Calidad de vida en niños con antecedentes de desnutrición

Estudio observacional, prospectivo, transversal y correlacional dirigido a estimar las prevalencias de condiciones físicas, psicológicas y sociales en diferentes circunstancias de salud o enfermedad. Se investiga la relación de un atributo específico (condición social o de salud) y parámetros desarrollados para medir la calidad de vida.Fil: Armelini, Pedro Alberto. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; ArgentinaFil: Apaz, María Teresa. Universidad Católica de Córdoba. Facultad de Ciencia Política y Relaciones Internacionales; Argentin

Calidad de vida en niños nacidos prematuros

Estudio observacional, prospectivo, transversal y correlacional dirigido a estimar las prevalencias de condiciones físicas, psicológicas y sociales en diferentes circunstancias de salud o enfermedad. Se investiga la relación de un atributo específico (condición social o de salud) y parámetros desarrollados para medir la calidad de vid

Cosmological constraints from DES Y1 cluster abundances and SPT multiwavelength data

We perform a joint analysis of the counts of redMaPPer clusters selected from the Dark Energy Survey (DES) year 1 data and multiwavelength follow-up data collected within the 2500  deg2 South Pole Telescope (SPT) Sunyaev-Zel’dovich (SZ) survey. The SPT follow-up data, calibrating the richness-mass relation of the optically selected redMaPPer catalog, enable the cosmological exploitation of the DES cluster abundance data. To explore possible systematics related to the modeling of projection effects, we consider two calibrations of the observational scatter on richness estimates: a simple Gaussian model which account only for the background contamination (BKG), and a model which further includes contamination and incompleteness due to projection effects (PRJ). Assuming either a ΛCDM+∑mν or wCDM+∑mν cosmology, and for both scatter models, we derive cosmological constraints consistent with multiple cosmological probes of the low and high redshift Universe, and in particular with the SPT cluster abundance data. This result demonstrates that the DES Y1 and SPT cluster counts provide consistent cosmological constraints, if the same mass calibration data set is adopted. It thus supports the conclusion of the DES Y1 cluster cosmology analysis which interprets the tension observed with other cosmological probes in terms of systematics affecting the stacked weak lensing analysis of optically selected low–richness clusters. Finally, we analyze the first combined optically SZ selected cluster catalog obtained by including the SPT sample above the maximum redshift probed by the DES Y1 redMaPPer sample (z=0.65). Besides providing a mild improvement of the cosmological constraints, this data combination serves as a stricter test of our scatter models: the PRJ model, providing scaling relations consistent between the two abundance and multiwavelength follow-up data, is favored over the BKG model

Treatments for intracranial hypertension in acute brain-injured patients: grading, timing, and association with outcome. Data from the SYNAPSE-ICU study

Purpose: Uncertainties remain about the safety and efficacy of therapies for managing intracranial hypertension in acute brain injured (ABI) patients. This study aims to describe the therapeutical approaches used in ABI, with/without intracranial pressure (ICP) monitoring, among different pathologies and across different countries, and their association with six months mortality and neurological outcome. Methods: A preplanned subanalysis of the SYNAPSE-ICU study, a multicentre, prospective, international, observational cohort study, describing the ICP treatment, graded according to Therapy Intensity Level (TIL) scale, in patients with ABI during the first week of intensive care unit (ICU) admission. Results: 2320 patients were included in the analysis. The median age was 55 (I-III quartiles = 39-69) years, and 800 (34.5%) were female. During the first week from ICU admission, no-basic TIL was used in 382 (16.5%) patients, mild-moderate in 1643 (70.8%), and extreme in 295 cases (eTIL, 12.7%). Patients who received eTIL were younger (median age 49 (I-III quartiles = 35-62) vs 56 (40-69) years, p < 0.001), with less cardiovascular pre-injury comorbidities (859 (44%) vs 90 (31.4%), p < 0.001), with more episodes of neuroworsening (160 (56.1%) vs 653 (33.3%), p < 0.001), and were more frequently monitored with an ICP device (221 (74.9%) vs 1037 (51.2%), p < 0.001). Considerable variability in the frequency of use and type of eTIL adopted was observed between centres and countries. At six months, patients who received no-basic TIL had an increased risk of mortality (Hazard ratio, HR = 1.612, 95% Confidence Interval, CI = 1.243-2.091, p < 0.001) compared to patients who received eTIL. No difference was observed when comparing mild-moderate TIL with eTIL (HR = 1.017, 95% CI = 0.823-1.257, p = 0.873). No significant association between the use of TIL and neurological outcome was observed. Conclusions: During the first week of ICU admission, therapies to control high ICP are frequently used, especially mild-moderate TIL. In selected patients, the use of aggressive strategies can have a beneficial effect on six months mortality but not on neurological outcome