Consensus must be found on intravenous fluid therapy management in trauma patients

Introduction: Trauma is an important cause of death among young people and 30-40% of this mortality rate is due to hypovolemic shock, intensified by trauma's lethal triad: Hypothermia, Acidosis, and Coagulopathy. Nurses are responsible for managing fluid therapy administration in trauma victims. The purpose of this study is to analyse the reasons why intravenous fluid therapy is recommended for trauma patients' hemodynamic stabilization. Methods: This narrative literature review included published and unpublished studies in English, Spanish or Portuguese between 1994 and January 2019. The search results were analyzed by two independent reviewers. Inclusion criteria encompasses quantitative studies involving trauma victims aged over 18 who underwent fluid therapy in a prehospital assessment context. Results&Discussion: 11 quantitative studies were included. 9 involved the use of fluid therapy for hypotension treatment and 2 of the studies analyzed involved the use of warmed fluid therapy for hypothermia treatment. The analysis performed reveals that the administration of aggressive fluid therapy seems to be responsible for the worsening of the lethal triad. In the presence of traumatic brain injury, permissive hypotension is not allowed due to the negative impact on cerebral perfusion pressure. Used as warming measure, warmed fluid therapy does not seem to have a significant impact on body temperature. Conclusions: There is no consensus regarding the administration of fluid therapy to trauma patients. This conclusion clearly supports the need to develop more randomized controlled trials in order to understand the effectiveness of such measure when it comes to control hypovolemia and hypothermia.info:eu-repo/semantics/publishedVersio

All that Glitters: A Review of Payments for Watershed Services in Developing Countries

This report reviews the current status of payments for watershed services in developing countries. It highlights the main trends in the evolution of these schemes, synthesising the available evidence on their environmental and social impacts, and drawing lessons for the design of future initiatives. The interest in payments for watershed services (PWS) as a tool for watershed management in developing countries is growing, despite major setbacks. This review identified 50 ongoing schemes, 8 advanced proposals and 37 preliminary proposals for PWS. A previous review published by the International Institute for Environment and Development (IIED) on markets and payments for environmental services (Silver Bullet or Fools' Gold? (Landell-Mills and Porras 2002)) identified just 41 proposed and ongoing PWS schemes in developing countries, which suggests a considerable growth in interest in this approach

The first dinuclear zinc(II) dithiocarbarnate complex with butyl substituent groups

The crystal structure of the title compound, bis( -N,N- dibutyldithiocarbamato- 2S:S0)bis[(N,N-dibutyldithiocarba\- forcelb]mato- 2S,S0)zinc(II)], [Zn2(C9H18NS2)4], has been determined at 180 K. The structure contains two crystallographically unique Zn2+ metal centres, showing almost identical slightly distorted tetrahedral coordination environments, and forming a dinuclear complex with two skew-bridging syn-N,N-dibutyldithiocarbamate ligands. Two other dithiocarbamate ligands are connected to the Zn2+ centres in a syn,syn-chelate coordination mode

Distribution Costs and Real Exchange Rate Dynamics During Exchange-Rate-Based-Stabilizations

This paper studies the role played by the distribution sector in shaping the behavior of the real exchange rate during exchange-rate-based-stabilizations. We use data for the U.S. and Argentina to document the importance of distribution margins in retail prices and disaggregated price data to study price dynamics in the aftermath of Argentina's 1991 Convertibility plan. Distribution services require local labor and land so they drive a natural wedge between retail prices in different countries. We study in detail the impact of introducing a distribution sector in an otherwise standard model of exchange-rate-based-stabilizations. We show that this simple extension improves dramatically the ability of the model to rationalize observed real exchange rate dynamics.

Sistema de biossorção produzido a partir de biofilmes suportados em zeólito faujasite (FAU), processo para a obtenção e sua utilização na remoção de crómio hexavalente (Cr(VI))

A presente invenção refere-se a um sistema de biossorção composto por um biofilme bacteriano suportado em zeólitos sintéticos, com utilização em vários tipos de indústrias para remoção do crómio hexavalente, através da retenção dos iões metálicos no biofilme, em soluções com concentrações entre 50 e 250 mgCr/l, processo para a sua obtenção e respectivas utilizações. Este processo consiste na obtenção de um biofilme bacteriano de arthrobacter viscosus, suportado num zeólito faujasite (FAU). O biofilme promove a redução de Cr(VI) a Cr(III) e, posteriormente, o Cr(III) é fixado no zeólito por permuta iónica. Várias técnicas de caracterização, como métodos espectroscópicos (FTIR e ICP-AES), análise superficial (XRD e SEM) e análise térmica (TGA), demonstram que o processo de biossorção não modifica a morfologia ou estrutura do zeólito FAU. O sistema de biossorção, e respectivo processo de fixação de crómio hexavalente em zeólitos faujasite (FAU), pode ser aplicável ao tratamento de águas residuais, industriais, mineiras ou agrícolas, para remoção do crómio hexavalente

Optical doping and damage formation in AIN by Eu implantation

AlN films grown on sapphire were implanted with 300 keV Eu ions to fluences from 3×1014 to 1.4×1017 atoms/cm2 in two different geometries: “channeled” along the c-axis and “random” with a 10° angle between the ion beam and the surface normal. A detailed study of implantation damage accumulation is presented. Strong ion channeling effects are observed leading to significantly decreased damage levels for the channeled implantation within the entire fluence range. For random implantation, a buried amorphous layer is formed at the highest fluences. Red Eu-related photoluminescence at room temperature is observed in all samples with highest intensities for low damage samples (low fluence and channeled implantation) after annealing. Implantation damage, once formed, is shown to be stable up to very high temperatures.FCT - POCI/FIS/57550/2004FCT - PTDC/FIS/66262/2006FCT - PTDC/CTM/100756/200

Metallicity of M dwarfs IV. A high-precision [Fe/H] and Teff technique from high-resolution optical spectra for M dwarfs

Aims. In this work we develop a technique to obtain high precision determinations of both metallicity and effective temperature of M dwarfs in the optical. Methods. A new method is presented that makes use of the information of 4104 lines in the 530-690 nm spectral region. It consists in the measurement of pseudo equivalent widths and their correlation with established scales of [Fe/H] and $T_{eff}$. Results. Our technique achieves a $rms$ of 0.08$\pm$0.01 for [Fe/H], 91$\pm$13 K for $T_{eff}$, and is valid in the (-0.85, 0.26 dex), (2800, 4100 K), and (M0.0, M5.0) intervals for [Fe/H], $T_{eff}$ and spectral type respectively. We also calculated the RMSE$_{V}$ which estimates uncertainties of the order of 0.12 dex for the metallicity and of 293 K for the effective temperature. The technique has an activity limit and should only be used for stars with $\log{L_{H_{\alpha}}/L_{bol}} < -4.0$. Our method is available online at \url{http://www.astro.up.pt/resources/mcal}.Comment: Accepted in Astronomy and Astrophysics. Updated one important reference in the introduction. Some typos correcte