The Dynamics of the North-South International Transport Corridor In 2023

The study examines the North-South International Transport Corridor's 2023 dynamics, highlighting the need for digital infrastructure, adaptable trade policies, and green technologies. It also addresses challenges faced by the transportation industry in Russia and Belarus and other EAEU member states, highlighting the potential for expanding transportation possibilities

Validity and Reliability of the Decision Regret Scale in Cancer Patients Receiving Adjuvant Chemotherapy

OBJECTIVES: Decisional regret is an indicator of satisfaction with the treatment decision and can help to identify those patients who need more support and evaluate the efficacy of decision support interventions. The objectives of this study are, 1) to evaluate the psychometric properties of the Decision Regret Scale and 2) to analyze the moderating effect of psychological distress on functional status and regret in patients with cancer following adjuvancy. METHODS: A prospective, multicenter cohort of 403 patients who completed the Decision Regret Scale (DRS), Health-Related Quality of Life (EORTC QLQ-C30), and Brief Symptom Inventory (BSI). The evaluation was conducted six months after receiving adjuvant treatment in patients with resected cancer. RESULTS: After treatment, most participants (51.9%) experienced no decision regret; 33.7% felt mild regret, and 14.4% exhibited high levels of regret. The Spanish version of the DRS demonstrated satisfactory properties: it had a strong, clear unidimensional factorial structure with substantial loadings. Decisional regret was related with lower scores on functional, symptom, and quality of life scales, and higher levels of psychological distress (all P = 0.001). Psychological distress was found to have a moderating effect on the relationship between functional state and decision regret. CONCLUSIONS: The Spanish version of the DRS is a reliable, valid tool to evaluate regret and post-decisional quality in clinical practice and further highlights the potential clinical implications of psychological distress for the relation between physical status and regret

Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey.

The INCAPS COVID Investigators Group, listed by name in the Appendix, thank cardiology and imaging professional societies worldwide for their assistance in disseminating the survey to their memberships. These include alphabetically, but are not limited to, American Society of Nuclear Cardiology, Arab Society of Nuclear Medicine, Australasian Association of Nuclear Medicine Specialists, Australia-New Zealand Society of Nuclear Medicine, Belgian Society of Nuclear Medicine, Brazilian Nuclear Medicine Society, British Society of Cardiovascular Imaging, Conjoint Committee for the Recognition of Training in CT Coronary Angiography Australia and New Zealand, Consortium of Universities and Institutions in Japan, Danish Society of Cardiology, Gruppo Italiano Cardiologia Nucleare, Indonesian Society of Nuclear Medicine, Japanese Society of Nuclear Cardiology, Moscow Regional Department of Russian Nuclear Medicine Society, Philippine Society of Nuclear Medicine, Russian Society of Radiology, Sociedad Española de Medicina Nuclear e Imagen Molecular, Society of Cardiovascular Computed Tomography, and Thailand Society of Nuclear Medicine.Peer reviewe

The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: A report from the Euro Heart Survey on Coronary Revascularisation

Objective: Self-perceived health status may be helpful in identifying patients at high risk for adverse outcomes. The Euro Heart Survey on Coronary Revascularization (EHS-CR) provided an opportunity to explore whether impaired health status was a predictor of 1-year mortality in patients with coronary artery disease (CAD) undergoing angiographic procedures. Methods: Data from the EHS-CR that included 5619 patients from 31 member countries of the European Society of Cardiology were used. Inclusion criteria for the current study were completion of a self-report measure of health status, the EuroQol Questionnaire (EQ-5D) at discharge and information on 1-year follow-up, resulting in a study population of 3786 patients. Results: The 1-year mortality was 3.2% (n = 120). Survivors reported fewer problems on the five dimensions of the EQ-5D as compared with non-survivors. A broad range of potential confounders were adjusted for, which reached a p<0.10 in the unadjusted analyses. In the adjusted analyses, problems with self-care (OR 3.45; 95% CI 2.14 to 5.59) and a low rating (≤ 60) on health status (OR 2.41; 95% CI 1.47 to 3.94) were the most powerful independent predictors of mortality, among the 22 clinical variables included in the analysis. Furthermore, patients who reported no problems on all five dimensions had significantly lower 1-year mortality rates (OR 0.47; 95% CI 0.28 to 0.81). Conclusions: This analysis shows that impaired health status is associated with a 2-3-fold increased risk of all-cause mortality in patients with CAD, independent of other conventional risk factors. These results highlight the importance of including patients' subjective experience of their own health status in the evaluation strategy to optimise risk stratification and management in clinical practice

Arquitectura militar : primera parte de las fortificaciones regulares y irregulares por Don Vicente Mut...

Errores de pag., las p. 56 y 135 repetidasLas h. de plan. pleg. son grab. calc. de fortificaciones, "D.V.M.S."Ej. mútilo de las h. de grab.Enc. Perg.Sign.: [ ]2, A-V

Síndromes de impactación de la muñeca: lo que el reumatólogo debe saber

Los microtraumatismos de repetición en la muñeca pueden provocar lesiones crónicas por sobreuso. Los síndromes de impactación (SI) se producen por el choque continuado de diferentes estructuras del carpo, tanto óseas como de partes blandas, entre los que el SI cubital (o ulnocarpal) es el más frecuente. Es imprescindible una alta sospecha diagnóstica para su diagnóstico. Los hallazgos en las pruebas de imagen permiten confirmar el diagnóstico para adoptar una correcta decisión terapéutica

Baleares. Mapas generales (1765). 1:360.000

Dedicatoria : 'Al M.I. Ayuntamiento de la Ciudad de Palma lo dedica el autor'. - En cartela con alegoriaCoordenadas referidas, al parecer, al meridiano de Tenerife (E18#38'-E22#28'/N40#32'-N38#40'). Red geográfica de 1# en 1#Relieve representado por sombreadoTabla de signos convencionales para indicar nucleos de poblacion de distinta categoria, edificios religiosos, divisiones administrativas, etcEn el margen inferior 'El papel de Joseph Sotera [...] de Capelladas'Titulo enmarcado en cartela barroca con escudos de ciudadesExisten dos ejemplares facsímiles en el Centro de Documentación del Ministerio de DefensaEntelado en 2 cuarterone