623 results match your criteria: "12 de octubre University Hospital[Affiliation]"

: To describe the effects of muscle-targeted oral nutritional supplementation (MT-ONS) on nutrition, functional capacity, and other health outcomes in patients after femur fracture surgery. : A prospective, open-label, single-centre study was conducted. Patients aged 80+ post-femur fracture were recruited.

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Pulmonary surfactant is a membranous complex that enables breathing dynamics at the respiratory surface. Extremely low values of surface tension are achieved at end-expiration thanks to a unique mixture of lipids and proteins. In particular, the hydrophobic surfactant proteins, specially the protein SP-B, are crucial for surfactant biophysical function, in order to provide the surfactant lipid matrix with the ability to form membranous multi-layered interfacial films that sustain optimal mechanical properties.

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Background: APC and MUTYH genes are key in hereditary attenuated adenomatous polyposis syndromes. Guidelines recommend genetic testing based on polyp count, often overlooking age despite its impact on polyp prevalence.

Aim: To enhance genetic testing strategies for suspected attenuated adenomatous polyposis by combining polyp count and age in a probability calculator.

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  • - The research aimed to create a deep learning model for accurately assessing the extent of resection (EOR) in glioblastoma patients using postoperative MRI scans, addressing limitations of existing algorithms that only focus on preoperative images.
  • - Utilizing data from multiple sources, the model was trained to segment tumor features like contrast-enhancing tumor, edema, and surgical cavity, and was compared with other segmentation models, showing high performance in classifying resection categories.
  • - The study found that the nnU-Net framework outperformed other algorithms, achieving high accuracy in both segmentation (with median Dice scores up to 0.81) and EOR classification (96% accuracy in comparisons), making it a valuable tool for clinical use.
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  • - The study investigates the process of using in-house CAD/CAM technology for head and neck cancer surgeries, particularly focusing on 3D printing biomodels and cutting guides.
  • - The goal is to create a validated, cost-effective workflow for a 3D Printing Department in a Spanish university hospital using free software, comparing it with outsourcing options.
  • - Results show that an in-house 3D Printing Department is practical, offering benefits like cost savings and faster production times, ultimately improving surgical procedures in the healthcare system.
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Clinical phenotypes of COVID-19, associated with mortality risk, have been identified in the general population. The present study assesses their applicability in solid organ transplant recipients (SOTR) hospital-admitted by COVID-19. In a cohort of 488 SOTR, nonvaccinated (n = 394) and vaccinated (n = 94) against SARS-CoV-2, we evaluated 16 demographic, clinical, analytical, and radiological variables to identify the clinical phenotypes A, B, and C.

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Background: Hypertrophic cardiomyopathy (HCM) is an inherited disorder whose causal variants involve sarcomeric protein genes. One of these is myosin-binding protein C (MYBPC3), being previously associated with a favourable prognosis. Our objective is to describe the clinical characteristics and events of a molecularly homogeneous HCM cohort associated with truncating variants.

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  • The study evaluated the prognosis of implant-related infections in patients aged 65 and older after hip fractures, focusing on various pre-surgical, surgical, and microbiological factors affecting outcomes.
  • Out of 80 patients included, nearly half experienced treatment failure, while 37.5% died within a year, with acute infections linked to higher mortality rates and treatment failures.
  • The findings suggest that using antibiofilm-controlling surgery and antibiotics significantly improves treatment outcomes, particularly for frail patients dealing with acute infections post-surgery.
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  • The study examined how the timing of hip fracture surgery (time to surgery, TTS) affects the 30-day mortality rate in patients over 75 years old from the Spanish National Hip Fracture Registry.
  • It found that surgery within 2 days led to better outcomes, including lower mortality (5.4%) compared to surgery after 2 days (7.5%) and that longer TTS was associated with complications like pressure ulcers and increased hospital stay.
  • Overall, while there was a correlation between delayed surgery and higher mortality, the strength of this association was weak, indicating that other factors may also play a significant role in patient outcomes.
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Background: The study aimed to describe patient characteristics and outcomes by PaO2/FiO2 (PAFI) and degree of inflammation.

Methods: Retrospective cohort study with data on patients collected from March 1st, 2020 to March 1st, 2023, from the Spanish SEMI-COVID-19 Registry. Non-nosocomial patients with data on PAFI (<100 vs.

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Purpose: To better understand immigration disparities among a Spanish Early-Onset Colorectal Cancer (SECOC) subset, according to the country of origin.

Patients And Methods: We selected 250 consecutive participants from the SECOC consortium. Data on baseline patient and tumor characteristics, family history of colorectal cancer (CRC), and follow-up were collected.

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  • Primary mitochondrial diseases (PMD) comprise around 400 rare genetic disorders with varied symptoms and mechanisms, leading to a lack of effective treatments and reliance on symptomatic care.
  • A global survey of specialists revealed that 95% recommend vitamin and cofactor supplementation for PMD patients, either generally or targeted towards specific disorders, despite limited evidence of significant benefits from systematic reviews.
  • The study underscores notable differences in supplementation practices based on region and medical specialty, highlighting the need for more thorough research and clearer guidelines in this area.
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Background/objectives: The impact of daily variations in habitual maternal intake on human milk (HM) composition has been poorly studied. We aimed to investigate the associations between day-to-day fluctuation in the micronutrient concentration in HM and daily maternal diet.

Methods: To this end, an observational longitudinal study was carried out.

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Findings from clinical trials have led to advancement of care for patients with gynecologic malignancies. However, restrictive inclusion of patients into trials has been widely criticized for inadequate representation of the real-world population. Ideally, patients enrolled in clinical trials should represent a broader population to enhance external validity and facilitate translation of outcomes across all relevant groups.

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  • The study investigates clinical bioethics differences among internists from Spain, Mexico, and Argentina, focusing on ethical conflicts they face.
  • A survey was conducted with 762 participants, revealing that major conflicts revolve around end-of-life decisions, clinical relationships, and patient autonomy.
  • Findings indicate that internists in Spain and Argentina face similar and more frequent ethical challenges than their counterparts in Mexico, with socio-cultural factors influencing these differences.
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  • Neurodevelopmental disorders (NDDs) pose significant diagnostic challenges in pediatric genetics, necessitating advanced tools like whole exome sequencing (WES) to identify genetic variants in affected children.
  • A study of 176 Spanish-speaking pediatric patients found that the overall diagnostic yield for WES was 17.1%, with varying yields based on specific disorders: 20.8% for intellectual disability (ID), 12.7% for ASD + ID, and 3.2% for autism spectrum disorder (ASD) alone.
  • The study supports a sequential diagnostic approach using WES followed by parental testing to enhance accuracy and cost-effectiveness, especially for children with syndromic ID.
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Introduction: Eprosartan is an angiotensin receptor blocker (ARB) used for management of essential hypertension. With unique pharmacological characteristics, dual action mechanism, and clinical effectiveness, eprosartan offers additional advantages over other ARBs in specific patient populations.

Areas Covered: A comprehensive review of the literature was performed across publicly available databases, with no time limitations, to ensure the inclusion of all relevant studies.

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  • In the TOPAZ-1 trial, patients with biliary tract cancers (BTC) who had recurrence within 6 months of surgery were excluded, which often happens in practice. This study looked into the effectiveness of cisplatin-gemcitabine-durvalumab (CGD) in patients who did experience early recurrence.
  • The study enrolled 178 BTC patients who had surgery and then underwent treatment with CGD after experiencing either early or late disease recurrence. Key goals were to measure overall survival (OS) and progression-free survival (PFS).
  • Results showed no significant differences in OS and PFS between early and late relapse groups, suggesting CGD is effective regardless of when the cancer
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  • Molar-incisor hypomineralization (MIH) is a common enamel defect in children that leads to an increased risk of cavities and dental treatments compared to those without the condition.
  • * The study analyzed 280 children aged 6 to 14, finding a significant association between MIH and various maternal health factors during pregnancy, as well as children's health factors like asthma and medication use.
  • * Conclusions suggest that while certain factors show a relationship with MIH, more comprehensive studies are needed to fully understand these connections and their effects on MIH prevalence in children.
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  • Lung ultrasound could be a valuable tool in predicting the severity of lung disease and the need for extended ventilatory support in critically ill children.
  • In a study involving 538 children in the ICU, those requiring prolonged mechanical ventilation (over 7 days) had significantly higher lung ultrasound scores at 12 and 48-72 hours post-admission.
  • The lung ultrasound score demonstrated a strong correlation with oxygen levels and was effective in predicting prolonged mechanical ventilation, showing high accuracy in both initial assessment and multivariable analysis.
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  • In 2021, a program was launched to encourage pediatricians to use teledermatology, and a satisfaction questionnaire was developed to evaluate their perceptions of this approach.
  • * A draft of the questionnaire was created based on literature, then refined by experts for clarity and relevance, ultimately ensuring all questions met a content validity index above 0.78.
  • * The final validated questionnaire showed strong internal consistency and reliability, making it a useful tool for assessing pediatricians' satisfaction with teledermatology despite some concerns regarding its construct validity.*
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Objective: This systematic review aims to evaluate the proactive or real-time assessment of patient reported outcomes in studies involving patients with ovarian cancer undergoing systemic therapy.

Methods: PubMed, Embase, and Cochrane databases were searched (from database inception until February 2022), and prospective ovarian cancer studies (experimental or observational) that incorporated patient reported outcomes, including quality of life, were included. The primary objective was to assess the ratio of studies incorporating real-time use of patient reported outcomes among those studies performing patient reported outcomes.

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