5 research outputs found

    Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

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    : The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

    The Underwater Archaeological Map of the Southern Apulia: the GIS (Geographic Information System)

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    The project allowed us to upgrade the computerized archive of Underwater Archaeological Map of southern Apulia published in 2004 (Auriemma, 2004) in the current Geographic Information System (WebGIS) shared on the network (Cossa, 2013: 3-4 http://www.arcgis.com/ apps/OnePane/storytelling_basic/index.html?appid=edb2b5022b3a4d4abb1b6f4abc95a2c7 ). Developed on the platform ArcGIS-online (www.arcgis.com), thanks to the support of the company Esri, the contribution of CUIS-Consorzio Universitario Interprovinciale Salentino, the partner (city of Racale-Lecce, ITALY) and in accordance with the Superintendence of Archaeological Heritage of Apulia region, this networked version of Forma Maris Antiqui consists of approximately 650 archaeological underwater contexts or artefacts assemblages along the coast of southern Apulia (Cossa et alii, 2010; Cossa et alii, 2012; Zaccarelli et alii, 2011). The cataloguing is in agreement with the ministerial ICCD (Istituto Centrale per il Catalogo e la Documentazione) standard. The next step, aims to include this GIS inside the larger information system of the Carta dei Beni Culturali della Puglia

    Characterization and dating of waterlogged woods from an ancient harbor in Italy

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    Waterlogged wood samples of Ulmus sp. and Fraxinus sp. from the ancient harbor of Otranto in Southern Italy were radiocarbon dated by accelerator mass spectrometry (AMS) and examined for physical and chemical changes to assess the degree of degradation. The analyzed woods were dated to the 2nd half of the twelfth – 1st half of the thirteenth centuries AD. The results of all the used methods (maximum water content, basic density, shrinkage, XRD analysis and holocellulose content) indicated a low level of degradation in the inner part of the wooden find. The outer and middle part, on the other hand, showed a greater degradation level. An important result is the identification of a not homogeneous degradation in the different parts of the examined wooden block, which will affect the design of the consolidating treatmen

    NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

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    Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data
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