PICC vs Catéter central insertado en vena subclavia en pacientes críticos

[Es]Introducción: actualmente, en servicios como UCIs, quirófanos y Urgencias cada vez es más común el empleo de CVCS y PICC. Ambos están asociados a graves complicaciones como CLABSI, TVP, EP, arritmia, etc. Dado que la enfermería juega un papel importante tanto en la inserción de estos dispositivos, como en el mantenimiento y prevención de las adversidades, es necesario poseer los conocimientos y habilidades adecuados para su afrontamiento. Objetivo y metodología: determinar cuál de los dos supone menor riesgo de complicaciones en pacientes críticos mediante la evidencia científica y utilizando la EBE. Para ello se ha realizado una revisión bibliográfica de estudios encontrados en bases de datos como Pubmed, Cochrane y Cinhal mediante la combinación de términos MeSH y palabras clave con operadores booleanos. Resultados y discusión: se han incluido en total 13 publicaciones (6 RS, 4 estudios de cohorte, 1 ECA y 2 GPC), de las cuales 3 poseen calidad alta, 3 media y 5 baja. Tanto los PICC como los CVCS implican diversas complicaciones, divididas en infecciosas, trombo-embolicas y mecánicas/otras. Existe insuficiente evidencia científica y gran heterogeneidad entre los artículos, lo que dificulta su extrapolación. Conclusiones: en pacientes críticos los PICC poseen mayor riesgo de TVP, los CVCS de complicaciones mecánicas, y ambos presentan tasas similares de CLABSI. Es importante escoger de forma individualizada el catéter a implantar, estimando los riesgos-beneficios de cada uno. Los cuidados preventivos son fundamentales en la reducción de estas contingencias. Son necesarios más estudios prospectivos comparativos.

Sasiola vs. Lazarraga : Acerca del euskera del texto de Estibaliz Sasiola

[ES] En este artículo hago un estudio lingüístico del habla que presenta el texto que llamaré « de Estibaliz Sasiola », escrito probablemente a fines del siglo XVI. Estibaliz de Sasiola parece ser la autora o recopiladora de un texto breve, escrito en verso, que se encuentra hacia el final del manuscrito de Joan Perez de Lazarraga. En el estudio del texto que nos ocupa comparo el euskera que pudiéramos atribuir a Sasiola con el de la parte más importante del manuscrito, que identificaríamos con el habla de Lazarraga. De la comparación de un buen número de características en los dos textos, llego a la conclusión de que el euskera del texto de Sasiola es significativamente distinto del habla de la mayor parte del manuscrito de Lazarraga. En el epílogo a este artículo hago una breve reflexión sobre el posible origen del euskera del texto de Sasiola. Una primera respuesta defendería que ese texto pudiera provenir de otra zona de Álava distinta a la de Lazarraga ; seguramente de más al este. Sin embargo, creo que hay varios tipos de evidencia para primar la hipótesis de que tanto Estibaliz Sasiola como el texto que nos ocupa fueran originarios de la Gipuzkoa noroccidental, seguramente de la zona de Deba.

Forma vs. función en tipología prehistórica: el caso de las bramaderas óseas magdalenienses

Este trabajo ha sido realizado en el marco del Grupo de Investigación Consolidado GIC 07/21-IT.288.07.

Biotic vs. Abiotic Control of Decomposition: A Comparison of the Effects of Simulated Extinctions and Changes in Temperature

The loss of species is known to have significant effects on ecosystem functioning, but only recently has it been recognized that species loss might rival the effects of other forms of environmental change on ecosystem processes. There is a need for experimental studies that explicitly manipulate species richness and environmental factors concurrently to determine their relative impacts on key ecosystem processes such as plant litter decomposition. It is crucial to understand what factors affect the rate of plant litter decomposition and the relative magnitude of such effects because the rate at which plant litter is lost and transformed to other forms of organic and inorganic carbon determines the capacity for carbon storage in ecosystems and the rate at which greenhouse gasses such as carbon dioxide are outgassed. Here we compared how an increase in water temperature of 5 degrees C and loss of detritivorous invertebrate and plant litter species affect decomposition rates in a laboratory experiment simulating stream conditions. Like some prior studies, we found that species identity, rather than species richness per se, is a key driver of decomposition, but additionally we showed that the loss of particular species can equal or exceed temperature change in its impact on decomposition. Our results indicate that the loss of particular species can be as important a driver of decomposition as substantial temperature change, but also that predicting the relative consequences of species loss and other forms of environmental change on decomposition requires knowledge of assemblages and their constituent species' ecology and ecophysiology

Effects of Small-Sided Games vs. Interval Training in Aerobic Fitness and Physical Enjoyment in Young Elite Soccer Players

The purpose of this study was to compare the effects of Small-Sided Games (SSG) vs. Interval Training (IT) in soccer training on aerobic fitness and physical enjoyment in youth elite soccer players during the last 8 weeks of the season. Seventeen U-16 male soccer players (age = 15.5 +/- 0.6 years, and 8.5 years of experience) of a Spanish First Division club academy were randomized to 2 different groups for 6 weeks: SSG group (n = 9) and IT group (n = 8). In addition to the usual technical and tactical sessions and competitive games, the SSG group performed 11 sessions with different SSGs, whereas the IT group performed the same number of sessions of IT. Players were tested before and after the 6-week training intervention with a continuous maximal multistage running field test and the counter movement jump test (CMJ). At the end of the study, players answered the physical activity enjoyment scale (PACES). During the study, heart rate (HR) and session perceived effort (sRPE) were assessed. SSGs were as effective as IT in maintaining the aerobic fitness in elite young soccer players during the last weeks of the season. Players in the SSG group declared a greater physical enjoyment than IT (P = 0.006; ES = 1.86 +/- 1.07). Coaches could use SSG training during the last weeks of the season as an option without fear of losing aerobic fitness while promoting high physical enjoyment.

Restricted Access vs. Open Access Methods of Management: Toward More Effective Regulation of Fishing Effort

This paper gives an overview of the economic rationale for limited entry as a method of fishery management and discusses general advantages and disadvantages of license limitation and catch rights as the two primary methods of restricting access to marine fisheries. Traditional open-access methods of regulation (e.g., gear restrictions, size limits, trip limits, quotas, and closures) can be temporarily effective in protecting fish populations, but they generally fail to provide lasting biological or economic benefits to fishermen because they do not restrict access to the fishery. The general result of regulation with unrestricted access to a fishery is additional and more costly and complex regulations as competition increases for dwindling fishery resources. Regulation that restricts access to a fishery in conjunction with selected traditional methods of regulation would encourage efficient resource usage and minimize the need for future regulatory adjustments, provided that enforcement and monitoring costs are not too great. In theory, catch rights are superior to license limitation as a means of restricting access to a fishery.

"Cool" vs. "warm" winter precipitation and its effect on streamflow in California

Precipitation is a difficult variable to understand and predict. In this study, monthly precipitation in California is divided into two classes according to the monthly temperature to better diagnose the atmospheric circulation that causes precipitation, and to illustrate how temperature compounds the precipitation to runoff process.

Geographic patterns in the lag of temperature response to insolation for El Niño vs. La Niña conditions [abstract]

EXTRACT (SEE PDF FOR FULL ABSTRACT): The most important control on the annual cycle of temperature is insolation, with secondary influences from terms related to moisture, yet direct statistical analysis of the moisture-driven modulations (such as El Niño) of the response of temperature to insolation are not available. We have examined one aspect of the relationship between insolation and the instrumental record of maximum daily temperature - the lag between the two - at 252 stations in the western United States.

The microstructure and mechanical properties of ball-milled stainless steel powder: The effect of hot-pressing vs. laser sintering

The microstructure and mechanical properties of sintered stainless steel powder, of composition AISI 420, have been measured. Ball-milled powder comprising nanoscale grains was sintered to bulk specimens by two alternative routes: hot-pressing and microlaser sintering. The laser-sintered alloy has a porosity of 6% and comprises a mixture of delta ferrite and tempered martensite, and the relative volume fraction varies along the axis of the specimen due to a thermal cycle that evolves with progressive deposition. In contrast, the hot-pressed alloy has a porosity of 0.7% and exhibits a martensitic lath structure with carbide particles at the boundaries of the prior austenite grains. These differences in microstructure lead to significant differences in mechanical properties. For example, the uniaxial tensile strength of the hot-pressed material is one-half of its compressive strength, due to void initiation at the carbide particles at the prior austenite grain boundaries. Nanoindentation measurements reveal a size effect in hardness and also reveal the sensitivity of hardness to the presence of mechanical polishing and electropolishing. © 2011 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

Impact of seafarming: fish farms vs. mussel farms

The article presents comparative impacts of fish and mussel seafarms. Specifically, it tackles the impacts of the two farms on the following: solid waste production, water flow and sedimentation, effect on native bottom fauna, effect on wild fish populations, the spread of toxic chemicals and drugs, and multi-use conflicts.