Continuidad del cuidado: adulto mayor con diabetes tipo 2 y su cuidador

ResumenObjetivoAplicar la continuidad del cuidado en la persona con diabetes tipo 2 (DT2) y su cuidador, posterior al egreso hospitalario a través de intervenciones de enfermería domiciliaria que contribuyan a mejorar el estilo de vida.MétodoSe trata un proceso de enfermería a un adulto mayor con DT2 y a su cuidador primario, mediante una valoración de enfermería inicial y la medición del conocimiento de la enfermedad a través del Cuestionario de Conocimiento en Diabetes-24 y estilo de vida, con el Instrumento para Medir el Estilo de Vida en Diabéticos. La identificación de necesidades con la taxonomía NANDA permitió intervenciones de tipo informacional, de relación y gestión basadas en la Clasificación de Intervenciones de Enfermería para la continuidad del cuidado. Las intervenciones educativas fueron ejecutadas en sesiones periódicas, bajo consentimiento informado de los participantes, a través de una metodología interactiva. La efectividad fue evaluada con una valoración final de la persona con DT2 y cuidador.ResultadosSe observó un incremento del nivel de conocimientos de la enfermedad y una mejora en el estilo de vida, de la persona con DT2 y su cuidador, en los dominios: nutrición, actividad física, emociones y adherencia terapéutica.ConclusiónLa continuidad del cuidado en la persona con DT2 y su cuidador es una herramienta indispensable para mejorar el estilo de vida y nivel de conocimientos, disminuir el riesgo de complicaciones y evitar reingresos hospitalarios.AbstractObjectiveTo establish the continuity care on persons suffering from diabetes type 2 (DT2) and their caregiver following hospital discharge, through home-visit interventions which can contribute to the improvement of lifestyles.MethodThe nursing process was performed on a patient with DT2 and the corresponding primary caregiver through a nursing assessment which included the use of the 24-Diabetes Knowledge Questionnaire and the Instrument to Measure Lifestyles in patients with Diabetes Type 2. The identification of needs through the NANDA taxonomy allowed informational, relational and managerial interventions based on the Nursing Interventions Classification. The educational interventions were performed during periodic sessions under the informed consent of the participants and through an interactive methodology. The effectiveness was assessed through a final evaluation of the patient and corresponding caregiver.ResultsAn increment in the level of knowledge of the illness and an improvement in the lifestyle of the person with DT2 and the corresponding caregiver, in the nutrition, physical activity, emotions, and therapeutic adherence domains were observed.ConclusionThe continuity care on the person with DT2 is a critical tool to improve the lifestyle and level of knowledge, and to reduce the risk of complications and hospital re-entries

Game of tops: trends in GBIFs community of users

Building on the development of Biodiversity Informatics, the Global Biodiversity Information Facility (GBIF) undertook the task of enabling access to the world¿s wealth of biodiversity data via the Internet. To date, GBIF has become, in many respects, the most extensive biodiversity information exchange infrastructure in the world, opening up a full range of possibilities for science

Recombinants between Deformed wing virus and Varroa destructor virus-1 may prevail in Varroa destructor-infested honeybee colonies

We have used high-throughput Illumina sequencing to identify novel recombinants between deformed wing virus (DWV) and Varroa destructor virus-1 (VDV-1), which accumulate to higher levels than DWV in both honeybees and Varroa destructor mites. The recombinants, VDV-1VVD and VDV-1DVD, exhibit crossovers between the 5’-untranslated region (5’-UTR), and/or the regions encoding the structural (capsid) and non-structural viral proteins. This implies the genomes are modular and that each region may evolve independently, as demonstrated in human enteroviruses. Individual honeybee pupae were infected with a mixture of observed recombinants and DWV. The strong correlation between VDV-1DVD levels in honeybee pupae and the associated mites was observed, suggesting that this recombinant, with a DWV-derived 5’-UTR and non-structural protein region flanking VDV- 1-derived capsid encoding region, is better adapted to transmission between V. destructor and honeybees than the parental DWV or a recombinant bearing the VDV-1-derived 5’-UTR (VDV-1VVD)

Influence of normal and radial contributions of local current density on local electrochemical impedance spectroscopy.

A new tri-electrode probe is presented and applied to local electrochemical impedance spectroscopy (LEIS) measurements. As opposed to two-probe systems, the three-probe one allows measurement not only of normal, but also of radial contributions of local current densities to the local impedance values. The results concerning the cases of the blocking electrode and the electrode with faradaic reaction are discussed from the theoretical point of view for a disk electrode. Numerical simulations and experimental results are compared for the case of the ferri/ferrocyanide electrode reaction at the Pt working electrode disk. At the centre of the disk, the impedance taking into account both normal and radial contributions was in good agreement with the local impedance measured in terms of only the normal contribution. At the periphery of the electrode, the impedance taking into account both normal and radial contributions differed significantly from the local impedance measured in terms of only the normal contribution. The radial impedance results at the periphery of the electrode are in good agreement with the usual explanation that the associated larger current density is attributed to the geometry of the electrode, which exhibits a greater accessibility at the electrode edge

Bonamia status and its effects in cultured flat oysters in the

Hatchery-reared spat obtained from native oyster stocks was cultured. The spat was placed in baskets on rafts at 12 months of age. Bimonthly samples were taken and the presence of Bonamia, other pathological conditions and mortality were estimated

Improved Performance of an Epoxy Matrix as a Result of Combining Graphene Oxide and Reduced Graphene

We present an easy and effective way to improve the mechanical properties of an epoxy matrix by reinforcing it with a combination of graphene oxide (GO) and reduced graphene oxide (RGO). These nanocomposites were prepared with different load of nanofillers: 0.1, 0.4, 0.7, 1.0 wt% and a neat epoxy. Ratios of graphene oxide and reduced graphene (GO : RGO) employed were: 0 : 1, 0.25 : 0.75, 0.5 : 0.5, 0.75 : 0.25, and 1 : 0. Results show that with only 0.4 wt% and a ratio 0.2 : 0.75 of GO : RGO, tensile strength and tensile toughness are 52% and 152% higher than neat epoxy while modulus of elasticity was improved ~20%. The obtained results suggest that it is possible achieve advantageous properties by combining graphene in oxidized and reduced conditions as it shows a synergic effect by the presence of both nanofillers

Real-Time Big Data Analytics in Smart Cities from LoRa-Based IoT Networks

The currently burst of the Internet of Things (IoT) tech-nologies implies the emergence of new lines of investigation regarding not only to hardware and protocols but also to new methods of pro-duced data analysis satisfying the IoT environment constraints: a real-time and a big data approach. The Real-time restriction is about the continuous generation of data provided by the endpoints connected to an IoT network; due to the connection and scaling capabilities of an IoT network, the amount of data to process is so high that Big data tech-niques become essential. In this article, we present a system consisting of two main modules. In one hand, the infrastructure, a complete LoRa based network designed, tested and deployment in the Pablo de Olavide University and, on the other side, the analytics, a big data streaming sys-tem that processes the inputs produced by the network to obtain useful, valid and hidden information.Ministerio de Economía y Competitividad TIN2017-88209-C2-1-

The tragedy of the biodiversity data commons: a data impediment creeping nigher?

Researchers are embracing the open access movement to facilitate unrestricted availability of scientific results. One sign of this willingness is the steady increase in data freely shared online, which has prompted a corresponding increase in the number of papers using such data. Publishing datasets is a time-consuming process that is often seen as a courtesy, rather than a necessary step in the research process. Making data accessible allows further research, provides basic information for decision-making and contributes to transparency in science. Nevertheless, the ease of access to heaps of data carries a perception of `free lunch for all¿, and the work of data publishers is largely going unnoticed. Acknowledging such a significant effort involving the creation, management and publication of a dataset remains a flimsy, not well established practice in the scientific community. In a meta-analysis of published literature, we have observed various dataset citation practices, but mostly (92%) consisting of merely citing the data repository rather than the data publisher. Failing to recognize the work of data publishers might lead to a decrease in the number of quality datasets shared online, compromising potential research that is dependent on the availability of such data. We make an urgent appeal to raise awareness about this issue