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We present a new family of exact four-dimensional Taub-NUT spacetimes in Einstein-Λ theory supplemented with a conformally coupled scalar field exhibiting a power-counting superrenormalizable potential. Our configurations are constructed in the following manner: A solution of a conformally coupled theory with a conformal potential, henceforth the seed (gµν , φ), is transformed by the action of a specific change of frame in addition with a simultaneous shift of the seed scalar field. The conformal factor of the transformation and the shift are both affine functions of the original scalar φ. The new configuration, (ḡµν , φ), solves the field equations of a conformally coupled theory with the extended aforementioned super-renormalizable potential, this under the presence of an effective cosmological constant. The new spectrum of solutions is notoriously enhanced with respect to the original seed containing regular black holes, wormholes, and bouncing cosmologies. We highlight the existence of two types of exact black bounces given by de Sitter and anti-de Sitter geometries that transit across three different configurations each. The de Sitter geometries transit from a regular black hole with event and cosmological horizons to a bouncing cosmology that connects two de Sitter Universes with different values of the asymptotic cosmological constant. An intermediate phase, which might be represented by two different configurations, takes place. These configurations are given by a de Sitter wormhole or by a bouncing cosmology that connects two de Sitter Universes, both under the presence of a cosmological horizon. On the other hand, the anti-de Sitter geometries transit from a regular black hole with inner and event horizons to a wormhole that connects two asymptotic boundaries with different constant curvatures. The intermediate phase is given in this case by an anti-de Sitter regular black hole with a single event horizon. This regular black hole might appear in two different configurations. As a regular anti-de Sitter black hole inside of an anti-de Sitter wormhole or as an anti-de Sitter regular black hole with a cosmological bounce in its interior. All these geometries are shown to be smoothly connected by the mass parameter only. Other standard stationary black holes, bouncing cosmologies and wormholes are also identified.

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Material e métodos: Realizou-se um estudo de coorte histórica, no qual foi calculada uma amostra de 30 pacientes, a partir dos quais os dados foram coletados no instrumento, retirados do prontuário. Resultados: O índice lactato/albumina foi um bom marcador prognóstico para a determinação da mortalidade na sepse e choque séptico, com signifi cância estatística p <0.001, preenche a hipótese de demonstrar que um índice de lactato / albumina maior que 1.7 se correlaciona com uma mortalidade superior aos 40% na sepse. Encontramos uma forte relação com a depuração do lactato em 6 horas, com resultados satisfatórios como preditor de mortalidade. O índice de lactato/albumina não foi relacionado ao desenvolvimento de disfunção de múltiplos órgãos. Conclusões: O índice de lactato/albumina maior que 1.7 está associado à uma mortalidade superior a 40% em pacientes com sepse. Não há relação entre o índice de lactato/albumina e o desenvolvimento de DOM. Existe uma correlação positiva do índice com as escalas prognósticas do SAPS, APACHEII e SOFA. A área sob a curva ROC foi maior para o índice lactato/ albumina e o clearance de lactato às 6 horas, comparado às escalas prognósticas.

No abstract