Influence of crystalline orientation on the thermal-energy convertion efficiency in shape memory alloys

A theoretical study about the influence of crystalline orientation on the energy conversion efficiency of two shape memory alloys is present. The study consider single crystal samples in simple tension. The results showed higher properties for of the NiTi than Cu-Al-Be, especially in the temperature-increment (ΔT) necessary for get a conversion energy cycle. However, the study showed a crystalline orientation favorable for Cu-Al-Be

Evolution of the use of corticosteroids for the treatment of hospitalised COVID-19 patients in Spain between March and November 2020: SEMI-COVID national registry

Objectives: Since the results of the RECOVERY trial, WHO recommendations about the use of corticosteroids (CTs) in COVID-19 have changed. The aim of the study is to analyse the evolutive use of CTs in Spain during the pandemic to assess the potential influence of new recommendations. Material and methods: A retrospective, descriptive, and observational study was conducted on adults hospitalised due to COVID-19 in Spain who were included in the SEMI-COVID- 19 Registry from March to November 2020. Results: CTs were used in 6053 (36.21%) of the included patients. The patients were older (mean (SD)) (69.6 (14.6) vs. 66.0 (16.8) years; p < 0.001), with hypertension (57.0% vs. 47.7%; p < 0.001), obesity (26.4% vs. 19.3%; p < 0.0001), and multimorbidity prevalence (20.6% vs. 16.1%; p < 0.001). These patients had higher values (mean (95% CI)) of C-reactive protein (CRP) (86 (32.7-160) vs. 49.3 (16-109) mg/dL; p < 0.001), ferritin (791 (393-1534) vs. 470 (236- 996) µg/dL; p < 0.001), D dimer (750 (430-1400) vs. 617 (345-1180) µg/dL; p < 0.001), and lower Sp02/Fi02 (266 (91.1) vs. 301 (101); p < 0.001). Since June 2020, there was an increment in the use of CTs (March vs. September; p < 0.001). Overall, 20% did not receive steroids, and 40% received less than 200 mg accumulated prednisone equivalent dose (APED). Severe patients are treated with higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%. Conclusions: Patients with greater comorbidity, severity, and inflammatory markers were those treated with CTs. In severe patients, there is a trend towards the use of higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

Pollination of Pagamea duckei Standl. (Rubiaceae): a functionally dioecious species

The floral biology, pollination and breeding system of Pagamea duckei Standl. (Rubiaceae) were studied at the Reserva Biológica da Campina, Manaus, Amazonas, Brazil. Floral morphology suggested that P. duckei is a distylous species. However, crossing experiments revealed that it is functionally dioecious. The flowers are actinomorphic, yellowish, produce nectar and a sweet odor, which is more intense in the morning. Anthesis started in the morning between 5.00 and 6.00 AM and extended until dusk, when the corolla tube abscissed. The flowers were visited mostly by bees of the genus Melipona. Pagamea duckei is not agamospermic and thus needs pollen vectors for effective pollination. The results of this study strengthen the idea that, in Pagamea, species with distylous flower morphology are actually functionally dioecious

Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

BACKGROUND: Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Affairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent with the estimates of the numbers of deaths in the GBD. The present iteration of the GBD, GBD 2017, improves on previous assessments and provides timely estimates of the mortality experience of populations globally. METHODS: The GBD uses all available data to produce estimates of mortality rates between 1950 and 2017 for 23 age groups, both sexes, and 918 locations, including 195 countries and territories and subnational locations for 16 countries. Data used include vital registration systems, sample registration systems, household surveys (complete birth histories, summary birth histories, sibling histories), censuses (summary birth histories, household deaths), and Demographic Surveillance Sites. In total, this analysis used 8259 data sources. Estimates of the probability of death between birth and the age of 5 years and between ages 15 and 60 years are generated and then input into a model life table system to produce complete life tables for all locations and years. Fatal discontinuities and mortality due to HIV/AIDS are analysed separately and then incorporated into the estimation. We analyse the relationship between age-specific mortality and development status using the Socio-demographic Index, a composite measure based on fertility under the age of 25 years, education, and income. There are four main methodological improvements in GBD 2017 compared with GBD 2016: 622 additional data sources have been incorporated; new estimates of population, generated by the GBD study, are used; statistical methods used in different components of the analysis have been further standardised and improved; and the analysis has been extended backwards in time by two decades to start in 1950. FINDINGS: Globally, 18·7% (95% uncertainty interval 18·4–19·0) of deaths were registered in 1950 and that proportion has been steadily increasing since, with 58·8% (58·2–59·3) of all deaths being registered in 2015. At the global level, between 1950 and 2017, life expectancy increased from 48·1 years (46·5–49·6) to 70·5 years (70·1–70·8) for men and from 52·9 years (51·7–54·0) to 75·6 years (75·3–75·9) for women. Despite this overall progress, there remains substantial variation in life expectancy at birth in 2017, which ranges from 49·1 years (46·5–51·7) for men in the Central African Republic to 87·6 years (86·9–88·1) among women in Singapore. The greatest progress across age groups was for children younger than 5 years; under-5 mortality dropped from 216·0 deaths (196·3–238·1) per 1000 livebirths in 1950 to 38·9 deaths (35·6–42·83) per 1000 livebirths in 2017, with huge reductions across countries. Nevertheless, there were still 5·4 million (5·2–5·6) deaths among children younger than 5 years in the world in 2017. Progress has been less pronounced and more variable for adults, especially for adult males, who had stagnant or increasing mortality rates in several countries. The gap between male and female life expectancy between 1950 and 2017, while relatively stable at the global level, shows distinctive patterns across super-regions and has consistently been the largest in central Europe, eastern Europe, and central Asia, and smallest in south Asia. Performance was also variable across countries and time in observed mortality rates compared with those expected on the basis of development. INTERPRETATION: This analysis of age-sex-specific mortality shows that there are remarkably complex patterns in population mortality across countries. The findings of this study highlight global successes, such as the large decline in under-5 mortality, which reflects significant local, national, and global commitment and investment over several decades. However, they also bring attention to mortality patterns that are a cause for concern, particularly among adult men and, to a lesser extent, women, whose mortality rates have stagnated in many countries over the time period of this study, and in some cases are increasing

Estudio de esfuerzos en la heteroestructuras ZnSe /GaAs (001) por medio de fotorreflectancia

Se presenta un análisis de los esfuerzos presentes en la película de ZnSe por medio de la técnica de fotorreflectancia (FR). En el estudio de los esfuerzos se tiene en cuenta el desacople de red y la diferencia en los coeficientes de dilatación térmica entre el sustrato y la película. El esfuerzo por desacople de red es de compresión, mientras que el debido a los coeficientes de expansión térmica es de tensión. El cálculo muestra que el esfuerzo total tiende a cero debido a que la compresión y la tensión son del mismo orden, y en el espectro de FR no se aprecia un desdoblamiento de la banda de valencia en huecos ligeros y huecos pesados. Los ajustes de las curvas de FR se realizaron mediante una contribución de forma de línea de tercera derivada para un punto crítico 3D, M 0 . La dependencia de la energía de la transición fundamental E 0 con la temperatura se estudio empleando diferentes modelos teóricos

Modulación selectiva de superficies e interfases por medio de fotorreflectancia en heteroestructuras

Mediante la técnica de fotorreflectancia (FR) con láseres desfasados 180° es posible realizar un estudio selectivo de la superficie y de la interfase de una heteroestructura. Controlando adecuada-mente las intensidades relativas de los láseres mediante filtros de densidad neutra y las longitudes de onda empleadas en la modulación es posible seleccionar la región a estudiar en heteroestructu-ras. La modulación de las bandas se realiza con laseres cuya energía del fotón es igual o mayor que la brecha prohibida del semiconductor. Para mostrar las fortalezas de este tipo de técnica, se realizaron estudios en heteroestructuras de ZnSe/GaAs y CdTe/GaAs crecidas por medio de MBE (Molecular Beam Epitaxy). Es posible modular la interfase o regiones cercanas a la superficie o la interfase a pesar de que la longitud de penetración es pequeña comparada con el espesor de las pe-lículas, esto se debe a que la calidad de la misma permite difusión de los portadores de la película hacia el substrato modulando las respectivas bandas