23 research outputs found

    The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

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    Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with >80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes

    A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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    Spatial distribution of major and trace elements in a mining dam: sources and relationships among elements of environmental concern

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    The concentration of major and trace elements have been determined in sediments samples taken from a mining dam, located in the upper area of the Tinto River basin (SW Spain). This dam, built to fulfil water needs for mining operations, is now completed clogged by accumulation of fine sediments. The results obtained for vertical and horizontal distribution of chemical elements showed highest average concentrations of Fe and Al, both with 10 %, and S (about 4 %). Toxic elements, such as As and Pb occur also with high concentrations (2515 and 5172 mg/kg, respectively). Determination of Enrichment Factors (EF) showed that sediments are enriched in elements related with the massive sulphide ore bodies and subsequent acid mine drainage processes. The elements Pb and As are that of major environmental concern, with enrichment factors higher than 10. Application of cluster analysis put in evidence the main sources of elements, allowing for the modelling of the origin of the accumulated matter. Therefore, in addition to contributions from sulphide (Fe, S) and gangue (Al, Mg), there are grouping of elements mobilized from phyllosilicates and feldspars, (e.g. Ca and K) as well as a specific group that reflects the geochemical affinity of rare earth elements in such acidic environment. Moreover, the way how elements are grouped testify the heterogeneity of geological contributions as well as the mining cycles over 4000 years of mining history in this worldwide known river basin.This study is a contribution of the DGCICYT-CGL2010-21268-C02-01 project, which has been financed by the Spanish Ministry of Education and Science, and the Andalusian Autonomous Government Excellence Projects, P10-RNM-6570 project. The Institute of Earth Sciences (ICT) is funding under contract with FCT (the Portuguese Science and Technology Foundation, Reference UID/GEO/04683/2013. The authors greatly appreciate the efforts of the three anonymous reviewers who carefully review the paper, and their valuable suggestions to improve the manuscript.info:eu-repo/semantics/publishedVersio

    Late Holocene ecological history of Pinus pinaster forests in the Sierra de Gredos of central Spain

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    15 páginas, 4 figuras, 1 tabla.This article describes the patterns and processes of vegetation change and fire history in the Late Holocene (c. 2400 calendar year BP) palaeoecological sequence of Lanzahíta, Sierra de Gredos in central Spain, and provides the first Iberian pollen sequence undertaken within a monospecific Pinus pinaster woodland. These new data reassess not only the autochthonous nature of this pine species in the region and the Iberian Peninsula, but also the naturalness of well-developed cluster pine forests. Conflicts of palaeoecological evidence with phytosociological models of vegetation dynamics in the study region, and the relationships of P. pinaster with fire occurrence in Mediterranean-type ecosystems, are discussed.This study was funded by the projects HAR2008-06477-C03-03/HIST, CGL-2006-2956-BOS (Plan Nacional I + D + i, Ministry of Education and Science, Spain), CSD2007-00058 (Consolider Program, Consejo Superior de Investigaciones Científicas, Spain) and Paleodiversitas Network (Fundación Séneca, Murcia).Peer reviewe
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