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2.
Rev. clín. esp. (Ed. impr.) ; 223(8): 479-485, oct. 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-225873

RESUMO

Introducción y objetivo La N-acetilcisteína se ha propuesto para el tratamiento de COVID-19 gracias a sus efectos mucolítico, antioxidante y antiinflamatorio. El presente estudio tiene como objetivo evaluar su efecto en pacientes ingresados con COVID-19, en términos de mortalidad. Material y métodos Estudio de cohorte retrospectivo unicéntrico. Se incluyeron todos los pacientes ingresados por COVD-19 entre marzo y abril de 2020 en nuestro hospital. Resultados Un total de 378 pacientes fueron incluidos; de ellos, 196 (51,9%) fueron hombres, la edad media fue de 73,3±14,5 años. Un total de 199 (52,6%) pacientes recibieron tratamiento con N-acetilcisteína. Más del 70% tuvieron tos, fiebre y/o disnea. La mortalidad hospitalaria global fue del 26,7%. Un análisis multivariante mediante regresión logística identificó la edad de los pacientes [mayores de 80 años; OR: 8,4 (IC95%: 3-23,4)], una afectación radiológica moderada o grave medida por la escala RALE [OR: 7,3 (IC95%: 3,2-16,9)], el consumo de tabaco [OR: 2,8 (IC95%: 1,3-6,1)] y arritmia previa [OR: 2,8 (IC95%: 1,3-6,2)] como factores de riesgo que se asociaron independientemente con la mortalidad durante el ingreso. El tratamiento con N-acetilcisteína fue identificado como factor protector [OR: 0,57 (IC95%: 0,31-0,99)]. El asma podría representar asimismo un factor protector de mortalidad, aunque en el presente estudio no alcanza significación estadística [OR: 0,19 (IC95%: 0,03-1,06)]. Conclusiones Los pacientes con COVID-19 tratados con N-acetilcisteína presentaron una menor mortalidad y mejor evolución en nuestro estudio. Futuros estudios prospectivos o ensayos clínicos aleatorizados deben confirmar el papel de la N-acetilcisteína en pacientes con COVID-19 (AU)


Introduction and aim N-acetylcysteine has been proposed for the treatment of COVID-19 thanks to its mucolytic, antioxidant and anti-inflammatory effects. Our aim is to evaluate its effect on patients admitted with COVID-19 in mortality terms. Material and methods Retrospective single-center cohort study. All patients admitted to our hospital for COVID-19 from March to April 2020 have been considered. Results A total of 378 patients were included, being 196 (51.9%) men, with an average age of 73.3±14.5 years. The 52.6% (199) received treatment with N-acetylcysteine. More than 70% presented coughs, fever, and/or dyspnea. The global hospital mortality was 26.7%. A multivariate analysis through logistic regression identified the age of patients [older than 80; OR: 8.4 (95% CI: 3–23.4)], a moderate or severe radiologic affectation measured by the RALE score [OR: 7.3 (95% CI: 3.2–16.9)], the tobacco consumption [OR: 2.8 (95% CI: 1.3–6.1)] and previous arrhythmia [OR 2.8 (95% CI: 1.3–6.2)] as risk factor that were independently associated with mortality during the admission. The treatment with N-acetylcysteine was identified as a protective factor [OR: 0.57 (95% CI: 0.31–0.99)]. Asthma also seems to have a certain protective factor although it was not statistically significant in our study [OR: 0.19 (95% CI: 0.03–1.06)]. Conclusions Patients with COVID-19 treated with N-acetylcysteine have presented a lower mortality and a better evolution in this study. Future prospective studies or randomized clinical trials must confirm the impact of N-acetylcysteine on COVID-19 patients (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/mortalidade , Infecções por Coronavirus/terapia , Acetilcisteína/uso terapêutico , Antivirais/uso terapêutico , Mortalidade Hospitalar , Estudos Retrospectivos , Estudos de Coortes , Prognóstico
3.
Rev Clin Esp (Barc) ; 223(8): 479-485, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37482215

RESUMO

INTRODUCTION AND AIM: N-Acetylcysteine has been proposed for the treatment of COVID-19 thanks to its mucolytic, antioxidant and anti-inflammatory effects. Our aim is to evaluate its effect on patients admitted with COVID-19 in mortality terms. MATERIAL AND METHODS: Retrospective single-center cohort study. All patients admitted to our hospital for COVID-19 from March to April 2020 have been considered. RESULTS: A total of 378 patients were included, being 196 (51.9%) men, with an average age of 73.3±14.5 years. 52.6% (199) received treatment with N-Acetylcysteine. More than 70% presented coughs, fever, and/or dyspnea. The global hospital mortality was 26.7%. A multivariate analysis through logistic regression identified the age of patients [older than 80; OR: 8.4 (CI95%:3-23.4)], a moderate or severe radiologic affectation measured by the RALE score [OR:7.3 (CI95%:3.2-16.9)], the tobacco consumption [OR:2.8 (CI95%:1.3-6.1)] and previous arrhythmia [OR 2.8 (CI95%: 1.3-6.2)] as risk factor that were independently associated with mortality during the admission. The treatment with N-Acetylcysteine was identified as a protective factor [OR: 0.57 (CI95%: 0.31-0.99)]. Asthma also seems to have a certain protective factor although it was not statistically significant in our study [OR: 0.19 (CI95%: 0.03-1.06)]. CONCLUSIONS: Patients with COVID-19 treated with N-acetylcysteine have presented a lower mortality and a better evolution in this study. Future prospective studies or randomized clinical trials must confirm the impact of N-Acetylcysteine on COVID-19 patients.


Assuntos
COVID-19 , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Acetilcisteína/uso terapêutico , Estudos de Coortes , Estudos Retrospectivos , SARS-CoV-2
4.
Front Robot AI ; 10: 1127496, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37064576

RESUMO

Space resource utilisation is opening a new space era. The scientific proof of the presence of water ice on the south pole of the Moon, the recent advances in oxygen extraction from lunar regolith, and its use as a material to build shelters are positioning the Moon, again, at the centre of important space programs. These worldwide programs, led by ARTEMIS, expect robotics to be the disrupting technology enabling humankind's next giant leap. However, Moon robots require a high level of autonomy to perform lunar exploration tasks more efficiently without being constantly controlled from Earth. Furthermore, having more than one robotic system will increase the resilience and robustness of the global system, improving its success rate, as well as providing additional redundancy. This paper introduces the Resilient Exploration and Lunar Mapping System, developed with a scalable architecture for semi-autonomous lunar mapping. It leverages Visual Simultaneous Localization and Mapping techniques on multiple rovers to map large lunar environments. Several resilience mechanisms are implemented, such as two-agent redundancy, delay invariant communications, a multi-master architecture different control modes. This study presents the experimental results of REALMS with two robots and its potential to be scaled to a larger number of robots, increasing the map coverage and system redundancy. The system's performance is verified and validated in a lunar analogue facility, and a larger lunar environment during the European Space Agency (ESA)-European Space Resources Innovation Centre Space Resources Challenge. The results of the different experiments show the efficiency of REALMS and the benefits of using semi-autonomous systems.

5.
Neurosci Lett ; 795: 137027, 2023 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-36566831

RESUMO

Adult neurogenesis is an aspect of structural plasticity that remains active during adulthood in some brain regions. One of them is the subgranular zone (SGZ) of the dentate gyrus of the hippocampus. Adult neurogenesis is reduced by different factors and in disorders of the CNS, including major depression. Antidepressant treatments, such as chronic fluoxetine administration, recover the normal level of adult neurogenesis. Fluoxetine treatment increases the free concentration of the neurotransmitter serotonin and this monoamine is implicated in the regulation of the neurogenic process; however, the target of the action of this neurotransmitter has not been fully elucidated. In this study, we have tried to determine the relevance of the serotonin receptor 3 (5-HT3) in the hippocampal neurogenesis of adult rats. We have used fluorescent immunohistochemistry to study the expression of the 5-HT3 receptor in different neurogenesis stages in the SGZ, identifying its expression in stem cells, amplifying neural progenitors and immature neurons. Moreover, we have studied the impact of a 5-HT3 antagonist (ondansetron) in the fluoxetine-induced adult neurogenesis. We observed that fluoxetine alone increases the number of both proliferating cells (ki67 positive) and immature neurons (DCX positive) in the SGZ. By contrast, co-treatment with ondansetron blocked the increase in proliferation and neurogenesis. This study demonstrates that the activation of 5-HT3 receptors is necessary for the increase of adult neurogenesis induced by fluoxetine.


Assuntos
Fluoxetina , Células-Tronco Neurais , Ratos , Animais , Fluoxetina/farmacologia , Fluoxetina/metabolismo , Receptores 5-HT3 de Serotonina/metabolismo , Ondansetron/metabolismo , Hipocampo/metabolismo , Neurogênese/fisiologia , Células-Tronco Neurais/metabolismo , Proliferação de Células , Giro Denteado/metabolismo
6.
Rev. Soc. Esp. Dolor ; 30(1): 60-62, 2023. ilus
Artigo em Espanhol | IBECS | ID: ibc-220856

RESUMO

La rotura de aneurisma de aorta supone el síntoma principal en hasta un 25 % de los casos de la patología de aneurisma de aorta, que constituye una entidad potencialmente mortal. También puede aparecer con menor prevalencia como lumbalgia, coxalgia e, incluso, gonalgia, no comentándolo como dolor vertebral o neuropático, sino como irritación a nivel de psoas ilíaco como primera sintomatología.Se estima que solo en un 50 % de los casos aparece la triada clásica del aneurisma, por lo que es necesario tener un alto nivel de alerta para sospecharlo, ya que la hipovolemia puede estar contenida por un hematoma peritoneal.(AU)


Aortic aneurysm rupture is the main symptom in up to 25 % of cases of aortic aneurysm pathology, which is a life-threatening disease. It may appear less frequently as low back pain, coxalgia and even gonalgia, not as vertebral or neuropathic pain, but as irritation at the level of the iliac psoas as the first symptomatology.It is estimated that only in 50 % of cases the classic aneurysm triad appears, being necessary to have a high level of alertness to suspect it, since hypovolemia may be contained by a peritoneal hematoma.(AU)


Assuntos
Humanos , Masculino , Idoso , Resultado do Tratamento , Pacientes Internados , Exame Físico , Avaliação de Sintomas , Aneurisma Aórtico , Dor Lombar , Diagnóstico Diferencial , Dor , Espanha
8.
Rev. esp. cardiol. (Ed. impr.) ; 75(10): 834-842, oct. 2022.
Artigo em Espanhol | IBECS | ID: ibc-211055

RESUMO

La publicación del estudio EMPEROR-Preserved y la extensión del beneficio cardiovascular de los inhibidores del cotransportador de sodio-glucosa tipo 2 (iSGLT2) a pacientes con insuficiencia cardiaca IC y fracción de eyección (FE)> 40% supone un importante hito en el tratamiento de la IC con FE conservada (IC-FEc). A raíz de estos resultados, en febrero de 2022 la Food and Drug Administration estadounidense aprobó el uso de la empagliflozina para el tratamiento de pacientes con IC independientemente de la FE. Sin embargo, un análisis más detallado del estudio EMPEROR-Preserved genera ciertas dudas en relación con la banda de FE más alta (> 60%). Este grupo de pacientes presenta una gran heterogeneidad y probablemente no se pueda considerar un único fenotipo para fines terapéuticos y de abordaje clínico. Además, la FE es un parámetro continuo. Por ello, no parece que una diferenciación basada en puntos de corte matemáticos concuerde con la evidencia más reciente, que apunta precisamente a un cambio más gradual en cuanto a mecanismos subyacentes, etiologías y respuesta al tratamiento a lo largo del espectro de la FE. Un mejor conocimiento de los mecanismos fisiopatológicos es fundamental para establecer nuevas dianas terapéuticas, interpretar los resultados de los ensayos clínicos y desarrollar tratamientos dirigidos y eficaces (AU)


The publication of the EMPEROR-Preserved trial and data on the benefits of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patients with heart failure (HF) with ejection fraction (EF)> 40% represent a significant step forward in the treatment of HF with preserved EF. Given these results, in February 2022 the US Food and Drug Administration approved the use of empaglifozin in adults with HF with reduced or preserved EF. However, more detailed analysis of the EMPEROR-Preserved trial led to doubts about the effect of empagliflozin in patients with an EF of> 60% this patient group is widely heterogeneous and, probably, a single phenotype cannot be considered in treatment goals or the clinical approach. Moreover, EF occurs on a continuum and classifications of HF according to arbitrary cut-points in EF do not appear consistent with recent evidence, which points to a gradual shift and considerable overlap in underlying mechanisms, phenotypes and treatment response over the spectrum of EF. Enhanced knowledge of pathophysiological mechanisms is essential to establish new therapeutic targets, interpret the results of clinical trials, and develop targeted and effective therapies (AU)


Assuntos
Humanos , Diabetes Mellitus Tipo 2/tratamento farmacológico , Insuficiência Cardíaca/tratamento farmacológico , Proteínas de Transporte de Sódio-Glucose/uso terapêutico , Volume Sistólico
9.
Rev. int. med. cienc. act. fis. deporte ; 22(86): 255-267, jun.-sept. 2022. tab, ilus
Artigo em Inglês, Espanhol | IBECS | ID: ibc-205441

RESUMO

A pesar de que el saque es el golpe más determinante en el tenis moderno, existen hasta la fecha pocas investigaciones en tenis profesional femenino. El objetivo del presente estudio fue identificar las diferencias en la dirección y eficacia del saque en función del ranking; así como observar las diferencias según la lateralidad de la jugadora rival (diestra o zurda) en torneos de Grand Slam. Se analizaron un total de 108 partidos femeninos disputados en los torneos del Abierto de los Estados Unidos y Wimbledon. Los resultados mostraron una mayor variabilidad en la táctica del saque en Wimbledon frente al Abierto de Estados Unidos. Además, se identificaron diferencias en la dirección y eficacia del saque de las jugadoras diestras en función de la lateralidad del rival, en especial cuando se sacó a jugadoras zurdas. Estos resultados contribuyen al conocimiento de las dinámicas y rendimiento del saque en las jugadoras de tenis profesionales. (AU)


Serve is the most important stroke in modern tennis, but the number of studies on professional women’s tennis is scarce. The aim of the present study was to identify differences in service direction and effectiveness regarding players’ ranking position; as well as to observe the differences according to the opponent’s laterality (right-handed or left-handed). A total of 108 matches from the US Open and Wimbledon tournaments were analysed. Results showed a larger variability in service tactics in Wimbledon compared to the US Open. In addition, the direction and effectiveness of the service of right-handed players differed depending on the opponent’s laterality, especially against left-handed players. These results contribute to the knowledge of the service dynamics and performance in professional women’s tennis players. (AU)


Assuntos
Humanos , Feminino , Tênis , Lateralidade Funcional , Atletas , Desempenho Atlético , Análise de Dados , Tênis/fisiologia , Estados Unidos
11.
Cir Pediatr ; 35(2): 63-69, 2022 Apr 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35485753

RESUMO

INTRODUCTION: Laparoscopic graft removal for pediatric living donor liver transplantation (PLDLT) reduces morbidity and surgical aggressiveness for the donor. It is important to assess whether the approach used for removal purposes compromises implantation. The objective of this study was to analyze PLDLT progression in children according to whether the graft had been removed laparoscopically or through open surgery. MATERIAL AND METHODS: A retrospective, analytical cohort study of PLDLTs carried out in our institution from 2009 to 2020 was carried out. RESULTS: Transplantation was performed in 14 patients, with a median age of 34.5 (R: 6-187) months. In 6 donors (42%), graft removal was conducted laparoscopically. In 1 donor (7%), removal was initiated laparoscopically, but conversion was required. This patient was included within the open surgery group, which consisted of 8 (58%) donors. No differences were found in terms of operating times, ICU stay, hospital stay, complications during admission, or complications post-admission in the recipient. The surgical approach did not compromise the length of the vessels to be anastomosed in any graft, and it added no extra difficulty to implantation. No differences were found in terms of removal times or hospital stay for the donor. Only 1 donor from the laparoscopy group required re-intervention due to bleeding following port insertion. CONCLUSION: PLDLT patients had similar results regardless of the removal approach used, which did not compromise the structures of the graft to be anastomosed, or add any extra difficulty to implantation.


INTRODUCCION: La extracción laparoscópica del injerto para el trasplante hepático pediátrico de donante vivo (THPDV) es una herramienta que reduce la morbilidad y agresividad quirúrgica en el donante. Es importante estudiar si la vía de extracción compromete el implante. El objetivo del estudio es analizar la evolución del THPDV en el niño en función de si el injerto fue extraído por vía abierta o laparoscopia. MATERIAL Y METODOS: Estudio de cohortes retrospectivo y analítico de los THPDV realizados entre 2009 y 2020 en nuestro centro. RESULTADOS: Se trasplantaron 14 pacientes, con edad mediana de 34,5 (R: 6-187) meses. En 6 donantes (42%) se realizó la extracción del injerto vía laparoscópica. En un donante se inició la extracción por laparoscopia, pero fue necesaria la conversión (7%), esté se clasificó en el grupo de laparotomía, compuesta por 8 (58%) donantes. No se encontraron diferencias en el tiempo quirúrgico, en los días en la unidad de cuidados intensivos, en la estancia hospitalaria, en las complicaciones durante el ingreso ni en las complicaciones postingreso en el receptor. El abordaje quirúrgico no comprometió en ningún injerto la longitud de los vasos a anastomosar, sin suponer una dificultad en el implante. No se evidenciaron diferencias en el tiempo de extracción ni en los días de hospitalización del donante. Solo un donante del grupo de laparoscopia precisó reintervención por sangrado de la incisión de un trocar. CONCLUSION: Los pacientes con THPDV presentan resultados similares, independientemente de la vía de extracción del injerto. La vía de abordaje no comprometió las estructuras del injerto a anastomosar, ni dificultó el momento del implante.


Assuntos
Laparoscopia , Transplante de Fígado , Criança , Pré-Escolar , Estudos de Coortes , Humanos , Laparoscopia/métodos , Doadores Vivos , Estudos Retrospectivos
12.
Cir. pediátr ; 35(2): 1-7, Abril, 2022. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-203573

RESUMO

Introducción: La extracción laparoscópica del injerto para el tras-plante hepático pediátrico de donante vivo (THPDV) es una herramientaque reduce la morbilidad y agresividad quirúrgica en el donante. Esimportante estudiar si la vía de extracción compromete el implante.El objetivo del estudio es analizar la evolución del THPDV en el niñoen función de si el injerto fue extraído por vía abierta o laparoscopia.Material y métodos: Estudio de cohortes retrospectivo y analíticode los THPDV realizados entre 2009 y 2020 en nuestro centro.Resultados: Se trasplantaron 14 pacientes, con edad mediana de34,5 (R: 6-187) meses.En 6 donantes (42%) se realizó la extracción del injerto vía la-paroscópica. En un donante se inició la extracción por laparoscopia,pero fue necesaria la conversión (7%), este se clasificó en el grupo delaparotomía, compuesta por 8 (58%) donantes.No se encontraron diferencias en el tiempo quirúrgico, en los díasen la Unidad de Cuidados Intensivos, en la estancia hospitalaria, en lascomplicaciones durante el ingreso ni en las complicaciones postingresoen el receptor.El abordaje quirúrgico no comprometió en ningún injerto la longitudde los vasos a anastomosar, sin suponer una dificultad en el implante.No se evidenciaron diferencias en el tiempo de extracción ni en losdías de hospitalización del donante. Solo un donante del grupo de lapa-roscopia precisó reintervención por sangrado de la incisión de un trocar.Conclusión: Los pacientes con THPDV presentan resultados simi-lares, independientemente de la vía de extracción del injerto. La vía deabordaje no comprometió las estructuras del injerto a anastomosar, nidificultó el momento del implante.


Introduction: Laparoscopic graft removal for pediatric living donorliver transplantation (PLDLT) reduces morbidity and surgical aggressive-ness for the donor. It is important to assess whether the approach used forremoval purposes compromises implantation. The objective of this studywas to analyze PLDLT progression in children according to whetherthe graft had been removed laparoscopically or through open surgery.Materials and methods: A retrospective, analytical cohort study ofPLDLTs carried out in our institution from 2009 to 2020 was carried out.Results: Transplantation was performed in 14 patients, with a me-dian age of 34.5 (R: 6-187) months. In 6 donors (42%), graft removalwas conducted laparoscopically. In 1 donor (7%), removal was initiatedlaparoscopically, but conversion was required. This patient was includedwithin the open surgery group, which consisted of 8 (58%) donors.No differences were found in terms of operating times, ICU stay,hospital stay, complications during admission, or complications post-admission in the recipient.The surgical approach did not compromise the length of the ves-sels to be anastomosed in any graft, and it added no extra difficulty toimplantation.No differences were found in terms of removal times or hospitalstay for the donor. Only 1 donor from the laparoscopy group requiredre-intervention due to bleeding following port insertion.Conclusion: PLDLT patients had similar results regardless of theremoval approach used, which did not compromise the structures ofthe graft to be anastomosed, or add any extra difficulty to implantation.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Transplante de Fígado , Doadores Vivos , Estudos de Coortes , Laparoscopia , Laparotomia , Estudos Retrospectivos , Pediatria
16.
Rev Esp Anestesiol Reanim (Engl Ed) ; 69(1): 12-24, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35039244

RESUMO

BACKGROUND: We explored the experience of clinicians from the Spanish Society of Anesthesiology (SEDAR) in airway management of COVID-19 patients. METHODS: An software-based survey including a 32-item questionnaire was conducted from April 18 to May 17, 2020. Participants who have been involved in tracheal intubations in patients with suspected or confirmed COVID-19 infection were included anonymously after obtaining their informed consent. The primary outcome was the preferred airway device for tracheal intubation. Secondary outcomes included the variations in clinical practice including the preferred video laryngoscope, plans for difficult airway management, and personal protective equipment. RESULTS: 1125 physicians completed the questionnaire with a response rate of 40,9%. Most participants worked in public hospitals and were anesthesiologists. The preferred device for intubation was the video laryngoscope (5.1/6), with the type of device in decreasing order as follows: Glidescope, C-MAC, Airtraq, McGrath and King Vision. The most frequently used device for intubation was the video laryngoscope (70,5%), using them in descending order as follow: the Airtraq, C-MAC, Glidescope, McGrath and King Vision. Discomfort of intubating wearing personal protective equipment and the frequency of breaching a security step was statistically significant, increasing the risk of cross infection between patients and healthcare workers. The opinion of senior doctors differed from younger physicians in the type of video-laryngoscope used, the number of experts involved in tracheal intubation and the reason that caused more stress during the airway management. CONCLUSIONS: Most physicians preferred using a video-laryngoscope with remote monitor and disposable Macintosh blade, using the Frova guide.


Assuntos
COVID-19 , Laringoscópios , Médicos , Manuseio das Vias Aéreas , Humanos , Intubação Intratraqueal , Laringoscopia , SARS-CoV-2 , Espanha , Inquéritos e Questionários
17.
Rev Esp Anestesiol Reanim ; 69(1): 12-24, 2022 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-33994589

RESUMO

BACKGROUND: We explored the experience of clinicians from the Spanish Society of Anesthesiology in airway management of COVID-19 patients. METHODS: An software-based survey including a 32-item questionnaire was conducted from April 18 to May 17, 2020. Participants who have been involved in tracheal intubations in patients with suspected or confirmed COVID-19 infection were included anonymously after obtaining their informed consent. The primary outcome was the preferred airway device for tracheal intubation. Secondary outcomes included the variations in clinical practice including the preferred video laryngoscope, plans for difficult airway management, and personal protective equipment. RESULTS: 1125 physicians completed the questionnaire with a response rate of 40,9%. Most participants worked in public hospitals and were anesthesiologists.The preferred device for intubation was the video laryngoscope (5.1/6), with the type of device in decreasing order as follows: Glidescope, C-MAC, Airtraq, McGrath and King Vision. The most frequently used device for intubation was the video laryngoscope (70,5%), using them in descending order as follow: the Airtraq, C-MAC, Glidescope, McGrath and King Vision.Discomfort of intubating wearing personal protective equipment and the frequency of breaching a security step was statistically significant, increasing the risk of cross infection between patients and physicians. The opinion of senior doctors differed from younger physicians in the type of video-laryngoscope used, the number of experts involved in tracheal intubation and the reason that caused more stress during the airway management. CONCLUSIONS: Most physicians preferred using a video-laryngoscope with remote monitor and disposable Macintosh blade, using the Frova guide.

18.
Eur J Sport Sci ; 22(12): 1898-1907, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34463206

RESUMO

ABSTRACTThis cross-sectional study aimed to analyse the social and gender-related factors influencing sedentariness in women, including occupation and family size (FS). We included women aged 45-70 years participating in the Breast Cancer Screening Programme of the Valencia Region (BCSP-VR) between November 2018 and October 2019 (n = 121,988). The response variable was sedentariness measured by sitting time in hours/day (h/day) (<3 h/day and ≥3 h/day). The explanatory variables were age, educational level, country of origin, living alone, childcare responsibilities, FS, disability, body mass index (BMI) and smoking status. Logistic regression models were adjusted for the whole sample and were stratified by occupation and FS. The variables that increased the odds of sedentariness were age ≥65 years (OR = 1.28; CI = 1.20-1.36), high educational level (OR = 1.39; CI = 1.31-1.47), non-manual occupation (OR = 2.38; CI = 2.27-2.48), living alone (OR = 1.11; CI = 1.05-1.17), disability (OR = 1.37; CI = 1.20-1.56) and BMI ≥ 30 (OR = 1.33; CI = 1.28-1.38). The variables decreasing the odds were large (OR = 0.90; CI = 0.87-0.96) and medium FS (OR = 0.93; CI = 0.90-0.97). Older age, high educational level and high BMI conferred a higher odd of sedentary lifestyle, independently of occupation and FS with statistical differences. Protective factors were childcare responsibilities in non-working women (OR = 0.86; CI = 0.74-0.99), large FS in women with manual occupations (OR = 0.88; CI = 0.80-0.97) and medium FS in housewives (OR = 0.91; CI = 0.86-0.97). This study identified social and gender-related inequalities in the factors influencing sedentariness, which were related to the type of occupation and FS.Highlights There are social and gender inequalities in the factors influencing sedentarinessNon-manual occupation increases the risk of sedentary lifestyleBelonging to a medium or large family decreases the risk of sedentary behaviourChildcare responsibilities are related to lower sitting time throughout the day.


Assuntos
Ocupações , Comportamento Sedentário , Humanos , Feminino , Estudos Transversais , Escolaridade , Índice de Massa Corporal
19.
Braz. j. biol ; 82: e240184, 2022. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1278492

RESUMO

Soil quality is usually determined by its physical-chemical characteristics without taking into account the bacterial communities that play a fundamental role in the chemical decomposition of plant nutrients. In this context, the objective of the study was to evaluate bacterial diversity in high Andean grassland soils disturbed with Lepidium meyenii cultivation under different gradients of use (first, second and third use) and crop development (pre-sowing, hypocotyl development and post-harvest). The sampling was carried out in the Bombón plateau in the central Andes of Peru, during the rainy and low water seasons, by the systematic method based on a specific pattern assigned in a geometric rectangular shape at a depth of 0 - 20 cm. The characterization of the bacterial communities was carried out through the metagenomic sequencing of the 16S rRNA. 376 families of bacteria were reported, of which it was determined that there was a significant change in bacterial composition and distribution in relation to use pressure. There were no major changes due to the development of Lepidium meyenii. The families most sensitive to use pressure and soil poverty indicators were Verrucomicrobiaceae, Acidobacteraceae and Aakkermansiaceae.


A qualidade do solo é normalmente determinada pelas suas características físico-químicas sem ter em conta as comunidades bacterianas que desempenham um papel fundamental na decomposição química dos nutrientes das plantas. Neste contexto, o objetivo do estudo foi avaliar a diversidade bacteriana em solos de prados andinos elevados perturbados pelo cultivo de Lepidium meyenii sob diferentes gradientes de utilização (primeira, segunda e terceira utilizações) e desenvolvimento das culturas (pré-semeadura, desenvolvimento do hipocótilo e póscolheita). A amostragem foi realizada no planalto de Bombón, nos Andes centrais do Peru, durante as estações das chuvas e das águas baixas, pelo método sistemático baseado num padrão específico atribuído em forma geométrica retangular a uma profundidade de 0 - 20 cm. A caracterização das comunidades bacterianas foi realizada através da sequenciação metagenômica do rRNA 16S. Foram relatadas 376 famílias de bactérias, das quais se verificou uma alteração significativa na composição e distribuição bacteriana em relação à pressão de utilização. Não se registaram grandes alterações devido ao desenvolvimento do Lepidium meyenii. As famílias mais sensíveis à utilização de indicadores de pressão e pobreza do solo foram as Verrucomicrobiaceae, Acidobacteraceae e Aakkermansiaceae.


Assuntos
Lepidium/genética , Peru , Solo , Microbiologia do Solo , Bactérias/genética , RNA Ribossômico 16S/genética , Pradaria , Metagenômica
20.
Braz. j. biol ; 82: 1-12, 2022. map, ilus, graf, tab
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1468535

RESUMO

Soil quality is usually determined by its physical-chemical characteristics without taking into account the bacterial communities that play a fundamental role in the chemical decomposition of plant nutrients. In this context, the objective of the study was to evaluate bacterial diversity in high Andean grassland soils disturbed with Lepidium meyenii cultivation under different gradients of use (first, second and third use) and crop development (pre-sowing, hypocotyl development and post-harvest). The sampling was carried out in the Bombón plateau in the central Andes of Peru, during the rainy and low water seasons, by the systematic method based on a specific pattern assigned in a geometric rectangular shape at a depth of 0 - 20 cm. The characterization of the bacterial communities was carried out through the metagenomic sequencing of the 16S rRNA. 376 families of bacteria were reported, of which it was determined that there was a significant change in bacterial composition and distribution in relation to use pressure. There were no major changes due to the development of Lepidium meyenii. The families most sensitive to use pressure and soil poverty indicators were Verrucomicrobiaceae, Acidobacteraceae and Aakkermansiaceae.


A qualidade do solo é normalmente determinada pelas suas características físico-químicas sem ter em conta as comunidades bacterianas que desempenham um papel fundamental na decomposição química dos nutrientes das plantas. Neste contexto, o objetivo do estudo foi avaliar a diversidade bacteriana em solos de prados andinos elevados perturbados pelo cultivo de Lepidium meyenii sob diferentes gradientes de utilização (primeira, segunda e terceira utilizações) e desenvolvimento das culturas (pré-semeadura, desenvolvimento do hipocótilo e pós colheita). A amostragem foi realizada no planalto de Bombón, nos Andes centrais do Peru, durante as estações das chuvas e das águas baixas, pelo método sistemático baseado num padrão específico atribuído em forma geométrica retangular a uma profundidade de 0 - 20 cm. A caracterização das comunidades bacterianas foi realizada através da sequenciação metagenômica do rRNA 16S. Foram relatadas 376 famílias de bactérias, das quais se verificou uma alteração significativa na composição e distribuição bacteriana em relação à pressão de utilização. Não se registaram grandes alterações devido ao desenvolvimento do Lepidium meyenii. As famílias mais sensíveis à utilização de indicadores de pressão e pobreza do solo foram as Verrucomicrobiaceae, Acidobacteraceae e Aakkermansiaceae.


Assuntos
Animais , Genes Reporter , Lepidium , Microbiologia do Solo , Regiões Promotoras Genéticas
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