Publications by authors named "Maria Jose Esteban Giner"

Background: The WHO ordinal severity scale has been used to predict mortality and guide trials in COVID-19. However, it has its limitations.

Objective: The present study aims to compare three classificatory and predictive models: the WHO ordinal severity scale, the model based on inflammation grades, and the hybrid model.

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Background: Chagas disease (CD) is a chronic parasitic disease caused by Trypanosoma cruzi and is endemic to continental Latin America. In Spain, the main transmission route is congenital. We aimed to assess adherence to regional recommendations of universal screening for CD during pregnancy in Latin American women in the province of Alicante from 2014 to 2018.

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Article Synopsis
  • The study investigates different clinical presentations of COVID-19 pneumonia by analyzing 12,066 patients to identify distinct phenotypes and their prognostic significance.
  • The cluster analysis revealed four clinical phenotypes, with the majority exhibiting a triad of fever, cough, and dyspnea, while specific additional symptoms varied among the clusters.
  • Cluster C1, which represents the largest group, showed the highest in-hospital mortality rate (24.1%) compared to the other clusters, highlighting the importance of specific clinical features in predicting outcomes.
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Background: In the last 10 years enzyme replacement therapy (ERT) has become an alternative for the treatment of patients with Hunter disease (HD). Nevertheless, the information regarding efficacy and safety is scarce and mainly based on the pivotal trials. This scarcity is especially evident for adults and severe forms of HD.

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Recognition of clinical inertia is essential to improve the control of chronic diseases. Although it is very intuitive, a better interpretation of the concept of clinical inertia is lacking, likely due to its high complexity. After a review of the published articles, we propose a practical vision of inertia, contextualized within the clinical process of hypertension care.

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Modern medicine is characterized by a continuous genesis of evidence making it very difficult to translate the latest findings into a better clinical practice. Clinical practice guidelines (CPG) emerge to provide clinicians evidence-based recommendations for their daily clinical practice. However, the high number of existing CPG as well as the usual differences in the given recommendations usually increases the clinician's confusion and doubts.

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