1,361 results match your criteria: "Hospital Universitario 'Puerta del Mar'[Affiliation]"

Article Synopsis
  • Preemptive kidney transplantation leads to better outcomes than post-dialysis transplants, and this study analyzed trends in Europe from 2000 to 2019.
  • A total of 20,251 adults received preemptive kidney transplants, with the percentage of these transplants increasing from 7% to 18% over the 19 years.
  • Barriers to increasing preemptive transplants include donor shortages and late referrals, while suggestions to improve rates involve raising awareness and streamlining the donor and recipient work-up processes.
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Article Synopsis
  • MS is a significant cause of disability in young and middle-aged adults; existing clinical markers are not sensitive or specific enough for diagnosing and monitoring the disease.
  • After neuronal injury in MS, neurofilament light chains (NfL) are released into the cerebrospinal fluid and blood, suggesting they may serve as a useful biomarker for monitoring inflammation and neurodegeneration.
  • A study in Spain showed that blood-based NfL could improve diagnosis and treatment responses in MS, offering a safer and potentially less expensive alternative in clinical practice.
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Differences in clinical outcomes of bloodstream infections caused by Klebsiella aerogenes, Klebsiella pneumoniae and Enterobacter cloacae: a multicentre cohort study.

Ann Clin Microbiol Antimicrob

May 2024

Unidad Clínica de Enfermedades Infecciosas y Microbiología, Departamento de Medicina, Instituto de Biomedicina de Sevilla (IBiS)/CSIC, Hospital Universitario Virgen Macarena, Universidad de Sevilla, Seville, Spain.

Article Synopsis
  • - The study reclassified Klebsiella aerogenes into the Klebsiella genus and aimed to evaluate the clinical outcomes of bloodstream infections (BSI) caused by K. aerogenes compared to K. pneumoniae and Enterobacter cloacae.
  • - Researchers analyzed data from hospitalized patients with monomicrobial BSI from October 2016 to March 2017, using various outcomes to compare the infections, including mortality and recurrence rates within 30 days.
  • - Findings indicated that K. aerogenes infections had a lower frequency of mortality or recurrence (6.9%) compared to E. cloacae (20.8%) and K. pneumoniae (19.0%), suggesting a potentially better
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Trace elements and heavy metals play pivotal roles in health status by regulating a myriad of vital biological functions. Abnormal metal homeostasis has been linked to a constellation of pathogenic complications, including oxidative stress, inflammatory processes, dyslipidemia, and impaired insulin-mediated metabolism of carbohydrates, thereby increasing the odds of developing childhood obesity and related comorbidities. Herein, we provide a comprehensive revision of recent literature on the association between childhood obesity, trace elements, and heavy metals.

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Introduction: Growth hormone (GH)-secreting pituitary tumors (GHomas) are the most common acromegaly cause. At diagnosis, most of them are macroadenomas, and up to 56% display cavernous sinus invasion. Biomarker assessment associated with tumor growth and invasion is important to optimize their management.

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Genes of the Sprouty family (Spry1-4) restrain signaling by certain receptor tyrosine kinases. Consequently, these genes participate in several developmental processes and function as tumor suppressors in adult life. Despite these important roles, the biology of this family of genes still remains obscure.

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Thermoplastic polymers as water substitutes.

Biomed Phys Eng Express

May 2024

Medical Physics Service, Hospital Universitario Puerta del Mar, Avda. Ana de Viya, No 21. 11009, Cádiz, Spain.

. New applications of 3D printing have recently appeared in the fields of radiotherapy and radiology, but the knowledge of many radiological characteristics of the compounds involved is still limited. Therefore, studies are needed to improve our understanding about the transport and interaction of ionizing radiation in these materials.

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Article Synopsis
  • The study aimed to see if early echocardiography screening in preterm infants with low systemic blood flow can lower the risk of intraventricular hemorrhage (IVH) and death.
  • Conducted across nine neonatal units, infants under 33 weeks gestation were split into two groups: one receiving early screening and the other not.
  • Results showed that early screening significantly decreased the chances of developing severe IVH or dying in the first week of life.
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The growing geriatric population presenting with coronary artery disease poses a primary challenge for healthcare services. This is a highly heterogeneous population, often underrepresented in studies and clinical trials, with distinctive characteristics that render them particularly vulnerable to standard management/approaches. In this review, we aim to summarize the available evidence on the treatment of acute coronary syndrome in the elderly.

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Article Synopsis
  • An international survey was conducted across 560 neonatal intensive care units (NICUs) in 24 European countries to assess the usage of lung ultrasound (LU), revealing significant variability in adoption rates (20%-98%).
  • Most NICUs (76%) use LU for clinical reasons, primarily to diagnose respiratory issues and manage acute conditions.
  • Key barriers to LU implementation include lack of experience in technical skills and image interpretation, with suggestions for improvement involving specific training courses and a standardized international guideline.
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Association of microbiological factors with mortality in Escherichia coli bacteraemia presenting with sepsis/septic shock: a prospective cohort study.

Clin Microbiol Infect

August 2024

Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain; Departamentos de Medicina y Microbiología, Facultad de Medicina, Universidad de Sevilla, Sevilla, Spain; Instituto de Biomedicina de Sevilla (IBiS)/CSIC, Sevilla, Spain; Centro de Investigación Biomédica en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain. Electronic address:

Objectives: This study aimed to determine the association of Escherichia coli microbiological factors with 30-day mortality in patients with bloodstream infection (BSI) presenting with a dysregulated response to infection (i.e. sepsis or septic shock).

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Negative symptoms and sex differences in first episode schizophrenia: What's their role in the functional outcome? A longitudinal study.

Span J Psychiatry Ment Health

September 2023

Barcelona Clinic Schizophrenia Unit, Hospital Clinic, Departament de Medicina, Institut de Neurociències (UBNeuro), Universitat de Barcelona (UB), Institut d'Investigacions Biomèdiques, August Pi I Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.

Introduction: Negative symptoms (NS) include asociality, avolition, anhedonia, alogia, and blunted affect and are linked to poor prognosis. It has been suggested that they reflect two different factors: diminished expression (EXP) (blunted affect and alogia) and amotivation/pleasure (MAP) (anhedonia, avolition, asociality). The aim of this article was to examine potential sex differences among first-episode schizophrenia (FES) patients and analyze sex-related predictors of two NS symptoms factors (EXP and MAP) and functional outcome.

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Why is it necessary to produce a BCG strain in Spain?

Actas Urol Esp (Engl Ed)

September 2024

Comité Científico del Ensayo Clínico ENCORE-01; Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, Spain; Presidencia de la Asociación Española de Urología (AEU); Presidencia de la Fundación para la Investigación en Urología de la AEU.

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Whole-genome characterisation of Escherichia coli isolates from patients with bacteraemia presenting with sepsis or septic shock in Spain: a multicentre cross-sectional study.

Lancet Microbe

April 2024

Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Departamentos de Medicina y Microbiología, Universidad de Sevilla, and Instituto de Biomedicina de Sevilla (IBiS)/CSIC, Sevilla, Spain; Centro de Investigación Biomédica en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.

Article Synopsis
  • - The study focuses on characterizing *Escherichia coli* (E. coli) blood isolates that cause sepsis or septic shock, as these infections are common and often severe, leading to critical health outcomes in affected patients.
  • - Data from a multicenter study in Spain involved whole-genome sequencing of E. coli blood isolates from patients over 14 with diagnosed sepsis or septic shock, identifying various microbiological features, including phylogroups, sequence types, virulence factors, and antimicrobial resistance (AMR) genes.
  • - Results showed that most isolates belonged to phylogenetic group 1, with specific sequence types such as ST131 and ST73 being the most common, but there were no significant geographical
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Background: Implementing mammogram screening means that clinicians are seeing many breast cancers that will never develop metastases. The purpose of this study was to identify subgroups of breast cancer patients who did not present events related to long-term breast cancer mortality, taking into account diagnosis at breast screening, absence of palpability and axillary involvement, and genomic analysis with PAM50.

Patients And Methods: To identify them, a retrospective observational study was carried out selecting patients without any palpable tumor and without axillary involvement, and a genomic analysis was performed with PAM50.

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Purpose: HER2-targeted therapies have dramatically improved outcomes of patients with HER2-positive breast cancer (BC), as demonstrated in neoadjuvant trials. This study aims to provide real-world evidence on the use and effectiveness of combined pertuzumab, trastuzumab and chemotherapy (CT) in early-stage HER2-positive BC.

Methods: A retrospective, multicentre study was conducted on patients diagnosed with HER2-positive early BC treated with neoadjuvant pertuzumab and trastuzumab plus CT at 13 Spanish sites.

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Article Synopsis
  • - The study aims to categorize respiratory infections in ventilated children, focusing on outcomes like the duration of mechanical ventilation and hospital stays, given the ongoing use of terms like ventilator-associated pneumonia (VAP) and tracheobronchitis in clinical practice.
  • - Conducted across 15 Pediatric Intensive Care Units, the research analyzed data from 391 ventilated children, finding that the average hospital stay was 21 days with a mortality rate of 5.9%. Of the respiratory infections documented, 29.3% were classified as VAP and 70.7% as ventilator-associated tracheobronchitis (VAT).
  • - Infections following ventilator-associated event (VAE) criteria led to
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Inflammatory blood cells and ratios at remission for psychosis relapse prediction: A three-year follow-up of a cohort of first episodes of schizophrenia.

Schizophr Res

May 2024

Department of Medicine, University of Barcelona, Barcelona, Spain; Barcelona Clínic Schizophrenia Unit (BCSU), Neuroscience Institute, Hospital Clínic de Barcelona, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en red en salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Spain. Electronic address:

Background: The clinical course following a first episode of schizophrenia (FES) is often characterized by recurrent relapses, resulting in unfavorable clinical and functional outcomes. Inflammatory dysregulation has been implicated in relapse risk; however, the predictive value of inflammatory blood cells in clinically remitted patients after a FES has not been previously explored.

Methods: In this study, we closely monitored 111 patients in remission after a FES until relapse or a three-year follow-up endpoint.

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Metabolic biomarkers, particularly glycated hemoglobin and fasting plasma glucose, are pivotal in the diagnosis and control of diabetes mellitus. Despite their importance, they exhibit limitations in assessing short-term glucose variations. In this study, we propose labile hemoglobin as an additional biomarker, providing insightful perspectives into these fluctuations.

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Work Ability Index: Psychometric Testing in Aeronautical Industry Workers.

Saf Health Work

March 2024

Nursing and Physiotherapy Department, Faculty of Nursing and Physiotherapy, Universidad de Cádiz, Cádiz, Spain.

Background: The Work Ability Index (WAI) is an instrument that measures work ability. The wide dispersion of the WAI internationally has led to its adaptation for use in different countries. This study aimed to evaluate the psychometric properties of the Spanish version of the WAI.

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Introduction: To establish whether glycemic variability (GV) parameters used when gestational diabetes mellitus (GDM) has been diagnosed could help predict the probability that a patient will need pharmacological treatment, and to analyze the link of these parameters to the development of maternal-fetal complications.

Materials And Methods: A prospective study of 87 women with GDM who underwent retrospective continuous glucose monitoring (CGM) for six days between weeks 26 and 32 of gestation, following diagnosis. The mean glycemia levels and GV variables were analyzed together with their link to maternal-fetal complications, and the need for pharmacological treatment.

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