La fe como inspiración artística: Una aproximación desde la literatura.

El estudio muestra cómo los contenidos y las prácticas de la fe católica influyeron enormemente en la obra literaria de escritores conversos como J.H. Newman o G.M. Hopkins. La sencillez, la ausencia de afectación, el valor de lo cotidiano, son elementos de enorme valor en la confesión católica frente a la tendencia a lo solemne recibida de los devocionarios anglicanos. Y esos elementos se hacen literatura en los escritores conversos al catolicismo. El artículo muestra también que el desconocimiento de la fe católica de algunos críticos literarios ha llevado a veces a interpretaciones equivocadas de las obras de estos escritores

Comparison of routes for achieving parenteral access with a focus on the management of patients with Ebola virus disease.

Dehydration is an important cause of death in patients with Ebola virus disease (EVD). Parenteral fluids are often required in patients with fluid requirements in excess of their oral intake. The peripheral intravenous route is the most commonly used method of parenteral access, but inserting and maintaining an intravenous line can be challenging in the context of EVD. Therefore it is important to consider the advantages and disadvantages of different routes for achieving parenteral access (e.g. intravenous, intraosseous, subcutaneous and intraperitoneal). To compare the reliability, ease of use and speed of insertion of different parenteral access methods. We ran the search on 17 November 2014. We searched the Cochrane Injuries Group's Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily, Ovid MEDLINE(R) and Ovid OLDMEDLINE(R), Embase Classic + Embase (OvidSP), CINAHL (EBSCOhost), clinicaltrials.gov and screened reference lists. Randomised controlled trials comparing different parenteral routes for the infusion of fluids or medication. Two review authors examined the titles and abstracts of records obtained by searching the electronic databases to determine eligibility. Two review authors extracted data from the included trials and assessed the risk of bias. Outcome measures of interest were success of insertion; time required for insertion; number of insertion attempts; number of dislodgements; time period with functional access; local site reactions; clinicians' perception of ease of administration; needlestick injury to healthcare workers; patients' discomfort; and mortality. For trials involving the administration of fluids we also collected data on the volume of fluid infused, changes in serum electrolytes and markers of renal function. We rated the quality of the evidence as 'high', 'moderate', 'low' or 'very low' according to the GRADE approach for the following outcomes: success of insertion, time required for insertion, number of dislodgements, volume of fluid infused and needlestick injuries. We included 17 trials involving 885 participants. Parenteral access was used to infuse fluids in 11 trials and medications in six trials. None of the trials involved patients with EVD. Intravenous and intraosseous access was compared in four trials; intravenous and subcutaneous access in 11; peripheral intravenous and intraperitoneal access in one; saphenous vein cutdown and intraosseous access in one; and intraperitoneal with subcutaneous access in one. All of the trials assessing the intravenous method involved peripheral intravenous access.We judged few trials to be at low risk of bias for any of the assessed domains.Compared to the intraosseous group, patients in the intravenous group were more likely to experience an insertion failure (risk ratio (RR) 3.89, 95% confidence interval (CI) 2.39 to 6.33; n = 242; GRADE rating: low). We did not pool data for time to insertion but estimates from the trials suggest that inserting intravenous access takes longer (GRADE rating: moderate). Clinicians judged the intravenous route to be easier to insert (RR 0.15, 95% CI 0.04 to 0.61; n = 182). A larger volume of fluids was infused via the intravenous route (GRADE rating: moderate). There was no evidence of a difference between the two routes for any other outcomes, including adverse events.Compared to the subcutaneous group, patients in the intravenous group were more likely to experience an insertion failure (RR 14.79, 95% CI 2.87 to 76.08; n = 238; GRADE rating: moderate) and dislodgement of the device (RR 3.78, 95% CI 1.16 to 12.34; n = 67; GRADE rating: low). Clinicians also judged the intravenous route as being more difficult to insert and patients were more likely to be agitated in the intravenous group. Patients in the intravenous group were more likely to develop a local infection and phlebitis, but were less likely to develop erythema, oedema or swelling than those in the subcutaneous group. A larger volume of fluids was infused into patients via the intravenous route. There was no evidence of a difference between the two routes for any other outcome.There were insufficient data to reliably determine if the risk of insertion failure differed between the saphenous vein cutdown (SVC) and intraosseous method (RR 4.00, 95% CI 0.51 to 31.13; GRADE rating: low). Insertion using SVC took longer than the intraosseous method (MD 219.60 seconds, 95% CI 135.44 to 303.76; GRADE rating: moderate). There were no data and therefore there was no evidence of a difference between the two routes for any other outcome.There were insufficient data to reliably determine the relative effects of intraperitoneal or central intravenous access relative to any other parenteral access method. There are several different ways of achieving parenteral access in patients who are unable meet their fluid requirements with oral intake alone. The quality of the evidence, as assessed using the GRADE criteria, is somewhat limited because of the lack of adequately powered trials at low risk of bias. However, we believe that there is sufficient evidence to draw the following conclusions: if peripheral intravenous access can be achieved easily, this allows infusion of larger volumes of fluid than other routes; but if this is not possible, the intraosseous and subcutaneous routes are viable alternatives. The subcutaneous route may be suitable for patients who are not severely dehydrated but in whom ongoing fluid losses cannot be met by oral intake.A film to accompany this review can be viewed here (http://youtu.be/ArVPzkf93ng)

Solos ferruginosos em áreas de canga, sinclinal do gandarela, quadrilátero ferrífero (MG).

O presente trabalho visa contribuir na caracterização de solos relacionados a áreas de canga (ferricrete, ironstone) no Quadrilátero Ferrífero (Minas Gerais, Brasil), para melhor entendimento sobre seus processos de gênese e da dinâmica ambiental desses ecossistemas. A Sinclinal do Gandarela abriga as maiores extensões de canga e ecossistemas relacionados preservados em Minas Gerais, e constitui importante local de recarga dos mananciais que abastecem a Região Metropolitana de Belo Horizonte. Foram descritos, coletados e analisados 6 perfis de solo, sob diferentes fitofisionomias, ocorrendo numa sequência de topos da serra do Gandarela, sobre a mesma litologia (itabiritos da Fm. Cauê - Gr. Itabira). Em laboratório foi separada a fração terra fina (< 2 mm) e quantificados a composição granulométrica, pH em água, complexo sortivo, carbono orgânico, e óxidos de ferro, alumínio e silício pelo ataque sulfúrico. Todos os solos estudados são argilosos, de cores vermelhas, com teores muito elevados de óxidos de ferro indicados pelo ataque sulfúrico, distróficos ou álicos, com altos teores de carbono orgânico, e ocorrência expressiva de concreções ferruginosas na fração grosseira, em geral em proporção superior a 50% em volume. A matéria orgânica constitui elemento chave na manutenção e ciclagem de nutrientes nos ecossistemas relacionados aos solos estudados. Todos os solos estudados são classificados como Oxisols pela Soil Taxonomy, mas de acordo com o Sistema Brasileiro de Classificação de Solos, alguns enquadram-se como Latossolos e outros como Plintossolos. O enquadramento taxonômico segundo critérios atuais do SiBCS restringe sua utilização como estraficador ambiental na realidade estudada

Making big steps in trajectories

We consider the solution of initial value problems within the context of hybrid systems and emphasise the use of high precision approximations (in software for exact real arithmetic). We propose a novel algorithm for the computation of trajectories up to the area where discontinuous jumps appear, applicable for holomorphic flow functions. Examples with a prototypical implementation illustrate that the algorithm might provide results with higher precision than well-known ODE solvers at a similar computation time

Separating the low and high hierachies by oracles

AbstractThe relativized low and high hierarchies within NP are considered. An oracle A is constructed such that the low and high hierarchies relative to A are infinite, and for each k an oracle Ak is constructed such that the low and high hierarchies relative to Ak have exactly k levels

Search and modelling of remnant radio galaxies in the LOFAR Lockman Hole field

Accepted for publication in Astronomy & Astrophysics. Reproduced with permission from Astronomy & Astrophysics, © 2017 ESO.The phase of radio galaxy evolution after the jets have switched off, often referred to as the remnant phase, is poorly understood and very few sources in this phase are known. In this work we present an extensive search for remnant radio galaxies in the Lockman Hole, a well-studied extragalactic field. We create mock catalogues of low-power radio galaxies based on Monte Carlo simulations to derive first-order predictions of the fraction of remnants in radio flux limited samples for comparison with our Lockman-Hole sample. We have combined LOFAR observations at 150 MHz with public surveys at higher frequencies to perform a complete selection and have used, for the first time, a combination of spectral criteria (e.g. the classical ultra-steep spectral index and high spectral curvature) as well as morphological criteria (e.g. low radio core prominence and relaxed shapes). Mock catalogues of radio galaxies are created based on existing spectral and dynamical evolution models combined with observed source properties. We have identified 23 candidate remnant radio galaxies which cover a variety of morphologies and spectral characteristics. We suggest that these different properties are related to different stages of the remnant evolution. We find that ultra-steep spectrum remnants represent only a fraction of our remnant sample suggesting a very rapid luminosity evolution of the radio plasma. Results from mock catalogues demonstrate the importance of dynamical evolution in the remnant phase of low-power radio galaxies to obtain fractions of remnant sources consistent with our observations. Moreover, these results confirm that ultra-steep spectrum remnants represent only a subset of the entire population ($\sim$50%) when frequencies higher than 1400 MHz are not included in the selection process, and that they are biased towards old ages.Peer reviewe

Where do Children Travel to and What Local Opportunities Are Available? The Relationship Between Neighborhood Destinations and Children’s Independent Mobility

Associations between access to local destinations and children&rsquo;s independent mobility (IM) were examined. In 2007, 10- to 12-year-olds (n = 1,480) and their parents (n = 1,314) completed a survey. Children marked on a map the destinations they walked or cycled to (n = 1,132), and the availability of local destinations was assessed using Geographic Information Systems. More independently mobile children traveled to local destinations than other children. The odds of IM more than halved in both boys and girls whose parents reported living on a busy road (boys, OR = 0.48; girls, OR = 0.36) and in boys who lived near shopping centers (OR = 0.18) or community services (OR = 0.25). Conversely, the odds of IM more than doubled in girls living in neighborhoods with well-connected low-traffic streets (OR = 2.32) and increased in boys with access to local recreational (OR = 1.67) and retail (OR = 1.42) destinations. Creating safe and accessible places and routes may facilitate children&rsquo;s IM, partly by shaping parent&rsquo;s and children&rsquo;s feelings of safety while enhancing their confidence in the child&rsquo;s ability to use active modes without an adult

The impact of early outcome events on the effect of tranexamic acid in post-partum haemorrhage: an exploratory subgroup analysis of the WOMAN trial.

BACKGROUND: In severe post-partum haemorrhage, death can occur within hours of bleeding onset so interventions to control the bleeding must be given immediately. In clinical trials of treatments for life-threatening bleeding, established treatments are given priority and the trial treatment is usually given last. However, enrolling patients in whom severe maternal morbidity or death is imminent or inevitable at the time of randomisation may dilute the effects of a trial treatment. METHODS: We conducted an exploratory analysis of data from the WOMAN trial, an international, randomised placebo-controlled trial of the effects of tranexamic acid on death and surgical intervention in 20,060 women with post-partum haemorrhage. We assessed the impact of early maternal death or hysterectomy due to exsanguination on the effect of tranexamic acid on each of these respective outcomes. We conducted repeated analyses excluding patients with these outcomes at increasing intervals from the time of randomisation. We quantified treatment effects using risk ratios (RR) and 99% confidence intervals (CI) and prepared cumulative failure plots. RESULTS: Among 14,923 women randomised within 3 h of delivery (7518 tranexamic acid and 7405 placebo), there were 216 bleeding deaths (1.5%) and 383 hysterectomies due to bleeding (2.8%). After excluding deaths from exsanguination at increasing time intervals following randomization, there was a significant reduction in the risk of death due to bleeding with tranexamic acid (RR = 0.41; 99% CI 0.19-0.89). However, after excluding hysterectomies at increasing time intervals post-randomization, there was no reduction in the risk of hysterectomy due to bleeding with tranexamic acid (RR = 0.79; 99% CI 0.33-1.86). CONCLUSIONS: Findings from this analysis provide further evidence that tranexamic acid reduces the risk of death from exsanguination in women who experience postpartum haemorrhage. It is uncertain whether tranexamic acid reduces the risk of hysterectomy for bleeding after excluding early hysterectomies. TRIAL REGISTRATION: ISRCTN trial registration number ISRCTN76912190, 8 Dec 2008; ClinicalTrials.gov number NCT00872469, 30 March 2009; PACTR number PACTR201007000192283, 9 Feb 2010; EudraCT number 2008-008441-38, 8 Dec 2010 (retrospectively registered)