9 research outputs found
Displasia fibromuscular: una causa rara de hipertensión arterial
No full textNiña de 13 años que consultó porastenia, hiporexia, sensación de mareo y dolor abdominal de dos meses de evolución. A la exploración destacaba hipertensión arterial (HTA) de 200/135 mmHg. La ecografía-Doppler mostró riñón derecho atrófico, con aneurisma de arteria renal derecha, confirmado con angio-TC (fig. 1) y arteriografía. Presentó lesiones de órganos diana: daño renal agudo (creatinina máxima 1,45 mg/dL), retinopatía, miocardiopatía y microinfartos en sustancia blanca. Se descartaron aneurismas en otras localizaciones mediante angiorresonancia de cuerpo completo. La paciente no cumplía criterios diagnósticos de síndrome de Marfan, Ehlers-Danlos, Grange, poliarteritis nodosa, esclerosis tuberosa o neurofibromatosis. No había otros signos sugerentes de arteriosclerosis.S
La monitorización proactiva de niveles de anti-TNF mejora el seguimiento de los pacientes pediátricos con enfermedad de Crohn
No full textIntroduction and aims: The incidence of paediatric inflammatory bowel disease has increased in recent decades. The aim of the present study was to evaluate the role of proactive and serial monitoring of tumour necrosis factor (TNF) inhibitor levels to maintain clinical remission and mucosal healing in the follow-up of paediatric patients with Crohn disease (CD).Method: Prospective study that included all patients diagnosed with CD and treated with adali-mumab or infliximab between May 2015 and November 2020 who underwent serial and proactive monitoring of TNF inhibitor levels.Results: The study included 30 patients, 21 male (70%). The mean age at diagnosis was 11.3 years (SD, 2.0), the mean age at initiation of TNF inhibitors was 12.6 years (SD, 1.9) with a mean duration of follow-up of 27.1 +/- 9.1 months. Clinical remission was defined as a weighted Pediatric Crohn's Disease Activity Index (wPCDAI) of less than 12.5 and mucosal healing as a Mucosal Inflammation Non-invasive Index (MINI) of less than 8. During the follow-up, patients were in clinical remission in 87.1% of the visits, presented with mild disease in 11.4% and with moderate disease in 1.5%, and mucosal healing was assumed in 83% of the visits. The rates of clinical remission and mucosal healing at 1, 2, and 3 years of follow-up were 83.3%, 95.8%, 92.8%, and 86.7%, 87.5% and 85.7%, respectively. Conclusions: Proactive and serial monitoring of serum TNF inhibitor levels may make it possible for patients to maintain clinical remission and mucosal healing in the maintenance phase, with individualised optimization of the required dosage and minimization of secondary loss of response.(c) 2022 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
Overall survival with palbociclib plus endocrine therapy versus capecitabine in postmenopausal patients with hormone receptor-positive, HER2-negative metastatic breast cancer in the PEARL study
No full textBackground: An earlier analysis of the PEARL phase III study showed that palbociclib plus endocrine therapy (ET) does not improve progression-free survival (PFS) over capecitabine in aromatase inhibitor-resistant, hormone receptor-positive/human epidermal growth factor receptor 2-negative metastatic breast cancer (MBC) patients. Here, we report the final overall survival (OS) analysis.Methods: Postmenopausal patients (N Z 601) were randomized 1:1 to capecitabine or palbociclib plus ET (exemestane, Cohort 1; fulvestrant, Cohort 2). OS was analysed in Cohort 2, the wild-type ESR1 population and the overall population. Additionally, we analysed subsequent systemic therapies and explored PFS2 (time from randomization to the end of the first subsequent therapy/death).Results: OS was 31.1 months for palbociclib plus fulvestrant and 32.8 months for capecitabine (adjusted hazard ratio [aHR] 1.10, 95% confidence interval [CI] 0.81-1.50, P = 0.550). In the wild-type ESR1 population, OS was 37.2 months for palbociclib plus ET and 34.8 months for capecitabine (aHR 1.06, 95% CI 0.81-1.37, P = 0.683). In OS analyses, no subgroup showed superiority for palbociclib plus ET over capecitabine. OS in the overall population was 32.6 months for palbociclib plus ET and 30.9 months for capecitabine (P=0.995). Subsequent systemic therapy was given to 79.8% and 82.9% of patients with palbociclib plus ET and capecitabine, respectively. Median PFS2 was similar between study arms (Cohort 2, P=0.941; wildtype ESR1 population, P = 0.827). No new safety findings were observed.Conclusions: Palbociclib plus ET did not show a statistically superior OS compared to capecitabine in MBC patients progressing on aromatase inhibitors. (C) 2022 The Author(s). Published by Elsevier Ltd
Covid-19 Impact of COVID-19 in nutritional and functional status of survivors admitted in intensive care units during the first outbreak. Preliminary results of the NUTRICOVID study
No full text20.500.12530/87897Background & aims: COVID-19 patients present a high hospitalization rate with a high mortality risk for those requiring intensive care. When these patients have other comorbid conditions and older age, the risk for severe disease and poor outcomes after ICU admission are increased. The present work aims to describe the preliminary results of the ongoing NUTRICOVID study about the nutritional and functional status and the quality of life of adult COVID-19 survivors after ICU discharge, emphasizing the in-hospital and discharge situation of this population. Methods: A multicenter, ambispective, observational cohort study was conducted in 16 public hospitals of the Community of Madrid with COVID-19 survivors who were admitted to the ICU during the first outbreak. Preliminary results of this study include data retrospectively collected. Malnutrition and sar-copenia were screened at discharge using MUST and SARC-F; the use of healthcare resources was measured as the length of hospital stay and requirement of respiratory support and tracheostomy during hospitalization; other study variables were the need for medical nutrition therapy (MNT); and patients' functional status (Barthel index) and health-related quality of life (EQ-5D-5L). Results: A total of 176 patients were included in this preliminary analysis. Most patients were male and older than 60 years, who suffered an average (SD) weight loss of 16.6% (8.3%) during the hospital stay, with a median length of stay of 53 (27-89.5) days and a median ICU stay of 24.5 (11-43.5) days. At discharge, 83.5% and 86.9% of the patients were at risk of malnutrition and sarcopenia, respectively, but only 38% were prescribed MNT. In addition, more than 70% of patients had significant impairment of their mobility and to conduct their usual activities at hospital discharge. Conclusions: This preliminary analysis evidences the high nutritional and functional impairment of COVID-19 survivors at hospital discharge and highlights the need for guidelines and systematic protocols, together with appropriate rehabilitation programs, to optimize the nutritional management of these patients after discharge. (c) 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Study of vector boson scattering and search for new physics in events with two same-sign leptons and two jets
No full textThis article is available under the terms of the Creative Commons Attribution 3.0 License. Further distribution of this work must maintain attribution to the author(s) and the published article’s title, journal citation, and DOI.A study of vector boson scattering in pp collisions at a center-of-mass energy of 8 TeV is presented. The data sample corresponds to an integrated luminosity of 19.4fb-1 collected with the CMS detector. Candidate events are selected with exactly two leptons of the same charge, two jets with large rapidity separation and high dijet mass, and moderate missing transverse energy. The signal region is expected to be dominated by electroweak same-sign W-boson pair production. The observation agrees with the standard model prediction. The observed significance is 2.0 standard deviations, where a significance of 3.1 standard deviations is expected based on the standard model. Cross section measurements for W±W± and WZ processes in the fiducial region are reported. Bounds on the structure of quartic vector-boson interactions are given in the framework of dimension-eight effective field theory operators, as well as limits on the production of doubly charged Higgs bosons
Measurement of J/ψ and ψ(2S) prompt double-differential cross sections in pp collisions at √s =7 TeV.
No full textPublished by the American Physical Society under the terms of the Creative Commons Attribution 3.0 License. Further distribution of this work must maintain attribution to the author(s) and the published article’s title, journal citation, and DOI.The double-differential cross sections of promptly produced J/ψ and ψ(2S) mesons are measured in pp collisions at √s =7 TeV, as a function of transverse momentum p_{T} and absolute rapidity |y|. The analysis uses J/ψ and ψ(2S) dimuon samples collected by the CMS experiment, corresponding to integrated luminosities of 4.55 and 4.90 fb^{-1}, respectively. The results are based on a two-dimensional analysis of the dimuon invariant mass and decay length, and extend to p_{T}=120 and 100 GeV for the J/ψ and ψ(2S), respectively, when integrated over the interval |y|<1.2. The ratio of the ψ(2S) to J/ψ cross sections is also reported for |y|<1.2, over the range 10<p_{T}<100 GeV. These are the highest p_{T} values for which the cross sections and ratio have been measured
Search for long-lived neutral particles decaying to quark-antiquark pairs in proton-proton collisions at √s =8TeV
No full textPublished by the American Physical Society under the terms of the Creative Commons Attribution 3.0 License. Further distribution of this work must maintain attribution to the author(s) and the published articles title, journal citation, and DOI.A search is performed for long-lived massive neutral particles decaying to quark-antiquark pairs. The experimental signature is a distinctive topology of a pair of jets, originating at a secondary vertex. Events were collected with the CMS detector at the CERN LHC in proton-proton collisions at a center-of-mass energy of 8 TeV. The data analyzed correspond to an integrated luminosity of 18.5fb-1. No significant excess is observed above standard model expectations. Upper limits at 95% confidence level are set on the production cross section of a heavy neutral scalar particle, H, in the mass range of 200 to 1000 GeV, decaying promptly into a pair of long-lived neutral X particles in the mass range of 50 to 350 GeV, each in turn decaying into a quark-antiquark pair. For X with mean proper decay lengths of 0.4 to 200 cm, the upper limits are typically 0.5-200fb. The results are also interpreted in the context of an R-parity-violating supersymmetric model with long-lived neutralinos decaying into a quark-antiquark pair and a muon. For pair production of squarks that promptly decay to neutralinos with mean proper decay lengths of 2-40cm, the upper limits on the cross section are typically 0.5-3fb. The above limits are the most stringent on these channels to date
Search for WWγ and WZγ production and constraints on anomalous quartic gauge couplings in pp collisions at s=8 TeV
No full textPublished by the American Physical Society under the terms of the Creative Commons Attribution 3.0 License. Further distribution of this work must maintain attribution to the author(s) and the published articles title, journal citation, and DOI.A search for WVγ triple vector boson production is presented based on events containing a W boson decaying to a muon or an electron and a neutrino, a second V (W or Z) boson, and a photon. The data correspond to an integrated luminosity of 19.3 fb−1 collected in 2012 with the CMS detector at the LHC in pp collisions at s=8 TeV. An upper limit of 311 fb on the cross section for the WVγ production process is obtained at 95% confidence level for photons with a transverse energy above 30 GeV and with an absolute value of pseudorapidity of less than 1.44. This limit is approximately a factor of 3.4 larger than the standard model predictions that are based on next-to-leading order QCD calculations. Since no evidence of anomalous WWγγ or WWZγ quartic gauge boson couplings is found, this paper presents the first experimental limits on the dimension-eight parameter fT,0 and the CP-conserving WWZγ parameters κ0W and κCW. Limits are also obtained for the WWγγ parameters a0W and aCW.BMWFW and FWF (Austria); FNRS and FWO (Belgium); CNPq, CAPES, FAPERJ, and FAPESP (Brazil); MES (Bulgaria); CERN; CAS, MoST, and NSFC (China); COLCIENCIAS (Colombia); MSES and CSF (Croatia); RPF (Cyprus); MoER, SF0690030s09 and ERDF (Estonia); Academy of Finland, MEC, and HIP (Finland); CEA and CNRS/ IN2P3 (France); BMBF, DFG, and HGF (Germany); GSRT (Greece); OTKA and NIH (Hungary); DAE and DST (India); IPM (Iran); SFI (Ireland); INFN (Italy); NRF and WCU (Republic of Korea); LAS (Lithuania); MOE and UM (Malaysia); CINVESTAV, CONACYT, SEP, and UASLP-FAI (Mexico); MBIE (New Zealand); PAEC (Pakistan); MSHE and NSC (Poland); FCT (Portugal); JINR (Dubna); MON, RosAtom, RAS and RFBR (Russia); MESTD (Serbia); SEIDI and CPAN (Spain); Swiss Funding Agencies (Switzerland); MST (Taipei); ThEPCenter, IPST, STAR and NSTDA (Thailand); TUBITAK and TAEK (Turkey); NASU and SFFR (Ukraine); STFC (United Kingdom); DOE and NSF (USA)
Search for dark matter and unparticles in events with a Z boson and missing transverse momentum in proton-proton collisions at TeV
No full textA search for dark matter and unparticle production at the LHC has been performed using events containing two charged leptons (electrons or muons), consistent with the decay of a Z boson, and large missing transverse momentum. This study is based on data collected with the CMS detector in 2015, corresponding to an integrated luminosity of 2.3 inverse femtobarns of proton-proton collisions at the LHC, at a center-of-mass energy of 13 TeV. No excess over the standard model expectation is observed. Compared to previous searches in this topology, which exclusively relied on effective field theories, the results are interpreted in terms of a simplified model of dark matter production for both vector and axial vector couplings between a mediator and dark matter particles. The first study of this class of models using CMS data at sqrt(s)=13 TeV is presented. Additionally, effective field theories of dark matter and unparticle production are used to interpret the data
