Search results for " M.R.A."
showing 10 items of 1793 documents
Prevención y control del tabaquismo: avances y retos en la aplicación del Convenio Marco de la OMS en España
2010
En este artículo se revisa la situación actual y las tendencias observables del tabaquismo en España en todo lo relacionado con su prevalencia e impacto sanitario. En base a esta situación se resumen los avances recientes que se han producido en nuestro país en materia de prevención y control del tabaquismo, así como los retos pendientes para alcanzar los compromisos que España adquirió cuando en el año 2003 firmó su adhesión al Convenio Marco de la OMS para el Control del Tabaquismo, ratificándolo en 2004. Entre las medidas que requieren un mayor compromiso político para seguir avanzando destacan: a) la ampliación de la Ley 28/2005 para asegurar la protección frente al humo ambiental de ta…
Do ventilatory parameters influence outcome in patients with severe acute respiratory infection? Secondary analysis of an international, multicentre1…
2021
Purpose: To investigate the possible association between ventilatory settings on the first day of invasive mechanical ventilation (IMV) and mortality in patients admitted to the intensive care unit (ICU) with severe acute respiratory infection (SARI). Materials and methods: In this pre-planned sub-study of a prospective, multicentre observational study, 441 patients with SARI who received controlled IMV during the ICU stay were included in the analysis. Results: ICU and hospital mortality rates were 23.1 and 28.1%, respectively. In multivariable analysis, tidal volume and respiratory rate on the first day of IMV were not associated with an increased risk of death; however, higher driving pr…
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…
La dimensión cívica de las artes
2002
The impact of the farming, abandonment and agricultural intensification on loss of water and soil. The example of the northern slopes of the Serra Gr…
2012
Land abandonment throughout the twentieth century led to an intense landscape transformation in the mountain areas of the Iberian Peninsula. In some cases, and after 50 years of abandonment, agriculture returned with the development of commercial farms and the intensification of the agrarian activities. In the Easter Iberian Peninsula, following the abandonment of olive groves, vineyards and cereals during the 50's, has been in the past two decades the expansion of intensive citrus production on sloping terrain. Geomorphological transects and simulated rainfall experiments have quantified the impact of traditional rainfed cultivation of the 50's, abandonment, and the intensification of farm…
Ad laudem Divini nominis et honorem gloriosissimae Dei Genetricis et semper Virginis Mariae. L’abbazia di Santa Maria di Altofonte
2019
Inediti documenti fanno in parte riemergere l’antico splendore dell’abbazia di Santa Maria di Altofonte, fondata da Federico III e retta dal XV secolo da abati commendatari appartenenti a nobili famiglie, come Ascanio Colonna, Scipione Borghese e Francesco Maria Medici. Dell’esiguo patrimonio artistico rimasto fa parte la coppia di reliquiari di argentiere messinese del 1727 ascritta alla committenza dell’abate Bartolotta. New documents partly re-emerge the ancient splendour of the abbey of Santa Maria di Altofonte, founded by Frederick III and ruled since the 15th century by commendatory abbots belonging to noble families, such as Ascanio Colonna, Scipione Borghese and Francesco Maria Medi…
One-Year Outcome of Glycoprotein IIb/IIIa Inhibitor Therapy in Patients with Myocardial Infarction-Related Cardiogenic Shock
2021
Background: We aimed to evaluate the effect of intravenous glycoprotein IIb/IIIa receptor inhibitors (GPIs) on in-hospital survival and mortality during and at the 1-year follow-up in patients undergoing percutaneous coronary intervention (PCI) for myocardial infarction (MI) complicated by cardiogenic shock (CS), who were included in the Polish Registry of Acute Coronary Syndromes (PL-ACS). Methods: From 2003 to 2019, 466,566 MI patients were included in the PL-ACS registry. A total of 10,193 patients with CS received PCI on admission. Among them, GPIs were used in 3934 patients. Results: The patients treated with GPIs were younger, had lower systolic blood pressure on admission, required i…
High-sensitivity troponin T and the risk of recurrent readmissions after hospitalization for acute heart failure
2017
Abstract Objectives High-sensitivity troponin is a biomarker of myocardial damage and is associated with a greater risk of mortality and disease progression in patients with acute heart failure (AHF). However, its relationship with the risk of future readmissions is less known. The aim of this study was to assess the association between ultrasensitive troponin T (TnT-us) values in patients with AHF and the risk of recurrent readmissions in the follow-up. Methods We prospectively included a cohort of 621 consecutive patients with AHF, excluding those patients with acute coronary syndrome. We measured the TnT-us levels obtained during the first medical contact in the emergency department. The…
Post-Infectious Myocardial Infarction: New Insights for Improved Screening
2019
Acute infection is suspected of involvement in the onset of acute myocardial infarction (MI). We aimed to assess the incidence, pathogenesis and prognosis of post-infectious MI. All consecutive patients hospitalized for an acute MI in coronary care units were prospectively included. Post-infectious MI was defined by a concurrent diagnosis of acute infection at admission. Type 1 MI (acute plaque disruption) or Type 2 MI (imbalance in oxygen supply/demand) were adjudicated according to the universal definition of MI. From the 4573 patients admitted for acute MI, 466 (10%) had a concurrent acute infection (median age 78 (66–85) y, 60% male), of whom 313 (67%) had a respiratory tract infection.…
Rural–urban differences in the long-term risk of colorectal cancer after adenoma removal: A population-based study
2013
Abstract Background We investigated the impact of municipality of residence on colonoscopic surveillance and colorectal cancer risk after adenoma resection in a French well-defined administrative area. Methods This registry-based study included all patients residing in Cote d’Or (n = 5769) first diagnosed with colorectal adenomas between January 1, 1990, and December 31, 1999. Information about colonoscopic surveillance and colorectal cancer incidence was collected until December 31, 2003. Results A rural place of residence reduced the probability of colonoscopic surveillance in men [HR = 0.89 (95%CI: 0.79–0.99), p = 0.041] and in patients without family history of colorectal cancer [HR = 0…