310 results match your criteria: "Hospital Universitario Ramon y Cajal IRYCIS[Affiliation]"

Background: Sarcopenic obesity significantly burdens health and autonomy. Strategies to intervene in or prevent sarcopenic obesity generally focus on losing body fat and building or maintaining muscle mass and function. For a lifestyle intervention, it is important to consider psychological aspects such as behavioral change techniques (BCTs) to elicit a long-lasting behavioral change.

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Postmenopausal osteoporosis stands as the predominant bone disorder in the developed world, posing a significant public health challenge. Nutritional factors play a crucial role in bone health and may contribute to its prevention or treatment. Calcium and vitamin D, extensively studied with robust scientific evidence, are integral components of the non-pharmacological treatment for this disorder.

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  • RAD51C and RAD51D genes play a crucial role in DNA repair, and mutations in these genes significantly increase the risk of developing ovarian and breast cancer.
  • This study analyzed the clinical characteristics of 91 patients and 90 relatives with pathogenic variants in RAD51C/D across multiple Spanish hospitals, focusing on their tumors' homologous recombination deficiency (HRD) status.
  • Findings showed that a substantial portion of the carriers were women, with a high incidence of breast and ovarian cancer; the study also determined the prevalence of HRD in untreated tumors from these patients.
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  • - Gaucher disease is caused by a deficiency of the enzyme glucocerebrosidase, leading to glucosylceramide buildup, and it impacts women's health throughout different life stages, including delays in menarche and common issues like menorrhagia.
  • - Pregnancy planning and genetic counseling are essential for patients to manage potential complications, such as organomegaly and bone or blood disorders, during and after pregnancy.
  • - Women with Gaucher disease may experience early menopause, increasing the risk of osteopenia, and should be monitored closely for early signs of liver or renal neoplasms during routine screenings.
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Sarcopenia and Sarcopenic Obesity and Mortality Among Older People.

JAMA Netw Open

March 2024

Human Nutrition Unit, Clermont Auvergne University, Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement, Centre de Recherche en Nutrition Humaine, Clermont-Ferrand, France.

Importance: Sarcopenia and obesity are 2 global concerns associated with adverse health outcomes in older people. Evidence on the population-based prevalence of the combination of sarcopenia with obesity (sarcopenic obesity [SO]) and its association with mortality are still limited.

Objective: To investigate the prevalence of sarcopenia and SO and their association with all-cause mortality.

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Article Synopsis
  • Sarcopenia is when people lose muscle mass and strength as they get older, and there's no clear agreement on what it exactly means worldwide.
  • A group called the Global Leadership Initiative in Sarcopenia (GLIS) worked to define sarcopenia better by getting experts from around the world to share their opinions.
  • They found that most experts agreed that things like muscle mass and strength are really important to understanding sarcopenia and that it becomes more common as people age.
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  • The study looks at how a protein called NOS3 helps protect blood vessels by stopping harmful breakdown of important structures in the body called extracellular matrix.
  • Researchers tested this by feeding certain mice a high-fat diet and examining their blood vessels for signs of damage and disease.
  • They found that without NOS3, the mice got sicker, but removing another protein called MMP-13 helped them live longer and reduced the damage, suggesting that targeting these proteins could help treat blood vessel problems.
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Urinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This is a retrospective analytical cohort analysis using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain.

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Efficacy of three benznidazole dosing strategies for adults living with chronic Chagas disease (MULTIBENZ): an international, randomised, double-blind, phase 2b trial.

Lancet Infect Dis

April 2024

Department of Infectious Diseases, Vall d'Hebron University Hospital, PROSICS Barcelona, Medicine Department Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain. Electronic address:

Background: Treatment with benznidazole for chronic Chagas disease is associated with low cure rates and substantial toxicity. We aimed to compare the parasitological efficacy and safety of 3 different benznidazole regimens in adult patients with chronic Chagas disease.

Methods: The MULTIBENZ trial was an international, randomised, double-blind, phase 2b trial performed in Argentina, Brazil, Colombia, and Spain.

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Background: In the different published studies, there is no consensus on the efficacy of virtual reality as an adjuvant treatment of mood states.

Aim: The aim of this study is to evaluate the impact of no immersive virtual reality with the Nintendo Switch device in rehabilitation treatment on mood, anxiety and depression in stroke patients admitted to neurorehabilitation units.

Methods: Fifty-eight patients admitted to neurorehabilitation units underwent a 1:3 multicentre randomised clinical trial.

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Pseudomonasaeruginosa antimicrobial susceptibility profiles, resistance mechanisms and international clonal lineages: update from ESGARS-ESCMID/ISARPAE Group.

Clin Microbiol Infect

April 2024

Laboratoire de Bactériologie, Centre Hospitalier Universitaire de Besançon, Besançon, France; Laboratoire associé du Centre National de Référence de la Résistance aux Antibiotiques, Centre Hospitalier Universitaire de Besançon, Besançon, France; Chrono-environnement UMR 6249, CNRS, Université Franche-Comté, Besançon, France.

Scope: Pseudomonas aeruginosa, a ubiquitous opportunistic pathogen considered one of the paradigms of antimicrobial resistance, is among the main causes of hospital-acquired and chronic infections associated with significant morbidity and mortality. This growing threat results from the extraordinary capacity of P. aeruginosa to develop antimicrobial resistance through chromosomal mutations, the increasing prevalence of transferable resistance determinants (such as the carbapenemases and the extended-spectrum β-lactamases), and the global expansion of epidemic lineages.

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Article Synopsis
  • Pregnant women infected with SARS-CoV-2 face increased risks, including preterm birth and higher rates of stillbirth or neonatal admissions, highlighting ongoing concerns even after the WHO declared an end to the COVID-19 pandemic in May 2023.
  • A systematic review was performed to analyze the prevalence of early pregnancy loss in women with SARS-CoV-2 and compare these results to those of non-infected pregnant women.
  • The review included various studies that reported pregnancy losses before 20 weeks, as well as data on ectopic pregnancies and pregnancy terminations, ensuring a comprehensive examination of the impact of SARS-CoV-2 on early pregnancy outcomes.
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Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) for the diagnosis of delirium in adults in critical care settings.

Cochrane Database Syst Rev

November 2023

Facultad de Medicina, Departamento de Ciencias de la Rehabilitación & CIGES, Universidad de La Frontera, Temuco, Chile.

Article Synopsis
  • Delirium is a serious condition that can confuse patients in critical care, and it's often not diagnosed properly.
  • The CAM-ICU is a special tool that helps doctors figure out if ICU patients have delirium, even if they can't talk.
  • The goal of this study was to check how well the CAM-ICU works at diagnosing delirium in adult ICU patients.
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Background: Chronic obstructive pulmonary disease (COPD) has been associated with worse clinical evolution/survival during a hospitalization for SARS-CoV2 (COVID-19). The objective of this study was to learn the situation of these patients at discharge as well as the risk of re-admission/mortality in the following 12 months.

Methods: We carried out a subanalysis of the RECOVID registry.

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  • A multicenter study in Madrid analyzed the clinical and epidemiological characteristics of men who have sex with men (MSM) living with HIV who recently acquired hepatitis C (RAHC).
  • Of the 133 enrolled patients, many had prior sexually transmitted diseases and the most common hepatitis C genotype found was G1a; about 11% experienced spontaneous cure, while the treatment success rate was over 90%.
  • The findings suggest high-risk sexual behaviors are prevalent among MSM with RAHC, highlighting the importance of effective treatment strategies for this population.
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Background And Objective: The safety profile of venom immunotherapy (VIT) is a relevant issue and considerable differences in safety and efficacy of VIT have been reported. The primary aim of this study was to evaluate the safety of ACE inhibitors and beta-blockers during VIT, which has already been published. For a second analysis, data concerning premedication and venom preparations in relation to systemic adverse events (AE) during the up-dosing phase and the first year of the maintenance phase were evaluated as well as the outcome of field stings and sting challenges.

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Background: Virologic characterization of newly HIV-diagnosed adolescents could help to improve their specific needs. The objective was to describe the transmitted drug resistance mutations (TDR) and its transmission by clusters in this population in Spain.

Methods: TDR to retrotranscriptase and protease inhibitors included in the WHO TDR list 2009 implemented in the Calibrated Population Resistance tool v8.

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Pulmonary arterial hypertension (PAH) is an infrequent disorder characterized by high blood pressure in the pulmonary arteries. It may lead to premature death or the requirement for lung and/or heart transplantation. Genetics plays an important and increasing role in the diagnosis of PAH.

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Background: Alopecia areata is an autoimmune disease leading to nonscarring hair loss on the scalp or body. There are different treatments including immunosuppressants, hair growth stimulants, and contact immunotherapy.

Objectives: To assess the benefits and harms of the treatments for alopecia areata (AA), alopecia totalis (AT), and alopecia universalis (AU) in children and adults.

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Improvement in the management of suspected acute aortic syndrome in the emergency room through a clinical algorithm and study of predictive factors.

Radiologia (Engl Ed)

November 2023

Unidad de Bioestadística Clínica, Hospital Universitario Ramón y Cajal, IRYCIS, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Departamento de Enfermería de la Universidad de Alcalá, Madrid, Spain.

Background And Objective: Acute aortic syndrome (AAS) is uncommon and difficult to diagnose, with great variability in clinical presentation. To develop a computerized algorithm, or clinical decision support system (CDSS), for managing and requesting imaging in the emergency department, specifically computerized tomography of the aorta (CTA), when there is suspicion of AAS, and to determine the effect of implementing this system. To determine the factors associated with a positive radiological diagnosis that improve the predictive capacity of CTA findings.

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Background: healthcare-associated infections are one of the top antimicrobial resistance threats world-wide. In order to analyze the current trends, we performed a Spanish nation-wide high-resolution analysis of the susceptibility profiles, the genomic epidemiology and the resistome of over a five-year time lapse.

Methods: A total of 3.

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The STOPP/START criteria are explicit physiologic systems-based criteria that summarize evidence on clinically relevant prescribing problems related to the use of potentially inappropriate medications (STOPP criteria) and potential prescribing omissions (START criteria). The two previous versions of the STOPP/START criteria were published in 2008 and 2015, and their Spanish versions in 2009 and 2015. Version3 of these criteria has just been published in 2023.

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