Leaching of polycyclic aromatic hydrocarbons (PAHs) from coal dumps reclaimed with apple trees: a mechanistic insight.

Polycyclic aromatic hydrocarbons (PAHs) have been identified as compounds that can be incorporated to run-off waters or to aquifers becoming a real threat not only to aquatic organisms but also to humans due to its carcinogenic and mutagenic activity. This work studies the presence of PAHs in a coal dump pile located in the north of Spain (Asturias), downhill a spoil pile of a cinabrium mine. This unique site gives the opportunity to assess whether acid waters have more potential to leach PAHs than normal rainwater (acidified when it gets in contact with coal spoil). The distribution of PAHs and methyl PAHs has shown that their abundance is higher in the path of acid waters which could be caused by the ability of acid water to break bonds of coal macromolecules. This chemical reaction liberates PAHs of less molecular weight that can be detected by GC-MS. Moreover, less soluble PAHs are concentrated on the acid water circulation area and more soluble PAHs more leached by acid water that rainwater, which indicates that PAHs dissolve more in acid waters than in normal rainwater. In addition, this coal spoil pile has been reclaimed with apple trees to make cider for human consumption. Up to 152 different compounds were identified in the tree samples, but neither PAHs nor methyl PAHs were found, pointing to a possible retention of the PAHs in the roots zone. Apple trees in the acid waters path show more concentration in waxes and flavour compounds, indicating a more mature apple.

High-speed free-space quantum key distribution system for urban daylight applications.

We report a free-space quantum key distribution system designed for high-speed key transmission in urban areas. Clocking the system at gigahertz frequencies and efficiently filtering background enables higher secure key rates than those previously achieved by similar systems. The transmitter and receiver are located in two separate buildings 300 m apart in downtown Madrid and they exchange secure keys at rates up to 1 Mbps. The system operates in full bright daylight conditions with an average secure key rate of 0.5 Mbps and 24 h stability without human intervention.

Trastorno de la imagen corporal en pacientesportadores de derivaciones urinarias / No disponible

A pesar de los avances en cirugía urológica que mejoran la salud física y psicológica de los pacientes, sigue habiendo pacientes con derivacionesurinarias heterotópicas no continentes que, además del problema físico que les reporta la intervención quirúrgica, tienen quereajustar su imagen mental que tienen de sí mismos.Se plantea como objetivo exponer los cuidados que presta el personal de enfermería para potenciar la imagen corporal del paciente.Se realizó estudio descriptivo transversal sobre la percepción de la imagen corporal de un total de 43 pacientes. Para estudio se utilizóla escala de Goldberg ansiedad-depresión relacionándolo con la imagen corporal.Con este estudio se pretende concienciar al personal de enfermería sobre la importancia del abordaje de la imagen corporal (AU)

In spite of the progress in urological surgery that improve both physical and psychological patients health, there keeps being patients withnon continent heterotopic urinary derivations that besides the physical problem that brings their the operation, they have to readjust theirmental self-image that they have about themselves.Exposing cares that nursing staff lends to promote the body image of the patient is suggested as goal.Transversal descriptive study on the perception of body image of a total of 43 patients was carried out. For the study, Goldberg scale ofanxiety was used - depression relating with body image. With this study it is intended to make nursing staff aware on the importance ofthe dealing with body image (AU)

Cuidados enfermeros en la ureteroileostomía(tipo Bricker). Estudio de un caso clínico / No disponible

Se exponen los cuidados enfermeros llevados a cabo en nuestro servicio en un caso de derivación urinaria con asa ileal, desde su ingresohasta el alta hospitalaria, veinte días después. Se trata de un paciente de 63 años, diagnosticado de carcinoma vesical al que se le ha practicadouna ureteroileostomía (Bricker). Se muestran, asimismo, las complicaciones postoperatorias más frecuentes que este tipo de intervencionesquirúrgicas suelen presentar. Tras la elaboración del correspondiente caso clínico se abordan los diagnósticos enfermeros, criteriosde resultados (NOC) y las intervenciones de enfermería (NIC), así como los cuidados enfermeros administrados, basados en elmodelo de los once patrones funcionales de Majori Gordon. Por último se resalta el importante papel que tanto Enfermería Domiciliariacomo Atención Primaria juegan tras el alta del paciente (AU)

We expose nursing cares carried out in our service on a case of ileodiversion, from their hospitalization until discharge, twenty days later.It is a 63 years old patient, diagnosed by vesical carcinoma which was performed an ureteroileostomy (Bricker).We also show post-intervention complications more prevalent among this kind of surgical interventions. After the clinical case elaboration,nursing diagnoses, outcomes criteria and intervention criteria, as well as administered nursing care are explained, based on the elevenfunctional patterns model of Majory Gordon.It is also outstanded the important role of home-based nursing intervention and primary attention nursing plays after patient’s discharge (AU)

Patrón sexualidad inefectivo en valoración inicial de pacientes urológicos / No disponible

Tras un primer estudio de 52 valoraciones de enfermería realizadas al ingreso de pacientes urológicos, acogidos al modelo de M. Gordon,se observó que el 70% de las valoraciones omitían el patrón sexualidad. A continuación se llevó a cabo estudio descriptivo sobre la función eréctil en pacientes que iban a ser intervenidos de alguna patología prostática, el estudio indicó que el 90% de los pacientes sometidosa estudio tienen una disfunción eréctil severa. Con estos estudios nos damos cuenta de la importancia de la valoración del patrón sexualidad en especial en los pacientes urológicos, para poder planificar intervenciones futuras con el paciente (AU)

After a first study of 52 realised valuations of infirmary to the entrance of urologic patients, refugees to the model of M. Gordon, wereobserved that 70% of the valuations omitted the landlord sexuality. Next descriptive study was carried out on the erectil function in patients who were going to be taken part of some prostate pathology, the study indicated that 90% of the patients put under study have a severe erectil dysfunction. With these studies we occur to account of the importance of the valuation of landlord sexuality is special in the urologic patients, to be able to plan future interventions with the patient (AU)

Cuidados de enfermería en un paciente intervenido de prostatectomía radical asistida por robot / No disponible

Desde septiembre de 2007 hasta junio de 2009 se ha realizado en nuestra Unidad de Gestión Clínica un total de 72 intervenciones de prostatectomía radical robótica (PRR). Los resultados han sido muy satisfactorios: disminución del sangrado posquirúrgico; bajada significativa de la estancia media hospitalaria (2,5 días); una más rápida recuperación del paciente y mejores tasas de función eréctil. La técnica quirúrgica se ejecuta con un robot Da Vinci, serie S, de cuatro brazos. Partiendo de un caso clínico, un paciente diagnosticado en nuestro Servicio de cáncer de próstata, se exponen los cuidados que presta el personal de enfermería en un caso de PRR una vez que llega a la planta hasta su alta hospitalaria, así como la evolución seguida por el paciente.El modelo de cuidados que se sigue se basa en los once patrones funcionales de Majori Gordon. Por último, se resalta el papel que juega en este tipo de cirugía tanto enfermería domiciliaria como de Atención Primaria (AU)

Since September 2007 until June 2009 a total of 72 interventions of Robotic Radical Prostatectomy Radical Robótica (RRP) have been carried out in our Unit of Clinical Management. The results have been very satisfactory: decrease of the postsurgical bleeding; significant descent of the hospital average stay (2,5 days); a faster recovery of the patient and better rates of erectile function. The surgical technique is executed witha robot Da Vinci, series S, of four arms.Starting from a clinical case, a patient diagnosed in our Service of cancer of prostate, the cares that the staff of nursery in a case ofRRP are exposed once he arrives to the medical ward up to his hospital discharge, as well as the evolution followed by the patient.The model of cares that is followed is based on the eleven functional patterns of Majori Gordon. Finally, domiciliary nursing and Primary Care are highlighted for roles that they play (AU)

[Culture and nutrition. Dietetics in hospital nursing during the 17 century]. / Cultura y alimentación. Dietética en la enfermería hospitalaria en el siglo XVII.

Starting from the important role which feeding and dietetics play in our culture and specifically in activities such as medicine and nursing, this article analyzes aspects like 1., the place of dietetics and feeding found in two manuals, "Instructions for nurses to apply remedies to all kinds of illnesses" and "To attend to many accidents which in the absence of Doctors"; 2., the importance of diets in hospitals throughout the 17th century; 3., the work by nurses related to diets and alimentation during that epoch and the professional training received by these professionals in this regard.

[Wiedemann-Beckwith syndrome: clinical and epidemiological analysis of a consecutive series of cases in Spain]. / Síndrome de Wiedemann-Beckwith: análisis clínico-epidemiológico de una serie consecutiva de casos en España.

OBJECTIVE: Wiedemann-Beckwith syndrome is a multisystemic pattern of congenital anomalies with overgrowth. The most characteristic clinical features are macroglossia, high birth weight, omphalocele, visceromegaly and hypoglycemia. PATIENTS AND METHODS: We show the clinical and epidemiological characteristics of the 18 cases with Wiedemann-Beckwith syndrome identified in the consecutive series of 25,967 malformed liveborn infants detected among 1,431,368 livebirths surveyed by the Spanish Collaborative Study of Congenital Malformations (ECEMC) between April 1976 and June 1997. RESULTS AND CONCLUSIONS: The minimal estimated frequency of Wiedemann-Beckwith syndrome in Spain is 0.13 per 10,000 liveborn infants. These infants have a high birth weight for their gestational age and are born of shorter pregnancies (prematurity 33.3%). The clinical manifestations of our cases are concordant with the variable expression of the syndrome; the most frequent features were macroglossia (100%), omphalocele or umbilical hernia (77.8%) and high birth weight (64.7%). Other findings were polyhydramnios and placentomegaly. All of the cases were sporadic.