Título: Bando 1647 07 23

Al final : "Dat. en... Valencia a 23 de Iulio 1647"Contiene la lista de desertores de la leva hecha para la defensa de TortosaSign.: A

Development and validation of a questionnaire on 'Satisfaction with dermatological treatment of hand eczema' (DermaSat)

<p>Abstract</p> <p>Objective</p> <p>To develop a self-administered short questionnaire to assess patient satisfaction with medical treatment for hand eczema (dermatitis) with good psychometric properties.</p> <p>Method</p> <p>The content of the questionnaire was determined on the basis of clinical consultation with groups of patients, from studying the existing instruments, and from discussions with a panel of seven experts. A first draft version containing 38 items organised in six dimensions was tested on a pilot sample of patients to assess its legibility. The extended version was then tested on a sample of 217 patients of both genders enrolled at 18 hospitals representative of the national distribution. The questionnaire was supplied together with the Morisky-Green compliance questionnaire, the health-related quality of life (HRQL) SF-12 questionnaire, and a visual analogue scale (VAS) of perceived health status to assess concurrent validity. The dimensionality was reduced by means of exploratory factor analysis, and reliability was evaluated on the basis of internal consistency and two halves reliability estimates. Item discriminant capability and questionnaire discriminant validity with respect to known groups of patients (by gender, principal diagnosis, age, disease severity and treatment) were also assessed.</p> <p>Results</p> <p>The reduction and validation sample was composed of 54% women and 46% men, of various educational levels with an average age of 43 years (SD = 13.7). Of those who responded, 26% were diagnosed with hyperkeratotic dermatitis of the palms and 27% of the fingertips, and 47% with recurring palmar dyshidrotic eczema. The questionnaire was shortened to a version containing 17 items grouped in six dimensions: effectiveness, convenience, impact on HRQL, medical follow-up, side effects, and general opinion. Cronbach's alpha coefficient reached a value of 0.9. The dimensions showed different degrees of correlation, and the scores had a normal distribution with an average of 58.4 points (SD = 18.01). Treatment satisfaction scores attained correlations between 0.003 and 0.222 with the HRQL measures, and showed higher correlations with the effectiveness (r = 0.41) and tolerability (0.22) measures, but very low correlation with compliance (r = 0.015). Significant differences were observed between some diagnoses and treatments.</p> <p>Conclusions</p> <p>The shortened questionnaire proved to have good psychometric properties, providing excellent reliability, satisfactorily reproducing the proposed structure and supplying evidence of validity.</p

Análise de tendência de mortalidade por sepse no Brasil e por regiões de 2010 a 2019

OBJETIVO Caracterizar o perfil dos pacientes internados e a tendência de mortalidade por sepse no Sistema Único de Saúde (SUS), em todo Brasil e em suas regiões separadamente, entre os anos de 2010 e 2019. MÉTODOS Estudo observacional, analítico e retrospectivo de dados secundários obtidos por consulta ao Sistema de Informação Hospitalar. Foram incluídas todas as notificações por septicemia admitidas entre 1 de janeiro de 2010 e 31 de dezembro de 2019. Utilizou-se as variáveis sociodemográficas: sexo, idade, raça, região e unidade federativa de residência. Para a análise dos dados, utilizou-se coeficiente de mortalidade e de internação, risco relativo e regressão por Joinpoints. RESULTADOS Totalizaram-se 1.044.227 casos de sepse no país, perfazendo um coeficiente de prevalência média de 51,3/100 mil habitantes. Foram registrados 463 mil óbitos por sepse, com coeficiente médio de 22,8 óbitos/100 mil habitantes. As maiores taxas ocorreram entre os idosos, de raça parda e não houve uma diferença significativa entre os sexos. A Região Sudeste foi responsável pelo maior índice de internação e óbitos. Observou-se uma tendência geral de aumento da mortalidade no período estudado. CONCLUSÃO Cabe considerar a heterogeneidade do Brasil, no que concerne às características socioeconômicas e demográficas e às diferenças de investimento em saúde e de subnotificações entre as regiões, a fim de entender o traçado epidemiológico da doença. Por fim, é necessário correlacionar esses achados com demais estudos, buscando entendimento do comportamento da doença e embasamento para políticas públicas e privadas, com intuito de diminuir a expressividade de casos e óbitos por sepse no país.OBJECTIVE To characterize the profile of inpatients and trend of sepsis mortality in the Brazilian Unified Health System (SUS), throughout Brazil, and in its regions separately, from 2010 to 2019. METHODS Observational, analytical and retrospective study of secondary data obtained through consultation to the Sistema de Informação Hospitalar (Hospital Information System). All incoming septicemia notifications from January 1, 2010 to December 31, 2019 were included. The following sociodemographic variables were used: sex, age, race, region and federative unit of residence. For data analysis, we used mortality and hospitalization coefficient, relative risk and Joinpoint regression. RESULTS There were a total of 1,044,227 cases of sepsis in Brazil, yielding a mean prevalence coefficient of 51.3/100 thousand inhabitants. There were 463,000 deaths from sepsis recorded, with a mean prevalence coefficient of 22.8 deaths/100,000 inhabitants. The highest rates occurred among the elderly, of brown race, and there was no significant difference between genders. The Southeast region accounted for the highest rates of hospitalization and deaths. A general trend toward increased mortality was observed in the period studied. CONCLUSION The heterogeneity of Brazil should be considered regarding socioeconomic and demographic characteristics, and differences in health investment and underreporting between regions, in order to understand the disease’s epidemiological course. Finally, these findings should be correlated with other studies, in an effort to understand the behavior of the disease, and provide inputs for public and private policies in order to reduce the expressiveness of cases and deaths from sepsis in Brazil

Platinum-Triggered Bond-Cleavage of Pentynoyl Amide and N-Propargyl Handles for Drug-Activation.

The ability to create ways to control drug activation at specific tissues while sparing healthy tissues remains a major challenge. The administration of exogenous target-specific triggers offers the potential for traceless release of active drugs on tumor sites from antibody-drug conjugates (ADCs) and caged prodrugs. We have developed a metal-mediated bond-cleavage reaction that uses platinum complexes [K2PtCl4 or Cisplatin (CisPt)] for drug activation. Key to the success of the reaction is a water-promoted activation process that triggers the reactivity of the platinum complexes. Under these conditions, the decaging of pentynoyl tertiary amides and N-propargyls occurs rapidly in aqueous systems. In cells, the protected analogues of cytotoxic drugs 5-fluorouracil (5-FU) and monomethyl auristatin E (MMAE) are partially activated by nontoxic amounts of platinum salts. Additionally, a noninternalizing ADC built with a pentynoyl traceless linker that features a tertiary amide protected MMAE was also decaged in the presence of platinum salts for extracellular drug release in cancer cells. Finally, CisPt-mediated prodrug activation of a propargyl derivative of 5-FU was shown in a colorectal zebrafish xenograft model that led to significant reductions in tumor size. Overall, our results reveal a new metal-based cleavable reaction that expands the application of platinum complexes beyond those in catalysis and cancer therapy.EPSRC studentship for Benjamin Stenton

Interação entre polaridades afetivas e espaciais: preferências no futebol e compatibilidade estímulo-resposta

The affective valence of visual stimuli elicits approach and avoidance reactions to positive and negative stimuli, respectively. In Simon task, the reaction time is shorter when the stimulus and the response are on the same side (corresponding condition) than when they are on opposite sides (non-corresponding condition). The difference between the reaction times is the Simon effect. This work investigated how the affective valences of the Favorite and Rival teams influence the Simon effect. The results showed a bigger Simon effect for the Favorite team, suggesting that the Favorite positive valence facilitates the corresponding response.La valencia afectiva de los estímulos visuales provoca reacciones de aproximación y evitación a estímulos positivos y negativos, respectivamente. En la tarea de Simon, el tiempo de reacción es menor cuando el estímulo y la respuesta están del mismo lado (condición correspondiente) que cuando están en lados opuestos (condición no-correspondiente). La diferencia entre los tiempos de reacción es el efecto Simon. En este trabajo se investigó cómo las valencias afectivas de los equipos Favorito y Rival influyen en el efecto Simon. Los resultados mostraron que el efecto Simon para el equipo Favorito es mayor, lo que sugiere que la valencia positiva del equipo Favorito facilita la respuesta correspondiente.A valência afetiva de estímulos visuais provoca reações de aproximação e afastamento para estímulos positivos e negativos, respectivamente. Na tarefa de Simon, o tempo de reação é menor quando o estímulo e a resposta estão do mesmo lado (condição correspondente) do que quando estão em lados opostos (condição não-correspondente). A diferença entre os tempos de reação é o efeito Simon. Neste trabalho, foi investigado como as valências afetivas dos times Preferido e Rival influenciam o efeito Simon. Os resultados mostraram um maior efeito Simon para o time Preferido, indicando que a valência positiva do Preferido facilita a resposta correspondente

Cardiovascular System of Agouti (Dasyprocta prymnolopha)

Background: The species Dasyprocta prymnolopha is a wild rodent with a geographic distribution that extends from Mexico to South America, including Brazil. Agouti has been the subject of morphophysiological research, but data on the cardiovascular system remains limited. Therefore, the objective was to describe the macroscopic and microscopic morphology, including the study of the cardiac and coronary system syntopy of the species D. prymnolopha. Materials, Methods &amp; Results: Twelve Dasyprocta primnolopha adults were used, 6 males and 6 females. Topographic analysis of the heart was evaluated in situ, with subsequent measurement, anatomovascular description and macroscopic study of cardiac and coronary vascularization. A microscopic investigation and identification of structural cardiac aspects were also carried out in adult agoutis, the biological samples of the heart were submitted to histological techniques and stained with Hematoxylin and Eosin and Masson's Trichrome. The heart is located between the end of the 2nd and the beginning of the 5th intercostal space, with the apex reaching the 6th space. It presents the presence of 2 ligaments: phrenopericardium and sternopericardium. The right atrioventricular valve is composed of 2 cusps, the parietal and the septal, with variations within the same species for 3 cusps. Projections that interconnect the papillary muscles with each other were observed. In the left ventricle there are variations in the number of papillary muscles (range 2 to 4). In the region of the aortic valve, 5 ostia were observed in the left aortic sinus in all animals. The coronary circulation has a predominantly left distribution. Histologically, the heart consists of 3 main layers: endocardium, myocardium, and epicardium. The cusp valves of the atrioventricular openings are composed of endocardial folds that contain a central plate of dense connective tissue, and inserted in this cardiac musculature was observed the cardiac skeleton, with its fibrous ring consisting of collagen and elastic fibers that surrounds the atrioventricular opening. Discussion: Cardiac assessment in wild animals is challenging, as in-depth knowledge of the morphology of the cardiovascular system is required for the use of diagnostic tools. In this first anatomical study of the heart, this organ presents syntopy with those of other rodents, but the topography may vary in individuals of the same species, which may be related to the accentuated vertebral curve. The phrenopericardial and sternopericardial ligaments were observed in this research, although there are no reports in other species of Dasyprocta sp. The arrangement of the arteries has, as a particularity, the larger left atrium in relation to the heart/atrium size ratio when compared to other domestic species, covering the left coronary sinus until it reaches the left atrial surface. In the agouti, it was observed that the vascularization is left, with the left coronary artery giving rise to both the paraconal and subsinuous interventricular branch, a fact found in animals such as ruminants, dogs. In the histological observations of the present study, the heart was similar to that of other mammals. Our data reveal morphological characteristics similar to those of other mammals, but with very expressive characteristics that differ even within the species. It is important to generate new information to elucidate cardiac and coronary diagnostic analyses, which can be extended to different species. Keywords: agouti, wild rodent, coronary arteries, cardiac, heart, histology, morphology

El Rey, y por su Magestad, Don Joan Alfonso Pimentel y de Herrera Conde de Benavente ... Virey, y Capitan General ... Reyno de Valencia por quanto por parte del Justicia, y Jurados de la Ciudad de Origuela ... presentados ... cautiverios ... corsarios ... el Capitan y su compañia, han cestado los dichos cautiverios ... nos consta, que los soldados ... sirven ... sin que por ello se les aya dado premio ... sino tan solamente por gozar de los privilegios militares ... a pedimiento de la dicha ciudad, La qual aora ... tuviessemos ... obligacion de pagar y contribuyr ...

Copia digital. Madrid : Ministerio de Cultura. Subdirección General de Coordinación Bibliotecaria, 2006Texto fechado en Valencia, 1602Sign.: A\p2\

El Rey, y por su Magestad, Don Juan Alfonso Pimentel y de Herrera Conde de Benavente ... Virrey y Capitan General ... Reyno de Valencia ... que el Marques de Denia nuestro predecesor ... ordenó en la costa y lugares marítimos ... y a la seguridad de dicho Reyno ... y agora su Magestad a pedimiento del Sindico de la Ciudad de Origuela ... poner en la forma que conviene a su real servicio, dando la orden que en cada distrito han de guardar ...

Copia digital. Madrid : Ministerio de Cultura. Subdirección General de Coordinación Bibliotecaria, 2006Tit. tomado de comienzo de textoTexto fechado en Valencia en 1600Sign.: A\p6\sTexto con apostillas marginale

Immunotherapy moves to the early-stage setting in non-small cell lung cancer: emerging evidence and the role of biomarkers

Despite numerous advances in targeted therapy and immunotherapy in the last decade, lung cancer continues to present the highest mortality rate of all cancers. Targeted therapy based on specific genomic alterations, together with PD-1 and CTLA-4 axis blocking-based immunotherapy, have significantly improved survival in advanced non-small cell lung cancer (NSCLC) and both therapies are now well-established in this clinical setting. However, it is time for immunotherapy to be applied in patients with early-stage disease, which would be an important qualitative leap in the treatment of lung cancer patients with curative intent. Preliminary data from a multitude of studies are highly promising, but therapeutic decision-making should be guided by an understanding of the molecular features of the tumour and host. In the present review, we discuss the most recently published studies and ongoing clinical trials, controversies, future challenges and the role of biomarkers in the selection of best therapeutic options

Multiple myeloma and SARS-CoV-2 infection: clinical characteristics and prognostic factors of inpatient mortality

There is limited information on the characteristics, prognostic factors, and outcomes of patients with multiplemyeloma (MM) hospitalized with COVID-19. This retrospective case series investigated 167 patients reported from 73hospitals within the Spanish Myeloma Collaborative Group network in March and April, 2020. Outcomes werecompared with 167 randomly selected, contemporary, age-/sex-matched noncancer patients with COVID-19 admittedat six participating hospitals. Among MM and noncancer patients, median age was 71 years, and 57% of patients weremale; 75 and 77% of patients, respectively, had at least one comorbidity. COVID-19 clinical severity wasmoderate-severe in 77 and 89% of patients and critical in 8 and 4%, respectively. Supplemental oxygen was requiredby 47 and 55% of MM and noncancer patients, respectively, and 21%/9% vs 8%/6% required noninvasive/invasiveventilation. Inpatient mortality was 34 and 23% in MM and noncancer patients, respectively. Among MM patients,inpatient mortality was 41% in males, 42% in patients aged >65 years, 49% in patients with active/progressive MM athospitalization, and 59% in patients with comorbid renal disease at hospitalization, which were independentprognostic factors on adjusted multivariate analysis. This case series demonstrates the increased risk and identifiespredictors of inpatient mortality among MM patients hospitalized with COVID-19