5 research outputs found

    Evolution of the use of corticosteroids for the treatment of hospitalised COVID-19 patients in Spain between March and November 2020: SEMI-COVID national registry

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    Objectives: Since the results of the RECOVERY trial, WHO recommendations about the use of corticosteroids (CTs) in COVID-19 have changed. The aim of the study is to analyse the evolutive use of CTs in Spain during the pandemic to assess the potential influence of new recommendations. Material and methods: A retrospective, descriptive, and observational study was conducted on adults hospitalised due to COVID-19 in Spain who were included in the SEMI-COVID- 19 Registry from March to November 2020. Results: CTs were used in 6053 (36.21%) of the included patients. The patients were older (mean (SD)) (69.6 (14.6) vs. 66.0 (16.8) years; p < 0.001), with hypertension (57.0% vs. 47.7%; p < 0.001), obesity (26.4% vs. 19.3%; p < 0.0001), and multimorbidity prevalence (20.6% vs. 16.1%; p < 0.001). These patients had higher values (mean (95% CI)) of C-reactive protein (CRP) (86 (32.7-160) vs. 49.3 (16-109) mg/dL; p < 0.001), ferritin (791 (393-1534) vs. 470 (236- 996) µg/dL; p < 0.001), D dimer (750 (430-1400) vs. 617 (345-1180) µg/dL; p < 0.001), and lower Sp02/Fi02 (266 (91.1) vs. 301 (101); p < 0.001). Since June 2020, there was an increment in the use of CTs (March vs. September; p < 0.001). Overall, 20% did not receive steroids, and 40% received less than 200 mg accumulated prednisone equivalent dose (APED). Severe patients are treated with higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%. Conclusions: Patients with greater comorbidity, severity, and inflammatory markers were those treated with CTs. In severe patients, there is a trend towards the use of higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%

    Review of the Drying Kinetics of Olive Oil Mill Wastes: Biomass Recovery

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    The drying kinetics of olive oil mill wastes was analyzed based on experiments carried out by various researchers utilizing different drying systems. A critical review of the literature was done, and mathematical models of drying curves proposed by investigators were evaluated. A comparison between the best mathematical models of fit in the drying curves used in past experiments and a two-term Gaussian model was performed. This model improved all the results of fit in each experiment. Drying rates and drying stages were obtained and discussed. An average drying rate for each experiment from the two-term Gaussian model was calculated. This value allowed for visualizing and comparing the average speed of evaporated water in each experiment for the different dryers. Finally, and after having verified that almost all drying occurs mainly by a diffusion phenomenon, an analysis on the effective moisture diffusivity and activation energy values was performed. The results indicated that there was no dependency of these quantities on independent variables such as the drying air temperature, the drying air velocity, and the sample thickness. It follows that drying of olive oil mill wastes is a very complex physical process that depends heavily on aspects such as pieces of pit, pulp, skin, vegetation water, olive oil content, sugars and organics compounds of different nature

    Long-term effect of a practice-based intervention (HAPPY AUDIT) aimed at reducing antibiotic prescribing in patients with respiratory tract infections

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    Characteristics and predictors of death among 4035 consecutively hospitalized patients with COVID-19 in Spain

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