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Renal Biopsy Findings in Acute Renal Failure in the Cohort of Patients in the Spanish Registry of Glomerulonephritis
Renal Biopsy Findings in Acute Renal Failure in the Cohort of Patients in the Spanish Registry of Glomerulonephritis Juan M. Lo´pez-Go´mez* and Francisco Rivera,† on behalf of Spanish Registry of Glomerulonephritis *Servicio de Nefrologı´a, Hospital Universitario Gregorio Maran˜o´n, Madrid, and †Seccio´n de Nefrologı´a, Hospital General de Ciudad Real, Ciudad Real, Spain Background and objectives: Renal biopsy in acute renal failure of unknown origin provides irreplaceable information for diagnosis, treatment, and prognosis. This study analyzed the frequency and clinicopathologic correlations of renal native biopsied acute renal failure in Spain during the period 1994 through 2006. Design, setting, participants, & measurements: Acute renal failure was defined as a rapid deterioration of glomerular filtration rate, with or without oligoanuria or rapidly progressive renal insufficiency, including acute-on-chronic renal failure. Patients who were younger than 15 yr were considered children, those between 15 and 65 yr adults, and those >65 elderly. Results: Between 1994 and 2006, data on 14,190 native renal biopsies were collected from 112 renal units in Spain. Of these, 16.1% (2281 biopsies) were diagnosed with acute renal failure. The prevalence of the main clinical syndromes was different in the three age groups: Biopsy-confirmed acute renal failure in children was 5.7%, in adults was 12.5%, and in elderly increased significantly to 32.9%. The prevalence of biopsy-confirmed acute renal failure according to cause was as follows: Vasculitis, 23.3%; acute tubulointerstitial nephritis, 11.3%; and crescentic glomerulonephritis types 1 and 2, 10.1%. The prevalence of the different causes differed significantly according to age group. -
Demographic, Clinical, and Functional Determinants of Antithrombotic
Mostaza et al. BMC Cardiovasc Disord (2021) 21:384 https://doi.org/10.1186/s12872-021-02019-0 RESEARCH ARTICLE Open Access Demographic, clinical, and functional determinants of antithrombotic treatment in patients with nonvalvular atrial fbrillation Jose María Mostaza1* , Carmen Suarez2, Jose María Cepeda3, Luis Manzano4, Demetrio Sánchez5 and on behalf of the PERFILAR study investigators Abstract Background: This study assessed the sociodemographic, functional, and clinical determinants of antithrombotic treatment in patients with nonvalvular atrial fbrillation (NVAF) attended in the internal medicine setting. Methods: A multicenter, cross-sectional study was conducted in NVAF patients who attended internal medicine departments for either a routine visit (outpatients) or hospitalization (inpatients). Results: A total of 961 patients were evaluated. Their antithrombotic management included: no treatment (4.7%), vitamin K antagonists (VKAs) (59.6%), direct oral anticoagulants (DOACs) (21.6%), antiplatelets (6.6%), and antiplatelets plus anticoagulants (7.5%). Permanent NVAF and congestive heart failure were associated with preferential use of oral anticoagulation over antiplatelets, while intermediate-to high-mortality risk according to the PROFUND index was associated with a higher likelihood of using antiplatelet therapy instead of oral anticoagulation. Longer disease dura- tion and institutionalization were identifed as determinants of VKA use over DOACs. Female gender, higher educa- tion, and having sufered a stroke determined a preferential use of DOACs. Conclusions: This real-world study showed that most elderly NVAF patients received oral anticoagulation, mainly VKAs, while DOACs remained underused. Antiplatelets were still ofered to a proportion of patients. Longer duration of NVAF and institutionalization were identifed as determinants of VKA use over DOACs. -
Guide to the Province of Avala
Spain Álava SUMMARY OF CONTENTS INTRODUCTION 1 SIGHTSEEING IN VITORIA-GASTEIZ The old city 2 The Romantic new town 5 The parks 7 IRELAND PROVINCIAL EXCURSIONS Dublin The Road to Santiago 9 La Rioja Alavesa 12 UNITED KINGDOM Gorbea: Foothills and reservoirs 14 Valderejo Nature Park 16 Western Valleys 17 Londron LEISURE AND ENTERTAINMENT 19 MAP 22 USEFUL INFORMATION 24 Paris Cantabrian Sea FRANCE L ➡ A ➡ ÁLAVA G Lisbon U T R Madrid O P Mediterranean Sea Atlantic Ocean SPAIN © TURESPAÑA Secretaría de Estado de Comercio y Turismo Ministerio de Economía Ceuta Written by: Luis Azpilicueta Rabat Translated: Alistair L. Ross Melilla Photographs: TURESPAÑA Archives Layout: AZA, S.A. MOROCCO Printed by: DITEGSA D. L.: M. 29704-2001 NIPO: 380-01-038-3 Printed in Spain Second Edition Motorway Dual Carriageway National Trunk Road 1st class Regional Road 2nd class Regional Road Local Road Railway Airport Parador Sanctuary/Monastery Castle Monument Historic ruins Megalithic monument Prehistoric caves Nature Park Camping site Golf course he earliest inhabitants of Alava T settled in the land towards the end of the second millennium BC. Archaeological research has shown that the territory was solidly Romanised. Because Alava (Araba) was not isolated like other parts of the Basque country, it was here Escutcheon. Salvatierra/Agurain that Christianisation and Latinisation began. For the same reason, in the 8th and 9th centuries the people of Alava had a dual relationship – on the one hand with the Moslems and on the other with the Asturians – both of which consisted of a constant succession of struggles and pacts to preserve their independence. -
Spain (Officially the Kingdom of Spain) Is a Country in Southwestern Europe with Some Teries Across the Strait of Gibraltar and the Atlantic Ocean
No. Info Country Region: Basque Country Bilbao 1 General information Spain (officially the Kingdom of Spain) is a country in Southwestern Europe with some teries across the Strait of Gibraltar and the Atlantic Ocean. Its Basque country is an autonomous region of Spain, Bilbao, port city, capital of Vizcaya provincia (province), continental European territory is situated on the Iberian Peninsula. Its territory also includes two archipelagoes: the Canary Islands off the coast of Africa, and comprising the provinces of Á lava (Araba), Guipúzcoa in the comunidad autónoma (autonomous community) of the Balearic Islands in the Mediterranean Sea. The African enclaves of Ceuta, Melilla, and Peñón de Vélez de la Gomer. Several small islands in the Alboran (Gipuzkoa), and Vizcaya (Bizkaia): inhabited mainly by the Basque Country, northern Spain. Bilbao lies along the The country's mainland is bordered to the south and east by the Mediterranean Sea except for a small land boundary with Gibraltar; to the north and northeast Basques, who retained virtual autonomy from the 9th to mouth of the Nervión River, 7 miles (11 km) inland from by France, Andorra, and the Bay of Biscay; and to the west and northwest by Portugal and the Atlantic Ocean. the 19th century. Basque Country, is a autonomous the Bay of Biscay. It is the largest city in the Basque Governmnet: Spain is a constitutional monarchy, with a hereditary monarch and a bicameral parliament. community of Spain, it has an area of 7,234 Km2, so it Country. Capital: Madrid. is one of the smallest autonomous communities in Spain. The greater Bilbao area has a population of approximately Total area: 505.990 km². -
Revista Anual De La Cofradía De La Virgen Blanca Año 2015 • Nº 6
LA HORNACINAREVISTA ANUAL DE LA COFRADÍA DE LA VIRGEN BLANCA año 2015 • nº 6 BLUSASBLUSAS YY DEVOCIÓNDEVOCIÓN POPULARPOPULAR ENEN LASLAS FIESTASFIESTAS DEDE VITORIAVITORIA PERPERSSONAJEONAJESS DEDE AAYERYER YY DEDE HOYHOY EEMILIOMILIO IIPINPINZZAA JOAJOAQQUUÍÍNN JIMÉNEJIMÉNEZZ SSANAN MMIIGGUELUEL,, NUESTRANUESTRA parroparroQQUIAUIA (2ª(2ª parteparte)) SANTOSANTOSS YY LINAJELINAJESS ENEN LLAASS BÓVEDABÓVEDASS DEDE LLAA PARROQUIAPARROQUIA DEDE SANSAN MIGUEMIGUELL AARCÁNGERCÁNGELL DEDE VVITORIA-ITORIA-GGAASSTEIZTEIZ JJOSOSÉÉ MMARARÍÍNN JJoséosé MMaríaaría SedanoSedano BBOSOSQQUEUE ININ MEMORIAMMEMORIAM SEMBLANZASEMBLANZA DEDE UNUN EESSCULTORCULTOR PatxoPatxo Fdz.Fdz. dede JJáureguiáuregui Sumario Edita - Argitaratzailea 3 Cofradía de la Virgen Blanca Saludo del Abad Zapatería nº 35 • 01001 Vitoria-Gasteiz AUPA!!! 945 27 70 77 4 [email protected] Saludo de las Instituciones [email protected] www.cofradiavirgenblanca.com 10 Personajes de Ayer y de Hoy. Entrevistamos a: Diseño - Diseinua EMILIO IPINZA. TODA UNA VIDA DEDICADO A LA MÚSICA Autora: M. Camino Urdiain. Archivera y Documentalista de la Cofradía Hugo Musitu JOAQUIN JIMENEZ. EX ABAD Fotografías - Argazkiak Autora: Cristina Fructuoso. ex Abadesa. Cofradía Virgen Blanca © archivo de la Cofradía Virgen Blanca • Eduardo 16 de nó • Camino Urdiain • Blanca aguillo • Historias de la Cofradía Quintas Fotógrafos • archivo del Territorio JOSÉ MARÍN BOSQUE. SEMBLANZA DE UN escultoR Histórico de Álava (aTHa) • archivo Municipal Autora: Ana Arregui. Historiadora de Vitoria-Gasteiz.