RELEVANCIA DEL DIAGNÓSTICO DIFERENCIAL ENTRE EL SÍNDROME AÓRTICO AGUDO Y EL SÍNDROME CORONARIO AGUDO EN PACIENTES CON DOLOR TORÁCICO Y CRISIS HIPERTENSIVA: REVISIÓN A PROPÓSITO DE 2 CASOS / Relevance of the differential diagnosis between acute aortic syndrome and acute coronary syndrome in patients with thoracic pain and hypertensive crisis: review on 2 case reports

Acute aortic syndrome is a pathological process with low incidence compared with acute coronary syndrome, although with a worse prognosis in the short term, which is why its early diagnosis and urgent treatment are essential to the favorable evolution of thepatient. Electrocardiographic changes suggestive of myocardial ischemia, with acute evolution, are rare in acute aortic syndrome. Even in the presence of a suggestive thoracic pain and high levels of blood pressure, an adequate differential diagnosis is of utmost importance, since the administration of anticoagulation and antiplatelet therapy in high doses can have a dramatic impact on patient outcome. Two cases are presented in which electrocardiographic changes determined the action to take in patients with acute aortic syndrome

Un foramen oval con fisiología de comunicación interauricular

We present the case of a 60-year-old woman with a history of hypertension and permanent atrial fibrillation referred to Cardiology outpatient clinic after being hospitalized for heart failure. The transthoracic echocardiogram showed a moderately dilated right ventricle with normal systolic function and mild pulmonary hypertension. The transoesophageal echocardiogram revealed  a valve-incompetent patent foramen ovale with a left-right shunt that had a functional behaviour of an atrial septal defect. Estimated Qp/Qs was 1.8 hence percutaneous closure was proposed and successfully performed.Se presenta el caso de una paciente de 60 años con antecedentes de hipertensión arterial y fibrilación auricular permanente derivada a cardiología tras ingreso en Medicina Interna por insuficiencia cardiaca. En el ecocardiograma transtorácico se apreció un ventrículo derecho moderadamente dilatado con fracción de eyección normal e hipertensión pulmonar ligera. En el estudio transesofágico se observó un foramen oval permeable (FOP) no competente con flujo izquierda-derecha que funcionalmente se comportaba como una comunicación interauricular. El Qp/Qs estimado fue de 1.8 por lo que se realizó el cierre percutáneo del defecto de forma exitosa

Fibroelastoma en el ventrículo izquierdo: un hallazgo muy poco frecuente

The evaluation of cardiac masses is a relatively frequent clinical problem for cardiac imaging techniques. We present the case of a cardiac mass with an unusual location in which imaging techniques made it possible to guide the diagnosis, which, how could it be otherwise, was confirmed in surgery.La valoración de las masas cardíacas es un problema clínico relativamente frecuente para las técnicas de imagen cardíca. Presentamos el caso de una masa cardíaca con localización inusual en el que las técnicas de imagen permitieron orientar el diagnóstico, que como no puede ser de otro modo, se confirmó en la cirugía

FSSCat Mission description and first scientific results of the FMPL-2 onboard 3CAT-5/A

FSSCat, the “Federated Satellite Systems/ 3 Cat-5” mission was the winner of the 2017 ESA S^3 (Sentinel Small Satellite) Challenge and overall winner of the Copernicus Masters competition. FSSCat consists of two 6 unit cubesats carrying on board UPC's Flexible Microwave Payload - 2 (FMPL-2), an L-band microwave radiometer and GNSS-Reflectometer implemented in a software defined radio, and Cosine's HyperScout-2 visible and near infrared + thermal infrared hyperspectral imager, enhanced with PhiSat-1, a on board Artificial intelligence experiment for cloud detection. Both spacecrafts include optical and UHF inter-satellite links technology demonstrators, provided by Golbriak Space and UPC, respectively. This paper describes the mission, and the main scientific results of the FMPL-2 obtained during the first three months of the mission, notably the sea ice concentration and thickness, and the downscaled soil moisture products over the Northern hemisphere.This work was supported by 2017 ESA S 3 challenge and Copernicus Masters overall winner award (“FSSCat” project) and ESA project “FSSCat Validation Experiment in MOSAIC”, by the Spanish Ministry of Science, Innovation and Universities, "Sensing with Pioneering Opportunistic Techniques" SPOT, grant RTI2018-099008- BC21/AEI/10.13039/501100011033, and by the Unidad de Excelencia Maria de Maeztu MDM-2016-0600.Peer ReviewedArticle signat per 25 autors/es: A. Camps 1,2; J.F. Munoz‐Martin 1; J.A. Ruiz‐de‐Azua 1,2; L. Fernandez 1; A. Perez-Portero 1; D. Llavería 1; C. Herbert 1; M. Pablos 3; A. Golkar 4,1; A. Gutiérrrez 5; C. António 5; J. Bandeiras 5; J. Andrade 5; D. Cordeiro 5; S. Briatore 4,6; N. Garzaniti 4,6; F. Nichele 7; R. Mozzillo 7; A. Piumatti 7; M. Cardi 7; M. Esposito 8; B. Carnicero Dominguez 9; M. Pastena 9; G. Filippazzo 10; A. Reagan 10 // 1. Universitat Politècnica de Catalunya, Barcelona, Spain; 2. Institut d’Estudis Espacials de Catalunya, Barcelona, Spain; 3. Institut de Ciències del Mar (ICM-CSIC) & Barcelona Expert Center (BEC) on Remote Sensing, Barcelona, Spain; 4. Skolkovo Institute of Science and Technology, Moscow, Russia; 5. Deimos Eng., Lisbon, Portugal; 6. Golbriak Space, Tallin, Estonia; 7. Tyvak International, Torino, Italy; 8. Cosine, Oosteinde, The Netherlands; 9. ESA ESTEC, Noordwijk, The Netherlands; 10. ESA ESRIN, Frascati, ItalyPostprint (author's final draft

RITA: a 1U multi-sensor Earth observation payload for the AlainSat-1

The Remote sensing and Interference detector with radiomeTry and vegetation Analysis (RITA) is one of the Remote Sensing payloads selected as winners of the 2nd GRSS Student Grand Challenge in 2019, to fly on board of the 3U AlainSat-1. This CubeSat is being developed by the National Space Science and Technology Center (NSSTC), United Arab Emirates University. RITA has been designed as an academic mission, which brings together students from different backgrounds in a joint effort to apply very distinct sensors in an Earth Observation mission, fusing their results to obtain higher-accuracy measurements. The main payload used in RITA is a Total Power Radiometer such as the one on board the FSSCat mission. With these radiometric measurements, soil moisture and ice thickness will be obtained. To better characterize the extensive Radio-Frequency Interferences received by EO satellites in protected bands, several RFI Detection and Classification algorithms will be included to generate a worldwide map of RFI. As a novel addition to the 3Cat family of satellites and payloads, a hyper-spectral camera with 25 bands ranging from 600 to 975 nm will be used to obtain several indexes related to vegetation. By linking these measurements with the soil moisture obtained from the MWR, pixel downscaling can be attempted. Finally, a custom- developed LoRa transceiver will be included to provide a multi-level approach to in-situ sensors: On-demand executions of the other payloads will be able to be triggered from ground sensors if necessary, as well as simple reception of other measurements that will complement the ones obtained on the satellite. The antennas for both the MWR and the LoRa experiments have been developed in-house, and will span the entirety of one of the 3U sides of the satellite. In this work, the latest development advances will be presented, together with an updated system overview and information about the operations that will be conducted. Results obtained from the test campaign are also presented in the conference

Long-term care facilities (LTCF) for the elderly: the surveillance of communicable diseases as part of health care and protection

[ES] Durante las últimas décadas la asistencia sanitaria ha sufrido importantes cambios. La mayor esperanza de vida ha dado lugar a un envejecimiento de la población que, según las Naciones Unidas, está a punto de convertirse en una de las más importantes transformaciones sociales del siglo XXI. A nivel mundial, había 727 millones de personas de 65 años o más en 2020 (un 9,3% de la población total) y se estima que aumente al 16% en 2050 . En la Unión Europea (UE), el porcentaje de población de 65 años o más se ha incrementado de un 9,6% en 1960 a un 20,3% en 2019 y se proyecta que aumente a un 31,3% para 2100. Asistimos además a un proceso de envejecimiento de la población mayor, con una proporción de personas muy mayores (aquellas de 80 años y más) en la población total de la Unión Europea del 5,8% en 2019 . España es uno de los países con una mayor proporción de personas mayores, con un porcentaje de ciudadanos de 65 años o más en 2020 del 19,6% del total de la población, y con una proyección del 26,5% para 2035. Casi un tercio de esta población (6%) tienen 80 años o más. [EN] During the last decades, healthcare has undergone important changes. Increased life expectancy has given rise to an aging population that, according to the United Nations, is about to become one of the most important social transformations of the 21st century. Globally, there were 727 million people aged 65 or over in 2020 (9.3% of the total population) and this is estimated to increase to 16% by 2050 . In the European Union (EU), the percentage of the population aged 65 or over has increased from 9.6% in 1960 to 20.3% in 2019 and is projected to increase to 31.3% by 2100. We are also witnessing a process of aging of the elderly population, with a proportion of very old people (those aged 80 and over) in the total population of the European Union of 5.8% in 2019 . Spain is one of the countries with the highest proportion of older people, with a percentage of citizens aged 65 or over in 2020 of 19.6% of the total population, and with a projection of 26.5% for 2035. Almost a third of this population (6%) are 80 years or older.S

Riesgo cardiovascular de jovenes españoles en dos epocas diferentes (años 1980 y 2000): Estudio Agemza

Analizamos el perfil de riesgo cardiovascular de una muestra de jóvenes varones españoles de los años ochenta, cohorte inicial del estudio AGEMZA, y la comparamos con otraLACLAUSTRA GIMENO, MARTÍN (Codirector) muestra de similares características, tras el 2000. Las dos muestras están compuestas por residentes cadetes de la Academia General Militar de Zaragoza. Obtuvimos datos de prevalencia de los factores de riesgo y estimamos el riesgo coronario mediante la ecuación de Framingham. Comparamos 260 sujetos de la muestra inicial y 248 de la actual, encontrando empeoramiento significativo en la muestra actual en el peso, IMC, perfil lipídico, riesgo coronario estimado en los próximos 10 años y el proyectado a los 65 años de edad. Los aumentos de peso y del IMC se correlacionan de forma significativa con los cambios encontrados en el perfil lipídico. Ésto nos obliga a tomar medidas preventivas en los jóvenes y extremar el desarrollo de campañas destinadas a frenar este aumento progresivo de la obesidad para prevenir su aparición. To investigate the cardiovascular risk profile of a sample of young Spanish men taken in the 1980s, the initial AGEMZA study cohort, and to compare the findings with those in another sample with similar characteristics taken after 2000.The two AGEMZA study cohorts comprised young men who were resident at the Zaragoza General Military Academy. Data on the prevalence of various risk factors were obtained and the coronary disease risk was estimated using the Framingham equation. Comparison 248 subjects from the current cohort with 260 from the initial cohort, showed the following significant changes: weight, BMI, lipid profile, estimated coronary disease risk in the next 10 years and estimated coronary disease risk up to the age of 65 years. There were significant correlations between increases in weight and BMI and lipid profile alterations. The lipid profile and BMI were worse in the current sample. These findings make it essential that preventive measures for young people should be introduced and that an increased effort should be made to develop programs aimed at either stopping the progressive rise in obesity or even preventing it altogether

Relevancia del diagnóstico diferencial entre el síndrome aórtico agudo y el síndrome coronario agudo en pacientes con dolor torácico y crisis hipertensiva: Revisión a propósito de 2 casos

Acute aortic syndrome is a pathological process with low incidence compared with acute coronary syndrome, although with a worse prognosis in the short term, which is why its early diagnosis and urgent treatment are essential to the favorable evolution of the patient. Electrocardiographic changes suggestive of myocardial ischemia, with acute evolution, are rare in acute aortic syndrome. Even in the presence of a suggestive thoracic pain and high levels of blood pressure, an adequate differential diagnosis is of utmost importance, since the administration of anticoagulation and antiplatelet therapy in high doses can have a dramatic impact on patient outcome. Two cases are presented in which electrocardiographic changes determined the action to take in patients with acute aortic syndrome Acute aortic syndrome, acute coronary syndrome, malignant hypertension.El síndrome aórtico agudo es un proceso patológico de baja incidencia en comparación con el síndrome coronario agudo, aunque con peor pronóstico a corto plazo, razón por la cual su diagnóstico precoz y tratamiento urgente son esenciales para la evolución favorable del paciente. Las alteraciones electrocardiográficas sugestivas de isquemia miocárdica, de evolución aguda, son poco frecuentes en el síndrome aórtico agudo, aunque en presencia de un dolor torácico sugestivo y cifras elevadas de presión arterial, un adecuado diagnóstico diferencial cobra suma importancia, ya que la administración de anticoagulación y antiagregación a altas dosis puede tener un impacto dramático en la evolución del paciente. Se presentan 2 casos clínicos en los que las alteraciones electrocardiográficas determinaron la conducta a seguir en pacientes con síndrome aórtico agudo