La teoría de las transiciones como paradigma de apoyo al automanejo en personas con condiciones crónicas / Transitions theory as a paradigm for supporting self-management in people with chronic conditions / A teoria das transições como paradigma para apoiar a autogestão em pessoas com condições crónicas

Resumen Introducción: La experiencia de vivir con una enfermedad crónica no es una tarea sencilla, se requiere de herramientas que permitan aumentar el grado de conciencia para enfrentar las necesidades y superar desafíos sobre el estado de salud y enfermedad. En los últimos años, se ha instaurado el apoyo al automanejo, con la finalidad de potenciar las habilidades en personas con este tipo de afecciones. Resulta trascendental considerar como desde enfermería se puede contribuir al logro de aquello. El objetivo del presente ensayo es reflexionar acerca de la teoría de las transiciones de Meléis como paradigma de apoyo al automanejo en personas con condiciones crónicas. Desarrollo: La teoría de las transiciones de Meléis establece que las personas están en constante cambio, tal como ocurre en el proceso de transición de salud-enfermedad. Recibir el diagnóstico de una enfermedad crónica, conlleva una serie de procesos complejos para la persona, debido a la multiplicidad de variables que ello implica. La teoría de Meléis entrega lineamientos para orientar a la persona profesional de enfermería sobre elementos claves e interrelacionados, como la concepción previa de la naturaleza de la transición y sus condiciones, lo que servirá para la planificación de modalidades de intervención congruentes con las experiencias de la persona y su evaluación en el transcurso del proceso de salud y enfermedad. Conclusión: El paradigma ofrecido por Meléis puede ser considerado un enfoque clave para emprender el proceso de cuidado de enfermería tendiente a apoyar a las personas con enfermedad crónica en el logro del automanejo.

Abstract Introduction: The experience of living with a chronic disease is not a simple task, since it requires tools that allow increasing the degree of awareness to face the needs and overcome challenges about the state of health and disease. In recent years, support for self-management has been established, with the aim of enhancing the skills of people with this type of condition. It is important to consider how the nursing discipline can contribute to achieve this. The aim of this paper is to reflect on Meléis' theory of transitions as a paradigm to support self-management in people with chronic conditions. Development: Meléis' theory of transitions establishes that people are in constant change, as occurs in the health-illness transition process. Receiving the diagnosis of a chronic disease involves a series of complex processes for the person, due to the multiplicity of variables involved. Meléis' theory provides guidelines to orient the nursing professional on key and interrelated elements, such as the previous conception of the nature of the transition and its conditions, which will serve for the planning of intervention modalities congruent with the person's experiences and their evaluation in the course of the health and disease process. Conclusion: The paradigm offered by Meléis can be considered a key approach to undertake the nursing care process aimed at supporting people with chronic illness in achieving self-management.

Resumo Introdução: A experiênca de viver com uma doença crônica não é uma tarefa simple, pois requer ferramentas que permitam aumentar o nível de consciência para enfrentar as necessidades e superar desafios relativos ao estado de saúde e doença. Nos últimos anos, foi estabelecido o apoio à autogestão, com o objetivo de melhorar as habilidades das pessoas com este tipo de condições. É transcendental considerar como a disciplina de Enfermagem pode contribuir para isso. O objetivo deste ensaio é refletir sobre a teoria das transições de Meleis como paradigma de apoio à autogestão em pessoas com condições crônicas. Desenvolvimento: A teoria das transições de Meléis estabelece que as pessoas estão em constante mudança, como acontece no processo de transição saúde-doença. Receber o diagnóstico de uma doença crónica implica uma série de processos complexos para a pessoa, devido à multiplicidade de variáveis envolvidas. A teoria de Meléis fornece directrizes para orientar o profissional de enfermagem sobre elementos-chave e inter-relacionados, como a conceção prévia da natureza da transição e das suas condições, que servirão para o planeamento de modalidades de intervenção congruentes com as experiências da pessoa e a sua avaliação no decurso do processo saúde-doença. Conclusão: O paradigma oferecido por Meleis pode ser considerado uma abordagem chave para empreender o processo de cuidado de enfermagem que visa apoiar as pessoas com doenças crônicas no alcance do autogerenciamento.

Reusable adsorbent of magnetite in mesoporous carbon for antibiotic removal.

This study aims to evaluate the feasibility of an innovative reusable adsorbent through adsorption-degradation sequence for antibiotic removal from water. The magnetite/mesoporous carbon adsorbent was prepared using a two-step method of (i) in situ impregnation of magnetite precursor during resorcinol formaldehyde polymerization and (ii) pyrolysis at elevated temperature (800 °C). XRD spectra confirmed that magnetite (Fe3O4) was the only iron oxide species present in the adsorbent, and thermogravimetric analysis revealed that its content was 10 wt%. Nitrogen sorption analysis showed that Fe3O4/carbon features a high fraction of mesopores (> 80 vol.%) and a remarkable specific surface area value (246 m2 g-1), outstanding properties for water treatment. The performance of the adsorbent was examined in the uptake of three relevant antibiotics. The maximum adsorption uptakes were ca. 76 mg g-1, ca. 70 mg g-1, and ca. 44 mg g-1 for metronidazole, sulfamethoxazole, and ciprofloxacin, respectively. All adsorption curves were successfully fitted with Langmuir equilibrium model. The regeneration of adsorbent was carried out using Fenton oxidation under ambient conditions. After three consecutive runs of adsorption-regeneration, Fe3O4/carbon maintained its performance almost unchanged (up to 95% of its adsorption capacity), which highlights the high reusability of the adsorbent.

Natural magnetite as an effective and long-lasting catalyst for CWPO of azole pesticides in a continuous up-flow fixed-bed reactor.

The global occurrence of micropollutants in water bodies has raised concerns about potential negative effects on aquatic ecosystems and human health. EU regulations to mitigate such widespread pollution have already been implemented and are expected to become increasingly stringent in the next few years. Catalytic wet peroxide oxidation (CWPO) has proved to be a promising alternative for micropollutant removal from water, but most studies were performed in batch mode, often involving complex, expensive, and hardly recoverable catalysts, that are prone to deactivation. This work aims to demonstrate the feasibility of a fixed-bed reactor (FBR) packed with natural magnetite powder for the removal of a representative mixture of azole pesticides, recently listed in the EU Watch Lists. The performance of the system was evaluated by analyzing the impact of H2O2 dose (3.6-13.4 mg L-1), magnetite load (2-8 g), inlet flow rate (0.25-1 mL min-1), and initial micropollutant concentration (100-1000 µg L-1) over 300 h of continuous operation. Azole pesticide conversion values above 80% were achieved under selected operating conditions (WFe3O4 = 8 g, [H2O2]0 = 6.7 mg L-1, flow rate = 0.5 mL min-1, pH0 = 5, T = 25 °C). Notably, the catalytic system showed a high stability upon 500 h in operation, with limited iron leaching (< 0.1 mg L-1). As a proof of concept, the feasibility of the system was confirmed using a real wastewater treatment plant (WWTP) effluent spiked with the mixture of azole pesticides. These results represent a clear advance for the application of CWPO as a tertiary treatment in WWTPs and open the door for the scale-up of FBR packed with natural magnetite.

Confía en mí, yo confío en ti: la confianza en la relación de colaboración entre personas / Trust me, I trust you: trust in the collaborative relationship between people

Las relaciones que se construyen entre los seres humanos, en una correlación bidireccional, permiten confiar en el otro cuando concuerdan con nuestros patrones de vida. En el encuentro con el otro, nos identificamos con él, lo reconocemos y comienza a construirse la confianza...(AU)

Latin American Trans-ancestry INitiative for OCD genomics (LATINO): Study protocol.

Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder. Worldwide, its prevalence is ~2% and its etiology is mostly unknown. Identifying biological factors contributing to OCD will elucidate underlying mechanisms and might contribute to improved treatment outcomes. Genomic studies of OCD are beginning to reveal long-sought risk loci, but >95% of the cases currently in analysis are of homogenous European ancestry. If not addressed, this Eurocentric bias will result in OCD genomic findings being more accurate for individuals of European ancestry than other ancestries, thereby contributing to health disparities in potential future applications of genomics. In this study protocol paper, we describe the Latin American Trans-ancestry INitiative for OCD genomics (LATINO, https://www.latinostudy.org). LATINO is a new network of investigators from across Latin America, the United States, and Canada who have begun to collect DNA and clinical data from 5000 richly phenotyped OCD cases of Latin American ancestry in a culturally sensitive and ethical manner. In this project, we will utilize trans-ancestry genomic analyses to accelerate the identification of OCD risk loci, fine-map putative causal variants, and improve the performance of polygenic risk scores in diverse populations. We will also capitalize on rich clinical data to examine the genetics of treatment response, biologically plausible OCD subtypes, and symptom dimensions. Additionally, LATINO will help elucidate the diversity of the clinical presentations of OCD across cultures through various trainings developed and offered in collaboration with Latin American investigators. We believe this study will advance the important goal of global mental health discovery and equity.

Percepción del profesional de Enfermería de la calidad del cuidado otorgado y factores asociados / Perception by Nursing professionals of the quality of care provided and associated factors

Objetivo: determinar la percepción de la calidad del cuidado otorgado (PCCO) por profesionales de Enfermería de Atención Primaria (AP) pertenecientes a la agrupación Enfermería JW en Chile y evaluar las diferencias en función de factores sociodemográficos y laborales.Método: estudio descriptivo transversal realizado en 2021. Se incluyó a enfermeras de AP de la agrupación (N= 296). Se midieron variables sociodemográficas (sexo, edad) de formación (grado académico, cursos de formación) y laborales (tipo de contrato, remuneración, antigüedad) y la PCCO a través del cuestionario Karen-Personal (convertido a puntuación mín. 0 a máx. 100 puntos), a través de un cuestionario online autoadministrado. Se realizó estadística descriptiva y bivariante.Resultados: participaron 101 personas (90,1% mujeres; 72,3% entre 30 y 49 años). La percepción global de la calidad del cuidado obtuvo una media de 67,9 (DE= 9,8) sobre 100. La dimensión mejor valorada fue el Compromiso con 79,5 (DE= 13,4) y la que obtuvo una menor valoración fue la de Relaciones Psicosociales con 60,3 (DE= 13). Se encontraron diferencias estadísticamente significativas (p< 0,05) en la percepción de calidad del cuidado en función del tipo de contrato (superior si contrato fijo), la satisfacción con el equipo de trabajo y con la jefatura (mayor cuanto mayor fue la satisfacción). El resto de las variables no seguían tendencia clara o no tuvieron significación estadística.Conclusiones: la PCCO por las profesionales de Enfermería participantes fue intermedia. Este estudio contribuye al conocimiento para orientar estrategias en aquellas dimensiones peor valoradas.(AU)

Objective: to determine the perception of the quality of care provided (PQCP) by Primary Care (PC) Nursing professionals who are members of the JW Nursing Group in Chile, and to evaluate differences in terms of sociodemographic and occupational factors.Method: a descriptive cross-sectional study conducted in 2021, including PC nurses from the Group (N= 296). Sociodemographic variables were measured (gender, age), as well as training (academic degree, training courses) and occupational variables (type of contract, salary, seniority), and the PQCP through the Karen-Personal questionnaire (score converted to minimum 0 to maximum 100 points), through a self-administered online questionnaire. Descriptive bivariate statistics were applied.Results: the study included 101 persons (90.1% women; 72.3% between 30 and 49 years old). The overall perception of quality of care obtained a mean score of 67.9 (SD= 9.8) out of 100. The best valued dimension was Commitment with 79.5 (SD= 13.4), and the dimension with the lower valuation was Psychosocial Relationships with 60.3 p (SD= 13). Statistically significant differences (p< 0.05) were found in the perception of quality of care according to type of contract (higher if permanent contract), satisfaction with the work team and its leadership (higher when the satisfaction was higher), The rest of variables did not follow a clear trend or were not statistically significant.Conclusions: the PQCP by those Nursing professionals participating in the study was intermediate. This study contributes to knowledge, in order to orientate strategies in those dimensions worse valued.(AU)

Latin American Trans-ancestry INitiative for OCD genomics (LATINO): Study Protocol.

Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder. Worldwide, its prevalence is ~2% and its etiology is mostly unknown. Identifying biological factors contributing to OCD will elucidate underlying mechanisms and might contribute to improved treatment outcomes. Genomic studies of OCD are beginning to reveal long-sought risk loci, but >95% of the cases currently in analysis are of homogenous European ancestry. If not addressed, this Eurocentric bias will result in OCD genomic findings being more accurate for individuals of European ancestry than other ancestries, thereby contributing to health disparities in potential future applications of genomics. In this study protocol paper, we describe the Latin American Trans-ancestry INitiative for OCD genomics (LATINO, www.latinostudy.org). LATINO is a new network of investigators from across Latin America, the United States, and Canada who have begun to collect DNA and clinical data from 5,000 richly-phenotyped OCD cases of Latin American ancestry in a culturally sensitive and ethical manner. In this project, we will utilize trans-ancestry genomic analyses to accelerate the identification of OCD risk loci, fine-map putative causal variants, and improve the performance of polygenic risk scores in diverse populations. We will also capitalize on rich clinical data to examine the genetics of treatment response, biologically plausible OCD subtypes, and symptom dimensions. Additionally, LATINO will help elucidate the diversity of the clinical presentations of OCD across cultures through various trainings developed and offered in collaboration with Latin American investigators. We believe this study will advance the important goal of global mental health discovery and equity.

The importance of the Andes in the evolutionary radiation of Sigmodontinae (Rodentia, Cricetidae), the most diverse group of mammals in the Neotropics.

The Andean mountains stand out for their striking species richness and endemicity that characterize many emblematic Neotropical clades distributed in or around these mountains. The radiation of the Sigmodontinae subfamily, the most diversified mammalian group in the Neotropics, has been historically related to Andean orogenesis. We aim to evaluate this interplay between geological processes and biological responses through the diversification dynamics, the biogeographical history, and the range evolution of the subfamily. For these, we built the most comprehensive phylogeny and gathered 14,836 occurrences for the subfamily. We identified one shift in the speciation rate in the genus Akodon, which suffered their Andean radiation after the arrival of non-Andean ancestors. Our biogeographic analyses show multiple dispersal paths throughout the evolution that allowed this subfamily to colonize all Neotropics. The Northern Andes and Central-Southern Andes were the most important sources of diversity. In addition, the Central-Southern Andes were the most relevant sink, receiving the highest number of lineages. The Andean region exhibited higher speciation and turnover rates than non-Andean regions. Thus, our results support the crucial role of the Andean Mountains in the Sigmodontinae radiation, acting as a "macroevolutionary cradle" and "species attractor" for several sigmodontine lineages at different times, and as a "species pump" becoming the biogeographic source of multiple widely distributed neotropical lineages. Then, complex macroevolutionary dynamics would explain these rodents' high extant Andean diversity and their wide distribution in the Neotropics.

Photo-Fenton oxidation of cylindrospermopsin at neutral pH with LEDs.

Cylindrospermopsin (CYN) is a potent cyanobacterial toxin found in freshwaters worldwide. In this work, the feasibility of the photo-Fenton process under neutral pH using light emitting diodes as irradiation source for the removal of this hazardous cyanotoxin from freshwater was investigated. The impact of the kind of iron chelating agent (ethylenediamine-N, N'-disuccinic acid vs. ethylenedinitrilotetraacetic acid) as well as the effect of the main operating conditions viz. H2O2 dose, Fe(III) load, initial CYN concentration, and Fe(III):EDDS molar ratio on the performance of the process was systematically evaluated. EDDS was selected as the most appropriate iron chelating agent considering the kinetics of the process and the environmental impact (Vibrio fischeri and Artemia salina). Under optimized conditions ([H2O2] = 30 mg L-1; [Fe(III)] = 5 mg L-1; Fe(III):ligand = 1:0.5 (molar ratio)), complete removal of CYN was achieved in 15-min reaction time. Furthermore, the catalytic system showed to be effective in real water matrices (river and reservoir waters) spiked with CYN. Although the presence of inorganic ions (mainly HCO3-/CO32-) and dissolved organic carbon decreased the oxidation rate of CYN due to scavenging reactions and iron coordination, respectively, complete elimination of the cyanotoxin was achieved in all cases. The fate of EDDS along the process was also evaluated to demonstrate that the catalytic system investigated, apart from its effectiveness, warrants the complete absence of residues after reaction. Therefore, the proposed system constitutes a promising method for cyanotoxin treatment either as a drinking water treatment step in conventional plants or as a potential remediation strategy in the natural environment.

Insights into the degradation of microplastics by Fenton oxidation: From surface modification to mineralization.

This work aims at evaluating the fate of microplastics (MPs) along Fenton oxidation. For such goal, realistic MPs (150-250 µm) of five representative polymer types (PET, PE, PVC, PP and EPS) were obtained from commercial plastic products by cryogenic milling. Experiments (7.5 h) were performed under relatively severe operating conditions: T = 80 °C; pH0 = 3; [H2O2]0 = 1000 mgL-1 (15 doses, 1 every 0.5 h); [Fe3+]0 = 10 mgL-1 (5 doses, 1 every 1.5 h). Slight MPs weight losses (∼10%) were achieved after Fenton oxidation regardless the MP nature. Nevertheless, oxidation yield clearly increased with decreasing the particle size given their higher exposed surface area (up to 20% weight loss with 20-50 µm EPS MPs). Clearly, MPs suffered important changes in their surface due to the introduction of oxygenated groups, which made them more acidic and hydrophilic. Furthermore, MPs progressively reduced their size. In fact, they can be completely oxidized to CO2, as demonstrated in the oxidation of PS nanoplastics (140 nm), where 70% mineralization was achieved. The nature of the plastic particles had a relevant impact on its overall oxidation, being more prone to be oxidized those polymers which contain aromatic rings in their structures (EPS and PET) compared to those formed by alkane chains (PE, PP and PVC). In the latter, the presence of substituents also reduced their oxidation potential. Remarkably, possible leachates released along reaction were more quickly oxidized than the MPs/NPs, so it can be assumed that these dissolved compounds would be completely removed once the solid particles are eliminated. Notably, the leachates obtained upon MPs oxidation were more biodegradable than the released from the fresh solids. All this knowledge is crucial for the understanding of MPs oxidation by the Fenton process and opens the door for the design and optimization of this technology either for water treatment or for analytical purposes (MPs isolation).

Teleenfermería como herramienta para favorecer la autoeficacia en personas con enfermedades crónicas

En la actualidad, el mantenimiento de la salud de las personas con enfermedades crónicas es un gran reto y la autoeficacia es un indicador clave para obtener mejores resultados en la adopción de conductas saludables. El profesional de enfermería tiene un papel fundamental en la aplicación de herramientas innovadoras, como la Teleenfermería, para promover la autoeficacia en personas con enfermedades de largo plazo. En el presente artículo se describe la teleenfermería como herramienta estratégica para promover el desarrollo de la autoeficacia en personas con enfermedades crónicas. Se concluye que la teleenfermería permite apoyar y facilitar el proceso de autogestión y una mayor autoeficacia puede conducir a una mejor calidad de vida en las personas con enfermedades crónicas. Es necesario seguir incorporando nuevas tecnologías, de acuerdo a las diferentes realidades de las comunidades y equipos de salud, donde el profesional de enfermería es un elemento fundamental para integrarlas.

Nowadays, maintaining the health of people with chronic diseases poses a great challenge and self-efficacy is a key indicator to obtain better results when adopting healthy behaviors. The nursing professional plays a fundamental role in the application of innovative tools, such as telenursing, to promote self-efficacy in people with long-term illnesses. This article describes telenursing as a strategic tool to promote the development of self-efficacy in people with chronic diseases. It is concluded that telenursing can help support and facilitate the self-management process and greater self-efficacy can lead to a better quality of life in people with chronic diseases. It is necessary to continue incorporating new technologies, according to the different realities of the communities and health teams, where the nursing professional is a fundamental element to help integrate them.

Atualmente, manter a saúde de pessoas com doenças crônicas representa um grande desafio e a autoeficácia é um indicador fundamental para obter resultados mais ótimos na adoção de comportamentos saudáveis. O profissional de enfermagem desempenha um papel fundamental na aplicação de ferramentas inovadoras, como a telenfermagem, para promover a autoeficácia em pessoas com doenças de longa duração. Este artigo descreve a telenfermagem como ferramenta estratégica para promover o desenvolvimento da autoeficácia em pessoas com doenças crônicas. Conclui-se que a telenfermagem pode ajudar a apoiar e facilitar o processo de autogestão e uma maior autoeficácia pode levar a uma melhor qualidade de vida em pessoas com doenças crônicas. É preciso continuar incorporando novas tecnologias, de acordo com as diferentes realidades das comunidades e equipes de saúde, onde o profissional de enfermagem é elemento fundamental para integrá-las.

Adsorption of micropollutants onto realistic microplastics: Role of microplastic nature, size, age, and NOM fouling.

This work aims at evaluating the role of nature, size, age, and natural organic matter (NOM) fouling of realistic microplastics (MPs) on the adsorption of two persistent micropollutants (diclofenac (DCF) and metronidazole (MNZ)). For such goal, four representative polymer types (polystyrene (PS), polyethylene terephthalate (PET), polypropylene (PP) and high-density polyethylene (HDPE)) were tested. MPs were obtained by cryogenic milling of different commercial materials (disposable bottles, containers, and trays), and fully characterized (optical microscopic and SEM images, FTIR, elemental analysis, water contact angle and pHslurry). The micropollutants hydrophobicity determined to a high extent their removal yield from water. Regardless of the MP's nature, the adsorption capacity for DCF was considerably higher than the achieved for MNZ, which can be related to its stronger hydrophobic properties and aromatic character. In fact, aromatic MPs (PS and PET) showed the highest adsorption capacity values with DCF (~100 µg g-1). The MP size also played a key role on its adsorption capacity, which was found to increase with decreasing the particle size (20-1000 µm). MPs aging (simulated by Fenton oxidation) led also to substantial changes on their sorption behavior. Oxidized MPs exhibited acidic surface properties which led to a strong decrease on the adsorption of the hydrophobic micropollutant (DCF) but to an increase with the hydrophilic one (MNZ). NOM fouling (WWTP effluent, river water, humic acid solution) led to a dramatic decrease on the MPs sorption capacity due to sorption sites blocking. Finally, the increase of pH or salinity of the aqueous medium increased the micropollutants desorption.

A comparative study among catalytic wet air oxidation, Fenton, and Photo-Fenton technologies for the on-site treatment of hospital wastewater.

The feasibility of catalytic wet air oxidation, intensified homogeneous Fenton and heterogeneous Photo-Fenton systems for the treatment of real hospital wastewater has been investigated. Wastewater samples were collected from a hospital sewer, during a weekly monitoring program, and fully characterized. Up to seventy-nine pharmaceuticals, including mostly parent compounds and some of their transformation products, were analyzed. Catalytic wet air oxidation allowed the complete removal of several pharmaceutical groups, but it did not allow to eliminate analgesics/anti-inflammatories and antibiotics, whose average removal was around 85%. Intensified Fenton oxidation was the most efficient process for all the drugs removal with an almost complete reduction of the initial pharmaceutical load (99.8%). The heterogeneous Photo-Fenton system reached a 94.5% reduction of the initial pharmaceutical load. The environmental risk of the treated samples by the hazard quotient (HQ) method was also evaluated. Fenton oxidation was the most effective system with a final ∑HQ of 5.4. Catalytic wet air oxidation and Photo-Fenton systems achieved total ∑HQ values of 895 and 88, respectively. This fact was related to the presence of refractory antibiotics in the treated catalytic wet air oxidation samples. On the opposite, the Photo-Fenton system provided the elimination of most pharmaceutical pollutants that pose a high environmental risk such as antibiotics. Simplified cost estimation was finally performed as a preliminary approach of the economy of the three oxidation processes for the hospital wastewater treatment.

Aislación relativa comparada con absoluta en restauraciones de resina compuesta en pacientes con dentición permanente / Relative isolation versus rubber dam isolation for composite resin restorations in patients with permanent dentition

RESUMEN: Introducción: La técnica de restauración con resina compuesta requiere un adecuado control de la humedad durante el procedimiento. Para ello, puede realizarse aislación relativa (con tórulas de algodón y eyector de saliva) o aislación absoluta con goma dique de la o las piezas dentarias. Sin embargo, no está claro cuál de estos protocolos sería más efectivo. Métodos: Realizamos una búsqueda en Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante el cribado de múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, analizamos los datos de los estudios primarios, realizamos un metaanálisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. Resultados y conclusiones: Identificamos tres revisiones sistemáticas que en conjunto incluyeron dos estudios primarios, todos correspondientes a ensayos aleatorizados. Concluimos que realizar aislación relativa comparado con aislación absoluta podría aumentar el riesgo de falla de restauración a los 6 meses, pero la certeza de la evidencia es baja. No es posible establecer con claridad si la aislación relativa disminuye el riesgo de falla de la restauración a 10 años, debido a que la certeza de la evidencia existente ha sido evaluada como muy baja. No se encontraron estudios que evaluaran los desenlaces caries secundaria, sensibilidad postoperatoria y tinción.

ABSTRACT: Introduction: Resin composite restorations technique requires effective control of moisture during the procedure. Isolation and moisture control can be performed by relative isolation (use of cotton rolls combined with aspiration by saliva ejector) or rubber dam isolation. However, there is uncertainty regarding which one of these protocols would be most beneficial. Methods: We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach. Results and conclusions: We identified three systematic reviews including two studies overall, of which all were randomized trials. We conclude that relative isolation may increase the risk of failure of the restorations at 6 months. We are uncertain whether relative reduces the risk of failure of the restorations at 10 years as the certainty of the evidence has been assessed as very low. No studies were found that looked at secondary caries, post-operative sensitivity or stained margins.

Overview of toxic cyanobacteria and cyanotoxins in Ibero-American freshwaters: Challenges for risk management and opportunities for removal by advanced technologies.

The increasing occurrence of cyanobacterial blooms worldwide represents an important threat for both the environment and public health. In this context, the development of risk analysis and management tools as well as sustainable and cost-effective treatment processes is essential. The research project TALGENTOX, funded by the Ibero-American Science and Technology Program for Development (CYTED-2019), aims to address this ambitious challenge in countries with different environmental and social conditions within the Ibero-American context. It is based on a multidisciplinary approach that combines ecology, water management and technology fields, and includes research groups from Chile, Colombia, Mexico, Peru and Spain. In this review, the occurrence of toxic cyanobacteria and cyanotoxins in freshwaters from these countries are summarized. The presence of cyanotoxins has been confirmed in all countries but the information is still scarce and further monitoring is required. In this regard, remote sensing or metagenomics are good alternatives at reasonable cost. The risk management of freshwaters from those countries considering the most frequent uses (consumption and recreation) has been also evaluated. Only Spain and Peru include cyanotoxins in its drinking water legislation (only MC-LR) and thus, there is a need for regulatory improvements. The development of preventive strategies like diminishing nutrient loads to aquatic systems is also required. In the same line, corrective measures are urgently needed especially in drinking waters. Advanced Oxidation Processes (AOPs) have the potential to play a major role in this scenario as they are effective for the elimination of most cyanotoxins classes. The research on the field of AOPs is herein summarized considering the cost-effectiveness, environmental character and technical applicability of such technologies. Fenton-based processes and photocatalysis using solar irradiation or LED light represent very promising alternatives given their high cost-efficiency. Further research should focus on developing stable long-term operation systems, addressing their scale-up.

Predicting Deprotonation Sites Using Alchemical Derivatives.

An alchemical transformation is any process, physical or fictitious, that connects two points in the chemical space. A particularly important transformation is the vanishing of a proton, whose energy can be linked to the proton dissociation enthalpy of acids. In this work we assess the reliability of alchemical derivatives in predicting the proton dissociation enthalpy of a diverse series of mono- and polyprotic molecules. Alchemical derivatives perform remarkably well in ranking the proton affinity of all molecules. Additionally, alchemical derivatives could be use also as a predictive tool because their predictions correlate quite well with calculations based on energy differences and experimental values. Although second-order alchemical derivatives underestimate the dissociation enthalpy, the deviation seems to be almost constant. This makes alchemical derivatives extremely accurate to evaluate the difference in proton affinity between two acid sites of polyprotic molecule. Finally, we show that the reason for the underestimation of the dissociation enthalpy is most likely the contribution of higher-order derivatives.

Boosting the catalytic activity of natural magnetite for wet peroxide oxidation.

This work explores the modification of naturally occurring magnetite by controlled oxidation (200-400 °C, air atmosphere) and reduction (300-600 °C, H2 atmosphere) treatments with the aim of boosting its activity in CWPO. The resulting materials were fully characterized by XRD, XPS, TGA, TPR, SEM, and magnetization measurements, allowing to confirm the development of core-shell type structures. The magnetite core of the solid remained unchanged upon the treatment whereas the Fe(II)/Fe(III) ratio of the shell was modified (e.g. 0.42, 0.11 and 0.63 values were calculated for pristine Fe3O4, Fe3O4-O400, and Fe3O4-R400, respectively). The performance of the catalysts was tested in the CWPO of sulfamethoxazole (SMX) (5 mg L-1) under ambient conditions and circumneutral pH (pH0 = 5), using the stoichiometric dose of H2O2 (25 mg L-1) and a catalyst load of 1 g L-1. The key role of the ferrous species on the mineral shell was evidenced. Whereas the oxidation of magnetite led to significantly slower degradation rates of the pollutant, its reduction gave rise to a dramatic increase, achieving the complete removal of SMX in 1.5 h reaction time with the optimum catalyst (Fe3O4-R400) compared to the 3.5 h required with the pristine mineral. A reaction mechanism was proposed for SMX degradation, and a kinetic equation based on the Eley-Rideal model was accordingly developed. This model successfully fitted the experimental results. The stability of Fe3O4-R400 was evaluated upon five sequential runs. Finally, the versatility of the catalytic system was proved in real environmentally relevant water matrices.

Degradation of widespread cyanotoxins with high impact in drinking water (microcystins, cylindrospermopsin, anatoxin-a and saxitoxin) by CWPO.

The occurrence of harmful cyanobacterial blooms has unabated increased over the last few decades, posing a significant risk for public health. In this work, we investigate the feasibility of catalytic wet peroxide oxidation (CWPO) promoted by modified natural magnetite (Fe3O4-R400/H2O2), as an inexpensive, simple-operation and environmentally-friendly process for the removal of the cyanotoxins that show the major impact on drinking water: microcystins (MC-LR and MC-RR), cylindrospermopsin (CYN), anatoxin-a (ATX) and saxitoxin (STX). The performance of the system was evaluated under ambient conditions and circumneutral pH (pH0 = 5) using relevant cyanotoxin concentrations (100-500 µg L-1). The nature of the cyanotoxins determined their reactivity towards CWPO, which decreased in the following order: MC-RR > CYN > MC-LR ≫ ATX > STX. In this sense, microcystins and CYN were completely removed in short reaction times (1-1.5 h) with a low catalyst concentration (0.2 g L-1) and the stoichiometric amount of H2O2 (2-2.6 mg L-1), while only 60-80% conversion was achieved with ATX and STX in 5 h. In these cases, an intensification of the operating conditions (1 g L-1 catalyst and up to 30 mg H2O2 L-1) was required to remove both toxins in 1 h. The impact of the main components of freshwaters i.e. natural organic matter (NOM) and several inorganic ions (HCO3-, HPO42-, SO42-) on the performance of the process was also investigated. Although the former led to a partial inhibition of the reaction due to HO· scavenging and catalyst coating, the latter did not show any remarkably effect, and the versatility of the process was finally confirmed in a real surface water. To further demonstrate the effectiveness of the catalytic system, the toxicity of both the initial cyanotoxins and the resulting CWPO effluents was measured with the brine shrimp Artemia salina. Remarkably, all CWPO effluents were non-toxic at the end of the treatment.

Fast degradation of diclofenac by catalytic hydrodechlorination.

Aqueous-phase catalytic hydrodechlorination (HDC) has been scarcely explored in the literature for the removal of chlorinated micropollutants. The aim of this work is to prove the feasibility of this technology for the fast and environmentally-friendly degradation of such kind of compounds. Diclofenac (DCF), a highly consumed anti-inflammatory drug, has been selected as the target pollutant given its toxicity and low biodegradability. The commercial Pd/Al2O3 (1% wt.) catalyst has been used due to its prominent role on this field. Complete degradation of DCF was achieved in a short reaction time (20 min) under ambient conditions (25 °C, 1 atm) at [DCF]0 = 68 µM; [Pd/Al2O3]0 = 0.5 g L-1 and H2 flow rate of 50 N mL min-1. Remarkably, the chlorinated intermediate (2-(2-chloroanilino)-phenylacetate (Cl-APA)) generated along reaction was completely removed at the same time, being the chlorine-free compound 2-anilinophenylacetate (APA) the only final product. A reaction scheme based on this consecutive pathway and a pseudo-first-order kinetic model have been proposed. An apparent activation energy of 43 kJ mol-1 was obtained, a comparable value to those previously reported for conventional organochlorinated pollutants. Remarkably, the catalyst exhibited a reasonable stability upon three successive uses, achieving the complete degradation of the drug and obtaining APA as the final product in 30 min. The evolution of ecotoxicity was intimately related to the disappearance of the chlorinated organic compounds and thus, the final HDC effluents were non-toxic. The versatility of the system was finally demonstrated in different environmentally-relevant matrices (wastewater treatment plant effluent and surface water).