Publications by authors named "M Alvarez-Gallego"

Article Synopsis
  • High-grade anal intraepithelial squamous lesions are common in men who have sex with men and are HIV-positive, increasing their risk of anal cancer, while low-grade lesions typically resolve on their own.
  • A study of 94 HIV-positive men showed a high prevalence (87%) of high-risk HPV, with nearly half having low-grade lesions at the start, but no cases of anal cancer were reported.
  • Factors like longer HIV infection duration, and tobacco and alcohol use were linked to the development of high-grade lesions, highlighting the importance of education in reducing risk.
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Background: High-grade anal intraepithelial squamous lesion is significantly prevalent among men who have sex with men and are infected with the human immunodeficiency virus (HIV). This condition-the precursor to anal cancer-significantly increases the risk of developing it. Conversely, low-grade anal intraepithelial squamous typically follow a benign course and usually regress spontaneously.

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Classical surgery, also called analog surgery, is transmitted to us by our mentors, whose knowledge has been delegated from generation to generation throughout the history of surgery. Its main limitations are limited surgical precision and dependence on the surgeon's skill to achieve surgical goals. So-called digital surgery incorporates the most advanced technology, with the aim of improving the results of all phases of the surgical process.

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Article Synopsis
  • The COVID-19 pandemic has shifted healthcare towards telehealth, prompting a study on patient acceptance and satisfaction with this model.
  • In a multi-center, international study involving 721 patients, a majority found telehealth useful and rated the interface and interaction quality positively, although older patients (over 60) were less supportive.
  • A prediction tool was developed to assess satisfaction and identify patients more comfortable with telehealth, suggesting it can be effectively integrated into routine care post-pandemic with careful patient selection.
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Background: The current monkeypox (MP) virus outbreak was declared an international emergency in July 2022. The aim of this report is to describe our initial experience with patients with MP, focusing on proctitis.

Methods: We conducted an observational study between 20 May and 31 July 2022, on patients with MP at a reference tertiary center in Madrid, Spain.

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