Sociocultural and linguistic boundaries influencing intercultural communication between nurses and Moroccan patients in southern Spain: a focused ethnography

BACKGROUND: During the last 25 years, cultural diversity has increased substantially with global migration. In more recent years this has become highly evident in the south of Spain with its steadily increasing Moroccan population. The accompanying differences in ethnocultural values and traditions between the host and newcomer populations may greatly impact healthcare interactions and thus also effective provision of care. This landscape provides for excellent exploration of intercultural communication in healthcare settings and elucidation of possible ways to overcome existing barriers to provision of culturally competent care by nurses. This study aimed to ascertain how nurses perceive their intercultural communication with Moroccan patients and what barriers are evident which may be preventing effective communication and care. METHODS: A focused ethnography was conducted with semi-structured interviews of 32 nurses in three public hospitals in southern Spain. Interviews were audio-recorded and transcribed verbatim before undergoing translation and back-translation between Spanish and English. Data was managed, classified and ordered with the aid of AQUAD.6 (Günter L. Huber, Tübingen, Germany) qualitative data analysis software. RESULTS: As an important dimension of cultural competence, findings from the interviews with nurses in this study were interpreted within the framework of intercultural communication. Various barriers, for which we have termed “boundaries”, seem to exist preventing effective communication between nurses and their patients. The substantial language barrier seems to negatively affect communication. Relations between the nurses and their Moroccan patients are also marked by prejudices and social stereotypes which likely compromise the provision of culturally appropriate care. CONCLUSIONS: The language barrier may compromise nursing care delivery and could be readily overcome by implementation of professional interpretation within the hospital settings. Moreover, it is essential that the nurses of southern Spain are educated in the provision of culturally appropriate and sensitive care

Marcas privadas: Relevancia e incidencia en el comportamiento del consumidor

Este artículo tiene como objetivo analizar losconceptos concernientes a lo que es una marca,y de allí profundizar sobre las marcas privadas,su terminología, distinciones respecto a lasmarcas nacionales o de fabricantes, tipologías eimportancia en el mercado. Además, se señalacómo es el comportamiento del consumidor segúnlas variables que pueden incidir en su decisión decompra, para concluir que el riesgo percibido es unode los factores soportado por la literatura como elmás decisivo para los consumidores al momentode querer escoger entre una marca privada y unamarca nacional

Endocytic recycling via the TGN underlies the polarized hyphal mode of growth

Intracellular traffic in Aspergillus nidulans hyphae must cope with the challenges that the high rates of apical extension (1μm/min) and the long intracellular distances (>100 μm) impose. Understanding the ways in which the hyphal tip cell coordinates traffic to meet these challenges is of basic importance, but is also of considerable applied interest, as fungal invasiveness of animals and plants depends critically upon maintaining these high rates of growth. Rapid apical extension requires localization of cell-wall-modifying enzymes to hyphal tips. By combining genetic blocks in different trafficking steps with multidimensional epifluorescence microscopy and quantitative image analyses we demonstrate that polarization of the essential chitin-synthase ChsB occurs by indirect endocytic recycling, involving delivery/exocytosis to apices followed by internalization by the sub-apical endocytic collar of actin patches and subsequent trafficking to TGN cisternae, where it accumulates for ~1 min before being re-delivered to the apex by a RAB11/TRAPPII-dependent pathway. Accordingly, ChsB is stranded at the TGN by Sec7 inactivation but re-polarizes to the apical dome if the block is bypassed by a mutation in geaAgea1 that restores growth in the absence of Sec7. That polarization is independent of RAB5, that ChsB predominates at apex-proximal cisternae, and that upon dynein impairment ChsB is stalled at the tips in an aggregated endosome indicate that endocytosed ChsB traffics to the TGN via sorting endosomes functionally located upstream of the RAB5 domain and that this step requires dynein-mediated basipetal transport. It also requires RAB6 and its effector GARP (Vps51/Vps52/Vps53/Vps54), whose composition we determined by MS/MS following affinity chromatography purification. Ablation of any GARP component diverts ChsB to vacuoles and impairs growth and morphology markedly, emphasizing the important physiological role played by this pathway that, we propose, is central to the hyphal mode of growth

Short-term heart rate variability in resting conditions: methodological considerations

Low values on heart rate variability (HRV) derived parameters at resting have been used to predict cardiovascular diseases (CVD) and mortality. In this regard, short-term HRV recordings (usually from 5 to 15 minutes) are increasing their popularity because data acquisition can be performed under more controlled conditions than long-term recordings (e.g., 24 hours). However, different methodological aspects before, during, and after the HRV assessment could affect the quantification and the clinical interpretations of the HRV-derived parameters, as well as hamper comparisons across different studies. In the present study, we summarize these methodological aspects that should be considered in both the research and the clinical settings. These are: (1) the validity and reproducibility of the device used to assess the HRV; (2) the influence of the software used to perform the artefact correction; (3) previous conditions before the testing day; (4) establishing the proper conditions during the HRV assessment (e.g., controlled respiratory frequency); (5) after assessing the HRV, considering the “best” data selection and statistical analysis approach; and (6) the role of the heart rate on the associations between the different CVD risk factors outcomes (e.g., cardiorespiratory fitness) and the HRV-derived parameters

Outcome analysis of intracorneal ring segments for the treatment of keratoconus based on visual, refractive, and aberrometric impairment

PURPOSE: To analyze the outcomes of intracorneal ring segment (ICRS) implantation for the treatment of keratoconus based on preoperative visual impairment. DESIGN: Multicenter, retrospective, nonrandomized study. METHODS: A total of 611 eyes of 361 keratoconic patients were evaluated. Subjects were classified according to their preoperative corrected distance visual acuity (CDVA) into 5 different groups: grade I, CDVA of 0.90 or better; grade II, CDVA equal to or better than 0.60 and worse than 0.90; grade III, CDVA equal to or better than 0.40 and worse than 0.60; grade IV, CDVA equal to or better than 0.20 and worse than 0.40; and grade plus, CDVA worse than 0.20. Success and failure indices were defined based on visual, refractive, corneal topographic, and aberrometric data and evaluated in each group 6 months after ICRS implantation. RESULTS: Significant improvement after the procedure was observed regarding uncorrected distance visual acuity in all grades (P < .05). CDVA significantly decreased in grade I (P < .01) but significantly increased in all other grades (P < .05). A total of 37.9% of patients with preoperative CDVA 0.6 or better gained 1 or more lines of CDVA, whereas 82.8% of patients with preoperative CDVA 0.4 or worse gained 1 or more lines of CDVA (P < .01). Spherical equivalent and keratometry readings showed a significant reduction in all grades (P ≤ .02). Corneal higher-order aberrations did not change after the procedure (P ≥ .05). CONCLUSIONS: Based on preoperative visual impairment, ICRS implantation provides significantly better results in patients with a severe form of the disease. A notable loss of CDVA lines can be expected in patients with a milder form of keratoconus

El GEOCAMP : un sitio web y una herramienta de edición para las actividades de campo en Geología

El GEOCAMP es un portal informático de apoyo a las actividades de campo en Geología. Es un sitio web de libre acceso a disposición de docentes y estudiantes que realizan prácticas de campo como parte de sus enseñanzas o aprendizajes. Es un espacio hipermedia que contiene materiales didácticos de producción propia y numerosos enlaces a todo tipo de informaciones relacionadas con las prácticas de campo en asignaturas de Ciencias de la Tierra. El portal incorpora una herramienta de autoedición - el GEOCAMP-EDITOR -, una aplicación informática que permite introducir desde cualquier lugar del mundo los textos y figuras que conforman la descripción de un punto o itinerario de interés geológico. A partir de la información proporcionada, se genera un documento con una maquetación propia que puede ser consultado en formato HTML o descargado como PDF y utilizado como guía de campo.GEOCAMP is a website devoted to field activities in Geology. It is a free access web site available for both teachers and students who carry out field exercises as part of their teaching or learning. It is a hypermedia resource containing original teaching materials and several links with all kind of topics related to field exercises in subjects of Earth Sciences. The website includes a desktop publishing tool - the GEOCAMP-EDITOR -, a software application that allows to download from anywhere in the world the text and images that describe a point or route of geological interest. Once the information has been downloaded, a document is automatically generated. This document can be accessed in HTML format or downloaded as a PDF document to be used as a field guide

Role of long non-coding RNAs in adipose tissue metabolism and associated pathologies

The incidence of obesity and its related disorders has increased dramatically in recent years and has become a pandemic. Adipose tissue is a crucial regulator of these diseases due to its endocrine capacity. Thus, understanding adipose tissue metabolism is essential to finding new effective therapeutic approaches. The 'omic' revolution has identified new concepts about the complexity of the signaling pathways involved in the pathophysiology of adipose tissue-associated disorders. Specifically, advances in transcriptomics have allowed its application in clinical practice and primary or secondary prevention. Long non-coding RNAs (lncRNAs) have emerged as critical regulators of adipose tissue since they can modulate gene expression at the epigenetic, transcriptional, and post-transcriptional levels. They interact with DNA, RNA, protein complexes, other non-coding RNAs, and microRNAs to regulate a wide range of physiological and pathological processes. Here, we review the emerging field of lncRNAs, including how they regulate adipose tissue biology, and discuss circulating lncRNAs, which may represent a turning point in the diagnosis and treatment of adipose tissue-associated disorders. We also highlight potential biomarkers of obesity and diabetes that could be considered as therapeutic targets. Keywords: Adipose tissue; Biomarkers; Diabetes; Obesity; Therapeutics; lncRNA

Potential health impacts of heavy metals on HIV-infected population in USA.

Noninfectious comorbidities such as cardiovascular diseases have become increasingly prevalent and occur earlier in life in persons with HIV infection. Despite the emerging body of literature linking environmental exposures to chronic disease outcomes in the general population, the impacts of environmental exposures have received little attention in HIV-infected population. The aim of this study is to investigate whether individuals living with HIV have elevated prevalence of heavy metals compared to non-HIV infected individuals in United States. We used the National Health and Nutrition Examination Survey (NHANES) 2003-2010 to compare exposures to heavy metals including cadmium, lead, and total mercury in HIV infected and non-HIV infected subjects. In this cross-sectional study, we found that HIV-infected individuals had higher concentrations of all heavy metals than the non-HIV infected group. In a multivariate linear regression model, HIV status was significantly associated with increased blood cadmium (p=0.03) after adjusting for age, sex, race, education, poverty income ratio, and smoking. However, HIV status was not statistically associated with lead or mercury levels after adjusting for the same covariates. Our findings suggest that HIV-infected patients might be significantly more exposed to cadmium compared to non-HIV infected individuals which could contribute to higher prevalence of chronic diseases among HIV-infected subjects. Further research is warranted to identify sources of exposure and to understand more about specific health outcomes

Performance of polyethyleneimine–silica adsorbent for post-combustion CO2 capture in a bubbling fluidized bed

The high performance of polyethyleneimine (PEI)-based solid adsorbent for CO2 capture has been well recognized in thermogravimetric analysis (TGA) and small-scale fixed bed reactors through the measurements of their equilibrium capacities but has not been really demonstrated on larger scales towards practical utilization. In the present study, a laboratory-scale bubbling fluidized bed reactor loaded with a few kg adsorbent is used to evaluate the adsorption performance of PEI–silica adsorbent under different working conditions including with/without the presence of moisture, different gas–solid contact times, initial bed temperatures, and CO2 partial pressures. The adsorption capacities have shown a clear degradation tendency under dry condition. However, they can be stabilized at a high level of 10.6–11.1% w/w over 60 cycles if moisture (ca. 8.8 vol%) is present in the gas flow during adsorption and desorption. Breakthrough capacities can be stabilized at the level of 7.6–8.2% w/w with the gas–solid contact time of 13 s. The adsorption capacities for the simulated flue gases containing 5% CO2 are only slightly lower than those for the simulated flue gases containing 15% CO2, indicating that the PEI–silica adsorbent is suitable for CO2 capture from flue gases of both coal-fired and natural gas-fired combined cycle power plants. The exothermal heat of adsorption is estimated by the energy balance in the fluidized bed reactor and found to be close (within 10%) to the measured value by TG-DSC. The regeneration heat for the as prepared PEI–silica adsorbent is found to be 2360 kJ/kgCO2 assuming 75% recovery of sensible heat which is well below the values of 3900–4500 kJ/kgCO2 for a typical MEA scrubbing process with 90% recovery of sensible heat

Recurs multimedia del treball de camp en geologia

El portal Geocamp s'ha creat per aplicar-lo al procés d'aprenentatge de la Geologia al camp, enllaçant conceptes teòrics amb metodologia de treball fora de l'aula o el laboratori. S'adreça a docents i estudiants d'universitat, secundària, batxillerat, formació de professorat o públic en general. Aquest portal conté materials didàctics propis i enllaços amb tot tipus d'informacions relatives al treball de camp en Ciències de la Terra. L'element més innovador rau en la seva utilitat a l'hora de plantejar les activitats de preparació de les excursions. També hi trobem pautes metodològiques per a treballar en els afloraments, idees sobre les activitats de síntesi etc. Geocamp consta de 4 blocs: "Preparem la sortida" (elecció del lloc, transport, predicció meteorològica, material necessari, materials didàctics, enllaços d'interès etc.), "El treball de camp" (pautes d'observació, descripció i interpretació de les roques, recomanacions de seguretat etc.), "Itineraris" (exemples regionals propis o disponibles a la xarxa) i "Després de la sortida" (propostes de realització d'un informe final etc.)