141 results match your criteria: "LHospitalet de Llobregat[Affiliation]"

Background: Although there are many works analyzing the clinical behavior of immediate loading of implants inserted by guided surgery, the literature referring specifically to elderly patients is scarce. The aim of this investigation is to present the clinical outcomes of immediate loading of implants inserted by guided surgery in geriatric patients with edentulous maxilla.

Material And Methods: The clinical data of 20 elderly patients with edentulous jaws are analyzed retrospectively.

View Article and Find Full Text PDF

Anatomy, Biomechanics, and Pathogenesis of the Lesser Toes Deformities.

Foot Ankle Clin

December 2024

MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Merignac, France; Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Carrer de la Feixa Llarga, s/n, 08907 L´Hospitalet de Llobregat, Barcelona, Spain.

Deformities of the lesser toes are a prevalent condition faced by orthopedic surgeons. An imbalance between the extensor and flexor muscles might cause these deformities, affecting the metatarsophalangeal joint (MTPJ) and interphalangeal joint (IPJ). Therefore, a thorough understanding of the anatomy, biomechanics of the MTPJ, the surrounding structures, and the pathogenesis of lesser toe deformities is crucial for ensuring the correct diagnosis and treatment of the deformities.

View Article and Find Full Text PDF

Severe respiratory syncytial virus disease.

J Intensive Med

October 2024

Microbiome Research Laboratory (MRL), Department of Immunology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Article Synopsis
  • The burden of respiratory syncytial virus (RSV) is significant, especially among vulnerable populations like the very young, elderly, and those with chronic health issues, with severe cases often requiring intensive care.
  • Supportive care is the main treatment for RSV, and advancements in non-invasive ventilation and high-flow oxygen therapy have improved outcomes, particularly in severe cases in both children and adults.
  • While bacterial infections are rare in RSV cases, they complicate treatment, and the focus is on avoiding unnecessary antibiotics, with ongoing research into antiviral therapies and new vaccines like nirsevimab poised to improve management.
View Article and Find Full Text PDF

Application of CAD-CAM technology in the reconstruction of anterior teeth with implant restorations affected by growth changes in young adults: A clinical report.

J Prosthet Dent

October 2024

Private practice, Valladolid, Spain; Guest Professor, Department of Dentistry, University of Barcelona, L´Hospitalet de Llobregat, Barcelona, Spain; Guest Professor, Department of Dentistry, International University of Catalunya, San Cugat del Valles, Spain; and Clinical Instructor, Kois Center, Seattle, Wash.

Anterior implant-supported restorations can be challenging, but for a patient undergoing growth and development changes, clinical resolution becomes complex and demanding. To achieve successful outcomes, multidisciplinary dental therapy is required to manage esthetic consequences while maintaining a minimally invasive approach. This clinical report describes a comprehensive treatment protocol to address and treat growth and development complications for an implant-supported prosthesis.

View Article and Find Full Text PDF

Background: Non-AIDS defining malignancies present a growing challenge for persons with HIV (PWH), yet tailored interventions for timely cancer diagnosis are lacking. The Spanish IMPAC-Neo protocol was designed to compare two comprehensive cancer screening strategies integrated into routine HIV care. This study reports baseline data on the prevalence and types of precancerous lesions and early-stage cancer among participants at enrolment.

View Article and Find Full Text PDF

Clinical Subphenotypes of Staphylococcus aureus Bacteremia.

Clin Infect Dis

November 2024

Centre for Inflammation Research, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, United Kingdom.

Background: Staphylococcus aureus bacteremia (SAB) is a clinically heterogeneous disease. The ability to identify subgroups of patients with shared traits (subphenotypes) is an unmet need to allow patient stratification for clinical management and research. We aimed to test the hypothesis that clinically relevant subphenotypes can be reproducibly identified among patients with SAB.

View Article and Find Full Text PDF

Hospital and intensive care unit stay associated with body mass index affect cardiorespiratory fitness in patients with COVID-19.

Chron Respir Dis

June 2024

DAFNiS Research Group (Pain, Physical Activity, Nutrition and Health), Campus Docent Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain.

Background: The effects of coronavirus disease 2019 (COVID-19) on the cardiorespiratory fitness of hospitalized and obese patients are of utmost relevance. This study aimed to analyze how hospital and intensive care unit (ICU) stay together with body mass index affect cardiorespiratory fitness in patients with COVID-19.

Methods: 251 participants (males, = 118; females, = 133) were assigned to four groups: non-hospitalized COVID-19 patients ( = 65, age: 45.

View Article and Find Full Text PDF
Article Synopsis
  • X-ALD (adrenoleukodystrophy) is caused by the loss of the ABCD1 transporter, leading to an accumulation of very-long-chain fatty acids (VLCFAs) that disrupt vital cellular functions for axonal maintenance.
  • Using advanced imaging techniques, researchers found that this VLCFA excess leads to mitochondrial fragmentation in mouse models and patient cells, affecting mitochondrial health.
  • Targeting DRP1, a key protein involved in mitochondrial fission, showed promise in preventing these issues and preserving axonal integrity, indicating potential therapeutic strategies for X-ALD.
View Article and Find Full Text PDF
Article Synopsis
  • The study examined how clinical management of nonST-segment elevation myocardial infarction (NSTEMI) differs between men and women, focusing on in-hospital events based on biological sex.
  • A total of 1,020 patients were enrolled, with women being older and frailer on average; they were less likely to undergo timely coronary angiography compared to men.
  • Despite differences in prescribed antithrombotic therapies, there were no significant disparities in the rates of coronary revascularization or in-hospital cardiovascular events between the sexes.
View Article and Find Full Text PDF
Article Synopsis
  • The REDISCOVER consensus conference focused on creating guidelines for the perioperative care of patients with borderline-resectable and locally advanced pancreatic ductal adenocarcinoma (PDAC).
  • Using a structured methodology and expert consensus, the conference developed 34 recommendations on various aspects of surgical care, patient selection, and management of pancreatic cancer.
  • Despite the low evidence quality for most recommendations, participants highlighted the importance of establishing an international registry to enhance understanding and care for this patient group.
View Article and Find Full Text PDF

Background: Many patients with COVID-19 present the so-called post-acute sequelae of COVID-19 such as fatigue, post-stress discomfort, dyspnea, headache, pain mental impairment, incapacity to perform daily physical tasks ant exercise intolerance. This study aims to investigate the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae.

Methods: The sample will be made up of 120 eligible participants, over the age of 60 years who have had COVID-19 disease and are survivors and present persistent COVID-19 symptomatology diagnosed by the corresponding physician.

View Article and Find Full Text PDF

Fabrication of facially guided CAD-CAM complete dentures: A dental technique.

J Prosthet Dent

November 2023

Private practice, Valladolid, Spain, Kois Center, Seattle, Wash; Guest Professor, Department of Dentistry, University of Barcelona, L´Hospitalet de Llobregat, Barcelona, Spain; Guest Professor, Department of Dentistry, International University of Catalunya, San Cugat del Valles, Barcelona, Spain; and Clinical Instructor, Kois Center, Seattle, Wash.

An alternative protocol is presented to design computer-aided design and computer-aided manufacturing (CAD-CAM) complete dentures and overdentures using a facially guided digital design. The facially guided design protocol with CAD-CAM facilitated communication between the clinician and dental laboratory technician. A monolithic denture and overdenture were fabricated guided by preliminary dentures with 3-dimensionally (3D) printed denture bases and milled wax teeth.

View Article and Find Full Text PDF

Staging Parkinson's disease according to the MNCD classification correlates with caregiver burden.

Brain Behav

December 2023

Department of Neurology, Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain.

Background And Objective: Recently, we demonstrated that staging Parkinson's disease (PD) with a novel simple classification called MNCD, based on four axes (motor, non-motor, cognition, and dependency) and five stages, correlated with disease severity and patients' quality of life. Here, we analyzed the correlation of MNCD staging with PD caregiver's status.

Patients And Methods: Data from the baseline visit of PD patients and their principal caregiver recruited from 35 centers in Spain from the COPPADIS cohort from January 2016 to November 2017 were used to apply the MNCD total score (from 0 to 12) and MNCD stages (from 1 to 5) in this cross-sectional analysis.

View Article and Find Full Text PDF

Response to levodopa in Parkinson's disease over time. A 4-year follow-up study.

Parkinsonism Relat Disord

November 2023

Unidad de Trastornos Del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen Del Rocío/CSIC/Universidad de Sevilla, Seville, Spain; CIBERNED (Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas), Spain.

Background And Objective: A good response to levodopa is a key factor to indicate device-aided therapies in people with Parkinson's disease (PwPD). The aim of the present study was to analyze the response to levodopa in PwPD with motor fluctuations followed for 4 years.

Patients And Methods: PwPD with motor fluctuations recruited from January 2016 to November 2017 from the COPPADIS cohort and assessed annually (from baseline to 4-year follow-up) during the OFF and ON states were included in this analysis.

View Article and Find Full Text PDF

Background: Familial papillary thyroid microcarcinoma (FPTMC) appears to be more aggressive than sporadic papillary thyroid microcarcinoma (SPTMC). However, there are authors who indicate that unicentric FPTMC has a similar prognosis to SPTMC. The objective is to analyze whether unicentric FPTMC has a better prognosis than multicentric FPTMC.

View Article and Find Full Text PDF

Introduction: Acute pancreatitis is a high-incidence benign disease. In 2009, it was the second highest cause of total hospital stays, the largest contributor to aggregate costs (approximately US$ 7000.00 per hospitalization), and the fifth leading cause of in-hospital deaths in the United States.

View Article and Find Full Text PDF

Use of a surgically implanted, nondischargeable, extracorporeal continuous flow circulatory support system as a bridge to heart transplant.

Rev Esp Cardiol (Engl Ed)

January 2024

Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña (CHUAC), Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain; Servicio de Cirugía Cardiaca, Hospital Clínica Universidad de Navarra, Pamplona, Navarra, Spain.

Introduction And Objectives: We aimed to describe the clinical outcomes of the use of the CentriMag acute circulatory support system as a bridge to emergency heart transplantation (HTx).

Methods: We conducted a descriptive analysis of the clinical outcomes of consecutive HTx candidates included in a multicenter retrospective registry who were treated with the CentriMag device, configured either for left ventricular support (LVS) or biventricular support (BVS). All patients were listed for high-priority HTx.

View Article and Find Full Text PDF

COVID-19-associated pulmonary aspergillosis (CAPA) has emerged as a frequent complication in the intensive care unit (ICU). However, little is known about this life-threatening fungal superinfection in solid organ transplant recipients (SOTRs), including whether targeted anti-mold prophylaxis might be justified in this immunosuppressed population. We performed a multicentric observational retrospective study of all consecutive ICU-admitted COVID-19 SOTRs between August 1, 2020 and December 31, 2021.

View Article and Find Full Text PDF

Enhancing physicians' radiology diagnostics of COVID-19's effects on lung health by leveraging artificial intelligence.

Front Bioeng Biotechnol

April 2023

Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá, Alcala de Henares, Spain.

This study aimed to develop an individualized artificial intelligence model to help radiologists assess the severity of COVID-19's effects on patients' lung health. Data was collected from medical records of 1103 patients diagnosed with COVID-19 using RT- qPCR between March and June 2020, in Hospital Madrid-Group (HM-Group, Spain). By using Convolutional Neural Networks, we determine the effects of COVID-19 in terms of lung area, opacities, and pulmonary air density.

View Article and Find Full Text PDF

Introduction: Drooling in Parkinson's disease (PD) is frequent but often goes underrecognized. Our aim was to examine the prevalence of drooling in a PD cohort and compare it with a control group. Specifically, we identified factors associated with drooling and conducted subanalyses in a subgroup of very early PD patients.

View Article and Find Full Text PDF

Identifying gaps in the cascade of care for latent TB infection in a low-incidence setting.

Int J Tuberc Lung Dis

April 2023

Tuberculosis Unit, Service of Infectious Diseases, Bellvitge University Hospital-Bellvitge Institute for Biomedical Research (IDIBELL), L´Hospitalet de Llobregat, Barcelona, Spain, Department of Clinical Sciences, University of Barcelona, L´Hospitalet de Llobregat, Barcelona, Spain.

The End TB Strategy calls for the global scale-up of treatment for latent TB infection (LTBI). We aimed to evaluate a nurse-led care programme for LTBI by identifying gaps in the care cascade in a low-incidence TB setting. We included people at risk of TB over a 15-year period.

View Article and Find Full Text PDF

Purpose: To adapt the Scale for the Evaluation of Staff Patient Interactions in Progress Notes to Spanish and to test the psychometric properties.

Design And Methods: The study was conducted in two phases: (1) Adaptation of the instrument to Spanish following the Standards for Educational and Psychological Testing. (2) Psychometric study in a sample of mental health nurses.

View Article and Find Full Text PDF

Background: Patients should get actively involved in the management of their illness. The aim of this study was to assess the influence of lifestyle factors, including sleep, diet, and physical activity, on lithium levels in patients with bipolar disorder.

Methods: A multicenter study was performed.

View Article and Find Full Text PDF

Real-World Evidence of Tofacinitib in Ulcerative Colitis: Short-Term and Long-Term Effectiveness and Safety.

Am J Gastroenterol

July 2023

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.

Introduction: The objective of this study was to assess the durability, short-term and long-term effectiveness, and safety of tofacitinib in ulcerative colitis (UC) in clinical practice.

Methods: This is a retrospective multicenter study including patients with UC who had received the first tofacitinib dose at least 8 weeks before the inclusion. Clinical effectiveness was based on partial Mayo score.

View Article and Find Full Text PDF