La ceràmica grisa del Firal de Balaguer conservada al Museu de la Noguera

Arribar a trobar els principals centres de producció de la terrissa popular medieval, conèixer bé les formes que s'hi realitzaven i les transformacions que sofriren, descobrir les relacions que hi havia entre aquestes diverses formes i poder, així mateix, establir una connexió entre els tipus d'objectes i l'ús que se'n feia, han d'ésser els principals objectius que cal perseguir. A mesura que s'aclareixi tot això sabrem més be quins moviments comercials i humans hi hagué a 1'Edat Mitjana i, sobretot, corn era la vida de la gent que utilitzava aquests atuells i com va evolucionar

Case 170: Pericardial fat necrosis

History: A 30-year-old man presented to our emergency department with acute pleuritic chest pain. He had no fever, dyspnea, or other symptoms, nor did he have a history of chest trauma. A physical examination yielded normal findings. Laboratory test results and electrocardiographic findings were normal. Axial chest computed tomography (CT) was performed

Verifique sus conocimientos sobre radiología de urgencias (3)

La presente entrega de la serie de Nursing sobre las pruebas complementarias es la tercera parte que complementa a las dos anteriores dedicadas a la radiología de urgencias, que trata de las situaciones clínicas y de las imágenes radiológicas más habituales obtenidas del estudio de alteraciones musculoesqueléticas. En la presente entrega se estudian las imágenes radiológicas relacionadas con alteraciones abdominales y torácicas habituales en el servicio de urgencias. Además, se presentan imágenes de tomografía computarizada correspondientes a situaciones clínicas que, por su prevalencia, se pueden producir en urgencias. Las tres entregas de Nursing dedicadas a las pruebas diagnósticas..

Rotura esplénica poscolonoscopia

Con la sospecha de perforación colónica, se realiza TC abdominal que muestra la presencia de hematoma subcapsular y periesplénico, así como moderado hemoperitoneo secundario a un punto de sangrado activo en la periferia esplénica. Dada la imposibilidad de realizar una embolización arterial selectiva..

Isquemia intestinal

Se realiza una TC abdominal que demuestra la presencia de abundante gas en el sistema venoso portal intrahepático, así como abundante gas en la pared intestinal de las primeras asas de yeyuno, dependientes del territorio de la arteria mesentérica superior (neumatosis intestinal)

Impact of non-invasive mechanical ventilation (niv) in critical patients with influenza (H1N1) PDM09

The use of non-invasive mechanical ventilation (NIV) in patients with influenza A (H1N1)pdm09 admitted to intensive care units (ICU) has been controversial

The neolithic necropolis of Feixa del Moro (Juberri, Andorra): review and new data

[EN] The data presented in this paper resume all the available information on the Feixa del Moro site, correcting old mistakes and bias, updating the 1980s archaeological registers and presenting new analyses as well. Our aim is to ensure that Feixa del Moro remains a reference site for the Pyrenean and Western Mediterranean Neolithic. At the same time, we wish to encourage other researchers to undertake new analyses and to embrace new perspectives in order to improve our understanding of Neolithic societies.[FR] Le travail que nous présentons ici rassemble toutes les données disponibles sur la Feixa del Moro jusqu’à aujourd’hui, expose les confusions détectées dans les sources, actualise les registres archéologiques obtenus dans les années 1980 et présente les résultats des nouvelles analyses effectuées. Grâce à cette démarche nous souhaitons que ce site continue d’être une référence pour le Néolithique dans les Pyrénées et la Méditerranée occidentale. Nous souhaitons également attirer l’attention d’autres chercheurs afin qu’ils continuent d’analyser et d’apporter de nouveaux éléments et de nouvelles approches pour mieux comprendre les sociétés néolithiques.Peer Reviewe

Metabolic Signatures Associated with Severity in Hospitalized COVID-19 Patients

The clinical evolution of COVID-19 pneumonia is poorly understood. Identifying the metabolic pathways that are altered early with viral infection and their association with disease severity is crucial to understand COVID-19 pathophysiology, and guide clinical decisions. This study aimed at assessing the critical metabolic pathways altered with disease severity in hospitalized COVID-19 patients. Forty-nine hospitalized patients with COVID-19 pneumonia were enrolled in a prospective, observational, single-center study in Barcelona, Spain. Demographic, clinical, and analytical data at admission were registered. Plasma samples were collected within the first 48 h following hospitalization. Patients were stratified based on the severity of their evolution as moderate (N = 13), severe (N = 10), or critical (N = 26). A panel of 221 biomarkers was measured by targeted metabolomics in order to evaluate metabolic changes associated with subsequent disease severity. Our results show that obesity, respiratory rate, blood pressure, and oxygen saturation, as well as some analytical parameters and radiological findings, were all associated with disease severity. Additionally, ceramide metabolism, tryptophan degradation, and reductions in several metabolic reactions involving nicotinamide adenine nucleotide (NAD) at inclusion were significantly associated with respiratory severity and correlated with inflammation. In summary, assessment of the metabolomic profile of COVID-19 patients could assist in disease severity stratification and even in guiding clinical decisions