspectos. En primer lugar, me gustaría hablar sobre el concepto de la compasión: ¿qué es una actitud compasiva en una situación clínica? En segundo lugar, vamos a preguntarnos ¿cómo se hace?, ¿cómo se cuida compasivamente?. Y terminaremos hablando de los efectos positivos de la compasión sobre el paciente