9,499 results match your criteria: "Hospital Clinico San-Carlos[Affiliation]"

Article Synopsis
  • The study aimed to assess the effectiveness of the Objective Structured Clinical Examination (OSCE) in evaluating medical students' skills in pediatric basic life support (PBLS) and to compare two different training programs.
  • The research was conducted over two years in two hospitals, analyzing the performance of students before and after implementing improvement measures in the training program.
  • Results indicated that students who underwent the Paediatric Immediate Life Support (PILS) course performed significantly better than those in the standard PBLS course, with overall skill scores improving from 2022 to 2023.
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Background: Alzheimer's Disease (AD) is the most common form of dementia. Its early stage, amnestic Mild Cognitive Impairment (aMCI), is characterized by disrupted information flow in the brain. Previous studies have yielded inconsistent results when using electrophysiological techniques to investigate functional connectivity changes in AD, and a contributing factor may be the study of brain activity divided into frequencies.

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Article Synopsis
  • - Alopecia areata (AA) is an autoimmune condition that leads to hair loss, influenced by genetic and environmental factors, with recent studies suggesting that scalp microbiota may affect its progression through inflammatory responses.
  • - A study with 24 participants analyzed the scalp microbiomes of those with varying severities of AA and healthy individuals, finding significant differences in microbial communities and their correlation with inflammation and AA severity.
  • - Results showed that patients with severe AA had more pro-inflammatory bacteria, while those with milder forms had beneficial bacteria, indicating that scalp microbiota might be linked to AA inflammation, though further research is needed to understand the exact relationship.
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Article Synopsis
  • The study aimed to evaluate hearing outcomes at 24 months for infants with mild congenital cytomegalovirus (cCMV) infection, comparing those who received antiviral treatment to those who did not.
  • Utilizing data from the European Registry of Children with cCMV, researchers included infants diagnosed with cCMV early in life, who had normal physical exams and mild imaging findings.
  • Results showed that 34.7% of the 196 participants received antiviral treatment, but there was no significant difference in hearing loss prevalence between treated (4.6%) and untreated groups (6.3%) after two years.
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  • The study aimed to investigate whether older patients (≥65 years) have a diminished tachypneic response to hypoxia, meaning they may not breathe faster in response to low oxygen levels as much as younger patients do.
  • Researchers analyzed data from 7126 patients in Spanish emergency departments, measuring peripheral arterial oxygen saturation (SatO2) and respiratory rate (RR) upon arrival, finding significant correlations across all age groups studied.
  • Results indicated that as patient age increased, the respiratory rate response to decreasing oxygen levels slowed down, with younger individuals showing a faster increase in breathing rate in response to hypoxia compared to older individuals, particularly those aged ≥90 years.
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Alcohol consumption during adolescence has been associated with neuroanatomical abnormalities and the appearance of future disorders. However, the latest advances in this field point to the existence of risk profiles which may lead to some individuals into an early consumption. To date, some studies have established predictive models of consumption based on sociodemographic, behavioral, and anatomical-functional variables using MRI.

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Article Synopsis
  • The study looks at how the size of the prostate affects patients’ recovery and symptoms after a surgery called RASP, which helps treat an enlarged prostate (BPH).
  • They reviewed 25 articles and found that patients with smaller prostates had worse symptoms before surgery but improved more after, while those with larger prostates still had some moderate symptoms.
  • The researchers concluded that RASP is a safe and effective surgery for treating BPH, but more studies are needed to understand how prostate size influences the results.
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Left Atrial Appendage Occlusion vs Standard of Care After Ischemic Stroke Despite Anticoagulation.

JAMA Neurol

September 2024

Department of Cardiology, Sint Antonius Ziekenhuis, Nieuwegein, the Netherlands.

Article Synopsis
  • Patients with a heart condition called atrial fibrillation (AF) who have strokes can still be at very high risk of having more strokes, even when taking medication to prevent them.
  • Left atrial appendage occlusion (LAAO) is a special procedure aimed at helping these patients avoid future strokes.
  • A study compared two groups – one that had LAAO and one that only continued their usual medication – and found that there was still a risk of strokes in both groups over a two-year period.
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PET imaging identifies anti-inflammatory effects of fluoxetine and a correlation of glucose metabolism during epileptogenesis with chronic seizure frequency.

Neuropharmacology

December 2024

Department of Nuclear Medicine, Hannover Medical School, Hannover, Germany; Institute for Auditory Neuroscience, University Medical Center, Goettingen, Germany; Brain Mapping Unit, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISCC), Madrid, Spain; Department of Nuclear Medicine, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISCC), Madrid, Spain.

Article Synopsis
  • - The study investigated the effects of fluoxetine, a selective serotonin reuptake inhibitor, on epilepsy development in female rats that underwent status epilepticus induced by lithium-pilocarpine.
  • - Although fluoxetine did not change brain glucose metabolism or seizure frequency, it reduced neuroinflammation in the hippocampus by 22.6%.
  • - The researchers found a correlation between glucose metabolism in the hippocampus shortly after status epilepticus and seizure frequency later on, suggesting that FDG-PET could serve as a biomarker for epilepsy progression.
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Introduction: The COVID-19 pandemic is a great burden worldwide, but its impact on patients with genitourinary cancer (GUC) is poorly characterized. This study aimed to characterize the clinical features and evolution of GUC patients affected by COVID-19 in Spain.

Patients And Methods: SOGUG-COVID-19 was an observational ambispective non-interventional study that recruited patients with SARS-CoV-2 infection who had been treated for GUC in 32 Spanish hospitals.

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Background: The European Cross-Cultural Neuropsychological Test Battery (CNTB) has been proposed as a comprehensive battery for cognitive assessment, reducing the potential impact of cultural variables. In this validation study, we aimed to evaluate the diagnostic capacity of CNTB for the assessment of participants with multiple sclerosis (pwMS) compared to the Neuronorma battery (NN) according to the International Classification of Cognitive Disorders in MS criteria, and to develop machine learning (ML) algorithms to improve the diagnostic capacity of CNTB and to select the most relevant tests.

Methods: Sixty pwMS and 60 healthy controls (HC) with no differences in sex, age, or years of education were enrolled.

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The G4 resolvase Dhx36 modulates cardiomyocyte differentiation and ventricular conduction system development.

Nat Commun

October 2024

Gene Regulation in Cardiovascular Remodelling and Inflammation Laboratory, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain.

Extensive genetic studies have elucidated cardiomyocyte differentiation and associated gene networks using single-cell RNA-seq, yet the intricate transcriptional mechanisms governing cardiac conduction system (CCS) development and working cardiomyocyte differentiation remain largely unexplored. Here we show that mice deleted for Dhx36 (encoding the Dhx36 helicase) in the embryonic or neonatal heart develop overt dilated cardiomyopathy, surface ECG alterations related to cardiac impulse propagation, and (in the embryonic heart) a lack of a ventricular conduction system (VCS). Heart snRNA-seq and snATAC-seq reveal the role of Dhx36 in CCS development and in the differentiation of working cardiomyocytes.

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Purpose: Real-world evidence on locally advanced or metastatic urothelial carcinoma (la/mUC) management in Spain is limited. This study describes patient characteristics, treatment patterns, survival, and health care resource utilization (HCRU) in this population.

Methods/patients: This retrospective observational study included all adults with a first diagnosis/record of la/mUC (index date) from January 2015 to June 2020 at nine university hospitals in Spain.

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The prevalence of active hepatitis C virus (HCV) infection is higher in hospital emergency departments (EDs) than in the general population. Numerous patients who seek emergency care are unaware that they have detectable viremia, yet they fall outside established ED protocols for HCV screening. Often they belong to groups with difficult access to health care who use the ED as their point of entry to the system.

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Concordance between risk scales for venous thromboembolism in patients treated in emergency departments.

Emergencias

June 2024

Departamento de Medicina Interna, Clínica Universidad de Navarra, Madrid, España. CIBER Enfermedades Respiratorias (CIBERES), Madrid, España. Interdisciplinar Teragnosis and Radiosomics (INTRA) Research Group, Universidad de Navarra, España.

Objective: To evaluate agreement between risk-assessment models for venous thromboembolism (VTE) in patients hospitalized for medical conditions and to analyze variables associated with the decision to prescribe pharmacological thromboprophylaxis in hospital emergency departments (EDs). Conclusions.

Methods: Prospective observational multicenter cohort study.

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Article Synopsis
  • This study aimed to compare the outcomes of the Femoral Neck System (FNS) versus cannulated screws (CS) in treating non-displaced subcapital hip fractures from 2020 to 2023 with a minimum follow-up of a year.!* -
  • The research involved 28 patients, with 14 in each treatment group, analyzing demographics and clinical outcomes, finding no significant difference in functional results but noting a much lower complication rate with FNS compared to CS.!* -
  • Ultimately, while both treatments had similar short-term functional success, the FNS showed fewer complications and lower reoperation rates, suggesting it may be a safer choice for this type of fracture.!*
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Background: Local injection of darvadstrocel, a suspension of expanded adipose-derived allogenic mesenchymal stem cells, has been used for treatment-refractory perianal fistulas in Crohn's disease (CD).

Objective: This study aimed to investigate efficacy and safety of darvadstrocel for complex perianal fistulas in CD.

Methods: A systematic search was conducted through April 2024 in relevant databases for observational studies evaluating darvadstrocel.

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A 34-year-old pregnant woman collapsed at home without preceding symptoms. Following bystander cardiopulmonary resuscitation, ventricular fibrillation was documented and successfully reverted with an external shock. The electrocardiogram showed sinus rhythm, right bundle branch block, ST-segment depression, and T-wave inversion in anterior leads.

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Article Synopsis
  • A study looked at how often diabetic foot ulcers healed with a special type of dressing called sucrose octasulfate come back after 1 year.
  • The study had two groups: one used the special dressing, and the other used different treatments.
  • Results showed fewer people in the dressing group had their ulcers return (28%) compared to the other group (66.7%), which means the special dressing worked better at preventing the wounds from coming back.
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Article Synopsis
  • Self-care and empowerment in heart failure (HF) patients are crucial for better health outcomes, but there is limited information on their understanding of the condition and satisfaction with care.
  • A study involving 281 patients from 14 heart failure units revealed that patients had a good grasp of their condition, with an average knowledge score of 80.7%, although some gaps remain.
  • Despite these knowledge gaps, the majority of participants expressed high satisfaction with their care, with 98.2% likely to recommend the heart failure units to others.
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This study explored how adherence to the DASH diet relates to electrophysiological measures in individuals at varying Alzheimer's disease (AD) risk due to family history (FH). There were 179 dementia-free subjects. DASH index was calculated, and participants were classified into different DASH adherence groups.

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The potential role of fatigue in difficult-to-treat rheumatoid arthritis.

BMC Rheumatol

September 2024

Musculoskeletal Pathology Group, Rheumatology Department, IdISSC, Hospital Clínico San Carlos, Calle Martín Lagos, s/n, Madrid, Spain.

Objectives: A subset of patients with rheumatoid arthritis (RA) who remains symptomatic after failing to multiple drugs are deemed to have "difficult-to-treat RA" (D2T RA). Fatigue is a burdensome symptom for RA patients, hindering their improvement. Our purpose was to evaluate the role of fatigue in D2T RA.

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Metaverse in surgery - origins and future potential.

Nat Rev Urol

September 2024

Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Turin, Italy.

Article Synopsis
  • * In healthcare, it can help with things like training surgeons using virtual worlds, planning surgeries with 3D models, and guiding surgeons during operations.
  • * There are exciting possibilities ahead, like better patient care through monitoring and education, but we need to solve issues with data security before diving in fully.
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