Hispanics\u27 experience with hospice care

The purpose of this project was to learn about Hispanic\u27s experience with hospice care and gain insight into their unique needs. The findings will offer Hospice programs with information on how to provide the most appropriate care to the Hispanic population. This study found that the quality of patient care transcended cultural and spiritual boundaries

Vertical segregation, innovation, and gender diversity in Spain's industrial sector.

Innovation is a general measure of the success of a company and shows a positive relationship with several key factors such as collaboration with universities and technology centers or belonging to medium- and high-tech sectors. While many studies have found that gender diversity in company management teams has a positive infuence on companies' economic success, few have focused on the impact that the inclusion of women in the board of directors has on product, process, and organizational innovation. This paper builds on previous knowledge about the determinants of innovations and shows that greater gender management team diversity, compared to male-only teams, positively afects the achievement of said innovations. However, these results change when we incorporate the size of the companies as a moderating variable. In this case, we identify a turning point corresponding to frm size in the impact of gender diversity on product and process innovations, but not for innovations in organizational methods, where the impact is positive and signifcant for both SMEs and large enterprises. Collaboration with universities and technological centers is an important determinant of innovation for both SMEs and large enterprises

PXRD and PDF analysis of multifunctional lanthanide nitrilotris-methylphosphonate-based proton conductors

Metal phosphonates are multifunctional solids which possess tunable properties, such as H-bond networks, while exhibiting high chemical and thermal stability. Depending on the protonation of the ligand, different crystalline phases can be obtained. Here, we report three different families of proton conductors based on lanthanide nitrilotrismethylphosphonates. Compounds having cationic layers compensate by chloride or sulfate anions were isolated: [Ln(H4NMP)(H2O)2]Cl·2H2O and Ln(H5NMP)]·SO4·4H2O [H6NMP = nitrilotris(methylphosphonic acid)]. The crystal structure of Gd-(H5NMP)]·SO4·4H2O was solved ab initio from synchrotron powder diffraction data (λ=0.4124 Å, beamline BL04-MSPD ALBA) and refined by the Rietveld method. Chloride containing phases show two irreversible solid state transformations take place: (1) a crystalline-to-crystalline phase transition, {Ln-H4NMP → [Ln2(H3NMP)2(H2O)4]·4.5H2O for Ln= La, Pr}, and (2) crystalline-to-amorphous phase transition, {LnH4NMP → [Ln(H3NMP)]·1.5H2O for Ln= Gd - Ho}, both implies the loss of HCl and structural rearrangements of the frameworks. Variations in average and local structure have been monitored by high resolution powder diffraction and PDF analysis, upon exposure the samples at high relative humidity and temperature (95% RH and 80 ºC), in order to understand their behavior as proton conductors.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Proton conductivity of lanthanide nitrilotris-methylphosphonates

Multifunctional metal phosphonates are acidic coordination polymers (CPs) with remarkable stability and proton conducting properties owing to their structure is usually composed of extended hydrogen-bond networks that favor proton transfer pathways [1]. In this communication, three different families of proton conductors based on lanthanide nitrilotris-methylphosphonates are examined. Compounds were isolated by crystallization at room temperature at pH <0.8 in the presence of. When chloride is presented in solution two families of compounds were isolated, depending on the concentration of chloride in solution: free-chloride 1D solids with formula Ln2(H3NMP)2(H2O)4]·4.5H2O [Ln= La3+] [2] or layered chloride-containing Ln(H4NMP)(H2O)2]Cl·2H2O [Ln= La3+ - Ho3+] materials [3]. In absence of chloride, a third series of compounds was obtained. This structural versatility leads to a wide range of proton conductivity varying between 3 × 10−4 S·cm−1 and 2 × 10−3 S·cm−1 as measured at 80 °C and 95% RH.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Structural study of the local order in ammonia-modulated FE(II) hydroxyphosphonoacetate proton conductors

Layered Fe(II) carboxiphosphonate, Fe-HPAA·2H2O, is a crystalline multifunctional coordination polymer exhibiting properties as photocatalyst and proton conductor. Postsynthesis modification by ammonia/water adsorption strongly enhances its proton conductivity. However, this process entails a progressive amorphization but in no case intercalation of the guest species was detected. Understanding the mechanism involved in this increased conductivity is crucial to develop novel high performance proton conductors for PEMFCs. Thus, total scattering and PDF study has been carried out to explore the mechanism of ammonia adsorption and subsequent amorphization. Different lenght scales have been investigated to characterize the average and local structure at variable ammonia loaded in order to ascertain posible structural modifications after gas/solid reactions. While significant short range order (from 1.4 to 10 Å) variations were observed even for low loadings, the average structure seems to be basically preserved except for the highest ammonia/water contents.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Intervenciones de Enfermería y Aplicación de Cuidados durante la Atencion Prenatal de bajo riesgo según Normas y Protocolo en el Centro de Salud San Benito Palermo sector # 1 del municipio de Muy Muy departamento de Matagalpa Nicaragua II Semestre 2016

El presente estudio tiene como objetivo relacionar Intervenciones de enfermería y aplicación de cuidados durante la atención prenatal de bajo riesgo según norma en el centro de salud san Benito Palermo del municipio de Muy Muy Matagalpa sector # 1 año 2016. Es una investigación descriptiva y prospectiva. Conto con una muestra de 24 casos de embarazadas que asistieron a su control prenatal en el centro de salud san Benito Palermo sector # 1, siendo todos embarazos de bajo riesgo. Atención prenatal es la serie de visitas programada de la embarazada con el personal de salud donde se brindan cuidados óptimos con el objetivo de vigilar la evolución del embarazo y lograr una adecuada preparación para el parto y cuidados del recién nacido. (Normativa 011 minsa noviembre 2015.) En la atención prenatal de bajo riesgo se realizan cuatro atenciones programadas. Lo que permitirá el cumplimiento de las actividades necesarias, la captación (primera atención) debe ser lo más precoz posible siendo lo normado efectuarla en el primer trimestre de embarazo. Precoz: El embarazo se clasifica como de bajo y de alto riesgo. El embarazo de bajo riesgo: es aquel en el que la madre o su hijo tienen probabilidad bajas de enfermar antes, durante, o después del parto (normativa 011minsa noviembre 2015.) Los resultados obtenidos en esta investigación a través de la guía de observación, arrojaron que solo un 52.55% del personal de enfermería que realiza atencion prenatal cumplen con las normas y protocolos del MINSA. Se concluye, que al evaluar las intervenciones de enfermería según normas y protocolos, en relación al cuidado que se le brinda a la usuaria en el puesto de salud en estudio, el personal de enfermería en un buen porcentaje, no cumple correctamente con algunas actividades descritas en las norma

Estado nutricional del estudiante adolescente de la Universidad Privada Antenor Orrego en relación a la auto percepción de la imagen corporal

Objetivo: Establecer que el estado nutricional del estudiante adolescente de la Universidad Privada Antenor Orrego se relaciona con la autopercepción de su imagen corporal. Material y Método: Se llevó a cabo un estudio transversal de correlación durante 2019. La muestra estuvo constituida por 241 estudiantes de Medicina Humana. Resultados: El 63.9% tuvieron estado nutricional normal y el 62.2% autopercepción alterada de la imagen corporal. El establecimiento de relación entre estado nutricional y autopercepción de la imagen corporal mostró diferencia altamente significativa (X 2 =60.483; p=0.000; p<0.01). El promedio de edad fue de 17.55±0.898; el 62.7% fueron mujeres, el 70.1% fueron de procedencia local, el 62.2% no hacían actividad física, el 71.8% tenían sueño inadecuado, 52.7% alimentación no saludable y el 5.4% tuvieron enfermedad crónica. El tipo de alimentación mostró diferencia estadística significativa con autopercepción (p=0.017). Conclusiones: El estado nutricional del estudiante adolescente se relacionó con la autopercepción de su imagen corporal. Se confirmó relación de la autopercepción solo con el tipo de alimentación. Se sugiere alertar sobre la posibilidad de encontrar una autopercepción alterada en los estudiantes, recomendar la escala de figuras utilizada, fomentar la educación en salud con un equipo multidisciplinario e investigaciones multiescuela y más amplias.Objective: To establish that the nutritional status of the adolescent student of the Private University Antenor Orrego relates to the self-perception of his body image. Material and Methods: A cross-sectional correlation study was conducted during 2019. The sample consisted of 241surveyed and observed human medicine students. Results: 6% had a normal nutritional status and 6% altered self-perception of body image. The establishment of relationship between nutritional status and self-perception of body image showed a very significant difference. The average age was 17.55±0.898; 62.7% were women, 70.1% were of local origin, 62.2% were not physically active, 71.8% had inadequate sleep quality, 52.7% had an unhealthy eating and 5.4% had chronic diseases. The eating habits showed significant statistical difference with self-perception of body image. Conclusions: The teenage student´s nutritional status was related to the body image self perception. Self-perception relationship with the eating habits was confirmed. It is suggested to warn about the possibility of finding altered self-perception in students, recommending the scale of figures used, promoting health education with a multidisciplinary team and multi-center and larger research.Tesi

Transgenerational Effects of pCO2-Driven Ocean Acidification on Adult Mussels Mytilus chilensis Modulate Physiological Response to Multiple Stressors in Larvae

The effect of CO2-driven ocean acidification (OA) on marine biota has been extensively studied mostly on a single stage of the life cycle. However, the cumulative and population-level response to this global stressor may be biased due to transgenerational effects and their impacts on physiological plasticity. In this study, we exposed adult mussels Mytilus chilensis undergoing gametogenesis to two pCO2 levels (550 and 1200 μatm) for 16 weeks, aiming to understand if prolonged exposure of reproductive individuals to OA can affect the performance of their offspring, which, in turn, were reared under multiple stressors (pCO2, temperature, and dissolved cadmium). Our results indicate dependence between the level of pCO2 of the broodstock (i.e., parental effect) and the performance of larval stages in terms of growth and physiological rates, as a single effect of temperature. While main effects of pCO2 and cadmium were observed for larval growth and ingestion rates, respectively, the combined exposure to stressors had antagonistic effects. Moreover, we found a suppression of feeding activity in post-spawning broodstock upon high pCO2 conditions. Nevertheless, this observation was not reflected in the final weight of the broodstock and oocyte diameter. Due to the ecological and socioeconomic importance of mussels’ species around the globe, the potential implications of maternal effects for the physiology, survival, and recruitment of larvae under combined global-change stressors warrant further investigation

Análisis y diseño comparativo de un puente de concreto armado de luz variable con otro de sección compuesta

The constant growth of the population, has always been a latent concern for man and even more so in recent times, since immigration into the towns and regions of greater socio-economic resources, generates a series of requirements, one of which are the routes of land communication and provide bridges that will ensure a proper and permanent service to users. This thesis is not intended to put solution to the huge problem of immigration so deep in its complexity, but always keep the importance and complement constituting the solution of the problem of the design of its streets, which has a huge influence to raise the level of production of peoples, since the male having an efficient and comfortable way with bridges that conform to the requirements of development You can more easily streamline the integration of its inhabitants and the peoples through land transport to ensure its sustainability. L ...El constante crecimiento de la población, ha sido siempre una latente preocupación para el hombre y más aún en los últimos tiempos, ya que la inmigración hacia los centros poblados y regiones de mayores recursos socioeconómicos, genera una serie de necesidades, una de los cuales son las vías de comunicación terrestre y dotarle de puentes que aseguren un adecuado y permanente servicio a los usuarios. Con la presente tesis no se pretende poner solución al enorme problema de la inmigración tan hondo en su complejidad, pero mantengamos siempre la importancia y complemento que constituye la solución del problema del diseño de sus vías, el cual tiene una enorme influencia para elevar el nivel de la producción de los pueblos, ya que el hombre contando con un camino eficiente y cómodo con puentes que se ajusten a las exigencias de desarrollo, puede mas fácilmente agilizar la integración de sus habitantes y el de los pueblos por medio del transporte terrestre para garantizar su sostenimiento. La presente tesis, pretende contribuir al desarrollo de Ja región San Martín y del país, dada la importancia que tienen los puentes para un desarrollo integral.Tesi