Orobanche lainzii (J. Gómez Navarro et al.) Triano & A. Pujadas, comb. nov., (Orobanchaceae), in eastern Andalusia (Spain)

Orobanche lainzii (J. Gómez Navarro et al.) Triano & A. Pujadas, comb. nov., (Orobanchaceae), in eastern Andalusia (Spain). Palabras clave. Jopo, conservación, Península Ibérica. Key word. Broomrape, conservation, Iberian Peninsula

Foeniculum sanguineum Triano y A. Pujadas (Apiaceae) nueva especie del suroeste de la Región Mediterránea

Foeniculum sanguineum Triano & A. Pujadas, sp. nov., from the south western Mediterranean Region (Spain & Morocco) is described. Its characterization and a comparative study with the related species Foeniculum vulgare Mill., has been carried out through morphological, cytological, chemical and molecular analysis. F. sanguineum is distinguished primarily for its red petals, pink pollen in fresh, and red stylopod. It is a diploid species (2n= 22). A high proportion of limonene and piperitenone oxide (absent in F. vulgare) has been found in the essential oil composition of the dry fruits of F. sanguineum and a high amount (about 50 %) of α-phellandrene in its roots and stems. Phylogenetic analyses were performed using the internal transcribed spacer sequences of nuclear ribosomal DNA (ITS) and the chloroplast rbcL gene sequences. ITS analysis supports the existence of the new species, while revealing sequence divergence both at the intraspecific and at the interspecific levels. A Single-nucleotide-polymorphism (SNP) sequence divergence found in the slow evolving chloroplast gene provided additional support for the novel species characterization, for which the name Foeniculum sanguineum is proposed

67 years old woman with pluriphatology and fulminant septic shock

Mujer de 67 años pluripatológica que presenta cuadro de neumonía grave y shock, ingresando en UCI donde se detecta colonización por microorganismos multirresistentes. Tras mejoría se remite a planta, donde presenta shock séptico fulminante al 40 día de ingreso.67 years old woman with pluriphatology admitted to the emergency room with severe pneumonia. She required admission in ICU because of shock of uncertain origin. Colonization with multiresistant bacteria was detected. After recovering she was discharged to conventional care, presenting fulminant septic shock on her 40 day of stay and dying in a few hours

The phenomenological attitude of the epoché in a study on the political participation of young women

Introducción: El enfoque fenomenológico comporta una exploración constante. Para ello resulta imprescindible la revisión del equipo de investigación acerca de los preconceptos que están funcionando en relación con el tema de estudio. La epojé tiene un papel fundamental para comprender la participación política siendo mujer y joven. El proceso de revisión constante de las ideas y prejuicios es la parte central en la investigación fenomenológica. Método: Se exponen las cuatro fases del proceso de investigación para detenernos en la primera parte de la segunda fase; en concreto, en la experiencia de participación política del equipo de investigación. Las reflexiones sobre las experiencias de las integrantes del equipo se realizan a partir de relatos y preguntas abiertas y reuniones sobre participación política. Resultados y discusión: Las ideas y los prejuicios del equipo de investigación interceden en el proceso fenomenológico, hacerlo visible es necesario para adentrarnos en los esenciales sin categorizar la experiencia vivida desde la teoría. Asimismo, implica una concienciación de los prejuicios y estereotipos del equipo con respecto al fenómeno de estudio

La actitud fenomenológica de la epojé en un estudio sobre participación política de mujeres jóvenes

INTRODUCCIÓ. L’enfocament fenomenològic comporta una exploració constant. Per això resulta imprescindible que l’equip de recerca revisi els preconceptes que s’activen en relació amb el tema d’estudi. L’epokhé té un paper fonamental per comprendre la participació política de dones joves. El procés de revisió constant de les idees i els prejudicis és la part central en la recerca fenomenològica.MÈTODE. S’exposen les quatre fases del procés de recerca, i amb més deteniment la primera part de la segona fase; en concret, en l’experiència de participació política de l’equip de recerca. Les reflexions sobre les experiències de les integrants de l’equip es fan a partir de relats, preguntes obertes i reunions sobre participació política.RESULTATS i DISCUSSIÓ. Les idees i els prejudicis de l’equip de recerca intercedeixen en el procés fenomenològic. Fer-ho visible és necessari per endinsar-nos en l’essencial sense categoritzar l’experiència viscuda des de la teoria. Així mateix, implica una conscienciació dels prejudicis i estereotips de l’equip respecte al fenomen d’estudi.INTRODUCTION. The phenomenological approach involves constant exploration. To this end, it is essential for the research team to review the pre-concepts that are at work in relation to the object of study. The epoché has a fundamental role in understanding the political participation of women and young people. The process of the constant revision of ideas and prejudices is the central part of phenomenological research.METHOD. The four phases of the research process are presented. The focus is then placed on the first part of the second phase, specifically on the research team's experience of political participation. The reflections on the experiences of the team members are based on stories, open questions and meetings on the issue of political participatio.RESULTS and DISCUSSION. The ideas and prejudices of the research team intervene in the phenomenological process; making them visible is necessary in order to gointo the essentials without categorizing the lived experience from the theoretical point of view. It also requires an awareness of the team's prejudices and stereotypes regarding the phenomenon under study.INTRODUCCIÓN. El enfoque fenomenológico comporta una exploración constante. Para ello resulta imprescindible la revisión del equipo de investigación acerca de los preconceptos que están funcionando en relación con el tema de estudio. La epojé tiene un papel fundamental para comprender la participación política siendo mujer y joven. El proceso de revisión constante de las ideas y prejuicios es la parte central en la investigación fenomenológica.MÉTODO. Se exponen las cuatro fases del proceso de investigación para detenernos en la primera parte de la segunda fase; en concreto, en la experiencia de participación política del equipo de investigación. Las reflexiones sobre las experiencias de las integrantes del equipo se realizan a partir de relatos y preguntas abiertas y reuniones sobre participación política.RESULTADOS y DISCUSIÓN. Las ideas y los prejuicios del equipo de investigación interceden en el proceso fenomenológico, hacerlo visible es necesario para adentrarnos en los esenciales sin categorizar la experiencia vivida desde la teoría. Asimismo, implica una concienciación de los prejuicios y estereotipos del equipo con respecto al fenómeno de estudio

Enquesta de salut a la població institucionalitzada de Catalunya, 2006: residències i centres de llarga estada

Població institucionalitzada; Indicadors de salut; ESPI; Institutionalized population; Health Status Indicators; Catalonia; Población institucionalizada; Indicadores de salud; CataluñaL’ESPI és una enquesta dirigida a les persones de 65 anys i més que viuen a residències i centres de llarga estada (població institucionalitzada). Per primera vegada es disposa d’informació sobre el seu estat de salut, els hàbits i estils de vida i la utilització dels serveis sanitaris. L’ESPI ha entrevistat 1.379 persones de 65 anys i més amb permanència indefinida a residències i centres de llarga estada de més de 15 places de capacitat. La selecció de la mostra s’ha realitzat mitjançant un disseny mostral aleatori en dues etapes que ha tingut en compte el tipus d’institució (residència i centre de llarga estada) i la representativitat per regió sanitària

Sharing, Living Together and Understanding. A Journey Through our Experiences

S’exposen les metodologies i objectius d’un recull d’experiències educatives que ajuden als infants a comprendre el món mitjançant l’ús d’eines i recursos culturals matemàtics. Aquestes experiències s’han realitzat amb nins d’Educació Infantil de diferents escoles públiques de les Illes Balears. Així mateix, dues experiències, Xishun i Codi de barres, s’han realitzat amb alumnat de primer cicle d’Educació PrimàriaSe exponen las metodologías y objetivos de una recopilación de experiencias educativas que ayudan a los niños a comprender el mundo mediante el uso de herramientas y recursos culturales matemáticos. Estas experiencias se han realizado con niños de Educación Infantil de diferentes escuelas públicas de las Illes Balears. Asimismo, dos experiencias: Xishun y Código de barras, se han realizado con alumnado de primer ciclo de Educación Primaria.This paper presents the methodologies and objectives of a collection of educational experiences that help children understand the world and ourselves through the use of mathematical and cultural tools and resources. These experiences were implemented with 3, 4 and 5-year-old preschool children in different Balearic schools and two of them, “Xishun” and “Codi de Barres”, were implemented with first-cycle primary school students

Identification of decreased intrinsic capacity: Performance of diagnostic measures of the ICOPE Screening tool in community dwelling older people in the VIMCI study.

peer reviewed[en] BACKGROUND: The World Health Organization (WHO) has developed the Integrated Care for Older People (ICOPE) strategy to face the challenges of ageing societies. This strategy is focused on person centered care and the assessment intrinsic capacity (IC). Early identification of five domains of IC (cognition, locomotion, vitality, sensory (hearing and vision), and psychological) has been shown to be related with adverse outcomes and can guide actions towards primary prevention and healthy ageing. IC assessment proposed by the WHO ICOPE guidelines is composed by two steps: First, Screening for decreased IC by the ICOPE Screening tool; second, by the reference standard methods. The aim was to assess the performance of diagnostic measures (sensibility, specificity, diagnostic accuracy, and agreement of the ICOPE Screening tool) compared to the reference standard methods in European community-dwelling older adults. METHODS: Cross-sectional analysis of the baseline of the ongoing VIMCI (Validity of an Instrument to Measure Intrinsic Capacity) cohort study, which was carried out in Primary Care centers and outpatient clinics from 5 rural and urban territories in Catalonia (Spain). Participants were 207community dwelling persons ≥ 70-year-old with Barthel ≥ 90, without dementia or advanced chronic conditions who provided their consent to participate. The 5 IC domains were assessed by the ICOPE Screening tool and the reference methods (SPPB, gait speed, MNA, Snellen chart, audiometry, MMSE, GDS5) during patients' visit. Agreement was assessed with the Gwet AC1 index. RESULTS: ICOPE Screening tool sensitivity was higher for cognition (0.889) and ranged between 0.438 and 0.569 for most domains. Specificity ranged from 0.682 to 0.96, diagnostic accuracy from 0.627 to 0.879, Youden index from 0.12 to 0.619, and Gwet AC1 from 0.275 to 0.842. CONCLUSION: The ICOPE screening tool showed fair performance of diagnostic measures; it was helpful to identify those participants with satisfactory IC and showed a modest ability to identify decreased IC in older people with high degree of autonomy. Since low sensitivities were found, a process of external validation would be recommended to reach better discrimination. Further studies about the ICOPE Screening tool and its performance of diagnostic measures in different populations are urgently required

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat