Estudio de caso, paciente en hemodiálisis, antecedentes heredofamiliares con el modelo de Virginia Henderson / Case study, hemodialysis patient, family history with the Virginia Henderson model

El siguiente estudio de caso se realizó en una persona con enfermedad renal crónica secundaria a diabetes mellitus tipo 1 en tratamiento de hemodiálisis desde hace 7 años, se realizó con el fin llevar acabo las acciones e intervenciones encaminadas a contribuir en los cuidados de rehabilitación, así como aminorar las complicaciones de esta enfermedad para que la persona logre su independencia. La metodología está basada en el modelo de Virginia Henderson donde se encontraron necesidades de nutrición e hidratación, eliminación, evitar peligros y aprendizaje alterados, posteriormente se realiza los diagnósticos de enfermería y la planificación del cuidado mediante la taxonomía Nanda, Noc y Nic. Para esto se requisita la NOM-012-SSA3. 2012, mediante el cual se obtiene el consentimiento informado de la persona para ejecutar el plan de cuidados con los criterios que establece la norma para ejecutar las intervenciones con el fin de investigación para la salud, se realizó visita domiciliaria para una evaluación del plan de cuidados donde se concluye que en relación con la implicación familiar se logró cierto grado de independencia en el paciente, observando cambios positivos, conocimiento de la enfermedad y un mejor apego a su alimentación.

The following case study was carried out in a person with chronic kidney disease secondary to type 1 diabetes mellitus on hemodialysis treatment for 7 years, it was carried out in order to carry out actions and interventions aimed at contributing to rehabilitation care, as well how to reduce the complications of this disease so that the person can achieve independence. The methodology is based on the Virginia Henderson Model where needs for nutrition and hydration, elimination, danger avoidance and altered learning were found, subsequently nursing diagnoses and care planning are carried out using the Nanda, Noc and Nic taxonomy. For this, the NOM-012-SSA3 is required. 2012, through which the informed consent of the person is obtained to execute the care plan with the criteria established by the norm to execute the interventions for the purpose of health research, a home visit is made with which a evaluation of the care plan where it is concluded that in relation to family involvement, a certain degree of independence was achieved in the patient, positive changes were observed, a better knowledge of the disease, better adherence to their diet.

Bond Fukui functions as descriptor of the electron density reorganization in π conjugated systems.

The bond Fukui function is introduced and tested as a new reactivity index capable of predicting the evolution of bond breaking and formation processes during an organic reaction involving π conjugated systems. As an illustration, we examine many cases where substituted ethylenes and dienes may respond to different reagents to yield cycloaddition, Michael addition, and other reactions at double bonds.

Isolation by distance among California sea lion populations in Mexico: redefining management stocks.

Understanding the spatial structure of a population is critical for effective assessment and management. However, direct observation of spatial dynamics is generally difficult, particularly for marine mammals. California sea lions (Zalophus californianus) are polygynous pinnipeds distributed along the Pacific coast of North America. The species' range has been subdivided into three management stocks based on differences in mitochondrial DNA, but to date no studies have considered nuclear genetic variation, and thus we lack a comprehensive understanding of gene flow patterns among sea lion colonies. In light of recent population declines in the Gulf of California, Mexico, it is important to understand spatial structure to determine if declining sea lion colonies are genetically isolated from others. To define population subdivision and identify sex biases in gene flow, we analysed a 355-bp sequence of the mitochondrial DNA control region and 10 polymorphic microsatellite loci from 355 tissue samples collected from six colonies distributed along Mexican waters. Using a novel approach to estimate sex biases in gene flow, we found that male sea lions disperse on average 6.75 times more frequently than females. Analyses of population subdivision strongly suggest a pattern of isolation by distance among colonies and challenge current stock definitions. Based on these results, we propose an alternative classification that identifies three Mexican management units: Upper Gulf of California, Southern Baja Peninsula, and Upper Pacific Coast of Baja. This revised classification should be considered in future assessment and management of California sea lion populations in Mexican waters.