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Coronary angiography findings in cardiac arrest patients with non-diagnostic post-resuscitation electrocardiogram:A comparison of shockable and non-shockable initial rhythms

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World Journal of Cardiology 2017年第8期9卷 702-709页

作者： Pedro Martínez-Losas Pablo Salinas Carlos Ferrera María Teresa Nogales-Romo francisco noriega María Del Trigo Iván Javier Núnez-Gil Luis Nombela-Franco Nieves Gonzalo Pilar Jiménez-Quevedo Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Ana Viana-Tejedor Interventional Cardiology and Coronary Care Unit Cardiovascular InstituteHospital Universitario Clínico San Carlos28040 MadridSpain

AIM To investigate the impact of coronary artery disease in a cohort of patients resuscitated from cardiac arrest with non-diagnostic *** From March 2004 to February 2016, 203 consecutive patients resuscitated from in or out-of-hospital sudden cardiac arrest and non-diagnostic post-resuscitation electrocardiogram(defined as ST segment elevation or pre-sumably new left bundle branch block) whounderwent invasive coronary angiogram during hospitalization were included. For purpose of analysis and comparison, patients were classified in two groups: Initial shockable rhythm(ventricular tachycardia or ventricular fibrillation; n = 148, 72.9%) and initial non-shockable rhythm(n = 55, 27.1%). Baseline characteristics, coronary angiogram findings including Syntax Score and long-term survival rates were compared. RESULTS Sudden cardiac arrest was witnessed in 95.2% of cases, 66.7% were out-of-hospital patients and 72.4% were male. There were no significant differences in baseline characteristics between groups except for higher mean age(68.1 years vs 61 years, P = 0.001) in the nonshockable rhythm group. Overall 5-year mortality of the resuscitated patients was 37.4%. Patients with non-shockable rhythms had higher mortality(60% vs 29.1%, P < 0.001) and a worst neurological status at hospital discharge based on cerebral performance category score(CPC 1-2: 32.7% vs 53.4%, P = 0.02). Although there were no significant differences in global burden of coronary artery disease defined by Syntax Score(mean Syntax Score: 10.2 vs 10.3, P = 0.96) there was a trend towards a higher incidence of acute coronary lesions in patients with shockable rhythm(29.7% vs 16.4%, P = 0.054). There was also a higher need for ad-hoc percutaneous coronary intervention in this group(21.9% vs 9.1%, P = 0.03). CONCLUSION Initial shockable group of patients had a trend towards higher incidence of acute coronary lesions and higher need of ad-hoc percutaneous intervention vs nonshockable

关键词： Sudden cardiac arrest Electrocardiogram Invasive coronary angiography Percutaneous coronary intervention Syntax score Coronary artery disease

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Plans for the Construction of La Bre a Ⅱ Dam in Spain

Plans for the Construction of La Bre a Ⅱ Dam in Spain

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The Fifth International Symposium on Roller Compacted Concrete(RCC) Dams

作者： francisco Romero Antonio Sandoval Rafael Ibá ez de Aldecoa Gonzalo noriega Acuavir Technical Director Acuavir La Bre a Ⅱ Dam Project Manager Dragados S.A. Head of the Hydraulic Works Division Dragados S.A. La Bre a Ⅱ Dam Contract Manager

La Bre a Ⅱ RCC straight gravity dam on the Guadiato River,very close to Cdrdoba city in southern Spain,will be the largest European RCC dam when it will be completed with 119 m in height and 1.4×10 m of RCC volume out of a total of 1.6×10 m of *** Project is at a very early stage of RCC placement at the moment of writing this *** of the main difficulties of the Project is that the dam body has to be built only some 100 m downstream of the existing 54 m high La Brefia I concrete curved gravity dam,and without disturbing the normal operation of it and its related hydropower *** paper reviews the design,the construction layout planned,describing the diverse and very important plant implemented,as well as various previous activities of fundamental importance for the Project,including the complex river diversion scheme adopted due to the existing dam,the spillway’s scale model study,and the RCC full-scale *** benefits obtained from the last two are particularly stated.

关键词： river diversion scale model study FST(Full Scale Trial) MEVR(Mortar-Enriched Vibratable RCC) concrete cooling

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Thirty years of scientific research on second-generation antipsychotic drugs in Japan: A bibliometric analysis

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Open Journal of Psychiatry 2013年第1期3卷 18-25页

作者： francisco Lopez-Munoz Naotaka Shinfuku Winston WShen Raquel Moreno Juan DMolina Gabriel Rubio Lorena Huelves Concha noriega Miguel APerez-Nieto Cecilio Alamo Faculty of Health Sciences Camilo JoseCela UniversityMadridSpain Department of Pharmacology University of AlcalaMadridSpain School of Human Sciences Seinan Gakuin UniversityFukuokaJapan Department of Psychiatry Taipei Medical UniversityWan Fang Medical CenterTaipeiTaiwan Acute Inpatients Unit Dr.R.Lafora Psychiatric HospitalMadridSpain Department of Psychiatry “Doce de Octubre”University HospitalComplutense UniversityMadridSpain

Aims:Research on second-generation antipsychotic drugs (SGAs) has experienced great development in last *** did a bibliometric study on the scientific publications on SGAs in ***: With theEMBASEandMEDLINEdatabases, we chose papers published from Japan with SGA descriptors. Price’s law and Bradford’s law has been used as bibliometric indicators for quantitating production and dispersion, respectively, of published papers on SGAs. We also calculated the participation index of different countries, and correlated those bibliometric data with some social and health data from Japan (such as totalper capitaexpenditure on health and gross domestic expenditure on research and development). Results: A sum of 669 original documents were published from Japan from 1982 to 2011. Those results fulfilled Price’s law, with scientific production on SGAs showing exponential growth (correlation coefficientr= 0.9261, as against anr= 0.8709 after linear adjustment). The most studied SGAs in Japan wererisperidone (n= 192), aripiprazole (n= 109), and olanzapine (n= 106). Division of documents into Bradford zones yielded a nucleus occupied exclusively by theProgress in Neuro-Psychopharmacology and Biological Psychiatry(49 articles). Those publications were in 157 different journals. Seven of the first 10 frequently used journals had an impact factor of being greater than 3. Conclusions: The SGA publications in Japan have been through exponential growth over the studied period, without evidence of reaching a saturation point.

关键词： Second-Generation Antipsychotics Atypical Antipsychotics Bibliometry Schizophrenia Bipolar Disorder Japan

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Introduction, Establishment, and Invasion of Digitonthophagus gazella (Fabricius, 1787) (Coleoptera: Scarabaeinae) in the Savannas of Venezuela and Colombia

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Natural Resources 2017年第5期8卷 370-381页

作者： Jorge Ari noriega Oona Delgado Joffre Isnar Blanco Jorge Gámez José Clavijo Laboratorio de Zoología y Ecología Acuática—LAZOEA Universidad de Los Andes Bogotá Colombia Department of Biogeography and Global Change National Museum of Natural Science (CSIC) Madrid Spain Museo del Instituto de Zoología Agrícola francisco Fernández Yépez—MIZA Facultad de Agronomía Universidad Central de Venezuela Maracay Venezuela Laboratorio de Entomología Universidad Nacional Experimental del Táchira San Cristóbal Venezuela Fundación Entomológica Andina Mérida Venezuela

The invasion process involves overcoming certain barriers with negative effects on the biodiversity and ecosystem function. This is the case of the African dung beetle Digitonthophagus gazella, which was introduced in the United States and other countries in Central and South America to help in dung removal activity. The distribution of D. gazella has been documented in the Americas, but in Venezuela there is little information. Trying to understand the process of invasion of the Colombian-Venezuelan savannas and measure their potential impact, the information stored in collections and literature was collected. Five new state records were reported for Venezuela, as well as four scenarios of the process of introduction and establishment of this species in the region. Although the amount of records has increased, the number of individuals sampled is still incipient. The possible areas of invasion and the potential negative effects that the presence of this species exerts in these regions are also discussed. In addition, potential areas of invasion and negative effects of this species are discussed. Results emphasize the importance of generating models of the invasive process in order to design programs that monitor the effects incurred by the presence of D. gazella on native species and propose control and mitigation mechanisms.

关键词： Anthropic Introduction Biodiversity Dung Beetles Invasive Species Scarabaeidae

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