Publications by authors named "Bernabeu M"

Introduction: Clinical practice guidelines in neurorehabilitation for adults with disorders of consciousness by the Spanish Neurorehabilitation Society. This document is based on a review of international clinical practice guidelines published between 2015 and 2022.

Method: A total of 7 articles, corresponding to 5 clinical practice guidelines published between 2015 and 2022, were selected by the group of authors from a pool of 48 bibliographic references extracted from various databases in accordance with predefined search criteria.

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Purpose: Dimensional measures of retinal features are subject to the optical influence of ocular magnification. We examined the impact of ocular magnification on the association between axial length (AL) and measurements of retinal vessel caliber in fundus photographs.

Design: Cross-sectional study.

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  • * Human milk and infant stool samples from 77 mother-infant pairs were analyzed at two stages (early transitional and mature) using advanced techniques to profile both metals and gut microbiota.
  • * Results revealed significant variations in metal concentrations and gut bacteria, showing correlations between specific metals and certain bacterial genera, indicating that metal(loid) levels in human milk could impact infant microbiota development.
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Aims: Early in the COVID-19 pandemic, evidence emerged suggesting that people with diabetic retinopathy (DR) or other microvascular diseases had greater risk of severe short-term outcomes. This study evaluated longer-term outcomes, providing more generalisable evidence.

Methods: We identified a cohort of UKBiobank participants with diabetes and retrieved their diagnostic codes for a variety of microvascular diseases, complications of diabetes and systemic comorbidities.

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Malaria pathology is driven by the accumulation of Plasmodium falciparum-infected erythrocytes in microvessels. This process is mediated by the polymorphic erythrocyte membrane protein 1 (PfEMP1) adhesion proteins of the parasite. A subset of PfEMP1 variants that bind to human endothelial protein C receptor (EPCR) through their CIDRα1 domains is responsible for severe malaria pathogenesis.

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  • The study aimed to compare characteristics and rehabilitation outcomes of post-acute stroke patients with and without urinary tract infections (UTIs) in a cohort of 1,683 inpatients admitted for rehabilitation from 2005 to 2023.
  • It found that 11.6% of patients experienced UTIs, with most occurring within the first two weeks of admission, and notable associations with factors like older age and higher stroke severity among those who developed UTIs.
  • Patients with UTIs showed significantly poorer rehabilitation outcomes, indicated by lower Functional Independence Measure (FIM) and Functional Ambulation Categories (FAC) scores at discharge.
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Optical coherence tomography angiography (OCT-A) retinal imaging enables visualization of the retinal microvasculature that is developmentally related to the brain and can offer insight on cerebrovascular health. We investigated retinal phenotypes and neuroimaging markers of small vessel disease (SVD) in individuals with obstructive sleep apnoea (OSA). We enrolled 44 participants (mean age 50.

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Intravoxel incoherent motion (IVIM) imaging is increasingly recognised as an important tool in clinical MRI, where tissue perfusion and diffusion information can aid disease diagnosis, monitoring of patient recovery, and treatment outcome assessment. Currently, the discovery of biomarkers based on IVIM imaging, similar to other medical imaging modalities, is dependent on long preclinical and clinical validation pathways to link observable markers derived from images with the underlying pathophysiological mechanisms. To speed up this process, virtual IVIM imaging is proposed.

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  • Arteriovenous malformations (AVMs) occur due to genetic mutations causing abnormal connections between arteries and veins, but the mechanisms behind their formation and potential reversal are not well understood.
  • The study shows that oxygen-induced retinopathy (OIR) in mice consistently causes AV shunt formation, revealing that the enlargement of venous endothelial cells is the primary trigger, while other factors like cell proliferation play lesser roles.
  • The findings suggest controlling endothelial cell volume could prevent or reverse AVM development, providing a basis for future therapeutic strategies against AVMs.
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  • * The study explores how the dynamics of microbubbles in brain capillaries affect inflammatory pathways and gene expression related to the BBB, potentially enabling better targeting of brain diseases.
  • * Results showed increased accumulation of cytotoxic T-cells in brain tumors, highlighting the clinical potential of using microbubble dynamics to enhance immunotherapy for brain-related conditions.
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  • The study aimed to assess the effectiveness of benralizumab in patients with severe asthma and chronic rhinosinusitis with nasal polyposis (CRSwNP) who were not well-controlled on standard treatment.
  • After 12 months of treatment, significant improvements were observed: exacerbations dropped by 82%, steroid use decreased by 84%, and emergency visits were reduced by 83%.
  • Additionally, lung function and nasal symptoms improved markedly, with over half of the patients achieving a "complete response" or "super response" after treatment.
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  • Understanding the immune response's role in shaping host-microbe interactions is crucial, especially from conception to early childhood.
  • The paper reviews research on human reproductive microbiota and microbial colonization in infants, highlighting its significance for health and development.
  • It suggests that dietary strategies, including targeted probiotics, may effectively influence maternal and neonatal microbiota, potentially improving health outcomes for life.
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Antimicrobial resistance (AMR) poses a significant threat to human health. Although vaccines have been developed to combat AMR, it has proven challenging to associate specific vaccine antigens with AMR. Bacterial plasmids play a crucial role in the transmission of AMR.

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Immunonutrition, which focuses on specific nutrients in breast milk and post-weaning diets, plays a crucial role in supporting infants' immune system development. This study explored the impact of maternal supplementation with M-16V and a combination of short-chain galacto-oligosaccharide (scGOS) and long-chain fructo-oligosaccharide (lcFOS) from pregnancy through lactation, extending into the early childhood of the offspring. The synbiotic supplementation's effects were examined at both mucosal and systemic levels.

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  • Kindler syndrome (KS) is a rare skin disorder caused by mutations in the FERMT1 gene, leading to a higher risk of aggressive skin cancer, specifically cutaneous squamous cell carcinoma (cSCC).
  • Research shows that FERMT1 levels are elevated in precancerous skin lesions (actinic keratoses) and further in cSCC, suggesting a role in promoting tumor growth.
  • Loss of Kindlin-1 results in enhanced cSCC invasion and tumor growth due to a hypoxic environment and increased glycolysis, with MMP13 playing a key role in increasing the invasive capabilities of these cancer cells.
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Introduction: Maternal synbiotic supplementation during pregnancy and lactation can significantly influence the immune system. Prebiotics and probiotics have a positive impact on the immune system by preventing or ameliorating among others intestinal disorders. This study focused on the immunomodulatory effects of M-16V and short chain galacto-oligosaccharides (scGOS)/long chain fructo-oligosachairdes (lcFOS), including systemic and mucosal compartments and milk composition.

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Immune system development during gestation and suckling is significantly modulated by maternal environmental and dietary factors. Breastfeeding is widely recognized as the optimal source of nutrition for infant growth and immune maturation, and its composition can be modulated by the maternal diet. In the present work, we investigated whether oral supplementation with and short-chain galacto-oligosaccharide (scGOS) and long-chain fructo-oligosaccharide (lcFOS) to rat dams during gestation and lactation has an impact on the immune system and microbiota composition of the offspring at day 21 of life.

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Purpose: To investigate whether fractal dimension (FD)-based oculomics could be used for individual risk prediction by evaluating repeatability and robustness.

Methods: We used two datasets: "Caledonia," healthy adults imaged multiple times in quick succession for research (26 subjects, 39 eyes, 377 color fundus images), and GRAPE, glaucoma patients with baseline and follow-up visits (106 subjects, 196 eyes, 392 images). Mean follow-up time was 18.

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Purpose: To develop Choroidalyzer, an open-source, end-to-end pipeline for segmenting the choroid region, vessels, and fovea, and deriving choroidal thickness, area, and vascular index.

Methods: We used 5600 OCT B-scans (233 subjects, six systemic disease cohorts, three device types, two manufacturers). To generate region and vessel ground-truths, we used state-of-the-art automatic methods following manual correction of inaccurate segmentations, with foveal positions manually annotated.

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Introduction: Some patients exhibit temporomandibular joint or muscular disorders of the masticatory system before, during, or after orthognathic surgery (OS). These are collectively referred to as temporomandibular disorders (TMDs). This systematic literature review aimed to determine the relationship between orthodontic-surgical treatment and TMDs.

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Purpose: To quantitatively characterize retinal changes across different quantiles of refractive error in 34,414 normal eyes of 23,064 healthy adults in the UK Biobank.

Methods: Twelve optic disc (OD), foveal and vascular parameters were derived from color fundus photographs, correcting for ocular magnification as appropriate. Quantile regression was used to test the independent associations between these parameters and spherical equivalent refraction (SER) across 34 refractive quantiles (high hyperopia to high myopia)-controlling for age, sex and corneal radius.

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Introduction: Common Temporomandibular Disorders (TMD) involve the masticatory muscles, temporomandibular joints, and/or their associated structures. Clinical manifestations can vary, including sounds (cracking, crepitus), pain, and/or dyskinesias, often corresponding to a limitation of mandibular movements. Signs or symptoms of muscular or joint disorders of the masticatory system may be present before the initiation of orthodontic treatment, emerge during treatment, or worsen to the point of stopping treatment.

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Purpose: To investigate whether fractal dimension (FD), a retinal trait relating to vascular complexity and a potential "oculomics" biomarker for systemic disease, is applicable to a mixed-age, primary-care population.

Methods: We used cross-sectional data (96 individuals; 183 eyes; ages 18-81 years) from a university-based optometry clinic in Glasgow, Scotland, to study the association between FD and systemic health. We computed FD from color fundus images using Deep Approximation of Retinal Traits (DART), an artificial intelligence-based method designed to be more robust to poor image quality.

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Purpose: To synthesise evidence across studies on factors associated with pathologic myopia (PM) onset and progression based on the META-analysis for Pathologic Myopia (META-PM) classification framework.

Methods: Findings from six longitudinal studies (5-18 years) were narratively synthesised and meta-analysed, using odds ratio (OR) as the common measure of association. All studies adjusted for baseline myopia, age and sex at a minimum.

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