31 results match your criteria: "Hospital Mancha Centro[Affiliation]"

Objective: This study aims to investigate the relationship between the presence of late-onset hypogonadism (LOH) syndrome in men and alterations in testicular echogenicity in a rural population sample.

Materials And Methods: Prospective observational cohort study in which men between 45 and 75 years old from Villarta de San Juan area (Ciudad Real) were included. In order to determine the incidence of HIT, each patient was administered the AMSS test, a blood test to determine the concentration of testosterone, and a bilateral testicular ultrasound was performed.

View Article and Find Full Text PDF

Objective: Sex education is essential for an accurate approach of sexuality in adolescents, being more effective when it is carried out at early ages. This study aimed to estimate the sexual health knowledge and the information in this regard perceived by adolescents, as well as where it came from.

Methods: A cross-sectional observational study was performed in students from two public high schools in Castilla-La Mancha who were surveyed about sexual knowledge.

View Article and Find Full Text PDF
Article Synopsis
  • - Hypoparathyroidism is a rare condition mainly treated with oral calcium and vitamin D, but some patients do not respond well to standard therapy, indicating a need for alternative treatments.
  • - The study investigates the use of recombinant human parathyroid hormone (PTH), specifically teriparatide and PTH (1-84), in five challenging cases of hypoparathyroidism, showing positive results in managing symptoms and maintaining normal calcium levels.
  • - The findings suggest that hormonal replacement therapy with PTH can be effective and safe for patients not achieving their required calcium levels with standard treatments, supporting its use as an off-label option when usual therapies fail.
View Article and Find Full Text PDF

Unlabelled: The present investigation was designed to determinate the nature, pattern, and extent of cognitive deficits in a group of participants with subacute and chronic spinal cord injury (SCI).

Methods: A cross-sectional study was conducted in both patients with subacute and chronic SCI. Different cognitive functions were evaluated through a neuropsychological protocol designed for this purpose, taking into account the patient's emotional state.

View Article and Find Full Text PDF

Objectives: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze the clinical presentation, management, and outcomes.

Design: Descriptive retrospective observational study.

View Article and Find Full Text PDF

Objective: Cardiovascular diseases is one of the most important health problems among population. Most preventable deaths which take place in a context different from the hospital are related to coronary heart diseases. Training the population in cardiopulmonary resuscitation (CPR) may well result in an increase in the survival rate before a cardiorespiratory arrest.

View Article and Find Full Text PDF

This paper reports 6 cases of patients affected by coronavirus disease 2019 bilateral pneumonia with associated acute respiratory distress associated and signs of acute right ventricular hypertrophy on electrocardiography despite the absence of acute pulmonary embolism or signs of severe pulmonary hypertension on transthoracic echocardiography. These cases suggest a possible connection between acute elevated right ventricular afterload and acute respiratory distress in patients affected by SARS-CoV-2.

View Article and Find Full Text PDF

Background: To present the outcomes of arthroscopic electrothermal shrinkage for partial scapholunate (SL) ligament tears, isolated or with associated triangular fibrocartilage complex (TFCC) injuries.

Methods: A prospective study of 20 patients with symptomatic instability of SL ligament (14 of them also with TFCC wrist injuries) treated with arthroscopic electrothermal shrinkage was conducted using a monopolar radiofrequency probe. No patient showed radiologic signs of static dissociation (mean SL interval 2.

View Article and Find Full Text PDF

Background: The Multiple Sclerosis Severity Score (MSSS) is a widely used measure of the disability progression rate. However, the global MSSS may not be the best basis for comparison between all patient groups.

Objective: We evaluated sex-specific and onset phenotype-specific MSSS matrices to determine if they were more effective than the global MSSS as a basis for comparison within these subsets.

View Article and Find Full Text PDF

Unlabelled: Aging is associated with a higher risk of cancer, >70% of cancer-related deaths occur in aged patients; however, this population is underrepresented in clinical trials, therefore, clinical information regarding this age group is rather limited.

Objectives: Neutrophil-to lymphocyte ratio (NLR) and platelet-to lymphocyte ratio (PLR) have been described as biomarkers in cancer, thus, we have assessed their impact in an aged cohort of patients with metastatic colorectal cancer (mCRC).

Patients And Methods: 110 patients with a mean age of 72.

View Article and Find Full Text PDF

Background: Previous studies have confirmed that women who are diagnosed with celiac disease report a lower quality of life than men who are diagnosed with the same illness.

Purpose: This article describes the life experiences of women with celiac disease, especially those who adhere to a lifelong gluten-free diet.

Methods: A phenomenological design based on the Giorgi method was used.

View Article and Find Full Text PDF

Introduction: Heart failure (HF) with recovered ejection fraction (EF) is emerging as a different HF subtype. There is little information about his clinical profile in hospitals that are not a reference.

Methods: We analysed characteristics and prognosis in patients with recovered HF followed prospectively in the HF Unit of a non-tertiary hospital.

View Article and Find Full Text PDF

Skin localization occurs in about 25% of women with metastatic breast cancer and represents a major therapeutic challenge. Although clinical literature on response of cutaneous metastases to chemotherapy is scarce, good response to eribulin has been reported. Herein, the clinical courses of three women with skin lesions secondary to metastatic breast cancer are described.

View Article and Find Full Text PDF

Study Design: Cross-sectional study.

Objectives: To assess the impact of spinal cord injury (SCI) on cognitive function in individuals with subacute and chronic SCI.

Setting: National Hospital for SCI patients (Spain).

View Article and Find Full Text PDF

Background: Postpartum anaemia is a frequent and potentially preventable complication that has serious repercussions on health and maternal well-being.

Aim: Determine the incidence and perinatal risk factors associated with postpartum anaemia in women who gave birth vaginally.

Methods: An observational and analytical retrospective cohort study conducted at the Mancha-Centro Hospital during the 2010-2014 period.

View Article and Find Full Text PDF

Background: Postpartum anaemia is a problem with high prevalence that significantly affects maternal recovery. Among the causal factors is perineal trauma. However, it is still not known what degree of perineal trauma produces a greater reduction of haemoglobin.

View Article and Find Full Text PDF

Percutaneous forefoot surgery for treatment of hallux valgus deformity: an intermediate prospective study.

Musculoskelet Surg

August 2017

Orthopaedic and Traumatology Unit, Hospital Mancha-Centro, Avenida de la Constitución s/n, Alcázar de San Juan, CP: 13600, Ciudad Real, Spain.

Background: This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of hallux valgus.

Materials And Methods: A prospective study of 108 patients, with hallux valgus deformity, who underwent PFS was conducted. The minimum clinical and radiological follow-up was two years (mean 57.

View Article and Find Full Text PDF

Background: Many factors are considered predictors of recurrence after hallux valgus (HV) surgery, including preoperative distal metatarsal articular angle (DMAA). The restoration of the bone and joint alignment would be more important than realigning the cartilaginous surface of the metatarsal head. Therefore, is DMAA correction essential for a good clinical and radiological results after HV surgery? This study aims to illustrate the results of percutaneous forefoot surgery (PFS) for correction of HV deformity without DMAA correction.

View Article and Find Full Text PDF

Long-term results after treatment of pertrochanteric femoral fractures with percutaneous compression plate (PCCP).

Eur J Orthop Surg Traumatol

August 2016

Hospital Mancha-Centro, Avenida de la Constitución s/n, Alcázar de San Juan, Ciudad Real, Spain.

Objective: This study sought to evaluate the long-term osteosynthesis results for AO/OTA 31.A1-A2 pertrochanteric fractures treated with the percutaneous compression plate (PCCP).

Materials And Methods: This investigation was a retrospective observational descriptive study of 335 patients, with a minimum follow-up of 2 years and a maximum follow-up of 8 years (2004-2011).

View Article and Find Full Text PDF

Purpose: To develop a predictive model for risk of cesarean section in pregnant women after induction of labor.

Methods: A retrospective cohort study was conducted of 861 induced labors during 2009, 2010, and 2011 at Hospital "La Mancha-Centro" in Alcázar de San Juan, Spain. Multivariate analysis was used with binary logistic regression and areas under the ROC curves to determine predictive ability.

View Article and Find Full Text PDF

Short-term relationship between hip fracture and weather conditions in two Spanish health areas with different climates.

J Environ Public Health

May 2016

Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Spain ; University of Valencia, 46010 Valencia, Spain ; Center for Research on Public Health (CSISP), 46020 Valencia, Spain.

Objective: To evaluate differences in the short-term relationship between weather conditions and the incidence of hip fracture in people aged 65 and over among two regions of Spain.

Methods: Hip fracture incidence was calculated for the years 2000-2008 for residents of Health Area 14 in Valencian Community (Mediterranean climate) and the "Mancha Centro" Health Area in Castilla-La Mancha (inland climate), Spain. The relationship between hip fracture incidence and weather was analyzed with a case-crossover design and explored in subgroups defined by sex, age, and fracture type.

View Article and Find Full Text PDF

Aim: Bone density disorders are prevalent in patients with chronic liver disease (CLD), who commonly present with hepatic osteodystrophy. However, the relationship between nutritional status and bone mineral density (BMD) has been scarcely studied in CLD.

Methods: This single-center, cross-sectional study included outpatients consecutively diagnosed with CLD during a 1.

View Article and Find Full Text PDF

A comparative study between gamma nail and percutaneous compression plating for the treatment of intertrochanteric hip fractures.

Eur J Trauma Emerg Surg

August 2012

Hospital Mancha-Centro, Avenida de la Constitución s/n, C/Coscoja no. 3, Alcázar de San Juan, 13600, Ciudad Real, Spain.

Purpose: Nowadays, the literature shows better results in the treatment of intertrochanteric (AO/OTA 31.A1-A2) hip fractures with dynamic hip screw (DHS) compared with gamma nail (GN). Besides, percutaneous compression plate (PCCP) gives results which are better or similar to those obtained with DHS.

View Article and Find Full Text PDF