Costs and benefits of automation for astronomical facilities

The Observatorio Astrof\'isico de Javalambre (OAJ{\dag}1) in Spain is a young astronomical facility, conceived and developed from the beginning as a fully automated observatory with the main goal of optimizing the processes in the scientific and general operation of the Observatory. The OAJ has been particularly conceived for carrying out large sky surveys with two unprecedented telescopes of unusually large fields of view (FoV): the JST/T250, a 2.55m telescope of 3deg field of view, and the JAST/T80, an 83cm telescope of 2deg field of view. The most immediate objective of the two telescopes for the next years is carrying out two unique photometric surveys of several thousands square degrees, J-PAS{\dag}2 and J-PLUS{\dag}3, each of them with a wide range of scientific applications, like e.g. large structure cosmology and Dark Energy, galaxy evolution, supernovae, Milky Way structure, exoplanets, among many others. To do that, JST and JAST are equipped with panoramic cameras under development within the J-PAS collaboration, JPCam and T80Cam respectively, which make use of large format (~ 10k x 10k) CCDs covering the entire focal plane. This paper describes in detail, from operations point of view, a comparison between the detailed cost of the global automation of the Observatory and the standard automation cost for astronomical facilities, in reference to the total investment and highlighting all benefits obtained from this approach and difficulties encountered. The paper also describes the engineering development of the overall facilities and infrastructures for the fully automated observatory and a global overview of current status, pinpointing lessons learned in order to boost observatory operations performance, achieving scientific targets, maintaining quality requirements, but also minimizing operation cost and human resources.Comment: Global Observatory Control System GOC

Retropritoneal ganglioneuroblatoma. Current concept of a rare case

El estudio, diagnóstico y tratamiento de un caso de ganglioneuroblastoma retroperitoneal, en un varón de 14 años, ha sido, por su presentación inhabitual a esta edad, el motivo del estudio en sí del caso y de actualización en cuanto a metodología diagnóstica, posibilidades terapéuticas, factores pronósticos y actualidad etiológica de estos procesos, que son analizados críticamente.The study, diagnosis and treatment Of a case Of retroperitoneal ganglioneuroblastoma in a 14-year-old boy has been the reason OT the report of the case because of its particular rareness or presentation at such age as well as diagnostic methodology, therapeutic possibilities, current etiology up-dating of such condition, which are critically analyzed

Gastritis postquirúrgica por reflujo alcalino. Nuestros resultados

Presentarnos los resultados del estudio retrospectivo realizado sobre 23 pacientes de reflujo gástrico alcalino (RGA) comprobado mediante endoscopia, biopsia y Tc99m HIDÁ, que fueron intervenidos en nuestro servicio (Y de Roux, Braum, henley) como técnicas de corrección de éste. Se valoran los créditos de indicación quirúrgica e éstos, los resultados obtenidos en referencia a la clínica residual y los patrones histológicos y gammagráficos evolutivos.We present the results Of a retrospective study caried Out on 23 patients with Alkaline Gastric Reflux (AGR) verified through endoscopy, biopsies and Tc99m HIDA, which were operated on in out departament with Y of Roux, Henley the correction techniques this patholow. The criteria of surgical indications evaluated in these patients as also the results obtained in reference to residual symptoms and changes in the histo- logic and gammagrafic patterns

Transcatheter Mitral Repair for Functional Mitral Regurgitation According to Left Ventricular Function: A Real-Life Propensity-Score Matched Study

Background: Transcatheter mitral valve repair (TMVR) could improve survival in functional mitral regurgitation (FMR), but it is necessary to consider the influence of left ventricular ejection fraction (LVEF). Therefore, we compare the outcomes after TMVR with Mitraclip® between two groups according to LVEF. Methods: In an observational registry study, we compared the outcomes in patients with FMR who underwent TMVR with and without LVEF <30%. The primary endpoint was the combined one-year all-cause mortality and unplanned hospital readmissions due to HF. The secondary end-points were New York Heart Association (NYHA) functional class and mitral regurgitation (MR) severity. Propensity-score matching was used to create two groups with the same baseline characteristics, except for baseline LVEF. Results: Among 535 FMR eligible patients, 144 patients with LVEF <30% (group 1) and 144 with LVEF >30% (group 2) had similar propensity scores and were included in the analyses. The primary study endpoint was significantlly higher in group 1 (33.3% vs. 9.4%, p = 0.002). There was a maintained improvement in secondary endpoints without significant differences among groups. Conclusion: FMR patients with LVEF <30% treated with MitraClip® had higher mortality and readmissions than patients with LVEF ≥30% treated with the same device. However, both groups improved the NYHA functional class and MR severity