Publications by authors named "Lluis Vila"

Article Synopsis
  • The study aims to determine how rod characteristics, screw density, and cages affect mechanical complications in spinal surgeries compared to patient-related factors and alignment in adult spinal deformity cases.
  • Data from 302 patients was analyzed using different statistical models to measure outcomes like pseudarthrosis and screw loosening and understand the impact of surgical techniques versus patient demographics.
  • Key findings include that using four rods reduces the risk of pseudarthrosis, postoperative malalignment significantly increases the risk of complications, and high screw density leads to a lower risk of screw loosening, while age has a secondary impact on outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates mechanical complications (MCs) in patients with Adult Spinal Deformity (ASD) who are considered well-aligned post-surgery, revealing that alignment alone does not eliminate the risk of these complications.
  • - A total of 83 patients aged 55 and older were analyzed, with 40% experiencing at least one MC during an average of 4 years of follow-up, including issues like proximal junctional kyphosis and nonunion of surgical rods.
  • - The research utilized a multicenter database to identify and analyze risk factors contributing to MCs through statistical methods like binary logistic regression and ROC curve analysis.
View Article and Find Full Text PDF

Organic livestock farming is committed to high environmental and animal welfare standards, although pathologies such as post-weaning diarrhoea (PWD) may appear. The main objective of this study was to assess nutritional strategies to prevent PWD in organic piglets. A total of 134 weaned piglets were fed one of three diets: high crude protein (17.

View Article and Find Full Text PDF

Background: Oropharyngeal dysphagia (OD), a common symptom in the elderly, uses commercial thickener (CT) as part of its treatment. This is often accompanied of dislike and poor compliance.

Aim: Describe adherence to CT and possible differences according to dwelling location in an area of influence of approximately 400.

View Article and Find Full Text PDF

During pregnancy, thyroid function disorders are associated with multiple complications, both maternal and foetal. In recent years, numerous Clinical Practice Guidelines have been developed to facilitate the identification and correct management of thyroid disease in pregnant women. However, this proliferation of guidelines has led to confusion by proposing different cut-off points for reference values and different recommendations for similar situations.

View Article and Find Full Text PDF

Aims: This study aimed to analyse the evolution of the metabolic control, cardiovascular risk factors and chronic complications in a Type 2 Diabetes (T2D) population in a healthcare area of Barcelona.

Methods: We carried out a comparative study of T2D patients (20.457) between 2012 and 2016 (data recorded in the "Electronic Clinical-Station in Primary Care") concerning: age, gender, body mass index (BMI), arterial blood pressure (BP), HbA1c, LDL-Cholesterol, smoking, heart failure (HF), micro and macrovascular complications.

View Article and Find Full Text PDF

Background&aims: Modifying solid/liquid foods is the main treatment in oropharyngeal dysphagia (OD). Commercial Thickener (CT) for treatment is subsidized by health system and is delivered to patient's place of living, once is managed by our hospital Nutrition-Dietetics Unit (NDU).

Aim: To describe the patterns of texture for foods/liquids follow in patients with OD who are treated with CT.

View Article and Find Full Text PDF

Objective: Registers of diagnoses and treatments exist in different forms in the European countries and are potential sources to answer important research questions. Prevalence and incidence of thyroid diseases are highly dependent on iodine intake and, thus, iodine deficiency disease prevention programs. We aimed to collect European register data on thyroid outcomes to compare the rates between countries/regions with different iodine status and prevention programs.

View Article and Find Full Text PDF

Background: Population studies on the prevalence of thyroid dysfunctions are costly. The pharmacy dispensing (PDR) and diagnosis (DR) registers allow us to study the epidemiology of these pathologies in a simpler way. Our aims: 1/Estimate the prevalence of thyroid dysfunction in Catalonia based on data from the PDR and the DR, 2/to evaluate the concordance of the results obtained by both strategies.

View Article and Find Full Text PDF

(1) Background: The nutritional status of women during pregnancy can have a considerable effect on maternal and fetal health, and on the perinatal outcome. Aim: to assess the changes occurring in dietary iodine intake, potassium iodide supplementation, and smoking habit, and the impact of these changes on the urinary iodine concentration (UIC) during pregnancy in a population of women in Catalonia (Spain). (2) Methods: Between 2009-2011, an observational study included a cohort of women whose pregnancies were monitored in the public health system in the Central and North Metropolitan areas of Catalonia.

View Article and Find Full Text PDF

Knowledge about the population's iodine status is important, because it allows adjustment of iodine supply and prevention of iodine deficiency. The validity and comparability of iodine-related population studies can be improved by standardization, which was one of the goals of the EUthyroid project. The aim of this study was to establish the first standardized map of iodine status in Europe by using standardized urinary iodine concentration (UIC) data.

View Article and Find Full Text PDF

Rationale: Oropharyngeal Dysphagia (OD) is a symptom commonly found in hospitalized patients and related to a vast array of clinical diagnosis and to high morbidity and mortality that is becoming very important to identify. Our aim was to assess the prevalence of OD in our hospital setting.

Methods: Cross-sectional randomized study to determine the prevalence of dysphagia in an acute care hospital (ACH) and long term care hospital (LTCH).

View Article and Find Full Text PDF
Article Synopsis
  • * If not treated, NAFLD can get worse and lead to serious issues like liver damage and heart problems, which is why it's important to catch it early.
  • * Doctors have created guidelines to make sure patients get the right care, whether they need to see a regular doctor or a specialist in the hospital, and they have also developed ways to diagnose and manage the disease effectively.
View Article and Find Full Text PDF

Although iodine nutrition in Spain has improved in recent years, the problem is not completely resolved. It is necessary that health institutions establish measures to ensure an adequate iodine nutrition of the population, especially among the highest risk groups (children and adolescents, women of childbearing age, pregnant women and nursing mothers). A low salt intake should be advised, but it should be iodized.

View Article and Find Full Text PDF

Introduction: An epidemiological study conducted between 1988 and 1992 showed iodine deficiency and endemic goiter in the schoolchildren of the autonomous community of the Basque Country.

Objectives: 1) To ascertain the iodine nutrition status of schoolchildren aged 6-7 years, and 2) to estimate the prevalence of abnormal TSH levels in capillary blood.

Population And Methods: The study was conducted on 497 schoolchildren selected by random sampling.

View Article and Find Full Text PDF

There is currently no consensus among the different scientific societies on screening for thyroid dysfunction in the first trimester of pregnancy. Indeed, diagnosis and treatment of subclinical hypothyroidism during pregnancy are controversial, as no cut-off value for thyrotropin (TSH) is universally accepted. TSH measurement may be influenced by different factors throughout pregnancy, but especially during the first trimester.

View Article and Find Full Text PDF

Objectives: Determination of the level of achievement of the low density lipoprotein cholesterol (LDL-C) therapeutic target in patients with high and very high vascular risk treated in Lipid Units, as well as the causes of non-achievement.

Patients And Method: Multicentre retrospective observational study that included patients over 18 years with high and very high vascular risk, according to the criteria of the 2012 European Guidelines on Cardiovascular Disease Prevention, referred consecutively to Lipid Units between January and June 2012 and with follow-up two years after the first visit.

Results: The study included a total of 243 patients from 16 lipid units.

View Article and Find Full Text PDF

Background: Sufficient iodine intake is needed during pregnancy to ensure proper fetal development. The iodine levels of women in their first trimester of pregnancy in Catalonia are currently unknown. This data would help to determine whether our public health services should establish recommendations or interventions in this line.

View Article and Find Full Text PDF

Background: The hypertriglyceridemic waist has been linked to a higher number of cardiovascular risk factors and a greater probability of developing diabetes and cardiovascular disease. Around 50% of individuals with type 1 diabetes (T1D) are overweight or obese and triglyceridemia is associated with the onset of micro- and macrovascular complications.

Methods: A cross-sectional study was conducted in men with T1D to assess the association between the prevalence of hypertriglyceridemic waist and cardiovascular risk factors and hypogonadism.

View Article and Find Full Text PDF

Unlabelled: Testosterone deficiency (Td) has been associated with the metabolic syndrome. Few studies have evaluated this condition in type 1 diabetes (T1D). The primary aim of this study was to evaluate the effectiveness of testosterone undecanoate (TU) on insulin sensitivity, glycemic control, anthropometric parameters, blood pressure and lipid profile in patients with Td and T1D.

View Article and Find Full Text PDF

Background: Programs initiated to prevent iodine deficiency disorders (IDD) may not remain effective due to changes in government policies, commercial factors, and human behavior that may affect the efficacy of IDD prevention programs in unpredictable directions. Monitoring and outcome studies are needed to optimize the effectiveness of IDD prevention.

Summary: Although the need for monitoring is compelling, the current reality in Europe is less than optimal.

View Article and Find Full Text PDF

Introduction: The prevalence of hypogonadotropic hypogonadism (HH) in patients with type 2 diabetes mellitus is higher than in the general population and leads to detrimental effects on metabolic control, lipid profile, and body composition. Few studies have examined its role in type 1 diabetes mellitus.

Aim: To determine the prevalence of HH in patients with type 1 diabetes and associated risk factors.

View Article and Find Full Text PDF

Unlabelled: Psoriasis is a chronic inflammatory disease of the skin which affects 1-3% of the population. A higher association of metabolic syndrome (MS) has been described amongst sufferers. The objective of this study was to assess the association of MS and its components amongst subjects suffering psoriasis and compare it with that found for the control group.

View Article and Find Full Text PDF