1,203 research outputs found

    Proceso enfermero para la prevención de caídas del adulto mayor aplicando la Taxonomía Nanda. Centro Gerontológico Amawta Wasi Samay. Periodo octubre 2023 -febrero 2024

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    The importance of fall prevention particularly in Latin America and the Caribbean, and specifically in Ecuador, where falls are a significant cause of disability and hospital care in this population. The main objective is to apply the nursing process, based on the NANDA Taxonomy, to prevent falls at the "Amawta Wasi Samay" Gerontological Center during the period from October 2023 to February 2024. To achieve this objective, a quantitative and descriptive, focusing the research on the collection and analysis of data on the frequency of falls and the demographic characteristics of older adults, using the Virginia Henderson model. The study population included 29 elderly residents of the center, selected under specific inclusion and exclusion criteria. Data collection was carried out through a nursing assessment guide based on Virginia Henderson's 14 needs. Nursing diagnoses identified ranged from impaired gas exchange to risk of impaired skin integrity, and personalized care plans were developed in collaboration with a multidisciplinary team. The evaluation of the care plans confirmed a significant reduction in the risk of falls, validating the effectiveness of the applied nursing process. OLDER ADULTS, FALL PREVENTION, NANDA, NURSING PROCESS.La importancia de la prevención de caídas particularmente en América Latina y el Caribe, y específicamente en Ecuador, donde las caídas son una causa significativa de discapacidad y atención hospitalaria en esta población. El objetivo principal es aplicar el proceso enfermero, basado en la Taxonomía NANDA, para prevenir caídas en el Centro Gerontológico "Amawta Wasi Samay" durante el período de octubre de 2023 a febrero de 2024. Para lograr este objetivo, se adoptó un enfoque cuantitativo y descriptivo, centrando la investigación en la recolección y análisis de datos sobre la frecuencia de caídas y las características demográficas de los adultos mayores, utilizando el modelo de Virginia Henderson. La población de estudio incluyó a 29 adultos mayores residentes del centro, seleccionados bajo criterios específicos de inclusión y exclusión. La recolección de datos se realizó a través de una guía de valoración de enfermería basada en las 14 necesidades de Virginia Henderson. Los diagnósticos de enfermería identificados abarcaron desde e deterioro del intercambio de gases hasta el riesgo de deterioro de la integridad cutánea, y se desarrollaron planes de cuidado personalizados en colaboración con un equipo multidisciplinario. La evaluación de los planes de cuidado confirmó una reducción significativa en el riesgo de caídas, validando la efectividad de proceso enfermero aplicado. ADULTOS MAYORES, PREVENCIÓN DE CAÍDAS, NANDA, PROCESO ENFERMERO

    Our distorted view of magnetars: application of the resonant cyclotron scattering model

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    The X-ray spectra of the magnetar candidates are customarily fitted with an empirical, two component model: an absorbed blackbody and a power-law. However, the physical interpretation of these two spectral components is rarely discussed. It has been recently proposed that the presence of a hot plasma in the magnetosphere of highly magnetized neutron stars might distort, through efficient resonant cyclotron scattering, the thermal emission from the neutron star surface, resulting in production of non-thermal spectra. Here we discuss the Resonant Cyclotron Scattering (RCS) model, and present its XSPEC implementation, as well as preliminary results of its application to Anomalous X-ray Pulsars and Soft Gamma-ray Repeaters

    Modeling the broadband persistent emission of magnetars

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    In this paper, we discuss our first attempts to model the broadband persistent emission of magnetars within a self-consistent, physical scenario. We present the predictions of a synthetic model that we calculated with a new Monte Carlo 3D radiative code. The basic idea is that soft thermal photons (e.g. emitted by the star surface) can experience resonant cyclotron upscattering by a population of relativistic electrons treated in the twisted magnetosphere. Our code is specifically tailored to work in the ultra-magnetized regime; polarization and QED effects are consistently accounted for, as well different configurations for the magnetosphere. We discuss the predicted spectral properties in the 0.1-1000 keV range, the polarization properties, and we present the model application to a sample of magnetars soft X-ray spectra

    Dense matter in neutron stars with eXTP

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    Ang Li et al.In this white paper, we present the potential of the enhanced X-ray timing and polarimetry (eXTP) mission to constrain the equation of state of dense matter in neutron stars, exploring regimes not directly accessible to terrestrial experiments. By observing a diverse population of neutron stars—including isolated objects, X-ray bursters, and accreting systems—eXTP’s unique combination of timing, spectroscopy, and polarimetry enables high-precision measurements of compactness, spin, surface temperature, polarimetric signals, and timing irregularity. These multifaceted observations, combined with advances in theoretical modeling, pave the way toward a comprehensive description of the properties and phases of dense matter from the crust to the core of neutron stars. Under development by an international Consortium led by the Institute of High Energy Physics of the Chinese Academy of Sciences, the eXTP mission is planned to be launched in early 2030.This work was supported by China’s Space Origins Exploration Program. Ang Li was supported by the National Natural Science Foundation of China (Grant No. 12273028). Anna L. Watts, Bas Dorsman, and Tuomo Salmi acknowledged support from ERC Consolidator (Grant No. 865768) AEONS. Anna L. Watts also acknowledged support from NWO grant ENW-XL OCENW.XL21.XL21.038. Sebastien Guillot acknowledged the support of the CNES. Shuang-Nan Zhang was supported by the National Natural Science Foundation of China (Grant No. 12333007), the International Partnership Program of Chinese Academy of Sciences (Grant No. 113111KYSB20190020), and the Strategic Priority Research Program of the Chinese Academy of Sciences (Grant No. XDA15020100). Zhiqiang Miao was supported by the China National Postdoctoral Program for Innovation Talents (Grant No. BX20240223), and the China Postdoctoral Science Foundation Funded Project (Grant No. 2024M761948). Yuri Cavecchi acknowledged support from a Ramon y Cajal fellowship (Grant No. RYC2021-032718-I) financed by MCIN/AEI/10.13039/501100011033 and the European Union NextGenerationEU/PRTR. Xia Zhou was supported by the Natural Science Foundation of Xinjiang Uygur Autonomous Region (Grant No. 2023D01E20), and the National SKA Program of China (Grant No. 2020SKA0120300). Xiaoping Zheng and Xuezhi Liu were supported by the National Natural Science Foundation of China (Grant Nos. 12033001, and 12473039), and Weihua Wang was supported by Zhejiang Provincial Natural Science Foundation of China (Grant No. LQ24A030002). Quan Cheng was supported by the National Natural Science Foundation of China (Grant No. 12003009). Weiwei Zhu was supported by the National SKA Program of China (Grant No. 2020SKA0120200), and the National Natural Science Foundation of China (Grant No. 12041303). Zhaosheng Li was supported by the National Natural Science Foundation of China (Grant No. 1227303). Lijing Shao was supported by the National SKA Program of China (Grant No. 2020SKA0120300), the Beijing Natural Science Foundation (Grant No. 1242018), and the Max Planck Partner Group Program funded by the Max Planck Society. Akira Dohi was supported by JSPS KAKENHI (the Japan Society for the Promotion of Science, Grantsin-Aid for Scientific Research) (Grant Nos. 23K19056, and 25K17403). Hong Shen was supported by the National Natural Science Foundation of China (Grant No. 12175109). Constan¸c˜a Providˆencia acknowledged support from FCT (Funda¸c˜ao para a Ciˆencia e a Tecnologia, I.P., Portugal) (Grant Nos. UIDB/04564/2020, and 2022.06460.PTDC). Laura Tolos was supported from the program Unidad de Excelencia Mar´ıa de Maeztu CEX2020-001058-M, from the project PID2022-139427NB-I00 financed by the Spanish MCIN/AEI/10.13039/501100011033/FEDER, UE (FSE+), and by the CRC-TR 211 “Strong-interaction matter under extreme conditions” – project Nr. 315477589 – TRR 211. Alessandro Patruno acknowledged support from grant PID2021-124581OB-I0, PID2024-155316NB-I00, and 2021SGR00426. Li Li was supported by the National Natural Science Foundation of China (Grant No. 12122513). The work of Kai Hebeler, Melissa Mendes, Achim Schwenk, and Isak Svensson was supported in part by the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (Grant No. 101020842), and by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) – Project-ID 279384907 – SFB 1245. Manuel Linares acknowledged support from the ERC Consolidator (Grant No. 101002352) (LOVENEST). Nanda Rea was supported by the European Research Council (ERC) via the Consolidator Grant “MAGNESIA” (Grant No. 817661) and the Proof of Concept “DeepSpacePulse” (Grant No. 101189496), the Catalan grant SGR2021-01269, the Spanish grant ID2023-153099NA-I00, and the program Unidad de Excelencia Maria de Maeztu CEX2020-001058-M. Aleksi Vuorinen was supported by the Research Council of Finland (Grant No. 354533).With funding from the Spanish government through the "María de Maeztu Unit of Excellence" accreditation (CEX2020-001058-M)Peer reviewe

    Accreting Pulsars: Mixing-up Accretion Phases in Transitional Systems

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    In the last 20 years our understanding of the millisecond pulsar (MSP) population changed dramatically. Thanks to RXTE, we discovered that neutron stars in LMXBs spins at 200-750 Hz frequencies, and indirectly confirmed the recycling scenario, according to which neutron stars are spun up to ms periods during the LMXB-phase. In the meantime, the continuous discovery of rotation-powered MSPs in binary systems in the radio and gamma-ray band (mainly with the Fermi LAT) allowed us to classify these sources into two "spiders" populations, depending on the mass of their companion stars: Black Widow, with very low-mass companion stars, and Redbacks, with larger companions possibly filling their Roche lobes but without accretion. It was soon regained that MSPs in short orbital period LMXBs are the progenitors of the spider populations of rotation-powered MSPs, although a direct link between accretion- and rotation-powered MSPs was still missing. In 2013 XMM-Newton spotted the X-ray outburst of a new accreting MSP (IGR J18245-2452) in a source that was previously classified as a radio MSP. Follow up observations of the source when it went back to X-ray quiescence showed that it was able to swing between accretion- to rotation-powered pulsations in a relatively short timescale (few days), promoting this source as the direct link between the LMXB and the radio MSP phases. Following discoveries showed that there exists a bunch of sources, which alternates X-ray activity phases, showing X-ray pulsations, to radio-loud phases, showing radio pulsations, establishing a new class of MSPs: the Transitional MSP. In this review we describe these exciting discoveries and the properties of accreting and transitional MSPs, highlighting what we know and what we have still to learn about in order to fully understand the (sometime puzzling) behavior of these systems and their evolutive connection (abridged)

    Science objectives of the Einstein Probe mission

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    Weimin Yuan et al.The Einstein Probe (EP) is an interdisciplinary mission of time-domain and X-ray astronomy. Equipped with a wide-field lobster-eye X-ray focusing imager, EP will discover cosmic X-ray transients and monitor the X-ray variability of known sources in 0.5–4 keV, at a combination of detecting sensitivity and cadence that is not accessible to the previous and current wide-field monitoring missions. EP can perform quick characterisation of transients or outbursts with a Wolter-I X-ray telescope onboard. In this paper, the science objectives of the EP mission are presented. EP is expected to enlarge the sample of previously known or predicted but rare types of transients with a wide range of timescales. Among them, fast extragalactic transients will be surveyed systematically in soft X-rays, which include γ-ray bursts and their variants, supernova shock breakouts, and the predicted X-ray transients associated with binary neutron star mergers. EP will detect X-ray tidal disruption events and outbursts from active galactic nuclei, possibly at an early phase of the flares for some. EP will monitor the variability and outbursts of X-rays from white dwarfs, neutron stars and black holes in our and neighbouring galaxies at flux levels fainter than those detectable by the current instruments, and is expected to discover new objects. A large sample of stellar X-ray flares will also be detected and characterised. In the era of multi-messenger astronomy, EP has the potential of detecting the possible X-ray counterparts of gravitational wave events, neutrino sources, and ultra-high energy γ-ray and cosmic ray sources. EP is expected to help advance the studies of extreme objects and phenomena revealed in the dynamic X-ray universe, and their underlying physical processes. Besides EP’s strength in time-domain science, its follow-up telescope, with excellent performance, will also enable advances in many areas of X-ray astronomy.We would like to thank a large number of colleagues, many of whom are not listed as co-authors of this paper, for stimulating discussions on the science objectives and science cases of the EP mission over the past ten years. EP is a space mission supported by Strategic Priority Program on Space Science of Chinese Academy of Sciences, in collaboration with ESA, MPE and CNES (Grant Nos. XDA15310000, and XDA15052100). This work was supported by the National Natural Science Foundation of China (Grant Nos. 61234003, 61434004, and 61504141), and CAS Interdisciplinary Project (Grant No. KJZD-EW-L11-04). We gratefully acknowledge the China National Astronomical Data Center (NADC), the Astronomical Data Center of the Chinese Academy of Sciences, and the Chinese Virtual Observatory (China-VO) for providing data resources and technical support.Peer reviewe

    Beyond Blame—Mens Rea and Regulatory Crime

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    In the first part of this Article, the Author briefly outlines the conceptual underpinnings of the common law approach to mens rea, with its blame focus, and the Supreme Court\u27s early efforts to develop a different approach in interpreting regulatory criminal statutes. The Author begins the second part of this Article with Lambert v. California, in which the Court staked out the constitutional limits for the employment of strict liability in public welfare or regulatory crimes, and, first employed notice-based mens rea. This part goes on to examine the ensuing cases in which the Court, at least implicitly, fleshes out the notice analysis that should guide the courts in deciding whether Congress intended strict liability or some level of mens rea in enacting regulatory criminal statutes. The Author concludes with Liparota v. United States, the case in which the Court departed from the emerging construct, which had distinguished blame-based and notice-based mens rea. This part then charts the doctrinal confusion that has resulted from this conflation of blame and notice in the Court\u27s mens rea analysis, confusion that is apparent not only in its own cases but also those of the circuit courts as they confront this vexatious problem

    Conocimiento sobre la metodología NANDA, NIC y NOC en el personal de enfermería del Hospital básico Guaranda-Instituto Ecuatoriano de Seguridad Social-Ecuador

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    La competencia de enfermería es el cuidado realizado con la aplicación del Proceso Enfermero. Objetivo: analizar el conocimiento sobre la metodología NANDA, NIC y NOC, en enfermeras del servicio de hospitalización del Hospital Básico Guaranda-Instituto Ecuatoriano de los Seguro Sociales (HBG-IESS). Metodología: Estudio no experimental, descriptivo, transversal y prospectivo, realizado en 14 enfermeras del HBG-IESS, durante el primer trimestre 2020. El instrumento utilizado contenía 40 preguntas y fue previamente validado y 0,972 de confiabilidad. Resultados: 57,14% estaban entre 31-40 años, 35,71% y 85,7% tenían ≤ 5 años de antigüedad laboral y solo poseían el grado de Licenciatura, respectivamente. 85,71% respondió acertadamente el concepto del PAE y 100% desconocían sus componentes; más del 50% respondió incorrectamente la taxonomía NANDA, NIC y NOC, sin asociación entre cursos realizados y respuestas correctas sobre esta metodología. La calificación deficiente fue del 57,14% correspondiente al personal entre 31-40 años y mayor antigüedad laboral, mientras el rango “Bueno” fue 14,29% correspondiendo a las más jóvenes y menor antigüedad laboral. Conclusión: los resultados muestran un deficiente conocimiento del Proceso de Atención de Enfermería y la metodología NANDA, NOC y NIC. Se propone la implementación de estrategias que lleven a incrementar el conocimiento sobre el proceso enfermero

    Fables d'Ésope

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    From the original Favole published in 2011 by Topipittori in Milan. Here is a large-format (9 x 13¼) landscape -- rather than portrait -- book. I feel as though I have known it before, but I cannot find it in the database. The cover has a cat looking suspiciously around a table of fable characters, among whom is a stork dipping her beak deep into a tall glass. The back cover advertises correctly: Vingt fables amusantes, parfois cruelles, des plus connues aux plus surprenantes…. The illustrations are indeed provocative, starting with the first fable's dog sick from devouring a snail. Are we seeing his insides or the woods in which he found the snail? In FC, three foxes rejoice in carnival costume over the fresh piece of meat teased away from the crow, who holds his hands high in outrage. In DS, we can see the fish start to pick at the floating piece of meat. My favorite in the book is Prométhée et les hommes. Since animals outnumbered people, Zeus asked Prometheus to transform a number of the former into the latter. They have human form but bestial souls. Rea mixes human and animal faces nicely here. TMCM has the country rat, perched in a flower, turning his head toward a slightly open door. The cover pictures turns out to be a doubting illustration of the fable in which a just lion king has all the animals come together in peace. Rea suggests nicely that this plan may not work. I wonder why many fable books are published because they have little new to offer; I do not have that question about this excellent book!This is a hardbound book (hard cover)Language note: FrenchTraduit du grec ancien par Émile Chambr
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