The CeFe11Ti permanent magnet: a closer look at the microstructure of the compound.

High-performance permanent magnets (PM) are compounds with outstanding intrinsic magnetic properties. Most PMs are obtained from a favorable combination of rare earth metals (RE = Nd, Pr, Ce) with transition metals (TM = Fe, Co). Amongst them, CeFe11Ti claims considerable attention due to its large Curie temperature, saturation magnetization, and significant magnetocrystalline anisotropic energy. CeFe11Ti has several potential applications, in particular, in the development of electric motors for future automatic electrification. In this work, we shed some light on the mictrostructure of this compound by performing periodic hybrid-exchange density functional theory (DFT) calculations. We use a combined approach of atom-centered local orbitals, plane waves and full-potential linear muffin-tin orbital (LMTO) for our computations. The electronic configuration of the atoms involved in different steps of formation of the crystal structure of CeFe11Ti gives an explanation on the effect of Ce and Ti on its magnetic properties. While Ti stabilizes the structure, atomic orbitals of Ce hybridizes with Fe atomic orbitals to a significant extent and alters the electronic bands. Our calculations confirm a valence of 3+ for Ce, which has been deemed crucial to obtain a large magnetocrystalline anisotropy. In addition, we analyze several spin configurations, with the ferromagnetic configuration being most stable. We compare and contrast our data to those available and provide an insight for further development of optimized high-performance PMs. Moreover, we compute the Magnetocrystalline Anisotropy of this compound by means of two approaches: the Force Theorem and a full-potential LMTO method.

Coping strategies and anxiety in caregivers of palliative cancer patients.

The study purpose was to determine the relationship between coping strategies and anxiety in primary family caregivers of palliative cancer patients. A cross-sectional study was carried out in a Pain and Palliative Care Unit in Spain. Data were collected through interviews from fifty primary family caregivers of palliative cancer patients. Main research variables were: (1) dependent variable: anxiety (subscale of anxiety from Goldberg's scale); (2) independent variable: coping (Brief COPE); (3) control variables: functional capacity and perceived burden. Analyses comprised descriptive statistics, correlation coefficients and multiple linear regression. Anxiety was present in the majority of caregivers surveyed (76%). Anxiety was related to the perception of perceived burden (ß = 0.42, P < 0.001), the emotion-focused coping (ß = -0.28, P = 0.01) and dysfunctional coping (ß = 0.41, P < 0.001), after adjusting for control variables. Thus, emotion-focused coping is negatively associated with anxiety, while dysfunctional coping is positively associated with anxiety. Problem-focused coping is not related to anxiety. Assessment of coping should be done in a systematic way in caregivers of palliative cancer patients.

Safety and antitumor effect of oncolytic and helper-dependent adenoviruses expressing interleukin-12 variants in a hamster pancreatic cancer model.

Gene transfer of potent immunostimulatory cytokines such as interleukin-12 (IL-12) is a potential treatment for advanced cancer. Different vectors and IL-12 modifications have been developed to avoid side effects associated with high serum levels of the cytokine, while preserving its antitumor properties. Here we have evaluated two alternative strategies using the Syrian hamster as a model for pancreatic cancer metastatic to the liver. Local administration of an oncolytic adenovirus (OAV) expressing a single-chain version of IL-12 caused transient, very intense elevations of IL-12 in serum, resulting in severe toxicity at sub-therapeutic doses. Anchoring IL-12 to the membrane of infected cells by fusion with the transmembrane domain of CD4 reduced systemic exposure to IL-12 and increased the tolerance to the OAV. However, only a modest increase in the therapeutic range was achieved because antitumor potency was also reduced. In contrast, systemic administration of a helper-dependent adenoviral vector (HDAd) equipped with a Mifepristone-inducible expression system allowed sustained and controlled IL-12 production from the liver. This treatment was well tolerated and inhibited the progression of hepatic metastases. We conclude that HDAds are safer than OAVs for the delivery of IL-12, and are promising vectors for immunogene therapy approaches against pancreatic cancer.

Mapping of the circulating metabolome reveals α-ketoglutarate as a predictor of morbid obesity-associated non-alcoholic fatty liver disease.

BACKGROUND: Obesity severely affects human health, and the accompanying non-alcoholic fatty liver disease (NAFLD) is associated with high morbidity and mortality. Rapid and non-invasive methods to detect this condition may substantially improve clinical care. METHODS: We used liquid and gas chromatography-quadruple time-of-flight-mass spectrometry (LC/GC-QTOF-MS) analysis in a non-targeted metabolomics approach on the plasma from morbidly obese patients undergoing bariatric surgery to gain a comprehensive measure of metabolite levels. On the basis of these findings, we developed a method (GC-QTOF-MS) for the accurate quantification of plasma α-ketoglutarate to explore its potential as a novel biomarker for the detection of NAFLD. RESULTS: Plasma biochemical differences were observed between patients with and without NAFLD indicating that the accumulation of lipids in hepatocytes decreased ß-oxidation energy production, reduced liver function and altered glucose metabolism. The results obtained from the plasma analysis suggest pathophysiological insights that link lipid and glucose disturbances with α-ketoglutarate. Plasma α-ketoglutarate levels are significantly increased in obese patients compared with lean controls. Among obese patients, the measurement of this metabolite differentiates between those with or without NAFLD. Data from the liver were consistent with data from plasma. Clinical utility was assessed, and the results revealed that plasma α-ketoglutarate is a fair-to-good biomarker in patients (n=230). Other common laboratory liver tests used in routine application did not favourably compare. CONCLUSION: Plasma α-ketoglutarate is superior to common liver function tests in obese patients as a surrogate biomarker of NAFLD. The measurement of this biomarker may potentiate the search for a therapeutic approach, may decrease the need for liver biopsy and may be useful in the assessment of disease progression.

Electrocirugía y dispositivos electrónicos cardiacos implantables (marcapasos y desfibriladores) / Electrosurgery in Patients With Implantable Electronic Cardiac Devices (Pacemakers and Defibrillators)

El electrobisturí es una herramienta muy útil y ampliamente utilizada en dermatología para el tratamiento de lesiones benignas y malignas cutáneas, y para la hemostasia durante la cirugía dermatológica. Su uso en pacientes con dispositivos electrónicos cardiacos implantables (marcapasos y desfibriladores) requiere tomar ciertas precauciones ya que puede producir interferencias electromagnéticas capaces de provocar su malfuncionamiento. Ante un paciente con uno de estos dispositivos se debe conocer el tipo de dispositivo que presenta y la dependencia del paciente, y valorar la localización tanto del dispositivo como de la lesión cutánea a tratar. El marcapasos en configuración bipolar es el más resistente a la interferencia. Se aconseja la monitorización adecuada del paciente y el uso de la pinza bipolar (AU)

The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such as pacemakers and defibrillators, because electromagnetic interference produced by the tool may cause such devices to malfunction. Before using electrosurgery in patients with IECDs, it is essential to ascertain the type of implanted device and the patient’s level of dependence on it. The location of the skin lesion to be treated with respect to the device should also be assessed. Bipolar pacemakers are more resistant to interference. Appropriate monitoring and the use of bipolar forceps are recommended (AU)

Electrosurgery in patients with implantable electronic cardiac devices (pacemakers and defibrillators).

The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such as pacemakers and defibrillators, because electromagnetic interference produced by the tool may cause such devices to malfunction. Before using electrosurgery in patients with IECDs, it is essential to ascertain the type of implanted device and the patient's level of dependence on it. The location of the skin lesion to be treated with respect to the device should also be assessed. Bipolar pacemakers are more resistant to interference. Appropriate monitoring and the use of bipolar forceps are recommended.

Quantum Zeno and anti-Zeno effects in surface diffusion of interacting adsorbates.

Surface diffusion of interacting adsorbates is here analyzed within the context of two fundamental phenomena of quantum dynamics, namely the quantum Zeno effect and the anti-Zeno effect. The physical implications of these effects are introduced here in a rather simple and general manner within the framework of non-selective measurements and for two (surface) temperature regimes: high and very low (including zero temperature). The quantum intermediate scattering function describing the adsorbate diffusion process is then evaluated for flat surfaces, since it is fully analytical in this case. Finally, a generalization to corrugated surfaces is also discussed. In this regard, it is found that, considering a Markovian framework and high surface temperatures, the anti-Zeno effect has already been observed, though not recognized as such.

He-atom scattering from MgO(100): calculating diffraction peak intensities with a semi ab initio potential.

An efficient model describing the He-atom scattering process is presented. The He-surface interaction potential is calculated from first principles by exploiting second-order Rayleigh-Schrödinger many-body perturbation theory and fitted by using a variety of pairwise interaction potentials. The attractive part of the fitted analytical form has been upscaled to compensate the underestimation of the well depth for this system in the perturbation theory description. The improved potential has been introduced in the close-coupling method to calculate the diffraction pattern. Quantitative agreement between the computed and observed binding energy and diffraction intensities for the He-MgO(100) system is achieved. It is expected that the utility of He scattering for probing dynamical processes at surfaces will be significantly enhanced by this quantitative description.

Periodic quantum mechanical simulation of the He-MgO(100) interaction potential.

He-atom scattering is a well established and valuable tool for investigating surface structure. The correct interpretation of the experimental data requires an accurate description of the He-surface interaction potential. A quantum-mechanical treatment of the interaction potential is presented using the current dominant methodologies for computing ground state energies (Hartree-Fock, local and hybrid-exchange density functional theory) and also a novel post-Hartree-Fock ab initio technique for periodic systems (a local implementation of Mo̸ller-Plesset perturbation theory at second order). The predicted adsorption well depth and long range behavior of the interaction are compared with that deduced from experimental data in order to assess the accuracy of the interaction potential.

Two-bath model for activated surface diffusion of interacting adsorbates.

The diffusion and low vibrational motions of adsorbates on surfaces can be well described by a purely stochastic model, the so-called interacting single adsorbate model, for low-moderate coverages (theta < or approximately equal to 0.12). Within this model, the effects of thermal surface phonons and adsorbate-adsorbate collisions are accounted for by two uncorrelated noise functions, which arise in a natural way from a two-bath model based on a generalization of the one-bath Caldeira-Leggett Hamiltonian. As an illustration, the model is applied to the diffusion of Na atoms on a Cu(001) surface with different coverages.

He atom scattering from ZnO surfaces: calculation of diffraction peak intensities using the close-coupling approach.

Diffraction intensities of a molecular He beam scattered off the clean and water-covered ZnO(1010) surface have been simulated using a new potential model in conjunction with the close-coupling formalism. The effective corrugation functions for the systems He-H2O/ZnO(1010) and He-H2O/ZnO(1010) have been obtained from density functional theory calculations within the Esbjerg-Nørskov approximation. Using these data a potential model is constructed consisting of a corrugated Morse potential at small He-surface distances and a semiempiric attractive part at larger distances. The diffraction patterns obtained from close-coupling calculations agree with the experimental data within about 10%, which opens the possibility to simulate He diffraction from surfaces of any structural complexity and to verify surface and adsorbate structures proposed theoretically by employing this kind of analysis.

Phonon lineshapes in atom-surface scattering.

Phonon lineshapes in atom-surface scattering are obtained from a simple stochastic model based on the so-called Caldeira-Leggett Hamiltonian. In this single-bath model, the excited phonon resulting from a creation or annihilation event is coupled to a thermal bath consisting of an infinite number of harmonic oscillators, namely the bath phonons. The diagonalization of the corresponding Hamiltonian leads to a renormalization of the phonon frequencies in terms of the phonon friction or damping coefficient. Moreover, when there are adsorbates on the surface, this single-bath model can be extended to a two-bath model accounting for the effect induced by the adsorbates on the phonon lineshapes as well as their corresponding lineshapes.

Quantum Markovian activated surface diffusion of interacting adsorbates.

A quantum Markovian activated atom-surface diffusion model with interacting adsorbates is proposed for the intermediate scattering function, which is shown to be complex-valued and factorizable into a classical-like and a quantum-mechanical factor. Applications to the diffusion of Na atoms on flat (weakly corrugated) and corrugated-Cu(001) surfaces at different coverages and surface temperatures are analyzed. Quantum effects are relevant to diffusion at low surface temperatures and coverages even for relatively heavy particles, such as Na atoms, where transport by tunneling is absent.

Liver cirrhosis in HIV-infected patients: prevalence, aetiology and clinical outcome.

Liver disease is frequently seen in HIV+ patients as a result of coinfection with hepatitis B (HBV) or C (HCV) viruses, alcohol abuse and/or exposure to hepatotoxic drugs. The aim of this study was to assess the prevalence of liver cirrhosis, its main causes and clinical presentation in HIV+ patients. Observational, cross-sectional, retrospective study of all HIV+ individuals followed at one reference HIV outpatient clinic in Madrid. Liver fibrosis was measured in all cases using transient elastometry (FibroScan). All 2168 HIV+ patients on regular follow-up (76% males, 46% injecting drug users) were successfully examined by FibroScan) between October 2004 and August 2006. Liver cirrhosis was recognized in 181 (overall prevalence, 8.3%), and the main aetiologies were HCV, 82.3%; HBV, 1.6%; dual HBV/HCV, 2.8%; and triple HBV/HCV/ hepatitis delta virus (HDV) infection, 6.6%. The prevalence of cirrhosis differed among patients with distinct chronic viral hepatitis: HCV, 19.2%; HBV, 6.1%; HBV/HCV, 41.7%; and HBV/HCV/HDV, 66.7%. In 12 patients with cirrhosis (6.7%), no definite aetiology was recognized. Overall, cirrhotics had lower mean CD4 counts than noncirrhotics (408 vs 528 cells/microL respectively; P = 0.02), despite similar proportion of subjects with undetectable viraemia on highly active antiretroviral therapy. Clinical manifestations of liver cirrhosis were: splenomegaly, 61.5%; oesophageal varices, 59.8%; ascites, 22.6%; encephalopathy, 12.1%; and variceal bleeding, 6.1%. Liver cirrhosis and hepatic decompensation events are relatively frequent in HIV+ individuals. Chronic HCV and alcohol abuse, but not chronic HBV, play a major role. Transient elastometry may allow the identification of a significant number of HIV+ individuals with asymptomatic liver cirrhosis.

Surface diffusion and low vibrational motion with interacting adsorbates: a shot noise description.

Here, an approach in terms of shot noise is proposed to study and characterize surface diffusion and low vibrational motion when having interacting adsorbates on surfaces. In what we call statistical limit, that is, at long times and high number of collisions, one expects that diffusing particles display an essential Markovian behavior. Accordingly, the action of the pairwise potentials accounting for particle-particle collisions is equivalent to considering a shot noise acting on a single particle. We call this approach the interacting single adsorbate approximation, which gathers three important advantages: (i) the dynamics underlying surface diffusion and low vibrational motion can be easily understood in terms of relatively simple stochastic processes; (ii) from our model, appropriate (and well justified) working formulas are easily obtained, which explain the results arising from more complicated (but commonly used) molecular dynamics simulations within the Langevin formulation; and (iii), at the same time, it is less demanding computationally than the latter type of calculations. In order to illustrate the application of this model, numerical results are presented. Specially, our model reproduces the experimental observation regarding the broadening of the quasielastic peak ruling surface diffusion.

Line shape broadening in surface diffusion of interacting adsorbates with quasielastic he atom scattering.

The experimental line shape broadening observed in adsorbate diffusion on metal surfaces with increasing coverage is usually related to the nature of the adsorbate-adsorbate interaction. Here we show that this broadening can also be understood in terms of a fully stochastic model just considering two noise sources: (i) a Gaussian white noise accounting for the surface friction, and (ii) a shot noise replacing the physical adsorbate-adsorbate interaction potential. Furthermore, contrary to what could be expected, for relatively weak adsorbate-substrate interactions the opposite effect is predicted: line shapes get narrower with increasing coverage.

Generalized Chudley-Elliott vibration-jump model in activated atom surface diffusion.

Here the authors provide a generalized Chudley-Elliott expression for the activated atom surface diffusion which takes into account the coupling between both low-frequency vibrational motion (namely, the frustrated translational modes) and diffusion. This expression is derived within the Gaussian approximation framework for the intermediate scattering function at low coverage. Moreover, inelastic contributions (arising from creation and annihilation processes) to the full width at half maximum of the quasielastic peak are also obtained.

Quasi-elastic peak lineshapes in adsorbate diffusion on nearly flat surfaces at low coverages: the motional narrowing effect in Xe on Pt(111).

Quasi-elastic helium atom scattering measurements have provided clear evidence for a two-dimensional free gas of Xe atoms on Pt(111) at low coverages. Increasing the friction due to the surface, a gradual change of the shape of the quasi-elastic peak is predicted and analysed for this system in terms of the so-called motional narrowing effect. The type of analysis presented here for the quasi-elastic peak should be prior to any deconvolution procedure carried out in order to better extract information from the process, e.g. diffusion coefficients and jump distributions. Moreover, this analysis also provides conditions for the free gas regime different to those reported earlier.

CT and MR imaging findings in methanol intoxication.

We present the CT and MR imaging findings in acute methanol intoxication in a 35-year-old man who was admitted to the emergency department with weakness, blurred vision, mild bilateral areactive mydriasis, and a progressive decrease in the level of consciousness. CT and MR imaging showed bilateral putaminal hemorrhagic necrosis and subcortical white matter lesions with peripheral contrast enhancement. There was only partial improvement in patient's Glasgow Coma Scale score during follow-up.

El Espacio Europeo de Educación Superior y las competencias enfermeras / The european higher education space and the nursing competence

El Proyecto Tuning pretende impulsar la construcción de un Espacio Europeo de Educación Superior a través de un movimiento de debate y reflexión sobre el papel de la Universidad en la formación de los profesionales preparados para el desempeño en la sociedad del siglo XXI. En su base se encuentran profundas transformaciones en los procesos de enseñanza-aprendizaje, el rol a desempeñar por profesores y alumnos, la definición de un sistema de créditos, etc. El concepto de competencia ocupa un lugar central en el lenguaje de la organización del curriculum y la definición de los perfiles de competencias permitirá comparar el desempeño y guiar la docencia hacia objetivos concretos impulsando un nuevo paradigma educativo basado en el aprendizaje. Este artículo analiza el concepto de competencia y su relación con los cuidados como objeto y fundamento del saber enfermero

The Tuning Project aims at promoting the construction of a European Higher Education Space through a process of debate and reflection on the role of the universities in training qualified students for their future professional duties in the 21st century. For this purpose, deep transformations will have to be implemented with regard to the teaching/learning process, the role of teachers and students, the new definition of the credits system, etc. The concept of competence is a major constituent of the organization of the curriculum. Defining that competence will permit to analyse duty performance, guide teaching procedures towards concrete objectives and promote a new learner-based educational system. This article analyses the concept of competence and its relation to nursing attention and care