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Characteristics and in-hospital mortality of elderly patients with heart failure in Spanish hospitals

Journal of Geriatric Cardiology 2023年第4期20卷 247-255页

作者： Alberto esteban-Fernández Manuel Anguita-Sánchez Juan luis Bonilla-Palomas María Anguita-Gámez María García joséluis Bernal Náyade Del Prado Cristina Fernández-Pérez Julián Pérez-Villacastin Juan joséGómez-Doblas Francisco Javier Elola Cardiology Department Hospital Universitario Severo OchoaMadridSpain Cardiology Department Hospital Universitario Reina SofíaCórdobaSpain Cardiology Department Hospital San Juan de la CruzÚbedaSpain Cardiology Department Hospital Clínico San CarlosMadridSpain Fundación Instituto para la Mejora de la Asistencia Sanitaria MadridSpain Management Control Department Hospital Universitario 12 de OctubreMadridSpain Department of Preventive Medicine Área Sanitaria de Santiago de Compostela y BarbanzaInstituto de Investigación de SantiagoSantiago de CompostelaSpain Cardiology Department Hospital Universitario Virgen de la VictoriaMálagaSpain

BACKGROUND The prevalence of heart failure(HF)increases with age,and it is one of the leading causes of hospitalization and death in older ***,there are little data on in-hospital mortality in patients with HF≥75 years in *** A retrospective analysis of the Spanish Minimum Basic Data Set was performed,including all HF episodes discharged from public hospitals in Spain between 2016 and *** was performed using the International Classification of Diseases,10th ***≥75 years with HF as the principal diagnosis were *** calculated:(1)the crude in-hospital mortality rate and its distribution according to age and sex;(2)the risk-standardized in-hospital mortality ratio;and(3)the association between in-hospital mortality and the availability of an intensive cardiac care unit(ICCU)in the *** We included 354,792 HF episodes of patients over 75 *** mean age was 85.2±5.5 years,and 59.2%of patients were *** most frequent comorbidities were renal failure(46.1%),diabetes mellitus(35.5%),valvular disease(33.9%),cardiorespiratory failure(29.8%),and hypertension(26.9%).In-hospital mortality was 12.7%,and increased with age[odds ratio(OR)=1.07,95%CI:1.07–1.07,P<0.001]and was lower in women(OR=0.96,95%CI:0.92–0.97,P<0.001).The main predictors of mortality were the presence of cardiogenic shock(OR=19.5,95%CI:16.8–22.7,P<0.001),stroke(OR=3.5,95%CI:3.0–4.0,P<0.001)and advanced cancer(OR=2.6,95%CI:2.5–2.8,P<0.001).In hospitals with ICCU,the in-hospital risk-adjusted mortality tended to be lower(OR=0.85,95%CI:0.72–1.00,P=0.053).CONCLUSIONS In-hospital mortality in patients with HF≥75 years between 2016 and 2019 was 12.7%,higher in males and elderly *** main predictors of mortality were cardiogenic shock,stroke,and advanced *** was a trend toward lower mortality in centers with an ICCU.

关键词： patients mortality diagnosis

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Phylogenetic alpha and beta diversity in tropical tree assemblages along regionalscale environmental gradients in northwest South America

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Journal of Plant Ecology 2014年第2期7卷 145-153页

作者： Sebastián González-Caro María Natalia Umaña esteban Álvarez Pablo R.Stevenson Nathan G.Swenson Ecosystem Services&Climate Change Lab Botanical Garden of MedellínMedellínAntioquia 050001Colombia Department of Plant Biology Michigan State UniversityEast LansingMI 48824USA Department of Ecology Universidad de AlcaláAlcaláMadrid 28801Spain Department of Biological Sciences Universidad de Los AndesBogotá7495Colombia

Aims Environmental gradients are drivers of species diversity;however,we know relatively little about the evolutionary processes underlying these relationships.A potentially powerful approach to studying diversity gradients is to quantify the phylogenetic structure within and between assemblages arrayed along broad spatial and environmental ***,we evaluate the phylogenetic structure of plant assemblages along an environmental gradient with the expectation that the habitat specialization of entire lineages is an important evolutionary pattern influencing the structure of tree communities along environmental *** We evaluated the effect of several environmental variables on the phylogenetic structure of plant assemblages in 145 plots distributed in northwestern South America that cover a broad environmental *** phylogenetic alpha diversity was quantified for each plot and the phylogenetic beta diversity between each pair of plots was also *** the alpha and beta diversity measures were then related to spatial and environmental gradients in the study *** Findings We found that gradients in temperature and potential evapotranspiration have a strong relationship with the phylogenetic alpha diversity in our study system,with phylogenetic overdispersion in low temperatures and phylogenetic clustering at higher ***,the phylogenetic beta diversity between two plots increases with an increasing difference in temperature,whereas annual precipitation was not a significant predictor of community phylogenetic *** also found that the phylogenetic structure of the plots in our study system was related to the degree of seasonal flooding and seasonality in *** particular,more stressful environments such as dry forests and flooded forests showed phylogenetic ***,in contrast with previous studies,we find that phylogenetic beta diversity was not strongly related to the spatial d

关键词： phylogenetic conservatism habitat filtering immigration environmental gradient

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Stress,Burnout,and Resilience:Are Teachers at Risk?

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International Journal of Mental Health Promotion 2023年第2期25卷 207-222页

作者： joséluis Moreno-Lucas Juan Pedro Martínez-Ramón Francisco Manuel Morales-Rodríguez Cecilia Ruiz-esteban e Inmaculada Méndez Department of Developmental and Educational Psychology Campus of Excellence Mare NostrumUniversity of MurciaEspinardoMurcia30100Spain Department of Developmental and Educational Psychology University Campus of CartujaUniversity of GranadaGranada18071Spain

It is increasingly common to find alarming news related to tragic events occurring in schools around the *** able to deal with these situations without getting hurt is a task not suitable for *** general,teachers are the ones who must deal with this type of situation in addition to other daily problems that appear in any classroom that make the level of stress to which they are subjected can become *** research aims to know the current situation of teachers in a region of southeastern Spain in terms of their level of work stress,resilience,and other associated variables,for which an ex post facto quantitative approach study was *** this purpose,an ad hoc sociodemographic questionnaire,and questions based on the Teaching and Learning International Survey of the Organization for Economic Co-Operation and Development,the Maslach Burnout Inventory,and the Brief Resilient Coping Scale were *** participating sample consisted of 470 *** main findings were that 6%of teachers had burnout(high emotional exhaustion,high cynicism,and low professional effectiveness simultaneously).Resilience correlated inversely with stress,emotional exhaustion,cynicism,excessive teaching,and difficulty maintaining classroom *** conclusion,knowing the needs of teachers allows us to reflect on what kind of prevention and intervention programs are necessary to improve the well-being of teachers and thus improve the quality of education.

关键词： Burnout coping resilience stress teacher

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The nature of the frictional force at the macro-, micro-, and nano-scales

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Friction 2014年第1期2卷 40-46页

作者： esteban BROITMAN IFM Linköping UniversitySE 58183Sweden

Nowadays it is accepted that the friction force is a combined effect arising from various phenomena:adhesive forces,capillary forces,contact elasticity,topography,surface chemistry,and generation of a third body,*** of them can dominate depending on the experimental force and length scales of the *** forces in macro-tribology are in the Newtons,while are reduced to milli-/micro-Newtons,and nano-Newtons in micro-and nano-tribology,*** this paper,experimental friction results from fullerene like CNx films and single-crystal Si at the three scales will be *** complex and broad variety of processes and phenomena connected with the dry friction coefficient at the macro-,micro-,and nano-scale point of view will be highlighted.

关键词： macrotribology microtribology nanotribology carbon nitride silicon

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High-pressure scheelite-type polymorph of SmCrO_4: synthesis, structural characterization and magnetic properties

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Journal of Rare Earths 2010年第6期28卷 936-939页

作者： Regino Sáez-Puche Mahmoud Gamal Rabie Julio Romero de Paz josé-Manuel Gallardo-Amores esteban Climent Pascual Department of Inorganic Chemistry Faculty of Chemical Sciences Complutense University of Madrid Ciudad Universitaria

The new scheelite form of SmCrO4 oxide was obtained by heating the zircon-type SmCrO4 oxide at 4 GPa and 803 K. X-ray diffraction revealed that this scheelite SmCrO4 phase crystallized with tetragonal symmetry, S.G. I41/a and lattice parameters: a=0.50776(3) nm and c=1.15606(2) nm. This structural phase transition from zircon to scheelite involved a decreasing of around 10% in the unit cell volume. Although the Cr-O and Sm-O distances did not change very much in both zircon and scheelite polymorphs, the changes occurred in the bond angles were remarkable that appear to support the proposed reconstructive model to explain this structural zircon-scheelite phase transition. Magnetic susceptibility and magnetization measurements revealed that the scheelite SmCrO4 oxide behaved an antiferromagnetic material, where the Sm3+ and Cr5+ were simultaneously ordered. The estimated Néel temperature, TN, was 16 K and the critical field at 12 K associated with the metamagnetic transition was 3.2 T.

关键词： scheelite-type structure zircon-type structure high pressure synthesis antiferromagnetic behaviour metamagnetic transition rare earths

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Induced pluripotent stem cell (iPS) technology:promises and challenges

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Chinese Science Bulletin 2009年第1期54卷 2-8页

作者： MIGUEL A esteban Laboratory of Regenerative Biology South China Institute for Stem Cell Biology and Regenerative MedicineGuangzhou Institute of Biomedicine and HealthChinese Academy of Sciences

In 2006,an article published in Cell by Shinya Yamanaka took by surprise the stem cell research community. By performing systematic retroviral transduction of factors enriched in embryonic stem (ES) cells,the authors demonstrated the reprogramming of mouse fibroblasts into an ES cell-like state. These cells,baptized iPS (induced pluripotent stem) cells,were immediately recognized as a ground-breaking discovery. Subsequently,the same authors and other groups reported a similar achievement with human fibroblasts. Two years later,the number of top quality papers on iPS is astonishing,and interest in the scientific community has risen to a fever pitch. But although iPS has the potential to revolutionize Regenerative Medicine,important questions still remain unanswered. Work from multiple laboratories worldwide including ours is focused on deciphering the molecular mechanisms of iPS,and trying to improve the technique to make it suitable for the clinic. In this review article we briefly discuss the past,present and future of iPS,with emphasis on urgent issues to be solved.

关键词：自身更新多能性胚胎干细胞多能干细胞

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Short-term effects of post-fire mulching with straw or wood chips on soil properties of semi-arid forests

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林业研究:英文版 2023年第6期34卷 1777-1790页

作者： Manuel esteban Lucas Borja Demetrio Antonio Zema Department of Agroforestry Technology Science and GeneticsSchool of Advanced Agricultural and Forestry EngineeringCampus Universitario s/nCastilla La Mancha UniversityE-02071 Castilla La ManchaAlbaceteSpain Department AGRARIA “Mediterranea”University of Reggio CalabriaLocalitàFeo di VitoI-89122 Reggio CalabriaItaly

Few studies have compared the variability of soil properties using different types of mulches in semi-arid *** study evaluated the changes in physico-chemical soil properties in a semi-arid forest of Central Eastern Spain,where straw and pine wood chips were distributed as mulch three months after a *** were sampled under burned and unmulched and burned and mulched plots three and nine months after the *** data was processed using Principal Component Analysis(PCA)and Analytical Hierarchical Cluster Analysis(AHCA).Mulching with straw or wood chips did not have any significant effects on the texture and chemical properties of burned sites few months after the *** contrast,significant changes are expected over time in organic matter,nutrients and many *** were no significant differences in soil properties between the two *** low changes were confirmed by PCA coupled with AHCA,which did not show a clear distinction among the three soil ***,a noticeable and significant variability of many of these properties over time was *** study shows that mulching does not degrade of soil properties in the short-term after a wildfire and after post-fire treatments,and thus helps protect semi-arid forest ecosystems against the negative impacts of high-severity fires.

关键词： Post-fire management High-severity fire Aridisols Erosion Vegetal residues incorporation Soil degradation

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Analysis of the Cicatricial Acceleration Method (MAC®) in Skin Repair in Wistar Rattus norvegicus with Induced Chemical Burns

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Journal of Biosciences and Medicines 2024年第9期12卷 204-214页

作者： Marcus Vinicius de Mello Pinto Sandroval Francisco Torres Aline Ronis Sampaio Karin Yuri Fernandez Iturra Miriam Viviane Baron Patricia Froes Carlos Ruiz da Silva Daiane Paza Maria Elena Silva Alvarez josefa Jeanette Ugalde Juliano Tibola esteban Fortuny Celulare Institute Petrpolis Brazil State University of Santa Catarina (UDESC) Florianopolis Brazil Bienus Clinic Santiago Chile Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil International Research Group (IRG) Natal Brazil Academic Training Center (CTA) College So Paulo Brazil Fibrafisio Clinic Brusque Brazil Fisiocare Clinic Curic Chile Lua Clinic Coyhaique Chile Finis Terrae University Santiago Chile

Introduction: The cicatricial acceleration method (MAC®) promotes photobiological effects of an anti-inflammatory and healing nature. Its therapeutic radiation is emitted, producing photobiostimulant effects that result in rapid tissue repair and better tissue quality. The treatment of burns has always been a challenge, which involves both performing surgery and controlling and guiding scar regeneration, avoiding possible morbidities. Objective: To evaluate the effects of applying the MAC methodology with an AlGa (aluminum, gallium arsenide) laser on the time and quality of tissue repair in the skin of rats after induced chemical burns. Method: 22 adult male rats were subjected to a second-degree chemical burn on the back using 50% trichloroacetic acid. After the burns, the animals were randomly separated into 2 groups: control and experimental. The control group (G1) received placebo laser therapy and the laser group (G2) underwent laser irradiation with an energy density of 100 J/cm2. Histological analysis and macroscopic evaluation were carried out by means of the paper template method. Results: Group G1 showed (53%) of the necrosis area and group G2 showed (11%) necrosis area. Conclusion: The cicatricial acceleration method (MAC®) favored the repair of wounds caused by a 2nd-degree chemical burn, optimizing time and improving quality.

关键词： Chemical Burn Healing Scarring Cicatricial Acceleration Method (MAC®) Tissue Repair

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Numerical modeling of cracking pattern's influence on the dynamic response of thickened tailings disposals: a periodic approach

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Earthquake Engineering and Engineering Vibration 2018年第1期17卷 179-190页

作者： Gabriel Ferrer esteban Sáez Christian Ledezma School of Engineering Pontificia Universidad Católica de Chile National Research Center for Integrated Natural Disaster Management

Copper production is an essential component of the Chilean economy. During the extraction process of copper, large quantities of waste materials（tailings） are produced, which are typically stored in large tailing ponds. Thickened Tailings Disposal（TTD） is an alternative to conventional tailings ponds. In TTD, a considerable amount of water is extracted from the tailings before their deposition. Once a thickened tailings layer is deposited, it loses water and it shrinks, forming a relatively regular structure of tailings blocks with vertical cracks in between, which are then filled up with ＂fresh＂ tailings once the new upper layer is deposited. The dynamic response of a representative column of this complex structure made out of tailings blocks with softer material in between was analyzed using a periodic half-space finite element model. The tailings＇ behavior was modeled using an elasto-plastic multi-yielding constitutive model, and Chilean earthquake records were used for the seismic analyses. Special attention was given to the liquefaction potential evaluation of TTD.

关键词： Thickened tailings Liquefaction Periodic modeling

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The impact of cultural assumptions on simulated energy, comfort, and investment returns of design decisions in two desert climates

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Building Simulation 2021年第4期14卷 931-944页

作者： esteban Estrella Guillen Holly W.Samuelson Christine Vohringer Harvard Graduate School of Design 48 Quincy St.CambridgeMAUSA Universidad de Monterrey Av.Ignacio Morones Prieto 4500San Pedro Garza GarcíaNLMexico

In Latin America, default assumptions and borrowed templates and methodologies are often used in energy modeling, resulting in models that might not represent their cultural context and leading to policies awkwardly fit to local practices. Policy-driving low-income housing studies in Mexico, for example, activated both heating and cooling in energy models even though less than 5% of the homes in the country have heating systems. This paper illustrates the importance of modeling local sociocultural habits and practices, and how this can affect design outcomes. Here, we modeled low-income housing representative of typical residences in two desert climates-Hermosillo, Mexico, and Copiapo, Chile-using EnergyPlus. Settings representing local practices in each region were tested against default values, including occupancy settings, regional construction systems, and importantly, HVAC settings related to partial conditioning. Their impacts were measured via variation in energy use, comfort conditions, and the payback period of design upgrades. Results demonstrated how certain assumptions can have a high “design significance”, a term we propose for inputs that completely change optimal design decisions, as well as the importance of considering thermal comfort in such decisions. Including partial conditioning, for example, resulted in at least double the payback period and discomfort degrees for design upgrades in 16 of 24 instances.

关键词： performance simulation energy model low-cost housing housing policy thermal comfort culture

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