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Background/Objectives: Understanding sex-based differences in cardiovascular outcomes is paramount to improving clinical outcomes. Surgery is an aggressive but effective therapy for ascending aortic aneurysm. We sought to determine if being a woman is a risk factor for long-term mortality after this surgery. We compared their life expectancy with a general population of the same age, sex, year, and region. Methods: We compared men and women undergoing AAA surgery at our institution from 2000 to 2019. After balancing the population with propensity score (PS) matching, we compared long-term mortality control with a Cox regression. We determined the RS using the Ederer II method and compared it to a healthy reference population of the same age, sex, and region. Results: From 2000 to 2019, 232 women and 506 men underwent ascending aortic aneurysm surgery. After a mean follow-up of 51.5 ± 34.5 months, sex was not an independent risk factor for long-term mortality in the multivariable analysis [HR: 0.68 (95% CI 0.43–1.07, p = 0.23)]. Matching by baseline characteristics, 196 pairs were analyzed with no differences regarding mortality in the Cox regression [HR: 1.11 (95% CI 0.65–1.9, p = 0.23)]. Men and women who survived the postoperative period presented a relative survival of 100.3% (95% CI 97.4–101%) and 100.3% (95% CI 98.9–101.1%), respectively, similar to the reference population without the disease. Conclusions: For patients undergoing AAA surgery, sex was not an independent predictor of mortality. Men and women who survived the postoperative period presented a similar life expectancy to that of the reference population (people free from the disease of the same age, sex, year, and region). [ABSTRACT FROM AUTHOR]

Starting from the question: what are the deontological dimensions in the regulations from the Escazú Agreement that contribute to the development of an ecological citizenship? this work described citizenship as a predefined category containing different dimensions, as that of ecological citizenship. Later on, a deontological analysis of the Escazú Agreement regulations that contribute to the configuration of this kind of citizenship in Colombia was performed. A qualitative methodology design was employed, with a dogmatic legal approach supported by the deontological dimension of the study of regulations, that can be derived from the trial vision of law, under hermeneutical guidelines, over documentary sources where the debates about citizenship and access rights in environmental issues are held. This allowed the triangulation of sources to build the analysis. It was concluded that the deontological dimensions in the Escazú Agreement connect to a citizenship conceived primarily from the correlation right-duty. Here, duty, as an element for the ecological citizenship, is progressively gaining preponderance, with a preferential differentiating approach that thinks of the reality of the human rights activists in environmental issues. [ABSTRACT FROM AUTHOR]

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