78 results match your criteria: "Asturias Central University Hospital[Affiliation]"

Mass spectrometry (MS) enables the high-throughput characterization of thousands of proteins in one single run. Nowadays, advances in the field have allowed for deep analysis of low cell numbers, even reaching the single-cell level. However, standardized protocols are still needed in this regard, especially oriented for non-proteomics specialists.

View Article and Find Full Text PDF

Background: The secondary consequences of surgical site occurrences, especially surgical site infections, worsen the patient's outcomes while significantly increasing health care costs. The implementation of preventive measures to reduce this complication rate should be one of the priorities to improve health care.

Methods: A randomized, open-label clinical trial was conducted between March 2019 and March 2021 in a general surgery department.

View Article and Find Full Text PDF

Novel Gene Variants in a Nationwide Cohort of Patients with Pheochromocytoma and Paraganglioma.

Int J Mol Sci

November 2024

Biobizkaia Health Research Institute, Endocrinology and Nutrition Department, Cruces University Hospital, UPV-EHU, Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CI-BERDEM), Endo-ERN, Plaza de Cruces s/n, 48903 Barakaldo, Spain.

Pheochromocytomas (PCCs) and paragangliomas (PGLs), denoted PPGLs, are rare neuroendocrine tumours and are highly heterogeneous. The phenotype-genotype correlation is poor; therefore, additional studies are needed to understand their pathogenesis. We describe the clinical characteristics of 63 patients with PPGLs and perform a genetic study.

View Article and Find Full Text PDF

Background: This study aims to investigate the differential miRNA expression profile between the visceral white adipose tissue and the skeletal muscle of people with obesity undergoing bariatric surgery.

Methods: Skeletal muscle and visceral adipose tissue samples of 10 controls and 38 people with obesity (50% also with type 2 diabetes) undergoing bariatric surgery were collected. miRNA expression profiles were analyzed using Next-Generation Sequencing and subsequently validated using RT-PCR.

View Article and Find Full Text PDF

The term diabetes first emerged in the 3rd century BC, in a reference by Demetrius of Apamea, who described the disease as a dropsy in which any liquid ingested is eliminated in the form of urine. However, the great discovery that revolutionized this field came from the Canadian doctor Frederick Banting, who together with his student and assistant Charles Best, managed to isolate insulin and treat a patient with diabetes on 23 January 1922. This patient was Leonard Thompson, and the results obtained from him were surprising.

View Article and Find Full Text PDF

Metformin is a well-established drug for the treatment of type 2 diabetes; however, the mechanism of action has not been well described and many aspects of how it truly acts are still unknown. Moreover, regarding in vitro experiments, the glycaemic status when metformin is used is generally not considered, which, added to the suprapharmacological drug concentrations that are commonly employed in research, has resulted in gaps of its mechanism of action. The aim of this study was to determine how glucose and metformin concentrations influence cell culture.

View Article and Find Full Text PDF

-Paclitaxel plus Gemcitabine and FOLFOX in Metastatic Pancreatic Cancer.

NEJM Evid

February 2024

Department of Medical Oncology, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba University, Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Reina Sofia University Hospital, Cordoba, Spain.

BACKGROUND: Sequential nab-paclitaxel plus gemcitabine followed by modified FOLFOX-6 (oxaliplatin, leucovorin, and 5-fluorouracil) (nab-P/Gem-mFOLFOX) showed a good safety and clinical profile in metastatic pancreatic ductal adenocarcinoma (mPDAC) in the phase I SEQUENCE trial. METHODS: The safety and efficacy of sequential nab-P/Gem-mFOLFOX was compared with standard nab-paclitaxel plus gemcitabine (nab-P/Gem) as first-line treatment in a multi-institutional, randomized, open-label, phase II trial in patients with untreated mPDAC. We randomly assigned patients in a 1:1 ratio to receive nab-P/Gem on days 1, 8, and 15 followed by mFOLFOX on day 29 of a 6-week cycle (experimental group) or nab-P/Gem on days 1, 8, and 15 of a 4-week cycle (control group).

View Article and Find Full Text PDF

Gastric cancer is one of the most frequent and deadly tumours worldwide. However, the evidence that currently exists for the treatment of older adults is limited and is derived mainly from clinical trials in which older patients are poorly represented. In this article, a group of experts selected from the Oncogeriatrics Section of the Spanish Society of Medical Oncology (SEOM), the Spanish Group for the Treatment of Digestive Tumours (TTD), and the Spanish Multidisciplinary Group on Digestive Cancer (GEMCAD) reviews the existing scientific evidence for older patients (≥65 years old) with gastric cancer and establishes a series of recommendations that allow optimization of management during all phases of the disease.

View Article and Find Full Text PDF
Article Synopsis
  • Infections from carbapenem-resistant Enterobacterales (CRE) and other resistant strains present a significant global health issue, with this study focusing on their distribution in Spain from 2014 to 2018.
  • A national retrospective study analyzed 2,704 cases of carbapenemase-producing microorganisms, identifying 84.7% as carbapenemase-producing Enterobacterales (CPE) and 15.3% as carbapenemase-producing Pseudomonas aeruginosa (CPPA), using molecular methods for accuracy.
  • The findings indicate that OXA-48-like and VIM carbapenemases were the most common in Spain, with regional variations in prevalence and a noticeable increase in OXA-
View Article and Find Full Text PDF

Introduction: Monitoring of innate myeloid cells (IMC) is broadly applied in basic and translational research, as well as in diagnostic patient care. Due to their immunophenotypic heterogeneity and biological plasticity, analysis of IMC populations typically requires large panels of markers. Currently, two cytometry-based techniques allow for the simultaneous detection of ≥40 markers: spectral flow cytometry (SFC) and mass cytometry (MC).

View Article and Find Full Text PDF

Circulating miRNA expression in long-standing type 1 diabetes mellitus.

Sci Rep

May 2023

Endocrinology, Nutrition, Diabetes and Obesity Group (ENDO), Health Research Institute of the Principality of Asturias (ISPA), Av. Hospital Universitario s/n, 33011, Oviedo, Asturias, Spain.

Type 1 diabetes is a chronic autoimmune disease which results in inefficient regulation of glucose homeostasis and can lead to different vascular comorbidities through life. In this study we aimed to analyse the circulating miRNA expression profile of patients with type 1 diabetes, and with no other associated pathology. For this, fasting plasma was obtained from 85 subjects.

View Article and Find Full Text PDF

Background: In recent years, significant advances have been made in the field of rare diseases (RDs). However, there is a large number of RDs without specific treatment and half of these treatments have public funding in Spain. The aim of the FINEERR project was to carry out a multidisciplinary strategic discussion on the challenge of funding and access to RD-targeted drugs in Spain, in order to agree on specific proposals for medium-term improvement and hence support decision-making in the Spanish National Healthcare System (SNHS).

View Article and Find Full Text PDF

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance that is diagnosed for the first time during pregnancy. The objective of this study is to know the glucose tolerance status after 15 years of pregnancy in patients diagnosed with gestational diabetes and to assess the long-term effect of GDM on the circulating miRNA profile of these women. To answer these, 30 randomly selected women diagnosed with GDM during 2005-2006 were included in the study, and glucose tolerance was measured using the National Diabetes Data Group criteria.

View Article and Find Full Text PDF

Endocrinología, Diabetes y Nutrición: Year in review 2022.

Endocrinol Diabetes Nutr (Engl Ed)

December 2022

Department of Endocrinology and Nutrition, Complejo Hospitalario Universitario Insular Materno-Infantil [Island Maternal and Child University Hospital Complex], Las Palmas de Gran Canaria, Instituto de Investigaciones Biomédicas y Sanitarias [Institute of Biomedical and Healthcare Research], Universidad de Las Palmas de Gran Canaria [University of Las Palmas de Gran Canaria], Spain. Electronic address:

View Article and Find Full Text PDF

Childhood exposure to non-persistent pesticides and pubertal development in Spanish girls and boys: Evidence from the INMA (Environment and Childhood) cohort.

Environ Pollut

January 2023

Instituto de Investigación Biosanitaria de Granada (ibs.granada), 18012, Granada, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Spain; Biomedical Research Centre (CIBM), University of Granada, 18016, Granada, Spain. Electronic address:

Article Synopsis
  • The study investigated the relationship between urinary pesticide metabolites and puberty development in children aged 7 to 11 in Spain, focusing on urban vs. rural differences and BMI as a potential modifying factor.
  • Specific metabolites examined included those from insecticides and fungicides, with associations found linking higher concentrations of DETP and ETU in girls to increased odds of overall puberty milestones, particularly breast development.
  • In boys, the detection of TCPy and 3-PBA was linked to higher odds of genital development, with these associations varying based on BMI, suggesting that weight status may influence how pesticides affect puberty.
View Article and Find Full Text PDF

Malnutrition is an often-overlooked challenge for patients with cancer. It is associated with muscle mass reduction, poor compliance and response to cancer treatments, decreased quality of life, and reduced survival time. The nutritional assessment and intervention should be a vital part of any comprehensive cancer treatment plan.

View Article and Find Full Text PDF

Trends in imported malaria during the COVID-19 pandemic, Spain (+Redivi Collaborative Network).

J Travel Med

September 2022

National Referral Unit for Tropical Diseases, Infectious Diseases Department. Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain, Universidad de Alcalá, CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.

Article Synopsis
  • The COVID-19 pandemic disrupted malaria prevention and management worldwide, leading to limited data on travel-related malaria infections during this time.
  • An analysis of 1751 malaria cases in Spain from 2009 to 2021 revealed that most infections were among males, particularly impacting visiting friends and relatives (VFR) immigrants from sub-Saharan Africa, with a significant increase in severe malaria cases noted in 2021.
  • Despite a temporary decline in cases due to travel restrictions, there has been a resurgence of imported malaria, highlighting the need for improved surveillance and management strategies going forward.
View Article and Find Full Text PDF

Objective: Up until now, serial voiding cystourethrogram (SVCU) has been regarded as the gold standard technique in the diagnosis of vesicoureteral reflux (VUR). The aim of intraoperative SVCU during endoscopic treatment is to detect those patients eligible to receive more biosynthetic material as a result of persistent VUR. The objective of this study was to assess the usefulness of SVCU as a predictor of treatment success.

View Article and Find Full Text PDF

The cardiopulmonary exercise (CPET) test is an essential tool to determine the severity, prognosis, and need for invasive treatments in heart failure with reduced ejection fraction (HFrEF) but disregards the exercise modality. The present study aimed at analyzing the differences between treadmill and cycle-ergometer exercises. This was a prospective study, involving 65 patients with HfrEF who performed treadmill exercise followed by cycle-ergometer exercise 72 h later.

View Article and Find Full Text PDF

Frequency and characteristics of HTLV in migrants: results from the +Redivi collaborative network in Spain.

J Travel Med

November 2022

National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, CIBER de Enfermedades Infecciosas, Madrid, Spain.

Article Synopsis
  • This study focused on the characteristics of migrants diagnosed with human T-lymphotropic virus (HTLV) infections within the Redivi Spanish network from 2009 to 2020.
  • Out of 17,007 cases, only 107 were confirmed to have HTLV, with most infected individuals being women and originating from South America.
  • The majority of patients were asymptomatic at diagnosis, with a low prevalence of HTLV-related conditions, and many patients had other concomitant infections, highlighting potential oversight in screening for contact cases.
View Article and Find Full Text PDF
Article Synopsis
  • This study examined parathyroid hormone (PTH) levels and phosphate balance in 589 patients with Bartter and Gitelman syndromes, which are conditions that cause salt loss from the kidneys.
  • It found that 56% of patients with Bartter syndrome type I and II had elevated PTH levels, indicating frequent hyperparathyroidism, which was linked to lower serum calcium levels.
  • Additionally, 22% of the patients had low serum phosphate levels, particularly those with Bartter syndrome type III, suggesting renal phosphate wasting as a common issue in these syndromes.
View Article and Find Full Text PDF

Background: The concept of frailty has become increasingly familiar in cardiac surgery. Since one of the characteristics of frailty is its reversible nature, efforts are being made to preoperatively decrease the level of frailty. However, the effect that the surgery itself may have in the postoperative frailty status remains still unknown.

View Article and Find Full Text PDF