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26 results on '"Carnero, Manuel"'

1. Valvulitis: un nuevo criterio ecocardiográfico para el diagnóstico de endocarditis infecciosa de bioprótesis de válvula aórtica

Author

Zulet, Pablo, Vilacosta, Isidre, Pozo, Eduardo, García-Arribas, Daniel, Pérez-García, Carlos Nicolás, Carnero, Manuel, Pérez-Camargo, Daniel, Montero, Lourdes, Saiz-Pardo, Melchor, Mahía, Patricia, Jerónimo, Adrián, Islas, Fabián, Gómez, Daniel, San Román, José Alberto, de Agustín, José Alberto, and Olmos, Carmen

Published
2024
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2. Esperanza de vida después del recambio valvular debido a estenosis aórtica de bajo gradiente con función ventricular conservada

Author

Hernández-Vaquero, Daniel, Rodríguez-Caulo, Emiliano, Vigil-Escalera, Carlota, Blanco-Herrera, Óscar, Berastegui, Elisabet, Arias-Dachary, Javier, Souaf, Souhayla, Parody, Gertrudis, Laguna, Gregorio, Adsuar, Alejandro, Castellá, Manel, Valderrama, José F., Pulitani, Ivana, Cánovas, Sergio, Ferreiro, Andrea, García-Valentín, Antonio, Carnero, Manuel, Pareja, Pilar, Corrales, José A., Blázquez, José A., Macías, Diego, Fletcher-Sanfeliu, Delfina, Martínez, Daniel, Martín, Elio, Martín, Miren, Margarit, Juan, Hernández-Estefanía, Rafael, Monguió, Emilio, Otero, Juan, and Silva, Jacobo

Published
2023
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3. Esperanza de vida tras el reemplazo de válvula aórtica en pacientes jóvenes

Author

Hernández-Vaquero, Daniel, Rodríguez-Caulo, Emiliano, Vigil-Escalera, Carlota, Blanco-Herrera, Óscar, Berastegui, Elisabet, Arias-Dachary, Javier, Souaf, Souhayla, Parody, Gertrudis, Laguna, Gregorio, Adsuar, Alejandro, Castellá, Manel, Valderrama, José F., Pulitani, Ivana, Cánovas, Sergio, Ferreiro, Andrea, García-Valentín, Antonio, Carnero, Manuel, Pareja, Pilar, Corrales, José A., Blázquez, José A., Macías, Diego, Fletcher-Sanfeliu, Delfina, Martínez, Daniel, Martín, Elio, Martín, Miren, Margarit, Juan, Hernández-Estefanía, Rafael, Monguió, Emilio, Otero, Juan, and Silva, Jacobo

Published
2022
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12. Posicionamiento de la Sociedad Española de Cirugía Cardiovascular y Endovascular (SECCE) con relación al número de servicios de cirugía cardiovascular en España

Author

Rodríguez-Roda, Jorge, José Legarra, Juan, Carnero, Manuel, Emilio Monguió, Manuel, Pablo Cuerpo, Gregorio, García Fuster, Rafael, López Menéndez, José, Martín, Elio, Ortiz, Daniel, Manuel Martínez Comendador, José, Rubio, Lorena, Francisco Valderrama, José, and Blasco, Arnau

Published
2023
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13. Aplicación de patrones de diseño estructurales para el modelamiento de clases de los sistemas empresariales

Author

Zúñiga Carnero, Manuel Mariano and Huaman Fernandez, Jackeline Roxana

Subjects
modelamiento de clases, sistemas administrativos, patrones de diseño, purl.org/pe-repo/ocde/ford#2.02.04 [https]
Abstract

El interés en patrones de diseño se ha incrementado últimamente en la medida que cada vez los sistemas son más complejos y con mayores alcances; sin embargo a pesar que existen patrones de diseño desarrollados, normalmente son de carácter muy general y se puede apreciar la necesidad de hacer patrones que ataquen a problemas de diseño más específicos. También hay una escasez casi completa de soluciones probadas (patrones) que faciliten el modelamiento de los datos, especialmente al desarrollar sistemas de información administrativos. El presente trabajo de investigación muestra los patrones de diseño creados y se determinó como se aplicaron en el modelamiento de clases en sistemas empresariales. La metodología fue de enfoque cuantitativo, tipo de investigación aplicada, nivel correlacional y diseño pre-experimental. La población estuvo conformada por alumnos de la escuela de Ingeniería de Sistemas de la Universidad Católica de Santa María y la muestra estuvo conformada por 76 alumnos desarrolladores. Las técnicas utilizadas fueron encuestas y de análisis estadístico, acompañadas de los instrumentos: cuestionario y paquete estadístico SPSS. Como resultado se determinó que la aplicación de los patrones de diseño creados se relaciona directa y positivamente en el modelamiento de los datos en los sistemas empresariales. Las aplicaciones desarrolladas validaron los modelamientos y estos a su vez validaron los patrones creados.

Published
2020

14. A suspensión da execución da pena privativa de liberdade na xurisdicción militar como xurisdicción especializada

Author

Salgado Carnero, Manuel and Souto García, Eva María

Subjects
Jurisdicción militar, Criminal Code, Military jurisdiction, Military Criminal Code, Suspensión de la ejecución de la pena, Código Penal Militar, Suspensión of imprisonment, Código Penal
Abstract

Traballo fin de mestrado (UDC.DER). Mestrado Universitario en Avogacía. Curso 2019/2020 Este trabajo se divide en dos partes. La primera tiene como objeto situar al profesional de la abogacía en la peculiar organización de la jurisdicción militar como jurisdicción especializada. Y la segunda parte se centra en el estudio de la suspensión de la ejecución y otras posibles formas de sustitución de las penas privativas de libertad en el ámbito castrense. La suspensión de la ejecución de la pena de prisión en al ámbito de la jurisdicción militar es una materia en la que concurre normativa penal ordinaria con normativa penal castrense. Antes de la reforma penal de 2015, el aspecto relevante para la concesión o denegación de dicho beneficio era la pertenencia o no del reo a los Ejércitos, en el momento de la ejecución de la condena. Igualmente resultaba muy problemática la cuestión de su inaplicación a los miembros de la Guardia Civil. Estas situaciones han quedado resueltas, en parte, con la reforma penal operada en el año 2015; y, muy especialmente, con la reforma llevada a cabo en el mismo año en el Código Penal Militar. This research is divided in two parts. The first one is aimed to place the lawyer in particular organization of military jurisdiction as a specialized jurisdiction. The second part focuses on the study of the suspensión of imprisonment and other possible alternatives to custodial sentences in the military field. The suspensión of imprisonment in the military jurisdiction is a matter in wich ordinary criminal law concur with military criminal law. Before the reform of 2015 at the Military Criminal Code, the relevant aspect for the granting or not this benefit was the belonging or not of the prisoner to the Spanish Army, at the time of execution the penalty. Likewise the question of the inapplication about the suspensión of imprisonment to members of the Civil Guard was also very problematic. These situations have been resolved in part with the criminal reform of 2015 and, especially, with the reform of the Military Penal Code in the same year. Traballo fin de mestrado (UDC.DER). Mestrado Universitario en Avogacía. Curso 2019/2020

Published
2020

15. Comentarios a la guía ESC/EACTS 2018 sobre revascularización miocárdica

Author

Ibáñez, Borja, Bautista-Hernandez, Victor, Alfonso, Fernando, Berga Congost, Gemma, Bueno, Héctor, Carnero, Manuel, Cid-Álvarez, Belén A., de la Torre Hernández, José María, Franco-Peláez, Juan Antonio, Ojeda, Soledad, Barrios, Vivencio, Pérez de Prado, Armando, Armada, Eduardo, Escobar, Carlos, Cosin Sales, Juan, Moreno, Raúl, García Acuña, José María, Lidón, Rosa María, López de Sá, Esteban, Rodríguez Leor, Oriol, Sionis, Alessandro, Arribas, Fernando, Evangelista, Arturo, Ferreira-González, Ignacio, Jiménez Navarro, Manuel, Marín, Francisco, Pérez de Isla, Leopoldo, Sambola, Antonia, Vázquez, Rafael, and Viana-Tejedor, Ana

Published
2019
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17. Comentarios a la guía de práctica clínica de la ESC/EACTS 2014 sobre revascularización miocárdica

Author

Cequier, A., Cequier, Ángel, Maroto, José Luis, Alfonso, Fernando, Barrabés, José, Cánovas, Sergio, Carnero, Manuel, Fernández-Ortiz, Antonio, Sabaté, Manuel, Sanchis, Juan, Reyes, Guillermo, Alegría, Eduardo, Arós, Fernando, Cuenca, José, Díaz, José, Lidón, Rosa M., López Gude, M. José, Lozano, Íñigo, Ruiz-Nodar, Juan Miguel, de la Torre, José M., Pan, Manuel, Sánchez-Recalde, Ángel, Anguita Sánchez, Manuel, Badimón Maestro, Lina, Barrabés Riu, José Antonio, Comín Colet, Josep, Fernández Lozano, Ignacio, Pan Álvarez-Osorio, Manuel, Rodríguez Padial, Luis, Sánchez Fernández, Pedro Luis, San Román Calvar, José Alberto, and Gómez de Diego, José Juan

Published
2015
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24. Valvulitis: a new echocardiographic criterion for the diagnosis of bioprosthetic aortic valve infective endocarditis.

Author

Zulet P, Vilacosta I, Pozo E, García-Arribas D, Pérez-García CN, Carnero M, Pérez-Camargo D, Montero L, Saiz-Pardo M, Mahía P, Jerónimo A, Islas F, Gómez D, San Román JA, de Agustín JA, and Olmos C

Subjects
Humans, Male, Female, Aged, Middle Aged, Prospective Studies, Endocarditis diagnosis, Endocarditis epidemiology, Prevalence, Endocarditis, Bacterial diagnosis, Endocarditis, Bacterial epidemiology, Endocarditis, Bacterial complications, Spain epidemiology, Bioprosthesis adverse effects, Echocardiography, Transesophageal methods, Prosthesis-Related Infections diagnosis, Prosthesis-Related Infections epidemiology, Prosthesis-Related Infections etiology, Heart Valve Prosthesis adverse effects, Aortic Valve diagnostic imaging, Aortic Valve surgery
Abstract

Introduction and Objectives: Diffuse homogeneous hypoechoic leaflet thickening, with a wavy leaflet motion documented by transesophageal echocardiography (TEE), has been described in some cases of prosthetic valve endocarditis (PVE) involving aortic bioprosthesis (AoBio-PVE). This echocardiographic finding has been termed valvulitis. We aimed to estimate the prevalence of valvulitis, precisely describe its echocardiographic characteristics, and determine their clinical significance in patients with AoBio-PVE., Methods: From 2011 to 2022, 388 consecutive patients with infective endocarditis (IE) admitted to a tertiary care hospital were prospectively included in a multipurpose database. For this study, all patients with AoBio-PVE (n=86) were selected, and their TEE images were thoroughly evaluated by 3 independent cardiologists to identify all cases of valvulitis., Results: The prevalence of isolated valvulitis was 12.8%, and 20.9% of patients had valvulitis accompanied by other classic echocardiographic findings of IE. A total of 9 out of 11 patients with isolated valvulitis had significant valve stenosis, whereas significant aortic valve regurgitation was documented in only 1 patient. Compared with the other patients with AoBio-PVE, cardiac surgery was less frequently performed in patients with isolated valvulitis (27.3% vs 62.7%, P=.017). In 4 out of 5 patients with valve stenosis who did not undergo surgery but underwent follow-up TEE, valve gradients significantly improved with appropriate antibiotic therapy., Conclusions: Valvulitis can be the only echocardiographic finding in infected AoBio and needs to be identified by imaging specialists for early diagnosis. However, this entity is a diagnostic challenge and additional imaging techniques might be required to confirm the diagnosis. Larger series are needed., (Copyright © 2024 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)

Published
2024
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25. Life expectancy after surgical aortic valve replacement for low-gradient aortic stenosis with preserved ejection fraction.

Author

Hernández-Vaquero D, Rodríguez-Caulo E, Vigil-Escalera C, Blanco-Herrera Ó, Berastegui E, Arias-Dachary J, Souaf S, Parody G, Laguna G, Adsuar A, Castellá M, Valderrama JF, Pulitani I, Cánovas S, Ferreiro A, García-Valentín A, Carnero M, Pareja P, Corrales JA, Blázquez JA, Macías D, Fletcher-Sanfeliu D, Martínez D, Martín E, Martín M, Margarit J, Hernández-Estefanía R, Monguió E, Otero J, and Silva J

Subjects
Humans, Aortic Valve diagnostic imaging, Aortic Valve surgery, Stroke Volume, Ventricular Function, Left, Treatment Outcome, Prognosis, Life Expectancy, Severity of Illness Index, Retrospective Studies, Heart Valve Prosthesis Implantation, Aortic Valve Stenosis diagnosis, Aortic Valve Stenosis surgery
Abstract

Introduction and Objectives: Surgical aortic valve replacement (SAVR) can modify the natural history of severe aortic stenosis (SAS). However, compared with the general population, these patients have a loss of life expectancy. The life expectancy of patients who undergo SAVR due to low-gradient SAS with preserved left ventricular ejection fraction (LVEF) is unknown., Methods: We included all patients between 50 and 65 years who underwent isolated SAVR in 27 Spanish centers during an 18-year period. We analyzed observed and expected survival at 18 years in patients with low-gradient SAS with preserved LVEF and all other types of SAS. We used propensity score matching to compare the life expectancy of patients with low-gradient SAS with preserved LVEF vs those with high-gradient SAS with preserved LVEF., Results: We analyzed 5084 patients, of whom 413 had low-gradient SAS with preserved LVEF. For these patients, observed survival at 10, 15 and 18 years was 86.6% (95%CI, 85.3-87.8), 75% (95%CI, 72.7-77.2), and 63.5% (95%CI, 58.8-67.8). Expected survival at 10, 15 and 18 years was 90.2%, 82.1%, and 75.7%. In the matched sample, survival of patients with low-gradient SAS with preserved LVEF was similar to that of patients with high-gradient with preserved LVEF, log-rank test, P=.95; HR=1 (95%CI, 0.7-1.4; P=.95)., Conclusions: There is a loss of life expectancy in patients with all types of SAS undergoing SAVR. This loss is higher in patients with left ventricular dysfunction and lower in patients with low-gradient or high-gradient aortic stenosis with preserved LVEF. The benefit of surgery is similar between these last 2 groups., (Copyright © 2022 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)

Published
2023
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26. Life expectancy after aortic valve replacement in young patients.

Author

Hernández-Vaquero D, Rodríguez-Caulo E, Vigil-Escalera C, Blanco-Herrera Ó, Berastegui E, Arias-Dachary J, Souaf S, Parody G, Laguna G, Adsuar A, Castellá M, Valderrama JF, Pulitani I, Cánovas S, Ferreiro A, García-Valentín A, Carnero M, Pareja P, Corrales JA, Blázquez JA, Macías D, Fletcher-Sanfeliu D, Martínez D, Martín E, Martín M, Margarit J, Hernández-Estefanía R, Monguió E, Otero J, and Silva J

Subjects
Aged, Aortic Valve surgery, Humans, Life Expectancy, Middle Aged, Risk Factors, Treatment Outcome, Aortic Valve Stenosis, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation adverse effects, Transcatheter Aortic Valve Replacement adverse effects
Abstract

Introduction and Objectives: In young patients with severe aortic stenosis, it is unknown whether their life expectancy restored after aortic valve replacement (AVR) is unknown., Methods: We analyzed all patients aged between 50 and 65 years who underwent isolated AVR in 27 Spanish centers during an 18-year period. We compared observed and expected survival at 15 years of follow-up. We repeated all analyses for patients without complications in the postoperative period., Results: A total of 5084 patients were analyzed. For the overall sample, observed survival at 10 and 15 years was 85.3% (95%CI, 84.1%-86.4%) and 73.7% (95%CI, 71.6%-75.6%), respectively. Expected survival was 90.1% and 82.1%. Cumulative relative survival for 1, 5, 10 and 15 years of follow-up was 97.4% (95%CI, 96.9%-97.9%), 96.5% (95%CI, 95.7%-97.3%), 94.7% (95%CI, 93.3%-95.9%), and 89.8% (95%CI, 87.3%-92.1%). For patients without complications, cumulative relative survival for 1, 5, 10 and 15 years was 100.3% (95%CI, 99.8%-100.5%), 98.9% (95%CI 97.6% -99.9%), 97.3% (95%CI, 94.9%-99.4%), and 91.9% (95%CI, 86.5%-96.8%)., Conclusions: Life expectancy in young patients who have severe aortic stenosis and undergo AVR is lower than that of the general population. Life expectancy of individuals without complications during the postoperative period is also reduced. Therefore, baseline characteristics are likely the main factors that explain the reduction in life expectancy., (Copyright © 2021 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.)

Published
2022
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