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array:22 [ "pii" => "S2173572724002030" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.07.012" "estado" => "S200" "fechaPublicacion" => "2024-08-21" "aid" => "2076" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0210569124002511" "issn" => "02105691" "doi" => "10.1016/j.medin.2024.07.002" "estado" => "S200" "fechaPublicacion" => "2024-08-14" "aid" => "2076" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Medicina Intensiva</span>" "titulo" => "Extracción de coágulo bronquial gigante con sonda de crioadhesión" "tienePdf" => "es" "tieneTextoCompleto" => "es" "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Removal of giant bronchial clot with cryoadhesion probe" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 998 "Ancho" => 750 "Tamanyo" => 126044 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coágulo extraído mediante crioadhesión. En la parte superior derecha, detalle de unas gasas que permiten intuir su gran tamaño.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mónica García Simón, Cristina Sanchís Piqueras, Georgia García Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Mónica" "apellidos" => "García Simón" ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Sanchís Piqueras" ] 2 => array:2 [ "nombre" => "Georgia" "apellidos" => "García Fernández" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572724002030" "doi" => "10.1016/j.medine.2024.07.012" "estado" => "S200" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002030?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569124002511?idApp=WMIE" "url" => "/02105691/unassign/S0210569124002511/v1_202408141045/es/main.assets" ] ] "itemSiguiente" => array:16 [ "pii" => "S2173572724001929" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.07.004" "estado" => "S200" "fechaPublicacion" => "2024-08-30" "aid" => "2070" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Application of a machine learning model for early prediction of in-hospital cardiac arrests: Retrospective observational cohort study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3318 "Ancho" => 2508 "Tamanyo" => 394663 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">SHAP summary plot with the aggregated SHAP values generated in each iteration of the cross-validation. SHAP analysis was carried out for the CEGB estimator. Each cloud of points represents the data points of the aggregated test splits among the iterations of the cross-validation. The horizontal axis shows the SHAP values assigned to every data point. If the magnitude is higher, the influence is greater. If the value is positive, the influence is positive (induces to predict cardiac arrest). If it is negative, such is the influence (induces to predict no cardiac arrest). As there is a SHAP value assigned to every variable of every data point, the clouds are grouped by variable. The variables are sorted in a descending overall importance ranking. The overall importance of a variable is established by the average magnitude of its SHAP values among all the data points. Finally, the colour of each point in a cloud represents the original value of the variable of such point. If the variable has a low value in a data point, such point will be coloured in blue in the cloud of the variable in question. Inversely, if the original value is high, the colour will be red.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Socias Crespí, L. Gutiérrez Madroñal, M. Fiorella Sarubbo, M. Borges-Sa, A. Serrano García, D. López Ramos, C. Pruenza Garcia-Hinojosa, E. Martin Garijo" "autores" => array:8 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Socias Crespí" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Gutiérrez Madroñal" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Fiorella Sarubbo" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Borges-Sa" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Serrano García" ] 5 => array:2 [ "nombre" => "D." "apellidos" => "López Ramos" ] 6 => array:2 [ "nombre" => "C." "apellidos" => "Pruenza Garcia-Hinojosa" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Martin Garijo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724001929?idApp=WMIE" "url" => "/21735727/unassign/S2173572724001929/v1_202408300420/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S2173572724000274" "issn" => "21735727" "doi" => "10.1016/j.medine.2024.02.003" "estado" => "S200" "fechaPublicacion" => "2024-02-25" "aid" => "1976" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Fractional excretion of sodium and potassium and urinary strong ion difference in the evaluation of persistent AKI in sepsis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Excreción fraccional de sodio y potasio, y brecha aniónica urinaria en la evaluación de la IRA persistente en sepsis" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1448 "Ancho" => 1675 "Tamanyo" => 110835 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0135" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">ROC curve showing the area under de curve of FENa, FEK and uSID.</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">FENa: fractional excretion of sodium; FEK: fractional excretion of potassium; uSID: urinary strong ion difference.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Nicolás Contrera Rolón, Joaquín Cantos, Iván Huespe, Eduardo Prado, Griselda I. Bratti, Carlos Schreck, Sergio Giannasi, Guillermo Rosa Diez, Carlos F. Varela" "autores" => array:9 [ 0 => array:2 [ "nombre" => "Nicolás" "apellidos" => "Contrera Rolón" ] 1 => array:2 [ "nombre" => "Joaquín" "apellidos" => "Cantos" ] 2 => array:2 [ "nombre" => "Iván" "apellidos" => "Huespe" ] 3 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Prado" ] 4 => array:2 [ "nombre" => "Griselda I." "apellidos" => "Bratti" ] 5 => array:2 [ "nombre" => "Carlos" "apellidos" => "Schreck" ] 6 => array:2 [ "nombre" => "Sergio" "apellidos" => "Giannasi" ] 7 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Rosa Diez" ] 8 => array:2 [ "nombre" => "Carlos F." "apellidos" => "Varela" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000274?idApp=WMIE" "url" => "/21735727/unassign/S2173572724000274/v1_202402251056/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Removal of giant bronchial clot with cryoadhesion probe" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mónica García Simón, Cristina Sanchís Piqueras, Georgia García Fernández" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Mónica" "apellidos" => "García Simón" "email" => array:1 [ 0 => "mgs11122002@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Sanchís Piqueras" ] 2 => array:2 [ "nombre" => "Georgia" "apellidos" => "García Fernández" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Clínico Universitario, Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Extracción de coágulo bronquial gigante con sonda de crioadhesión" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 998 "Ancho" => 750 "Tamanyo" => 126044 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clot extracted using cryoadhesion. On the upper right wall, gauze details can be seen, indicating its large size.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old woman was admitted to the hematology department due to myelodysplastic syndrome and a pulmonary mass in the right upper lobe (RUL), pending identification following a transbronchial biopsy. The patient was admitted to the ICU due to life-threatening hemoptysis, requiring urgent intubation, and a fiberoptic bronchoscopy performed at bedside revealed the presence of a large clot in the carina. Although an arduous attempt was made to extract the clot using the fiberoptic scope forceps, it proved largely unsuccessful due to fragmentation into small pieces. Therefore, a cryoadhesion probe was inserted into the clot and frozen for 10 seconds, achieving complete extraction. The clot showed a full cast of the bronchial tree of the RUL, as seen in the <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 998 "Ancho" => 750 "Tamanyo" => 126044 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clot extracted using cryoadhesion. On the upper right wall, gauze details can be seen, indicating its large size.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/unassign/S2173572724002030/v1_202408210417/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/21735727/unassign/S2173572724002030/v1_202408210417/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724002030?idApp=WMIE" ]
