2,847 results match your criteria: "Hospital Universitario y Politecnico La Fe.[Affiliation]"

Introduction: The Optilume® Paclitaxel-coated urethral dilatation balloon is an alternative to conventional endoscopic treatments that combines mechanical dilatation with local delivery of paclitaxel.

Objective: To describe the success rate and analyze the safety of the device in real clinical practice. To evaluate possible predictors of treatment failure.

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Article Synopsis
  • - The study analyzes the prevalence of benzodiazepine prescriptions among elderly patients visiting emergency departments in Spain and their impact on short-term health outcomes.
  • - Out of 25,557 patients studied, 30.8% were prescribed benzodiazepines, which were linked to an increased chance of returning to the emergency department but not to higher rates of hospitalization or mortality within 30 days.
  • - The findings suggest that while benzodiazepine use may lead to more frequent ED visits, it does not significantly affect hospitalization rates or mortality in the short term.
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Purpose: Lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH) is a growing condition in males associated with a high clinical, economic and humanistic burden. Several surgical techniques are available for the treatment of LUTS/BPH; thus, the aim of this study was to describe and explore the variability in the use of surgical procedures among Spanish hospitals.

Methods: The REVALURO was a retrospective, observational study conducted by collecting data from the clinical records of patients with LUTS/BPH aged ≥ 35 years, from 5 national reference hospitals, who were surgically treated between 2018 and 2022.

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  • Gram-negative MDR bacteria like Enterobacterales, Acinetobacter baumannii, and Pseudomonas aeruginosa create significant clinical challenges due to complex infections and diagnostics, especially with MBL-producing strains.
  • While colistin is effective against these pathogens, its use is limited by resistance and potential kidney damage, making it a last-resort option.
  • Newer combinations, including aztreonam with avibactam and cefiderocol, show promising results and are favored for treating MBL-producing infections, with more research needed to refine treatment strategies.
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  • Aspergillus species are linked to various conditions in bronchiectasis, including ABPA, AS, and increased IgG levels indicating exposure or infection.
  • A study of nearly 10,000 bronchiectasis patients revealed 6.1% with ABPA, 5.7% with AS, and 8.1% with elevated Aspergillus-specific IgG levels, with these conditions associated with more severe lung issues and exacerbations.
  • Long-term follow-up showed that those with raised IgG levels faced more frequent and severe exacerbations, particularly affecting patients not on inhaled corticosteroids.
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Viral respiratory diseases place a heavy burden on the healthcare system, with children making up a significant portion of related hospitalizations. While comorbidities increase the risk of complications and poor outcomes, many hospitalized children lack clear risk factors. As new vaccines for respiratory viral diseases emerge, this study examined pediatric respiratory hospitalizations, focusing on viral etiology, complication rates, and the impact of comorbidities to guide future policy.

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The utilities of anterior segment optical coherence tomography (AS-OCT) for characterization, differential diagnosis, postoperative monitoring, and evaluation/comparison of surgical techniques in pterygium are described. Through AS-OCT, it is also possible to study the corneal astigmatic effect of pterygium. Our purpose is to study the associations between the anatomical characteristics of pterygium and the corneal topography through AS-OCT.

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Background/objectives: Developmental and epileptic encephalopathy 9 (DEE9) (MIM #300088) affects heterozygous females and males with somatic pathogenic variants, while male carriers with hemizygous pathogenic variants are clinically unaffected. There are hundreds of pathogenic single nucleotide variants in the gene reported in the literature, which lead to the loss of function of the PCDH19 protein. To date, no phenotypes associated with overexpression or copy number gains have been described in this gene.

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Background And Aims: Inflammatory pouch disorders exhibit a heterogeneous clinical spectrum and therapeutic requirements have not been properly studied.

Methods: This retrospective, multicentre study included ulcerative colitis patients with ileal pouch construction and were later diagnosed with an inflammatory pouch disorder between 1995 and 2020. Classifications, behaviour and therapies applied were recorded and compared in the long-term.

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[Translated article] Cutaneous Sarcoidosis after Platelet-Rich Plasma Injections and Permanent Eyebrow Make-Up.

Actas Dermosifiliogr

October 2024

Servicio de Dermatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Instituto de Investigación Sanitaria (IIS) La Fe, Valencia, Spain; Universidad de Valencia, Valencia, Spain.

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Peripheral access ultrafiltration in adults with complex congenital heart disease and refractory congestion.

Rev Esp Cardiol (Engl Ed)

October 2024

Departamento de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Unidad de Insuficiencia Cardíaca Avanzada y Trasplante Cardíaco, Servicio de Cardiología, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain.

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Activities of the clinical pharmacist in the intensive care units.

Farm Hosp

October 2024

Servicio de Farmacia, Hospital Universitario de Bellvitge, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España.

The main objective of the activity carried out in an intensive care unit and in general in all hospitalization units, is to provide all the human and material resources to offer the best therapeutic care to admitted patients. Work in multidisciplinary teams, made up of specialists in Intensive Care Medicine as those responsible for the patients, doctors from other specialties, specialized nursing, physiotherapists, nutritionists and clinical pharmacists is an optimal approach to achieve the proposed objective. The activities of the clinical pharmacist can be developed at different levels (basic, intermediate and excellent) depending on the degree of involvement, the time dedicated, the training and the available resources.

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Background And Objective: To compare the cost and utility of scleral buckle (SB) and pars plana vitrectomy (PPV) techniques for repairing moderately complex rhegmatogenous retinal detachment (RRD).

Patients Materials And Methods: A cost-utility analysis was conducted using data from the Primary Retinal Detachment Outcomes Study (PRO) and a study conducted by the author. Total costs, patient utility over a lifetime, and cost per quality-adjusted life year (QALY) were calculated for each surgical procedure.

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Background: Chronic bronchopulmonary infection due to MRSA in people with cystic fibrosis (pwCF) has been associated with accelerated decline in lung function, increased hospitalizations and increased mortality.

Material And Methods: We studied microbiological and genomic characteristics of MRSA isolates recovered from pwCF in two Spanish multicentre studies (2013, 2021). Antimicrobial susceptibility was performed.

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Archivos de Bronconeumología: 60 Years and Going on.

Arch Bronconeumol

September 2024

Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain; Hospital Universitario y Politécnico la Fe, Valencia, Spain.

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Article Synopsis
  • - The study investigated electrical coupling in pelvic floor muscles (PFM) of 24 chronic pelvic pain (CPP) patients before and after botulinum neurotoxin type A (BoNT/A) treatment, comparing results to 24 healthy women.
  • - Researchers analyzed surface electromyographic (sEMG) signals to assess both two-sided (left and right) and one-sided (same side) coupling of the PFMs, measuring changes in amplitude and phase before and after treatment.
  • - Findings revealed that while two-sided coupling was similar for both groups before treatment, one-sided coupling in the most painful side of CPP patients remained disrupted, indicating potential ongoing effects of pain and treatment on neuromotor control and muscle function.
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Objective: The primary objective is to describe the real-life effectiveness and safety of nivolumab treatment in patients with relapsed or refractory classical Hodgkin's lymphoma. The secondary objective is to describe the therapeutic management after nivolumab monotherapy.

Method: Observational, retrospective, multidisciplinary study including all patients with relapsed or refractory classical Hodgkin's lymphoma treated with nivolumab monotherapy from November 2015 to March 2023.

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Aim: Most patients experience barriers for becoming physical active post-heart transplantation. Therefore, identifying barriers and facilitators can help healthcare professionals in developing physical activity programs. This study aimed to explore the physical activity experiences, perceived barriers, and facilitators to perform physical activity of patients' post-heart transplantation.

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First Report of a Fatal Septicaemia Case Caused by Vibrio metoecus: A Comprehensive Functional and Genomic Study.

J Infect Dis

October 2024

Departamento de Microbiología y Ecología, & Estructura de Recerca Interdisciplinar en Biotecnologia i Biomedicina (ERI BIOTECMED), Universitat de València. Burjassot, Valencia, Spain.

Article Synopsis
  • A recent surge in vibriosis linked to global warming highlights a new species, Vibrio metoecus, which has not previously been associated with human septicemia deaths.
  • A blood isolate from a patient who died from secondary septicemia was identified through advanced genome sequencing techniques after traditional methods failed.
  • The study found that V. metoecus can survive in human serum and carries unique genetic traits related to surface polysaccharide modification, emphasizing the need to monitor emerging pathogens as climate change may enhance their risks.
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Coeliac disease is a common condition for which the only current treatment is a gluten-free diet. Adherence to this diet is not always easy and is associated with a reduction in quality of life for the patient and their family. Non-adherence is associated with complications of varying severity.

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Calling for Action: The Need of Large-Scale Cohorts to Uncover the Cardiovascular Risk in Non-Sleepy Obstructive Sleep Apnea.

High Blood Press Cardiovasc Prev

October 2024

Department of Cardiovascular, Neural and Metabolic Sciences, IRCCS Istituto Auxologico Italiano, Milan, Italy.

Article Synopsis
  • Randomized clinical trials do not currently support using continuous positive airway pressure for treating asymptomatic obstructive sleep apnea (OSA), especially in low-risk patients.
  • The OSCAR algorithm was proposed to help doctors manage asymptomatic moderate-severe OSA by focusing on weight loss, symptoms, and cardiovascular disease (CVD) risk.
  • Research found no significant difference in the risk of major adverse cardiovascular events (MACE) between patients with moderate-severe OSA and those without OSA, indicating that more studies are needed on this topic.
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