Impact on the work of clinical pharmacist at the pharmacotherapy management of critically ill patient: Local experience in a clinical hospital

Context: The complexity in critical patient management and polypharmacy, raise the need for support from a clinical pharmacist to optimize drug therapies. Aims: To evaluate the clinical pharmacist participation in an Adult Intensive Care Unit in a local context where the practice is not well established. Methods: The study was conducted in a teaching hospital. Consisted of two stages a retrospective in which were collected of pharmacotherapy follow-up during a period of two years and a prospective phase of observational and cross-sectional character, which picked up the clinical history of patients and pharmaceutical interventions. These pharmaceutical interventions were evaluated by two intensive care physicians and two external pharmacist, using a default score to each one of these, the degree of concordance was obtained using the kappa coefficient. Results: In the retrospective phase were collected 182 patients, who were performed a total of 750 interventions, of which 99.7% was accepted by physician. In the prospective phase, were analyzed 53 patients that involved 263 pharmaceutical interventions with 96.6% of acceptance on the part of the medical staff. The degree of correlation of the interventions was κ = 0.61 between two physicians of the unit, and κ = 0.71 between two external pharmacists. Conclusions: The contribution that a clinical pharmacist can provide in an adult intensive care has a positive impact on the treatment of patients with a high percentage of acceptances on the part of the medical team

Effect of tillage system on the functional diversity of weed communities: Is it worth measuring local functional traits?

Este trabajo tiene un doble objetivo: i) testar el efecto de tres sistemas de laboreo (laboreo de subsuelo, laboreo mínimo y siembra directa) sobre la diversidad funcional de la comunidad de arvenses; ii) evaluar la necesidad de hacer mediciones locales de rasgos funcionales (área foliar específica (SLA), altura total de la planta y peso de las semillas) para analizar el efecto del tipo de manejo. Se han calculado tres índices de diversidad funcional con los valores de los rasgos obtenidos en la literatura y con los valores de la comunidad local. El efecto del tipo de laboreo sobre estos índices se ha analizado mediante modelos lineales. Los resultados muestran una influencia del origen de los datos a la hora de detectar el efecto del manejo sobre la diversidad funcional de las comunidades arvenses, siendo la siembra directa el sistema que presenta los índices de diversidad funcional más altos.In this work we aim: i) to test the effect of three tillage systems (subsoil tillage, minimum tillage and no-tillage) on the functional diversity of weed communities; and ii) to assess the need for local measurements of functional traits (specific leaf area (SLA), total height of the plant and seed weight) when assessing the effect of management on weed functional diversity. Three functional diversity indexes have been developed, based on local data and data from the literature. The effect of tillage system on the indexes has been analyzed with linear models. The results show that the origin of the data determines the effect of the soil management on the functional diversity of the weed communities, being no-tillage the system with highest functional diversity indexes

eggNOG 5.0: a hierarchical, functionally and phylogenetically annotated orthology resource based on 5090 organisms and 2502 viruses

eggNOG is a public database of orthology relationships, gene evolutionary histories and functional annotations. Here, we present version 5.0, featuring a major update of the underlying genome sets, which have been expanded to 4445 representative bacteria and 168 archaea derived from 25 038 genomes, as well as 477 eukaryotic organisms and 2502 viral proteomes that were selected for diversity and filtered by genome quality. In total, 4.4M orthologous groups (OGs) distributed across 379 taxonomic levels were computed together with their associated sequence alignments, phylogenies, HMM models and functional descriptors. Precomputed evolutionary analysis provides fine-grained resolution of duplication/speciation events within each OG. Our benchmarks show that, despite doubling the amount of genomes, the quality of orthology assignments and functional annotations (80% coverage) has persisted without significant changes across this update. Finally, we improved eggNOG online services for fast functional annotation and orthology prediction of custom genomics or metagenomics datasets. All precomputed data are publicly available for downloading or via API queries at http://eggnog.embl.de

proGenomes2: an improved database for accurate and consistent habitat, taxonomic and functional annotations of prokaryotic genomes

Microbiology depends on the availability of annotated microbial genomes for many applications. Comparative genomics approaches have been a major advance, but consistent and accurate annotations of genomes can be hard to obtain. In addition, newer concepts such as the pan-genome concept are still being implemented to help answer biological questions. Hence, we present proGenomes2, which provides 87 920 high-quality genomes in a user-friendly and interactive manner. Genome sequences and annotations can be retrieved individually or by taxonomic clade. Every genome in the database has been assigned to a species cluster and most genomes could be accurately assigned to one or multiple habitats. In addition, general functional annotations and specific annotations of antibiotic resistance genes and single nucleotide variants are provided. In short, proGenomes2 provides threefold more genomes, enhanced habitat annotations, updated taxonomic and functional annotation and improved linkage to the NCBI BioSample database. The database is available at http://progenomes.embl.de/

Suspended planar-array chips for molecular multiplexing at the microscale

A novel suspended planar‐array chips technology is described, which effectively allows molecular multiplexing using a single suspended chip to analyze extraordinarily small volumes. The suspended chips are fabricated by combining silicon‐based technology and polymer‐pen lithography, obtaining increased molecular pattern flexibility, and improving miniaturization and parallel production. The chip miniaturization is so dramatic that it permits the intracellular analysis of living cells

Lanthanide luminescence to mimic molecular logic and computing through physical inputs

The remarkable advances in molecular logic reported in the last decadedemonstrate the potential of luminescent molecules for logical operations, aparadigm-changing concerning silicon-based electronics. Trivalent lanthanide(Ln3+) ions, with their characteristic narrow line emissions, long-lived excitedstates, and photostability under illumination, may improve the state-ofthe-art molecular logical devices. Here, the use of monolithic silicon-basedstructures incorporating Ln3+ complexes for performing logical functions isreported. Elementary logic gates (AND, INH, and DEMUX), sequential logic(KEYPAD LOCK), and arithmetic operations (HALF ADDER and HALF SUBTRACTOR)exhibiting a switching ratio >60% are demonstrated for the firsttime using nonwet conditions. Additionally, this is the first report showingsequential logic and arithmetic operations combining molecular Ln3+ complexesand physical inputs. Contrary to chemical inputs, physical inputs mayenable the future concatenation of distinct logical functions and reuse of thelogical devices, a clear step forward toward input–output homogeneity that isprecluding the integration of nowadays molecular logic devices.</p

Clustering of Dietary Patterns and Lifestyles among Spanish Children in the EsNuPI Study

Dietary patterns (DPs) are known to be tied to lifestyle behaviors. Understanding DPs and their relationships with lifestyle factors can help to prevent children from engaging in unhealthy dietary practices. We aimed to describe DPs in Spanish children aged 1 to <10 years and to examine their associations with sociodemographic and lifestyle variables. The consumption of toddler and young children milk formulas, enriched and fortified milk within the Spanish pediatric population is increasing, and there is a lack of evidence whether the consumption of this type of milk is causing an impact on nutrient intakes and if they are helping to reach the nutrient recommendations. Within the Nutritional Study in the Spanish Pediatric Population (EsNuPI), we considered two study cohorts and three different age groups in three year-intervals in each of them. The study cohort included 740 children in a representative sample of the urban non-vegan Spanish population and 772 children in a convenience cohort of adapted milk consumers (AMS) (including follow-on formula, toddler’s milk, growing up milk, and fortified and enriched milks) who provided information about sociodemographics, lifestyle, and dietary habits; a food frequency questionnaire was used for the latter. Principal component analysis was performed to identify DPs from 18 food groups. Food groups and sociodemographic/lifestyle variables were combined through a hierarchical cluster algorithm. Three DPs predominated in every age group and study sample: a palatable energy-dense food dietary pattern, and two Mediterranean-like DPs. However, children from the AMS showed a predominant dietary pattern markedly related to the Mediterranean diet, with high consumption of cereals, fruits and vegetables, as well as milk and dairy products. The age of children and certain lifestyle factors, namely level of physical activity, parental education, and household income, correlated closely with the dietary clusters. Thus, the findings provide insight into designing lifestyle interventions that could reverse the appearance of unhealthy DPs in the Spanish child population