108 results match your criteria: "Vall d'Hebron General Hospital[Affiliation]"

Meta-analyses uncover the genetic architecture of Idiopathic Inflammatory Myopathies.

Arthritis Rheumatol

December 2024

Institute for Clinical and Translational Research, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.

Objective: Idiopathic inflammatory myopathies (myositis, IIMs) are rare, systemic autoimmune disorders that lead to muscle inflammation, weakness, and extra-muscular manifestations, with a strong genetic component influencing disease development and progression. Previous genome-wide association studies identified loci associated with IIMs. In this study, we imputed data from two prior genome-wide myositis studies and analyzed the largest myositis dataset to date to identify novel risk loci and susceptibility genes associated with IIMs and its clinical subtypes.

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Article Synopsis
  • Myositis is a rare disease that negatively affects patients' quality of life, and the study investigates an intervention aimed at improving this aspect.
  • A total of 34 myositis patients were divided into an experimental group that received psychoeducational sessions and a control group, with quality of life measures taken before and after the intervention.
  • Results showed significant improvements in the experimental group for quality of life, well-being, and self-efficacy, particularly in reducing sedentariness and enhancing social relationship satisfaction compared to the control group.
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Article Synopsis
  • The study aimed to assess microcirculation abnormalities in patients with Behçet's Syndrome (BS) and their link to vascular issues using nailfold videocapillaroscopy (NVC).
  • Out of 65 patients, 36.9% showed vascular involvement, with NVC revealing abnormalities like tortuous capillaries and microhaemorrhages in nearly half of the participants.
  • Significant correlations were found between specific NVC abnormalities and vascular complications, indicating that NVC could be useful for early identification of patients at risk for vascular events.
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Discovery of new myositis genetic associations through leveraging other immune-mediated diseases.

HGG Adv

October 2024

Cambridge Institute of Therapeutic Immunology and Infectious Disease (CITIID), University of Cambridge, Cambridge, UK; Department of Medicine, University of Cambridge, Cambridge, UK; MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.

Article Synopsis
  • Genome-wide association studies (GWASs) are effective in linking genetic variants to various human traits and diseases, but they often require large sample sizes, making it tough to study rarer diseases like myositis, which severely affect patients' quality of life.
  • The researchers used a feature engineering method to leverage data from larger IMD GWASs, discovering 17 immune-mediated diseases genetically related to myositis, including conditions like systemic sclerosis and Sjögren's syndrome.
  • They identified seven potential new genetic links to myositis, hinting that immune system genes may play a role in the disease, and suggest this method could enhance genetic research in other rare conditions as well.
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Critical thinking level in nursing degree students according to sociodemographic and academic variables: A correlational study.

Nurse Educ Pract

July 2024

Multidisciplinary Nursing Research Group, Vall d'Hebron Research Institute (VHIR), Hospitalization nurse at the Vall d'Hebron General Hospital, Vall d'Hebron University Hospital, Passeig Vall d'Hebron 119-129, Barcelona 08035, Spain.

Aims: To determine the level of critical thinking of undergraduate nursing students during their clinical practice, as well as to identify the relationship between sociodemographic and academic variables.

Background: Nursing degree programs should prioritize the development of critical thinking skills in their curriculum and regularly assess students to ensure the acquisition of core competencies.

Design: Multicenter, descriptive, cross-sectional, correlational, descriptive study.

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Subclinical myocardial involvement in a cohort of patients with antisynthetase syndrome.

Clin Exp Rheumatol

February 2024

Systemic Autoimmune Diseases Unit, Vall d'Hebron General Hospital, Barcelona, and Department of Medicine, Universitat Autònoma de Barcelona, Spain.

Article Synopsis
  • * Twenty-five ASSD patients underwent CMR, revealing that 32% had pathological findings, including elevated T1, T2, and extracellular volume (ECV) values, indicating potential myocardial issues.
  • * The results suggest that subclinical myocardial involvement is relatively common in ASSD patients, with myocardial edema being the most observed anomaly; however, the clinical significance of these findings remains unclear.
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Article Synopsis
  • - The CLASS project aims to develop data-driven classification criteria for anti-synthetase syndrome (ASSD) by assessing the effectiveness of local immunoassays for detecting anti-aminoacyl tRNA synthetase antibodies (anti-ARS) in real-world settings.
  • - Researchers collected 787 serum samples from various centers and compared local testing results with a central standard using immunoprecipitation and other methods to evaluate tests' sensitivity, specificity, and predictive values.
  • - While local detection of anti-Jo1 antibodies showed high reliability, the agreement for anti-non-Jo1 antibodies varied, indicating some local tests may not align well with central definitions.
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Issues in the classification of myositis patients: an ongoing process.

Clin Exp Rheumatol

February 2024

Department of Internal Medicine and Therapeutics, Università di Pavia, and Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

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Article Synopsis
  • - Adult-onset idiopathic inflammatory myopathy (IIM) increases cancer risk around its onset, prompting the need for tailored cancer screening strategies.
  • - An international expert group developed 18 recommendations using a modified Delphi method, focusing on risk stratification and cancer screening based on IIM subtype and clinical features.
  • - The guidelines specify 'basic' and 'enhanced' cancer screening panels and suggest timing and frequency for screenings, including additional procedures for high-risk patients, aiming for earlier cancer detection and improved survival rates.
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Dermatomyositis (DM), antisynthetase syndrome (AS), immune-mediated necrotizing myopathy (IMNM), and inclusion body myositis (IBM) are four major types of idiopathic inflammatory myopathy (IIM). Muscle biopsies from each type of IIM have unique transcriptomic profiles. MicroRNAs (miRNAs) target messenger RNAs (mRNAs), thereby regulating their expression and modulating transcriptomic profiles.

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Article Synopsis
  • The study aimed to identify the prevalence of late-onset Pompe disease (LOPD) among patients in Internal Medicine departments in Spain who showed possible signs of the disease but were undiagnosed.
  • It was a multicenter, observational study that used dried blood spots (DBS) to screen for LOPD, confirming diagnosis through further enzyme activity tests and genetic testing if initial DBS results indicated low enzyme activity.
  • The findings revealed a low prevalence of LOPD, confirming the disease in only 2 out of 322 patients (0.6%), suggesting there may be a hidden population that could benefit from earlier diagnosis and treatment.
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Inflammatory myopathy in adults, health-related quality of life, and wellbeing: a round trip between immune disease and wellness.

Expert Rev Clin Immunol

November 2023

Systemic Autoimmune Diseases Unit, Department of Medicine, Vall d'Hebron General Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.

Article Synopsis
  • Patients with myositis experience worse health-related quality of life (HRQoL) and wellbeing compared to the general population, which negatively impacts their disease course.
  • The text explores the importance of positive wellbeing in various areas—physical, environmental, psychological, and social—and its potential to lessen the severity of myositis and related organ damage.
  • It emphasizes the need for targeted strategies to enhance HRQoL and wellbeing in adults with myositis to improve their overall disease outcome.
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Pain in individuals with idiopathic inflammatory myopathies, other systemic autoimmune rheumatic diseases, and without rheumatic diseases: A report from the COVAD study.

Int J Rheum Dis

April 2023

Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.

Article Synopsis
  • A study compared pain levels among people with idiopathic inflammatory myopathies (IIMs), other systemic autoimmune diseases (AIRDs), and those without rheumatic diseases (wAIDs) using data from a large online survey conducted during the COVID-19 pandemic.
  • Participants reported their pain on a numerical rating scale; results showed that those with IIMs experienced more pain than wAIDs but less than those with other AIRDs.
  • Factors such as female gender, age, and ethnicity influenced pain levels, highlighting that higher pain scores are linked to poor functional status in individuals with IIMs.
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Identification of Novel Associations and Localization of Signals in Idiopathic Inflammatory Myopathies Using Genome-Wide Imputation.

Arthritis Rheumatol

June 2023

Epidemiology and Public Health Group, Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Article Synopsis
  • The study investigates idiopathic inflammatory myopathies (IIMs), focusing on identifying genetic variants linked to the condition using a large dataset from the Myositis Genetics Consortium (MYOGEN).
  • Analyzed over 2,500 IIM patient samples alongside 10,000 control samples, the research confirmed HLA regions as significant and discovered four non-HLA genetic regions related to IIM, including two novel associations, SDK2 and LINC00924.
  • The findings highlight the involvement of genetic factors in IIMs and suggest potential links to other autoimmune diseases, indicating promising areas for further research into disease mechanisms and potential therapies.
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The nursing critical thinking in clinical practice questionnaire for nursing students: A psychometric evaluation study.

Nurse Educ Pract

November 2022

Department of Mental Health Nursing, Campus Docent Sant Joan de Déu, School of Nursing, University of Barcelona, Carrer Miret i Sans 10-16, 08034 Barcelona, Spain.

Aim: To adapt and validate the N-CT-4 Practice for use with Spanish nursing students.

Background: Promoting critical thinking is one of the primary objectives of nursing education programs all over the world. Using reliable and valid instruments to measure critical thinking is essential.

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Purpose Of The Review: Cancer-associated myositis (CAM) is defined as when cancer appears within 3 years of myositis onset. Dermatomyositis and seronegative immune-mediated necrotizing myopathy are the phenotypes mostly related to cancer. In general, treatment principles in myositis patients with and without CAM are similar.

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Objectives: We aimed to compare the spectrum and severity of COVID-19 and vaccine breakthrough infections (BIs) among patients with IIMs, other systemic autoimmune and inflammatory diseases (SAIDs), and healthy controls (HCs).

Methods: This is a cross-sectional study with data from the COVAD study, a self-reported online global survey that collected demographics, COVID-19 history, and vaccination details from April to September 2021. Adult patients with at least one COVID-19 vaccine dose were included.

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This study aims to describe patients' and family caregivers' hospitalization experiences during the COVID-19 pandemic. Using qualitative exploratory descriptive methods, 13 patients admitted to the largest hospital in Barcelona (Spain) due to COVID-19 were interviewed by telephone once discharged, as were eight primary caregivers. Data were analyzed using the content analysis method proposed by Krippendorff.

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Vaccine hesitancy is considered a major barrier to achieving herd immunity against COVID-19. While multiple alternative and synergistic approaches including heterologous vaccination, booster doses, and antiviral drugs have been developed, equitable vaccine uptake remains the foremost strategy to manage pandemic. Although none of the currently approved vaccines are live-attenuated, several reports of disease flares, waning protection, and acute-onset syndromes have emerged as short-term adverse events after vaccination.

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Objectives: The assessment of physical function is fundamental in the management of patients with idiopathic inflammatory myopathies (IIMs). We aimed to investigate the physical function of patients with IIMs compared with those with non-IIM autoimmune rheumatic diseases (AIRDs) utilizing Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) data obtained in the COVAD study, an international self-reported e-survey assessing the safety of COVID-19 vaccines in AIRDs.

Methods: Demographics, AIRD diagnosis, disease activity, and PROMIS PF short form-10a data were extracted from the COVAD database.

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Introduction/aims: In this study we investigated COVID-19 vaccination-related adverse events (ADEs) 7 days postvaccination in patients with idiopathic inflammatory myopathies (IIMs) and other systemic autoimmune and inflammatory disorders (SAIDs).

Methods: Seven-day vaccine ADEs were collected in an international patient self-reported e-survey. Descriptive statistics were obtained and multivariable regression was performed.

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Objectives: COVID-19 vaccines have been proven to be safe in the healthy population. However, gaps remain in the evidence of their safety in patients with systemic autoimmune and inflammatory disorders (SAIDs). COVID-19 vaccination-related adverse events (AEs) in patients with SAIDs and healthy controls (HC) seven days post-vaccination were assessed in the COVAD study, a patient self-reported cross-sectional survey.

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