Asistencia al paciente agónico que va a fallecer en urgencias

La finalidad de este documento es aportar a los profesionales de los servicios de urgencias hospitalarios las herramientas suficientes para afrontar, según la organización y las posibilidades de cada hospital, la llegada de los pacientes en situación de últimos días. Es primordial proporcionar un entorno profesional, técnico y humano basado en conceptos, actitudes y habilidades que permitan afrontar las demandas de confort y los requerimientos emocionales y psicosociales que generan estas situaciones.The aim of this article is to provide professionals in the hospital emergency departments with sufficient tools to face, according to the organisation and possibilities of each hospital, the admission of patients in the final days of life. It is primordial to provide a professional, technical and human environment based on concepts, attitudes and skills that make it possible to deal with the demands of comfort and the emotional and psycho-social requirements generated by these situations

A procedure for optimal calibration for a QCM electronic nose. Relation with specifications for pear quality.

The “Rome Tor Vergata” electronic nose has eight Quartz Microbalance Sensors. When a mass is absorbed or placed onto the quartz crystal surface, the oscillation frequency changes in proportion to the amount of mass. Despite previous studies, no QCM calibration statement has been made in relation to the sensitivity needed in the sensors for pear quality assessment. A calibration procedure has been designed and precision, sensitivity, specificity and reproducibility, on a QCM based electronic nose, evaluated. Using data of emission for pear, determinated by GC, it has been evaluated the extracted metrology features in relation to the specifications of the sensing device needed for quality assessment in pears

Preparation and degradation of rhodium and iridium diolefin catalysts for the acceptorless and base-free dehydrogenation of secondary alcohols

Rhodium and iridium diolefin catalysts for the acceptorless and base-free dehydrogenation of secondary alcohols have been prepared, and their degradation has been investigated, during the study of the reactivity of the dimers [M(µ-Cl)(I4-C8H12)]2 (M = Rh (1), Ir (2)) and [M(µ-OH)(I4-C8H12)]2 (M = Rh (3), Ir (4)) with 1, 3-bis(6'-methyl-2'-pyridylimino)isoindoline (HBMePHI). Complex 1 reacts with HBMePHI, in dichloromethane, to afford equilibrium mixtures of 1, the mononuclear derivative RhCl(I4-C8H12){¿1-Npy-(HBMePHI)} (5), and the binuclear species [RhCl(I4-C8H12)]2{µ-Npy, Npy-(HBMePHI)} (6). Under the same conditions, complex 2 affords the iridium counterparts IrCl(I4-C8H12){¿1-Npy-(HBMePHI)} (7) and [IrCl(I4-C8H12)]2{µ-Npy, Npy-(HBMePHI)} (8). In contrast to chloride, one of the hydroxide groups of 3 and 4 promotes the deprotonation of HBMePHI to give [M(I4-C8H12)]2(µ-OH){µ-Npy, Niso-(BMePHI)} (M = Rh (9), Ir (10)), which are efficient precatalysts for the acceptorless and base-free dehydrogenation of secondary alcohols. In the presence of KOtBu, the [BMePHI]- ligand undergoes three different degradations: Alcoholysis of an exocyclic isoindoline-N double bond, alcoholysis of a pyridyl-N bond, and opening of the five-membered ring of the isoindoline core.

Climate Change and World Food Security: A New Assessment

Building on previous work, quantitative estimates of climate change impacts on global food production have been made for the UK Hadley Centre's HadCM2 greenhouse gas only ensemble experiment and the more recent HadCM3 experiment (Hume et al., 1999). The consequences for world food prices and the number of people at risk of hunger as defined by the Food and Agriculture Organization (FAO, 1998) have also been assessed. Climate change is expected to increase yields at high and mid-latitudes, and lead to decreases at lower latitudes. This pattern becomes more pronounced as time progresses. The food system may be expected to accommodate such regional variations at the global level, with production, prices and the risk of hunger being relatively unaffected by the additional stress of climate change. By the 2080s the additional number of people at risk of hunger due to climate change is about 80 million (+/- 10 million depending on which of the four HadCM2 ensemble members are selected). However, some regions (particularly the arid and sub-humid tropics) will be adversely affected. A particular example is Africa, which is expected to experience marked reduction in yield, decreases in production, and increases in the risk of hunger as a result of climate change. The continent can expect to have between 55 and 65 million extra people at risk of hunger by the 2080s under the HadCM2 climate scenario. Under the HadCM3 climate scenario, the effect is even more severe, producing an estimated additional 70+ million people at risk of hunger in Africa

Biopreservation of fresh-cut pear using Lactobacillus rhamnosus GG and effect on quality and volatile compounds

In recent years, the consumption of minimally processed fruit has increased. However, unfortunately, these products could be an appropriate vehicle for the transmission of foodborne pathogens. In this study, the antagonistic capacity of the probiotic strain Lactobacillus rhamnosus GG against a cocktail of 5 serovars of Salmonella and 5 serovars of Listeria monocytogenes on fresh-cut pear at conditions simulating commercial application was assessed. Moreover, its effect on fruit quality, particularly on the volatile profile, was determined, during 9 days of storage at 5 C. L. monocytogenes population was reduced by approximately 1.8 log-units when co-inoculated with L. rhamnosus GG. However, no effect was observed in Salmonella. Fruit quality (soluble solids content and titratable acidity) did not change when the probiotic was present. A total of 48 volatile compounds were identified using gas chromatography. Twelve of the compounds allowed to discriminate L. rhamnosus GG-treated and untreated pears. Considering their odour descriptors, their increases could be positive in the flavour perception of L. rhamnosus GG-treated pear. The probiotic was able to control L. monocytogenes population on fresh-cut pear, which could be a vehicle of probiotic microorganisms as quality of fruit was not affected when the probiotic was presentinfo:eu-repo/semantics/acceptedVersio

IEO 2022 MEGS SURVEYS

Campañas de Ictioplancton para Evaluación de StocksCIE

Carotid plaques increase the risk of stroke and subtypes of cerebral infarction in asymptomatic elderly: the Rotterdam study

BACKGROUND: Few studies have quantified the relation between carotid plaques and stroke in asymptomatic patients, and limited data exist on the importance of location of plaques or the association with subtypes of cerebral infarction. We investigated the relationship between carotid plaques, measured at different locations, and risk of stroke and subtypes of cerebral infarction in a population-based study. Methods and Results- The study was based on the Rotterdam Study and included 4217 neurologically asymptomatic subjects aged 55 years or older. Presence of carotid plaques at 6 locations in the carotid arteries was assessed at baseline. Severity was categorized according to the number of affected sites. After a mean follow-up of 5.2 years, 160 strokes had occurred. Data were analyzed using Cox proportional hazards regression. Plaques increased the risk of stroke and cerebral infarction approximately 1.5-fold, irrespective of plaque location. Severe carotid plaques increased the risk of nonlacunar infarction in anterior (RR 3.2 [95% CI, 1.1 to 9.7]) but not in posterior circulation (RR 0.6 [95% CI, 0.1 to 4.9]). A >10-fold increased risk of lacunar infarction was found in subjects with severe plaques (RR 10.8 [95% CI, 1.7 to 69.7]). No clear difference in risk estimates was seen between ipsilateral and contralateral infarction. CONCLUSIONS: Carotid plaques increase the risk of stroke and cerebral infarction, irrespective of their location. Plaques increase the risk of infarctions in the anterior but not in the posterior circulation. It is likely that carotid plaques in neurologically asymptomatic subjects are both markers of generalized atherosclerosis and sources of thromboemboli

Is carotid intima-media thickness useful in cardiovascular disease risk assessment? The Rotterdam Study

BACKGROUND AND PURPOSE: We determined the contribution of common carotid intima-media thickness (IMT) in the prediction of future coronary heart disease and cerebrovascular disease when added to established risk factors. METHODS: We used data from a nested case-control study comprising 374 subjects with either an incident stroke or a myocardial infarction and 1496 controls.

Cruise Report RV "Vizconde de Eza" Survey MEGS22 – CAREVA 13/03/2022-03/04/2022

CIESCampañas de Ictioplancton para Evaluación de Stock

Cruise Report RV "Vizconde de Eza" Survey MEGS22 – JUREVA 04/04/2022-26/04/2022

CIESCampañas de Ictioplancton para Evaluación de Stock