Aportació al coneixement de les bardisses humides a Catalunya

Aquest treball tracta de les bardisses d'ambients frescals que formen la vorada de boscos humits. Descrivim tres noves associacions, de les quals comentem l'ecologia i la distribució, la sintaxonomia, la composició florística, l'estructura, la fisiognomia i la dinàmica. La comunitat de caràcter més atlàntic, el Rubetum hirto-radulae, és una bardissa lligada sobretot a les fagedes, mentre que el Clematido-Rubetum vigoi mostra un caràcter submediterrani i s'estén pel territori de la fageda i pel de la roureda. Totes dues comunitats són pròpies de la muntanya mitjana pirinenca i prepirinenca i d'altres àrees del territori de la fageda, mentre que l'associació Brachypodio- Rubetum caesii té una distribució més àmplia, des de l'estatge montà dels Pirineus fins a la terra baixa mediterrània, i es troba lligada a diversos boscos humits. A banda de la descripció d'aquestes tres comunitats, presentem una taula sintètica en la qual incloem altres bardisses relacionades amb aquestes per la seva ecologia, fisiognomia o des del punt de vista sintaxonòmic.This paper describes the types of bramble scrub found in the cool habitats that form the edges of moist woodlands. We describe three new associations. Rubetum hirto-radulae is the most Atlantic in character and is associated above all with beech forests, whereas Clematido-Rubetum vigoi is Sub- Mediterranean and can be found in both beech and oak climax areas. These two communities are characteristic of the montane belt of the Pyrenees and Pre-Pyrenees and other beech forest climax areas. Brachypodio-Rubetum caesii shows a broader distribution, from the montane stage of the Pyrenees to the Mediterranean lowlands, and is related to various moist woodlands. As well as the description of these three communities and their association tables, we present a synoptic table that includes other types of bramble scrub having a similar ecology and physiognomy or else related syntaxonomically.El trabajo que presentamos trata de los zarzales de ambientes frescos que forman la orla de bosques húmedos. Describimos tres nuevas asociaciones, de las cuales comentamos la ecología y distribución, la sintaxonomía, la composición florística, la estructura, la fenología y la dinámica. La comunidad de carácter más atlántico, el Rubetum hirtoradulae, es un zarzal del territorio de los hayedos, mientras que el Clematido-Rubetum vigoi muestra un carácter submediterráneo y se extiende tanto por el de los hayedos como el de los robledales. Las dos comunidades son propias de la montaña media pirenaica y pre-pirenaica, mientras que el Brachypodio-Rubetum caesii tiene una distribución más amplia que las anteriores, desde el piso montano de los Pirineos hasta las tierras bajas mediterráneas y se encuentra al borde de bosques húmedos. Además de la descripción de estas comunidades, presentamos una tabla sintética en la cual incluimos otros zarzales relacionados con éstas por su ecología, fisionomía o desde el aspecto sintaxonómico

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

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

The original version of this article unfortunately contained a mistake

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

Aportació al coneixement de les bardisses humides a Catalunya

Aquest treball tracta de les bardisses d'ambients frescals que formen la vorada de boscos humits. Descrivim tres noves associacions, de les quals comentem l'ecologia i la distribució, la sintaxonomia, la composició florística, l'estructura, la fisiognomia i la dinàmica. La comunitat de caràcter més atlàntic, el Rubetum hirto-radulae, és una bardissa lligada sobretot a les fagedes, mentre que el Clematido-Rubetum vigoi mostra un caràcter submediterrani i s'estén pel territori de la fageda i pel de la roureda. Totes dues comunitats són pròpies de la muntanya mitjana pirinenca i prepirinenca i d'altres àrees del territori de la fageda, mentre que l'associació Brachypodio- Rubetum caesii té una distribució més àmplia, des de l'estatge montà dels Pirineus fins a la terra baixa mediterrània, i es troba lligada a diversos boscos humits. A banda de la descripció d'aquestes tres comunitats, presentem una taula sintètica en la qual incloem altres bardisses relacionades amb aquestes per la seva ecologia, fisiognomia o des del punt de vista sintaxonòmic.This paper describes the types of bramble scrub found in the cool habitats that form the edges of moist woodlands. We describe three new associations. Rubetum hirto-radulae is the most Atlantic in character and is associated above all with beech forests, whereas Clematido-Rubetum vigoi is Sub- Mediterranean and can be found in both beech and oak climax areas. These two communities are characteristic of the montane belt of the Pyrenees and Pre-Pyrenees and other beech forest climax areas. Brachypodio-Rubetum caesii shows a broader distribution, from the montane stage of the Pyrenees to the Mediterranean lowlands, and is related to various moist woodlands. As well as the description of these three communities and their association tables, we present a synoptic table that includes other types of bramble scrub having a similar ecology and physiognomy or else related syntaxonomically.El trabajo que presentamos trata de los zarzales de ambientes frescos que forman la orla de bosques húmedos. Describimos tres nuevas asociaciones, de las cuales comentamos la ecología y distribución, la sintaxonomía, la composición florística, la estructura, la fenología y la dinámica. La comunidad de carácter más atlántico, el Rubetum hirtoradulae, es un zarzal del territorio de los hayedos, mientras que el Clematido-Rubetum vigoi muestra un carácter submediterráneo y se extiende tanto por el de los hayedos como el de los robledales. Las dos comunidades son propias de la montaña media pirenaica y pre-pirenaica, mientras que el Brachypodio-Rubetum caesii tiene una distribución más amplia que las anteriores, desde el piso montano de los Pirineos hasta las tierras bajas mediterráneas y se encuentra al borde de bosques húmedos. Además de la descripción de estas comunidades, presentamos una tabla sintética en la cual incluimos otros zarzales relacionados con éstas por su ecología, fisionomía o desde el aspecto sintaxonómico

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