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To apply the quick sequential organ failure assessment (qSOFA) score to dogs admitted to a veterinary ICU, and evaluate whether the addition of lactate increased the predictive ability of the score.A quick sequential organ failure assessment score of 0, 1, 2, or 3 was assigned to each dog based on the following criteria: respiratory rate22 breaths per minute, altered mentation, systolic blood pressure100 mmHg. Lactate was added to quick sequential organ failure assessment in an LqSOFA model and assigned to each patient. Disease processes evaluated included sepsis, congestive heart failure, pneumonia and pancreatitis.Two hundred and sixty-seven client-owned dogs met the inclusion criteria. There was no significant difference in quick sequential organ failure assessment score between survivors and non-survivors. The use of lactate3, 4, and 5 mmol/L incorporated into the quick sequential organ failure assessment score (L3qSOFA, L4qSOFA, L5qSOFA) distinguished between survival and non-survival (AUC=0.62; AUC=0.64; AUC=0.62, respectively). Lactate alone distinguished between survival and non-survival (AUC=0.63). Lactate concentration was significantly lower in survivors.In this study, quick sequential organ failure assessment was not able to predict survival in a general population of critically ill patients. The addition of lactate to the quick sequential organ failure assessment score slightly increased the predictive ability of the score.

Hypomineralization (MH) are controversial. The aim of this study was to compare need for treatment and status of restorations performed on first permanent molars in patients with and without MH. Retrospective design based on the clinical records of 153 patients who had received comprehensive care in 2014 at the Clinic of the Children's Comprehensive Dentistry Department (FOUBA) by 3 pediatric dentists (Kappa MH 0.94), and who attended periodical follow-up visits for at least 24 months. Need for treatment in first molars, and type and longevity of treatment were recorded (modified Ryge criteria /USPHS, Kappa 0.78). Results were compared between patients with MH and without MH. The Kruskal Wallis test was used to compare follow-up time, the asymptotic test was performed to compare proportions, and relative risk (RR) was calculated to compare need for treatment. Mean follow-up times for the 595 teeth analyzed were 61.7±20.1 months for Group without MH, and 57.5±23.9 months for Group with MH (p=0.0504). The percentages of teeth requiring at least one treatment were 7.2% in Group without MH and 27.5% in Group with MH (RR = 3.80, p0.001). Of the teeth treated in Group with MH 23.1% required retreatment, while none of the teeth in Group without MH did. The need for treatment was approximately 4 times higher in molars affected with MH, with greater probability of retreatment.La selección y estabilidad a largo plazo de los materiales de restauración en piezas afectadas por Hipomineralización Molar (HM) es en la actualidad un tema de controversia. El objetivo de este estudio fue comparar las necesidades de tratamiento y el estado de las restauraciones realizadas en primeros molares permanentes en pacientes con y sin HM. Diseño retrospectivo sobre las historias clínicas de 153 pacientes que habían recibido atención integral en 2014, en la Clínica de la Cátedra de Odontología Integral Niños (Facultad de Odontología de la Universidad de Buenos Aires) por 3 odontopediatras (Kappa HM 0,94) y que asistieron a las recitaciones periódicas durante un mínimo de 24 meses. Se registraron las necesidades de tratamiento, tipo y longevidad de los mismos en primeros molares (criterios Ryge modificados /USPHS, Kappa 0,78). Se compararon los resultados entre los pacientes con y sin HM. Se utilizó test de Kruskal Wallis para comparar tiempos de seguimiento, test asintótico de comparación de proporciones y se calculó riesgo relativo (RR) para comparar la necesidad de tratamiento. Los tiempos medios de seguimiento de las 595 piezas analizadas resultaron de 61.7±20.1 y 57.5±23.9 meses en los grupos sin HM y con HM respectivamente (p=0.0504). Los porcentajes de piezas que requirieron al menos un tratamiento fueron 7.2% en el grupo sin HM y 27.5% en el grupo con HM. (RR = 3.80, p0.001) De las piezas con HM tratadas, el 23.1% requirieron retratamiento, mientras que en el grupo sin HM ninguna pieza lo necesitó. La necesidad de tratamiento fue aproximadamente 4 veces mayor en los molares afectados con HM con más probabilidad de retratamiento.

Objective: Sensory deficits are important risk factors for delirium but have been investigated in single-center studies and single clinical settings. This multicenter study aims to evaluate the association between hearing and visual impairment or bi-sensory impairment (visual and hearing impairment) and delirium. Design: Cross-sectional study nested in the 2017 "Delirium Day" project. Setting and participants: Patients 65 years and older admitted to acute hospital medical wards, emergency departments, rehabilitation wards, nursing homes, and hospices in Italy. Methods: Delirium was assessed with the 4AT (a short tool for delirium assessment) and sensory deficits with a clinical evaluation. We assessed the association between delirium, hearing and visual impairment in multivariable logistic regression models, adjusting for: Model 1, we included predisposing factors for delirium (ie, dementia, weight loss and autonomy in the activities of daily living); Model 2, we added to Model 1 variables, which could be considered precipitating factors for delirium (ie, psychoactive drugs and urinary catheters). Results: A total of 3038 patients were included; delirium prevalence was 25%. Patients with delirium had a higher prevalence of hearing impairment (30.5% vs 18%; P < .001), visual impairment (24.2% vs 15.7%; P < .01) and bi-sensory impairment (16.2% vs 7.5%) compared with those without delirium. In the multivariable logistic regression analysis, the presence of bi-sensory impairment was associated with delirium in Model 1 [odds ratio (OR) 1.5, confidence interval (CI) 1.2-2.1; P = .00] and in Model 2 (OR 1.4; CI 1.1-1.9; P = .02), whereas the presence of visual and hearing impairment alone was not associated with delirium either in Model 1 (OR 0.8; CI 0.6-1.2, P = .36; OR 1.1; CI 0.8-1.4; P = .42) or in Model 2 (OR 0.8, CI 0.6-1.2, P = .27; OR 1.1, CI 0.8-1.4, P = .63). Conclusions and implications: Our findings support the importance of routine screening and specific interventions by a multidisciplinary team to implement optimal management of sensory impairments and hence prevention and the management of the patients with delirium.

Clitoral cyst can be easily mistaken for a vaginal mass lesion and should be considered in the differential diagnosis for a female dog presenting with an anatomically abnormal external genital examination.

Objetivos: Comparar la edad de primera consulta y la frecuencia de caries temprana de la infancia entre los pacientes que demandan atención en un servicio público arancelado y los que lo hacen en consultorios odontopediátricos privados en la misma zona geográfica. Material y Métodos: Diseño observacional retrospectivo. Fueron evaluadas todas las Historias Clínicas de los pacientes que concurrieron por primera vez a la Cátedra Odontología Integral Niños (G1) y a 2 consultorios privados (G2) durante el periodo enero-diciembre 2015. (Kappa > 0.83). De los menores de 6 años, los registros de edad de primera consulta, sexo y ceos fueron ingresados a una base de datos Excel para la obtención de los resultados expresados en porcentajes, medias y desvío estándar. Las comparaciones se realizaron utilizando ANOVA y Chi cuadrado. Resultados: La muestra total se conformó con 973 niños en G1 y 488 en G2, de 9,3±3,8 y 4,9±3 años respectivamente (p=0,000). Los menores de 6 años representaron el 16% (G1m) y 63,5% (G2m) (p=0,000). La edad fue de 51±14 y 39,5±13 meses (p=0,000); masculinos: 54,8% y 52,9% (p=0,41), ceos = 17,4±15,4 (12,5% ceos= 0) y = 0,45±1,6 (85,8% ceos=0) (p=0.000) y la frecuencia de caries temprana de la infancia fue de 87,5% (IC 79,5-93,2) y 2,26% (IC 0,90-4,60) (p= 0,000) para G1m y G2m respectivamente. Conclusiones: En el servicio público arancelado la consulta se realiza mayormente en forma tardía y los que la realizan a edades tempranas presentan severos índices de patología. Los pacientes con cobertura de salud demandan atención a edades tempranas con criterio preventivo.

Objective: To compare the prognostic value of dynapenia, as evaluated by handgrip, and body mass index (BMI) on length of stay (LOS), days of bed rest, and other hospitalization-related outcomes in a population of older adults admitted to 12 italian acute care divisions. Methods: Data on age, weight, BMI, comorbidities, ADL, physical activity level, muscle strength, were recorded at hospital admission. LOS, days of bed rest, intrahospital falls, and discharge destination were also recorded during the hospitalization. Subjects with BMI

Key Clinical Message Xylitol and serotonergic compounds are included in the manufacture of numerous over‐the‐counter products. Both compounds have been documented to cause toxicosis in dogs. This report details the first case of simultaneous xylitol toxicosis and serotonin‐like syndrome in a dog, secondary to ingestion of a single over‐the‐counter product.

Pulpectomies in primary molars are often hindered by several factors, including anatomical and physiological characteristics of posterior primary teeth and young patients' lack of cooperation with laborious treatments. This study was undertaken in search of easier but equally effective therapies that could eliminate infection, preserve the teeth and avoid extractions. The aim of the study was to estimate and compare clinical and radiographic success between pulp treatment with 3Mix-MP and pulpectomy with Maisto-Capurro paste in primary necrotic molars. A longitudinal prospective study was conducted at the Department of Comprehensive Pediatric Dentistry of the Faculty of Dentistry of the University of Buenos Aires (20152017). The study included 46 primary molars with necrotic pulp of children without immune or metabolic compromise. Children and their legal guardians provided assent and informed consent. Selected molars were randomly divided into 2 groups: G1: Pulpectomy treatment with Maisto-Capurro paste; and G2: Treatment with 3Mix-MP paste. Treatments were evaluated at 1, 3, 6,12 and 18 months (intra and inter-rater agreement 0.92 and 0.84). Clinical success was considered to be the absence of any of the following: pain, sensitivity to percussion or palpation, swelling, fistula and non-physiological mobility, while radiographic success was considered to be: absence of internal or external non-physiological resorption, no progression or reduction of radiolucent periapical/interradicular lesion and evidence of bone regeneration. Percentages, 95% C.I., and CHI2 were calculated for the comparison between groups. Overall clinical success was 91.5% and 87.5% (p=0.48) and overall radiographic success was 88.3% and 82.3% (p=0.31) for G1 and G2 respectively. No significant clinical or radiographic difference was found between groups. Both treatments showed similar clinical and radiographic behavior during the study periods.Las pulpectomías en molares primarios se ven dificultadas frecuentemente por las características anatómicas y fisiológicas de éstos y por la escasa colaboración que brindan los pacientes de corta edad ante tratamientos tan laboriosos. En búsqueda de terapéuticas más sencillas, pero igualmente eficaces, que consigan eliminar la infección para conservar las piezas y evitar las exodoncias, se ha planteado como objetivo de este estudio: estimar y comparar la proporción de éxito clínico y radiográfico entre el tratamiento pulpar con 3Mix-MP y la pulpectomía con pasta de Maisto-Capurro en molares primarios con necrosis. Se realizó un estudio longitudinal y prospectivo en la Cátedra de Odontología Integral Niños de la Facultad de Odontología de la Universidad de Buenos Aires (2015 - 2017). Formaron parte del estudio 46 molares primarios con diagnóstico de necrosis pulpar, de niños sin compromiso inmunológico ni metabólico y que junto con sus responsables legales brindaron el asentimiento y el consentimiento informado. Los molares seleccionados fueron divididos aleatoriamente en 2 grupos: G1: Tratamiento de pulpectomía con pasta de Maisto-Capurro y G2: Tratamiento con pasta 3Mix-MP. Los tratamientos fueron evaluados al mes, 3, 6, 12y 18 meses (concordancia intra-examinador 0,92 e interexaminador 0,84), considerando como éxito clínico la ausencia de dolor, sensibilidad a la percusión y palpación, edema, fístula y movilidad no fisiológica; y como éxito radiográfico, ausencia de reabsorción interna o externa no fisiológica, no progresión o reducción de la lesión radiolúcida interradicular/periapical y evidencia de regeneración ósea. Se calcularon porcentajes, I.C 95% y CHI2para la comparación. El éxito clínico global fue de 91,5%y 87,5% (p=0.48) y el éxito radiográfico global de 88,3% y 82,3% (p=0.31)para G1 y G2 respectivamente, sin diferencias significativas entre ambos grupos. En los periodos estudiados ambos tratamientos mostraron comportamientos clínico y radiográfico semejantes.

SrRuO3 (SRO) is a perovskite increasingly used in oxide-based electronics both for its intrinsic metallicity, which remains unaltered in thin films and for the ease of deposition on dielectric perovskites like SrTiO3, (STO) to implement SRO/STO microcapacitors and other devices. In order to test the reliability of SRO/STO also as high-current on-chip conductor, when the SRO dimensions are pushed to the nanoscale, here we have measured the electrodynamic properties of arrays of nanoribbons, fabricated by lithography starting from an ultrathin film of SRO deposited on a STO substrate. The nanoribbons are 6 or 4 nm thick, 400, 200 and 100 nm wide and 5 mm long. The measurements have been performed by infrared spectroscopy, a non-contact weakly perturbing technique which also allows one to separately determine the carrier density and their scattering rate or mobility. Far-infrared reflectivity spectra have been analyzed by Rigorous Coupled-Wave Analysis (RCWA) and by an Effective Medium Theory, obtaining consistent results. With the radiation polarized along the nanoribbons, we obtain a carrier density similar to that of a flat film used as reference, which in turn is similar to that of bulk SRO. Moreover, in the nanoribbons the carrier scattering rate is even smaller than in the unpatterned film by about a factor of 2. This shows that the transport properties of SRO deposited on STO remain at least unaltered down to nanometric dimensions, with interesting perspectives for implementing on-chip nano-interconnects in an oxide-based electronics. When excited in the perpendicular direction, the nanoribbons appear instead virtually transparent to the radiation field, as predicted by RCWA.

A comprehensive knowledge of the loads applied during activities of daily living to the femur shaft is necessary to the design of direct attachments of relevant prostheses. A motion analysis system was used together with an established protocol with skin markers to estimate the three components of the forces and moments acting on ten equidistant points along the full femur shaft. Twenty healthy young volunteers were analyzed while performing three repetitions of the following tasks: level walking at three different speeds, straight-line and with sudden changes of direction to the right and to the left, stairs ascending and descending, squat, rising from a chair and sitting down. Average load patterns, after normalisation for body weight and height, were calculated over subjects for each point, about the three anatomical axes, and for each motor task. These patterns were found consistent over subjects, but different among the anatomical axes and tasks. In general, the moments were observed limitedly influenced by the progression speed, and higher for more proximal points. The moments were also higher in abd/adduction (8.1% body weight*height on average), nearly three times larger than those in flex/extension (2.6) during stair descending. The largest value over all moments was 164.8. N. m, abd/adduction in level walking at high speed. The present results should be of value also for a most suitable level for amputation in transfemoral amputation, for in-vitro mechanical tests and for finite element models of the femur.

We report on the fabrication and electrical characterization of Schottky diodes on epitaxial relaxed germanium for THz detection, which implement both a sub-micron junction area and the air-bridge technology. The small footprint necessary for low capacitances and T-shaped contacts are obtained by using a triple layer of electronic resists with different sensitivity. The cross-sectional analyses revealed a clearly suspended air-bridge and the T-shape of the metal contact with footprint width below 400 nm. The electrical characterization at room temperature shows well defined Schottky diode behavior with ideality factor between 1 and 2 and low series resistance suitable for THz detection.

We studied the polaron conductivity in a field-effect transistor (FET) based on the doped oxide La 0.7 Sr 0.3 MnO 3 - δ , where the electric field penetration depth is enhanced due to suppression of metallic conduction by large oxygen deficiency δ , by mid-infrared microspectroscopy (wavelengths from 1.4 to 12 μ m ) on a 3 μ m wide active channel. Synchrotron radiation was used to obtain the mid-infrared response at the diffraction limit. We found that bound polarons, although clearly detected, play a minor role in the electric field-induced dc conductivity modulation, which may be then attributed to the accumulation/depletion of free carriers.

The aim of this study was to compare the prevalence of molar incisor hypomineralization (MIH) among children with different health care coverage in Buenos Aires and Montevideo. An observational, cross-sectional and descriptive study was designed, considering children born from 1993-2003 who were seen in the Chairs of Comprehensive Children's Dentistry (Universidad de Buenos Aires) and of Pediatric Dentistry (Universidad de la República) and at five private dental offices between April and December 2010. Two groups were defined: A (Buenos Aires; n=1,090) and B (Montevideo; n=626). The clinical diagnosis was carried out with calibrated examiners (Kappa: 0.94) using the Mathu-Muju and Wright criteria. The prevalence of MIH was found to be 16.1% in A and 12.3% in B (p=0.03), with statistically significant differences between the public and private care sectors in both groups (A p=0.0008; B p=0.0004) and a positive correlation between MIH and year of birth (A p=0.001; B p=0.005). The results show that MIH is an emerging pathology and that MIH prevalence is related to year of birth and access to health care.

We analyze procalcitonin (PCT) as a prognostic marker, in order to assess the clinical impact of a daily PCT measure.

We fabricated a two-dimensional-electron-gas field effect transistor with an asymmetric terahertz antenna connected to the channel terminals and a gate length of 1 μm. We investigated frequency mixing in the transistor's channel by measuring, with a quasi-optical setup, the heterodyne, second- and third-order subharmonic mixing signal at 0.592 THz. The dependence on the gate voltage and on the radiation power of both the local-oscillator and the radio-frequency signals was studied for all mixing orders. The conditions for full-plasmonic-mixing are fulfilled in our transistor at room temperature.

The objectives of this study are to compare the prevalence of MIH in children seeking dental care spontaneously at the Department of Comprehensive Children's Dentistry of the University of Buenos Aires (UBA) and Department of Pediatric Dentistry of the University of La República (UdelaR) and to analyze the distribution according to year of birth, sex, age, number of affected teeth and maximum degree of severity in molars and incisors. During 2010, nine pediatric dentists from both schools (Kappa = 0.94) assessed all children born between 1993 and 2003 whose 4 first molars and 8 permanent incisors had erupted. Specially designed charts were used to record sex, year of birth, institution, presence of MIH, number of affected incisors and molars and maximum degree of severity for each tooth. Two groups were formed: UBA: A (n = 512) and UdelaR: B (n = 463).975 children (11.6 +/- 2.67 years) were evaluated. The prevalence of MIH in the total sample was 6.56%, without significant differences between A and B (p = 0.76). There was no significant difference between groups regarding age (p = 0. 95) or sex (p = 0.30). A significant increase was found in both institutions according to year of birth during the study period. (A: p = 0.0017) B: p = 0. 0058).The results of this study show a similar prevalence of MIH among patients seeking dental care at the Schools of Dentistry of the University of Buenos Aires (Argentina) and University of la República (Uruguay). No significant difference was found comparing the distribution by sex, affected teeth or severity of each tooth. A highly significant positive correlation was found regarding the year of birth. The relevance of MIH as an emerging pathology requires studies on larger samples covering the entire countries.

""In this paper we present a detailed study of the intersubband absorption occurring between electron states confined in strained Ge multi-quantum wells as a function of the temperature. The high structural quality of the samples is reflected by the very narrow absorption line-shape constant with temperature. We observe a temperature driven charge transfer occurring between the ground and the first excited subband which, in turn, induces a change in the depolarization shift and consequently in the energy of the absorbance peak. The experimental observations are well accounted for by a multi-valley k center dot p model.""

The prevalence of Molar Incisor Hypomineralization (MIH) still remains unknown in Argentina. The objectives of this work were to: estimate prevalence of MIH in a group of children seeking dental care in the city of Buenos Aires, analyze distribution according to year of birth and compare prevalence and severity of MIH in children with different access to health care services. A prospective, observational, transversal, descriptive study was designed, to be conducted on children seeking attention at Department of Comprehensive Children's Dentistry at the School of Dentistry of Buenos Aires University and at 3 pediatric dentistry offices attended by members of the team, located in Buenos Aires city (Kappa 0.933 0.911-0.952), from April to August 2010. The study included all children born between 1993 and 2003, whose 4 first molars and 8 permanent incisors had erupted. After prophylaxis and drying, the teeth were clinically evaluated and specially designed charts were used to record sex, year of birth, type of access to dental care, presence of MIH, number of affected incisors and molars, and maximum degree of severity for each tooth. The data obtained were analyzed using percentages, Fisher's Exact Test and Linear regression. 1098 children, mean age 11.3 years (11.08-11.39) were evaluated. Prevalence of MIH in this study was 15.9% (13.8-18.2). A highly significant positive correlation was obtained between MIH and year of birth (p0.0001). Group A (private sector: prepaid medical insurance) was made up of 586 children (age: 10.92 6.22-15.62) while group B (public sector: university hospital) was made up of 512 children (age: 11.59 5.31-16.90). In Group A, MIH prevalence was 24.40% (20.9-27.9) while in Group B it was 6.44% (4.31-8.56) (p0.0001). Of the affected molars, 37% (32.2-42) in A and 13.7% (6.7-23.8) in B had grade 3 lesions, with loss of enamel (p0.0001). In this study, MIH was a frequent pathology (15.9%) and a significant increase was found according to year of birth during the study period. Patients with better access to health care had greater prevalence and degree of severity of MIH.

Multigap superconductivity has been discussed since the 1950’s. Nevertheless, the topic remained essentially speculative until 2001, when for the first time multigap superconductivity has been demonstrated to take place in a real material, as MgB2. In the last few years evidence of multigap superconductivity has been claimed for several different classes of superconductors. Thanks to the high brightness of THz synchrotron radiation we addressed multiband superconductivity on two model systems: The prototype multiband superconductor MgB2 and the A‐15 superconductor V3Si.