7 resultados para 7140-309
Resumo:
659 págs.
Resumo:
[ES]El colegio de los jesuitas de Orduña, uno de los más tardíos de todo el País Vasco, sigue en su fundación un patrón característico en los casos de mecenazgo indiano: benefactor oriundo, capital consolidado sobre el comercio y el servicio de la Corona, y diseño dirigido desde el otro lado del Atlántico, en este caso desde el Perú. El presente artículo aporta algunas claves sobre esas cuestiones, y ahonda en la formación del patrimonio que la Compañía de Jesús logró reunir en esta ciudad aduanera del Señorío de Vizcaya hasta el momento de la expulsión decretada por el rey Carlos III.
Resumo:
309 p.
Resumo:
224 p.
Resumo:
Chronic obstructive pulmonary disease (COPD) is a complex and heterogeneous condition characterized by occasional exacerbations. Identifying clinical subtypes among patients experiencing COPD exacerbations (ECOPD) could help better understand the pathophysiologic mechanisms involved in exacerbations, establish different strategies of treatment, and improve the process of care and patient prognosis. The objective of this study was to identify subtypes of ECOPD patients attending emergency departments using clinical variables and to validate the results using several outcomes. We evaluated data collected as part of the IRYSS-COPD prospective cohort study conducted in 16 hospitals in Spain. Variables collected from ECOPD patients attending one of the emergency departments included arterial blood gases, presence of comorbidities, previous COPD treatment, baseline severity of COPD, and previous hospitalizations for ECOPD. Patient subtypes were identified by combining results from multiple correspondence analysis and cluster analysis. Results were validated using key outcomes of ECOPD evolution. Four ECOPD subtypes were identified based on the severity of the current exacerbation and general health status (largely a function of comorbidities): subtype A (n = 934), neither high comorbidity nor severe exacerbation; subtype B (n = 682), moderate comorbidities; subtype C (n = 562), severe comorbidities related to mortality; and subtype D (n = 309), very severe process of exacerbation, significantly related to mortality and admission to an intensive care unit. Subtype D experienced the highest rate of mortality, admission to an intensive care unit and need for noninvasive mechanical ventilation, followed by subtype C. Subtypes A and B were primarily related to other serious complications. Hospitalization rate was more than 50% for all the subtypes, although significantly higher for subtypes C and D than for subtypes A and B. These results could help identify characteristics to categorize ECOPD patients for more appropriate care, and help test interventions and treatments in subgroups with poor evolution and outcomes.
Resumo:
414 p.: graf.
Resumo:
191 p.