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safety of digoxin in nonagenarian patients with atrial fibrillation:lessons from the spanish Multicenter Registry

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Journal of Geriatric Cardiology 2021年第10期18卷 809-815页

作者： pablo Domínguez-Erquicia sergio Raposeiras-Roubín Emad Abu-Assi María Cespón-Fernández David Alonso-Rodríguez santiago Jesús Camacho-Freire Naiara Cubelos-Fernández Álvaro López-Masjuán Ríos María Melendo-Viu andrésÍñiguez-Romo Department of Cardiology University HospitalÁlvaro CunqueiroVigoSpain Health Research Institute Galicia sur VigoSpain Department of Cardiology University Hospital of LeónLeónSpain Department of Cardiology University Hospital Juan Ramón JiménezHuelvaSpain

BACKGROUND The association between digoxin and mortality is an unclear *** older patients with atrial fibrillation(AF),where use of digoxin is frequent,the evidence of its safety is *** aim is to assess the safety of digoxin in nonagenarian patients with *** We evaluated data from 795 nonagenarian patients with non-valvular AF from the spanish Multicenter *** analyzed the relationship between digoxin and all-cause mortality with the Cox proportional-hazards *** Follow-up was 27.7±18.3 *** age was 92.5±3.8 years,and 71%of nonagenarian patients were *** was not associated with increased risk of mortality[adjusted hazard ratio(aHR)=1.16,95%CI:0.96−1.41,P=0.130].However,we found a significant increase in mortality in the subgroup with estimated glomerular filtration rate(eGFR)subgroups of eGFR(30−59 mL/min per 1.73 m^(2) and≥60 mL/min per 1.73 m^(2)).When exploring the risk of mortality according to sex,male subgroup was associated with an in-crease in mortality(aHR=1.48,95%CI:1.02−2.14,P=0.041).This was not observed in females subgroup(aHR=1.03,95%CI:0.81−1.29,P=0.829).Based on the presence or absence of heart failure,we did not find significant differences(aHR=1.20,95%CI:0.87−1.65,P=0.268 ***=1.15,95%CI:0.90−1.47,P=0.273,respectively).CONCLUsIONs In our large registry of nonagenarian patients with AF,we did not find an association between digoxin and mortality in the total ***,in the subgroup analyses,we found an increase in mortality with the use of digoxin in men and in patients with an eGFR<30 mL/min per 1.73 m^(2).

关键词： patients digoxin fibrillation

Bridging Methods for Atomistic-to-Continuum Coupling and Their Implementation

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Communications in Computational Physics 2010年第4期7卷 831-876页

作者： pablo seleson Max Gunzburger Department of scientific Computing Florida State UniversityTallahasseeFL 32306-4120USA

several issues connected with bridging methods for atomistic-to-continuum(AtC)coupling are *** coupling approaches using various energy blending models are studied as well as the influence that model parameters,blending functions,and grids have on simulation *** use the Lagrange multiplier method for enforcing constraints on the atomistic and continuum displacements in the bridge *** also show that continuum models are not appropriate for dealing with problems with singular loads,whereas AtC bridging methods yield correct results,thus justifying the need for a multiscale *** investigate models that involve multiple-neighbor interactions in the atomistic region,particularly focusing on a comparison of several approaches for dealing with Dirichlet boundary conditions.

关键词： Multiscale modeling atomistic-to-continuum coupling boundary treatment

Diffusion dynamics and characterization of attogram masses in optically trapped single nanoparticles using laser-induced plasma imaging

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Nano Research 2023年第5期16卷 7470-7480页

作者： pablo Purohit Francisco J.Fortes Javier Laserna UMALAsERLAB Departamento de Química AnalíticaUniversidad de MálagaC/Jiménez Fraud 4Malaga 29010Spain Niels Bohr Institute University of CopenhagenBlegdamsvej 172100 CopenhagenDenmark

In the present work,a wavelength-selected plasma imaging analysis system is presented and used to track photons emitted from single-trapped nanoparticles in air at atmospheric *** isolated nanoentities were atomized and excited into plasma state using single nanosecond laser *** use of appropriate wavelength filters alongside time-optimized acquisition settings enabled the detection of molecular and atomic emissions in the *** photon detection efficiency of the imaging line resulted in a signal>400 times larger than the simultaneously-acquired dispersive spectroscopy *** increase in sensitivity outlined the evolution of diverse physicochemical processes at the single particle scale which included heat and momentum transfer from the plasma into the particle as wells as chemical *** imaging detection of excited fragments evidenced different diffusion kinetics and time frames for atoms and molecules and their influence upon both the spectroscopic emission readout and fabrication processes using the plasma as a ***,the origin of molecular species,whether naturally-occurring or derived from a chemical reaction in the plasma,could also be studied on the basis of compositional gradients found on the *** of detection for the inspected species ranged from tens to hundreds attograms,thus leading to an exceptional sensing principle for single nanoentities that may impact several areas of science and technology.

关键词： single nanoparticle inspection wavelength-selected laser-induced plasma imaging laser fabrication attogram characterization atomic/molecular diffusion

Liver transplantation for hilar cholangiocarcinoma

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World Journal of Gastroenterology 2013年第48期19卷 9209-9215页

作者： Ricardo Robles Francisco sánchez-Bueno pablo Ramírez Roberto Brusadin Pascual Parrilla Department of surgery and Liver and Pancreas transplantation Virgen de la Arrixaca Clinic and University Hospital E-30120 Murcia Spain

The most appropriate treatment for Klatskin tumor(KT)with a curative intention is multimodal therapy based on achieving resection with tumour-free margins(R0resections)combined with other types of neoadjuvant or adjuvant treatment(the most important factor affecting KT survival is the possibility of R0 resections,achieving 5-year survival rate of 40%-50%).Thirty to forty percent of patients with KT are inoperable and present a 5-year survival rate of 0%.In irresectable non-disseminated KT patients,using liver transplantation without neoadjuvant treatment,the 5-year survival rate increase to 38%,reaching 50%survival in early *** selected cases,with liver transplantation and neoadjuvant treatment(chemotherapy and radiotherapy),the actuarial survival rate is 65%at 5 years and 59%at 10 *** conclusion,correct staging,neoadjuvant treatment,living donor and priority on the liver transplant waiting list may lead to improved results.

关键词： Klatskin tumour Cholangiocarcinoma Liver transplantation Liver surgery Primary sclerosing cholangitis

Editorial for a special issue on graphene and 2D alternative materials:From preparation to potential applications

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Nano Materials science 2022年第1期4卷 1-2页

作者： pablo Ares Felix Zamora Departamento de Fisica de la Materia Condensada and Condensed Matter Physics Center(IFIMAC) Universidad Autonoma de Madrid Madrid28049Spain Departamento de Quimica Inorganica Condensed Matter Physics Center(IFIMAC)and Institute for Advanced Research in Chemical Sciences(IAdChem)Universidad Autonoma de MadridMadrid28049Spain Instituto Madrileno de Estudios Avanzados en Nanociencia(IMDEA-Nanociencia) CantoblancoMadrid28049Spain

The isolation of graphene and subsequent studies showed that obtaining atomically thin crystalline sheets was feasible and possessed extraordinary *** result opened the door to an entirely new family of materials known as two-dimensional or 2D *** in this field is intense:the emergence of new 2D materials,the properties of their combinations and the ability of graphene to reinvent itself,showing novel and exciting properties,make it likely that this field will continue to be one of the leading topics of materials science and condensed matter physics.

关键词： preparation entirely crystalline

Marriage Market with Indifferences: A Linear Programming Approach

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Journal of the Operations Research society of China 2023年第1期11卷 219-242页

作者： Noelia Juarez pablo A.Neme Jorge Oviedo Instituto de Matemática Aplicada san Luis IMASLRedNIEUniversidad Nacional de San Luis and CONICETD5700HHWSan LuisRepublica Argentina

We study stable and strongly stable matchings in the marriage market with indifference in their *** characterize the stable matchings as integer extreme points of a convex *** give an alternative proof for the integrity of the strongly stable matching ***,we compute men-optimal(women-optimal)stable and strongly stable matchings using linear *** preferences are strict,we find the men-optimal(women-optimal)stable matching.

关键词： Matching markets The marriage market with indifferences Optimal stable matchings Linear programming

On fixity of arc-transitive graphs

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science China Mathematics 2021年第12期64卷 2603-2610页

作者： Florian Lehner Primoz Potocnik pablo spiga Institute of Discrete Mathematics Graz University of TechnologyGraz 8010Austria Faculty of Mathematics and Physics University of LjubljanaLjubljana 1000Slovenia Dipartimento di Matematica Pura e Applicata University of Milano-BicoccaMilano 20126Italy

The relative xity of a permutation group is the maximum proportion of the points xed by a non-trivial element of the group,and the relative xity of a graph is the relative xity of its automorphism group,viewed as a permutation group on the vertex-set of the *** prove in this paper that the relative xity of connected 2-arc-transitive graphs of a xed valence tends to 0 as the number of vertices grows to in *** prove the same result for the class of arc-transitive graphs of a xed prime valence,and more generally,for any class of arc-transitive locally-L graphs,where L is a xed quasiprimitive graph-restrictive permutation group.

关键词： permutation group xity minimal degree graph automorphism group vertex-transitive arc-transitive xed points

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NHC-catalysed[3+2]-asymmetric annulation between pyrazolin-4,5-diones and enals:synthesis of novel spirocyclic pyrazolone γ-butyrolactones and computational study of mechanism and stereoselectivity

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Organic Chemistry Frontiers 2022年第2期9卷 420-427页

作者： Marta Gil-Ordonez Alicia Maestro pablo Ortega pablo G.Jambrina Jose M.andres GIR-sintACat-Instituto Universitario CINQUIMA y Departamento de Química Orgánica Facultad de CienciasUniversidad de ValladolidPaseo Belén 747011 ValladolidSpain Departamento de Química Física University of Salamanca37008 SalamancaSpain

Chiral pyrazolones with a spirocyclic centre at the C4-position are widely found in a large family of medically relevant *** recent years,organocatalysis,particularly that performed with quiral N-heterocyclic carbenes(NHCs),has allowed the enantioselective synthesis of these spirocyclic compounds despite its inherent *** this work,we describe the fully diastereo-and highly enantioselective synthesis of novel spirocyclic pyrazolone γ-butyrolactones via NHC-catalysed[3+2]annulation reaction of enals and 1H-pyrazol-4,*** understand the catalytic mechanism and origin of stereoselectivity,electronic structure calculations were carried *** considering various pathways,we concluded that the stereoselectivity-determining step is the formation of the lactone that proceeds after addition of the NHC derived homoenolate to the electrophilic carbonyl group of pyrazolin-4,*** calculations predict that the free energy barrier is lower for the(Rs)product,which is also the main product experimentally obtained.

关键词： synthesis spiro mechanism

The role of the Frontiers of Knowledge Awards in identifying the global leaders in ecological research

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Ecosystem Health and sustainability 2017年第5期3卷 24-28页

作者： pablo Jauregui Monica salomone Communications Department BBVA FoundationMadridSpain

Introduction:This paper outlines the origins and rationale of the Frontiers of Knowledge Awards,a new family of international prizes created in 2008 by the BBVA Foundation of *** aim of these awards is to recognize world-class contributions in a range of scientific,technological,and artistic areas which address the central challenges of the twenty-first *** key distinguishing feature is the fact that they have incorporated amongst their categories the two fundamental fields of contemporary environmental research:Ecology and Conservation Biology and Climate ***:By documenting the winners of the Frontiers of Knowledge Awards in these two areas,as well as the reasons for which they received this recognition during their previous nine editions,we show how these prizes have helped to identify some of the leading international figures in environmental science,such as Edward ***,Daniel ***,Jane Lubchenco,and Ilkka ***:In conclusion,we suggest that this initiative contributes to the public salience of the global ecological problems which threaten the future of our *** the same time,the Frontiers of Knowledge Awards serve to highlight the fundamental importance of the pioneering scientists whose research can provide the only reliable basis on which globalpolicy makers must make informed decisions to successfully confront the environmental challenges of our time.

关键词： Ecology conservation biology climate change Awards