Un altre viatge a Ítaca. La gestió de la pluridiscapacitat a la família

L'objectiu general és identificar l'impacte de la pluridiscapacitat d'un infant en la vida quotidiana de la seva família.Mètode: observació participant i entrevistes en profunditat. Camp d'estudi: famílies d'infants fins a vint anys, amb pluridiscapacitat.Resultats:La carrera moral transcorre del caos a l'apoderament. Es veuen alterades totes les funcions familiars i el seu cicle de vida. Els comportaments estigmatitzants estan petrificats en l'administració.L' itinerari terapèutic inclou el sistema sanitari, l'educatiu i el de serveis socials.Existeixen dificultats en la comunicació amb els professionals que les atenen.Viuen un procés de dol continu perquè perden el fill imaginat.Existeixen mancances en la llei de la dependència. No hi ha cap pare que hagi claudicat en la seva atenció.La major preocupació dels pares és el futur del fill quan ells no hi siguin.També incorpora unes recomanacions per a l'administració, les famílies i la societat.The overall aim of the thesis is to identify the impact of an infant with multiple disability on the daily life of the infant's family. Method: participant observation and in-depth interviews.Field of study: families with infants up to twenty years of age, with multiple disability.Results: The moral career of the family runs from chaos to empowerment.All of the family's functions and life cycle are profoundly affected.Stigmatising behaviours are embedded in public institutions.The treatment path includes the healthcare system, the educational system and social services.Families encounter difficulty in communicating with the professionals who attend on them.Families experience a constant process of grief because they have lost the child they had hoped to have.Deficiencies exist in the law on child and dependant care. No parent has failed in their duty of care. The main concern of parents is for their child's future when they are no longer present.A number of recommendations are offered for public institutions, families and society

Artistic productions in the learning of nursing

Objetivo. Facilitar el aprendizaje autónomo y reflexivo del estudiante de enfermería a través del análisis de creaciones artísticas (cine, literatura y artes plásticas). Sujetos y métodos. En el curso académico 2008-2009 se diseñó una ficha técnica y didáctica para cada obra seleccionada que permite el análisis y la reflexión sobre los procesos de salud-enfermedad. El uso de estas fichas-guía se utilizó en una asignatura troncal y en dos optativas para que fueran analizadas como complemento a los contenidos de las asignaturas. Además, se diseñó una página web en la que aparecen fichas de cine, literatura y artes plásticas. Resultados. En esta experiencia participaron 340 estudiantes matriculados en la asignatura 'Enfermería comunitaria II', 70 estudiantes de la asignatura 'Atención a la familia en el domicilio' y 30 estudiantes de la asignatura 'La creación artística como soporte en el aprendizaje de la enfermería comunitaria'. Las obras utilizadas con más frecuencia han sido: Te doy mis ojos, Bailar por dentro, Tierras de penumbra (cine); Paula, Diario de una buena vecina, La soledad de los números primos (literatura); Acechando la muerte, La morfina, El grito (artes plásticas). Conclusiones. Analizar una obra artística ha supuesto para los estudiantes una mayor comprensión de fenómenos que se explican en clase de forma aislada, aunque en la realidad se producen globalmente. Este aspecto se ha comprobado en el rendimiento académico de los estudiantes y en el enriquecimiento de los debates en el aula

El cine como soporte en la formación de las enfermeras

El cine, constituye un medio de gran valor para fomentar la formación basada en un aprendizaje centrado en la observación, la reflexión y la investigación. Además nos encontramos ante del reto de la modificación de los planes de estudio que implican incrementar el papel activo del alumno. El cine puede contribuir al aprendizaje personalizado, donde la tarea del profesor sea filtrar, completar, corregir i conducir a los alumnos hacia a la consecución de sus objetivos

Geodynamical framework and hydrocarbon plays of a salt giant: the North Western Mediterranean Basin

The North Western Mediterranean Basin developed during the Oligocene-Miocene rifting of the Eastern Iberian-European magma-poor continental margin. The margin developed as a result of back-arc extension associated with the roll-back of the retreating Calabrian-Tethys subduction zone. Reinterpretation of 2D regional seismic reflection data suggests that rifting took place by hyperextension of the Iberian-European lithosphere. This process led to the seaward arrangement of distinct crustal domains, namely proximal, necking and distal. The late post-rift Messinian Salinity Crisis (MSC) gave place to significant margin erosion and canyon incision whose lowstand sedimentary by-products were largely deposited prior to the Messinian evaporitic sequences. Mesozoic-Cenozoic and Messinian to recent salt tectonics events have been recognized. A regional hydrocarbon play concept is here proposed for shelf to deep waters settings, including pre-salt, Messinian and post-salt plays

¿Se cuida a la familia de los enfermos crónicos?

Dada la importancia de la familia como soporte fundamental del sistema de salud para proporcionar cuidados informales, se pretende identificar la atención que las enfermeras prestan a la familia de enfermos crónicos en su práctica asistencial. Asimismo analiza el conocimiento que las enfermeras poseen acerca de la familia de los enfermos crónicos y qué tipo de relación establecen dichas enfermeras con la familia de dichos enfermos

Tissue engineering by decellularization and 3D bioprinting

Discarded human donor organs have been shown to provide decellularized extracellular matrix (dECM) scaffolds suitable for organ engineering. The quest for appropriate cell sources to satisfy the need of multiple cells types in order to fully repopulate human organ-derived dECM scaffolds has opened new venues for the use of human pluripotent stem cells (hPSCs) for recellularization. In addition, three-dimensional (3D) bioprinting techniques are advancing towards the fabrication of biomimetic cell-laden biomaterial constructs. Here, we review recent progress in decellularization/recellularization and 3D bioprinting technologies, aiming to fabricate autologous tissue grafts and organs with an impact in regenerative medicine

Enfermería y nuevas tecnologías. Historia clínica electrónica

OBJETIVO: analizar la utilización que efectúan las enfermeras de la Historia Clínica Electrónica (HCE), así como valorar la percepción que tienen de la misma. MÉTODO: se realizó un estudio descriptivo observacional transversal durante el año 2010, analizando la percepción de las enfermeras de las consultas de adultos y pediatría de los equipos Atención Primaria de Salud del Baix Llobregat (Cataluña) en las que se utiliza la HCE. Las variables de estudio fueron: sociodemográficas, registro de los cuidados, continuidad asistencial, formación, usabilidad. El análisis estadístico realizado fue descriptivo. RESULTADos: las enfermeras están bastante de acuerdo en que HCE proporciona «continuidad asistencial» en relación a la atención enfermera (media 2,03, Sd.0,83) y en general (media 2, 19, Sd.0,83). Muestran indiferencia respecto a la «usabilidad» de la misma (media 3,26, Sd.O,S), a que facilite el «registro de la información» (media 2,69, Sd.0,68) y a la necesidad de «formación» en el uso de la HCE (media 2,6, Sd.O,S9). Se ha detectado que a medida que aumenta la edad de la enfermera manifiesta más acuerdo acerca de que la HCE proporciona mayor continuidad asistencial general. Las valoraciones medias de la continuidad asistencial enfermera, registro de la información y continuidad asistencial en general son mayores cuanto más tiempo llevan utilizando la HCE. CONCLUSIONES: la percepción de la enfermera respecto a la HCE es positiva en cuanto a que proporciona continuidad asistencial y permite intercambiar información de los datos de salud del paciente

Biogenic sinking particle fluxes and sediment trap collection efficiency at Ocean Station Papa

© The Author(s), 2021. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Estapa, M., Buesseler, K., Durkin, C. A., Omand, M., Benitez-Nelson, C. R., Roca-Marti, M., Breves, E., Kelly, R. P., & Pike, S. Biogenic sinking particle fluxes and sediment trap collection efficiency at Ocean Station Papa. Elementa: Science of the Anthropocene, 9(1), (2021): 00122, https://doi.org/10.1525/elementa.2020.00122.Comprehensive field observations characterizing the biological carbon pump (BCP) provide the foundation needed to constrain mechanistic models of downward particulate organic carbon (POC) flux in the ocean. Sediment traps were deployed three times during the EXport Processes in the Ocean from RemoTe Sensing campaign at Ocean Station Papa in August–September 2018. We propose a new method to correct sediment trap sample contamination by zooplankton “swimmers.” We consider the advantages of polyacrylamide gel collectors to constrain swimmer influence and estimate the magnitude of possible trap biases. Measured sediment trap fluxes of thorium-234 are compared to water column measurements to assess trap performance and estimate the possible magnitude of fluxes by vertically migrating zooplankton that bypassed traps. We found generally low fluxes of sinking POC (1.38 ± 0.77 mmol C m–2 d–1 at 100 m, n = 9) that included high and variable contributions by rare, large particles. Sinking particle sizes generally decreased between 100 and 335 m. Measured 234Th fluxes were smaller than water column 234Th fluxes by a factor of approximately 3. Much of this difference was consistent with trap undersampling of both small (1 mm) and with zooplankton active migrant fluxes. The fraction of net primary production exported below the euphotic zone (0.1% light level; Ez-ratio = 0.10 ± 0.06; ratio uncertainties are propagated from measurements with n = 7–9) was consistent with prior, late summer studies at Station P, as was the fraction of material exported to 100 m below the base of the euphotic zone (T100, 0.55 ± 0.35). While both the Ez-ratio and T100 parameters varied weekly, their product, which we interpret as overall BCP efficiency, was remarkably stable (0.055 ± 0.010), suggesting a tight coupling between production and recycling at Station P.The authors would like to acknowledge funding support from the NASA EXPORTS program (Award 80NSSC17K0662) for all sediment trap data presented here. Net primary production data collection was supported by EXPORTS (Award 80NSSC17K568) to Oregon State University. Thorium data collection was supported by EXPORTS (Award 80NSSC17K0555) to KB, CRBN, and L. Resplandy

The experiences of family members of persons with intellectual disabilities who used residential care homes during the COVID-19 pandemic

Background: The global COVID-19 pandemic has shown the vulnerability of some population groups, including persons with intellectual and developmental disabilities (IDD). Aim: The present paper will provide more clarity and understanding of the experiences of family members of persons with IDD housed in residential facilities in Catalonia within the period of maximum restrictions during the COVID-19 pandemic. Methods and procedures: Semi-structured interviews were conducted using an interpretive phenomenological qualitative approach. Study participants consisted of 14 relatives of IDD individuals who were institutionalized in residence facilities or homes. The guiding questions emerged from group discussions with relatives of those with IDD who did not participate in the subsequent interviews. Drawing from this group, the factors that were identified to have had the greatest impact on their lives were later used to guide the interviews. Data collection was carried out in face-to-face individual interviews that were recorded together with the observations of two researchers between February and October 2022. Results: Our analysis identified 4 main themes that developed into additional factors: the decision to stay at home or in the residence, fear, illness, and protocol. Individuals with IDD lost their daily routines, suffered from social isolation, and did not understand the situation. Conclusion: The results of this study allow for a better understanding of the experiences of families of persons with IDD in residential centres during the lockdown by identifying their needs and how to better support them in the future. Outcomes and results: Knowledge and understanding of these events should allow for better management of similar situations in the future

Fine tuning the extracellular environment accelerates the derivation of kidney organoids from human pluripotent stem cells

The generation of organoids is one of the biggest scientific advances in regenerative medicine. Here, by lengthening the time that human pluripotent stem cells (hPSCs) were exposed to a three-dimensional microenvironment, and by applying defined renal inductive signals, we generated kidney organoids that transcriptomically matched second-trimester human fetal kidneys. We validated these results using ex vivo and in vitro assays that model renal development. Furthermore, we developed a transplantation method that utilizes the chick chorioallantoic membrane. This approach created a soft in vivo microenvironment that promoted the growth and differentiation of implanted kidney organoids, as well as providing a vascular component. The stiffness of the in ovo chorioallantoic membrane microenvironment was recapitulated in vitro by fabricating compliant hydrogels. These biomaterials promoted the efficient generation of renal vesicles and nephron structures, demonstrating that a soft environment accelerates the differentiation of hPSC-derived kidney organoids