Rehidratação em pacientes pediátricos

Dehydration in pediatric patients is one of the most common causes of mobility and mortality in developing countries; therefore, the right management of this disease is essential in order to reduce fatal and preventable disease outcomes. A review of the literature was made with respect to the physiology, pathophysiology, clinical manifestations, mecha­nism of action, indications and contraindications of oral rehydration salts and intravenous solutions, in order to pro­vide some recommendations based on current evidence, to all physicians, who daily work on this kind of pathology. The investigation showed that ORS remains the Gold Standard in the treatment of mild to moderate dehydration in patients with indications and intravenous solutions, are of vital support in the group of patients with severe dehydra­tion, oral intolerant, shock, paralytic ileus, certain surgical pathologies and therapy contraindications ORS.La deshidratación en el paciente pediátrico es una de las causas de morbimortalidad más importantes en países en vía de desarrollo; por tanto, es imprescindible el correcto manejo de esta patología con el fin de disminuir los desenlaces fatales y prevenibles de la enfermedad. Se realizó una revisión de la literatura con respecto a la fisiología, la fisiopatología, la clínica, el mecanismo de acción, las indicaciones y las contraindicaciones de las sales de rehidratación oral y las soluciones de administración endovenosa, con el fin de brindar ciertas pautas y recomendaciones basadas en la evidencia actual, a todos los profesionales de la salud, que a diario enfrentan este tipo de patología. La investigación demostró que las sales de rehidratación oral siguen siendo el Gold Estándar en el tratamiento de la deshidratación leve a moderada en pacientes con indicaciones de uso y que las soluciones de administración endovenosa son de vital apoyo en aquel grupo de pacientes con deshidratación grave con intolerancia a la vía oral, shock, íleo paralitico, ciertas patologías quirúrgicas y con contraindicaciones de terapia con sales de rehidratación oral.A desidratação em pacientes pediátricos é uma das causas mais comuns de mobilidade e mortalidade nos países em desenvolvimento; Portanto, o manejo correto desta doença é essencial para reduzir os resultados fatais e evitáveis da doença. Realizou-se revisão da literatura em relação à fisiologia, fisiopatologia, manifestações clínicas, mecanismo de ação, indicações e contra-indicações dos sais de reidratação oral e soluções intravenosas, a fim de fornecer algu­mas recomendações baseadas em evidências atuais a todos os médicos, que diariamente Trabalho sobre esse tipo de patologia. A investigação mostrou que a SRO permanece como padrão-ouro no tratamento da desidratação leve a moderada em pacientes com indicações e soluções intravenosas, são de suporte vital no grupo de pacientes com desidratação grave, intolerância oral, choque, íleo paralítico, certas patologias cirúrgicas e Terapia contra-indicações ORS

Biosensors to diagnose Chagas disease: A review

International audienceChagas disease (CD), which mostly affects underprivileged people, has turned into one 9 of Latin America's main public health problems. Prevention of the disease requires early diagnosis, 10 initiation of therapy, and regular blood monitoring of the infected individual. However, the majority 11 of the infections go undiagnosed because of general mild symptoms and lack of access to medical 12 care. Therefore, more affordable and accessible detection technologies capable of providing early 13 diagnosis and parasite load measurements in settings where CD is prevalent are needed to enable 14 enhanced intervention strategies. This review discusses currently available detection technologies 15 and emerging biosensing technologies for a future application to CD. Even if biosensing 16 technologies still require further research efforts to develop portable systems, we arrive to the 17 conclusion that biosensors could improve diagnosis and the patients' treatment follow-up, in terms 18 of rapidity, small sample volume, high integration, ease of use, real-time and low cost detection 19 compared to current conventional technologies. 2

Revista de Vertebrados de la Estación Biológica de Doñana

Descripción de un nuevo género y de una nueva especie Iberocypris palaciosi N.GEN.N.SO (Pisces, cyprinidae).Resultados de los censos d e aves acuáticas en Andalucía Occidental durante el invierno1978-79Interacciones en la alimentación de las larvas de dos especies de tritones. (Triturus marmoratus y Triturus boscai).Utilización del espacio en una comunidad de lacertidos del matorral mediterráneo en la Reserva Biológica de DoñanaMorfología dentaria de las liebres europeas (Lagomorpha, leporidae).El conejo, Oryctolagus cuniculus en Andalucía Occidental: Parámetros corporales y curva de crecimientoObservaciones de foca monje (Monachus monachus Herm.) en las costas del sureste de la Península Ibérica.Presencia de pejerrey Atherina (Hepsetia) boyeri, Risso 1810; Pisces ( Atherinidae) en la laguna de Zoñar (Córdoba, SO de España).Nuevas citas de la "loina" Chondrostoma (Machaerochilus) toxostoma arrigonis Stein. (pisces, cyprinidae) en EspañaRelativa subalimentación de Falco naumanni durante el periodo no reproductor en el valle del GuadalquivirComadrejas alimentandose de carroña.Agrupamientos de Alytes cisternasii bajo el mismo refugioDescripción de un nuevo género de quiróptero neotropical de la familia MolossidaeAlgunas notas sobre Platalea leucorodia en GaliciaInicidencia del murciélago hematófago Desmodus rotundus sobre los indígenas Yanomani de VenezuelaRitmo de actividad de algunos ratones de los llanos de Apure (Venezuela)Presencia del topillo campesino ibérico, Microtus arvalis asturianus Miller, 1908 en la meseta del DueroFalco columbarius EsmerejónCiconia ciconia CigüeñaNycticorax nycticorax MartinetePeer reviewe

An Updated Review of SARS-CoV-2 Vaccines and the Importance of Effective Vaccination Programs in Pandemic Times

first_pagesettingsOrder Article Reprints Open AccessReview An Updated Review of SARS-CoV-2 Vaccines and the Importance of Effective Vaccination Programs in Pandemic Times by Cielo García-Montero 1ORCID,Oscar Fraile-Martínez 1,Coral Bravo 2,3,4,Diego Torres-Carranza 5,Lara Sanchez-Trujillo 1,6ORCID,Ana M. Gómez-Lahoz 1,Luis G. Guijarro 7,Natalio García-Honduvilla 1,8,Angel Asúnsolo 8,9ORCID,Julia Bujan 1,8ORCID,Jorge Monserrat 1,8ORCID,Encarnación Serrano 10,Melchor Álvarez-Mon 1,8,11,Juan A De León-Luis 3,4,5,*ORCID,Miguel A. Álvarez-Mon 1,8,12ORCID andMiguel A. Ortega 1,8,13ORCID 1 Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcalá de Henares, Spain 2 Department of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain 3 Department of Obstetrics and Gynecology, University Hospital Gregorio Marañón, 28009 Madrid, Spain 4 Health Research Institute Gregorio Marañón, 28009 Madrid, Spain 5 First of May Health Centre, Health Area I, Rivas Vaciamadrid, 28521 Madrid, Spain 6 Service of Pediatric, Hospital Universitario Principe de Asturias, 28801 Alcalá de Henares, Spain 7 Unit of Biochemistry and Molecular Biology (CIBEREHD), Department of System Biology, University of Alcalá, 28801 Alcalá de Henares, Spain 8 Ramón y Cajal Institute of Sanitary Research (IRYCIS), 28034 Madrid, Spain 9 Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcala de Henares, Spain 10 Los fresnos of Health Centre, Health Area III, Torrejon de Ardoz, 28850 Madrid, Spain add Show full affiliation list * Author to whom correspondence should be addressed. Vaccines 2021, 9(5), 433; https://doi.org/10.3390/vaccines9050433 Received: 9 April 2021 / Revised: 21 April 2021 / Accepted: 22 April 2021 / Published: 27 April 2021 (This article belongs to the Special Issue Unraveling SARS-CoV-2 Pathogenesis: Development of Vaccines and Therapeutics for COVID-19) Download Browse Figures Versions Notes Abstract Since the worldwide COVID-19 pandemic was declared a year ago, the search for vaccines has become the top priority in order to restore normalcy after 2.5 million deaths worldwide, overloaded sanitary systems, and a huge economic burden. Vaccine development has represented a step towards the desired herd immunity in a short period of time, owing to a high level of investment, the focus of researchers, and the urge for the authorization of the faster administration of vaccines. Nevertheless, this objective may only be achieved by pursuing effective strategies and policies in various countries worldwide. In the present review, some aspects involved in accomplishing a successful vaccination program are addressed, in addition to the importance of vaccination in a pandemic in the face of unwillingness, conspiracy theories, or a lack of information among the public. Moreover, we provide some updated points related to the landscape of the clinical development of vaccine candidates, specifically, the top five vaccines that are already being assessed in Phase IV clinical trials (BNT162b2, mRNA-1273, AZD1222, Ad26.COV2.S, and CoronaVac)

Molecular Squares, Coordination Polymers and Mononuclear Complexes Supported by 2,4-Dipyrazolyl-6H-1,3,5-triazine and 4,6-Dipyrazolylpyrimidine Ligands

The Fe[BF4]2 complex of 2,4-di(pyrazol-1-yl)-6H-1,3,5-triazine (L1) is a high-spin molecular square, [{Fe(L1)}4(μ-L1)4][BF4]8, whose crystals also contain the unusual HPzBF3 (HPz = pyrazole) adduct. Three other 2,4-di(pyrazol-1-yl)-6H-1,3,5-triazine derivatives with different pyrazole substituents (L2-L4) are unstable in the presence of first row transition ions, but form mononuclear, polymeric or molecular square complexes with silver(I). Most of these compounds involve bis-bidentate di(pyrazolyl)triazine coordination, which is unusual for that class of ligand, and the molecular squares encapsulate one or two BF4‒, ClO4‒ or SbF6‒ ions through combinations of anion...π, Ag...X and/or C‒H...X (X = O or F) interactions. Treatment of Fe[NCS]2 or Fe[NCSe]2 with 4,6-di(pyrazol-1-yl)-2H-pyrimidine (L5) or its 2-methyl and 2-amino derivatives L6 and L7) yields mononuclear [Fe(NCE)2L2] and/or the 1D coordination polymers catena-[Fe(NCE)2(μ-L)] (E = S or Se, L = L5-L7). Alcohol solvates of isomorphous [Fe(NCS)2L2] and [Fe(NCSe)2L2] compounds show different patterns of intermolecular hydrogen bonding, reflecting the acceptor properties of the anion ligands. These iron compounds are all high-spin, although annealing solvated crystals of [Fe(NCSe)2(L5)2] affords a new phase exhibiting an abrupt, low-temperature spin transition. Catena-[Fe(H2O)2(μ-L5)][ClO4]2 is a coordination polymer of alternating cis and trans iron centres

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

<scp>ReSurveyEurope</scp>: A database of resurveyed vegetation plots in Europe

AbstractAimsWe introduce ReSurveyEurope — a new data source of resurveyed vegetation plots in Europe, compiled by a collaborative network of vegetation scientists. We describe the scope of this initiative, provide an overview of currently available data, governance, data contribution rules, and accessibility. In addition, we outline further steps, including potential research questions.ResultsReSurveyEurope includes resurveyed vegetation plots from all habitats. Version 1.0 of ReSurveyEurope contains 283,135 observations (i.e., individual surveys of each plot) from 79,190 plots sampled in 449 independent resurvey projects. Of these, 62,139 (78%) are permanent plots, that is, marked in situ, or located with GPS, which allow for high spatial accuracy in resurvey. The remaining 17,051 (22%) plots are from studies in which plots from the initial survey could not be exactly relocated. Four data sets, which together account for 28,470 (36%) plots, provide only presence/absence information on plant species, while the remaining 50,720 (64%) plots contain abundance information (e.g., percentage cover or cover–abundance classes such as variants of the Braun‐Blanquet scale). The oldest plots were sampled in 1911 in the Swiss Alps, while most plots were sampled between 1950 and 2020.ConclusionsReSurveyEurope is a new resource to address a wide range of research questions on fine‐scale changes in European vegetation. The initiative is devoted to an inclusive and transparent governance and data usage approach, based on slightly adapted rules of the well‐established European Vegetation Archive (EVA). ReSurveyEurope data are ready for use, and proposals for analyses of the data set can be submitted at any time to the coordinators. Still, further data contributions are highly welcome.</jats:sec

A new genus and species of Apoloniinae (Acari: Trombiculidae) from Oman

A new chigger mite genus and species, Arabapolonia omanensis gen. nov. et sp. nov. is described from 4 gecko species, Hemidactylus lemurinus, H. homoeolepis (Gekkonidae), Ptyodactylus hasselquistii (Phyllodactylidae), and Pristurus rupestris (Sphaerodactylidae) collected in Oman. The new genus is characterized by the simple cheliceral blade, single palpal claw, palpal tarsus 6BS, non-reduced scutum without nasus bearing 2 AM, 2 AL and 2 PL setae, flagelliform sensilla branched in the distal half, 2 pairs of eyes, 7-segmented legs with onychotriches, the absence of some leg setae (subterminala, parasubterminala, pretarsalae I and II, microgenuala II, tibiala III, and coxala II), the absence of the sternal setae between leg coxae I (fSt = 0.2.4), and by the presence of tracheae. Copyright © 2012 · Magnolia Press.his research was supported by a grant from the Russian Foundation for Basic Research No. 12-04-00354-a (A.A.S.), Marie Curie reintegration grant from the European Commission (PERG08-GA-ERG-2010- 276838) (E.G.D.) and by grant CGL2009–11663/BOS from the Ministerio de Educación y Ciencia, Spain (S.C.).Peer Reviewe

Rehidratacion en el paciente pediatrico

La deshidratación en el paciente pediátrico es una de las causas de morbimortalidad más importantes en países en vía de desarrollo; por tanto, es imprescindible el correcto manejo de esta patología con el fin de disminuir los desenlaces fatales y prevenibles de la enfermedad. Se realizó una revisión de la literatura con respecto a la fisiología, la fisiopatología, la clínica, el mecanismo de acción, las indicaciones y las contraindicaciones de las sales de rehidratación oral y las soluciones de administración endovenosa, con el fin de brindar ciertas pautas y recomendaciones basadas en la evidencia actual, a todos los profesionales de la salud, que a diario enfrentan este tipo de patología. La investigación demostró que las sales de rehidratación oral siguen siendo el Gold Estándar en el tratamiento de la deshidratación leve a moderada en pacientes con indicaciones de uso y que las soluciones de administración endovenosa son de vital apoyo en aquel grupo de pacientes con deshidratación grave con intolerancia a la vía oral, shock, íleo paralitico, ciertas patologías quirúrgicas y con contraindicaciones de terapia con sales de rehidratación oral