2,561 results match your criteria: "Hospital Universitario "Lozano Blesa"[Affiliation]"

Mild behavioral impairment in the general population aged 55+ and its association with incident dementia.

Alzheimers Dement (Amst)

October 2024

Departamento de Medicina, Psiquiatría y Dermatología, Facultad de Medicina Universidad de Zaragoza Zaragoza Spain.

Article Synopsis
  • The study examined the link between mild behavioral impairment (MBI) and dementia risk in older adults, following 4,803 individuals over 4.5 years.
  • It found that in cognitively normal participants, decreased motivation—an MBI domain—was linked to a significantly increased risk of all-cause dementia.
  • The researchers suggest decreased motivation might indicate a higher dementia risk, but more studies are needed to explore the relationship between MBI and various types of dementia.
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  • - In 2017, the Spanish Academy of Dermatology created the Minimal Disease Activity (MDA) criteria to assess psoriasis severity, and this study aimed to evaluate its nationwide application across Spain.
  • - The study included 830 psoriasis patients, showing that over 59% did not meet MDA criteria, with significant variances observed based on region, sex, age, and treatment type.
  • - Results indicated that patients using biological therapies had better MDA compliance compared to those on other treatments, suggesting a need for more effective management of psoriasis across different demographics.
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  • Mutations commonly associated with acute myeloid leukemia (AML) were studied in 127 patients with chronic myelomonocytic leukemia (CMML), revealing varying prevalence rates like CEBPA (7), FLT3 (8), IDH1 (12), IDH2 (26), and NPM1 (11).
  • CMML patients with CEBPA, FLT3, and/or NPM1 mutations showed more severe symptoms and higher risk characteristics, indicating they were more frequently linked to the myeloproliferative subtype (MP-CMML).
  • The study suggests that these mutations should be included in CMML prognostic models and advocates for treating these patients with AML-type therapies due to their poor
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Background: Limited information is available on patients' experience living with Huntington's disease (HD). The primary objective of this study was to assess the health-related quality of life and well being of patients with HD.

Methods: A non-interventional, cross-sectional study was conducted in 17 hospitals-based movement disorders units in Spain.

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Validation of the Spanish version of the Health Literacy Survey (HLS-Q12) in secondary care specialty consultations.

Public Health

December 2024

Research Unit, Hospital Clínico Universitario Lozano Blesa, Avda, San Juan Bosco, 15, 50009, Zaragoza, Spain; GIIS081-Research Group in nursing care, Sector III Zaragoza, Spain. Electronic address:

Objectives: This study sought to validate the HLS-Q12 in Spain and in the Spanish language, as well as describe the sociodemographic profile and the general health literacy of the study population.

Study Design: Descriptive cross-sectional.

Methods: Factor analysis and Cronbach's alpha were used to validate the Spanish version of the HLS-Q12.

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The importance of gut microbiome in the perinatal period.

Eur J Pediatr

December 2024

Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168, Rome, Italy.

Article Synopsis
  • - The neonatal microbiome develops significantly during the perinatal period, influenced by factors like delivery method, maternal diet, and antibiotic exposure, which affect the infant's long-term health.
  • - This microbiome is crucial for the development of the immune system, metabolism, and neurodevelopment in infants, highlighting its long-term health implications.
  • - Recent interventions, such as probiotic and prebiotic supplementation and maternal vaginal seeding, show promise for optimizing microbiome development and potentially reducing the risk of chronic health conditions later in life.
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Minimally Invasive Assessment of Peripheral Residual Disease During Maintenance or Observation in Transplant-Eligible Patients With Multiple Myeloma.

J Clin Oncol

October 2024

Cancer Center Clinica Universidad de Navarra, Centro de Investigacion Medica Aplicada, Instituto de Investigacion Sanitaria de Navarra, CIBER-ONC CB16/12/00369 and CB16/12/00489, Pamplona, Spain.

Article Synopsis
  • - In a study of 138 multiple myeloma (MM) patients, researchers explored the benefits of monitoring peripheral residual disease (PRD) in blood instead of relying solely on more invasive bone marrow (BM) assessments.
  • - Positive PRD results from next-generation flow (NGF) indicated a significantly higher risk of disease progression/death, and those with undetectable PRD had excellent survival rates.
  • - The findings suggest that PRD monitoring is a valuable and less cumbersome method for identifying patients at risk of relapse during maintenance treatment in transplant-eligible MM patients.
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  • Porphyria is a rare disorder that affects heme metabolism, leading to various symptoms, including abdominal pain, vomiting, and seizures.
  • A clinical case of a 29-year-old man highlights the importance of diagnostic imaging (CT and MRI), which revealed parieto-occipital involvement and confirmed porphyria through lab tests.
  • Acute porphyria attacks should be considered in young patients presenting with seizures and abdominal pain, especially when typical causes of posterior reversible encephalopathy syndrome (PRES) are absent.
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GastricAITool: A Clinical Decision Support Tool for the Diagnosis and Prognosis of Gastric Cancer.

Biomedicines

September 2024

Department of Big Data and Cognitive Systems, Instituto Tecnológico de Aragón, ITA, María de Luna 7-8, 50018 Zaragoza, Spain.

Background/objective: Gastric cancer (GC) is a complex disease representing a significant global health concern. Advanced tools for the early diagnosis and prediction of adverse outcomes are crucial. In this context, artificial intelligence (AI) plays a fundamental role.

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Article Synopsis
  • The article reviews the 2023 activity report from the Interventional Cardiology Association of the Spanish Society of Cardiology, highlighting key trends in interventional cardiology practices in Spain.
  • A survey involving 119 hospitals revealed a slight decrease in diagnostic studies but an increase in percutaneous coronary interventions (PCI), with a notable rise in the use of drug-coated balloons and techniques for plaque modification.
  • The findings indicate a stabilization in coronary interventions while showcasing a growth in complex procedures, particularly for valvular and nonvalvular structural heart diseases, with primary PCI becoming the leading treatment for myocardial infarction.
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  • This study examined how well Patient Blood Management (PBM) strategies are followed in treating patients with gastrointestinal bleeding across multiple hospitals in a nationwide setting from March 2019 to March 2021.
  • A total of 450 patients were studied, showing high adherence rates of 90.9% for transfusions and 81.8% for iron supplementation, which correlated with better outcomes such as lower mortality risk.
  • Overall, the research suggests that strict adherence to PBM strategies is safe and improves treatment results for patients suffering from GI bleeding.
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Introduction And Objectives: We report the results of the 2023 Spanish catheter ablation registry.

Methods: Procedural data were collected and incorporated into the REDCap platform by all participating centers through a specific form.

Results: There were 104 participating centers in 2023 compared with 103 in 2022.

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The definition of mental disorders has been traditionally a matter of discussion, and it has relevant implications in research and healthcare. Our aim was to explore the conceptualization medical students have of depression and to determine differences across academic years. The Maudsley Attitudes Questionnaire was adapted through a double translation, double back-translation and a preliminary validation, obtaining a Spanish edition.

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The healthcare environment faced by nurses is complex, with high workloads and situations of high comorbidity. The integration of nurses into the work environment is a cause for concern, and improvements are sought for their incorporation into the workforce. The benefits of mentoring programs are described not only for nurses but also for patients with safer practices and benefits for the institution due to the increased commitment of its professionals.

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Do placebos harm patients in IBD trials?

Lancet Gastroenterol Hepatol

November 2024

IBD Unit, Hospital Clínico Universitario Lozano Blesa, Facultad de Medicina de Zaragoza, IIS Aragón, CIBEREHD, Zaragoza 50009, Spain. Electronic address:

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Article Synopsis
  • A 75-year-old woman came to the hospital with upper gastrointestinal bleeding and changes in her liver function tests.
  • An MRI showed that she had a choledochoduodenal fistula, which was later confirmed by a gastroscopy.
  • After surgery to fix the fistula, she was diagnosed with adenocarcinoma at the biliopancreatic junction, highlighting the rare way biliopancreatic tumors can present and the important role of endoscopy in diagnosis.
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We present the case of a 57-year-old woman with metastatic colorectal cancer being treated with Bevacizumab and FOLFOX, who came to the emergency department with haematemesis. Gastroscopy showed a duodenal ulcer without active bleeding. Subsequently, he suffered haemodynamic instability and an Angio-CT scan revealed an aortoenteric fistula, requiring urgent surgery.

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Measurable residual disease by mass spectrometry and next-generation flow to assess treatment response in myeloma.

Blood

December 2024

Hematology Department, IBSAL, Instituto de Biología Molecular y Celular del Cáncer-Consejo Superior de Investigaciones Científicas, Centro de Investigación Biomédica en Red de Cáncer, Hospital Universitario de Salamanca, Salamanca, Spain.

Quantitative immunoprecipitation mass spectrometry (QIP-MS) allows the identification of the M-protein in patients with multiple myeloma (MM) otherwise in complete response, and could be considered suitable for measurable residual disease (MRD) evaluation in peripheral blood. In the context of the GEM2012MENOS65 and GEM2014MAIN trials, we compared the performance of QIP-MS in serum with next-generation flow (NGF) cytometry in bone marrow to assess MRD in paired samples obtained postinduction, transplant, consolidation and after 24 cycles of maintenance. At each time point, both NGF and QIP-MS were able to segregate 2 groups of patients with significantly different progression-free survival; when the evolution of the results obtained with either method was considered, maintaining or converting to MRD negativity was associated with longer survival, significantly better when compared with sustaining or converting to MRD positivity.

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Long-term benefit of ustekinumab in ulcerative colitis in clinical practice: ULISES study.

Aliment Pharmacol Ther

November 2024

Gastrointestinal Units of Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.

Article Synopsis
  • Ustekinumab is approved for treating ulcerative colitis (UC), and this study evaluated its long-term effectiveness and tolerability in real clinical settings.
  • In a multicenter analysis of 620 UC patients, 25% discontinued treatment, with baseline anemia, steroid use, and severe disease linked to higher discontinuation rates.
  • At 16 weeks, 40% of patients were in steroid-free remission, and treatment was generally safe with no adverse effects on other conditions, indicating good long-term durability for difficult-to-treat cases.
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  • This study looked at how a medicine called nintedanib might help with breast cancer by making the environment around the tumor less stiff.
  • Researchers tested this by comparing two groups of patients: one got regular treatment while the other received nintedanib with their treatment.
  • They found that although overall survival rates were similar, patients with high stiffness scores (MeCo) had a higher risk of cancer returning, but taking nintedanib lowered that risk.
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  • - Spain leads the world in deceased organ donation rates and has a well-established network of liver transplant centers; however, about 10% of patients on the liver transplant waiting list may die or deteriorate before receiving a transplant.
  • - The country currently lacks a unified national system for prioritizing liver transplants, leading to varying rules among institutions and some regional practices to address urgent needs.
  • - A new consensus document from the Spanish Society of Liver Transplantation (SETH) aims to standardize waiting list prioritization, enhance equity, and improve outcomes for patients with severe liver disease across Spain.
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Introduction: The lung immune prognostic index (LIPI) is a biomarker that combines the lactate dehydrogenase (LDH) value and the derived neutrophil/lymphocyte ratio (dNLR). Its prognostic ability has been reported in non-small cell lung cancer (NSCLC) with immunotherapy. In the context of extensive-stage small cell lung cancer (ES-SCLC) with chemoimmunotherapy, its role remains to be determined.

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Introduction: A comprehensive assessment of congestion, including circulating biomarkers, is recommended in patients with acute heart failure. The circulating biomarkers natriuretic peptides (NPs) and carbohydrate antigen-125 (CA125) could be useful for congestion assessment in ambulatory chronic heart failure (CHF), but there is only limited information about their applicability in this context. Therefore, this study aimed to examine the association of plasma CA125 and NP levels with clinical and ultrasound congestion parameters in CHF.

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FibroScan compared to liver biopsy for accurately staging recurrent hepatic steatosis and fibrosis after transplantation for MASH.

Liver Int

December 2024

Hepatology, Hepatobiliopancreatic Surgery and Transplant Laboratory, Instituto de Investigación Sanitaria La Fe (IIS La Fe), Valencia, Spain.

Background And Aims: Metabolic dysfunction-associated steatotic liver disease (MASLD) recurrence after liver transplantation (LT) seems unavoidable and gradual. We aimed to evaluate the diagnostic accuracy in the post-LT setting of patients transplanted for metabolic dysfunction-associated steatohepatitis (MASH) of recurrent hepatic steatosis and fibrosis identified with FibroScan, compared to biopsy findings.

Methods: This prospective cohort study included adults transplanted for MASH between 2010 and 2022 in three LT centres in Spain who underwent FibroScan and biopsy at least 1-year after LT.

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