Modeling of the binodal curve of ionic liquid/salt aqueous systems

Ionic Liquid-based Aqueous Two Phase Systems (ILATPS) are an innovative technique to separate biomolecules that combines the advantages of liquid–liquid extraction and hydrophilic ionic liquids. Most ILATPS are based on ionic liquids and conventional inorganic salts, and the phase envelope, described by the binodal curve, is usually modeled by empirical equations that are used to determine the phase compositions and assess the ionic liquid recyclability. However, these empirical equations may provide a poor extrapolation ability or low accuracy at the extreme regions of the binodal curve or suffer from problems of convergence. Therefore, the aim of this work is the analysis of the binodal curve equations, comparing the models reported in the literature to describe ILATPS and proposing alternative equations to improve accuracy or to reduce the mathematical complexity. For this purpose, a database compiling binodal experimental data of 100 ILATPS has been built, so that the analysis could make it possible to obtain representative conclusions for all these systems. Several models were developed, and different statistical criteria were used to assess the advantages and disadvantages of each one of these models for the binodal curve. The results show that, when accuracy is critical, a proposed model with just an additional parameter reduced more than 25% the residual mean squared error (RMSE) with respect to the commonly used equation, without losing the statistical significance of the parameters. For complex problems where an explicit equation in both the concentration of ionic liquid and of salt is needed, the use of an explicit model developed with 3 adjusted parameters that kept high accuracy (R2 > 0.996 and RMSE < 0.66) is proposed. Finally, the analysis also revealed that a fitting method based on the minimization of relative errors is recommended to increase the accuracy of the binodal curve at high salt concentrations, which is the crucial region for assessing the recyclability of the ionic liquid.This work was developed in the scope of the project CICECO Aveiro Institute of Materials (Ref. FCT UID/CTM/50011/2013), financed by national funds through the FCT/MEC and co-financed by FEDER under the PT2020 Partnership Agreement. The authors also acknowledge FCT for the Post-doctoral grant SFRH/BPD/79263/2011 of S.P.M. Ventura

Basic nutrients content of Catolaccus grandis Burks reared in cotton boll weevil larvae

The aim of this work was to determine the levels of carbohydrate, soluble proteins and free amino acids of larvae, pupae and adult females Catolaccus grandis Burks (Hymenoptera: Pteromalidae) which were reared in cotton (Gossypium hirsutum L. r. latifolium Hutch) boll weevil (Anthonomus grandis) larvae venomized by ectoparasitoid of female and 1st instar ectoparasitoid larvae. This study was carried out at the Biological Control of Pests Research Unit, Weslaco, Texas. The twenty samples of each one of three stages of development: 3rd instar larval, female pupae and female adult of parasitoid C. grandis were separated and individually weighted, and levels of carbohydrates, proteins and amino acids were quantified when reared in different substrates. The results confirmed the existence of metabolic patterns significantly distinct from the basic nutrient model.El objetivo del trabajo fue determinar los niveles de carbohidratos, proteínas solubles y aminoácidos libres de larvas, pupas hembras y adultos hembras de Catolaccus grandis (Burks) (Hymenoptera: Pteromalidae) criados sobre larvas del picudo del algodón envenenadas por hembras del parasitoide y por larvas de primer instar del parasitoide. Esto estudio fue conducido en la Unidade de Investigación de Control Biologico de Plagas del Departamento de Agricultura de los Estados Unidos de la América, en Weslaco, Texas. Las 20 muestras de cada uno de los tres estados de desarrollo: tercer instar larval, pupas hembra y adultos hembra del parasitoide C. grandis, fueron separadas y pesadas individualmente y se cuantió el contenido de carbohidratos totales, proteínas solubles totales y aminoácidos libres criados en diferentes sustratos. Los resultados obtenidos confirman la existencia de patrones metabólicos significativamente distintos de estos nutrientes básicos.El objetivo del trabajo fue determinar los niveles de carbohidratos, proteínas solubles y aminoácidos libres de larvas, pupas hembras y adultos hembras de Catolaccus grandis (Burks) (Hymenoptera: Pteromalidae) criados sobre larvas del picudo del algodón envenenadas por hembras del parasitoide y por larvas de primer instar del parasitoide. Esto estudio fue conducido en la Unidade de Investigación de Control Biologico de Plagas del Departamento de Agricultura de los Estados Unidos de la América, en Weslaco, Texas. Las 20 muestras de cada uno de los tres estados de desarrollo: tercer instar larval, pupas hembra y adultos hembra del parasitoide C. grandis, fueron separadas y pesadas individualmente y se cuantió el contenido de carbohidratos totales, proteínas solubles totales y aminoácidos libres criados en diferentes sustratos. Los resultados obtenidos confirman la existencia de patrones metabólicos significativamente distintos de estos nutrientes básicos

Reflexiones latinoamericanas en bioética

La reflexión sobre bioética está enraizada en la situación actual. Los países desarrollados comienzan el tercer milenio en condiciones de bienestar generalizadas, superiores a las que tenían hace treinta años, pero la calidad de vida requiere algo distinto del simple crecimiento, la situación personal se ha deteriorado. Los países pobres están dispuestos a sacrificar lo que añoran los países desarrollados por disfrutar del crecimiento mecanicista. La producción requiere cada día menos personas de las que hoy están ocupadas. La generación de desechos aumenta. Los hombres encuentran dificultades para relacionarse. Por ello, la situación presente es vista como un desafío que supera a los retos tradicionales, donde no sólo los principios clásicos que rigen la bioética necesitan ser pensados.En este momento de desequilibrio social, cuando la corrupción y la impunidad son males sociales que necesitan ser extinguidos, parece que toda la sociedad habla de ética. El problema no radica en la frecuencia con la que se exige ética, rama de la filosofía, sino en la situación por la que –de acuerdo con lo que decía Jaspers al respecto de la filosofía– todos se sienten competentes para hablar del tema, parecería que la sola condición humana es suficiente para hacerlos capaces. Así, se escuchan todo tipo de argumentos, la mayoría insostenibles, pero no todos los discursos son vacíos; este libro es un ejemplo de la actitud opuesta, quienes lo escriben se han dedicado a la investigación sobre el tema. Los especialistas en bioética aquí recogidos tienen una larga trayectoria dentro de la misma. En el curso de sus vidas profesionales y personales han encontrado algunas explicaciones acerca del ejercicio de la práctica del cuidado de la salud y han tenido claro que la ética toma en cuenta elementos del deber ser. Aunque en dicha práctica la escucha del inconsciente y la manifestación del deseo ofrecen una apertura distinta hacia el conocimiento del ser humano

ESPINOSA DE LOS MONTEROS (Burgos) (Término municipal). 1:10.000

Comprende parte de los términos municipales de Espinosa de los Monteros y merindades de la provincia de BurgosManuscrito firmado y rubricado por los autoresRelieve representado por curvas de configuraciónExiste otro ejemplarIncluye: "Plano del campo de batalla de Espinosa de los Monteros : Cuadro de reunión". Escala 1:20.000. Señala triangulaciones. Figura el sello en seco del Depósito de la Guerra del Cuerpo de Estado Mayor ; "Perfil General de Norte á Sur por los vertices TSREHT' y R'" ; "Perfil que envuelve la regala San Lorenzo, pasando por los vertices L'C' y B'" ; "Perfil segun PA' y Z" ; "Perfil de Oeste á Este, desde el vertice G pasando por los HF y C'' y terminando en el Trueba" ; "Perfil desde el vertice S por el N y el alto de la Garita, y que termina en Espinosa de los Monteros" ; "Perfil General de O á E por los vertices M'Y'GMEDC é Y". Escala para las distancias horizontales 1:10.000 y para las verticales 1:1.000. Consta el sello en seco del Depósito de la Guerra del Cuerpo de Estado Mayo

Ionic liquids in the electrochemical valorisation of CO2

The development of electrochemical processes for using captured CO2 in the production of valuable compounds appears as an attractive alternative to recycle CO2 and, at the same time, to store electricity from intermittent renewable sources. Among the different innovative attempts that are being investigated to improve these processes, the application of ionic liquids (ILs) has received growing attention in recent years. This paper presents a unified discussion of the significant work that involves the utilisation of ILs for the valorisation of CO2 by means of electrochemical routes. We discuss studies in which CO2 is used as one of the reactants to electrosynthesise value-added products, among which dimethyl carbonate has been the focus of particular attention in the literature. Approaches based on the electrochemical reduction of CO2 to convert it into products without the use of other carbon-based reactants are also reviewed, highlighting the remarkable improvements that the use of ILs has allowed in the CO2 electroreduction to CO. The review emphasises on different aspects related to process design, including the nature of IL anions and cations that have been used, the working conditions, the electrocatalytic materials, the electrode configurations, or the design of electrochemical cells, as well as discussing the most relevant observations, results and figures of merit that the participation of ILs has allowed to achieve in these processes. Several conclusions are finally proposed to highlight crucial challenges and recommendations for future research in this area.The financial support from the Spanish Ministry of Economy and Competitiveness Project CTQ2013-48280-C3-1-R is gratefully acknowledged. J. Albo particularly thanks Juan de la Cierva program (JCI-2012-12073)

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Colombian consensus recommendations for diagnosis, management and treatment of the infection by SARS-COV-2/ COVID-19 in health care facilities - Recommendations from expert´s group based and informed on evidence

La Asociación Colombiana de Infectología (ACIN) y el Instituto de Evaluación de Nuevas Tecnologías de la Salud (IETS) conformó un grupo de trabajo para desarrollar recomendaciones informadas y basadas en evidencia, por consenso de expertos para la atención, diagnóstico y manejo de casos de Covid 19. Estas guías son dirigidas al personal de salud y buscar dar recomendaciones en los ámbitos de la atención en salud de los casos de Covid-19, en el contexto nacional de Colombia

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat