Impacto de la comorbilidad en el reingreso tras cirugía de resección pulmonar

El principal objetivo es la evaluación de forma retrospectiva de pacientes sometidos a cirugía de resección pulmonar para determinar si existe relación entre comorbilidades previas a la cirugía y el reingreso en los 30 días posteriores al alta. También un análisis descriptivo de las complicaciones postoperatorias y de la relación entre estas y la comorbilidad que presenta el paciente.<br /

The weakness of business investment in the advanced economies

Artículo de revist

Customized MFM probes based on magnetic nanorods

International audienc

La debilidad de la inversión empresarial en las economías desarrolladas

Artículo de revist

Short-term prognosis of polypharmacy in elderly patients treated in emergency departments: results from the EDEN project

Background: Polypharmacy is a growing phenomenon among elderly individuals. However, there is little information about the frequency of polypharmacy among the elderly population treated in emergency departments (EDs) and its prognostic effect. This study aims to determine the prevalence and short-term prognostic effect of polypharmacy in elderly patients treated in EDs. Methods: A retrospective analysis of the Emergency Department Elderly in Needs (EDEN) project's cohort was performed. This registry included all elderly patients who attended 52 Spanish EDs for any condition. Mild and severe polypharmacy was defined as the use of 5-9 drugs and >10 drugs, respectively. The assessed outcomes were ED revisits, hospital readmissions, and mortality 30 days after discharge. Crude and adjusted logistic regression analyses, including the patient's comorbidities, were performed. Results: A total of 25,557 patients were evaluated [mean age: 78 (IQR: 71-84) years]; 10,534 (41.2%) and 5678 (22.2%) patients presented with mild and severe polypharmacy, respectively. In the adjusted analysis, mild polypharmacy and severe polypharmacy were associated with an increase in ED revisits [odds ratio (OR) 1.13 (95% confidence interval (CI): 1.04-1.23) and 1.38 (95% CI: 1.24-1.51)] and hospital readmissions [OR 1.18 (95% CI: 1.04-1.35) and 1.36 (95% CI: 1.16-1.60)], respectively, compared to non-polypharmacy. Mild and severe polypharmacy were not associated with increased 30-day mortality [OR 1.05 (95% CI: 0.89-2.26) and OR 0.89 (95% CI: 0.72-1.12)], respectively. Conclusion: Polypharmacy was common among the elderly treated in EDs and associated with increased risks of ED revisits and hospital readmissions 10 drugs. In these patients comorbidities were associated with an increase in the number of drugs. In the patients with severe polypharmacy (>10 drugs), diuretics were the most frequently drugs prescribed, followed by antihypertensives and statins. The results obtained indicate that polypharmacy is a frequent phenomenon among the elderly population treated in Emergency departments, being antihypertensives the most frequently used drugs in this population. Those patients who takes >10 drugs have a higher risk of new visits to the emergency room and hospital readmissions in short term period

Shells and humans: molluscs and other coastal resources from the earliest human occupations at the Mesolithic shell midden of El Mazo (Asturias, Northern Spain)

Human populations exploited coastal areas with intensity during the Mesolithic in Atlantic Europe, resulting in the accumulation of large shell middens. Northern Spain is one of the most prolific regions, and especially the so-called Asturian area. Large accumulations of shellfish led some scholars to propose the existence of intensification in the exploitation of coastal resources in the region during the Mesolithic. In this paper, shell remains (molluscs, crustaceans and echinoderms) from stratigraphic units 114 and 115 (dated to the early Mesolithic c. 9 kys cal BP) at El Mazo cave (Asturias, northern Spain) were studied in order to establish resource exploitation patterns and environmental conditions. Species representation showed that limpets, top shells and sea urchins were preferentially exploited. One-millimetre mesh screens were crucial in establishing an accurate minimum number of individuals for sea urchins and to determine their importance in exploitation patterns. Environmental conditions deduced from shell assemblages indicated that temperate conditions prevailed at the time of the occupation and the morphology of the coastline was similar to today (rocky exposed shores). Information recovered relating to species representation, collection areas and shell biometry reflected some evidence of intensification (reduced shell size, collection in lower areas of exposed shores, no size selection in some units and species) in the exploitation of coastal resources through time. However, the results suggested the existence of changes in collection strategies and resource management, and periods of intense shell collection may have alternated with times of shell stock recovery throughout the Mesolithic.This research was performed as part of the project “The human response to the global climatic change in a littoral zone: the case of the transition to the Holocene in the Cantabrian coast (10,000–5000 cal BC) (HAR2010-22115-C02-01)” funded by the Spanish Ministry of Economy and Competitiveness. AGE was funded by the University of Cantabria through a predoctoral grant and IGZ was funded by the Spanish Ministry of Economy and Competitiveness through a Juan de la Cierva grant. We also would like to thank the University of Cantabria and the IIIPC for providing support, David Cuenca-Solana, Alejandro García Moreno and Lucia Agudo Pérez for their help. We also thank Jennifer Jones for correcting the English. Comments from two anonymous reviewers helped to improve the paper

Teresa Berganza, una vida dedicada al canto: conversación

En noviembre de 2018 la mezzosoprano Teresa Berganza recibió la Medalla de Oro del CBA, en reconocimiento a una fructífera carrera que ha durado más de medio siglo. Su arte, definido por una voz portentosa y una musicalidad completa, la ha llevado a trabajar con los más prestigiosos directores de orquesta, entre ellos, Alberto Zedda, quien la calificó como la mejor cantante rossiniana del siglo XX. Su aportación a la ópera en los papeles de Cherubino (Las bodas de Fígaro), Rosina (El barbero de Sevilla) o Angelina (La Cenerentola) le han valido el premio a la trayectoria profesional de los International Opera Awards 2018. En el coloquio posterior al homenaje del CBA, conducido por Juan Ángel Vela del Campo, Berganza recuerda cómo fueron sus inicios y repasa algunos momentos destacados de su carrera y de su vida

Magnetic Force Microscopy (MFM) probes by FEBID and their application

Resumen del trabajo presentado al 7th International Workshop on Focused Electron Beam-Induced (FEBIP), celebrado en Modena (Italia) del 10 al 13 de julio de 2018.Peer Reviewe

Cita en París. Nº 2/73

Entrevista con Anna Marly, compositora y cantante; su canción más conocida "Le chant des partisans", canta también "Sin importancia" y "Un paseo juntos" -- Se habla de Teresa Berganza, de su trayectoria profesional -- Alfio canta "Alinka"Programa de entretenimiento dedicado al público femenino ; Disco propiedad de Radio Alcoy cedido para su difusión y conservació