El documento de Voluntades Vitales Anticipadas en Andalucia:analisis critico y propuesta de mejora

Nuestra tesis doctoral surge de la observación personal -como registradora de datos- de la poca aceptación y desconocimiento del documento de Voluntades Anticipadas (VVAA) en la población andaluza. A pesar de ver en el documento de VVAA una expresión palmaria de un derecho que consagra la autonomía personal, nos ha interesado profundizar en la razón de su escasa adherencia en la población andaluza. Para ello hemos analizado una muestra representativa de los registros que a tal efecto existen en nuestra comunidad autónoma, evaluando sus respuestas e identificando sus carencias y limitaciones. Además en otro apartado hemos investigado, la actitud y conocimiento de los registradores del documento VVAA con objeto de poder deducir de ello su posible influencia en los propios resultados. Finalmente quisimos estudiar si una intervención de enfermería -facilitando información sobre las Voluntades Vitales Anticipadas, en la urgencia del HVV de Málaga a pacientes mayores de 65 años- podría ser efectiva para impulsar una Planificación anticipada en la que se incluyera la declaración de Voluntades vitales. Con todos los datos recogidos, una vez analizados, hemos concluido con unas sugerencias para mejorar en el Documento de VVAA y la Guía que se acompaña para realizarlos. Además proponemos algunas estrategia de información/comunicación para pacientes y formación para los profesionales sanitarios implicados.

Recent advance in the study of intein

Since the first intein was found, more and more attention were paid on it. It not only enrichs the content of the process that the gene transfers its information but also can be used in protein purification. The recent advance in the sequence characterist

Recent advance in the study of ribosomal model.

With the technological developments of cryoelectron microscope, X-ray diffraction and the growing data available on various components of ribosome, some marvelously intricate structural models of the Escherichia coli 70S ribosome have been reconstructed. The picture of the ribosomal model are detailed, including the placement of the mRNA, the arrangement of the A-site and P-site tRNAs and the peptidyltransferase within the interface gap as well as the path of nascent polypeptide chain, which results in a better understanding of the structure and function of ribosome as well as the translational process.

Advance in in-beam PET

Tumor radiotherapy was a promising modality and over 100 years. Beams of heavy-charged particles show high RBE advantages and become the optimum tool for tumors therapy. Newly, along with the development of accelerators, scintillators, micro-electronics and computers, the heavy ion tumor therapy has been recognized more and developed.

The first real-time worldwide ionospheric predictions network: an advance in support of spaceborne experimentation, on-line model validation, and space weather

We report on the first realtime ionospheric predictions network and its capabilities to ingest a global database and forecast F-layer characteristics and "in situ" electron densities along the track of an orbiting spacecraft. A global network of ionosonde stations reported around-the-clock observations of F-region heights and densities, and an on-line library of models provided forecasting capabilities. Each model was tested against the incoming data; relative accuracies were intercompared to determine the best overall fit to the prevailing conditions; and the best-fit model was used to predict ionospheric conditions on an orbit-to-orbit basis for the 12-hour period following a twice-daily model test and validation procedure. It was found that the best-fit model often provided averaged (i.e., climatologically-based) accuracies better than 5% in predicting the heights and critical frequencies of the F-region peaks in the latitudinal domain of the TSS-1R flight path. There was a sharp contrast however, in model-measurement comparisons involving predictions of actual, unaveraged, along-track densities at the 295 km orbital altitude of TSS-1R In this case, extrema in the first-principle models varied by as much as an order of magnitude in density predictions, and the best-fit models were found to disagree with the "in situ" observations of Ne by as much as 140%. The discrepancies are interpreted as a manifestation of difficulties in accurately and self-consistently modeling the external controls of solar and magnetospheric inputs and the spatial and temporal variabilities in electric fields, thermospheric winds, plasmaspheric fluxes, and chemistry.

Metallopeptidase inhibitors arrest vital biological processes in the fungal pathogen Scedosporium apiospermum

P>Scedosporium apiospermum is an emerging agent of opportunistic mycoses in humans. Previously, we showed that mycelia of S. apiospermum secreted metallopeptidases which were directly linked to the destruction of key host proteins. In this study, we analysed the effect of metallopeptidase inhibitors on S. apiospermum development. As germination of inhaled conidia is a crucial event in the infectious process of S. apiospermum, we studied the morphological transformation induced by the incubation of conidia in Sabouraud-dextrose medium at 37 degrees C. After 6 h, some conidia presented a small projection resembling a germ-tube. A significant increase, around sixfold, in the germ-tube length was found after 12 h, and hyphae were exclusively observed after 24 h. Three distinct metallopeptidase inhibitors were able to arrest the transformation of conidia into hyphae in different ways; for instance, 1,10-phenanthroline (PHEN) completely blocked this process at 10 mu mol l-1, while ethylenediamine tetraacetic acid (EDTA) and ethylene glycol-bis (beta-aminoethyl ether; EGTA) only partially inhibited the differentiation at up to 10 mmol l-1. EGTA did not promote any significant reduction in the conidial growth, while PHEN and EDTA, both at 10 mmol l-1, inhibited the proliferation around 100% and 65%, respectively. The secretion of polypeptides into the extracellular environment and the metallopeptidase activity secreted by mycelia were completely inhibited by PHEN. These findings suggest that metallo-type enzymes could be potential targets for future therapeutic interventions against S. apiospermum.

The Most Extensive Holocene Advance in the Stauning Alper, East Greenland, Occurred in the Little Ice Age

We present glacial geologic and chronologic data concerning the Holocene ice extent in the Stauning Alper of East Greenland. The retreat of ice from the late-glacial position back into the mountains was accomplished by at least 11 000 cal years B.P. The only recorded advance after this time occurred during the past few centuries (the Little Ice Age). Therefore, we postulate that the Little Ice Age event represents the maximum Holocene ice extent in this part of East Greenland.

A list of the Lancashire wills, proved within the archdeaconry of Richmond and now preserved in the Court of Probate at Lancaster, from 1748 to [1812]. Also a list of the wills proved in the peculiar of Halton from A.D. 1615 to [1812].

Vol. 2 contains the report of the Record Society for the year 1911/12.

Guide to public vital statistics records in New York State, including New York City.

Mode of access: Internet.

Guide to vital statistics records in New Jersey.

Reproduced from type-written copy.