Cutting the Gordian knot of futility : a case for law reform on unilateral withholding and withdrawal of potentially life-sustaining treatment

In this paper, we propose law reform with respect to the unilateral withholding or withdrawal of potentially life-sustaining treatment in Australia and New Zealand. That is, where a doctor withholds or withdraws potentially life-sustaining treatment without consent from a patient or a patient’s substitute decision-maker (where the patient lacks capacity), or authorisation from a court or tribunal, or by operation of a statute or justifiable government or institutional policy. Our proposal is grounded in the core values that do (or should) underpin a regulatory framework on an issue such as this; these values are drawn from existing commitments made by Australia and New Zealand through legislation, the common law, and conventions and treaties. It is also grounded in a critical review of the law on unilateral withholding and withdrawal as well as the legal context within which this issue sits in Australasia. We argue that the current law is inconsistent with the core values and develop a proposal for a legal response to this issue that more closely aligns with the core values it is supposed to serve.

Drosophila melanogaster : una especie idónea para la enseñanza de las Ciencias Naturales.

Se proponen una serie de diseños experimentales para enseñanza del temario de genética en BUP y COU, en relación al nivel de cada curso, basados en el insecto Drosophila melanogaster, también conocido como mosca del vinagre o mosca de la fruta, para iniciar al alumno en el campo de la observación, investigación y reflexión de los resultados.

Non-labile plant C contributes to long-lasting macroaggregation of an Oxisol

Decomposition of plant material influences soil aggregation dynamics in ways that are still poorly understood, especially for Oxisols, in which oxides are believed to play a dominant role. In an incubation experiment, we investigated (i) the effect of plant material addition from selected monocot and dicot species on soil organic C (SOC), carbohydrate composition, fungal and total microbial biomass, and aggregation of an Oxisol; and (ii) the relationship among these properties and C mineralization patterns. The experiment was carried out at 25 °C for 180 d after addition of 11 plant materials (4 g C kg-1 soil) and a control (no plant material added). Mineralization of C during the incubation was described considering two pools of C (labile and non-labile) using a first-order plus linear fitting. Compared to the control, corn materials showed larger pentose input, greater mineralization rates for the non-labile C pool (k), greater soil pentose content (xylose + arabinose) and larger mean weight diameter of soil water-stable aggregates at 180 d of incubation. These effects were independent of changes in SOC content, suggesting that total C accrual and macroaggregation may be decoupled processes in this Oxisol. Our results support the hypothesis that the non-labile plant C pool contributes to the long-lasting stability of macroaggregates of this Oxisol and that this effect is mediated by plant and soil pentoses. We propose that plant pentose content and the decomposition rate of the slow pool (k) are useful parameters for the prediction of plant effects on aggregation dynamics of Oxisols and the selection of soil conservation practices. © 2012.

From pink to blue and back to pink again: changing the Co( ii ) ligation in a two-dimensional coordination network upon desolvation

Heating of a pink two-dimensional Co(II) coordination network {[Co2(μ2-OH2)(bdc)2(S-nia)2(H2O)(dmf)]·2(dmf)·(H2O)}n (1) built from 1,4-benzenedicarboxylic acid (H2bdc) residues and thionicotinamide (S-nia) ligands initiates a single-crystal-to-single-crystal transition accompanied by removal of both coordinated and co-crystallized solvents. In the dry blue form, [Co(bdc)(S-nia)]n (dry_1), the Co(II) centers changed from an octahedral to a square pyramidal configuration.

Short-term peaks in glucose promote renal fibrogenesis independently of total glucose exposure

Postprandial hyperglycemia is implicated as a risk factor predisposing to vascular complications. This study was designed to assess recurrent short-term increases in glucose on markers of renal fibrogenesis. Human renal cortical fibroblasts were exposed to fluctuating short-term (2 h) increases to 15 mM D-glucose, three times a day over 72 h, on a background of 5 mM D-glucose. To determine whether observed changes were due to fluctuating osmolality, identical experiments were undertaken with cells exposed to L-glucose. Parallel experiments were performed in cells exposed to 5 mM D-glucose and constant exposure to either 15 or 7.5 mM D-glucose. Fluctuating D-glucose increased extracellular matrix, as measured by proline incorporation ( P < 0.05), collagen IV ( P < 0.005), and fibronectin production ( P < 0.001), in association with increased tissue inhibitor of matrix metalloproteinase (MMP) ( P < 0.05). Sustained exposure to 15 mM D-glucose increased fibronectin ( P < 0.001), in association with increased MMP-2 ( P = 0.01) and MMP-9 activity ( P < 0.05), suggestive of a protective effect on collagen matrix accumulation. Transforming growth factor-beta(1) (TGF-beta(1)) mRNA was increased after short-term (90 min) exposure to 15 mM glucose (P < 0.05) and after 24-h exposure to 7.5 mM ? ( P < 0.05). Normalization of TGF-beta(1) secretion occurred within 48 h of constant exposure to an elevated glucose. Fluctuating L-glucose also induced TGF-beta(1) mRNA and a profibrotic profile, however, to a lesser extent than observed with exposure to fluctuating D-glucose. The results suggest that exposure to fluctuating glucose concentrations increases renal interstitial fibrosis compared with stable elevations in D-glucose. The effects are, in part, due to the inherent osmotic changes.