Publications by authors named "J M Gutierrez Julian"
Article Synopsis
- * Aimed at improving prevention and treatment, this concept encourages a collaborative, lifelong strategy for risk assessment and early intervention, utilizing a new cardiovascular risk stratification equation starting at age 30.
- * In Spain, there is a call to adapt these insights into practice by enhancing teamwork among healthcare providers and creating multidisciplinary units to better manage CKM syndrome through a patient-focused perspective.
Background: Health Promoting Schools (HPS) have emerged as a powerful framework to promote healthy behaviors in many countries. However, HPS still present several challenges, highlighting the excessive workload involved in the accreditation, design, implementation, and evaluation processes. In this sense, a resource to facilitate the implementation processes may have a positive impact on the support of HPS.
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- Chronic kidney disease (CKD) poses significant challenges for healthcare systems due to its high morbidity and resource demands, prompting a need for an optimal care model through a multidisciplinary approach.
- A panel of 59 CKD experts identified 38 key factors for improving patient care, focusing on enhancing CKD visibility, prevention, early diagnosis, coordinated monitoring, and training for both healthcare providers and patients.
- The study emphasizes a collective agreement on prioritizing CKD care by fostering prevention, early detection, and comprehensive monitoring to improve outcomes at institutional and societal levels.
The use of noninvasive biomarkers may reduce the need for biopsy and guide immunosuppression adjustments during transplantation. The scientific community in solid organ transplantation currently considers that chemokines, T- and B-cell immunophenotypes, and gene expression, among other molecular biomarkers, have great potential as diagnostic and predictive biomarkers for graft evolution; however, in clinical practice, few valid early biomarkers have emerged. This review focuses on the most relevant scientific advances in this field in the last 5 years regarding the role of 3 biomarkers: miRNAs, chemokines, and ddcf-DNA, in both adult and pediatric populations.
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- Ex vivo fusion confocal microscopy (EVFCM) is a rapid method for examining breast tissue that could minimize the need for further surgeries by improving the accuracy of cancer detection compared to traditional methods.
- In a study with 36 tissue samples, EVFCM demonstrated high accuracy in detecting neoplastic cases and showed significant agreement with routine histopathology results, especially when evaluated by an experienced Mohs surgeon.
- The findings suggest that using EVFCM could enhance surgical outcomes in breast-conserving surgery by reducing re-excision rates, lowering healthcare costs, and improving both cosmetic and oncological results.