Coronación a don Iñigo López de Mendoza, Marqués de Santillana, con la glosa.

Copia digital. Madrid : Ministerio de Cultura. Subdirección General de Coordinación Bibliotecaria, 200

Development of plant fiber sandwich parts contributing to plastic-free

departmental bulletin pape

Por el Obispo de Malaga, y la santa Iglesia de Antequera, y consortes, con el Dean, y Cabildo de la Iglesia Catedral de la ciudad de Malaga, sobre confirmar la sentencia de reuista del Consejo, que fue confirmatoria de otra del mismo Consejo, y por ambas el Dean, y Cabildo estan condenados a la restitucion de dos escusados que posseen en cada Parrochia de todo el Obispado de Malaga...

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Dezir que fizo Juan de Mena sobre la justiçia e pleytos e de la grant banidad deste mundo

Copia digital. Valladolid : Junta de Castilla y León. Consejería de Cultura y Turismo, 2009-201

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Copia digital : Junta de Castilla y León. Consejería de Cultura y Turismo, 2014Pie de imprenta tomado del colofónSign.: a-p8, q10 Sign.: []2, a-l8, ll6, m-p8, q10Error de foliación, hay insertadas [6] h. entre las h. LXXXVIII y LXXXIX, que se corresponden con el cuadernillo de signatura ll6Texto a dos col.Inic. grab.Letra gót

Introduction

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Current and contingent expenses of Indian Department

49-1Indian AffairsCurrent and Contingent Expenses of the Indian Dept. [2439] Act giving Territorial courts jurisdiction over Indians: expenses will still be covered by the U.S., and not the Territories.1886-11

Closed Endotracheal Suction Systems for COVID-19: Rapid Review

Background: The increase in admissions to intensive care units (ICUs) in 2020 and the morbidity and mortality associated with SARS-CoV-2 infection pose a challenge to the analysis of evidence of health interventions carried out in ICUs. One of the most common interventions in patients infected with the virus and admitted to ICUs is endotracheal aspiration. Endotracheal suctioning has also been considered one of the most contaminating interventions. Objective: This review aims to analyze the benefits and risks of endotracheal suctioning using closed suction systems (CSS) in COVID-19 patients. Methods: A rapid review was carried out using the following databases: PubMed, MEDLINE, CINAHL, LILACS, the Cochrane Library, and IBECS. The data search included articles in English and Spanish, published between 2010 and 2020, concerning adult patients, and using the key words "endotracheal," "suction," and "closed system." Results: A total of 15 articles were included. The benefits and risks were divided into 3 categories: patient, care, and organization. Relating to the patient, we found differences in cardiorespiratory variables and changes in the ventilator, for example, improvement in patients with elevated positive and end-expiratory pressure due to maladaptation and alveolar collapse. Relating to care, we found a shorter suctioning time, by up to 1 minute. Relating to organization, we found fewer microorganisms on staff gloves. Other conflicting results between studies were related to ventilator-associated pneumonia, bacterial colonization, or mortality. Conclusions: Aside from the need for quality research comparing open suction systems and CSS as used to treat COVID-19 patients, closed endotracheal suctioning has benefits in terms of shorter stay in the ICU and reduced environmental contamination, preventing ventilator disconnection from the patient, reducing the suctioning time-though it does produce the greatest number of mucosal occlusions-and preventing interpatient and patient-staff environmental contamination. New evidence in the context of the SARS-CoV-2 virus is required in order to compare results and establish new guidelines