2,418 research outputs found

    Neruda y Guillén: un caso de relaciones literarias

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    Simulador de propiedades termodinĂĄmicas en la conversiĂłn de la biomasa forestal de aserrĂ­n de pino

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    Los simuladores de procesos químicos representan una herramienta competitiva y funcional que apoya eficazmente el estudio de procesos tan complejos como la conversión termoquímica de la biomasa, específicamente en el modelado y simulación de los mismos. Se diseñan y validan los módulos de programación de un simulador para sistemas en equilibrio líquido vapor con propiedades termodinåmicas en exceso, aplicado en procesos de conversión de biomasa forestal como es el caso del Aserrín de Pino (Pinus Arizonica). El diseño involucra el cålculo de la constante de equilibrio por el método fi-gamma con nuevas herramientas de cómputo para la predicción de las propiedades de las fases en equilibrio, y el cålculo del coeficiente de actividad partiendo de los modelos matemåticos de composición local NRTL, UNIQUAC y UNIFAC. Se seleccionó el método de Newton-Raphson para resolver subrutinas de cålculo. En la validación se incorporaron doce (12) nuevos componentes a la librería y sub-módulos de las propiedades de las fases líquido y vapor. La estimación de los puntos de burbuja y rocío para todos los métodos arrojó errores promedios inferiores al 3%, y la composición de la fase de vapor y las propiedades de las fases en equilibrio no superó el 10%

    First record of the mermithid nematode worm Isomermis lairdi parasitizing black flies in Spain

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    Funding Information: The authors declare that they have no conflicts of interest. We acknowledge the bioinformatics infrastructure of the Global Health and Tropical Medicine Center, which is funded through Fundação para a CiĂȘncia e a Tecnologia contract UID/04413/2020. Publisher Copyright: © 2022 Elsevier B.V.Mermithid nematodes are considered a promising biological control agent to reduce the population density of different blood-feeding vectors, i.e. black flies (Diptera: Simuliidae), which are important pests of medical and veterinary interest worldwide. Immature larvae of black flies were collected in a rill from La Rioja (Northern Spain) in the summer of 2016. Isomermis lairdi Mondet, Poinar & Bernadou, 1977 (Nematoda: Mermithidae) was found parasitizing eleven specimens of Simulium cryophilum s.l. (Rubtsov, 1959) (prevalence of 52%), which represent the first record of this nematode for Spain and the second for Europe. The confirmation of the nematode and the black fly species was carried out by both morphological and molecular approaches using the 18S ribosomal RNA and the cytochrome c oxidase subunit I genes. Phylogenetic analyses indicated that the collected specimens were Isomermis lairdi (99.4–99.9% identity with homologues from Africa) with a sequence divergence of 0.2%. The role of Isomermis lairdi as an alternative tool in the biological control of black flies in Spain should be further explored.publishersversionpublishe

    Long-term anticoagulation in secondary ischemic stroke prevention: The prospective multicenter RESTAIC registry

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    Background and Objective: Oral anticoagulation (OAC) for secondary stroke prevention is recommended in atrial fibrillation (AF) and other sources of cardioembolic stroke. Our objectives were to explore the differences in ischemic and hemorrhagic events when using OAC for secondary stroke prevention according to the type of anticoagulant treatment and to analyze the number and reasons for OAC switches during long-term follow-up. Methods: Ischemic stroke (IS) patients who were discharged on OAC for secondary stroke prevention from January 2014 to October 2017 were recruited in a prospective, multicenter, hospital-based registry. Follow-up at 3 months was scheduled at the outpatient clinic with subsequent annual phone interviews for 3 years. Patients were classified into three study groups according to OAC at discharge: Vitamin K antagonist (VKA), Factor Xa inhibitor (FXa), or direct thrombin inhibitor (DTI). We compared stroke recurrences, intracranial hemorrhage, major bleeding, and all-cause mortality during the follow-up. We recorded any switches in OAC and the main reasons for the change. Results: A total of 241 patients were included. An anticoagulant was indicated in the presence of a source of cardioembolic stroke in 240 patients (99.6%) and lupus plus antiphospholipid syndrome in one patient. Up to 86 patients (35.6%) were on OAC before the index stroke; in 71 (82.5%) of them, this was VKA. At hospital discharge, 105 were treated with FXa (43.8%), 96 with VKA (39.6%), and 40 with DTI (16.6%). The cumulative incidences at 3 years were 17% for stroke recurrence, 1.6% for intracranial hemorrhage, 4.9% for major hemorrhage, and 22.8% for all-cause mortality, with no differences among the OAC groups in any outcomes. During the follow-up, 40 OAC switches were recorded (63% of them to FXa), mostly due to stroke recurrence. Conclusion: Long-term OAC in secondary stroke prevention is associated with a lower frequency of bleeding complications than stroke recurrences. No differences between anticoagulant drugs were found in any of the analyzed outcomes. The main cause for OAC switch during follow-up was stroke recurrence.This study was supported by grants from the Foundation for Biomedical Research of La Paz University Hospital (PI 1131

    Estado del arte del proyecto

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    Es un proyecto de investigación en el aula, desarrollado por docentes del programa de arquitectura de la Universidad de la Costa con sede en Barranquilla, Colombia. En este se pueden constatar metodologías de enseñanza- aprendizaje diseñadas para cada caso y que representan la impronta personal de cada autor. Es importante resaltar, que todos los argumentos presentados en esta obra corresponden a experiencias diseñadas para asignaturas de las åreas de Diseño, representación y comunicación de proyectos, historia y teoría y Urbanismo. Una experiencia en la que docentes y estudiantes, configuran una vivencia, en el marco de una asignatura que sirve de referencia y aprendizaje en el ejercicio académic

    Constraints on the χ_(c1) versus χ_(c2) polarizations in proton-proton collisions at √s = 8 TeV

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    The polarizations of promptly produced χ_(c1) and χ_(c2) mesons are studied using data collected by the CMS experiment at the LHC, in proton-proton collisions at √s=8  TeV. The χ_c states are reconstructed via their radiative decays χ_c → J/ÏˆÎł, with the photons being measured through conversions to eâșe⁻, which allows the two states to be well resolved. The polarizations are measured in the helicity frame, through the analysis of the χ_(c2) to χ_(c1) yield ratio as a function of the polar or azimuthal angle of the positive muon emitted in the J/ψ → ÎŒâșΌ⁻ decay, in three bins of J/ψ transverse momentum. While no differences are seen between the two states in terms of azimuthal decay angle distributions, they are observed to have significantly different polar anisotropies. The measurement favors a scenario where at least one of the two states is strongly polarized along the helicity quantization axis, in agreement with nonrelativistic quantum chromodynamics predictions. This is the first measurement of significantly polarized quarkonia produced at high transverse momentum

    Impact of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients: A nationwide study in Spain

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    Objective To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain. Settings The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden. The effect of these measures on neurosurgical patients, as well as the effect of COVID-19 itself, has not been thoroughly studied. Participants This was a multicentre, nationwide, observational retrospective study of patients who underwent any neurosurgical operation from March to July 2020. Interventions An exploratory factorial analysis was performed to select the most relevant variables of the sample. Primary and secondary outcome measures Univariate and multivariate analyses were performed to identify independent predictors of mortality and postoperative SARS-CoV-2 infection. Results Sixteen hospitals registered 1677 operated patients. The overall mortality was 6.4%, and 2.9% (44 patients) suffered a perioperative SARS-CoV-2 infection. Of those infections, 24 were diagnosed postoperatively. Age (OR 1.05), perioperative SARS-CoV-2 infection (OR 4.7), community COVID-19 incidence (cases/10 5 people/week) (OR 1.006), postoperative neurological worsening (OR 5.9), postoperative need for airway support (OR 5.38), ASA grade =3 (OR 2.5) and preoperative GCS 3-8 (OR 2.82) were independently associated with mortality. For SARS-CoV-2 postoperative infection, screening swab test <72 hours preoperatively (OR 0.76), community COVID-19 incidence (cases/10 5 people/week) (OR 1.011), preoperative cognitive impairment (OR 2.784), postoperative sepsis (OR 3.807) and an absence of postoperative complications (OR 0.188) were independently associated. Conclusions Perioperative SARS-CoV-2 infection in neurosurgical patients was associated with an increase in mortality by almost fivefold. Community COVID-19 incidence (cases/10 5 people/week) was a statistically independent predictor of mortality. Trial registration number CEIM 20/217

    Reflexiones desde la enseñanza y el aprendizaje de la arquitectura 2

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    La segunda entrega del libro Doceo “Reflexiones desde la enseñanza y el aprendizaje de la arquitectura”, es fruto de metodologĂ­as de enseñanza- aprendizaje diseñadas para cada caso, y que representan la impronta personal de cada autor. Es importante resaltar, que todos los argumentos presentados en esta obra corresponden a experiencias en el aula, conclusiones de docentes y/o estudiantes en el marco de una asignatura desarrollada en la Universidad de la Costa con sede en Barranquilla, Colombia. El Volumen dos de esta entrega se ha editado progresivamente, en una primera parte la compilaciĂłn estuvo a cargo de la profesora Stephania Mouthon, quien centralizĂł todos los manuscritos, luego de esto, hemos construido de manera conjunta el diseño editorial, estructura del cuerpo y demĂĄs aspectos de perfeccionamiento del documento.Departamento de Arquitectura, Universidad de la Cost

    Outpatient Parenteral Antibiotic Treatment vs Hospitalization for Infective Endocarditis: Validation of the OPAT-GAMES Criteria

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    Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

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    Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6&nbsp;years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≄ 3b) were higher in the HP group (P &lt; 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≀ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100&nbsp;years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception
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