A imaginação acordada : uma viagem de Bernardo Soares

Recursos Educativos - HumanidadesUma Viagem de Bernardo Soares, com João D’Ávila, segundo Raúl Rodríguez e E.M. de Melo e Castro. Textos de “Livro do Desassossego”.N/

Appraising the quality standard underpinning international clinical practice guidelines for the selection and care of vascular access devices: a systematic review of reviews

OBJECTIVE: Catheter-related bloodstream infections are one of the most important adverse events for patients. Evidence-based practice embraces interventions to prevent and reduce catheter-related bloodstream infections in patients. At present, a growing number of guidelines exist worldwide. The purpose of the study was to assess clinical practice guidelines for peripheral and central venous access device care and prevention of related complications. DESIGN: Systematic review of clinical practice guidelines: We conducted a search of the literature published from 2005 to 2018 using Medline/PubMed, Embase, CINAHL, Ovid, ScienceDirect, Scopus and Web of Science. We also evaluated grey literature sources and websites of organisations that compiled or produced guidelines. Guideline quality was assessed with the Appraisal of Guidelines for Research and Evaluation, Second Edition tool by three independent reviewers. Cohen's kappa coefficient was used to evaluate the concordance between reviewers. RESULTS: We included seven guidelines in the evaluation. The concordance between observers was substantial, K=0.6364 (95% CI 0.0247 to 1.2259). We identified seven international guidelines, which scored poorly on crucial domains such as applicability (medium 39%), stakeholder involvement (medium 65%) and methodological rigour (medium 67%). Guidelines by Spanish Health Ministry and UK National Institute for Health and Care Excellence presented the highest quality. CONCLUSIONS: It is crucial to critically evaluate the validity and reliability of clinical practice guidelines so the best, most context-specific document is selected. Such choice is a necessary prior step to encourage and support health organisations to transfer research results to clinical practice. The gaps identified in our study may explain the suboptimal clinical impact of guidelines. Such low adoption may be mitigated with the use of implementation guides accompanying clinical documents

Simultaneous Surface Plasmon Resonance and X-ray Absorption Spectroscopy

We present here an experimental set-up to perform simultaneously measurements of surface plasmon resonance (SPR) and X-ray absorption spectroscopy (XAS) in a synchrotron beamline. The system allows measuring in situ and in real time the effect of X-ray irradiation on the SPR curves to explore the interaction of X-rays with matter. It is also possible to record XAS spectra while exciting SPR in order to detect the changes in the electronic configuration of thin films induced by the excitation of surface plasmons. Combined experiments recording simultaneously SPR and XAS curves while scanning different parameters can be carried out. The relative variations in the SPR and XAS spectra that can be detected with this set-up ranges from 10-3 to 10-5, depending on the particular experiment

Desarrollo de la Red Aerobiológica de Castilla y León (RACYL)

XV lnternational A.P.L.E. Symposium of Palynolog

Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis

Peripheral venous catheterization is a common technique in hospitals which is not always successful, resulting in multiple punctures and degradation of the vessels. This scenario, which we have termed 'difficult peripheral venous access', is associated to delays in care, obtention of samples or diagnosis, as well as a higher use of central catheters. This study intends to identify risk factors associated to the incidence of 'difficult peripheral venous access' in adults at hospital. We designed a systematic review of published studies (protocol PROSPERO 2018 CRD42018089160). We conducted structured electronic searches using key words and specific vocabulary, as well as directed searches in several databases. After validity analysis, we selected 7 studies with observational methodology. We found great variability in the definition of 'difficult peripheral venous access' and in the variables proposed as risk factors. Statistically significant factors through studies include demographic and anthropometric variables (gender, Body Mass Index), as well as medical and health conditions (diabetes, renal insufficiency, parenteral drug abuse, cancer chemotherapy), together with variables related to the vein or vascular access (vein visibility and palpability, vessel diameter, previous history of difficulty). Some studies have also considered variables related to the professional performing the technique. Meta-analyses were carried out for gender and obesity as potential risk factors. Only obesity appeared as a statistically significant risk factor with OR of 1.48; 95% CI (1.03 to 1.93; p = 0.016). Methodological heterogeneity prevented the development of further meta-analyses. It is essential to design future studies with diverse hospital populations, in which a wide selection of potential risk factors can be studied in a unique analysis. Our work identifies the most relevant variables that should be included in those studies

Eficacia de la alta presión hidrostática como tratamiento cuarentenario para mejorar la calidad de los frutos del mango infestados por la mosca de la fruta Mexicana Anastrepha ludens

High hydrostatic pressure (HPP) has been reported as an alternative quarantine process in fruits infested by Ceratitis capitata Wiedemann, Rhagoletis indifferens Curran and Cydia pomonella (L.). In Mexico and other Latin-American countries, the Mexican fruit fly Anastrepha ludens Loew is one of the most important insects infesting mangoes, citrus, and other fruits. The present study aimed to determine the effect of pressure level and time on the survival of eggs and larvae of the Mexican fruit fly. Eggs and larvae were pressurized at 25, 50, 75, 100, or 150 MPa for 0, 5, 10 or 20 min at 25 8C. Ripe and green mangoes were also pressurized under the same conditions. On pressurized eggs of 1, 2, 3, and 4 days old, their ability to hatch was recorded. On pressurized first, second and third instars, the percentage of survival was registered. Furthermore, third instars were studied for their ability to pupate and to develop adults. The results showed that although most of eggs and larvae died at pressures lower than 100 MPa, some of them were able to survive even at 150 MPa, and a few third instars were able to pupate and to develop to adulthood. Green mangoes were affected by pressures above 75 MPa but they were more resistant than ripe mangoes. HPP treatments seem to be feasible as a quarantine process for mangoes; however, more studies, such as combining HPP with temperature treatments, are needed in order to decrease the pressure level to avoid fruit damageLa alta presión hidrostática ha sido descrita como un proceso de cuarentena alternativa en frutas infestadas por Ceratitis capitata Wiedemann, Rhagoletis indifferens Curran y Cydia pomonella (L.). En México y otros países Latinoamericanos, la mosca de la fruta mexicana Anastrepha ludens Loew es uno de los más importantes insectos que infestan los mangos, cítricos y otras frutas. El presente estudio tuvo como meta determinar el efecto del nivel de presión y tiempo sobre la supervivencia de huevos y larvas de la mosca de la fruta mexicana. Huevos y larvas se presurizaron a 25, 50, 75, 100, y 150 MPa durante 0, 5, 10, y 20 min a 25 8C. Mangos maduros y verdes también se presurizaron bajo las mismas condiciones. En huevos presurizados de uno, dos, tres y cuatro días de vida, se registró su capacidad para eclosionar. En primera, segunda y tercera etapa larvaria presurizada, el porcentaje de supervivencia también se registró. Además, en la tercera etapa larvaria se estudió su capacidad para salir de la crisálida y desarrollar adultos. Los resultados mostraron que aunque la mayoría de los huevos y larvas murieron a presiones por debajo de 100 MPa, algunos de ellos fueron capaces de sobrevivir aun a 150 MPa, y unas pocas larvas de tercera etapa fueron capaces de salir de la crisálida y desarrollar adultos. Los mangos verdes se vieron afectados por las presiones por encima de 75 MPa pero fueron más resistentes que los mangos maduros. Los tratamientos de alta presión hidrostática parecen ser un proceso viable como método cuarentenario para mangos, sin embargo, se necesitan más estudios tales como la combinación de alta presión hidrostática junto con tratamientos térmicos para disminuir los niveles de presión y evitar daños en la frutaThe authors are grateful to Fondo Mixto CONACYT –Gobierno del Estado de Tamaulipas for the financial support of this work (Project TAMPS-2003-C02-15), to CONACYT for the scholarship granted to author Hugo Ernesto CandelarioS

Crystallization Process and Site-Selective Excitation of Nd3+ in LaF3/NaLaF4 Sol–Gel-Synthesized Transparent Glass-Ceramics

In this study, transparent oxyfluoride glass-ceramics (GCs) with NaLaF4 nanocrystals (NCs) were prepared by the sol–gel method for the first time. Three different molar ratios of La(CH3COO)3/Na(CH3COO) were used to obtain the GCs, which were sintered at 450, 550 and 650 °C for 1 min. X-ray diffraction (XRD) was employed to follow the evolution of the xerogel during the heat treatments and to study crystal growth for the three temperatures. In all cases, the LaF3 crystalline phase was present, but crystallization of NaLaF4 was only promoted at 650 °C. Thermogravimetric and thermodifferential analysis (TGA-DTA) and Fourier transform infrared spectroscopy (FTIR) were used to analyze the crystallization process. High-resolution transmission electron microscopy (HRTEM) was employed to confirm NaLaF4 crystallization and determine the size distribution. The incorporation of Nd3+ ion into NaLaF4 and LaF3 nanocrystals was confirmed by site-selective emission and excitation spectra. The Nd3+ emission intensities in both phases depend not only on the NaLaF4/LaF3 ratio but also on their emission efficiencies.The authors acknowledge financial support from MINECO under projects MAT2017-87035-C2-1-P/-2-P (AEI/FEDER, UE), and Basque Government PIBA2018-24. This article is a part of the dissemination activities of the project FunGlass, which has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No 739566

M67-1194, an unusually Sun-like solar twin in M67

The rich open cluster M67 is known to have a chemical composition close to solar, and an age around 4Gyr. It thus offers the opportunity to check our understanding of the physics and the evolution of solar-type stars in a cluster environment. We present the first spectroscopic study at high resolution, R~50,000, of the potentially best solar twin, M67-1194, identified among solar-like stars in M67. Based on a pre-selection of solar-twin candidates performed at medium resolution by Pasquini et al. (2008), we explore the chemical-abundance similarities and differences between M67-1194 and the Sun, using VLT/FLAMES-UVES. Working with a solar twin in the framework of a differential analysis, we minimize systematic model errors in the abundance analysis compared to previous studies which utilized more evolved stars to determine the metallicity of M67. We find M67-1194 to have stellar parameters indistinguishable from the solar values, with the exception of the overall metallicity which is slightly super-solar ([Fe/H]=0.023 +/- 0.015). An age determination based on evolutionary tracks yields 4.2 +/- 1.6Gyr. Most surprisingly, we find the chemical abundance pattern to closely resemble the solar one, in contrast to most known solar twins in the solar neighbourhood. We confirm the solar-twin nature of M67-1194, the first solar twin known to belong to a stellar association. This fact allows us to put some constraints on the physical reasons for the seemingly systematic departure of M67-1194 and the Sun from most known solar twins regarding chemical composition. We find that radiative dust cleansing by nearby luminous stars may be the explanation for the peculiar composition of both the Sun and M67-1194, but alternative explanations are also possible. The chemical similarity between the Sun and M67-1194 also suggests that the Sun once formed in a cluster like M67

Four millennia of Iberian biomolecular prehistory illustrate the impact of prehistoric migrations at the far end of Eurasia

Population genomic studies of ancient human remains have shown how modern-day European population structure has been shaped by a number of prehistoric migrations. The Neolithization of Europe has been associated with large-scale migrations from Anatolia, which was followed by migrations of herders from the Pontic steppe at the onset of the Bronze Age. Southwestern Europe was one of the last parts of the continent reached by these migrations, and modern-day populations from this region show intriguing similarities to the initial Neolithic migrants. Partly due to climatic conditions that are unfavorable for DNA preservation, regional studies on the Mediterranean remain challenging. Here, we present genome-wide sequence data from 13 individuals combined with stable isotope analysis from the north and south of Iberia covering a four-millennial temporal transect (7, 500–3, 500 BP). Early Iberian farmers and Early Central European farmers exhibit significant genetic differences, suggesting two independent fronts of the Neolithic expansion. The first Neolithic migrants that arrived in Iberia had low levels of genetic diversity, potentially reflecting a small number of individuals; this diversity gradually increased over time from mixing with local hunter-gatherers and potential population expansion. The impact of post-Neolithic migrations on Iberia was much smaller than for the rest of the continent, showing little external influence from the Neolithic to the Bronze Age. Paleodietary reconstruction shows that these populations have a remarkable degree of dietary homogeneity across space and time, suggesting a strong reliance on terrestrial food resources despite changing culture and genetic make-up