9,026 results match your criteria: "Hospital General Universitario Gregorio[Affiliation]"

Background And Hypotheses: In the past 2 decades, substantial effort has been put into research on therapeutic options for people at ultra-high risk (UHR) for developing a first episode of psychosis (FEP), focusing on omega-3 polyunsaturated fatty acids (PUFAs) in preventing transition to psychosis. Despite an initial positive finding, subsequent studies failed to find a beneficial effect. The current study aimed to further investigate the effect of omega-3 PUFAs in UHR, to determine whether this line of research is worth pursuing.

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Background: Melanoma in young adults significantly impacts the survival of this age group. There are limited studies that analyze melanoma characteristics in young patients. We aimed to describe the epidemiological, clinical, and histological characteristics of melanoma in young adults and their temporal trends over the last decades.

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Unlabelled: Patient safety is fundamental to healthcare. Adverse events, particularly medication errors, cause harm to patients, especially the paediatric population in the emergency department.

Aim: To explore paediatric emergency nurses' perceptions of medication administration errors.

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Editorial: Advancing equity, diversity and inclusion through culturally sensitive collaboration and training.

Child Adolesc Ment Health

November 2024

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

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Survey on current clinical practice in geriatric oncology: the individual experience in five European Cancer Centers.

Eur Geriatr Med

October 2024

Department of Oncology and Hematology, Kantonsspital Baselland Liestal, Liestal, Switzerland.

Purpose: To gather information from clinicians on how geriatric oncology models of care have emerged in different European countries and describe current practice in this clinical area.

Methods: A semi-structured online interview was performed, exploring aspects related to implementation, perceived quality of care, and professional satisfaction.

Results: The centers participating in this interview showed significant differences in terms of resource allocation, team members, components of the comprehensive geriatric assessment (CGA), and CGA-driven interventions.

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Article Synopsis
  • The study examined the impact of immunoparesis (IP) recovery on the prognosis of 113 newly diagnosed transplant-ineligible multiple myeloma (MM) patients who received a fixed treatment regimen and achieved complete or very good partial responses.
  • Results showed that patients who initially had IP and then experienced recovery during or after treatment had significantly longer progression-free survival (PFS) and overall survival (OS) compared to those who did not recover.
  • Additionally, among MRD negative patients, those with IP recovery also demonstrated improved PFS and OS, highlighting that IP recovery can enhance prognostic evaluations in combination with MRD status in this patient population.
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Torque teno virus: a potential marker of immune reconstitution in youths with vertically acquired HIV.

Sci Rep

October 2024

Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.

Torque teno virus (TTV) viral load (VL), a component of the human virome, increases during immune suppression or dysregulation. This study aimed to explore TTV VL in youths living with vertically acquired HIV (YWVH) and its potential as an immunovirological marker. We performed an observational, retrospective study involving YWVH under antiretroviral treatment (ART) from the Spanish Cohort of HIV-infected children, adolescents, and vertically HIV-infected patients transferred to Adult Units (CoRISpe-FARO), compared to HIV-negative healthy donors (HD).

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Article Synopsis
  • The study aims to assess the health-related quality of life in patients with common immune-mediated inflammatory diseases like IBD, psoriasis, psoriatic arthritis, rheumatoid arthritis, and spondyloarthropathies in Spain, considering factors affecting their quality of life.
  • The research involved 578 adult patients and utilized various questionnaires, including EQ-5D-5L, to evaluate their quality of life, revealing significant differences based on the type of disease.
  • Results showed that psoriasis and IBD patients experienced a better quality of life compared to those with psoriatic arthritis, rheumatoid arthritis, and spondyloarthropathies, with worse outcomes linked to female gender, more severe disease, older age, and numerous prior treatments. *
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Background: The development of unicentric pediatric acute stroke protocols has improved stroke diagnosis and treatment. The impact of the implementation of a multicentric Pediatric Stroke Code (PSC) remains unknown.

Aim: to describe the characteristics of the PSC activations and identify clinical features associated with stroke compared to stroke mimics in children in whom a multicentric PSC had been activated and compare them to reported monocentric PSC results.

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TNBC-DX genomic test in early-stage triple-negative breast cancer treated with neoadjuvant taxane-based therapy.

Ann Oncol

October 2024

West German Study Group, Monchengladbach, Germany; Breast Center, Department of Obstetrics and Gynecology and CCC Munich, LMU University Hospital, Munich, Germany.

Background: Identification of biomarkers to optimize treatment strategies for early-stage triple-negative breast cancer (TNBC) is crucial. This study presents the development and validation of TNBC-DX, a novel test aimed at predicting both short- and long-term outcomes in early-stage TNBC. The objective of this study was to evaluate the association between TNBC-DX and efficacy outcomes [pathologic complete response (pCR), distant disease-free survival (DDFS) or event-free survival (EFS), and overall survival (OS)] in the validation cohorts.

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This study conducted in Madrid (Spain) between 2018 and 2023 shows a significant decrease in the pediatric bacterial community-acquired pneumonia cases during the COVID-19 pandemic, followed by a notable postpandemic increase surpassing prepandemic incidence. Streptococcus pneumoniae remains predominant, with an increasing prevalence of serotype 3, while Streptococcus pyogenes was the second most common pathogen.

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Methylomic signature of current cannabis use in two first-episode psychosis cohorts.

Mol Psychiatry

October 2024

Department of Social, Genetic and Developmental Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Article Synopsis
  • The study investigates how current cannabis use and high-potency cannabis affect DNA methylation patterns in individuals experiencing first-episode psychosis (FEP), comparing them to non-users.
  • Researchers analyzed blood samples from 682 participants, identifying a significant CpG site associated with cannabis use that could influence mental health through epigenetic changes.
  • Findings suggest cannabis use affects genes related to immune and mitochondrial functions, with implications for understanding how cannabis may impact mental health, especially in those with psychosis.
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External validation of a prognostic score to identify low-risk outpatients with acute deep venous thrombosis in the lower limbs.

Eur J Intern Med

October 2024

Venous Thromboembolism Unit. Internal Medicine Department, Hospital General Universitario Gregorio Marañón, C/. Doctor Esquerdo, 46, Madrid 28007, Spain; School of Medicine, Universidad Complutense de Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.

Article Synopsis
  • - This study aimed to validate a prognostic score that helps identify low-risk patients with acute deep venous thrombosis (DVT) eligible for home treatment, emphasizing outpatient care over hospitalization for certain cases.
  • - The score included six risk factors: heart failure, kidney failure, recent major bleeding, altered platelet count, immobilization, and cancer, with patients meeting zero criteria considered low risk.
  • - Results showed that only a small percentage of low-risk patients experienced serious complications, suggesting that many patients with acute DVT can safely be treated at home, which could improve outpatient care efficiency.
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Professor Alessandro Zuddas, from the University of Cagliari (Italy), passed away prematurely in July 2022. As a prominent figure in child and adolescent neuropsychiatry, he substantially influenced the fields of neurodevelopmental disorders and neuropsychopharmacology both nationally and internationally. Professor Zuddas was a renowned expert in basic and clinical research in child and adolescent psychopharmacology, an enlightened and stimulating educator, and a mentor to many students, residents, and senior colleagues.

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The loss of a sense, such as vision, forces individuals to adapt to their environment and its demands in a variety of ways. In the case of blindness, significant neurofunctional and cognitive changes have been documented. However, there is no clear consensus on the differences in performance between adult blind participants and sighted controls in cognitive processes such as working memory (WM).

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Experience of the national cohort of pregnant women with HIV and their children in Spain: temporal trends in vertical transmission of HIV and associated infections.

An Pediatr (Engl Ed)

October 2024

CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain; Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, Madrid, Spain; Servicio de Pediatría, Hospital 12 de Octubre, Instituto de Investigación Sanitaria Hospital 12 de Octubre, Madrid, Spain.

Article Synopsis
  • The vertical transmission rate (VTR) of HIV in Spain is now under 2%, but perinatal infections still happen, highlighting the need for ongoing efforts in prevention.
  • A study involving 414 mother-child pairs found that most mothers were immigrants, predominantly contracted HIV through heterosexual transmission, and 98% received antiretroviral therapy (ART) during pregnancy.
  • The study reported a very low VTR, with only 3 cases of transmission, showing that while the situation has improved significantly, early diagnosis and proper treatment are crucial for preventing infections.
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Article Synopsis
  • Liquid biopsy (LB) with FoundationOne Liquid CDx (F1L CDx) offers a non-invasive way to detect genetic changes in advanced non-small cell lung cancer (NSCLC) patients when tissue biopsies aren't possible, and this study assesses its cost-effectiveness in Spain.
  • In a model evaluating 1,000 patients, F1L CDx identified 386 alterations, enabling targeted treatments and yielding significant health benefits compared to traditional non-molecular diagnosis, evidenced by an additional 383.95 life years (LYs) and 305.94 quality-adjusted life years (QALYs) despite a higher overall cost of €2,898,308.
  • The analysis concludes that F1L CDx
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Article Synopsis
  • Avatrombopag is a newly approved treatment for immune thrombocytopenia (ITP), with limited real-world effectiveness and safety data available.
  • A study by the Spanish ITP Group involving 268 patients showed that 90.1% of those with low platelet counts improved significantly after starting the drug, with many achieving stable platelet levels.
  • The treatment allowed most patients to reduce or stop corticosteroid use, and only a small percentage experienced thrombocytosis or thromboembolic events, indicating its potential as an effective management option for ITP.
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