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ACME-Annali della Facolta di Studi Umanistici dell Universita degli Studi di Milano最新文献

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Syphilitic aortitis: About a case in South Colombia 梅毒性主动脉炎:关于南哥伦比亚的一个病例
D. J. Alvis-Peña, C. H. Calderón-Franco, Julieth Gonzales-Cerón, María P. Alvis-Peña, Yexica A. Rodríguez-Rodríguez
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引用次数: 0
Study and cardiovascular follow-up of children and adolescents undergoing oncohematological treatments: Why, how, and when? 接受肿瘤血液学治疗的儿童和青少年的研究和心血管随访:为什么、如何以及何时?
M. Jiménez-Carbajal
Review of several international publications in the medical literature related to cardiovascular evaluation in pediatric patients undergoing some type of oncohematological treatment, providing risk factors that together with chemo and/or radiotherapy impair adequate cardiovascular function in a particular way.
回顾医学文献中与接受某种肿瘤血液学治疗的儿童患者心血管评估相关的几篇国际出版物,提供了与化疗和/或放疗一起以特定方式损害适当心血管功能的风险因素。
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引用次数: 0
Clinical recurrence in patients with sequential grafts in Coronary Artery Bypass Graft (CABG) surgery 冠状动脉旁路移植术(CABG)中序贯移植患者的临床复发
M. Gómez-Sánchez, Roberto Perezgrovas-Olaria, Gabriel García-Garnica, E. Bucio-Reta, M. Rendón-Macías
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引用次数: 0
Benefits and potential risks of intensive goals in the treatment of arterial hypertension – Systematic review and meta-analysis of clinical trials 强化靶治疗动脉性高血压的益处和潜在风险——临床试验的系统回顾和荟萃分析
S. Garcia-Zamora, A. Rosende, Brunilda Casetta, M. F. Grande-Ratti, N. Carli, M. F. Bertarini, María A. Alcuaz, V. Schoj
Introduction and objectives: There is controversy regarding the most appropriate goals for blood pressure control. We assess the benefits and risks of chossing different therapeutic thresholds. Methods: We perform a systematic review and meta-analysis of large clinical trials in order to assess the impact of different therapeutic strategies on the reduction of car-
前言和目的:关于最合适的血压控制目标存在争议。我们评估了选择不同治疗阈值的益处和风险。方法:我们对大型临床试验进行系统回顾和荟萃分析,以评估不同治疗策略对减少car- 1的影响
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引用次数: 2
Prognostic value of acute physiology and chronic health evaluation II score in post-operative of cardiac surgery 急性生理和慢性健康评估II评分在心脏手术后的预后价值
L. Seoane, J. Espinoza, L. Burgos, J. Furmento, L. Polero, M. Camporrotondo, M. Vrancic, D. Navia, M. Benzadón
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引用次数: 0
Inauguration of the XXXI Mexican Congress of Cardiology 第三十一届墨西哥心脏病学大会开幕典礼
Pedro Iturralde-Torres
Correspondence: *Dr. Pedro Iturralde Torres E-mail: pedroi@yahoo.com Available online: 09-02-2020 Arch Cardiol Mex (Eng). 2020;90(1):1-3 www.archivoscardiologia.com Date of reception: 27-11-2019 Date of acceptance: 28-11-2019 DOI: 10.24875/ACME.M20000083 Distinguished Minister Secretary of the Interior Olga Sánchez Cordero, members of the Head Table, cardiologist colleagues, specialists, nurses, specials guests, ladies and gentlemen. On behalf of the Board of Directors of the Mexican Society of Cardiology 2018-2020, I cordially express to all present the most affectionate welcome to our thirty-first Mexican Congress of Cardiology. The Mexican Society of Cardiology has reached 84 years of existence and, since its birth, every two years it congregates its members in its national congresses with the purpose to spread knowledge on Cardiology current issues. I gladly comply with the duty to remember and pay tribute to our founder and honorary president, Professor Ignacio Chávez, an emblematic leading figure of medicine, education, culture and humanism in the 20th century. Our recognition to the former presidents for their commitment and dedication to achieve the advance of our society. Every one of them, at the time, built and consolidated with their work a rock-solid academic platform of the highest scientific level. “The achievements of a scientific society are the sum of the contributions of its members. Its projection and scope are based on joint effort, on unified far-sighted vision and on the conjunction of wills.” This is how the Society continues its constant academic work to the benefit of Mexican cardiologists. In Mexico, as in the rest of the world, cardiovascular diseases represent the first cause of death. Last year, 130,000 cases were reported in the country, out of which 100,000 were related to acute coronary syndrome. Therefore, cardiovascular diseases cause more deaths than cancer. The most important cardiovascular risk factors are obesity and overweight, especially in children, and in this regard Mexico ranks first in the world. Diabetes and high blood pressure, which are suffered by more than 30 million Mexicans, as well as increased cholesterol, smoking and sedentary lifestyle, have contributed for the acute myocardial infarction mortality rate to be three times higher than the average in the countries of the Organization for Economic Cooperation and Development in patients older than 45 years, and it is therefore essential to take primary prevention measures to prevent that in the next decades one out of every two Mexicans die from heart diseases. This implies a global challenge, and hence the importance of the “25 x 25” initiative of the World Heart Federation and the World Health Organization, which involves the commitment to reduce cardiovascular disease mortality by 25% for the year 2025. Hence the importance of cardiology societies for this project to succeed. During the 31st Mexican Congress of Cardiology we will have the pa
函授:*博士。佩德罗·伊图拉尔德·托雷斯E-mail: pedroi@yahoo.com在线发布:09-02-2020 Arch Cardiol Mex (Eng)。2020;90(1):1-3 www.archivoscardiologia.com接收日期:27-11-2019接收日期:28-11-2019 DOI: 10.24875/ACME。尊敬的内政部长Olga Sánchez Cordero,首席会议成员,心脏病专家同事,专家,护士,特别嘉宾,女士们,先生们。我谨代表2018-2020年墨西哥心脏病学会董事会,向所有出席我们第三十一届墨西哥心脏病学大会的人表示最诚挚的欢迎。墨西哥心脏病学会已有84年的历史,自成立以来,它每两年在其全国代表大会上召集其成员,目的是传播关于心脏病学当前问题的知识。我很高兴履行纪念和致敬我们的创始人和名誉主席伊格纳西奥教授Chávez的责任,他是20世纪医学、教育、文化和人文主义的标志性领导人物。我们对前总统们为实现我们社会的进步所作出的承诺和奉献表示感谢。他们每个人都用自己的工作,建立和巩固了一个坚如磐石的最高科学水平的学术平台。“科学社会的成就是其成员贡献的总和。”它的投射和范围是基于共同的努力,基于统一的远见和意志的结合。”这就是该协会如何继续其持续的学术工作,以造福墨西哥心脏病专家。与世界其他地区一样,在墨西哥,心血管疾病是导致死亡的首要原因。去年,全国报告了13万例病例,其中10万例与急性冠状动脉综合征有关。因此,心血管疾病导致的死亡人数超过癌症。最重要的心血管危险因素是肥胖和超重,特别是在儿童中,在这方面墨西哥位居世界第一。3 000多万墨西哥人患有糖尿病和高血压,加上胆固醇升高、吸烟和久坐不动的生活方式,造成45岁以上患者的急性心肌梗死死亡率比经济合作与发展组织国家的平均死亡率高出三倍。因此,必须采取初级预防措施,防止今后几十年每两个墨西哥人中就有一个死于心脏病。这意味着一项全球性挑战,因此世界心脏联合会和世界卫生组织的" 25 x 25 "倡议十分重要,该倡议涉及到到2025年将心血管疾病死亡率降低25%的承诺。因此,心脏病学会对这个项目的成功至关重要。在第31届墨西哥心脏病学大会期间,我们将有400多名杰出的专家参加
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引用次数: 0
Multicenter prospective validation of the European System for Cardiac Operative Risk Evaluation II in Argentina 欧洲心脏手术风险评估系统II在阿根廷的多中心前瞻性验证
R. Borracci, M. Rubio, Julio Baldi-Jr, Julio C. Giorgini, Claudio C. Higa
Objective: To validate prospectively in multiple centers, the accuracy and clinical utility of the European System for Cardiac Operative Risk Evaluation (EuroSCORE II) to predict the operative mortality of cardiac surgery in Argentina. Methods: Between January 2012 and February 2018, 2000 consecutive adult patients who underwent cardiac surgery in different centers in Argentina were prospectively included. The endpoint was in-hospital all-cause mortality. Discrimination, calibration, precision, and clinical utility of the EuroSCORE II were evaluated in the global cohort and in the different types of surgeries, based on receiver operating characteristics (ROC) curves, Hosmer–Lemeshow goodness-of-fit test, observed/expected mortality ratio, Shannon index, and decision curves analysis. Results: ROC area of the EuroSCORE II was between 0.73 and 0.80 for all types of surgery, being the lowest value for coronary surgery. The observed and expected mortality was 4.3% and 3.0%, respectively (p = 0.034). The decision curve analysis showed a positive net benefit for all thresholds below 0.24, considering all type of surgeries. Conclusions: The EuroSCORE II showed an adequate performance in terms of discrimination and calibration for all types of surgery, although somewhat inferior for coronary surgery. Although, in general terms, this model underestimated the risk in intermediate-risk groups, its overall performance was acceptable. The EuroSCORE II could be considered an optional updated generic model of operative risk stratification to predict in-hospital mortality after cardiac surgery in our context.
目的:在多中心前瞻性验证欧洲心脏手术风险评估系统(EuroSCORE II)预测阿根廷心脏手术死亡率的准确性和临床实用性。方法:前瞻性纳入2012年1月至2018年2月期间在阿根廷不同中心连续接受心脏手术的2000名成年患者。终点是院内全因死亡率。基于受试者工作特征(ROC)曲线、Hosmer-Lemeshow拟合优度检验、观察/预期死亡率、Shannon指数和决策曲线分析,评估EuroSCORE II在全球队列和不同类型手术中的鉴别、校准、精度和临床效用。结果:所有手术类型的EuroSCORE II的ROC面积在0.73 ~ 0.80之间,冠状动脉手术的ROC面积最小。观察死亡率为4.3%,预期死亡率为3.0% (p = 0.034)。决策曲线分析显示,考虑到所有类型的手术,所有低于0.24的阈值均为正净收益。结论:EuroSCORE II在所有类型手术的区分和校准方面表现良好,尽管在冠状动脉手术方面稍差。虽然一般来说,该模型低估了中等风险群体的风险,但其总体表现是可以接受的。在我们的研究中,EuroSCORE II可以被认为是一种可选的更新的手术风险分层通用模型,用于预测心脏手术后住院死亡率。
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引用次数: 0
Correlation between amino-terminal pro-brain natriuretic peptide levels and the maximum vasoactive-inotropic score in the first 24 h post-intervention of cardiac surgery 心脏手术干预后前24小时氨基末端脑钠素原水平与最大血管活性肌力评分的相关性
Maribel Ibarra-Sarlat, Elma I. Fuentes-Lara, Cecilia Sánchez-Bañuelos, J. Núñez-Enríquez
Introduction: The clinical utility of brain natriuretic peptide (amino-terminal pro-brain natriuretic peptide [NT-proBNP]) as a prognostic marker in pediatric patients with heart failure is controversial. The maximum vasoactive-inotropic score at 24 h after cardiac surgery in pediatric patients is an important predictor of morbidity and post-operative mortality. Objective: The objective of the study was to determine if there is a correlation between the serum levels of NT-proBNP and the maximum vasoactive-inotropic score at 24 h after cardiac surgery in pediatric patients seen in the intensive care unit. Materials and methods: This was an analytical cross-sectional study. A Spearman correlation analysis (rs) was performed between the serum level of NT-proBNP and the maximum inotropic score both taken at 24 h postoperatively. p < 0.05 was considered statistically significant. Results: Forty patients were included, 52.5% to the male sex, 72.5% were older than 1 year of age at the time of surgery. A low correlation (rs = 0.26) was found between the serum levels of NT-proBNP and the maximum vasoactive-inotropic score at 24 h, this correlation was not statistically significant (p = 0.09). Conclusions: To our understanding, the present study is the first to investigate whether there is a correlation between these markers, so our results could set an important precedent that marks the beginning of multiple investigations in our critically ill patients to establish new diagnostic, prognostic, and therapeutic approaches.
脑钠肽(氨基末端前脑钠肽[NT-proBNP])作为儿科心衰患者预后标志物的临床应用存在争议。儿科患者心脏手术后24小时血管活性-肌力评分是预测发病率和术后死亡率的重要指标。目的:本研究的目的是确定重症监护病房儿科患者心脏手术后24小时血清NT-proBNP水平与最大血管活性-肌力评分之间是否存在相关性。材料和方法:这是一项分析性横断面研究。术后24 h血清NT-proBNP水平与最大肌力评分进行Spearman相关分析(rs)。P < 0.05为差异有统计学意义。结果:纳入40例患者,52.5%为男性,72.5%为手术时年龄大于1岁。血清NT-proBNP水平与24 h最大血管活性-肌力评分呈低相关性(rs = 0.26),相关性无统计学意义(p = 0.09)。结论:根据我们的理解,本研究是第一个调查这些标志物之间是否存在相关性的研究,因此我们的研究结果可以树立一个重要的先例,标志着在我们的危重患者中开展多项研究的开始,以建立新的诊断、预后和治疗方法。
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引用次数: 0
Bureaucratic discourse, signature and authorship in John Tzetzes: a comparative perspective 约翰·蔡泽斯的官僚话语、签名和作者身份:比较视角
Aglae Pizzone
Basandosi sull’opera di Giovanni Tzetze (1110-1185 circa), questo contributo offre un’analisi preliminare del ruolo svolto dalle pratiche burocratiche e dalla formazione legale nel definire autografia e autorialita nella Costantinopoli del XII secolo. Mettendo a confronto pratiche archivistiche e firme d’autore, questo articolo dimostra che elementi del discorso legale potevano essere sfruttati dagli intellettuali per rinforzare e mettere al centro la propria voce, superando cosi i limiti imposti dalle norme sociali e, a volte, la propria marginalita. Questo contributo ha un impianto comparativo, dato che prende anche in esame gli sviluppi della poesia volgare italiana in Sicilia, Bologna e Toscana tra il XIII e il XIV secolo, soffermandosi in particolare sull’opera di Francesco da Barberino. L’approccio comparativo vuole dimostrare che i legami tra scritture burocratiche/legali e scritture letterarie sono una costante transculturale dovuta a pratiche educative e scrittorie simili, mostrando quindi che il caso degli intellettuali italiani del pre-umanesimo e piu la regola che l’eccezione.
根据乔凡尼·泽泽(约1110-1185)的著作,这一贡献对12世纪君士坦丁堡的官僚主义和法律培训在确定亲本和权威方面所起的作用作了初步分析。通过比较档案和作者的签名,这篇文章表明,知识分子可以利用法律话语的元素来加强和突出他们的声音,从而克服社会规范的限制,有时甚至超越他们的边缘化。这篇文章有一个比较的基础,因为它还考察了13世纪至14世纪西西里岛、博洛尼亚和托斯卡纳意大利粗俗诗歌的发展,特别是弗朗西斯科·达·巴贝里诺的作品。这种比较方法的目的是证明,由于类似的教育和写作实践,官僚/法律写作和文学写作之间的联系是一种持续的跨文化联系,因此,意大利前人文主义知识分子的情况与其说是例外,不如说是规则。
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引用次数: 0
Il ritratto di Vettio Agorio Pretestato: una testa nel Palazzo dei Consoli di Gubbio e il Carmen contra paganos 维提乌斯·阿戈里奥的画像:古比奥执政官宫殿里的一个头和卡门·康特拉·帕加诺斯
F. Marcattili
italianoNell’articolo viene preso in esame il cosiddetto Narsete, testa in marmo esposta nella collezione archeologica del Palazzo dei Consoli di Gubbio. Per la presenza di molteplici lesioni intenzionali e di una croce incisa nella parte anteriore del cranio, per alcuni tratti fisionomici coerenti con la descrizione del personaggio irriso nei versi del Carmen contra paganos, si propone di identificare nel ritratto iguvino Vettio Agorio Pretestato, primo rappresentante del paganesimo del IV secolo, che fu corrector Tusciae et Umbriae prima del 362 d.C EnglishThis article examines the so-called “Narses”, a marble head on display in the Archae-ological Collection of the Palazzo dei Consoli in Gubbio (Umbria, Italy). The pres-ence of a number of intentional damages and a cross incised in the forehead, as well as some physiognomic features consistent with the description of the person mocked in the Carmen contra paganos, allow the author to identify the portrait with Vettius Agorius Praetextatus, the most distinguished exponent of paganism of the fourth cen-tury, who was corrector Tusciae et Umbriae before 362 AD
在这篇文章中,意大利研究了古比奥执政官宫殿考古收藏中展出的大理石纳塞特。许多故意伤害的存在和一个十字架的正面被头骨,对一些人来说是fisionomici符合合同在不切实际的人物方面说明卡门paganos,旨在查明iguvino肖像Vettio Agorio Pretestato,四世纪的第一个异教的代表,被corrector Tusciae et前Umbriae 362 d . C EnglishThis article examines the so-called“Narses”,在古比奥(意大利翁布里亚)执政官宫殿的考古收藏中展出的大理石头。The pres-ence of a编号of intentional侵犯and cross incised在The forehead, as well as physiognomic的features of The人的with The描述mocked在《卡门》合同paganos, allow The作者to identify The with Vettius肖像Agorius Praetextatus, The most 17919 exponent of paganism of The第四cen-tury,世卫组织是corrector Tusciae et Umbriae先于362的
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引用次数: 0
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ACME-Annali della Facolta di Studi Umanistici dell Universita degli Studi di Milano
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