Search results for "ratifica"
showing 10 items of 258 documents
European perspective on the 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroi…
2018
The American Thyroid Association (ATA) management guidelines for patients with thyroid nodules and differentiated thyroid cancer (DTC) are highly influential practice recommendations. The latest revision appeared in 2015 ("ATA 2015"). These guidelines were developed predominantly by North American experts. European experts frequently have different perspectives, given epidemiological, technological/methodological, practice organization, and medicolegal differences between the respective regions.Divergent viewpoints were the focus of an invited symposium organized by the European Association of Nuclear Medicine involving 17 European thyroidologists, four ATA Guidelines Taskforce members, and…
Sex differences on peak oxygen uptake in heart failure
2019
Women represent nearly half of the adult heart failure (HF) population and they remain underrepresented in HF studies. We aimed to evaluate the evidence about peak oxygen uptake (peak VO2) for clinical stratification in women with HF. This narrative review summarizes (i) the evidence endorsing the value of cardiopulmonary exercise testing for clinical stratification and phenotyping HF population; (ii) the determinants of a person’s functional aerobic capacity to understand predicted values for patients with chronic HF; and (iii) sex differences on peak VO2 data in different forms of HF. Lastly, based on existing data in patients with HF, we provide a perspective on how to improve existing g…
Prevalencia de la violencia de parejas en España: estudio transversal a través de cuestionario en la atención primaria
2017
Objectives: (1) To analyze the prevalence of Intimate Partner Violence by types. (2) To examine the relationship between sociodemographic characteristics and Intimate Partner Violence. Design: Cross-sectional study using a self-administered questionnaire. Setting: Primary Healthcare centers in Spain. Participants: 10,322 women (18–70 years) attending Primary Healthcare centers. Main measurements: A compound index was calculated based on frequency, types, and duration of Intimate Partner Violence. Multivariable adjusted logistic regression models were used to identify the sociodemographic factors, which were independently associated with each Intimate Partner Violence category. Results: The …
Social factors associated with nitrogen dioxide (NO2) exposure during pregnancy: The INMA-Valencia project in Spain
2011
Numerous studies have focused on the effects of exposure to air pollution on health: however, certain subsets of the population tend to be more exposed to such pollutants depending on their social or demographic characteristics. In addition, exposure to toxicants during pregnancy may play a deleterious role in fetal development as fetuses are especially vulnerable to external insults. The present study was carried out within the framework of the INMA (Infancia y Medio Ambiente or Childhood and the Environment) multicenter cohort study with the objective of identifying the social, demographic, and lifestyle factors associated with nitrogen dioxide (NO2) exposure in the subjects in the cohort…
Clinical effectiveness of different natalizumab interval dosing schedules in a large Italian population of patients with multiple sclerosis
2020
IntroductionNatalizumab (NTZ) is one of the most effective treatment options for multiple sclerosis (MS) treatment. Our study aimed to evaluate the effectiveness of NTZ when administered according to the extended dosing strategy compared with standard 4-weekly administration in a large Italian MS population.Materials and methodsThis retrospective multicentre study included patients with relapsing-remitting MS (RR-MS) who received NTZ administrations between the 1 June 2012 and the 15 May 2018 and were followed by the ‘Italian MS Register’. All patients with MS were stratified into two groups based on NTZ administration schedule: standard interval dosing (SID) patients who received infusions…
The Role of Mobile Health Technologies in Stratifying Patients for AIT and Its Cessation: The ARIA-EAACI Perspective.
2020
Allergen immunotherapy (AIT) is a proven therapeutic option for the treatment of allergic rhinitis and/or asthma. Many international or national practice guidelines have been produced, but the evidence-based method varies and they do not usually propose care pathways. The present article considers the possible role of mobile health in AIT for allergic rhinitis/asthma. There are no currently available validated biologic biomarkers that can predict AIT success, and mobile health biomarkers have some relevance. In the current article, the following aspects will be discussed: patient stratification for AIT, symptom-medication scores for the follow-up of patients, clinical trials, as well as the…
RadioAstron reveals a spine-sheath jet structure in 3C 273
2021
We present Space-VLBI RadioAstron observations at 1.6 GHz and 4.8 GHz of the flat spectrum radio quasar 3C 273, with detections on baselines up to 4.5 and 3.3 Earth Diameters, respectively. Achieving the best angular resolution at 1.6 GHz to date, we have imaged limb-brightening in the jet, not previously detected in this source. In contrast, at 4.8 GHz, we detected emission from a central stream of plasma, with a spatial distribution complementary to the limb-brightened emission, indicating an origin in the spine of the jet. While a stratification across the jet width in the flow density, internal energy, magnetic field, or bulk flow velocity are usually invoked to explain the limb-brighte…
What Flow Conditions are Conducive to Banner Cloud Formation?
2016
Abstract Banner clouds are clouds that are attached to the leeward slope of a steep mountain. Their formation is essentially due to strong Lagrangian uplift of air in the lee of the mountain. However, little is known about the flow regime in which banner clouds can be expected to occur. The present study addresses this question through numerical simulations of flow past idealized orography. Systematic sets of simulations are carried out exploring the parameter space spanned by two dimensionless numbers, which represent the aspect ratio of the mountain and the stratification of the flow. The simulations include both two-dimensional flow past two-dimensional orography and three-dimensional fl…
Numerical simulation of internal boundary-layer development and comparison with atmospheric data
2006
A finite-volume numerical model is employed to investigate the adaptation of the atmospheric boundary layer to a change in the underlying surface roughness, such as that existing in the transition from land to the free surface of a water body. Numerical results are validated by comparison with neutral stratification atmospheric data and compared with the internal boundary-layer (IBL) heights computed using a number of existing empirical formulae. The numerical analysis allows an extension of the fetch range in which the existing formulae, calibrated only by comparison with short fetch data, may be applied. An argument is offered that the spatial variability of the water surface roughness sh…
Evaluation of training in guideline-oriented biopsychosocial management of low back pain in occupational health services:Protocol of a cluster random…
2021
Background To prevent low back pain (LBP) from developing into a prolonged disabling condition, clinical guidelines advocate early stage assessment, risk‐screening, and tailored interventions. Occupational health services recommend guideline‐oriented biopsychosocial screening and individualized assessment and management. However, it is not known whether training a limited number of health care professionals improves the management process. The primary objective of this study is to investigate whether training in the biopsychosocial practice model is effective in reducing disability. Furthermore, we aim to evaluate health‐economic impacts of the training intervention in comparison to usual m…