Living with breathlessness: quality improvement project to enhance staff confidence and patient self-management.

Objectives: Breathlessness affects a significant proportion of patients in palliative care. This Quality Improvement Project aimed to develop a patient self-management resource, Living with Breathlessness, and to assess its impact on healthcare professionals' confidence in non-pharmacological management of breathlessness.

Methods: Using a Plan-Do-Study-Act (PDSA) cycle, a multi-professional team developed the resource based on staff suggestions.

An Apple and Acáchul Berry Snack Rich in Bioaccessible Antioxidants and Folic Acid: A Healthy Alternative for Prenatal Diets.

A fruit leather (apple and acáchul berry) oriented toward women of reproductive age was developed. The snack was supplemented with an ingredient composed of folic acid (FA) and whey proteins (WPI) to ensure the required vitamin intake to prevent fetal neural tube defects. In order to generate a low-calorie snack, alternative sweeteners were used (stevia and maltitol).

Colorant and antioxidant properties of freeze-dried extracts from wild berries: use of ultrasound-assisted extraction method and drivers of liking of colored yogurts.

This work aimed at developing powders rich in antioxidants and pigments from two wild berries: maqui () and murra (). Fruits were subjected to successive ultrasound-assisted extractions (UAE) and then freeze-dried. Physical properties, anthocyanin stability of powders, and their performance as natural colorants in yogurts were evaluated.

Termination of global warmth at the Palaeocene/Eocene boundary through productivity feedback.

The onset of the Palaeocene/Eocene thermal maximum (about 55 Myr ago) was marked by global surface temperatures warming by 5-7 degrees C over approximately 30,000 yr (ref. 1), probably because of enhanced mantle outgassing and the pulsed release of approximately 1,500 gigatonnes of methane carbon from decomposing gas-hydrate reservoirs. The aftermath of this rapid, intense and global warming event may be the best example in the geological record of the response of the Earth to high atmospheric carbon dioxide concentrations and high temperatures.

Mechanisms of climate warming at the end of the paleocene.

An abrupt episode of global warming marked the end of the Paleocene epoch. Oxygen and carbon isotope records from two widely separated sites support the notion that degassing of biogenic methane hydrate may have been an important factor in altering Earth's climate. The data show evidence for multiple injections of methane, separated by intervals in which the carbon cycle was in stasis.