Cuidados de enfermería a un paciente con tumor del estroma gastrointestinal

Se presenta el caso de un paciente con un tumor Gastrointestinal (GIST), una tumoración muy rara, y de ahí que quiera centrarme en los distintos tipos de cuidados que como enfermeros debemos prestar a estos pacientes, ingresado en el hospital en la planta de cirugía desde el pasado mes de agosto de 2012. Expondremos el significado de lo que son enfermedades crónicas, nos centraremos en una de ellas, el cáncer, y más concreto en el tumor de este paciente; con el cuál trataremos los principales diagnósticos de enfermería que padece, North American Nursing Diagnosis Association (NANDA), desarrollaremos los cuidados principales para este tipo de pacientes, llevando a cabo las intervenciones a realizar, (Nursing Interventions Classification (NIC)), problemas de colaboración, y cuyo objetivos principales (Nursing Outcomes Classification (NOC)) como enfermeros, es conseguir una mejoría, o al menos la estabilización del paciente y su calidad de vida

Calculation of threshold Olsen P values for fertilizer response from soil properties

Phosphorus (P), a non-renewable resource, needs to be used more efficiently in agriculture. This requires using soil P tests. However, the P test threshold values for fertilizer response depend on many soil properties, some of which may be useful to estimate these threshold values, others not. Therefore, we searched here which soil properties are useful to estimate P threshold values. We calculated the threshold values for Olsen P and 0.01 M CaCl2 extractable P of 18 representative agricultural soils of the Mediterranean region of Spain. For that, we performed a P starvation experiment in which wheat and sunflower were alternatively pot-cropped. Results show that Olsen P threshold values are negatively correlated to P buffer capacity (r of −0.74, P lower than 0.001), clay content (−0.82, 0.001), pH (−0.76, 0.001), and Fe oxide content (−0.55, 0.05). Multiple regression models involving clay, pH or soil organic C, and phosphatase activity or organic hydrolysable P accounted for as much as 87 % of the variance in calculated Olsen P threshold values. In particular, there is a major effect of organic P on Olsen P threshold values. Single models based on routinely measured soil properties such as clay content and pH made accurate predictions of Olsen P threshold values with r 2 of 0.81 and P lower than 0.001

Inflight magnetic characterization of the test masses onboard LISA Pathfinder

LISA Pathfinder is a science and technology demonstrator of the European Space Agency within the framework of its LISA mission, the latter aiming to be the first space-borne gravitational wave observatory. The payload of LISA Pathfinder is the so-called LISA Technology Package, which is designed to measure relative accelerations between two test masses in nominal free fall. The diagnostics subsystem consists of several modules, one of which is the magnetic diagnostics unit. Its main function is the assessment of the differential acceleration noise between the test masses due to magnetic effects. This subsystem is composed of two onboard coils intended to produce controlled magnetic fields at the location of the test masses. These magnetic fields couple with the remanent magnetic moment and susceptibility and produce forces and torques on the test masses. These, in turn, produce kinematic excursions of the test masses which are sensed by the onboard interferometer. We prove that adequately processing these excursions, the magnetic properties of the test masses can be estimated using classical multi-parameter estimation techniques. Moreover, we show that special processing procedures to minimize the effect of the multi channel cross-talks are needed. Finally, we demonstrate that the quality of our estimates is frequency dependent. We also suggest that using a multiple frequency experiment the global estimate can be obtained in such a way that the results of the magnetic experiment are more reliable. Finally, using our procedure we compute the the contribution of the magnetic noise to the total proof-mass acceleration noise.Comment: 12 pages, 7 figures, Physical Review D, accepted on Feb 6th, 201

Gravitational Waves from Abelian Gauge Fields and Cosmic Strings at Preheating

Primordial gravitational waves provide a very important stochastic background that could be detected soon with interferometric gravitational wave antennas or indirectly via the induced patterns in the polarization anisotropies of the cosmic microwave background. The detection of these waves will open a new window into the early Universe, and therefore it is important to characterize in detail all possible sources of primordial gravitational waves. In this paper we develop theoretical and numerical methods to study the production of gravitational waves from out-of-equilibrium gauge fields at preheating. We then consider models of preheating after hybrid inflation, where the symmetry breaking field is charged under a local U(1) symmetry. We analyze in detail the dynamics of the system in both momentum and configuration space, and show that gauge fields leave specific imprints in the resulting gravitational wave spectra, mainly through the appearence of new peaks at characteristic frequencies that are related to the mass scales in the problem. We also show how these new features in the spectra correlate with string-like spatial configurations in both the Higgs and gauge fields that arise due to the appearance of topological winding numbers of the Higgs around Nielsen-Olesen strings. We study in detail the time evolution of the spectrum of gauge fields and gravitational waves as these strings evolve and decay before entering a turbulent regime where the gravitational wave energy density saturates.Comment: This paper is dedicated to the memory of Lev Kofman. Added references and comments in Sec. III.B. Version accepted in PR

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

Structure-properties correlations in divalent metal phosphonates

Crystalline metal phosphonates may offer acidic sites, structural flexibility and guest molecules (H2O, heterocyclics, etc.) which can act as proton carriers. In addition, some frameworks are also amenable for post‐synthesis modifications in order to enhance desired properties [1,2]. In this work, we present the synthesis and structural characterization of two hydroxyphosphonoacetates hybrids based on magnesium, [Mg5(O3PCHOHCOO)2(HO3PCHOHCOO)2·8H2O] [Mg5(HPAA)2(H1HPAA)2·8H2O], and zinc, [Zn6K(O3PCHOHCOO)4(OH)·6.5H2O] [Zn6K(HPAA)4(OH)·6.5H2O]. Both solids present three-dimensional frameworks and their crystal structures were solved ab initio from X-ray powder diffraction. The proton conductivity of [Zn6K(HPAA)4(OH)·6.5H2O] as well as ammonia derivatives of M(II)(HO3PCHOHCOO)·2H2O [M(II)=Zn, Mg] will be reported and discussed.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech. FQM-1656; MAT2013-41836-

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

Space-time analysis of the urban-rural grafient in the metropolitan area of Madrid and ist surroundings -Guadalajara and Toledo.

According to UN provisions in the period from 2007 to 2050 world population will grow up to 9200 million people. In fact, for the first time in history, in the year 2008 world urban population became higher than rural population. The increase of urban areas and their transport infrastructures has influenced agricultural land use due to their irreversible change, especially when they remain as periurban vacant land, losing their character and identity. In the Europe of the nineties, the traditional urban-rural gradient, characterized by a neat contact between both land types, has become so complex that it has change to a gradient in which it is difficult to separate urban and rural land uses. [Antrop 2004]. A literature review has been made on methodologies used for the urban-rural gradient analysis. One of these methodologies was selected that integrates ecological characterization based on the use of spatial metrics and geographical characterization based on spatial components. Cartographical sources used were Corine Land Cover at 1: 100000 scale and the Spanish Land Use Information System at 1:25000 scale. Urban-rural gradient paradigm is an analysis methodology, coming from landscape ecology, which enables to investigate how urbanization provokes changes in ecological patterns and processes into landscape. [Hahs and McDonnell 2006].The present research adapt this methodology to study the urban-rural gradient in the outskirts of Madrid, Toledo and Guadalajara. Both scales (1:25000 and 1:100000) were simultaneously used to reach the next objectives: 1) Analysis of landscape pattern dynamics in relation to distance to the town centre and major infrastructures. 2) Analysis of landscape pattern dynamics in the fringe of protected areas. The paper presents a new approach to the urban-rural relationship which allows better planning and management of urban áreas

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

Neural network interpolation of the magnetic field for the LISA Pathfinder Diagnostics Subsystem

LISA Pathfinder is a science and technology demonstrator of the European Space Agency within the framework of its LISA mission, which aims to be the first space-borne gravitational wave observatory. The payload of LISA Pathfinder is the so-called LISA Technology Package, which is designed to measure relative accelerations between two test masses in nominal free fall. Its disturbances are monitored and dealt by the diagnostics subsystem. This subsystem consists of several modules, and one of these is the magnetic diagnostics system, which includes a set of four tri-axial fluxgate magnetometers, intended to measure with high precision the magnetic field at the positions of the test masses. However, since the magnetometers are located far from the positions of the test masses, the magnetic field at their positions must be interpolated. It has been recently shown that because there are not enough magnetic channels, classical interpolation methods fail to derive reliable measurements at the positions of the test masses, while neural network interpolation can provide the required measurements at the desired accuracy. In this paper we expand these studies and we assess the reliability and robustness of the neural network interpolation scheme for variations of the locations and possible offsets of the magnetometers, as well as for changes in environmental conditions. We find that neural networks are robust enough to derive accurate measurements of the magnetic field at the positions of the test masses in most circumstances