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Aortic valve stenosis provides complementary information to bleeding risk scores in non-valvular atrial fibrillation patients initiating anticoagulation

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Journal of Geriatric Cardiology 2020年第3期17卷 141-148,I0005-I0007页

作者： Gines Elvira-Ruiz Cesar Caro-Martinez pedro JoseFlores-Blanco Juan JoseCerezo-Manchado Helena Albendin-Iglesias Alejandro Lova-Navarro Francisco Arregui-Montoya Francisca maria Munoz-Franco Natalia Garcia-Iniesta Arcadio Garcia-Alberola JoseLuis Bailen-Lorenzo Domingo Andres Pascual-Figal Sergio Manzano-Fernández Department of Cardiology University Hospital Virgen de la ArrixacaMurciaSpain Instituto Murciano de Investigación en Biomedicina(IMIB) MurciaSpain Department of Cardiology University Hospital Morales MeseguerMurciaSpain Department of Hematology University Hospital Virgen de la ArrixacaMurciaSpain Department of Internal Medicine University Hospital Virgen de la ArrixacaMurciaSpain School of Medicine University of MurciaMurciaSpain Department of Cardiology Hospital Vega BajaAlicanteSpain

Background The identification of modifiable bleeding risk factors may be of *** aim is to evaluate if aortic stenosis(AS)provides additional information to bleeding risk scores for predicting major bleeding(MB)in non-valvular atrial fibrillation(AF).Methods We designed a retrospective multi-center study including 2880 consecutive non-valvular AF patients initiating oral anticoagulation between January 2013 and December *** was defined as moderate or severe according to European echocardiography guidelines ***,ATRIA and ORBIT scores were used to evaluate the bleeding *** was defined according to the International Society on Thrombosis and Haemostasia criteria and registered at 18 months of *** 168(5.8%)patients had *** with AS had higher risk for MB compared to those without AS(HR=2.13,95%CI:1.40-3.23,P<0.001).Patients without AS and low-intermediate bleeding risk(0 points)showed the lowest MB rate,whereas the MB rate observed among patients with AS and high bleeding risk(2 points)was the highest *** and reclassification analyses showed that AS provided additional information to bleeding risk scores for predicting MB at 18 months of *** In this population,AS was associated with an increased risk for MB at midterm *** three scoring systems showed a moderate discriminatory ability for ***,the addition of AS was associated with a significant improvement in their predictive *** suggest that the presence of this valvulopathy should be taken into account for bleeding risk assessment.

关键词： Anticoagulants Aortic stenosis Atrial fibrillation Major bleeding Valvular disease

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Machine learning using the extreme gradient boosting (XGBoost) algorithm predicts 5-day delta of SOFA score at ICU admission in COVID-19 patients

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Journal of Intensive Medicine 2021年第2期1卷 110-116页

作者： Jonathan Montomoli Luca Romeo Sara Moccia Michele Bernardini Lucia Migliorelli Daniele Berardini Abele Donati Andrea Carsetti maria Grazia Bocci pedro David Wendel Garcia Thierry Fumeaux Philippe Guerci Reto Andreas Schüpbach Can Ince Emanuele Frontoni Matthias Peter Hilty RISC-19-ICU Investigators Department of Anaesthesia and Intensive Care Infermi HospitalAUSL della RomagnaRimini 47923Italy Department of Information Engineering UniversitàPolitecnica delle MarcheAncona 60131Italy The BioRobotics Institute and Department of Excellence in Robotics and AI Scuola Superiore Sant’AnnaPisa 56127Italy Anesthesia and Intensive Care Unit Azienda Ospedaliero Universitaria Ospedali RiunitiAncona 60126Italy Department of Biomedical Sciences and Public Health UniversitàPolitecnica delle MarcheAncona 60126Italy Department of Anaesthesia and Intensive Care Fondazione Policlinico Universitario A.Gemelli IRCCSUniversitàCattolica del Sacro CuoreRome 00168Italy Institute of Intensive Care Medicine University Hospital of ZurichZurich 8091Switzerland Swiss Society of Intensive Care Medicine Basel 4001Switzerland Department of Anesthesiology and Critical Care Medicine University Hospital of NancyNancy 54511France Department of Intensive Care Erasmus MC University Medical Center RotterdamRotterdam3015 GDNetherlands 不详

Background:Accurate risk stratification of critically ill patients with coronavirus disease 2019(COVID-19)is essential for optimizing resource allocation,delivering targeted interventions,and maximizing patient survival *** learning(ML)techniques are attracting increased interest for the development of prediction models as they excel in the analysis of complex signals in data-rich environments such as critical ***:We retrieved data on patients with COVID-19 admitted to an intensive care unit(ICU)between March and October 2020 from the RIsk Stratification in COVID-19 patients in the Intensive Care Unit(RISC-19-ICU)*** applied the Extreme Gradient Boosting(XGBoost)algorithm to the data to predict as a binary out-come the increase or decrease in patients’Sequential Organ Failure Assessment(SOFA)score on day 5 after ICU *** model was iteratively cross-validated in different subsets of the study ***:The final study population consisted of 675 *** XGBoost model correctly predicted a decrease in SOFA score in 320/385(83%)critically ill COVID-19 patients,and an increase in the score in 210/290(72%)*** area under the mean receiver operating characteristic curve for XGBoost was significantly higher than that for the logistic regression model(0.86 vs.0.69,P<0.01[paired t-test with 95%confidence interval]).Conclusions:The XGBoost model predicted the change in SOFA score in critically ill COVID-19 patients admitted to the ICU and can guide clinical decision support systems(CDSSs)aimed at optimizing available resources.

关键词： Machine learning Extreme gradient boosting(XGBoost) COVID-19 Multiple organ failure Clinical decision support system(CDSS) Organ dysfunction score

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Artemisia annua: A New Version of a Traditional Tea under Randomized, Controlled Clinical Trial for the Treatment of Malaria

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Advances in Bioscience and Biotechnology 2016年第12期7卷 545-563页

作者： pedro Melillo de Magalhães Glyn Mara Figueira José maria de Souza Ana maria Revorêdo Ventura maria Deise de Oliveira Ohnishi Darci Rodrigues da Silva Luiz Alberto Gonçalves Lobo Fabrício Bezerra Eleres Rosana Libonati Merlin Willcox Eloisa Cavassani Pimentel University of Campinas Campinas Brazil Evandro Chagas Institute Belém Brazil Federal University of Pará Belém Brazil University of Oxford (Research Initiative for Traditional Antimalarial Methods) Oxford UK Campinas Municipal Centre of Health Campinas Brazil

Introduction: The traditional antimalarial tea Artemisia annua, indicated for centuries in China to treat fevers, is again arousing interest for the treatment of malaria due to improvements attained in the plant composition by a few Institutions throughout the world, including the State University of Campinas (UNICAMP), Brazil, increasing its principal component by more than 100 times as from standard varieties, giving 1% in artemisinin and an expressive biomass yield such as 2 tons of dried leaves/hectare. Clinical trials carried out with this material in African countries have proven its therapeutic potential for a new generation of Artemisia tea in the treatment of falciparum malaria. In addition to artemisinin, recent studies have identified and quantified other compounds present in the crude extract and characterized their contributions to the anti-malarial efficacy, including their action against chloroquine-resistant strains. The majority of the clinical trials carried out with Artemisia tea in African countries have shown that the control of the parasitaemia is efficient in the initial treatment period, but few trials have followed the patients up to the 28th day. This first clinical trial carried out in Brazil with the A. annua infusion, after toxicological trials that defined the safety of this form of medication. Methods: The therapeutic efficacy of the tea was measured in patients with falciparum malaria over 28 days, comparing it with the current first-line treatment namely artemether-lumefantrine (Coartem?). The trial was carried out in controlled groups according to official protocol approved by the National Ethics in Research Committee (CONEP: 77/ 2011) and a rigorous control of the 17 patients with non-serious cases of falciparum malaria, recruited in the following three municipalities of the State of Pará, Brazil: Tucuruí, Goianésia do Pará and Anajás. The tea group received the infusion prepared in the proportion of 1.25 g of

关键词： Malaria Herbal Medicine Artemisia annua Clinical Trial

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Dissociation of the N400 component between linguistic and non-linguistic processing: A source analysis study

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World Journal of Neuroscience 2014年第1期4卷 25-39页

作者： Anne Gallagher Renée Béland Phetsamone Vannasing maria Luisa Bringas pedro Valdes Sosa Nelson J. Trujillo-Barreto John Connolly Maryse Lassonde Centre de Recherche en Neuropsychologie et Cognition Psychologie Department University of Montreal Montreal Canada Centro de Neurosciencias Havana Cuba CHU Ste-Justine Research Center Montreal Canada International Center for Neurological Rehabilitation (CIREN) Havana Cuba Language Memory & Brain Laboratories Department of Linguistics & Languages McMaster University Hamilton Canada

The N400 component is commonly associated with the detection of linguistic incongruity. A few studies have shown that the N400 can also be elicited by non-linguistic stimuli. Different spatiotemporal patterns were observed between the typical Linguistic N400 and the Non-linguistic N400, suggesting distinct brain generators. The aim of this study was to investigate the presence of an N400 in response to linguistic and non-linguistic stimuli, and to specify anatomical sources of both N400s using a novel analysis method: the Bayesian Model Averaging (BMA) distributed source model. Picture-word and environmental soundpicture associations, either congruent or incongruent, were presented to ten young healthy adults while highdensity ERP recordings were made. Standard electrophysiological analyses confirmed that the N400 was not specific to linguistic incongruity but was also elicited by environmental sound-picture incongruities. Different topographic distributions were obtained for the Linguistic N400 and Non-linguistic N400. BMA analysis showed that the Linguistic N400 generators were mostly located in the left superior temporal gyrus, whereas the sources of the Non-linguistic N400 were identified mostly in the right middle and superior temporal gyri. Detection of linguistic incongruities recruited cerebral areas commonly associated with language processing, whereas non-linguistic incongruities recruited right cerebral regions usually associated with auditory processing of non-linguistic stimuli. The Linguistic and Non-linguistic N400s appear to be elicited by similar cognitive mechanisms assumed by different cerebral areas depending on the type of material to be processed. The present findings support the existence of parallel pathways for the processing of linguistic and non-linguistic incongruities.

关键词： Event-Related Potentials Incongruity Semantic Environmental Sounds Distributed Source Model BMA

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Potassium Fertilization and Physiological Soybean Seed Quality

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Agricultural Sciences 2014年第11期5卷 984-991页

作者： Everton Vinicius Zambiazzi Adriano Teodoro Bruzi maria Laene Moreira de Carvalho Igor Oliveri Soares Alan Mario Zuffo pedro Milanez de Rezende Diego Henrique Miranda Department of Agriculture Federal University of Lavras (UFLA) Lavras Brazil

The purpose of this study was to evaluate the influence of increased application rates of potassium on the physiological quality of seeds from different soybean cultivars. Seeds from two locations (S?o Gotardo, MG and Lavras, MG, Brazil) were used. After harvest, the seeds were sent to the Central Seed Analysis Laboratory of the Federal University of Lavras. We used a randomized design in a 4 × 6 factorial arrangement of four cultivars and six doses of potassium. All tests were performed with two replicates of 50 seeds (300 seeds per treatment). Germination, emergence under controlled conditions, accelerated aging, electrical conductivity, and tetrazolium tests were performed. Data were subjected to analysis of variance. In soybean seed production fields with high potassium content in the soil, higher application rates of potassium do not increase the physiological quality of seeds.

关键词： Glycine max L. Seed Vigor Seed Production

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Lettuce production according to different sources of organic matter and soil cover

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Agricultural Sciences 2014年第2期5卷 99-105页

作者： maria Aparecida Moreira Carlos Allan Pereira dos Santos Ariovaldo Antonio Tadeu Lucas Flávio Gabriel Bianchini Igor Machado de Souza pedro Roberto Almeida Viégas Department of Agricultural Federal University of Sergipe Sergipe Brazil Department of Agronomy Federal University of Sergipe Sergipe Brazil University of Lavras Minas Gerais Brazil

Lettuce (Lactuca sativa L.) is one of the leading vegetables produced by farmers in the Itabaiana region, and thus it is important to study means of sustainable management for the crop. The objective of this work was to evaluate the behavior of lettuce with different sources of organic matter and soil cover. Therefore, it was chosen to cultivate Veronica. The experiment was carried out in the experimental field plot of Project Small Farmer—Great Entrepreneur in the municipality of Itabaiana-SE, in 2010. The design was a randomized block design with four replications, with treatments consisting of five sources of organic matter (organic compost, chicken manure, cattle manure, sheep manure, and castor bean) and a control (no fertilizer), all with and without mulch, totaling 12 treatments. We evaluated the characteristics of plant diameter, plant height, fresh and dry root and shoot matter. We also evaluated the influence on the temperature and soil water tension. All productivity characteristics valuated showed the significant interaction between the type of fertilizer and the mulch, except for root dry weight, where only organic manure was a significant factor. When soil mulch was used, the best source of organic matter for growing lettuce was chicken manure, and in the impossibility of using this cover, we recommend the use of organic compost as a source of organic matter, as it showed the best result in the absence of coverage. The cover age also showed good results in relation to a temperature that promoted lower soil water tensions.

关键词： Lactuca sativa L. Organic Fertilizer Soil Water Tension

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Assessing the prognosis of cirrhotic patients in the intensive care unit:What we know and what we need to know better

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World Journal of Hepatology 2021年第10期13卷 1341-1350页

作者： Fernando da Silveira pedro H R Soares Luana Q Marchesan Roberto S A da Fonseca Wagner L Nedel Programa de Pos-Graduacao em Pneumologia Universidade Federal do Rio Grande do SulPorto Alegre 91430835Brazil Intensive Care Unit Grupo Hospitalar ConceiçãoPorto Alegre 91430835Brazil Programa de Pos-Graduacao em Neurociencias Universidade Federal do Rio Grande do SulPorto Alegre 91430835Brazil Programa de Pos-Graduacao em Ciencias da Saude Universidade Federal de Santa MariaSanta Maria 97105900Brazil Programa de Pos-Graduacao em Bioquimica Universidade Federal do Rio Grande do SulPorto Alegre 91430835Brazil

Critically ill cirrhotic patients have high in-hospital mortality and utilize significant health care resources as a consequence of the need for multiorgan *** this fact,their mortality has decreased in recent decades due to improved care of critically ill ***-on-chronic liver failure(ACLF),sepsis and elevated hepatic scores are associated with increased mortality in this population,especially among those not eligible for liver *** score is superior to another in the prognostic assessment of these patients,and both liver-specific and intensive care unit-specific scores have satisfactory predictive *** sequential assessment of the scores,especially the Sequential Organ Failure Assessment(SOFA)and Chronic Liver Failure Consortium(CLIF)-SOFA scores,may be useful as an auxiliary tool in the decision-making process regarding the benefits of maintaining supportive therapies in this population.A CLIF-ACLF>70 at admission or at day 3 was associated with a poor prognosis,as well as SOFA score>19 at baseline or increasing SOFA score>*** studies addressing the prognostic assessment of these patients are necessary.

关键词： Cirrhosis Extrahepatic organ failure Organ replacement therapy Mortality Prognostic scores Chronic Liver Failure Consortium-Sequential Organ Failure Assessment Sequential Organ Failure Assessment Model for End-stage Liver Disease

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Diffusion models for the description of seedless grape drying using analytical and numerical solutions

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Agricultural Sciences 2012年第4期3卷 545-556页

作者： Wilton Pereira da Silva Cleide maria Diniz Pereira da Silva e Silva Jürgen Wolfgang Precker Josivanda Palmeira Gomes pedro Luiz Nascimento Laerson Duarte da Silva Federal University of Campina Grande Campina Grande PB Brazil

This article compares diffusion models used to describe seedless grape drying at low temperature. The models were analyzed, assuming the following characteristics of the drying process: boundary conditions of the first and the third kind;constant and variable volume, V;constant and variable effective mass diffusivity, D;constant convective mass transfer coefficient, h. Solutions of the diffusion equation (analytical and numerical) were used to determine D and h for experimental data of seedless grape drying. Comparison of simulations of drying kinetics indicates that the best model should consider: 1) shrinkage;2) convective boundary condition;3) variable effective mass diffusivity. For the analyzed experimental dataset, the best function to represent the effective mass diffusivity is a hyperbolic cosine. In this case, the statistical indicators of the simulation can be considered excellent (the determination coefficient is R2 = 0.9999 and the chi-square is χ2 = 3.241 × 10–4).

关键词： Optimization Convective Boundary Condition Diffusion Model Finite Volume Method

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Farm-scale evaluation of the impact of CrylAb Bt maize on canopy nontarget arthropods： a 3-year study

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Insect Science 2018年第1期25卷 87-98页

作者： maria Arias-Martin Matias Garcia pedro Castanera Felix Ortego Gema P. Farinos Centro de Investigaciones Biologicas CSIC Departamento de Biologia Medioambiental Grupo de Interaccion Planta-lnsecto Ramiro deMaeztu 9 28040 Madrid Spain

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Premature Termination of Treatment among Adults Attending Treatment for Eating Disorders: A Critical Review

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Open Journal of Medical Psychology 2020年第3期9卷 123-140页

作者： Flávia Machado Seidinger-Leibovitz Adams Rodrigues Malta Larissa Rodrigues Rodrigo Almeida Bastos pedro Augusto Thiene Leme Daniela Ferreira Araújo Silva Egberto Ribeiro Turato Carla maria Vieira Department of Medical Psychology and Psychiatry School of Medical Sciences State University of Campinas Campinas Brazil Department of Obstetrics and Gynecology School of Medical Sciences State University of Campinas Campinas Brazil Department of Health Sciences and Pediatric Dentistry Piracicaba Dental School State University of Campinas Piracicaba Brazil Federal University of Sã o Paulo Department of Preventive Medicine S&#227 o Paulo Brazil Science and Technology Center in Sovereignty and Food Security/Institute of Bioscience S&#227 o Paulo State University (UNESP) Botucatu S&#227 o Paulo Brazil

The article presents a critical review regarding the premature termination of eating disorder’s treatment among inpatients and outpatients, with the aim of identifying—emotional, psychodynamic and family-related aspects involved. The search strategy used the following MeSH terms combined by Boolean operators: “eating disorders” AND “treatment” OR “patient dropouts” OR “drop-out/dropouts” OR “attrition” OR “premature termination” AND “empirical study” OR “qualitative research”, for on Medline/PUBMED, PsycINFO and EMBASE databases. This article follows the PRISMA Guidelines. A total of 26 studies composed this review, of which 24 were original research articles, 1 was a review and 1 a theoretical article. Only two articles applied qualitative methods analyzing categories of content obtained by in-depth interviews, three combine quantitative and qualitative methods and other three present qualitative analyses while discussing quantitative studies. Further qualitative studies should be carried out to clarify meanings of dropout, premature termination of treatment, and attrition. Different expectations held by patients and by therapeutic teams, and the interpersonal difficulties of these types of patients, stand out as difficulties in constructing “therapeutic alliances”, with impacts on dropout, premature termination and attrition rates.

关键词： Eating Disorders Adults Patient Dropouts Attrition Premature Termination of Treatment Inpatients Outpatients

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