The Birth Plan Experience—A Pilot Qualitative Study in Southern Spain

Background: Healthcare systems advocate for quality care and humanized relations in routine birth care, and have therefore created the Birth Plan, a document available to pregnant women to state their preferences in relation to the birth process. Methods: This qualitative research with a phenomenological design was carried out to record the experiences of women who presented a Birth Plan. Sample selection was carried out using non-probabilistic, intentional and convenience sampling, selecting seven participants who were willing to participate and share their experiences. Results: After analyzing the content of the interviews, four categories emerged: “respecting the woman’s wishes: humanizing the birth process”, “information and primary Care”, “expectations regarding the care received” and “results of using the birth plan”, with their corresponding subcategories. Conclusion: Women consider it beneficial to present a Birth Plan, because it informs them about the process and gives them the opportunity to have a better experience, which takes into account their preferences for making the delivery less instrumental. In addition, they state the importance of having trained professionals involved, and call for more attention to be paid to the birth process in general

A SENSITIVITY ANALYSIS OF ORGANIC VERSUS CONVENTIONAL SYSTEMS OF SHEEP-FARMING

In the Mediterranean Agriculture, the organic production constitutes a real possibility for sustainable development, it can keep a population in these areas and provide it with a decent work. This paper try to establish differences between conventional and organic systems of production, so that observation of these differences would lead to conclusions relating to the level of efficiency of one system as against the other. To achieve this objective, the research team analyzed the evolution of seventeen milk sheep farms in various places in the Castilla y León Region for a whole year. The study consisted in the modeling of the results of a Cobb-Douglas production function. The findings reveal that organic farms have higher production levels with the same combination of inputs. This result is a guarantee of future for this type of production and guarantee of feasibility for these areas

X-ray and multi-epoch optical/UV investigations of BAL to non-BAL quasar transformations

We report on an X-ray and optical/UV study of eight Broad Absorption Line (BAL) to non-BAL transforming quasars at $z\,\approx\,$1.7-2.2 over 0.29-4.95 rest-frame years with at least three spectroscopic epochs for each quasar from the SDSS, BOSS, $Gemini$, and ARC 3.5-m telescopes. New $Chandra$ observations obtained for these objects show their values of $\alpha_{\rm ox}$ and $\Delta{\alpha}_{\rm ox}$, as well as their spectral energy distributions, are consistent with those of non-BAL quasars. Moreover, our targets have X-ray spectral shapes that are, on average, consistent with weakened absorption with an effective power-law photon index of $\Gamma_{\rm eff}\,=\,1.69^{+0.25}_{-0.25}$. The newer $Gemini$ and ARC 3.5-m spectra reveal that the BAL troughs have remained absent since the BOSS observations where the BAL disappearance was discovered. The X-ray and optical/UV results in tandem are consistent with at least the X-ray absorbing material moving out of the line-of-sight, leaving an X-ray unabsorbed non-BAL quasar. The UV absorber might have become more highly ionized (in a shielding-gas scenario) or also moved out of the line-of-sight (in a wind-clumping scenario).Comment: 14 pages, 5 figures, Accepted for publication in MNRA

Temperature and current flow effects of different electrode placement in shoulder capacitive-resistive electric transfer applications: a cadaveric study

Background: Impingement syndrome is currently estimated to represent 60% of all shoulder pain disorders. Capacitive-Resistive electric transfer therapy is aimed to provoke temperature and current flow changes in superficial and deep tissues. This in vitro study has evaluated the variation of temperature and current flow in the shoulder tissues during two different areas of application of the movable capacitive-resistive electric transfer electrode. Methods: A cross-sectional study designed, five fresh cryopreserved cadavers (10 shoulders) were included in this study. Four interventions (capacitive and resistive modes; low- and high-power) were performed for 5 min each by a diathermy “T-Plus” device in two shoulder regions: postero-superior and antero-lateral. Supraspinatus tendon, glenohumeral capsule and superficial temperatures were recorded at 1-min intervals and 5 min after treatment. Results: A statistically significant difference was found only for the superficial area and time interaction, with high power-resistive application at the postero-superior shoulder area (P< 0.035). All the applications showed a 5 min after treatment temperature increase compared with the basal data, in all the application points. Superficial temperature in the high power-resistive application showed the greatest percent increase (42.93% ± 22.58), followed by the temperature in the tendon area with the same high power-resistive application (22.97% ± 14.70). The high power-resistive application showed the greatest percent of temperature increase in the applications, reaching 65.9% ± 22.96 at 5-min at the superficial level, and 32% ± 24.25 at 4-min at the level of the supraspinatus tendon. At the capsule level, high power-resistive was also the application that showed the greatest percent of increase, with 21.52% ± 16.16. The application with the lowest percent of temperature increase was the low power-capacitive, with a mean value of 4.86% at supraspinatus tendon level and 7.47% at capsular level. Conclusion: The shoulder postero-superior or antero-lateral areas of application of capacitive-resistive electric transfer did not cause statistically significant differences in the temperature changes in either supraspinatus tendon or glenohumeral capsule tissues in cadaveric samples. The high power-resistive application in the postero-superior area significantly increased superficial temperature compared with the same application in the antero-lateral position area

CHRONOFALLS: A multicentre nurse-led intervention in the chronoprevention of in-hospital falls in adults

Background: Falls are among the most common and serious adverse events for hospitalised patients. In-hospital falls pose a major medical and economic challenge for public health worldwide. Nevertheless, the issue is often addressed without regard to certain relevant variables such as the time of the fall. The aim of this study was to determine the effect of the implementation of a nurse-led intervention based on the temporal patterns of falls and their aetiology on the occurrence of falls. Methods: A mixed-method research design was carried out in three phases: a) a longitudinal prospective study (audits, chronobiological analyses and implementation of a multicentre nurse-led intervention based on temporal patterns of falls); b) a retrospective study of fall records; and c) a qualitative study based on focus groups. The protocol was published in 2021. Results: A difference was observed in the number of fall records before and after the chronopreventive intervention (retrospective: 64.4% vs. 35.6%; p &lt; 0,001). According to the interrupted series analysis, considering the influence of the COVID-19 pandemic, a reduction in falls of 2.96% (95% CI 1.70%-4.17%) was observed. The concepts of falls, the COVID-19 pandemic and the causes of non-registration have emerged as categories for qualitative analysis. Conclusions: A multicentric nurse-led program based on tailored organisational, educational and behavioural chronopreventive measures seems to lead to a reduction in the number of in-hospital falls. The findings of the present study, highlighting the implementation of chronopreventive measures, can serve as a basis for future health policies

Towards a Precision Cosmology from Starburst Galaxies at z>2

This work investigates the use of a well-known empirical correlation between the velocity dispersion, metallicity, and luminosity in H beta of nearby HII galaxies to measure the distances to HII-like starburst galaxies at high redshifts. This correlation is applied to a sample of 15 starburst galaxies with redshifts between z=2.17 and z=3.39 to constrain Omega_m, using data available from the literature. A best-fit value of Omega_m = 0.21 +0.30 -0.12 in a Lambda-dominated universe and of Omega_m = 0.11 +0.37 -0.19 in an open universe is obtained. A detailed analysis of systematic errors, their causes, and their effects on the values derived for the distance moduli and Omega_m is carried out. A discussion of how future work will improve constraints on Omega_m by reducing the errors is also presented.Comment: 7 pages, 3 figures, accepted for publication in MNRA

Identificación de Células Enteroendocrinas Productoras de Péptido Similar al Glucagón Tipo 1 (GLP-1) en el Intestino de la Alpaca

The aim of this study was to immunolocalize the distribution of producer enteroendocrine cells of glucagon-like peptide (GLP-1) on the epithelial intestine of alpacas. A total of 36 young (0-45 days old) and adult alpacas were used and distributed in seven age groups. The intestinal samples were processed by immunohistochemistry using an anti-GLP-1 monoclonal antibody. Positive cells were counted in 15 crypt-villus axis of each intestinal portion in each animal. In the group of newborns, the jejunum was the portion containing more L-cells, while other groups are in the jejunum and ileum. Regarding location, the duodenum showed a sustained increase of L-cells from day 8. The largest number of L cells in the jejunum and ileum occurred in the age groups of 0 and 8-45 days of age, respectively, while in the cecum and colon was observed in the group of adult animals. It is concluded that L-cells in alpacas are present from birth, mainly in the jejunum and ileum.El presente estudio tuvo por objetivo inmunolocalizar la distribución de las células enteroendocrinas L, productoras del péptido similar al glucagón (GLP-1), en el intestino de alpacas. Se utilizaron 36 crías de alpaca de 0-45 días de edad y adultas, distribuidas en siete grupos etarios. Se tomaron muestras de intestino delgado y grueso que fueron procesados mediante inmunohistoquímica, empleando el anticuerpo monoclonal antiGLP-1. Se contó el número de células positivas por eje cripta-vellosidad de cada porción intestinal en cada animal. En el grupo de recién nacidos, el yeyuno fue la porción que contenía más células L, mientras que en los demás grupos fue en el yeyuno e íleon. Respecto a la ubicación, en el duodeno se aprecia un aumento sostenido de células L a partir de los 8 días. El mayor número de células L en el yeyuno y el íleon se presentó en los grupos etarios de 0 y 8-45 días de edad, respectivamente, mientras que en el ciego y en el colon se observó en el grupo de animales adultos. Se concluye que las células L en alpacas se encuentran presentes desde el nacimiento, mayoritariamente en yeyuno e íleon

Thermal and current flow effects of a capacitive–resistive electric transfer application protocol on chronic elbow tendinopathy. A cadaveric study

Lateral elbow tendinopathy, or “tennis elbow”, is a pathology that affects around 1.3% of the general population. Capacitive–resistive electric transfer therapy aims to provoke temperature and current flow changes in superficial and deep tissues. The aim of this in vitro study was to analyze the thermal behavior and transmission of electric current on the superficial and deep tissues of the elbow during the application of different modalities of a capacitive–resistive electric transfer treatment protocol for chronic elbow tendinopathy. A cross-sectional study was designed; five fresh cryopreserved cadavers (10 elbows) were included in this study. A 30 min intervention was performed based on a protocol commonly used in clinics for the treatment of chronic lateral elbow tendinopathy by diathermy using the “T-Plus.” Common extensor tendon, radiohumeral capsule, and superficial temperatures were registered after each application for the duration of the 30 min treatment protocol. During all applications, we observed a current flow of over 0.03 A. The protocol showed a statistically significant increase in superficial temperature by 24% (5.02¿) (p &lt; 0.005), the common extensor tendon by 19.7% (4.36¿) (p &lt; 0.007), and the radiohumeral joint capsule by 17.5% (3.41¿) (p &lt; 0.005) at the end of the 30 min protocol compared with the baseline temperature. The different applications of the protocol showed specific effects on the temperature and current flow in the common extensor tendon and radiohumeral capsule. All applications of the protocol produced a current flow that is associated with the generation of cell proliferation. These results strengthen the hypothesis of cell proliferation and thermal changes in deep and distal structures. More studies are needed to confirm these results

Relationship between the cathodoluminescence emission and resistivity in In doped CdZnTe crystals

Cadmium zinc telluride, CdZnTe, bulk single crystals doped with 1019 at./cm3 of indium in the initial melt were grown by vertical Bridgman technique. The samples were investigated by energy dispersive spectroscopy, cathodoluminiscence (CL), and current-voltage behavior at room temperature. The results shows that Cd and Te vacancy concentration depend on the indium and zinc concentrations. CL measurements indicate a relationship between radiative centers associated to Cd and Te vacancies and resistivity values