16 research outputs found

    Differences in clinical features and mortality in very old unvaccinated patients (≥ 80 years) hospitalized with COVID-19 during the first and successive waves from the multicenter SEMI-COVID-19 Registry (Spain)

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    Background: Old age is one of the most important risk factors for severe COVID-19. Few studies have analyzed changes in the clinical characteristics and prognosis of COVID-19 among older adults before the availability of vaccines. This work analyzes differences in clinical features and mortality in unvaccinated very old adults during the first and successive COVID-19 waves in Spain. Methods This nationwide, multicenter, retrospective cohort study analyzes unvaccinated patients >= 80 years hospitalized for COVID-19 in 150 Spanish hospitals (SEMI-COVID-19 Registry). Patients were classified according to whether they were admitted in the first wave (March 1-June 30, 2020) or successive waves (July 1-December 31, 2020). The endpoint was all-cause in-hospital mortality, expressed as the case fatality rate (CFR). Results Of the 21,461 patients hospitalized with COVID-19, 5,953 (27.7%) were >= 80 years (mean age [IQR]: 85.6 [82.3-89.2] years). Of them, 4,545 (76.3%) were admitted during the first wave and 1,408 (23.7%) during successive waves. Patients hospitalized in successive waves were older, had a greater Charlson Comorbidity Index and dependency, less cough and fever, and met fewer severity criteria at admission (qSOFA index, PO2/FiO2 ratio, inflammatory parameters). Significant differences were observed in treatments used in the first (greater use of antimalarials, lopinavir, and macrolides) and successive waves (greater use of corticosteroids, tocilizumab and remdesivir). In-hospital complications, especially acute respiratory distress syndrome and pneumonia, were less frequent in patients hospitalized in successive waves, except for heart failure. The CFR was significantly higher in the first wave (44.1% vs. 33.3%; -10.8%; p = 95 years (54.4% vs. 38.5%; -15.9%; p < 0.001). After adjustments to the model, the probability of death was 33% lower in successive waves (OR: 0.67; 95% CI: 0.57-0.79). Conclusions Mortality declined significantly between the first and successive waves in very old unvaccinated patients hospitalized with COVID-19 in Spain. This decline could be explained by a greater availability of hospital resources and more effective treatments as the pandemic progressed, although other factors such as changes in SARS-CoV-2 virulence cannot be ruled out

    All-cause mortality in the cohorts of the Spanish AIDS Research Network (RIS) compared with the general population: 1997Ł2010

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    Abstract Background: Combination antiretroviral therapy (cART) has produced significant changes in mortality of HIVinfected persons. Our objective was to estimate mortality rates, standardized mortality ratios and excess mortality rates of cohorts of the AIDS Research Network (RIS) (CoRIS-MD and CoRIS) compared to the general population. Methods: We analysed data of CoRIS-MD and CoRIS cohorts from 1997 to 2010. We calculated: (i) all-cause mortality rates, (ii) standardized mortality ratio (SMR) and (iii) excess mortality rates for both cohort for 100 personyears (py) of follow-up, comparing all-cause mortality with that of the general population of similar age and gender. Results: Between 1997 and 2010, 8,214 HIV positive subjects were included, 2,453 (29.9%) in CoRIS-MD and 5,761 (70.1%) in CoRIS and 294 deaths were registered. All-cause mortality rate was 1.02 (95% CI 0.91-1.15) per 100 py, SMR was 6.8 (95% CI 5.9-7.9) and excess mortality rate was 0.8 (95% CI 0.7-0.9) per 100 py. Mortality was higher in patients with AIDS, hepatitis C virus (HCV) co-infection, and those from CoRIS-MD cohort (1997. Conclusion: Mortality among HIV-positive persons remains higher than that of the general population of similar age and sex, with significant differences depending on the history of AIDS or HCV coinfection

    Construcción de superficies de energía potencial en sistemas poliatómicos. Evolucionando desde reacciones directas a complejas. Estudio cinético y dinámico

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    En esta Tesis Doctoral se construyeron las superficies de energía potencial de las reacciones entre el amoniaco y el radical hidroxilo y entre el amoniaco y el átomo de cloro en fase gas. Estas superficies de energía potencial se han aplicado al estudio cinético y dinámico, obteniendo numerosas propiedades sobre los sistemas reactivos.In this Doctoral Thesis the potential energy surfaces for the gas phase reactions between ammonia and the hydroxyl radical and between ammonia and the chlorine atom has been constructed. These potential energy surfaces have been applied to the kinetic and dynamic studies, obtaining several properties of the reactive systems.Gobierno de Extremadura. Beca-contrato de Formación del Personal Investigador (FPI

    Energy Transfer and Thermal Accommodation in Ozone Scattering from a Perfluorinated Self-Assembled Monolayer

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    A modification of the energy transfer model recently proposed by two of us (ref ) is tested in this work by an extensive comparison with the simulation results for O<sub>3</sub> scattering from a perfluorinated self-assembled monolayer (F-SAM) as well as with previous NO + FSAM and Ar + F-SAM scattering results. The model fits very well the trajectory data over a ∼10<sup>3</sup>-fold of incident energies. The percentage of energy transferred to the surface, predicted by the model at high incident energies, decreases with the number of degrees of freedom of the projectile because they compete with the surface degrees of freedom as possible destinations of the incident energy. The distributions of the scattered ozone molecules over translational and rotational states show a low-energy component characterized by a Maxwell–Boltzmann (MB) distribution at the surface temperature that survives at the highest collision energies. The dependence of the fraction of the MB component on the incident energy is an exponential decay function and the rate of decay is similar for the rotational and translational distributions. A non-negligible number of the O<sub>3</sub> + F-SAM trajectories that penetrate the surface at high energies have very long residence times (longer than the simulation time), which enables thermal accommodation of the rotational and translational degrees of freedom. A new method to categorize the O<sub>3</sub> + F-SAM trajectories, based on the residence time, shows that, at very low incident energies (<10 kcal/mol), thermal accommodation can be achieved in a single collision event

    SilvAdapt.Net: A Site-Based Network of Adaptive Forest Management Related to Climate Change in Spain

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    Adaptive forest management (AFM) is an urgent need because of the uncertainty regarding how changes in the climate will affect the structure, composition and function of forests during the next decades. Current research initiatives for the long-term monitoring of impacts of silviculture are scattered and not integrated into research networks, with the consequent losses of opportunities and capacity for action. To increase the scientific and practical impacts of these experiences, it is necessary to establish logical frameworks that harmonize the information and help us to define the most appropriate treatments. In this context, a number of research groups in Spain have produced research achievements and know-how during the last decades that can allow for the improvement in AFM. These groups address the issue of AFM from different fields, such as ecophysiology, ecohydrology and forest ecology, thus resulting in valuable but dispersed expertise. The main objective of this work is to introduce a comprehensive strategy aimed to study the implementation of AFM in Spain. As a first step, a network of 34 experimental sites managed by 14 different research groups is proposed and justified. As a second step, the most important AFM impacts on Mediterranean pines, as one of the most extended natural and planted forest types in Spain, are presented. Finally, open questions dealing with key aspects when attempting to implement an AFM framework are discussed. This study is expected to contribute to better outlining the procedures and steps needed to implement regional frameworks for AFM.A.J. Molina is beneficiary of an “APOSTD” fellowship (APOSTD/2019/111) funded by the Generalitat Valenciana. M. Moreno-de las Heras is beneficiary of a Serra Hunter fellowship (UB-LE-9055) funded by the Generalitat de Catalunya. F.J. Ruiz-Gómez is supported by a postdoctoral fellowship of the Junta de Andalucía (Sevilla, Spain), and the European Social Fund 2014–2020 Program (DOC_0055). The authors received national and international funding through the following projects: SILVADAPT.NET (RED2018-102719-T), ESPECTRAMED (CGL2017-86161-R), Life-FOREST CO2 (LIFE14 CCM/ES/001271), ALTERACLIM (CGL2015-69773-C2-1-P), INERTIA (PID2019-111332RB-C22-BDV), CEHYRFO-MED (CGL2017-86839-C3-2-R), DEHESACLIM (IB16185), RESILIENTFORESTS (LIFE17 CCA/ES/000063), Rhysotto (PID2019-106583RB-I00), AGL2017-83828-C2-2-R, RTI2018-096884-B-C31, ESPAS (CGL2015-65569-R), and caRRRascal (RTI2018-095037-B-I00)

    Proyecto Profesional 2 - IS231 - 202101

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    Propósito: El curso de especialidad de la carrera de Ingeniería Sistemas, tiene como propósito que el estudiante desarrolle habilidades que le permitan llevar a cabo proyectos de sistemas, que abarcan las líneas de desarrollo de software bajo enfoques tradicionales o ágiles, mejora de procesos o sistemas de seguridad y auditoría. El curso contribuye directamente al desarrollo de las competencias generales Pensamiento Crítico y Razonamiento Cuantitativo, ambas en el Nivel 3 y de las competencias específicas de ABET : Abet 3: Capacidad de comunicarse efectivamente con un rango de audiencias (nivel 2), Abet 6: La capacidad de 1desarrollar y llevar a cabo la experimentación adecuada, analizar e interpretar datos, y usar el juicio de ingeniería para sacar conclusiones (Nivel 2), Abet 2: La capacidad de aplicar el diseño de ingeniería para producir soluciones que satisfagan necesidades específicas con consideración de salud pública, seguridad y bienestar, así como factores globales, culturales, sociales, ambientales y económicos (Nivel 3), Abet 4: La capacidad de reconocer responsabilidades éticas y profesionales en situaciones de ingeniería y hacer juicios informados, que deben considerar el impacto de las soluciones de ingeniería en contextos globales, económicos, ambientales y sociales (Nivel 3), Abet 5: La capacidad de funcionar efectivamente en un equipo cuyos miembros juntos proporcionan liderazgo, crean un entorno de colaboración e inclusivo, establecen objetivos, planifican tareas y cumplen objetivos (Nivel 3)
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