The Birth Plan Experience—A Pilot Qualitative Study in Southern Spain

Background: Healthcare systems advocate for quality care and humanized relations in routine birth care, and have therefore created the Birth Plan, a document available to pregnant women to state their preferences in relation to the birth process. Methods: This qualitative research with a phenomenological design was carried out to record the experiences of women who presented a Birth Plan. Sample selection was carried out using non-probabilistic, intentional and convenience sampling, selecting seven participants who were willing to participate and share their experiences. Results: After analyzing the content of the interviews, four categories emerged: “respecting the woman’s wishes: humanizing the birth process”, “information and primary Care”, “expectations regarding the care received” and “results of using the birth plan”, with their corresponding subcategories. Conclusion: Women consider it beneficial to present a Birth Plan, because it informs them about the process and gives them the opportunity to have a better experience, which takes into account their preferences for making the delivery less instrumental. In addition, they state the importance of having trained professionals involved, and call for more attention to be paid to the birth process in general

UNA EXPERIENCIA SOBRE LA UTILIZACIÓN DEL DIARIO REFLEXIVO COMO INSTRUMENTO DE SEGUIMIENTO Y EVALUACIÓN DE LAS PRÁCTICAS HOSPITALARIAS DEL ALUMNADO DE ENFERMERÍA.

The European Higher Education Space outlines several changes on the perspectives both on the basic function of the nursing discipline, on the structure of the universitary curriculum and on the teaching/learning process based in the skills. This changes prompt us to a integrated organization of the clinical practices of the curriculum subject. In this way, we had promoted a Clinical Practices Project based on the skills to be acquired by the second course students of the Degree in Nursing of the University of Córdoba during the academic course 2006-07. In this Project the following subjects had participated: Medical-Surgical Nursing I, Maternal-Infantile Nursing I and Clinical Farmacology, Nutrition and Dietary. The objective of this article is to analyze the use of the Reflexive Diary as an assessment technique, i. e., has an instrument to follow and evaluate the learning results of the professional skills in the integrated clinical practices of those subjects.El Espacio Europeo de Educación Superior plantea diversos cambios tanto en la proyección de la función básica de la disciplina enfermera, como en la estructura de los currículos universitarios y en el proceso de enseñanza/aprendizaje por competencias. Estos cambios inducen a una organización de las prácticas clínicas de las diferentes asignaturas de forma integrada. A tal fin, se ha puesto en marcha un proyecto de Prácticas Integradas basadas en las competencias a adquirir por el alumnado del segundo curso de la Diplomatura de Enfermería de la Universidad de Córdoba para el curso 2006-07, en el que han participado las asignaturas: Enfermería Medico-Quirúrgica I, Enfermería Materno-Infantil I y Farmacología Clínica Nutrición y Dietética. El objeto de este artículo es analizar la utilización del Diario Reflexivo como técnica de “assessment”; es decir, como instrumento para el seguimiento y evaluación de los resultados de aprendizaje de las competencias profesionales en las prácticas clínicas integradas de esas asignaturas

Regulatory nodD1 and nodD2 genes of Rhizobium tropici strain CIAT 899 and their roles in the early stages of molecular signaling and host-legume nodulation

BACKGROUND: Nodulation and symbiotic nitrogen fixation are mediated by several genes, both of the host legume and of the bacterium. The rhizobial regulatory nodD gene plays a critical role, orchestrating the transcription of the other nodulation genes. Rhizobium tropici strain CIAT 899 is an effective symbiont of several legumes—with an emphasis on common bean (Phaseolus vulgaris)—and is unusual in carrying multiple copies of nodD, the roles of which remain to be elucidated. RESULTS: Phenotypes, Nod factors and gene expression of nodD1 and nodD2 mutants of CIAT 899 were compared with those of the wild type strain, both in the presence and in the absence of the nod-gene-inducing molecules apigenin and salt (NaCl). Differences between the wild type and mutants were observed in swimming motility and IAA (indole acetic acid) synthesis. In the presence of both apigenin and salt, large numbers of Nod factors were detected in CIAT 899, with fewer detected in the mutants. nodC expression was lower in both mutants; differences in nodD1 and nodD2 expression were observed between the wild type and the mutants, with variation according to the inducing molecule, and with a major role of apigenin with nodD1 and of salt with nodD2. In the nodD1 mutant, nodulation was markedly reduced in common bean and abolished in leucaena (Leucaena leucocephala) and siratro (Macroptilium atropurpureum), whereas a mutation in nodD2 reduced nodulation in common bean, but not in the other two legumes. CONCLUSION: Our proposed model considers that full nodulation of common bean by R. tropici requires both nodD1 and nodD2, whereas, in other legume species that might represent the original host, nodD1 plays the major role. In general, nodD2 is an activator of nod-gene transcription, but, in specific conditions, it can slightly repress nodD1. nodD1 and nodD2 play other roles beyond nodulation, such as swimming motility and IAA synthesis. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12864-015-1458-8) contains supplementary material, which is available to authorized users

An experience abouth the reflective diary use as an instrument to follow-up and evaluate the hospital practices of nursing students.

El Espacio Europeo de Educación Superior plantea diversos cambios tanto en la proyección de la función básica de la disciplina enfermera, como en la estructura de los currículos universitarios y en el proceso de enseñanza/aprendizaje por competencias. Estos cambios inducen a una organización de las prácticas clínicas de las diferentes asignaturas de forma integrada. A tal fin, se ha puesto en marcha un proyecto de Prácticas Integradas basadas en las competencias a adquirir por el alumnado del segundo curso de la Diplomatura de Enfermería de la Universidad de Córdoba para el curso 2006-07, en el que han participado las asignaturas: Enfermería Medico-Quirúrgica I, Enfermería Materno-Infantil I y Farmacología Clínica Nutrición y Dietética. El objeto de este artículo es analizar la utilización del Diario Reflexivo como técnica de “assessment”; es decir, como instrumento para el seguimiento y evaluación de los resultados de aprendizaje de las competencias profesionales en las prácticas clínicas integradas de esas asignaturas.ABSTRACT The European Higher Education Space outlines several changes on the perspectives both on the basic function of the nursing discipline, on the structure of the universitary curriculum and on the teaching/learning process based in the skills. This changes prompt us to a integrated organization of the clinical practices of the curriculum subject. In this way, we had promoted a Clinical Practices Project based on the skills to be acquired by the second course students of the Degree in Nursing of the University of Córdoba during the academic course 2006-07. In this Project the following subjects had participated: Medical-Surgical Nursing I, MaternalInfantile Nursing I and Clinical Farmacology, Nutrition and Dietary. The objective of this article is to analyze the use of the Reflexive Diary as an assessment technique, i. e., has an instrument to follow and evaluate the learning results of the professional skills in the integrated clinical practices of those subjects

Synthesis, crystal structure, and magnetic characterization of the three-dimensional compound [Co2(cbut)(H2O) 3]n (H4cbut = 1,2,3,4- cyclobutanetetracarboxylic acid)

A novel cobalt(II) complex of formula [Co2(cbut)(H 2O)3]n (1) (H4cbut = 1,2,3,4-cyclobutanetetracarboxylic acid) has been synthesized under hydrothermal conditions and its crystal structure has been determined by means of synchrotron radiation and neutron powder diffraction. The crystal structure of 1 consists of layers of cobalt(II) ions extending in the bc-plane which are pillared along the crystallographic a-axis through the skeleton of the cbut 4- ligand. Three crystallographically independent cobalt(II) ions [Co(1), Co(2), and Co(3)] occur in 1. They are all six-coordinate with four carboxylate-oxygens [Co(1)-Co(3)] and two cis-[Co(1)] or trans-water molecules [Co(2) and Co(3)] building distorted octahedral surroundings. Regular alternating double oxo(carboxylate) [between Co(1) and Co(1a)] and oxo(carboxylate) plus one aqua and a syn-syn carboxylate bridges [between Co(1) and Co(2)] occur along the crystallographic b-axis, the values of the cobalt-cobalt separation being 3.1259(8) and 3.1555(6) Å, respectively. These chains are connected to the Co(3) atoms through the OCO carboxylate along the [01̄1] direction leading to the organic-inorganic bc-layers with Co(1)-OCO(anti-syn)-Co(3) and Co(2)-OCO(anti-anti)-Co(3) distances of 5.750(2) and 4.872(1) Å. The shortest interlayer cobalt-cobalt separation through the cbut4- skeleton along the crystallographic a-axis is 7.028(2) Å. Variable-temperature magnetic susceptibility measurements show the occurrence of antiferromagnetic ordering with a Néel temperature of 5.0 K, followed by a field-induced ferromagnetic transition under applied dc fields larger than 1500 Oe. The magnetic structure of 1 has been elucidated at low temperatures in zero field by neutron powder diffraction measurements and was found to be formed by ferromagnetic chains running along the b-axis which are antiferromagnetically coupled with the Co(3) ions through the c-axis giving rise to noncompensated magnetic moments within each bc-layer (ferrimagnetic plane). The occurrence of an antitranslation operation between these layers produces a weak interlayer antiferromagnetic coupling along the a-axis which is overcome by dc fields greater than 1500 Oe resulting in a phase transition toward a ferromagnetic state (metamagnetic behavior). © 2014 American Chemical Society.Partial funding for this work is provided by the Ministerio Español de Ciencia e Innovación through projects MAT2010-16981, CTQ2010-15364, DPI2010-21103- C04-03, MAT2011-27233-C02-02, MAT2011-25991 and “Factoría de Cristalización” (Consolider-Ingenio2010, CSD2006-00015), the Generalitat Valenciana (ISIC/2012/ 002), and the CEI Canarias: Campus Atlántico Tricontinental. P.D.-G. also thanks to Ministerio Español de Economia y Competitividad through FPI program for predoctoral contracts.Peer Reviewe