Enhanced Stability of Cu Clusters of Low Atomicity against Oxidation. Effect on the Catalytic Redox Process

[EN] By a combination of theoretical modeling and XPS and SERS spectroscopic studies, it has been found that it is possible to stabilize metallic copper species under oxidizing reaction conditions by adjusting the atomicity of subnanometer copper clusters. Small Cu-5 clusters display low reactivity toward O-2 dissociation, being less susceptible to oxidation than larger Cu-8 or Cu-20 systems. However, in the presence of water this reactivity is strongly enhanced, leading to oxidized Cu-5 clusters. In that case, the interaction of Cu-5 with atomic O oxygen is weak, favoring recombination and O-2 desorption, suggesting an easier transfer of O atoms to other reactant molecules. In contrast, copper clusters of higher atomicity or nanoparticles, such as Cu-5 and Cu-20, are easily oxidized in the presence of O-2, leading to very stable reactive O atoms, resulting in low reactivity and selectivity in many oxidation reactions. Altogether, Cu-5, clusters are proposed as promising catalysts for catalytic applications where stabilization of metallic copper species is strongly required.The authors thank the MINECO (Consolider Ingenio 2010-MULTICAT CSD2009-00050 and Severo Ochoa program SEV-2012-0267), Generalitat Valenciana (PROMETEOII/2013/011 Project), and European Union (ERC-AdG-2014-671093-SynCatMatch) for financial support. E.F. and S.G.-G. thank the MINECO for their fellowship SVP-2013-068146 and financial support through project MAT2011-28009, respectively.Concepción Heydorn, P.; Boronat Zaragoza, M.; García García, S.; Fernández-Villanueva, E.; Corma Canós, A. (2017). Enhanced Stability of Cu Clusters of Low Atomicity against Oxidation. Effect on the Catalytic Redox Process. ACS Catalysis. 7(5):3560-3568. https://doi.org/10.1021/acscatal.7b00778S356035687

Atención educativa a los niños y niñas con Necesidades Educativas Especiales (NEE) en el programa Educa a tu Hijo/Educational assistance to children with Special Educational Needs inthe "Educate Your Child" program

Las promotoras del programa Educa a tu Hijo deben estar preparadas para poder identificar los síntomas y características que puedan indicar necesidades educativas especiales asociadas o no a la discapacidad, para ofrecer una atención educativa con carácter inclusivo y la orientación a las familias para favorecer el proceso. En este artículo se hace una propuesta de capacitación de las promotoras del municipio Ciego de Ávila sustentada en la concepción histórico-cultural y en el carácter humanista de la educación cubana

La reforma del sistema de pensiones español

El objetivo de este trabajo es analizar la situación actual del Sistema de Pensiones español cuya viabilidad ha sido cuestionada debido en gran medida a la influencia de factores demográficos y económicos, tales como el crecimiento natural de la población o la tasa de desempleo. De hecho, el aumento del número de pensionistas en los últimos años y la disminución a su vez de cotizantes, han puesto en serio riesgo el equilibrio económico del sistema, que adolece además de problemas estructurales. Tras un análisis del funcionamiento general del Sistema de Pensiones español basado en el principio de solidaridad, el estudio aborda una revisión cronológica de las reformas legislativas realizadas en nuestro país en esta materia, donde se puede observar la dirección y magnitud de los cambios afrontados por el Gobierno, para, posteriormente, detallar sus consecuencias en nuestra sociedad. Finalmente, se formulan una serie de alternativas de reforma con el objetivo de asegurar la sostenibilidad a largo plazo, además de ofrecer algunas propuestas de carácter financiero, o que fomenten la cultura del ahorro privado

Importance of the vaporization margin during CO2 laser treatment of oral leukoplakia: a survival study

Objectives: the main purpose of this study was to assess the response of oral leukoplakia to CO2 laser vaporization treatment, as well as determining possible factors that may affect recurrence of lesions. Materials and methods: a retrospective study was conducted, in which the medical records of patients who had been clinically and histologically diagnosed with oral leukoplakia and treated with CO2 laser between 1996 and 2019 at the Oral Medicine Teaching Unit of the Faculty of Dentistry of the University of Santiago de Compostela were reviewed. Results: fifty-eight patients were included: 36 female and 22 male subjects, with a mean age of 63.7 years old (SD ±13.1). The average follow-up time was 57.5 months (SD ±57.9). A relapse rate of 52.6% was determined. Of all the studied variables, the margin was the only one for which a statistically significant association with recurrence of lesions was demonstrated (p < 0.05). Conclusion: the vaporization of lesions using CO2 laser with a safety margin of at least 3 mm from the clinical limits of OL is a key factor in preventing recurrenceS

Impact of Nursing Methodology training sessions on completion of the Virginia Henderson assessment record

Producción CientíficaThe Virginia Henderson model, integrated in the computer application GACELA Care, helps to standardise the nursing assessment and establish precise and personalised nursing diagnoses. The aim was to determine the extent of completion of the initial patient assessment record after nurses following a training programme on nursing methodology. A quasi-experimental, retrospective, randomised, observational, single-group study was performed in two stages: pre-training and post-training. Voluntary training sessions were held for the nurses that work with GACELA Care. The completion of the initial patient assessment using the needs of Virginia Henderson and the Norton scale was evaluated before and after the training sessions. Completion of the needs of Virginia Henderson in the initial patient assessment increased from 94.2% to 100% (p = 0.014). Completion of “hygiene/skin” increased significantly from 83.3% to 95.8% (pre-training and post-training, respectively). The remaining needs did not show statistical significance. Recording of the Norton scale increased from 63.13% to 92.5% (p < 0.001). The training sessions on nursing methodology have improved the completion of records and inclusion of normal characteristics, defining characteristics and risk factors, and improving pressure ulcer risk assessment through the Norton scale

Analysis of burnout syndrome and resilience in nurses throughout the COVID-19 pandemic: A cross-sectional study

Producción CientíficaBackground: The COVID-19 pandemic has contributed to the occurrence of work-related stress on nursing staff. Being resilience an essential element to countering adversity. The aim of the study was to assess burnout syndrome as well as resilience in hospital-care nurses during the first outbreak of the COVID-19 pandemic. Methods: A cross-sectional descriptive study of burnout syndrome and resilience of 101 nurses during the first COVID-19 outbreak. The Maslach Burnout Inventory and the Scale of Resilience of Connor-Davidson were used. Results: The burnout average score was 74.35 ± 12.78 points, and resilience was 27.94 ± 5.84. Temporary nurses reached a lower average score for the emotional fatigue dimension (23.80 ± 10.39 points) p < 0.05. The emotional fatigue dimension correlated adversely with the average score of resilience (r = −0.271; p < 0.001). Conclusions: The level of burnout in nurses was high, being higher on those who took care of COVID-19 patients. Resilient nurses were able to better cope with stressful situations

Diseño, desarrollo, experimentación y evaluación de aplicaciones Android para la enseñanza de la estadística

Memoria ID-0100. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2016-2017

Cognitive stimulation has potential for brain activation in individuals with Rett syndrome

Background: Knowledge regarding neuropsychological training in Rett syndrome (RS) is scarce. The aim of this study was to assess the outcome and the duration of the effect of cognitive stimulation on topographic EEG data in RS. Method: Twenty female children diagnosed with RS were included in the analysis. Girls with RS conducted a cognitive task using an eye-tracker designed to evaluate access and choice skills. EEG data was acquired during the experimental procedure including two 10-minutes baseline stages before and after the task. Topographical changes of several EEG spectral markers including absolute and relative powers, brain symmetry index and entropy were assessed. Results: Topographic significance probability maps suggested statistical decreases on delta activity and increases on beta rhythm associated with the cognitive task. Entropy increased during and after the task, likely related to more complex brain activity. A significant positive interaction was obtained between brain symmetry index (BSI) and age showing that the improvement of interhemispheric symmetry was higher in younger girls (5-10 years). Conclusions: According to our findings, significant alterations of brain rhythms were observed during and after cognitive stimulation, suggesting that cognitive stimulation may have effects on brain activity beyond the stimulation period. Finally, our promising results also showed an increased brain symmetry that was especially relevant for the younger group. This could suggest an interaction of the eye-tracking cognitive task, however, further studies in this field are needed to assess the relation between brain asymmetries and age.We would like to acknowledge specific funding support from the Spanish Patient Associations Mi Princesa Rett and Rettando al Síndrome de Rett. This project has also received funding from Torrons Vicens and the Ministry of Science and Innovation (MICINN), Spain, under contract PID2020-117751RB-I00. CIBER-BBN is an initiative of the Instituto de Salud Carlos III, Spain. A. Bachiller is a Serra Húnter Fellow. A.García-Cazorla is supported by FIS P118/00111 “Instituto de Salud Carlos III (ISCIII)” and “Fondo Europeo de desarrollo regional (FEDER)”. A. Tost has received the predoctoral scholarship FI-AGAUR from the Generalitat de Catalunya.Peer ReviewedPostprint (author's final draft

Indications and hemoglobin thresholds for red blood cell transfusion and iron replacement in adults with gastrointestinal bleeding: An algorithm proposed by gastroenterologists and patient blood management experts

Gastrointestinal (GI) bleeding is associated with considerable morbidity and mortality. Red blood cell (RBC) transfusion has long been the cornerstone of treatment for anemia due to GI bleeding. However, blood is not devoid of potential adverse effects, and it is also a precious resource, with limited supplies in blood banks. Nowadays, all patients should benefit from a patient blood management (PBM) program that aims to minimize blood loss, optimize hematopoiesis (mainly by using iron replacement therapy), maximize tolerance of anemia, and avoid unnecessary transfusions. Integration of PBM into healthcare management reduces patient mortality and morbidity and supports a restrictive RBC transfusion approach by reducing transfusion rates. The European Commission has outlined strategies to support hospitals with the implementation of PBM, but it is vital that these initiatives are translated into clinical practice. To help optimize management of anemia and iron deficiency in adults with acute or chronic GI bleeding, we developed a protocol under the auspices of the Spanish Association of Gastroenterology, in collaboration with healthcare professionals from 16 hospitals across Spain, including expert advice from different specialties involved in PBM strategies, such as internal medicine physicians, intensive care specialists, and hematologists. Recommendations include how to identify patients who have anemia (or iron deficiency) requiring oral/intravenous iron replacement therapy and/or RBC transfusion (using a restrictive approach to transfusion), and transfusing RBC units 1 unit at a time, with assessment of patients after each given unit (i.e., “don’t give two without review”). The advantages and limitations of oral versus intravenous iron and guidance on the safe and effective use of intravenous iron are also described. Implementation of a PBM strategy and clinical decision-making support, including early treatment of anemia with iron supplementation in patients with GI bleeding, may improve patient outcomes and lower hospital costs

Wnt and RUNX2 mediate cartilage breakdown by osteoarthritis synovial fibroblast‐derived ADAMTS‐7 and ‐12

Failure of therapeutic approaches for the treatment of osteoarthritis (OA) based on the inhibition of metalloproteinases, might be because of their constitutive expres‐ sion in homeostasis, together with their network complexity. The knowledge of this network would contribute to selective target pathological conditions. In this sense, blockade of mediators produced by neighbouring joint cells, such as synovial fibro‐ blasts (SF), would prevent cartilage damage. Thus, we studied the contribution of ADAMTS‐7 and ‐12 from SF to cartilage oligomeric matrix protein (COMP) degrada‐ tion, and the signalling pathways involved in their expression. We report for the first time in SF, the involvement of ERK‐Runx2 axis and Wnt/β‐catenin signalling in ADAMTS‐12 and ADAMTS‐7 expressions, respectively, with the subsequent conse‐ quences in COMP degradation from cartilage extracellular matrix. After stimulation with IL‐1β or fibronectin fragments, we showed that ERK inhibition decreased Runx2 activation and ADAMTS‐12 expression in OA‐SF, also reducing Fn‐fs‐induced COMP degradation. Blockage of Wnt signalling by DKK1 reduced ADAMTS‐7 and COMP degradation in OA‐SF as well. In addition, Wnt7B expression was induced by IL‐1β and by itself, also increasing ADAMTS‐7. Our results could contribute to the develop‐ ment of disease‐modifying OA drugs targeting ADAMTS‐7 and ‐12 for the prevention of extracellular matrix components degradation like COMP