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Anemia in patients with high-risk acute coronary syndromes admitted to Intensive Cardiac Care Units

Journal of Geriatric Cardiology 2020年第1期17卷 35-42页

作者： Victoria Lorente Jaime Aboal Cosme Garcia Jordi Sans-Rosello Antonia Sambola Rut Andrea Carlos Tomas Gil Bonet David Vinas Nabil el Ouaddi Santiago Montero Javier Cantalapiedra Margarida Pujol Isabel Hernandez Maria Perez-Rodriguez Isaac Llao Jose C Sanchez-Salado Miquel Gual Albert ariza-Sole 无 Hospital Universitari de Bellvitge L’Hospitalet de LlobregatBarcelonaSpain Hospital Unversitari Josep Trueta GironaSpain Hospital Universitari Germans Trias i Pujol Badalona BarcelonaSpain Hospital de la Santa Creu i Sant Pau Instituto de Investigación Biomedica IIB Sant PauUniversitat Autonoma de Barcelona(UAB)BarcelonaSpain Hospital Universitari de la Vall d’Hebron BarcelonaSpain Hospital Clinic i Provicial BarcelonaSpain Hospital Arnau de Vilanova LleidaSpain Hospital Joan XXIII TarragonaSpain the Grup de Treball de Cures Agudes Cardiologiques de la Societat Catalana de Cardiologia

Background Little information exists about the role of anemia in patients with acute coronary syndromes(ACS)admitted to Intensive Cardiac Care Units(ICCU).The aim of this study was to assess the prevalence of anemia and its impact on management and outcomes in this clinical *** All consecutive patients admitted to eight different ICCUs with diagnosis of non-ST segment elevation ACS(NSTEACS)were prospectively *** was defined as hemoglobin<130 g/L in men and<120 g/L in *** association between anemia and mortality or readmission at six months was assessed by the Cox regression *** A total of 629 patients were *** age was 66.6 years.A total of 197 patients(31.3%)had *** angiography was performed in most patients(96.2%).Patients with anemia were significantly older,with a higher prevalence of comorbidities,poorer left ventricle ejection fraction and higher GRACE score *** with anemia underwent less often coronary angiography,but underwent more often intraaortic counterpulsation,non-invasive mechanical ventilation and renal replacement *** ICCU and hospital stay were significantly longer in patients with *** the incidence of mortality(HR=3.36,95%CI:1.43–7.85,P=0.001)and the incidence of mortality/readmission were significantly higher in patients with anemia(HR=2.80,95%CI:2.03–3.86,P=0.001).After adjusting for confounders,the association between anemia and mortality/readmission remained significant(P=0.031).Conclusions Almost one of three NSTEACS patients admitted to ICCU had *** patients underwent coronary *** was independently associated to poorer outcomes at 6 months.

关键词： Acute coronary syndromes Anemia Intensive cardiac care units Prognosis

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将预算弱势变为优势

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新理财（公司理财） 2011年第7期 72-75页

作者： JOHN orlando Centage公司 IMA

面对预算,作为财务总监的你,是兴奋、乐观、干劲十足,还是头疼、无奈、缺乏信心？根据Centage公司和管理及行政学院（IOMA）的调查,最糟糕的是由于不完善的预算编制进程造成的预算不准确，从而明显降低相关各方对预算的信心。

关键词：预算编制优势财务总监行政学院 ge公司信心

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Cost Analysis of an Intensive Care Unit

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Journal of Pharmacy and Pharmacology 2014年第8期2卷 501-507页

作者： Daria Putignano Federico Fedele Di Maio Valentina orlando Aniello De Nicola Enrica Menditto Department of Pharmacy CIRFF-Center of Pharmacoeconomics University Federico II of Naples 80131 Italy Department of Anaesthesia and Intensive Care Unit San Leonardo Hospital Castellammare di Stabia 80053 Italy

We proposed a retrospective cost analysis of patients hospitalized in the intensive care unit of San Leonardo Hospital （Southern-Italy）, stratified for diagnostic groups at hospital admission in 2010, from National Health Service perspective. The cost analysis was performed on patients with a length of stay longer than 24 hours. Direct medical costs were estimated： hospitalization costs and surgical procedures were calculated by tariff system DRG （diagnosis related group） while device-related costs were provided by the management of the hospital pharmacy. In order to evaluate the burden of the diagnostic groups, we used two indicators proposed by Rossi C. et al.： cost per surviving patient and money loss per patient. The most frequent admission diagnoses were edema （16.4%） and left heart failure （13.9%）. There was a wide variation in the mean costs per patient （from 62,777 for stroke to 67,227 for nephro-urological disease）. Intracranial bleeding had the highest cost for dead and survived patients, whereas neurological diseases and COPD （chronic obstructive pulmonary disease） had the lowest costs, indicating a better efficiency. Our findings are a starting point for further investigations aimed at the exploitation of resources that are currently being absorbed by ICU （intensive care unit）, in order to provide patients with the best possible healthcare.

关键词： Cost-analysis intensive care unit economic evaluation bottom up.

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便携式摇臂坐标测量仪的妙用

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现代制造 2008年第20期 50-51页

作者： orlando Perez

开发便携式 CMM 测量仪的目的是为了满足恶劣环境中工件坐标测量的要求,它具有携带方便、精度可靠的特点。让我们来看一看便携式坐标测量仪在模具设计和生产中的优越特性。

关键词：坐标测量仪便携式摇臂模具设计 CMM 工件

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Method for Estimating of Construction Cost of a Building Based on Previous Experiences

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Open Journal of Civil Engineering 2016年第5期6卷 749-763页

作者： Cláudio Ricardo Bettini orlando Celso Longo Luciane Ferreira Alcoforado Alana Caroline Gamba Maia Escola de Engenharia Universidade Federal Fluminense Niter&oacute i Brazil

In a real estate project, the estimated cost of construction and the revenues generally represent together the most important values of its feasibility study. When a decision of undertaking a project is made, often there are few definitions of what is about to be constructed, and frequently not enough to ensure the accuracy of the estimated costs. Considering a global tendency on reducing margins of return over the real estate markets, slight variations of the construction cost can jeopardize the success of the whole real estate enterprise and even the financial stability of the builder or of the developer. This article aims at presenting a method of estimating the building construction costs applicable at the stage of feasibility studies, being able to provide acceptable errors.

关键词： Real Estate Development Construction Cost Estimation Cost Forecast Cost Estimation Error

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The lava lake-induced volcanic plume at Nyiragongo Volcano (DRC): Environmental effects on crop and population

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Chinese Journal Of Geochemistry 2006年第B8期25卷 71-72页

作者： orlando Vaselli Franco Tassi Dario Tedesco Nisi Barbara Capaccioni Bruno Mapendano Yalire Department of Earth Sciences via G La Pira 4 50121 Florence Italy Department of Sciences Ha Vivaldi 43 81100 Caserta Italy Department of Earth and Environmental Geological Sciences R Porta San Donato 1 40126 Bologna Italy Volcanological Observatory of Goma Goma Democratic Republic of Congo

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Antidiabetic effects of galactomannans from Adenanthera pavonina *** streptozotocin-induced diabetic mice

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Asian Pacific Journal of Tropical Medicine 2018年第2期11卷 116-122页

作者： Icaro Gusmao Pinto Vieira Francisca Noelia Pereira Mendes Sabrina Cesar da Silva Raquel Teixeira Terceiro Paim Bruno Bezerra da Silva Stephen Rathinaraj Benjamin Eridan orlando Pereira Tramontina Florean Maria Izabel Florindo Guedes Technological Development Park(PADETEC) Federal University of CearaPici Campus60455-970FortalezaCearaBrazil Department of Health and Nutrition State University of CearaAv.Dr.Silas Munguba 1700Itaper campus60714-903ForalezaCearaBrazil

Objective: To evaluate the antidiabetic effect of galactomannans extracted from Adenanthera pavonina's ***(GAP) in streptozotocin(STZ) induced diabetic ***:The preliminary galactomannan yield from Adenanthera pavonina *** and extraction products composition were *** chemical characterization methods like thin layer chromatography, Fourier transform infrared spectroscopy, ~1H and ^(13)C nuclear magnetic resonance, and molecular weight by gel permeation chromatography have been employed to characterize the extracted *** mice were divided in four groups: Normal control, diabetic control, GAP(1% and 2%) treated and standard drug treated *** mice received treatment daily for 30 *** was induced by STZ at a single dose of 120 mg/*** weight, water and food intake, fasting blood glucose, total cholesterol and triglycerides were *** analysis of pancreas and liver were performed to evaluate STZ-induced tissue ***: The isolated and extracted galactomannan from Adenanthera pavonina was confirmed by various chemical characterization *** exhibited a 1.46:1 mannose: galactose ratio, and high molar *** GAP enriched food decreased glycaemia, total cholesterol and *** didn't interfere on food intakes or body weight, although it increased water ***, the relative liver weight indicated toxic galactomannan effects on the histopathological changes of the pancreas in STZ induced ***: It is concluded that GAP is a natural product that contains potent galactomannan and is useful in preventing and treating diabetes.

关键词： Adenanthera pavonina Galactomannans Diabetes Glycaemia Total cholesterol Triacylglycerol

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测量模具更容易

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汽车制造业 2008年第8期 68-69页

作者： orlando Perez

模具测量一直以来是一件费时费力的事情。技术人员需要不断移动模具才能实现检测，于是，法如CMM测量机的诞生，让我们告别了这一时代。

关键词：测量机模具技术人员 CMM

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Measurement of the Nucleon Nucleon Scattering Length with the ESC04 Interaction

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World Journal of Nuclear Science and Technology 2014年第1期4卷 16-20页

作者： Roberto Arceoro Gerardo Jesús Escalera Santos orlando Díaz-Hernández Centro de Estudios en Física y Matemáticas Básicas y Aplicadas Universidad Autónoma de Chiapas Tuxtla Gutiérrez México

We have determined a value for the 1S0 neutron-neutron scattering length (ann). The scattering length result is presented for the extended-soft-core (ESC04) interaction. The value obtained in the present work is ann = -18.6249 fm. The method of solution of the radial Schr?dinger equation with nonlocal potential for nucleonnucleon pairs is described and the result is consistent with previous determinations of ann = -18.63 ± 0.10 (statistical) ± 0.44 (systematic) ± 0.30 (theoretical) fm. The nonlocal potentials are of the central, spin-spin, spin-or-bital, and tensor type. The analysis from the ESC04 interaction is done at energies 0 ￡ Tlab ￡ 350 MeV. We compare the present result with experimental S-wave phase shifts analysis and agreement is found.

关键词： Nucleon-Induced Reactions S-Matrix Theory Scattering Theory

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Effect of Anti-TNF Therapy on Resistance to Insulin in Patients with Rheumatoid Arthritis

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Open Journal of Rheumatology and Autoimmune Diseases 2013年第3期3卷 167-171页

作者： Mario Pérez Raul ariza Ruben Asencio Adolfo Camargo Heladia Garcia Miguel Angel Vazquez Leonor Barile-Fabris Hospital Angeles del Pedregal Mexico City Mexico. UMAE Specialty Hospital “Bernardo Sepulveda” CMNSXXI IMSS Mexico City Mexico

Objective: To evaluate the effect of anti-TNF therapy on resistance to insulin in patients with rheumatoid arthritis (RA) compared with patients with RA being treated with non-biological DMARDs. Methods: Inactive patients diagnosed with RA (ACR 1987 criteria) (DAS 28 2.6) were included, being treated with anti-tumor necrosis factor inhibitors (anti-TNF) (cases) and non-biological disease-modifying anti-rheumatic drugs (DMARD) (controls), without risk factors for insulin resistance (administration of steroids, body mass index > 25 kg/m2, diabetes mellitus or use of glucose lowering agents, systemic arterial hypertension or use of anti-hypertensive drugs, triglycerides > 150 mg/dl, hypercholesterolemia > 200 mg/dl, high-density lipoproteins 40 mg/dl in men and 50 mg/in women, or with lipids lowering agents, waist measurement > 88 cm in women and > 102 cm in men). We used HOMA (Homeostasis Model Assessment) to determine insulin resistance in both groups, HOMA being defined as >1 and sensitivity to insulin using QUICKI (Insulin Sensitivity Check Index), ≥0.38 being considered as normal. The Mann Whitney U was used for the statistical analysis. Results: A total of 28 patients, 15 being treated with non-biological DMARDs and 13 with anti-TNF therapy, were evaluated;89.7%, of which were women. Average age: 43.5 (range 21 - 62);the average HOMA index of the non-biological DMARD group was 1.58 (range 0.7 - 5.4), compared with patients treated with anti-TNF therapy, 1.18 (range 0.2 - 4.3) (P = 0.5). The average QUICKI index was 0.36 (range 0.30 - 0.42) in patients treated with non-biological DMARD, compared with0.37 inpatients treated with anti-TNF therapy (range 0.30 - 0.51) (P = 0.8). Conclusion: Resistance to insulin manifested itself in both groups, although there was a greater trend of less insulin resistance and greater sensitivity in the anti-TNF group;this was probably not statistically significant due to the sample size.

关键词： Anti-TNF Resistance to Insulin Rheumatoid Arthritis

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