706 results match your criteria: "National Center for Epidemiology[Affiliation]"

Article Synopsis
  • Liver cancer rates have increased among American Indians/Alaska Natives, and blood DNA methylation could serve as a potential biomarker for cancer risk.
  • The study analyzed DNA from 2,324 participants aged 45-75 from various states, tracking liver cancer deaths over a follow-up period averaging 25 years.
  • Nine specific DNA methylation sites were linked to liver cancer, indicating how changes in methylation patterns could help predict liver cancer risk and mortality.
View Article and Find Full Text PDF

Blood Selenium Concentrations Are Inversely Associated with the Risk of Undernutrition in Older Adults.

Nutrients

November 2023

Consortium for Biomedical Research in Epidemiology & Public Health (CIBER en Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.

Article Synopsis
  • Selenium plays a crucial role in maintaining a healthy balance in older adults, being linked to appetite control and gut health.
  • A study involving 1398 older individuals in Spain found that higher selenium levels were associated with a lower risk of developing moderate to severe undernutrition over an average follow-up of 2.3 years.
  • The findings indicate that ensuring sufficient selenium intake could be important for preventing undernutrition, potentially leading to future research on safe selenium supplementation.
View Article and Find Full Text PDF
Article Synopsis
  • - The study explores the link between urinary metal levels and cardiovascular disease (CVD) by analyzing data from 6,418 participants over a ten-year period, focusing on non-essential metals like cadmium and essential metals such as cobalt and zinc.
  • - Results showed that higher urinary levels of cadmium, tungsten, uranium, and cobalt were significantly associated with increased coronary artery calcium (CAC) progression, indicating a higher risk of atherosclerotic CVD over time.
  • - While cadmium had a strong association with both baseline and ten-year follow-up measures of CAC, the effect of copper and zinc diminished after adjusting for clinical risk factors, suggesting varying impacts of different metals on cardiovascular health.
View Article and Find Full Text PDF

Background: The emergence of dental implants has revolutionized the management of tooth loss. However, the placement of clinical implants exposes them to complex oral environment and numerous microscopic entities, such as bacteria. Cold atmospheric plasma (CAP) is often used to treat the surfaces of dental implants, which alters morphological features and effectively reduces bacterial load.

View Article and Find Full Text PDF

Effectiveness and safety of bictegravir/emtricitabine/tenofovir alafenamide in HIV late presenters.

Int J Antimicrob Agents

January 2024

Department of Infectious Diseases, Hospital Universitario Reina Sofia, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba (UCO), Córdoba, Spain; CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, 28029 Madrid, Spain.

Article Synopsis
  • The study examined the effectiveness and tolerability of the HIV treatment regimen BIC/FTC/TAF in late presenters starting antiretroviral therapy (ART) with CD4 counts below 200 cells/mm.
  • Analysis focused on comparing rates of viral suppression and immunological recovery in 314 treatment-naïve adults over 48 weeks.
  • Results indicated that those starting with BIC/FTC/TAF had significantly higher rates of viral suppression and lower treatment discontinuations compared to other regimens, suggesting it could be a preferred option for late presenters.
View Article and Find Full Text PDF

The hierarchy of evidence is a fundamental concept in evidence-based medicine, but existing models can be challenging to apply in laboratory-based health care disciplines, such as pathology, where the types of evidence and contexts are significantly different from interventional medicine. This project aimed to define a comprehensive and complementary framework of new levels of evidence for evaluating research in tumor pathology-introducing a novel Hierarchy of Research Evidence for Tumor Pathology collaboratively designed by pathologists with help from epidemiologists, public health professionals, oncologists, and scientists, specifically tailored for use by pathologists-and to aid in the production of the World Health Organization Classification of Tumors (WCT) evidence gap maps. To achieve this, we adopted a modified Delphi approach, encompassing iterative online surveys, expert oversight, and external peer review, to establish the criteria for evidence in tumor pathology, determine the optimal structure for the new hierarchy, and ascertain the levels of confidence for each type of evidence.

View Article and Find Full Text PDF

The Impact of the Second Wave of the COVID-19 Pandemic on Non-COVID Hospital Care in a Tertiary Hospital in Spain.

J Clin Med

August 2023

Clinical Epidemiology and Vascular Risk, Instituto de Biomedicina de Sevilla, IBIS, Hospital Universitario Virgen del Rocío, Consejo Superior de Investigaciones Científicas, CSIC, University of Seville, 41013 Seville, Spain.

In 2020, Spain ranked fourth among European countries with the highest excess mortality due to COVID-19 disease. This study evaluates the impact of the COVID-19 pandemic on non-COVID patients in a tertiary hospital during the second pandemic wave in Spain (22 June 2020-6 December 2020). Data from Virgen del Rocío University Hospital in Seville during that timeframe were compared with the data from the same period in the preceding two years (2018-2019).

View Article and Find Full Text PDF

Wildfires and COVID-19: syndemic impact on maternal and child health.

Trends Endocrinol Metab

December 2023

School of Medicine and Psychology, College of Health and Medicine, Australian National University, Canberra, ACT 2601, Australia; John Curtin School of Medical Research, College of Health and Medicine, Australian National University, Canberra, ACT 2601, Australia; Endocrinology and Diabetes, The Canberra Hospital, Canberra Health Services, ACT 2601, Australia.

The prevailing COVID-19 pandemic and climate change-mediated wildfires can combine to impact maternal-child health, yet this connection remains understudied. To shape policies and design interventions to mitigate the combined effects of future global catastrophes, it is vital to holistically evaluate the impact of syndemics on maternal-child health.

View Article and Find Full Text PDF

Clinical characteristics and outcomes of people with severe mental disorders hospitalized due to COVID-19: A nationwide population-based study.

Gen Hosp Psychiatry

November 2023

CAUSALab, Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Mental Health Network Biomedical Research Center (CIBERSAM), Madrid, Spain; Hospital La Paz Institute for Health Research (IDIPaz), Madrid, Spain.

Objetive: Hospitalized COVID-19 patients with severe mental illness (SMI) have worse outcomes than counterparts without SMI. Barriers in access to acute care medical procedures among SMI patients may partially explain this phenomenon. Here, we examined differences in critical care admission and in-hospital mortality between hospitalized COVID-19 patients with and without SMI.

View Article and Find Full Text PDF

Background: Lung cancer is the main cause of cancer mortality worldwide and in Spain. Several previous studies have documented socio-economic inequalities in lung cancer mortality but these have focused on specific provinces or cities. The goal of this study was to describe lung cancer mortality in Spain by sex as a function of socio-economic deprivation.

View Article and Find Full Text PDF

Metal-organic framework nanoparticles (nanoMOFs) are promising nanomaterials for biomedical applications. Some of them, including biodegradable porous iron carboxylates are proposed for encapsulation and delivery of antibiotics. Due to the high drug loading capacity and fast internalization kinetics, nanoMOFs are more beneficial for the treatment of intracellular bacterial infections compared to free antibacterial drugs, which poorly accumulate inside the cells because of the inability to cross membrane barriers or have low intracellular retention.

View Article and Find Full Text PDF

Inadequately diversified food consumption during pregnancy can lead to micronutrient deficiencies, which can affect maternal and newborn health outcomes. Previous studies on maternal dietary diversity have either been limited to a specific geographical region or consist entirely of systematic reviews, without meta-analyses. Thus, this study aimed to determine the pooled estimate of the association between inadequate dietary diversity during pregnancy, maternal anemia, and low birth weight in Africa.

View Article and Find Full Text PDF

Smoking, blood DNA methylation sites and lung cancer risk.

Environ Pollut

October 2023

Integrative Epidemiology Group, Department of Chronic Diseases Epidemiology, National Center for Epidemiology, Carlos III Health Institute, Madrid, Spain.

Article Synopsis
  • This study explores how altered DNA methylation (DNAm) may link smoking to lung cancer, using data from the Strong Heart Study (SHS) involving 2,321 participants.
  • Researchers found specific differentially methylated positions (DMPs) in blood samples related to lung cancer incidence, with some showing consistent effects in validation from the Framingham Heart Study (FHS).
  • The analysis revealed that changes in DNAm at genes AHRR and IER3 could help explain the connection between smoking and lung cancer, prompting the need for further experimental studies to clarify the biological significance of these findings.
View Article and Find Full Text PDF

Cadmium and lead are known to interfere with the endocrine function. Thus, hormonally regulated processes such as menarche, menopause and pregnancy are likely influenced by chronic exposure to these metals. In US post-menopausal women, who already completed their reproductive lifespan, we evaluated the association between blood cadmium and lead levels with self-reported reproductive lifespan and personal history of pregnancy loss.

View Article and Find Full Text PDF

Metal mixtures and DNA methylation measures of biological aging in American Indian populations.

Environ Int

August 2023

Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address:

Article Synopsis
  • Native American communities experience higher exposure to metals and increased risks of cardiovascular diseases and diabetes, prompting research into the effects of metal exposure on biological aging.
  • The study analyzed blood DNA methylation data from over 2,300 participants in the Strong Heart Study to assess the impact of urinary metals on various DNA methylation-based aging measures.
  • Results indicate that exposure to nonessential metals, particularly cadmium, is associated with increased epigenetic age acceleration, while essential metals showed a protective effect; notably, non-smokers displayed greater associations with cadmium and zinc.
View Article and Find Full Text PDF

Introduction: Traumatic brain injury is a substantial cause of mortality and morbidity with a higher burden in low and middle-income countries due to healthcare systems that are unable to deliver effectively the acute and long-term care the patients require. Besides its burden, there is little information on traumatic brain injury-related mortality in Ethiopia, especially in the region. Therefore, this study aimed to assess the incidence and predictors of mortality among traumatic brain injury patients admitted to comprehensive specialized hospitals in the Amhara region, northwest Ethiopia, 2022.

View Article and Find Full Text PDF

Dissecting the genetic heterogeneity of gastric cancer.

EBioMedicine

June 2023

Institute of Human Genetics, University of Marburg, Marburg, Germany. Electronic address:

Background: Gastric cancer (GC) is clinically heterogenous according to location (cardia/non-cardia) and histopathology (diffuse/intestinal). We aimed to characterize the genetic risk architecture of GC according to its subtypes. Another aim was to examine whether cardia GC and oesophageal adenocarcinoma (OAC) and its precursor lesion Barrett's oesophagus (BO), which are all located at the gastro-oesophageal junction (GOJ), share polygenic risk architecture.

View Article and Find Full Text PDF

Sociodemographic profile and description of the presenting symptom in women with breast cancer in a population-based study: Implications and role for nurses.

Enferm Clin (Engl Ed)

November 2023

Centro de Investigación en Recursos Naturales, Salud y Medio Ambiente (RENSMA), Universidad de Huelva, Huelva, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología y Salud Pública, CIBERESP), Madrid, Spain. Electronic address:

Objective: To describe the frequency and typology of the presenting symptom of women diagnosed of breast cancer in Spain and their socio-demographic profile.

Methods: Descriptive study nested in a population epidemiological study (MCC-SPAIN) in 10 Spanish provinces. Between 2008 and 2012, 836 histologically confirmed incident cases of breast cancer were recruited who reported some symptom prior to diagnosis in a direct computerized interview.

View Article and Find Full Text PDF

Cardiovascular risk of metabolically healthy obesity in two european populations: Prevention potential from a metabolomic study.

Cardiovasc Diabetol

April 2023

Studies Coordinating Centre, Research Unit Hypertension and Cardiovascular Epidemiology, Department of Cardiovascular Sciences, KU Leuven, University of Leuven, Campus Sint Rafaël, Kapucijnenvoer 7, block h, Box 7001, Leuven, BE- 3000, Belgium.

Background: A new definition of metabolically healthy obesity (MHO) has recently been proposed to stratify the heterogeneous mortality risk of obesity. Metabolomic profiling provides clues to metabolic alterations beyond clinical definition. We aimed to evaluate the association between MHO and cardiovascular events and assess its metabolomic pattern.

View Article and Find Full Text PDF

Background: Previous epidemiological studies have suggested that phthalate exposure may contribute to neurocognitive and neurobehavioral disorders and decreased muscle strength and bone mass, all of which may be associated with reduced physical performance. Walking speed is a reliable assessment tool for measuring physical performance in adults age 60 y and older.

Objective: We investigated associations between urinary phthalate metabolites and slowness of walking speed in community-dwelling adults ages 60-98 y.

View Article and Find Full Text PDF

Background: Lower lip reconstruction aims to maintain facial subunit function and aesthetics. We present a minor modification of the McGregor flap technique, in which depressor anguli oris (DAO) muscle is separately elevated as a chimeric flap together to investigate the outcomes for reconstructing lower lip defects using various functional parameters.

Methods: The study included patients who underwent surgical repair of lower lip defects using a McGregor fan flap with or without DAO muscle chimeric flap between January 2018 and May 2021.

View Article and Find Full Text PDF

COVID-19 pandemic in prisons in Spain: characteristics of cases and implemented control measures, March 2020-June 2022.

Public Health

May 2023

General Subdirectorate of Penitentiary Health, General Secretariat of Penitentiary Institutions, Madrid, Spain.

Objectives: Our aim was to describe the epidemiological characteristics of COVID-19 cases in prison inmates in Spain and the control measures implemented to response to this public health challenge.

Study Design: Retrospective observational study.

Methods: All COVID-19-confirmed cases reported to the Spanish information system in prisons between March 2020 and June 2022 were analyzed.

View Article and Find Full Text PDF

Objective: We estimated the incidence rate of HIV medical care interruption (MCI) and its evolution over a 16-year-period, and identified associated risk factors among HIV-positive individuals from the Cohort of the Spanish AIDS Research Network in 2004-2020.

Design: We included antiretroviral-naive individuals aged at least 18 years at enrolment, recruited between January 1, 2004, and August 30, 2019, and followed-up until November 30, 2020.

Methods: Individuals with any time interval of at least 15 months between two visits were defined as having a MCI.

View Article and Find Full Text PDF