Estresse e Burnout entre residentes multiprofissionais

OBJECTIVE: To identify associations between high-stress and burnout syndrome in multidisciplinary residents from a federal university in Rio Grande do Sul, Brazil. METHOD: This is an analytical, cross-sectional and quantitative study. A socio-demographic questionnaire, the Work Stress Scale and the Maslach Burnout Inventory-Health Services Survey (MBI-HSS) were applied to 37 residents between April and June 2011. P-valuesOBJETIVO: Identificar la asociación entre alto estrés y Burnout en residentes Multiprofesionales de una universidad federal de Rio Grande do Sul. MÉTODO: se trata de un estudio analítico, transversal, cuantitativo. Se aplicaron un formulario de datos socio-demográficos, la Escala de Estrés en el Trabajo y el Maslach Burnout Inventory- Health Services en 37 residentes entre Abril y Junio de 2011. Valores de pOBJETIVO: identificar a associação entre alto estresse e Burnout em residentes multiprofissionais de uma universidade federal do Rio Grande do Sul. MÉTODO: trata-se de estudo analítico, transversal, quantitativo. Aplicaram-se um formulário de dados socio demográficos, a Escala de Estresse no Trabalho e o Maslach Burnout Inventory-Human Services Survey (MBI-HSS) em 37 residentes entre abril e junho de 2011. Valores de

Dynamic lanthanide exchange between quadruple-stranded cages: the effect of ionic radius differences on kinetics and thermodynamics

Seven different [Ln2L4]2− (Ln = La, Nd, Eu, Tb, Er, Tm and Lu) lanthanide-based quadruple-stranded helicates are here reported and transmetalation among the pre-assembled cages is studied. Combining two homonuclear helicates, [LnA2L4]2− and [LnB2L4]2−, leads to the formation of a mixture of homo- and heteronuclear systems due to ion exchange. This dynamic behaviour is studied by electrospray ionization mass spectrometry (ESI-MS) both qualitatively and quantitatively, allowing one to gain information on the thermodynamics and on the kinetics of the process. The rate of the Ln ion exchange is strongly correlated with the difference in the lanthanide effective ionic radius (ΔEIR). Upon increasing the ΔEIR, the kinetic constants grow exponentially: from the minimum to the maximum value of the ΔEIR, the kinetic constants of the forward and backward reactions increase by three orders of magnitude. In contrast, the equilibrium constant is the same for all the [LnA2L4]2−/[LnB2L4]2− couples, showing that the transmetalation is mainly entropy driven towards a statistical mixture and not affected by the ΔEIR

Dynamic lanthanides exchange between quadruple-stranded cages: effect of ionic radius differences on kinetics and thermodynamics

Seven different [Ln2L4]2− (Ln = La, Nd, Eu, Tb, Er, Tm and Lu) lanthanide-based quadruple-stranded helicates are here reported and transmetalation among pre-assembled cages was studied. Combining two homonuclear helicates [LnA2L4]2− and [LnB2L4]2− leads to the formation of a mixture of homo- and heteronuclear systems due to ion exchange. This dynamic behaviour was studied by electrospray ionization mass spectrometry (ESI-MS) both qualitatively and quantitatively allowing to gain information on the thermodynamics as well as on the kinetics of the process. The rate of the Ln ion exchange is strongly dependent on the difference in lanthanide effective ionic radius (ΔEIR). Upon increasing ΔEIR, the kinetic constants grow exponentially: from the minimum to the maximum value of ΔEIR, the kinetic constants of the forward and backward reactions increase by three orders of magnitude. On the contrary, the equilibrium constant is the same for all the [LnA2L4]2−/[LnB2L4]2− couples, showing that the transmetalation is mainly entropy-driven towards a statistical mixture and not affected by ΔEIR

27 testimonios del 27 de octubre de 2010 : Reflexiones ante el fallecimiento del ex presidente Néstor Kirchner

Referentes políticos del oficialismo y la oposición, presidentes de países latinoamericanos, gobernadores, legisladores, dirigentes sindicales y sociales, autoridades de la UNLP reflexionan ante el fallecimiento del expresidente Néstor Kirchner, en el mismo día del hecho, 27 de octubre de 2010.Testimonios recogidos por el Departamento Informativo de Radio Universidad Nacional de La PlataRadio Universidad Nacional de La Plat

27 testimonios del 27 de octubre de 2010 : Reflexiones ante el fallecimiento del ex presidente Néstor Kirchner

Referentes políticos del oficialismo y la oposición, presidentes de países latinoamericanos, gobernadores, legisladores, dirigentes sindicales y sociales, autoridades de la UNLP reflexionan ante el fallecimiento del expresidente Néstor Kirchner, en el mismo día del hecho, 27 de octubre de 2010.Testimonios recogidos por el Departamento Informativo de Radio Universidad Nacional de La PlataRadio Universidad Nacional de La Plat

Development and validation of the MMCD score to predict kidney replacement therapy in COVID-19 patients

Abstract Background Acute kidney injury (AKI) is frequently associated with COVID-19, and the need for kidney replacement therapy (KRT) is considered an indicator of disease severity. This study aimed to develop a prognostic score for predicting the need for KRT in hospitalised COVID-19 patients, and to assess the incidence of AKI and KRT requirement. Methods This study is part of a multicentre cohort, the Brazilian COVID-19 Registry. A total of 5212 adult COVID-19 patients were included between March/2020 and September/2020. Variable selection was performed using generalised additive models (GAM), and least absolute shrinkage and selection operator (LASSO) regression was used for score derivation. Accuracy was assessed using the area under the receiver operating characteristic curve (AUC-ROC). Results The median age of the model-derivation cohort was 59 (IQR 47–70) years, 54.5% were men, 34.3% required ICU admission, 20.9% evolved with AKI, 9.3% required KRT, and 15.1% died during hospitalisation. The temporal validation cohort had similar age, sex, ICU admission, AKI, required KRT distribution and in-hospital mortality. The geographic validation cohort had similar age and sex; however, this cohort had higher rates of ICU admission, AKI, need for KRT and in-hospital mortality. Four predictors of the need for KRT were identified using GAM: need for mechanical ventilation, male sex, higher creatinine at hospital presentation and diabetes. The MMCD score had excellent discrimination in derivation (AUROC 0.929, 95% CI 0.918–0.939) and validation (temporal AUROC 0.927, 95% CI 0.911–0.941; geographic AUROC 0.819, 95% CI 0.792–0.845) cohorts and good overall performance (Brier score: 0.057, 0.056 and 0.122, respectively). The score is implemented in a freely available online risk calculator ( https://www.mmcdscore.com/ ). Conclusions The use of the MMCD score to predict the need for KRT may assist healthcare workers in identifying hospitalised COVID-19 patients who may require more intensive monitoring, and can be useful for resource allocation

The ATLAS experiment at the CERN Large Hadron Collider: a description of the detector configuration for Run 3

Abstract The ATLAS detector is installed in its experimental cavern at Point 1 of the CERN Large Hadron Collider. During Run 2 of the LHC, a luminosity of  ℒ = 2 × 1034 cm-2 s-1 was routinely achieved at the start of fills, twice the design luminosity. For Run 3, accelerator improvements, notably luminosity levelling, allow sustained running at an instantaneous luminosity of  ℒ = 2 × 1034 cm-2 s-1, with an average of up to 60 interactions per bunch crossing. The ATLAS detector has been upgraded to recover Run 1 single-lepton trigger thresholds while operating comfortably under Run 3 sustained pileup conditions. A fourth pixel layer 3.3 cm from the beam axis was added before Run 2 to improve vertex reconstruction and b-tagging performance. New Liquid Argon Calorimeter digital trigger electronics, with corresponding upgrades to the Trigger and Data Acquisition system, take advantage of a factor of 10 finer granularity to improve triggering on electrons, photons, taus, and hadronic signatures through increased pileup rejection. The inner muon endcap wheels were replaced by New Small Wheels with Micromegas and small-strip Thin Gap Chamber detectors, providing both precision tracking and Level-1 Muon trigger functionality. Trigger coverage of the inner barrel muon layer near one endcap region was augmented with modules integrating new thin-gap resistive plate chambers and smaller-diameter drift-tube chambers. Tile Calorimeter scintillation counters were added to improve electron energy resolution and background rejection. Upgrades to Minimum Bias Trigger Scintillators and Forward Detectors improve luminosity monitoring and enable total proton-proton cross section, diffractive physics, and heavy ion measurements. These upgrades are all compatible with operation in the much harsher environment anticipated after the High-Luminosity upgrade of the LHC and are the first steps towards preparing ATLAS for the High-Luminosity upgrade of the LHC. This paper describes the Run 3 configuration of the ATLAS detector.</jats:p

The ATLAS experiment at the CERN Large Hadron Collider: a description of the detector configuration for Run 3

Abstract The ATLAS detector is installed in its experimental cavern at Point 1 of the CERN Large Hadron Collider. During Run 2 of the LHC, a luminosity of  ℒ = 2 × 1034 cm-2 s-1 was routinely achieved at the start of fills, twice the design luminosity. For Run 3, accelerator improvements, notably luminosity levelling, allow sustained running at an instantaneous luminosity of  ℒ = 2 × 1034 cm-2 s-1, with an average of up to 60 interactions per bunch crossing. The ATLAS detector has been upgraded to recover Run 1 single-lepton trigger thresholds while operating comfortably under Run 3 sustained pileup conditions. A fourth pixel layer 3.3 cm from the beam axis was added before Run 2 to improve vertex reconstruction and b-tagging performance. New Liquid Argon Calorimeter digital trigger electronics, with corresponding upgrades to the Trigger and Data Acquisition system, take advantage of a factor of 10 finer granularity to improve triggering on electrons, photons, taus, and hadronic signatures through increased pileup rejection. The inner muon endcap wheels were replaced by New Small Wheels with Micromegas and small-strip Thin Gap Chamber detectors, providing both precision tracking and Level-1 Muon trigger functionality. Trigger coverage of the inner barrel muon layer near one endcap region was augmented with modules integrating new thin-gap resistive plate chambers and smaller-diameter drift-tube chambers. Tile Calorimeter scintillation counters were added to improve electron energy resolution and background rejection. Upgrades to Minimum Bias Trigger Scintillators and Forward Detectors improve luminosity monitoring and enable total proton-proton cross section, diffractive physics, and heavy ion measurements. These upgrades are all compatible with operation in the much harsher environment anticipated after the High-Luminosity upgrade of the LHC and are the first steps towards preparing ATLAS for the High-Luminosity upgrade of the LHC. This paper describes the Run 3 configuration of the ATLAS detector.</jats:p