The nurse’s role in educating pediatric patients on correct inhaler technique: an interventional study

The prevalence of pediatric respiratory diseases in Spain is 23%. Inhalation is the preferred route of administration but there are frequent errors in the performance of the inhalation technique leading a poor control of the disease. The aim of this research was to detect errors in the execution of the inhalation technique at a Pediatric Pulmonology Unit in a hospital of Aragón (Spain). In order to improve the administration of inhaled medication, an educational intervention for 1 year by nursing was conducted. This interventional study, including children aged 1 to 15 years with an inhalation therapy and who attended the Pediatric Pulmonology Unit, was conducted between September 2017 and September 2018. Logistic Regression models were conducted in SPSS. This study involved 393 children (61.1% boys). Before the intervention, 39.4% achieved a correct inhalation technique increasing up to 62.1% after the intervention. Those who had their first visit to the Unit, young children and girls had a higher risk of incorrect performance than those with subsequent visits, older children, and boys, respectively. The most common errors in the inhalation technique were not performing adequate apnoea after inhaling and not rinsing the mouth at the end of the procedure. The education given by nurses to pediatric patients improved the inhalation technique, achieving better control of the disease and use of the health system. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Evidence for Strange Quark Contributions to the Nucleon's Form Factors at Q2Q^2 = 0.108 (GeV/c)2^2

We report on a measurement of the parity violating asymmetry in the elastic scattering of polarized electrons off unpolarized protons with the A4 apparatus at MAMI in Mainz at a four momentum transfer value of $Q^2$ = \Qsquare (GeV/c)$^2$ and at a forward electron scattering angle of 30$^\circ < \theta_e < 40^\circ$. The measured asymmetry is $A_{LR}(\vec{e}p)$ = (\Aphys $\pm$ \Deltastat$_{stat}$ $\pm$ \Deltasyst$_{syst}$) $\times$ 10$^{-6}$. The expectation from the Standard Model assuming no strangeness contribution to the vector current is A$_0$ = (\Azero $\pm$ \DeltaAzero) $\times$ 10$^{-6}$. We have improved the statistical accuracy by a factor of 3 as compared to our previous measurements at a higher $Q^2$. We have extracted the strangeness contribution to the electromagnetic form factors from our data to be $G_E^s$ + \FakGMs $G_M^s$ = \GEsGMs $\pm$ \DeltaGEsGMs at $Q^2$ = \Qsquare (GeV/c)$^2$. As in our previous measurement at higher momentum transfer for $G_E^s$ + 0.230 $G_M^s$, we again find the value for $G_E^s$ + \FakGMs $G_M^s$ to be positive, this time at an improved significance level of 2 $\sigma$.Comment: 4 pages, 3 figure

Regional circulation patterns of Mediterranean Outflow Water near the Iberian and African continental slopes

The Mediterranean Outflow Water (MOW) is a dense water mass originated in the Strait of Gibraltar. Downstream of the Gulf of Cádiz, the MOW forms a reservoir region west of the Iberian continental slopes at a buoyant depth of approximately 1000&thinsp;m. This region plays a key role as the main centre where the MOW is mixed and distributed into the North Atlantic. The seafloor in this area is characterized by the presence of a complex bathymetry with three abyssal plains separated by mountain chains. Although the topographic features do not reach the surface, they influence ocean flows at intermediate and deep ocean layers, conditioning the distribution and circulation of MOW. The Copernicus Marine Environmental Monitoring Service (CMEMS) Iberian–Biscay–Ireland (IBI) ocean reanalysis is used to provide a detailed view of the circulation and mixing processes of MOW near the Iberian and African continental slopes. This work emphasizes the relevance of the complex bathymetric features defining the circulation processes of MOW in this region. The high resolution of the IBI reanalysis allows us to make a description of the mesoscale features forced by the topography. The temperature, salinity, velocity, transport, and vorticity fields are analysed to understand the circulation patterns of MOW. The high-resolution circulation patterns reveal that Horseshoe Basin and the continental slope near Cape Ghir (a.k.a. Cap Rhir or Cabo de Aguer) are key areas controlling the mixing processes of MOW with the surrounding water masses, mainly North Atlantic Central Water (NACW) and Antarctic Intermediate Water (AAIW). The water mass variability is also analysed by means of composite analysis. Results indicate the existence of a variability in the MOW tongue which retracts and expands westwards in opposition to the movement of the underlying North Atlantic Deep Water.</p

Nanoprogrammed Cross-Kingdom Communication Between Living Microorganisms

[EN] The engineering of chemical communication at the micro/nanoscale is a key emergent topic in micro/nanotechnology, synthetic biology, and related areas. However, the field is still in its infancy; previous advances, although scarce, have mainly focused on communication between abiotic micro/nanosystems or between microvesicles and living cells. Here, we have implemented a nanoprogrammed cross-kingdom communication involving two different microorganisms and tailor-made nanodevices acting as "nanotranslators". Information flows from the sender cells (bacteria) to the nanodevice and from the nanodevice to receiver cells (yeasts) in a hierarchical way, allowing communication between two microorganisms that otherwise would not interact.B.d.L. is grateful to the Spanish Government for her FPU Ph.D. fellowship. The authors wish to thank the Spanish Government (projects RTI2018-100910-B-C41 and RTI2018101599-B-C22 (MCUI/FEDER, EU)) and the Generalitat Valenciana (project PROMETEO 2018/024) for support. Part of this work was included in the Ph.D. thesis of B.d.L.De Luis-Fernández, B.; Morella-Aucejo, Á.; Llopis-Lorente, A.; Martínez-Latorre, J.; Sancenón Galarza, F.; López Del Rincón, C.; Murguía, JR.... (2022). Nanoprogrammed Cross-Kingdom Communication Between Living Microorganisms. Nano Letters. 22(5):1836-1844. https://doi.org/10.1021/acs.nanolett.1c024351836184422

The SAMI Galaxy Survey: gas content and interaction as the drivers of kinematic asymmetry

In order to determine the causes of kinematic asymmetry in the H$\alpha$ gas in the SAMI Galaxy Survey sample, we investigate the comparative influences of environment and intrinsic properties of galaxies on perturbation. We use spatially resolved H$\alpha$ velocity fields from the SAMI Galaxy Survey to quantify kinematic asymmetry ($\overline{v_{asym}}$) in nearby galaxies and environmental and stellar mass data from the GAMA survey. {We find that local environment, measured as distance to nearest neighbour, is inversely correlated with kinematic asymmetry for galaxies with $\mathrm{\log(M_*/M_\odot)}>10.0$, but there is no significant correlation for galaxies with $\mathrm{\log(M_*/M_\odot)}<10.0$. Moreover, low mass galaxies ($\mathrm{\log(M_*/M_\odot)}<9.0$) have greater kinematic asymmetry at all separations, suggesting a different physical source of asymmetry is important in low mass galaxies.} We propose that secular effects derived from gas fraction and gas mass may be the primary causes of asymmetry in low mass galaxies. High gas fraction is linked to high $\frac{\sigma_{m}}{V}$ (where $\sigma_m$ is H$\alpha$ velocity dispersion and $V$ the rotation velocity), which is strongly correlated with $\overline{v_{asym}}$, and galaxies with $\log(M_*/M_\odot)<9.0$ have offset $\overline{\frac{\sigma_{m}}{V}}$ from the rest of the sample. Further, asymmetry as a fraction of dispersion decreases for galaxies with $\log(M_*/M_\odot)<9.0$. Gas mass and asymmetry are also inversely correlated in our sample. We propose that low gas masses in dwarf galaxies may lead to asymmetric distribution of gas clouds, leading to increased relative turbulence.Comment: 15 pages, 20 figure