Beliefs, attitudes, death anxiety in a multidisciplinary team oncology palliative care

En el ámbito de la salud, se ha puesto en evidencia la necesidad de profundizar en las actitudes y creencias ante la muerte en los propios profesionales ya que pueden influir en la calidad de los cuidados, especialmente las derivadas de procesos de muerte y duelo, por lo que el objetivo de la investigación fue explorar y analizar actitudes y creencias ante la muerte en el personal de salud en Cuidados Paliativos Oncológicos. Fue un estudio, transversal y descriptivo; se utilizó un muestreo intencional, los instrumentos utilizados fueron: Formato de datos personales y profesionales, Escala de Ansiedad ante la muerte de Templer, Creencias con relación al paciente terminal y Cuestionario de Actitudes ante la Muerte (CAM). Se analizaron los datos estadísticamente: análisis de frecuencias y correlación de Spearman, con una alta tendencia en considerar que es mejor que el paciente terminal fallezca en casa, en el uso de la morfina como tratamiento para el dolor en cáncer avanzado y recibir una atención integral. Dentro de las principales actitudes del personal de salud hacia el paciente terminal y la muerte se encontraron: mayor responsabilidad y atención hacia la vida, y promoción del crecimiento personal para aceptar su propia muerte.In the field of health, has highlighted the need to delve into the attitudes and beliefs about death in the professionals because they can influence the quality of care, especially those derived from processes of death and mourning, for what the objective of the research was to explore and analyze attitudes and beliefs about death in health personnel Oncology Palliative Care. The study was a cross-sectional and descriptive, purposive sampling was used, the instruments used were format personal and professional, Anxiety Scale Templer’s death, beliefs regarding the terminal patient and Attitudes Questionnaire Death (CAM ). Data were analyzed statistically: Frequency analysis and Spearman correlation, with a high tendency to consider that is better than the terminal patient dies at home, in the use of morphine as a treatment for pain in advanced cancer and receiving comprehensive care. Among the main attitudes in the health staff towards the patient and death were found: more responsibility and attention to the promotion of life and personal growth to take his own life

Ramon (\u3ci\u3eBrosimun alicastrum\u3c/i\u3e) Foliage as Supplement for Lactating Dual Purpose Cows

The objective of the present study was to asses the value of ramón (Brosimun alicastrum) foliage as a N-source in replacement of soybean-N in lactating dual purpose cows (Bos indicus x B. taurus). Four lactating cows were used in a latin rectangle design. Ramón was included to replace 0, 33, 66 and 100 % of the soybean-N contained in the supplement. Basal diet was fresh “Taiwán” a cultivar of Elephant grass (Pennisetum purpureum) fed ad libitum. Basal and total dry matter intake, digestibility (total fecal collection), saleable and calf suckled milk yields, and milk composition (fat, protein and lactose) were measured over 15 d periods. Ramon increased the yield of milk constituents (P\u3c 0.05) over those obtained with Taiwán-grass alone, but was inferior (P\u3c 0.05) when soybean was the N source. Total milk yield was reduced 18% in Ramón supplemented cows compared with those supplemented with soybean. Digestibility of dry matter, organic matter and fiber was reduced by Ramón inclusion probably due to its higher fiber and ash content as compared with soybean meal. It was concluded that, although animal performance was not achieved as with soybean meal, supplementing with Ramón is a better strategy than relying on grass alone

Chemical physics insight of PPy-based modified ion exchange membranes: a fundamental approach

Four commercially available, cost-effective ion exchange membranes (two cationic and two anionic exchange membranes, CEMs and AEMs, respectively) were modified to mitigate crossover phenomena of the redox active species typically observed in Aqueous Organic Redox Flow Batteries (AORFB) systems. The modification strategy was carried out using a pyrrole(Py)-based polymer which successfully reduced the permeation of two redox active organic molecules, a viologen derivative (named BP7 throughout this study) and TEMPOL, by an order of magnitude. Additionally, modified membranes showed not significant changes in ion conductivity, with negligible effect on the electrical conductivity of the membranes at a given conditions. The morphology, physicochemical, mechanical, and electrochemical properties of the membranes were determined to evaluate the impact of these modifications. AEMs modified in this manner were found to have optimal properties, showing an increase in ion exchange capacity while maintaining excellent mechanical stability and unaltered permselectivity. Additionally, the diffusion boundary layer of these AEMs was slightly extended, which suggests a greater double layer stability for ion exchange processes than in the case of CEMs. Our work shows that these modified membranes could be an appealing approach for AORFB applicationsThis work has been funded by the European Union under the HIGREEW project, Affordable High-performance Green Redox Flow batteries (Grant agreement no. 875613). H2020: LC-BAT-4-2019875613

Vegetative growth response of beets and lettuce to stored human urine

ArticleIn this work, we present the experimental results of the effect of stored human urine (SHU) on the growth of beets (Beta vulgaris L) and lettuce (Lactuca sativaL). We apply different amounts of SHU according to the recommended dose of nitrogen, considering soil from farmland and vermiculite as substrates. The last allows us to determine with high precision the isolated effect of SHU over the vegetative development of beet plants, without considering other nutrients present in common soils. Experimental results demonstrate that the application of SHU has no significant effects on lettuce vegetative growth under our soil conditions. In contrast, SHU can be used successfully as a fertilizer of beets. The optimum dose was found at 120kgN ha-1and resulted in average dry weight of 125g. However, if the dose exceeds the optimum levels, the growth of the plant is inhibited. Beets fertilized with SHU does not pose any hygienic risk for human consumption. Our findings represent a promising alternative to propose expanding the use of SHU as fertilizer in medium-sized greenhouses and to provide benefits to families in rural areas, with little or no available water supplies

Q-switched mode locking noise-like pulse generation from a thulium-doped all-fiber laser based on nonlinear polarization rotation

Q-switched mode locking (QML) noise-like pulse (NLP) emission from an all-fiber thulium-doped laser based on the nonlinear polarization rotation effect is reported. The QML emission is obtained in a cavity with net anomalous dispersion in a pump power interval in between the CW laser threshold and the threshold of the NLP regime. Highest-energy QML pulses were observed with a repetition rate of 812 kHz with a pump power of 520 mW at the optical wavelength of 1881.09 nm. A maximum overall energy of 460 nJ at an average output power of 6.4 mW was reached, which corresponds to a burst of mode-locked noise-like sub-pulses with 8.7 ns of pulse duration within a QML envelope of 11 μs. These results demonstrate unconventional pulse operation regime of NLPs and provide insights into the dynamics of mode-locked fiber lasers

Assessment of diastolic chamber properties of the right ventricle by global fitting of pressure-volume data and conformational analysis of 3D + T echocardiographic sequences

Assessment of diastolic chamber properties of the right ventricle by global fitting of pressure-volume data and conformational analysis of 3D + T echocardiographic sequence

Coronavirus Optimization Algorithm: A Bioinspired Metaheuristic Based on the COVID-19 Propagation Model

This study proposes a novel bioinspired metaheuristic simulating how the coronavirus spreads and infects healthy people. From a primary infected individual (patient zero), the coronavirus rapidly infects new victims, creating large populations of infected people who will either die or spread infection. Relevant terms such as reinfection probability, super-spreading rate, social distancing measures, or traveling rate are introduced into the model to simulate the coronavirus activity as accurately as possible. The infected population initially grows exponentially over time, but taking into consideration social isolation measures, the mortality rate, and number of recoveries, the infected population gradually decreases. The coronavirus optimization algorithm has two major advantages when compared with other similar strategies. First, the input parameters are already set according to the disease statistics, preventing researchers from initializing them with arbitrary values. Second, the approach has the ability to end after several iterations, without setting this value either. Furthermore, a parallel multivirus version is proposed, where several coronavirus strains evolve over time and explore wider search space areas in less iterations. Finally, the metaheuristic has been combined with deep learning models, to find optimal hyperparameters during the training phase. As application case, the problem of electricity load time series forecasting has been addressed, showing quite remarkable performance.Ministerio de Economía y Competitividad TIN2017-88209-C

Productive Performance of Growing Cattle Grazing a Silvopastoral System with \u3cem\u3eLeucaena leucocephala\u3c/em\u3e

In tropical regions, the feeding of cattle is usually based on the grazing of medium to low quality grasses. Low fertility of soils, changing climatic conditions and the poor management of pastures, have further reduced the quality and forage yield of pastures. The low availability and quality of grasses gives modest weight gains for grazing cattle and this in-turn causes low economical efficiency of cattle production systems (Campos et al. 2011). Silvopastoral systems represent a sustainable option for meat and milk production in the tropics. The association of grasses with legumes such as Leucaena leucocephala (leucaena) supply forage with high concentration of crude protein (Barros et al. 2012). There are reports in the scientific literature which show that intake of leucaena can result in good rates of growth in cattle (e.g. Shelton and Dalzell 2007); however the presence of the free amino acid mimosine and its metabolites (3,4-DHP and 2,3-DHP) in leucaena when the anaerobic bacteria Synergistes jonesii (Allison et al. 1992) is absent from the rumen, may induce subclinical toxicity in grazing ruminants (Graham 2007; Dalzell et al. 2012; Phaikaew et al. 2012). There are no reports in Mexico regarding the rate of growth of cattle grazing silvopastoral systems with leucaena. The aim of the present work was to evaluate the rate of growth of cattle grazing an association of Panicum maximum and leucaena compared to that of cattle fed a high grain ration (feedlot)

Holocene summer temperature reconstruction based on a chironomid record from Sierra Nevada, southern Spain

This study was supported by projects CGL2013-47038-R, CGL2017-85415-R and PID2021-125619OB-C21/C22, funded by the Ministerio de Ciencia e Innovación of Spain, the Agencia Estatal de Investigación and the Fondo Europeo de Desarrollo Regional FEDER MCIN/AEI/10.13039/501100011033/FEDER, UE”; Junta de Andalucía I + D + i Junta de Andalucía 2020 Retos P-20-00059, UGR-FEDER B-RNM-144-UGR18, UGR-FEDER A-RNM-336-UGR20, Project cofinanced by FEDER and LifeWatch-Eric LifeWatch-2019-10-UGR-01 and the research group RNM-190 (Junta de Andalucía). RSA acknowledges several travel grants from Northern Arizona University to support this work. JC thanks the Ministerio de Ciencia e Innovación of Spain for the Juan de la Cierva Formación postdoctoral fellowship. ALA acknowledges the predoctoral fellowship BES-2018-084293 provided by the MCIN/AEI/10.13039/501100011033/. CLB acknowledges the European Union for her Marie Sklodowska-Curie grant agreement number 892487 under Horizon 2020 funds. LJ acknowledges the Ministry of Universities of Spain for her Margarita Salas grant (MS2021-204) financed by the European Union -Next Generation EU funds.Obtaining accurate temperature reconstructions from the past is crucial in understanding the consequences of changes in external climate forcings, such as orbital-scale insolation or multidecadal to centennial-scale variability on the climate system and the environment. In addition, these reconstructions help in comprehending the amplitude of natural temperature changes in the past, which can assist in evaluating the amplitude and rate of recent anthropogenic global warming. Here we present the first detailed Holocene mean July air temperature reconstruction based on chironomid assemblages from sediments retrieved from Laguna de Río Seco, an alpine lake in Sierra Nevada, southern Spain. Coldest climate conditions are recorded during the last glacial maximum and the last deglaciation. Warming occurred in the Early Holocene and warmest summer temperature conditions and the Holocene thermal maximum (HTM) occurred in the interval roughly between 9000 and 7200 cal yr BP, concurrent with summer insolation maxima. Rapid cooling of ∼1.5 °C occurred after the warmest maximum and between ∼7200 and 6500 cal yr BP, and temperatures stabilized between ∼6500 and 3000 cal yr BP. A further cooling began ∼3000 cal yr BP and culminated with coldest summer conditions during the Dark Ages (DA) and Little Ice Age (LIA) at ∼1550 cal yr BP (∼400 CE) and ∼200 cal yr BP (∼1750 CE), respectively. This cooling temperature trend was interrupted by warmer conditions during the Iberian-Roman Humid Period (IRHP) ∼2000 cal yr BP and during the Medieval Climate Anomaly (MCA) at ∼1000 cal yr BP. Our reconstruction shows a greater than two-degree cooling during the Middle and Late Holocene, agreeing with global mean surface temperature (GMST) reconstructions. Modern climate warming (MCW) during summer exceeds the two-degree Celsius forecasted for the future due to anthropogenic greenhouse gases, suggesting that recent warming is amplified at high elevations. Alpine environments and the biodiversity contained there are thus in danger if the observed temperature trend continues in the next decades.Ministerio de Ciencia e Innovación of Spain CGL2013-47038-R, CGL2017-85415-R, PID2021-125619OB-C21/C22Agencia Estatal de InvestigaciónFondo Europeo de Desarrollo Regional FEDER MCIN/AEI/10.13039/501100011033/FEDER, UEJunta de Andalucía P-20-00059, UGR-FEDER B-RNM-144-UGR18, UGR-FEDER A-RNM-336-UGR20FEDERLifeWatch-Eric LifeWatch-2019-10-UGR-01Research group RNM-190 (Junta de Andalucía)Northern Arizona UniversityMinisterio de Ciencia e Innovación of SpainMCIN/AEI/10.13039/501100011033/ BES-2018-084293Horizon 2020 European Union Marie Sklodowska-Curie 892487European Union -Next Generation EU funds MS2021-20