Ubiquitinación de proteínas nucleares en la señalización del ayuno de fosfato en plantas

Comunicaciones a congreso

Planificación Compartida de Atención: experiencia con estudiantes enfermeros que se trasfiere a la sociedad

[ES] La Planificación Compartida de la Atención es una manera de iniciar conversaciones en contextos de final de vida. El Dodecaedro es un instrumento que permite explorar los valores y preferencias de cuidado a nivel físico, emocional, social y espiritual de estas personas y sus familias cuando afrontan esta situación. El objetivo de este trabajo es describir el uso del “Dodecaedro” por el estudiantado para realizar una planificación compartida de cuidados en una “situación hipotética de su propio final de vida”, y que posteriormente la realice con un familiar. Se utiliza una metodología mixta de “juegos serios” (gamificación-cartas del Dodecaedro) y aprendizaje colaborativo. Se imparte una clase teórica (1h) sobre Planificación Compartida de Atención y un seminario práctico (2h) sobre el Dodecaedro. El Dodecaedro consta de doce cartas con viñetas que reflejan doce conceptos que los estudiantes explorarán en el aula, compartiendo preferencias y valores con sus compañeros, para posteriormente hacerlo con sus familiares. Esto les permite explorar distintos escenarios y posibles soluciones que pueden aportar como profesionales a enfermos-familias, en el proceso del final de la vida. En relación a los resultados, se ha comprobado que el 90% del estudiantado está “de acuerdo o totalmente de acuerdo” con todos los indicadores evaluados sobre la experiencia de la planificación compartida de la atención. Así mismo más del 80% de ellos evalúa el Dodecaedro como una herramienta adecuada que facilita el inicio de conversaciones sobre la muerte y el morir, respetando el impacto emocional que conlleva. Valoran los 12 conceptos como los adecuados para la planificación compartida de la atención. Como conclusión, se puede afirmar que el juego de cartas “Dodecaedro”, les ha permitido identificar sus propias preferencias y valores en una situación hipotética de final de vida, y les ha capacitado para iniciar estas conversaciones en su entorno familiar y profesional

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Análisis funcional de los factores de trascripción Tower-of-Pisa1 y Tower-of-Pisa2 y su implicación en el desarrollo del gineceo de Arabidopsis

Los carpelos, organizados en un gineceo, presentan el mayor grado de complejidad anatómica y funcional de entre los órganos florales. El fruto deriva fundamentalmente del gineceo y es un órgano altamente especializado cuya función, una vez se produce la polinización y fertilización, es asegurar la maduración y la posterior dispersión de las semillas. A pesar del gran progreso que ha tenido lugar en los últimos años, aún quedan por resolver numerosos interrogantes acerca de la morfogénesis del gineceo y la fructificación. Una manera obvia de contribuir al esclarecimiento de estas cuestiones es desvelar la participación de nuevos moduladores genéticos, cuyas alteraciones provoquen perturbaciones morfológicas visibles en el desarrollo del gineceo. En esta Tesis Doctoral se ha pretendido profundizar en la comprensión de las vías genéticas implicadas en el desarrollo del gineceo, así como de la coordinación de dichas rutas. Para ello se ha realizado un esfuerzo para caracterizar funcionalmente dos miembros de una familia de factores transcripcionales con dominio B3, TOP1 y TOP2, que parecían estar implicados en la diferenciación del gineceo y ser un factor común a varias de las vías ya descritas. Se ha intentado establecer cuáles son las relaciones genéticas y moleculares de estos genes con otros identificados previamente, y que actúan en distintos aspectos del desarrollo del gineceo y el fruto de Arabidopsis. Para ello, se han caracterizado funcionalmente dichos genes mediante la obtención de líneas de pérdida y de ganancia de función de los mismos, y la caracterización fenotípica de dichos mutantes. Así, se ha comprobado que están implicados redundantemente en el desarrollo de las regiones apicales del gineceo, promoviendo la diferenciación de las células del estilo y el estigma. Se ha determinado que el patrón de expresión espacio-temporal de TOP1 y TOP2 coincide con las regiones afectadas en los mutantes de pérdida de función, es decir, el estilo y el estigma. TambiéTrigueros González, M. (2008). Análisis funcional de los factores de trascripción Tower-of-Pisa1 y Tower-of-Pisa2 y su implicación en el desarrollo del gineceo de Arabidopsis [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/2669Palanci

El Museo Pedagógico Andaluz. Problemas y perspectivas de futuro

Publicado bajo el título : La cultura material de la escuela. En el centenario de la Junta para la Ampliación de Estudios, 1907-200

Weakly linked binary mixtures of F = 1 87Rb Bose-Einstein condensates

We present a study of binary mixtures of Bose-Einstein condensates confined in a double-well potential within the framework of the mean field Gross-Pitaevskii (GP) equation. We re-examine both the single component and the binary mixture cases for such a potential, and we investigate what are the situations in which a simpler two-mode approach leads to an accurate description of their dynamics. We also estimate the validity of the most usual dimensionality reductions used to solve the GP equations. To this end, we compare both the semi-analytical two-mode approaches and the numerical simulations of the one-dimensional (1D) reductions with the full 3D numerical solutions of the GP equation. Our analysis provides a guide to clarify the validity of several simplified models that describe mean-field nonlinear dynamics, using an experimentally feasible binary mixture of an F = 1 spinor condensate with two of its Zeeman manifolds populated, m = ±1

Weakly linked binary mixtures of F = 1 87Rb Bose-Einstein condensates

We present a study of binary mixtures of Bose-Einstein condensates confined in a double-well potential within the framework of the mean field Gross-Pitaevskii (GP) equation. We re-examine both the single component and the binary mixture cases for such a potential, and we investigate what are the situations in which a simpler two-mode approach leads to an accurate description of their dynamics. We also estimate the validity of the most usual dimensionality reductions used to solve the GP equations. To this end, we compare both the semi-analytical two-mode approaches and the numerical simulations of the one-dimensional (1D) reductions with the full 3D numerical solutions of the GP equation. Our analysis provides a guide to clarify the validity of several simplified models that describe mean-field nonlinear dynamics, using an experimentally feasible binary mixture of an F = 1 spinor condensate with two of its Zeeman manifolds populated, m = ±1

Patterns of gene expression in developing embryos of Arabidopsis hybrids

Hybrids between the Arabidopsis ecotypes C24 and Ler have high levels of hybrid vigour, or heterosis, in both biomass and seed yield. Heterosis can be detected throughout the development of the plant and in different tissues. We examined developing embryos and seeds of C24/Ler reciprocal hybrids with the aim of detecting the earliest time at which heterotic gene activity occurs. In the transcriptomes of 4-dap (days after pollination; dermatogen to globular) and 6-dap (heart) embryos from both parents and hybrids, 95% of expressed genes were at the mid parent value (MPV) and 95% of the genes with single nucleotide polymorphisms between C24 and Ler retained the same relative allelic expression levels in the hybrids as existed in the parents. This included loci that had equivalent levels of transcription in the two parents, together with loci which had different levels of expression in the parents. Amongst the genes which did not have MPV expression levels in the hybrids (non-additively expressed genes), approximately 40 in the globular embryo stage and 89 in the heart embryo stage had altered levels of transcription in both reciprocal hybrids; these genes could contribute to the heterotic phenotype of the hybrid embryo. Many of the non-additively expressed genes had expression levels that were shifted towards maternal levels of transcription, and these differed in the reciprocal hybrids. Allelic expression analysis indicated that most genes with altered allelic contributions in the hybrids had an increase in the expression level of the hybrid's maternal allele. Consistent with the maternal pattern of gene expression, embryo and seed also show maternally influenced phenotype