Monitorización del consumo de sustancias de abuso legales e ilegales en España a través de las aguas residuales en el marco de la red ESAR-Net

Trabajo presentado en el 4th Congreso Internacional y XLIX Jornadas Nacionales de Socidrogalcohol - VIII Congreso Nacional Patología Bio-Psicosocial, celebrado en Tenerife del 06 al 08 de octubre de 2022

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Assessment of the Environmental Impact of Discharges from Fishmeal Factories Located in Levrier Bay, Nouadhibou-Mauritania

Levrier Bay, located in the western part of Mauritanian Cost, has a strategic position in Mauritania’s fish economy and reproduction environment. Recently, fishmeal factories have multiplied in the bay. This study was carried out in Levrier Bay. It is the first one in this area which is interested in assessing the environmental impact of fishmeal factory discharges by measuring several parameters such as suspended matter, chemical oxygen demand (COD), biological oxygen demand (BOD), conductivity, turbidity, and salinity. A total of 27 samples were collected at 9 sites distributed on the link between effluents from factories and the Atlantic Ocean (discharge site). Results show that some parameters are over permissible values, like suspended matter content (SS), which reached 2020 mg. L.-1 level. The turbidity measure shows excessively high values (50 to 961 mg.L.-1); impacted by effluents at the reject point, the seawater conductivity and salinity are particularly low (4.53 to 188.2 and 13 to 56.4, respectively). The total organic carbon (TOC) values ranged from 200 to 780 mg/L, whereas the highest measured level of chemical oxygen demand was 4010 mg.L.-1 Biochemical oxygen demand content ranged from 685 to 961 mg/L. The biodegradability index (COD/BOD) shows that these effluents are not easily biodegradable because the index > 3

HORuS transmission spectroscopy of 55 Cnc e

The High Optical Resolution Spectrograph (HORuS) is a new high-resolution echelle spectrograph available on the 10.4-m Gran Telescopio Canarias (GTC). We report on the first HORuS observations of a transit of the super-Earth planet 55 Cnc e. We investigate the presence of Na i and Hα in its transmission spectrum and explore the capabilities of HORuS for planetary transmission spectroscopy. Our methodology leads to residuals in the difference spectrum between the in-transit and out-of-transit spectra for the Na i doublet lines of (3.4 ± 0.4) × 10-4, which sets an upper limit to the detection of line absorption from the planetary atmosphere that is one order of magnitude more stringent that those reported in the literature. We demonstrate that we are able to reach the photon-noise limit in the residual spectra using HORuS to a degree that we would be able to easily detect giant planets with larger atmospheres. In addition, we modelled the structure, chemistry, and transmission spectrum of 55 Cnc e using state-of-the-art open source tools.With funding from the Spanish government through the "María de Maeztu Unit of Excellence" accreditation (MDM-2017-0737