448 results match your criteria: "Hospital Gutiérrez Ortega[Affiliation]"

Unraveling the exposome: towards a model of planetary health.

An Pediatr (Engl Ed)

December 2024

Comité de Salud Medioambiental, Global Alliance for Rewilding Child and Adolescent Health, Asociación Española de Pediatría, Madrid, Spain; Pediatric Environmental Health Speciality Unit (PEHSU), Hospital Clínico Universitario Virgen de la Arrixaca, Universidad de Murcia. Murcia, Spain. Electronic address:

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Evaluating MicroRNAs as diagnostic tools for lymph node metastasis in breast cancer: Findings from a systematic review and meta-analysis.

Crit Rev Oncol Hematol

December 2024

GENYO, Centre for Genomics and Oncological Research, Pfizer/University of Granada/Andalusian Regional Government, Liquid biopsy and Cancer Interception Group, PTS Granada, Avenida de la Ilustración 114, Granada 18016, Spain; Biomedical Research Institute IBS-Granada, Avda. de Madrid, 15, Granada 18012, Spain; Unidad de Patología Mamaria, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario San Cecilio, Granada, Spain; Integral Oncology Division, Virgen de las Nieves University Hospital, Av. Dr. Olóriz 16, Granada 18012, Spain; Molecular Pathology Lab. Pathological Anatomy Unit,  University Hospital Virgen de las Nieves, Granada 18016, Spain. Electronic address:

Lymph node metastasis (LNM) significantly affects the prognosis and clinical management of breast cancer (BC) patients. This systematic review and meta-analysis aim to identify microRNAs (miRNAs) associated with LNM in BC and evaluate their potential diagnostic and prognostic value. Following PRISMA guidelines, a comprehensive literature search was conducted in PubMed, Web of Science, and SCOPUS databases, to assess the role of miRNAs in LNM BC.

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Introduction: Soils contaminated by heavy metals such as lead, cadmium, and arsenic represent a significant health risk. The Sierra Minera of Cartagena (Spain) is an area historically contaminated by mining activities. This study evaluates the exposure to heavy metals and proposes a clinical screening model for its management in primary care.

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Pathobionts have evolved many strategies to coexist with the host, but how immune evasion mechanisms contribute to the difficulty of developing vaccines against pathobionts is unclear. Meanwhile, Staphylococcus aureus (SA) has resisted human vaccine development to date. Here we show that prior SA exposure induces non-protective CD4 T cell imprints, leading to the blunting of protective IsdB vaccine responses.

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Identification of new tissue markers for the monitoring and standardization of penile cancer according to the degree of differentiation.

Histol Histopathol

November 2024

Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, Network Biomedical Research Center for Liver and Digestive Diseases (CIBEREHD), University of Alcalá, Alcala de Henares, Spain.

Article Synopsis
  • - Penile cancer is a rare type of tumor, more frequently seen in low- and middle-income countries, with major risk factors being age, ethnicity, smoking, hygiene, and HPV infection.
  • - Early detection can lead to high cure rates (up to 80%), but late diagnosis significantly lowers survival chances, especially when the cancer has spread.
  • - The study assesses various biomarkers related to cell growth, inflammation, and other processes in penile squamous cell carcinoma, suggesting that the degree of cell differentiation affects these biomarkers' expression, which may help in predicting disease outcomes.
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Article Synopsis
  • 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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Background: Vasculogenic mimicry (VM) is an alternative intratumoral microcirculation system that depends on the capacity of tumor cells to reorganize and grow in three-dimensional (3D) channel architectures like the capillaries formed by endothelial cells. Both VM and angiogenesis may coordinately function to feed cancer cells, allowing tumor growth. Long noncoding RNAs (lncRNAs) regulate critical cellular functions in cancer cells, including cell proliferation, apoptosis, angiogenesis, invasion, and metastasis.

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Adherence to Lung Protective Ventilation in ARDS: A Mixed Methods Study Using Real-Time Continuously Monitored Ventilation Data.

Respir Care

October 2024

Drs Plasek, Ortega, Chuang, and Zhou and Ms Zhang and Mr Tan are affiliated with the Division of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Article Synopsis
  • Lung-protective ventilation is crucial for patients with ARDS, but adherence to guidelines is inadequate, prompting a study on contributing factors over a 5-year period.
  • A cohort and qualitative research approach analyzed real-time data from 1,055 patients undergoing critical care, focusing on their tidal volume settings and subgroup analysis for COVID-19 cases.
  • Findings revealed that male sex and COVID-19 status increased adherence to lung-protective ventilation, while older age, cancer, and hypertension led to decreased usage among critical-care providers.
  • Focus groups provided additional insights into why guidelines were not consistently followed.
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Background: Weight regain after Roux-en-Y gastric bypass (RYGB) can be seen in approximately 20% of patients. Surgical management options include revision of RYGB and conversion to duodenal switch (DS). Using recently included revisional surgery variables in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database, we compared the safety and efficacy of RYGB revision versus conversion to DS.

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Objective: To assess the effect of bimekizumab on pain, morning stiffness, and fatigue in patients with nonradiographic and radiographic axial spondyloarthritis (axSpA) in the phase III BE MOBILE studies (ClinicalTrials.gov: NCT03928704 and NCT03928743).

Methods: Patients were randomized to bimekizumab 160 mg or placebo every 4 weeks; and all patients received bimekizumab from week 16.

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Scabies.

Nat Rev Dis Primers

October 2024

Scabies Laboratory, Infection and Inflammation Program, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.

Article Synopsis
  • Scabies is a highly contagious skin disease affecting over 200 million people globally, especially children in poor and crowded areas, leading to significant health issues.
  • The lack of a vaccine and limited treatment options, like topical permethrin and oral ivermectin, often results in treatment failures due to fast-acting parasites and the need for multiple treatments.
  • Addressing scabies requires a comprehensive strategy, focusing on better diagnostic tools, new treatments, enhanced surveillance, and raising public awareness to break the cycle of infection.
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Article Synopsis
  • A study was conducted in the Dominican Republic to evaluate the safety and immune response of the trivalent oral polio vaccine (tOPV) in healthy children and infants in the context of developing new oral polio vaccines.
  • No serious adverse reactions were reported, and significant improvements in seroconversion (SC) and seroprotection (SP) rates were observed in both groups after vaccination.
  • These findings provide a reference point to compare the safety and effectiveness of new monovalent or trivalent oral polio vaccine formulations currently in development.
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Non-coding RNAs (ncRNAs) and the innate immune system are closely related, acting as defense mechanisms and regulating gene expression and innate immunity. Both are modulators in the initiation, development and progression of cancer. We aimed to review the major types of ncRNAs, including small interfering RNAs (siRNAs), microRNAs (miRNAs), piwi-interacting RNAs (piRNAs), and long non-coding RNAs (lncRNAs), with a focus on cancer, innate immunity, and inflammation.

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Visual Acuity Thresholds in Preterm Newborns: An Experimental Study.

Children (Basel)

August 2024

Physiotherapy Departament, Faculdade Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte (UFRN), Santa Cruz 59200-000, Brazil.

Article Synopsis
  • Visual acuity is important for neurological development in infants, especially preterm ones in NICUs, as it helps them differentiate shapes and objects.
  • A study conducted on 42 preterm infants assessed their visual acuity using specialized cards, finding an average acuity of 0.32 cycles per degree at around 32 weeks of corrected gestational age.
  • Results showed no correlation between visual acuity and gestational age, birth weight, or respiratory support, but did reveal that more days of phototherapy were associated with lower visual acuity.
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Several studies have documented the development and persistence of symptoms related to COVID-19 and its secondary complications up to 12 months after the infection. We aimed to identify the medical complications following COVID-19 infection in the Indigenous Zapotec population of the Isthmus of Tehuantepec region in Oaxaca, Mexico. This is a cross-sectional analytical study that included 90 Indigenous Zapotec participants (30 males and 60 females) from the Tehuantepec region, Oaxaca, Mexico, who had an infectious process due to SARS-CoV-2.

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Cryotherapy versus radical prostatectomy as a salvage treatment for radio-recurrent prostate cancer.

World J Urol

September 2024

Department of Urology, Institut Mutualiste Montsouris, 42 boulevard Jourdan, Paris, 75014, France.

Introduction: The aim of this study is to compare outcomes of SRP (salvage radical prostatectomy) with SCAP (salvage cryoablation of the prostate) in local radio-recurrent PCa (prostate cancer) patients.

Materials And Methods: A retrospective analysis of a multicentric European Society of Uro-technology (ESUT) database was performed. Data on patients with local recurrent PCa after radiotherapy who underwent salvage treatment were collected.

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Background: Targeting effective strategies to prevent cognitive decline is key in the aging population. Some diets have been linked to a slower cognitive decline, potentially through reducing inflammation. We aimed at determining the effect of inflammatory dietary patterns (IDPs) on cognitive function in three population-based cohorts.

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Health-related quality of life in 153 children with neuromuscular disorders in Latin America: is it age, functional dependence or diagnosis?

Eur J Paediatr Neurol

September 2024

Neuroemotion Equipo de Investigación, Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad de Deusto, Bilbao, Spain.

Neuromuscular diseases impact on children's health related quality of life but there is a lack of studies in Latin America that measured this construct. To respond to this need, this study aimed to explore quality of life and its relationship with age, functional dependence and specific diagnosis in children and adolescents in Latin America. A cross-sectional correlation study was carried out with 133 caregivers on children (2-18 years old) with various neuromuscular disorders.

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AI-based derivation of atrial fibrillation phenotypes in the general and critical care populations.

EBioMedicine

September 2024

Data Science Research Centre, Liverpool John Moores University, Liverpool L3 3AF, UK; Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, UK. Electronic address:

Background: Atrial fibrillation (AF) is the most common heart arrhythmia worldwide and is linked to a higher risk of mortality and morbidity. To predict AF and AF-related complications, clinical risk scores are commonly employed, but their predictive accuracy is generally limited, given the inherent complexity and heterogeneity of patients with AF. By classifying different presentations of AF into coherent and manageable clinical phenotypes, the development of tailored prevention and treatment strategies can be facilitated.

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Effects of forest therapy on salivary biomarkers (cortisol, amylase and IGA) in pediatric cáncer survivors: an experimental study.

An Pediatr (Engl Ed)

November 2023

Pediatric Environmental Health Speciality Unit of the Region of Murcia, Department of Pediatrics, Clinical University Hospital 'Virgen de la Arrixaca,' University of Murcia, Murcia, Spain; Environmental and Human Health Laboratory (EH2-Lab), Murcian Institute of Health Research (IMIB), University of Murcia, Murcia, Spain; Global Alliance for Rewilding Child and Adolescent Health (GreenRooting.org), Spanish Association of Pediatrics, Madrid, Spain. Electronic address:

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Inpatient Management of Hidradenitis Suppurativa: A Delphi Consensus Study.

Cutis

June 2024

McKenzie Needham and Drs. Pichardo and Strowd are from the Wake Forest University School of Medicine, Winston-Salem, North Carolina. Drs. Pichardo and Strowd also are from the Department of Dermatology, Atrium Health Wake Forest Baptist, Winston-Salem. Dr. Alavi is from the Department of Dermatology, Mayo Clinic, Rochester, Minnesota. Drs. Chang and Fox are from the Department of Dermatology, School of Medicine, University of California San Francisco. Dr. Daveluy is from the School of Medicine, Wayne State University, Detroit, Michigan. Dr. DeNiro is from the Division of Dermatology, Department of Medicine, University of Washington, Seattle. Dr. Dewan is from Vanderbilt University Medical Center, Nashville, Tennessee. Drs. Eshaq and Manusco are from the Department of Dermatology, University of Michigan Medical School, Ann Arbor. Dr. Hsiao is from the Department of Dermatology, University of Southern California, Los Angeles. Dr. Kaffenberger is from the Department of Dermatology, Ohio State University, Columbus. Dr. Kirby is from the Department of Dermatology, Penn State Milton S. Hershey Medical Center, Pennsylvania, and Incyte Corporation, Wilmington, Delaware. Drs. Kroshinsky, Mostaghimi, and Porter are from the Department of Dermatology, Harvard Medical School, Boston, Massachusetts. Drs. Kroshinsky and Mostaghimi also are from the Department of Dermatology, Brigham & Women's Hospital, Boston. Dr. Porter also is from the Department of Dermatology, Beth Israel Deaconess Medical Center, Boston. Dr. Ortega-Loayza is from the Department of Dermatology, Oregon Health & Science University, Portland. Dr. Micheletti is from the Departments of Dermatology and Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia. Dr. Nelson is from the Department of Dermatology, Yale School of Medicine, New Haven, Connecticut. Dr. Pasieka is from the Department of Dermatology and Medicine, Uniformed Services University, Bethesda, Maryland. Dr. Resnik is from the Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Florida. Dr. Sayed is from the Department of Dermatology, University of North Carolina at Chapel Hill. Dr. Shi is from the Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock. Dr. Shields is from the Department of Dermatology, University of Wisconsin, Madison.

Inpatient hospitalization of individuals with hidradenitis suppurativa (HS) has increased. Inpatient services may not be familiar enough with this disease to understand how to manage severe HS and/or HS flares. It would be beneficial to the inpatient medical community to establish consensus recommendations on holistic inpatient care of patients with HS.

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