66 results match your criteria: "Hospital Universitario de la Plana[Affiliation]"

Background/objectives: This study aims to evaluate the potential of the SarQoL questionnaire as a screening tool for sarcopenic obesity by comparing its effectiveness in Spanish and Belgian community-dwelling older people. This research seeks to address the primary question of whether the SarQoL can reliably differentiate quality of life impacts between these groups.

Methods: A cross-sectional study was conducted involving community-dwelling older adults from Valencia (Spain) and Liège (Belgium).

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Large nested melanomas (LNMs) are a rare subtype of naevoid melanoma consisting of large junctional melanocytic nests that are more common in older individuals and/or associated with sun damage. However, the presence of large melanocytic nests alone does not lead to a diagnosis of malignancy, ​as they can also be found in melanocytic naevi. LNMs are challenging because they lack most classic histological features of malignancy and require thorough clinicopathological evaluation.

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Article Synopsis
  • Paediatric acute bronchiolitis is typically seasonal, occurring from October to April in the northern hemisphere, but COVID-19 preventive measures led to a decrease in cases during the 2020-21 season.
  • A study involving 6,334 infants in Spain examined the epidemiological changes in acute bronchiolitis cases before, during, and after COVID-19 interventions from September 2021 to August 2023.
  • The findings revealed unexpected out-of-season peaks in bronchiolitis cases in the summers of 2021 and 2022, along with significant increases in hospitalization metrics in 2022-2023 compared to prior seasons.
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Article Synopsis
  • Avatrombopag is a newly approved treatment for immune thrombocytopenia (ITP), with limited real-world effectiveness and safety data available.
  • A study by the Spanish ITP Group involving 268 patients showed that 90.1% of those with low platelet counts improved significantly after starting the drug, with many achieving stable platelet levels.
  • The treatment allowed most patients to reduce or stop corticosteroid use, and only a small percentage experienced thrombocytosis or thromboembolic events, indicating its potential as an effective management option for ITP.
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Optimized Continuity of Care Report on Nursing Compliance and Review: A Retrospective Study.

Nurs Rep

August 2024

Joint Research Unit NURSIA ("NURSing Care, Information Systems, Tecnology and Quality") FISABIO-UJI, 12071 Castellón de la Plana, Spain.

The Continuity of Care Report (CCR) is a fundamental document for ensuring high-quality healthcare and a smooth transition between different levels of care. The aim of this study was to evaluate the impact of optimizing the CCR to improve its completion rate by hospital nurses and its review by primary care nurses. To achieve this, a retrospective observational study was conducted on patients discharged from the University Hospital of La Plana de Vila-real during two three-month periods, one prior to the CCR improvement (2022) and one after (2023).

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Prevalence of Fabry disease in patients with left ventricular hypertrophy and renal involvement (PrEFaCe).

Med Clin (Barc)

November 2024

Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, España.

Introduction And Aims: Fabry disease (FD) causes glycosphingolipid accumulation in the vascular endothelium, with predominantly cardiac and renal involvement. Its prevalence in patients with concomitant involvement of these two organs is unknown. The objective of the study was to determine the prevalence of FD in patients with left ventricular hypertrophy and any degree of chronic kidney disease.

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Development and validation of meta-measurement instruments: A methodological approach.

Enferm Clin (Engl Ed)

September 2024

Grupo de Investigación en Enfermería (GIENF-241), Universitat Jaume I, Castellón, Spain; Unidad de Investigación en Cuidados y Servicios de Salud, Instituto de Salud Carlos III, Madrid, Spain.

A valid and reliable nursing assessment is essential for identifying required care and ensuring patient safety. The convenience of conducting a comprehensive assessment of the patient has led to a significant increase in assessment tools that may slow down the process. Nevertheless, the possibility of consolidating various instruments that measure common or similar constructs into a meta-instrument is considered an alternative that could enhance assessment efficiency.

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Fostamatinib, a recently approved Syk inhibitor used in adult primary immune thrombocytopenia (ITP), has been shown to be safe and effective in this disorder. However, clinical trial results may not be similarly reproduced in clinical practice. Here, 138 patients with ITP (both primary and secondary) from 42 Spanish centers who had been treated with fostamatinib were evaluated prospectively and retrospectively.

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Necrotizing fasciitis (NF) is a potentially life-threatening surgical emergency. It is a rapidly progressive infection of soft tissues, and mortality is related to the degree of sepsis and the general condition of the patient. It is a rare condition that requires a rapid diagnosis and surgical treatment is aggressive debridement.

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Article Synopsis
  • Immune thrombocytopenia (ITP) is a prevalent autoimmune disorder that presents diagnostic challenges due to varied symptoms and no specific test available.
  • Recent research and new medications have led to different management guidelines for ITP worldwide, including new approaches developed in Spain.
  • A study using the Delphi methodology reached an 81% consensus on managing adult ITP patients, resulting in practical recommendations, but some areas still require further clarification and improvement.
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[Impact of the pandemic on various infectious diseases with different epidemiological patterns of seasonality, transmission and age].

Rev Esp Salud Publica

February 2024

Sección de Epidemiología; Centro de Salud Pública de Castelló; Conselleria de Sanitat; Generalitat Valenciana. Castelló. España.

Objective: The COVID-19 pandemic has had a strong impact on other infectious diseases. The aim of this paper was to analyze the epidemiological changes that occurred during the pandemic in eight infectious diseases with different epidemiological patterns: influenza, respiratory syncytial virus, rotavirus, pneumococcus, , non-typhoid , gonorrhea and herpes zoster.

Methods: From the Microbiological Surveillance Network, the time series of cases was traced from January 2017 to March 2023.

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Sarcopenic obesity (SO) is diagnosed when sarcopenia and obesity coexist in patients. The objective of this study was to determine the prevalence of SO under different diagnostic criteria in community-dwelling Spanish adults aged over 65 years residing in Valencia (Spain). The research was conducted as an observational and cross-sectional study with a sample size of 202 subjects.

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Introduction: Psoriatic arthritis (PsA) is a complex and heterogeneous inflammatory disease. Secukinumab, a biologic disease-modifying antirheumatic drug (bDMARD), has extensive clinical evidence of efficacy and safety in the treatment of PsA but data in clinical practice are still limited. This study aims to provide real-world evidence on secukinumab use, effectiveness, and persistence in PsA.

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Primary immune thrombocytopenia (ITP) is a complex autoimmune disease whose hallmark is a deregulation of cellular and humoral immunity leading to increased destruction and reduced production of platelets. The heterogeneity of presentation and clinical course hampers personalized approaches for diagnosis and management. In 2021, the Spanish ITP Group (GEPTI) of the Spanish Society of Hematology and Hemotherapy (SEHH) updated a consensus document that had been launched in 2011.

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Recently, the VALENF instrument, Nursing Assessment by its acronym in Spanish, was developed as a meta-tool composed of only seven items with a more parsimonious approach for nursing assessment in adult hospitalization units. This meta-tool integrates the assessment of functional capacity, the risk of pressure injuries and the risk of falls. The general objective of this project is to validate the VALENF instrument by studying its diagnostic accuracy against the instruments commonly used in nursing to assess functional capacity, the risk of pressure injuries and the risk of falls.

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The main objective of this study was to analyze the impact of a multifaceted strategy to improve the assessment of functional capacity, risk of pressure injuries, and risk of falls at the time of admission of patients in adult hospitalization units. This was a secondary analysis of the VALENF project databases during two periods (October-December 2020, before the strategy, and October-December 2021, after the strategy). The quantity and quality of nursing assessments performed on patients admitted to adult hospitalization units were evaluated using the Barthel index, Braden index, and Downton scale.

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Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients.

Enferm Clin (Engl Ed)

November 2023

Departamento de Enfermería, Universitat Jaume I, Castellón, Spain; Investén-ISCIII, Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación, Madrid, Spain.

Objective: Examine the construct validity of the Barthel Index in adult inpatient units.

Method: A secondary analysis was performed on a sample of 1342 adult patients admitted to inpatient units. A confirmatory factor analysis of the Barthel Index did not confirm its unidimensional structure (CFA-1).

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There are not many publications that provide a holistic view of the management of primary and secondary ITP as a whole, reflecting the similarities and differences between the two. Given the lack of major clinical trials, we believe that comprehensive reviews are much needed to guide the diagnosis and treatment of ITP today. Therefore, our review addresses the contemporary diagnosis and treatment of ITP in adult patients.

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Objective: Bronchogenic carcinoma (BC) is the second most frequent worldwide and the most lethal tumour in both sexes. Its incidence varies not only among countries but also among different areas of the same country. So, the aim of this work was to analyse the evolution of its incidence and survival in the province of Castellón from 2004 to 2017 and to compare them with those of de rest of the country.

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