Surface States of (100) O-Terminated Diamond: Towards Other 1 × 1:O Reconstruction Models

Diamond surface properties show a strong dependence on its chemical termination. Hydrogen-terminated and oxygen-terminated diamonds are the most studied terminations with many applications in the electronic and bioelectronic device field. One of the main techniques for the characterization of diamond surface terminations is X-ray photoelectron spectroscopy (XPS). In this sense, the use of angle-resolved XPS (ARXPS) experiments allows obtaining depth-dependent information used here to evidence (100)-O-terminated diamond surface atomic configuration when fabricated by acid treatment. The results were used to compare the chemistry changes occurring during the oxidation process using a sublayer XPS intensity model. The formation of non-diamond carbon phases at the subsurface and higher oxygen contents were shown to result from the oxygenation treatment. A new (100) 1 × 1:O surface reconstruction model is proposed to explain the XPS quantification results of O-terminated diamond

Influencia del manejo del régimen terapéutico en la hospitalización: estudio comparativo entre las áreas de salud mental de Vigo y Jaén

Therapeutic non-compliance is one of the main problems in the approach of the patient with serious mental disorder, for the usual sociofamiliar problems that cause and the amount of sanitary resources that are consumed in an unnecessary way. Objective: To identify the profile of the patient of the Mental Health Area of Vigo that presents the nursing diagnosis “therapeutic regime management, ineffective”, analyzing sociocultural, demographic and familiar factors that affect the admission comparing the results with those obtained in the Sanitary Area of Jaén. Method: Descriptive study of retrospective type by means of the revision of Clinical Histories of inpatients and comparison with a study made in the Health Area of Jaén Results: The profile of the patient who noncompliance treatment is single, age between 26 and 45 years, with no sex significant difference, where the main caretakers are the parents. This patient is readmitted in a voluntary way with an average length of stay between 2 and 20 days, being the most frequent diagnoses: personality disorder and schizophrenia. Conclusions: Non-compliance of treatment is the most determining factor in readmission of the patient, being clearly higher in the Area of Vigo. There is no significant difference in treatment noncompliance between men and women; however, it’s more frequent in urban areas and related to toxic habits. Familiar support is, mainly, by parents. The important number of readmissions detected considerably increases, the cost at all levels.El incumplimiento terapéutico es uno de los principales problemas en el abordaje del paciente con trastorno mental grave, por los consabidos problemas sociofamiliares que provoca y la cantidad de recursos sanitarios que se consumen de manera innecesaria. Objetivo: Se plantean como objetivos el identificar el perfil del paciente del Área de Salud Mental de Vigo que presente el diagnóstico de enfermería “manejo ineficaz del régimen terapéutico”, analizando los factores socioculturales, demográficos y familiares que inciden en el ingreso y comparando los resultados con los obtenidos en el Área Sanitaria de Jaén. Método: Estudio descriptivo de tipo retrospectivo mediante la revisión de Historias Clínicas de los pacientes ingresados y posterior comparación con un trabajo realizado en el Área de Salud de Jaén Resultados: El perfil del paciente que abandona el tratamiento es soltero, entre 26 y 45 años, sin diferencia significativa entre sexos, donde el cuidador principal son los padres, que reingresa de forma voluntaria con una estancia media entre 2 y 20 días. Los diagnósticos más frecuentes: Trastorno de personalidad y Esquizofrenia. Conclusiones: El abandono del tratamiento es el factor más determinante en el reingreso del paciente. No existe una diferencia significativa entre el abandono de tratamiento entre hombres y mujeres. El abandono de tratamiento es, claramente, más alto en el área de Vigo. De predominio urbano y relacionado con hábitos tóxicos. El apoyo familiar es, fundamentalmente, por parte de los padres. Existe un importante número de reingresos, lo que aumenta, considerablemente el gasto a todos los nivele

H-Terminated Diamond Surface Band Bending Characterization by Angle-Resolved XPS

International audienceConcerning diamond-based electronic devices, the H-terminated diamond surface is one of the most used terminations as it can be obtained directly by using H2 plasma, which also is a key step for diamond growth by chemical vapour deposition (CVD). The resultant surfaces present a p-type surface conductive layer with interest in power electronic applications. However, the mechanism for this behavior is still under discussion. Upward band bending due to surface transfer doping is the most accepted model, but has not been experimentally probed as of yet. Recently, a downward band bending very near the surface due to shallow acceptors has been proposed to coexist with surface transfer doping, explaining most of the observed phenomena. In this work, a new approach to the measurement of band bending by angle-resolved X-ray photoelectron spectroscopy (ARXPS) is proposed. Based on this new interpretation, a downward band bending of 0.67 eV extended over 0.5 nm was evidenced on a (100) H-terminated diamond surface

Revisión de las últimas novedades en el manejo del paciente con urticaria crónica: Consenso multidisciplinar de la comunidad autónoma de Andalucía

[EN]: Chronic urticaria is a difficult-to-treat skin disorder that has a major impact on patient quality of life. The latest update of the European guideline on the management of urticaria was published in 2018. In this consensus statement, produced in the autonomous community of Andalusia, Spain, we describe a multidisciplinary approach for applying the new treatment algorithm proposed by the European guideline in our region.[ES]: La urticaria crónica es una enfermedad de la piel difícil de tratar que presenta un alto impacto negativo en la calidad de vida de los pacientes. La última actualización de la guía europea para el manejo del paciente con urticaria se publicó en 2018. Con el actual contexto, presentamos un enfoque multidisciplinar para la aplicación del nuevo algoritmo de tratamiento propuesto por la guía en el territorio español, más concretamente, en la comunidad autónoma de Andalucía

A Review of the Latest Recommendations on the Management of Chronic Urticaria: A Multidisciplinary Consensus Statement from Andalusia, Spain

La urticaria crónica es una enfermedad de la piel difícil de tratar que presenta un alto impacto negativo en la calidad de vida de los pacientes. La última actualización de la guía europea para el manejo del paciente con urticaria se publicó en 2018. Con el actual contexto, presentamos un enfoque multidisciplinar para la aplicación del nuevo algoritmo de tratamiento propuesto por la guía en el territorio espanol, ˜ más concretamente, en la comunidad autónoma de Andalucía.Chronic urticaria is a difficult-to-treat skin disorder that has a major impact on patient quality of life. The latest update of the European guideline on the management of urticaria was published in 2018. In this consensus statement, produced in the autonomous community of Andalusia, Spain, we describe a multidisciplinary approach for applying the new treatment algorithm proposed by the European guideline in our region

Relationship Between Arterial Access and Outcomes in ST-Elevation Myocardial Infarction With a Pharmacoinvasive Versus Primary Percutaneous Coronary Intervention Strategy: Insights From the STrategic Reperfusion Early After Myocardial Infarction (STREAM) Study.

BACKGROUND: The effectiveness of radial access (RA) in ST-elevation myocardial infarction (STEMI) has been predominantly established in primary percutaneous coronary intervention (pPCI) with limited exploration of this issue in the early postfibrinolytic patient. The purpose of this study was to compare the effectiveness and safety of RA versus femoral (FA) access in STEMI undergoing either a pharmacoinvasive (PI) strategy or pPCI. METHODS AND RESULTS: Within STrategic Reperfusion Early After Myocardial Infarction (STREAM), we evaluated the relationship between arterial access site and primary outcome (30-day composite of death, shock, congestive heart failure, or reinfarction) and major bleeding according to the treatment strategy received. A total of 1820 STEMI patients were included: 895 PI (49.2%; rescue PCI [n=379; 42.3%], scheduled PCI [n=516; 57.7%]) and 925 pPCI (50.8%). Irrespective of treatment strategy, there was comparable utilization of either access site (FA: PI 53.4% and pPCI 57.6%). FA STEMI patients were younger, had lower presenting systolic blood pressure, lesser Thrombolysis In Myocardial Infarction risk, and more ∑ST-elevation at baseline. The primary composite endpoint occurred in 8.9% RA versus 15.7% FA patients (P<0.001). On multivariable analysis, this benefit on the primary composite outcome favoring RA persisted (adjusted odds ratio [OR], 0.59; 95% CI, 0.44-0.78; P<0.001) and was evident in both pPCI (adjusted OR, 0.63; 95% CI, 0.43-0.92) and PI cohorts (adjusted OR, 0.57 95% CI, 0.37-0.86; P interaction=0.730). There was no difference in nonintracranial major bleeding with either access group (RA vs FA, 5.2% vs 6.0%; P=0.489). CONCLUSIONS: Regardless of the application of a PI or pPCI strategy, RA was associated with improved clinical outcomes, supporting current STEMI evidence in favor of RA in PCI. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov/. Unique identifier: NCT00623623