Uso de la teleenfermería en salud ocupacional

La evidencia sugiere que la Teleenfermería ayuda a los enfermeros en la atención, control y seguimiento de los pacientes, sobre todo en contexto de pandemia. En este trabajo se relata la implementación de una estrategia de Teleenfermería, durante la pandemia por Covid19, en el ámbito de la Salud Ocupacional de empresas de la zona de Leandro N. Alem, Misiones, Argentina. Se describe el escenario de implementación, los problemas a solucionar y el proceso de implementación paso a paso de esta estrategia en el escenario planteado. Los resultados de esta implementación permiten evidenciar una mejora en la calidad de cuidado, mejora en la satisfacción de los trabajadores y de los resultados clínicos laborales.Sociedad Argentina de Informática e Investigación Operativ

Infralittoral ostracode fauna of Porto Puddu Rias (northern Sardinia)

The knowledge of the infralittoral ostracodes presents an increasing interest since it is an essential tool for several fields of research such as human impact of the coastal environments, including environmental monitoring, geoarchaeology and reconstruction of ancient shorelines. The study of the infralittoral ostracode fauna of a small bay of northern Sardinia may represent an useful piece of this knowledge. This bay near Porto Puddu is characterized by shallow seafloors presenting wide vegetated areas, progression of the shoreline and seasonal strem (southern sector). Moreover, its water column is conditioned by winds along the year (Astraldi et al., 1980)

Development of the first georeferenced map of Rhipicephalus (Boophilus) spp. in Mexico from 1970 to date and prediction of its spatial distribution

The tick genus Ripicephalus (Boophilus), particularly R. microplus, is one of the most important ectoparasites that affects livestock health and considered an epidemiological risk because it causes significant economic losses due, mainly, to restrictions in the export of infested animals to several countries. Its spatial distribution has been tied to environmental factors, mainly warm temperatures and high relative humidity. In this work, we integrated a dataset consisting of 5843 records of Rhipicephalus spp., in Mexico covering close to 50 years to know which environmental variables mostly influence this ticks’ distribution. Occurrences were georeferenced using the software DIVA-GIS and the potential current distribution was modelled using the maximum entropy method (Maxent). The algorithm generated a map of high predictive capability (Area under the curve = 0.942), providing the various contribution and permutation importance of the tested variables. Precipitation seasonality, particularly in March, and isothermality were found to be the most significant climate variables in determining the probability of spatial distribution of Rhipicephalus spp. in Mexico (15.7%, 36.0% and 11.1%, respectively). Our findings demonstrate that Rhipicephalus has colonized Mexico widely, including areas characterized by different types of climate. We conclude that the Maxent distribution model using Rhipicephalus records and a set of environmental variables can predict the extent of the tick range in this country, information that should support the development of integrated control strategies

Impact Of Hypotensive Action Of Angiotensin Converting Enzyme Inhibitor On Ovarian-Intraovarian Blood Flow And Follicles Development In Goats Hormonally Stimulated With Repeated Fsh-Ecg Treatment

Background: Recent evidence shows that the renin-angiotensin system (RAS) participates in important reproductive processes, such as steroidogenesis, folliculogenesis, oocyte maturation and ovulation. Several studies have proposed to use an angiotensin-converting enzyme (ACE) as a RAS modulator, aiming to improve reproductive efficiency, however, the presence of the main components of this system in reproductive tissues still need to be further investigated, since the physiological functions seem to be species-specific. The aim of this study was to assess the impact of enalapril-maleate, an ACE inhibitor, during repeated gonadotropins treatment on ovarian blood flow and follicular development in goats. Materials, Methods and Results: Twenty Anglo-Nubian cross-bred goats were equally grouped according to parity (n=10/group): nulliparous and multiparous parity. In each group, five animals were randomly selected to receive 0.4 mg.kg-1 of enalapril-maleate during 11 days of estrus synchronization and gonadotropins treatments. The other animals received the same volume of saline solution. Estrus synchronization of all goats was made by intramuscular administration of PGF2α analog, followed 48 h later by intravaginal insertion of a controlled internal drug release device. Forty-eight hours after device withdrawal, a single dose of 60 mg of FSH plus 300 UI of eCG was administered and repeated every 4 days to complete 3 treatments. Transrectal ultrasonography was performed using pulsed and color Doppler to evaluate Doppler velocimetrics parameters of the ovarian artery and intraovarian blood flow, respectively, and B-mode real-time ultrasound scanner to evaluate the follicular development. In the females treated with enalapril-maleate was observed a significant reduction of systolic and diastolic peak, without difference according to parity. In addition, in the third session of hormonal stimulation, only the groups (nulliparous and multiparous) not treated with enalapril maleate had a significant increase in the intraovarian blood flow (Doppler area). In treated group was also found a greater number of small follicles, a lower proportion of follicle ≥ 5 mm and a smaller follicular size. In the same group, the nulliparous females had a lower proportion of large follicles compared to the saline group, otherwise, there were no differences between the treatments in multiparous goats. In the group treated with enalapril maleate, higher number of large follicles was observed in multiparous animals than in the nulliparous ones.Discussion: In vivo and in vitro studies have shown clear effects of RAS modulation on reproductive aspects. Our results confirmed the hypotensive effect of enalapril maleate on the ovarian artery and intraovarian blood flow, also showing that the administration of the drug reduced the process of follicular depletion and the growth of large follicles. These findings suggest that the hypotensive effects observed in our experiment, result from the treatment with the ACE inhibitor, and that this alteration in hemodynamic parameters may be the main responsible for the lower follicular response observed in animals treated with enalapril-maleate. We suggest that further studies are necessary to elucidate possible effects of the administration of an ACE inhibitor on ovarian activity, especially in the expression of genes associated with follicular, oocyte and embryonic development. Finally, the study conclude that the administration of enalapril-maleate in our experimental condition exhibit a hypotensive effect on ovarian circulatory system but did not show to promote a real benefit of follicular development in goats.

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Late Holocene palaeoenvironmental evolution of the northern harbour at the Elaiussa Sebaste archaeological site (south-eastern Turkey): evidence from core ELA6

9noAbstract: The ancient site of Elaiussa Sebaste (SE coast of Turkey) was one of the main trading harbours of the Mediterranean, growing in the Augustan period and maintaining its prestige until the Byzantine era. The Arabic invasion that occurred in the second half of the 7th century AD marked its definitive abandonment. A very prominent historical topic concerns the palaeoenvironmental evolution of the northern and southern harbours of Elaiussa Sebaste, including their decline and burial. A wide interdisciplinary study plans to analyse 8 cores drilled in the modern plains, which correspond to the setting of the 2 harbours basins. This geoarchaeological investigation aims to provide a first model of the environmental evolution recorded in the northern port basin, obtained by means of litho- and biofacies analyses from one of the 8 cores (ELA6) that best represents a good reference-succession in order to interpret this evolution. It consists of sediments deposited in a timespan from the 2nd century BC to the 6th century AD, corresponding to the developments of the ancient town and its harbours. The geophysics evidences the depth of the bedrock and the overlaying deposits. Sedimentology, macropalaeontology, and micropalaeontology define a sequence of shallow marine palaeoenvironments, with clear influence of fresh water. The palynology focuses the attention on a short core-interval corresponding to the timespan of 150–190 AD approximately, when the human impact might have controlled this evolution by building and cultivating. A hypothetical scenario might link some natural events (i.e. the uplift of the area, the increase of the sedimentation rate) to the human impact. These causes may have resulted in the siltation of the harbour that finally ended all harbour-related activities. During the timespan of the 2nd century BC to the 4th century AD, the northern harbour of Elaiussa-Sebaste may represent a good test to apply the Ancient Harbour Parasequence.openopenMelis, Romana; Bernasconi, Maria Pia; Colizza, Ester; Di Rita, Federico; Equini Schneider, Eugenia; Forte, Emanuele; Montenegro, Maria Eugenia; Pugliese, Nevio; Ricci, MarcoMelis, Romana; Bernasconi, Maria Pia; Colizza, Ester; Di Rita, Federico; Equini Schneider, Eugenia; Forte, Emanuele; Montenegro, Maria Eugenia; Pugliese, Nevio; Ricci, Marc

RECONSTRUCTION OF THE LATE QUATERNARY CLIMATIC VARIATIONS BASED ON OSTRACOD ASSEMBLAGES FROM THE NORTH WESTERN BASIN (ROSS SEA, ANTARCTICA)

Within the National Program on Antarctic Research (PNRA), studies of ostracods assemblages from seven sediment cores (ANTA91 c9, ANTA 98 c25, ANTA02 NW1, NW2, NW5, NW6, NW12) sampled in the north western sector of the Ross Sea continental shelf showed some interesting micropaleontological results, which are very useful for the reconstruction of the climatic history of the area

Theraphosidae Abundance Panul Park & Huechuraba

abundance data of Theraphosid spiders in areas disturbed and andisturbed

Evolution of plant-animal interactions

The evolution of plant\u2013animal interactions goes back to the Early Archean, when the first signals of photosynthesis may have been detected in the Isua Peninsula in Greenland, a phenomenon that is related to the isotopic anomalies of carbon. The first evidence of reliable fossils of photosynthetic microorganisms has been identified by micropaleontologists in the Late Archean and Early Proterozoic. A closely related topic in this geologic time interval is the evolution of trophic relations and metabolic diversification in the microbial world. In the context of the three domains of life, Archea, Bacteria, and Eucarya, the bifurcation of multicellular organisms into plants and animals becomes evident only during the Paleozoic. Cell evolution also leads up to the unicellular dichotomy of autotrophs and heterotrophs. Symbiosis has a strong role to play in the transition to plants and animals in the Phanerozoic. It is timely to focus on the details of evolution in the Cretaceous and Tertiary, where detailed pathways of evolution have been gathered in many geographical regions, including the Karst region of northern Italy. Various experimental techniques have contributed to elucidate the coevolution of plants and animals. A special case of plant\u2013animal interaction is the evolution and dispersal of hominins, including their impact on the ecosystems. A significant development in understanding the evolution of plant\u2013animal interactions is based on the possibility of identifying reliable biomarkers that can characterize its different stages, from the earliest microbes to the extant plants and animals. Such identification of biomarkers labeling different stages of evolution may orient the search for life in the exploration of the Solar System