0000000000885932

AUTHOR

Anna Rossi

showing 14 related works from this author

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute resp…

2022

Contains fulltext : 252214.pdf (Publisher’s version ) (Open Access) BACKGROUND: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. METHODS: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to defi…

MaleSociodemographic FactorsRespiration Artificial/methodsARDS ; mechanical ventilationSeverity of Illness IndexNOSettore MED/41 - ANESTESIOLOGIA80 and overTidal VolumeHumansHospital MortalityProspective Studiesddc:610Developing CountriesAgedHospital Mortality/trendsAged 80 and overDeveloped Countries/statistics & numerical dataDeveloping Countries/statistics & numerical dataRespirationDeveloped CountriesArticlesGeneral Medicineacute respiratory distress syndromeLength of StayMiddle AgedRespiration ArtificialIntensive Care UnitsObservational Studies as Topiclnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]Length of Stay/statistics & numerical dataArtificialIntensive Care Units/statistics & numerical dataIncomeFemaleARDS
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Supernova bounds on resonant active-sterile neutrino conversions

1997

We discuss the effects of resonant $\nu_e \to \nu_s$ and $\bar{\nu}_e \to \bar{\nu}_s$ ($\nu_s$ is a sterile neutrino) conversions in the dense medium of a supernova. In particular, we assume the sterile neutrino $\nu_s$ to be in the hot dark matter few eV mass range. The implications of such a scenario for the supernova shock re-heating, the detected $\bar\nu_e$ signal from SN1987A and for the r-process nucleosynthesis hypothesis are analysed in some detail. The resulting constraints on mixing and mass difference for the $\nu_e-\nu_s$ system are derived. There is also an allowed region in the neutrino parameter space for which the r-process nucleosynthesis can be enhanced.

Nuclear and High Energy PhysicsParticle physicsSterile neutrinoAstrophysics::High Energy Astrophysical PhenomenaFOS: Physical sciencesParameter spaceAstrophysics01 natural sciences7. Clean energyHigh Energy Physics - Phenomenology (hep-ph)Nucleosynthesis0103 physical sciences010306 general physicsAstrophysics::Galaxy AstrophysicsMixing (physics)Physics010308 nuclear & particles physicsHot dark matterAstrophysics (astro-ph)High Energy Physics::PhenomenologyFísicaHigh Energy Physics - PhenomenologySupernovar-processHigh Energy Physics::ExperimentNeutrinoPhysical Review D
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Geo-economic variations in epidemiology, patterns of care, and outcomes in patients with acute respiratory distress syndrome: insights from the LUNG …

2017

Background Little information is available about the geo-economic variations in demographics, management, and outcomes of patients with acute respiratory distress syndrome (ARDS). We aimed to characterise the effect of these geo-economic variations in patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE). Methods LUNG SAFE was done during 4 consecutive weeks in winter, 2014, in a convenience sample of 459 intensive-care units in 50 countries across six continents. Inclusion criteria were admission to a participating intensive-care unit (including transfers) within the enrolment window and receipt of invasive or non…

MaleARDSdemographyeconomicmedicine.medical_treatmentTerapéuticaair conditioningComorbidityintensive care unitdeveloped country0302 clinical medicineneuromuscular blockingmiddle agedacute myocardial-infarctionmiddle income countryProspective StudiesGeography Medicalcritically-ill patientsadultagedpriority journalrisk factorIncomegeographic-variationDeveloped countryhospitalizationprospective studyHumanPulmonary and Respiratory MedicineDeveloped Countriemedicine.medical_specialtyDeveloping countryArticle/dk/atira/pure/subjectarea/asjc/2700/274003 medical and health sciencesSíndrome respiratorio agudo graveunitsMedicalHumansIntensive care medicineDeveloping CountriesAgedhigh income countryRespiratory Distress Syndrome Adultnoninvasive ventilationAparato respiratoriomedicine.diseasemortalitymajor clinical studyProspective Studiearterial oxygen tension030228 respiratory systemARDSObservational studySociologíahealth care deliverygeographyintensive-careRisk FactorsEpidemiologyProspective cohort studyRespiratory Distress Syndromepartial pressureartificial ventilationSociología médicaMiddle Agedadult respiratory distress syndromeAged; Comorbidity; Delivery of Health Care; Developed Countries; Developing Countries; Europe; Female; Geography Medical; Humans; Income; Intensive Care Units; Male; Middle Aged; Patient Outcome Assessment; Prospective Studies; Respiratory Distress Syndrome Adult; Risk Factors; Pulmonary and Respiratory MedicineEuropeIntensive Care UnitsfemaleincomeFemaleEnfermedadinjurycohort analysigross national incomesurvivalNOmedical geographyDeveloping Countrielength of staymedicinecontrolled studyoutcome assessmentbreast-cancerMechanical ventilationdiseasebusiness.industryDeveloped Countriespatient caredeveloping country030208 emergency & critical care medicinestatistics and numerical data AgedComorbiditywinterACUTE MYOCARDIAL-INFARCTION; CRITICALLY-ILL PATIENTS; GEOGRAPHIC-VARIATION; INTENSIVE-CARE; BREAST-CANCER; MORTALITY; DISEASE; INJURY; UNITS; HOSPITALIZATIONPatient Outcome AssessmentEmergency medicineprone positiontreatment outcomebusinessDelivery of Health Care
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Resonant conversion of massless neutrinos in supernovae

1996

It has been noted for a long time that, in some circumstances, {\sl massless} neutrinos may be {\sl mixed} in the leptonic charged current. Conventional neutrino oscillation searches in vacuum are insensitive to this mixing. We discuss the effects of resonant massless-neutrino conversions in the dense medium of a supernova. In particular, we show how the detected $\bar\nu_e$ energy spectra from SN1987a and the supernova $r$-process nucleosynthesis may be used to provide very stringent constraints on the mixing of {\sl massless} neutrinos.

PhysicsNuclear and High Energy PhysicsParticle physicsAstrophysics::High Energy Astrophysical PhenomenaAstrophysics (astro-ph)High Energy Physics::PhenomenologyFOS: Physical sciencesFísicaAstrophysicsNuclear physicsMassless particleSupernovaHigh Energy Physics - PhenomenologyGeneral Relativity and Quantum CosmologyHigh Energy Physics - Phenomenology (hep-ph)NucleosynthesisHigh Energy Physics::ExperimentNeutrinoNeutrino oscillationMixing (physics)Charged currentEnergy (signal processing)
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Supernova Bounds on Supersymmetric $R$-parity Violating Interactions

1996

We re-examine resonant massless-neutrino conversions in a dense medium induced by flavour changing neutral current (FCNC) interactions. We show how the observed $\bar\nu_e$ energy spectra from SN1987a and the supernova $r$-process nucleosynthesis provide constraints on supersymmetric models with $R$ parity violation, which are much more stringent than those obtained from the laboratory. We also suggest that resonant massless-neutrino conversions may play a positive role in supernova shock reheating. Finally, we examine the constraints on explicit $R$-parity-violating FCNCs in the presence of non-zero neutrino masses in the eV range, as indicated by present hot dark matter observations.

PhysicsNuclear and High Energy PhysicsParticle physicsNeutral currentHot dark matterAstrophysics::High Energy Astrophysical PhenomenaAstrophysics (astro-ph)High Energy Physics::PhenomenologyFOS: Physical sciencesFísicaParity (physics)AstrophysicsSpectral lineSupernovaHigh Energy Physics - PhenomenologyHigh Energy Physics - Phenomenology (hep-ph)NucleosynthesisR-parityHigh Energy Physics::ExperimentNeutrino
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The effect of random matter density perturbations on the MSW solution to the solar neutrino problem

1996

We consider the implications of solar matter density random noise upon resonant neutrino conversion. The evolution equation describing MSW-like conversion is derived in the framework of the Schr\"odinger approach. We study quantitatively their effect upon both large and small mixing angle MSW solutions to the solar neutrino problem. This is carried out both for the active-active $\nu_e \ra \nu_{\mu,\tau}$ as well as active-sterile $\nu_e \ra \nu_s$ conversion channels. We find that the small mixing MSW solution is much more stable (especially in $\Delta m^2$) than the large mixing solution. The possible existence of solar matter density noise at the few percent level could be tested at futu…

PhysicsNuclear and High Energy PhysicsParticle physicsSolar neutrinoAstrophysics (astro-ph)High Energy Physics::PhenomenologyFOS: Physical sciencesFísicaSolar neutrino problemAstrophysicsNoise (electronics)symbols.namesakeHigh Energy Physics - PhenomenologyHigh Energy Physics - Phenomenology (hep-ph)Evolution equationsymbolsHigh Energy Physics::ExperimentNeutrinoBorexinoSchrödinger's catMixing (physics)
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Mechanical ventilation in patients with cardiogenic pulmonary edema: a sub-analysis of the LUNG SAFE study

2022

Supported by Centro de Investigación Biomédica en Red (CIBER)‑Enfermedades respiratorias, Madrid, Spain (CB17/06/00021) and Fundación para el Fomento en Asturias de la Investigación Científica aplicada y la tecnología (FICYT, AYUD2021/52014). RRG is the recipient of a grant from Instituto de Salud Carlos III, Madrid, Spain (CM20/00083).

Ventilator-induced lung injuryCardiogenic pulmonary edema; Driving pressure; Mechanical ventilation; Ventilator-induced lung injurylnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]Mechanical ventilationCardiogenic pulmonary edemaSettore MED/41 - ANESTESIOLOGIADriving pressureCritical Care and Intensive Care Medicine
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Borexino as a test of solar matter density fluctuations

1997

This talk summarizes some results of our recent work focusing on the possibility to test solar matter density fluctuations by the future Borexino experiment.

PhysicsNuclear and High Energy PhysicsParticle physicsHigh Energy Physics - PhenomenologyHigh Energy Physics - Phenomenology (hep-ph)Physics::Instrumentation and DetectorsAstrophysics (astro-ph)FísicaFOS: Physical sciencesAstrophysicsAtomic and Molecular Physics and OpticsBorexinoTest (assessment)
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Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome: Insights from the LUNG SAFE study

2020

Abstract Background Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence o…

ARDSmedicine.medical_treatment030204 cardiovascular system & hematologyCritical Care and Intensive Care MedicineHyperoxemiaHypoxemialaw.inventionHypoxemia0302 clinical medicinelawFraction of inspired oxygenOxygen therapyPrevalenceMedicineHypoxiaAcute respiratory distress syndrome; Hyperoxemia; Hyperoxia; Hypoxemia; Hypoxia; Invasive mechanical ventilation; Mortality; Oxygen therapy;Respiratory Distress SyndromeHyperbaric OxygenationAcute respiratory distress syndromeRespirationlcsh:Medical emergencies. Critical care. Intensive care. First aidHyperoxemiaIntensive care unitIntensive Care UnitsAnesthesiaArtificialmedicine.symptomHumanArtificial ventilationAcute respiratory distress syndrome; Hyperoxemia; Hyperoxia; Hypoxemia; Hypoxia; Invasive mechanical ventilation; Mortality; Oxygen therapyIntensive Care UnitHyperoxiaNO03 medical and health sciencesIntensive careSettore MED/41 - ANESTESIOLOGIAHumansInvasive mechanical ventilationMortalitybusiness.industryResearchRespiratory Distress Syndrome Adultlcsh:RC86-88.9medicine.diseaseOxygen therapyRespiration Artificialrespiratory tract diseasesOxygenlnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]030228 respiratory systembusiness
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Bounds on sterile neutrino mixing for cosmologically interesting mass range

1997

This talk summarizes our recent work which studied the impact of resonant $\nu_e \to\nu_s$ and $\bar{\nu}_e\to\bar{\nu}_s$ ($\nu_s$ is a sterile neutrino) conversions on supernova physics, under the assumption that the mass of the sterile state is in the few eV -cosmologically significant range.

PhysicsNuclear and High Energy PhysicsParticle physicsRange (particle radiation)Sterile neutrino010308 nuclear & particles physicsAstrophysics::High Energy Astrophysical PhenomenaAstrophysics (astro-ph)High Energy Physics::PhenomenologyFOS: Physical sciencesFísicaAstrophysics::Cosmology and Extragalactic AstrophysicsAstrophysics01 natural sciencesAtomic and Molecular Physics and OpticsSupernovaHigh Energy Physics - PhenomenologyHigh Energy Physics - Phenomenology (hep-ph)0103 physical sciencesHigh Energy Physics::Experiment010306 general physicsMixing (physics)Bar (unit)
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Immunocompromised patients with acute respiratory distress syndrome: Secondary analysis of the LUNG SAFE database

2018

Background: The aim of this study was to describe data on epidemiology, ventilatory management, and outcome of acute respiratory distress syndrome (ARDS) in immunocompromised patients. Methods: We performed a post hoc analysis on the cohort of immunocompromised patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) study. The LUNG SAFE study was an international, prospective study including hypoxemic patients in 459 ICUs from 50 countries across 5 continents. Results: Of 2813 patients with ARDS, 584 (20.8%) were immunocompromised, 38.9% of whom had an unspecified cause. Pneumonia, nonpulmonary sepsis, and noncardiog…

MaleARDSmodelos logísticosDatabases Factualmedicine.medical_treatment[SDV]Life Sciences [q-bio]humanoslnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]Kaplan-Meier EstimateCritical Care and Intensive Care MedicineAcute respiratory failureSeverity of Illness IndexCohort Studiesrandomized-trial0302 clinical medicineMechanical ventilationRisk Factorsestudios prospectivosEpidemiology80 and overicuMedicineProspective StudiesProspective cohort studyestudios de cohortesImmunodeficiencymediana edadestadísticasAged 80 and overRespiratory Distress Syndromeancianocritically-ill patientsRespirationresultado del tratamientorespiraciónStatisticslcsh:Medical emergencies. Critical care. Intensive care. First aidadultoMiddle Aged3. Good healthfailureIntensive Care UnitsTreatment OutcomeArtificialCohortprospective multicenterImmunocompromised patientsAcute respiratory failure; ARDS; Immunocompromised patients; Mechanical ventilation; Noninvasive ventilation; Critical Care and Intensive Care MedicineFemaleNoninvasive ventilationHumanestimación de Kaplan-MeierAdultmedicine.medical_specialtyLogistic ModelIntensive Care UnitSocio-culturaleunidades de cuidados intensivossurvivalStatistics NonparametricSepsisDatabases03 medical and health sciencesImmunocompromised HostInternal medicineImmunocompromised patientcancerfactores de riesgoHumansNonparametricíndice de gravedad de la enfermedadintensive-care-unitFactualAgedMechanical ventilationbusiness.industryResearchRisk FactorRespiratory Distress Syndrome Adult030208 emergency & critical care medicinelcsh:RC86-88.9medicine.diseaseRespiration ArtificialPneumoniaProspective StudieLogistic Models030228 respiratory systemmalignanciesARDShuésped inmunodeprimidoCohort StudiebusinessAcute respiratory failure; ARDS; Immunocompromised patients; Mechanical ventilation; Noninvasive ventilation; Adult; Aged; Aged 80 and over; Cohort Studies; Databases Factual; Female; Humans; Intensive Care Units; Kaplan-Meier Estimate; Logistic Models; Male; Middle Aged; Prospective Studies; Respiration Artificial; Respiratory Distress Syndrome Adult; Risk Factors; Severity of Illness Index; Statistics Nonparametric; Treatment Outcome; Immunocompromised Host
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Validation and utility of ARDS subphenotypes identified by machine-learning models using clinical data: an observational, multicohort, retrospective …

2022

Item does not contain fulltext BACKGROUND: Two acute respiratory distress syndrome (ARDS) subphenotypes (hyperinflammatory and hypoinflammatory) with distinct clinical and biological features and differential treatment responses have been identified using latent class analysis (LCA) in seven individual cohorts. To facilitate bedside identification of subphenotypes, clinical classifier models using readily available clinical variables have been described in four randomised controlled trials. We aimed to assess the performance of these models in observational cohorts of ARDS. METHODS: In this observational, multicohort, retrospective study, we validated two machine-learning clinical classifie…

Pulmonary and Respiratory MedicineClinical SciencesAcute Lung InjuryArticleMachine LearningPositive-Pressure RespirationRare DiseasesClinical ResearchRetrospective StudieSettore MED/41 - ANESTESIOLOGIAHumansLungAcute Respiratory Distress SyndromeRetrospective StudiesRespiratory Distress SyndromeOther Medical and Health SciencesLUNG SAFE Investigators and the ESICM Trials Grouplnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]PhenotypeGood Health and Well BeingArea Under CurveARDS: PhenotypeRespiratoryPublic Health and Health ServicesARDSHuman
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"Se ei oo mulle pelkkä koulutus" : Life coach -koulutus kokonaisvaltaisen oppimisen ja henkilökohtaisen kehityksen voimaannuttavana mahdollistajana

2017

Tämän laadullisen tutkimuksen tarkoituksena oli selvittää, mitä vajaan vuoden mittaiseen life coach -koulutukseen osallistuvat aikuisopiskelijat kokivat koulutusjakson aikana, millaista oppimista koulutuksen aikana tapahtui sekä miten koulutuksen vaikutukset näkyivät opiskelijoiden arjessa. Tutkimuksen teon aikana tutkimuksen fokus tarkentui, ja keskeiseksi nousivat kokemuksellisen oppimisen merkitys sekä opiskelijoiden koulutusvuoden aikana kokema henkilökohtainen oppimis- ja kasvuprosessi. Tutkimuksen taustateoriana on fenomenologis-hermeneuttinen lähestymis- tapa, jonka pohjalta tutkimusmenetelmäksi valikoitui haastattelututkimus. Aineistonkeruu toteutettiin avoimien haastatteluiden muod…

life coach -koulutuselämäntaitokokemuksellinen oppiminenlife coachFenomenologinen tutkimusFenomenologis-hermeneuttinen tutkimusvalmennusvoimaantuminen
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Outcomes of Patients Presenting with Mild Acute Respiratory Distress Syndrome: Insights from the LUNG SAFE Study

2019

Editor's Perspective What We Already Know about This Topic Hospital mortality in acute respiratory distress syndrome is approximately 40%, but mortality and trajectory in "mild" acute respiratory distress syndrome (classified only since 2012) are unknown, and many cases are not detected What This Article Tells Us That Is New Approximately 80% of cases of mild acute respiratory distress syndrome persist or worsen in the first week; in all cases, the mortality is substantial (30%) and is higher (37%) in those in whom the acute respiratory distress syndrome progresses Background: Patients with initial mild acute respiratory distress syndrome are often underrecognized and mistakenly considered …

MaleInternationalityRespiratory Distress Syndrome Adultadult respiratory distress syndromeMiddle AgedSeverity of Illness IndexPatient Outcome AssessmentProspective StudieAnesthesiology and Pain MedicineSettore MED/41 - ANESTESIOLOGIAARDSFemaleHospital MortalityAcute Respiratory Distress SyndromeHuman
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