1
|
Barrionuevo-Sánchez MI, Ariza-Solé A, Viana-Tejedor A, Del Prado N, Rosillo N, Jorge-Pérez P, Sánchez-Salado JC, Lorente V, Alegre O, Llaó I, Martín-Asenjo R, Bernal JL, Fernández-Pérez C, Corbí-Pascual M, Pascual J, Marcos M, de la Cuerda F, Carmona J, Comin-Colet J, Elola FJ. Clinical profile, management and outcomes of patients with cardiogenic shock undergoing transfer between centers in Spain. Rev Esp Cardiol (Engl Ed) 2024; 77:226-233. [PMID: 37925017 DOI: 10.1016/j.rec.2023.07.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/11/2023] [Indexed: 11/06/2023]
Abstract
INTRODUCTION AND OBJECTIVES The aim of this study was to analyze the clinical profile, management, and prognosis of ST segment elevation myocardial infarction-related cardiogenic shock (STEMI-CS) requiring interhospital transfer, as well as the prognostic impact of structural variables of the treating centers in this setting. METHODS This study included patients with STEMI-CS treated at revascularization-capable centers from 2016 to 2020. The patients were divided into the following groups: group A: patients attended throughout their admission at hospitals with interventional cardiology without cardiac surgery; group B: patients treated at hospitals with interventional cardiology and cardiac surgery; and group C: patients transferred to centers with interventional cardiology and cardiac surgery. We analyzed the association between the volume of STEMI-CS cases treated, the availability of cardiac intensive care units (CICU), and heart transplant with hospital mortality. RESULTS A total of 4189 episodes were included: 1389 (33.2%) from group A, 2627 from group B (62.7%), and 173 from group C (4.1%). Transferred patients were younger, had a higher cardiovascular risk, and more commonly underwent revascularization, mechanical circulatory support, and heart transplant during hospitalization (P<.001). The crude mortality rate was lower in transferred patients (46.2% vs 60.3% in group A and 54.4% in group B, (P<.001)). Lower mortality was associated with a higher volume of care and CICU availability (OR, 0.75, P=.009; and 0.80, P=.047). CONCLUSIONS The proportion of transfers in patients with STEMI-CS in our setting is low. Transferred patients were younger and underwent more invasive procedures. Mortality was lower among patients transferred to centers with a higher volume of STEMI-CS cases and CICU.
Collapse
Affiliation(s)
- M Isabel Barrionuevo-Sánchez
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Albert Ariza-Solé
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
| | | | - Náyade Del Prado
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
| | - Nicolás Rosillo
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain; Servicio de Medicina Preventiva, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Pablo Jorge-Pérez
- Servicio de Cardiología, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, Spain
| | - José Carlos Sánchez-Salado
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Victòria Lorente
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Oriol Alegre
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Isaac Llaó
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - José Luis Bernal
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain; Servicio de Control de Gestión, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Cristina Fernández-Pérez
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain; Servicio de Medicina Preventiva, Área Sanitaria de Santiago y Barbanza, Instituto de Investigaciones Sanitarias de Santiago, Santiago de Compostela, A Coruña, Spain
| | | | - Júlia Pascual
- Servicio de Cardiología, Hospital Universitari Josep Trueta, Girona, Spain
| | - Marta Marcos
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Francisco de la Cuerda
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Jesús Carmona
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Josep Comin-Colet
- Servicio de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Bioheart, Grup de Malalties Cardiovasculars, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | | |
Collapse
|
2
|
Marco-Méndez C, Marbà N, Amores Á, Romero J, Minguito-Frutos M, García M, Pagès JF, Prado P, Boada J, Sánchez-Lizaso JL, Ruiz JM, Muñoz-Ramos G, Sanmartí N, Mayol E, Buñuel X, Bernardeau-Esteller J, Navarro-Martinez PC, Marín-Guirao L, Morell C, Wesselmann M, Font R, Hendriks IE, Seglar X, Camps-Castella J, Bonfill E, Requena-Gutiérrez A, Blanco-Murillo F, Aguilar-Escribano J, Jimenez-Gutierrez S, Martínez-Vidal J, Guillén JE, Cefalì ME, Pérez M, Marcos M, Alcoverro T. Evaluating the extent and impact of the extreme Storm Gloria on Posidonia oceanica seagrass meadows. Sci Total Environ 2024; 908:168404. [PMID: 37939948 DOI: 10.1016/j.scitotenv.2023.168404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 10/30/2023] [Accepted: 11/05/2023] [Indexed: 11/10/2023]
Abstract
Extreme storms can trigger abrupt and often lasting changes in ecosystems by affecting foundational (habitat-forming) species. While the frequency and intensity of extreme events are projected to increase under climate change, its impacts on seagrass ecosystems remain poorly documented. In January 2020, the Spanish Mediterranean coast was hit by Storm Gloria, one of the most devastating recent climate events in terms of intensity and duration. We conducted rapid surveys of 42 Posidonia oceanica meadows across the region to evaluate the extent and type of impact (burial, unburial and uprooting). We investigated the significance of oceanographic (wave impact model), geomorphological (latitude, depth, exposure), and structural (patchiness) factors in predicting impact extent and intensity. The predominant impact of Storm Gloria was shoot unburial. More than half of the surveyed sites revealed recent unburial, with up to 40 cm of sediment removed, affecting over 50 % of the meadow. Burial, although less extensive, was still significant, with 10-80 % of meadow cover being buried under 7 cm of sediment, which is considered a survival threshold for P. oceanica. In addition, we observed evident signs of recently dead matte in some meadows and large amounts of detached drifting shoots on the sea bottom or accumulated as debris on the beaches. Crucially, exposed and patchy meadows were much more vulnerable to the overall impact than sheltered or continuous meadows. Given how slow P. oceanica is able to recover after disturbances, we state that it could take from decades to centuries for it to recoup its losses. Seagrass ecosystems play a vital role as coastal ecological infrastructure. Protecting vulnerable meadows from anthropogenic fragmentation is crucial for ensuring the resilience of these ecosystems in the face of the climate crisis.
Collapse
Affiliation(s)
- Candela Marco-Méndez
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain.
| | - Núria Marbà
- Marine technologies, operational and coastal oceanography Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, 07190 Esporles, Spain
| | - Ángel Amores
- Marine technologies, operational and coastal oceanography Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, 07190 Esporles, Spain; Department of Physics, University of the Balearic Islands, Cra. de Valldemossa km 7.5, 07122 Palma, Spain
| | - Javier Romero
- Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals Secció d'Ecologia, Av. Diagonal, 643, 08028 Barcelona, Spain
| | - Mario Minguito-Frutos
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| | - María García
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| | - Jordi F Pagès
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| | - Patricia Prado
- IRTA, Aquatic ecosystems, Sant Carles de la Ràpita, Ctra. Poble Nou km 5.5, 43540 Sant Carles de la Ràpita, Tarragona, Spain; Institute of Environment and Marine Science Research (IMEDMAR-UCV), Universidad Católica de Valencia SVM, C/Explanada del Puerto S/n, 03710 Calpe, Alicante, Spain
| | - Jordi Boada
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| | - José Luis Sánchez-Lizaso
- Department of Marine Science and Applied Biology, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Juan Manuel Ruiz
- Centro Oceanográfico de Murcia, Instituto Español de Oceanografía, C/Varadero s/n, 30740 San Pedro del Pinatar, Murcia, Spain
| | | | - Neus Sanmartí
- Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals Secció d'Ecologia, Av. Diagonal, 643, 08028 Barcelona, Spain
| | - Elvira Mayol
- Global Change Research Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, c7190 Esporles, Spain
| | - Xavier Buñuel
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| | - Jaime Bernardeau-Esteller
- Centro Oceanográfico de Murcia, Instituto Español de Oceanografía, C/Varadero s/n, 30740 San Pedro del Pinatar, Murcia, Spain
| | - Pedro Clemente Navarro-Martinez
- Centro Oceanográfico de Murcia, Instituto Español de Oceanografía, C/Varadero s/n, 30740 San Pedro del Pinatar, Murcia, Spain
| | - Lázaro Marín-Guirao
- Centro Oceanográfico de Murcia, Instituto Español de Oceanografía, C/Varadero s/n, 30740 San Pedro del Pinatar, Murcia, Spain
| | - Carlos Morell
- Global Change Research Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, c7190 Esporles, Spain
| | - Marlene Wesselmann
- Global Change Research Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, c7190 Esporles, Spain
| | - Rita Font
- Global Change Research Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, c7190 Esporles, Spain
| | - Iris E Hendriks
- Global Change Research Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, c7190 Esporles, Spain
| | | | - Judith Camps-Castella
- IRTA, Aquatic ecosystems, Sant Carles de la Ràpita, Ctra. Poble Nou km 5.5, 43540 Sant Carles de la Ràpita, Tarragona, Spain
| | - Eli Bonfill
- Plàncton, Divulgació y Serveis Marins, Calle Número Vint-i-tres, 284, local 2 (Urb. Les 3 Cales), L'Ametlla de Mar, Spain
| | - Aurora Requena-Gutiérrez
- Plàncton, Divulgació y Serveis Marins, Calle Número Vint-i-tres, 284, local 2 (Urb. Les 3 Cales), L'Ametlla de Mar, Spain
| | - Fabio Blanco-Murillo
- Department of Marine Science and Applied Biology, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Javier Aguilar-Escribano
- Department of Marine Science and Applied Biology, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | | | - Joaquín Martínez-Vidal
- Institut de Ecología Litoral, Carrer de Sta. Teresa, 50, 03560 El Campello, Alicante, Spain
| | - Juan Eduardo Guillén
- Institut de Ecología Litoral, Carrer de Sta. Teresa, 50, 03560 El Campello, Alicante, Spain
| | - Maria Elena Cefalì
- Estació d'Investigació Jaume Ferrer, Instituto Español de Oceanografía (IEO), Mahón, Spain
| | - Marta Pérez
- Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals Secció d'Ecologia, Av. Diagonal, 643, 08028 Barcelona, Spain
| | - Marta Marcos
- Marine technologies, operational and coastal oceanography Group, IMEDEA (CSIC-UIB) Institut Mediterrani d'Estudis Avançats, Miquel Marqués 21, 07190 Esporles, Spain; Department of Physics, University of the Balearic Islands, Cra. de Valldemossa km 7.5, 07122 Palma, Spain
| | - Teresa Alcoverro
- Center for Advanced Studies of Blanes (CEAB, CSIC), Carrer Accés Cala Sant Francesc, 14, 17300 Blanes, Girona, Spain
| |
Collapse
|
3
|
Vilchez B, Manzanal I, Marcos M, Camacho V, González IM, Laín R, San-Segundo MDM, Manrique G, González R, López-Herce J. Early detection of ocular lesions in critically ill children: Testing an ocular assessment scale. Nurs Crit Care 2023. [PMID: 37905300 DOI: 10.1111/nicc.12984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 09/14/2023] [Accepted: 09/18/2023] [Indexed: 11/02/2023]
Abstract
OBJECTIVE There is scarcity of data on the incidence and factors associated with the occurrence of ocular lesions in critically ill children. The objective was to test the applicability and utility of an ocular assessment scale and to identify risk factors of ocular lesions. DESIGN Prospective observational study. SETTING A tertiary care medical-surgical Paediatric Intensive Care Unit. SAMPLE 194 children without previous ocular disease who stayed in the Paediatric Intensive Care Unit for more than 48 h. INTERVENTIONS An ocular lesions risk scale was designed including risk factors lagophthalmos, eye dryness, conjunctival hyperemia, slow blinking, intubation, sedation, relaxation, face mask and hemodynamic instability. Patients were classified as high-, medium-, and low-risk patients. Corneal lesions were examined by fluorescein staining according to their risk and were confirmed by an ophthalmologist. RESULTS 76 patients were examined with fluorescein staining. Thirty-two ocular lesions were detected by nursing staff, 26 confirmed by the ophthalmologist. 53.6% of the high-risk patients developed a corneal lesion. Univariate analysis revealed an association between ocular damage and all factors included in the scale, except for face mask. In the multivariate analysis, ocular lesions were associated with lagophthalmos, hyperemia, invasive mechanical ventilation and inotropic support. CONCLUSIONS The scale was useful to detect corneal lesions in critically ill children. The identification of risk factors will enable the development of measures to reduce the incidence of ocular lesions. RELEVANCE FOR CLINICAL PRACTICE A new, non-validated scale allowed staff to detect eye injuries, study this problem and improve future prevention.
Collapse
Affiliation(s)
- Beatriz Vilchez
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Isabel Manzanal
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Marta Marcos
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Verónica Camacho
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Isabel María González
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Raquel Laín
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | | | - Gema Manrique
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
| | - Rafael González
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
- Health School, Complutense University of Madrid, Madrid, Spain
| | - Jesús López-Herce
- Pediatric intensive Care Department, Gregorio Marañón General University Hospital, Madrid, Spain
- Health School, Complutense University of Madrid, Madrid, Spain
- Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin Network (RICORS) RD21/0012/0011, Instituto de Salud Carlos III, Madrid, Spain
| |
Collapse
|
4
|
Luque P, Gómez-Pujol L, Ribas F, Falqués A, Marcos M, Orfila A. Shoreline response to sea-level rise according to equilibrium beach profiles. Sci Rep 2023; 13:15789. [PMID: 37737491 PMCID: PMC10517172 DOI: 10.1038/s41598-023-42672-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 09/12/2023] [Indexed: 09/23/2023] Open
Abstract
Shoreline position is a key parameter of a beach state, often used as a descriptor of the response of the system to changes in external forcing, such as sea-level rise. Changes in shoreline position are the result of coupled hydrodynamic and morphodynamic processes happening in the nearshore and acting at different temporal scales. Due to this complexity, methodologies aimed at reproducing shoreline evolution at decadal time scale require many simplifications. Simpler methods usually consider an equilibrium beach profile whose shape depends only on beach morphology, and whose location varies depending on incoming forcing. Here, we derive a general equation for shoreline evolution using equilibrium beach profiles. We particularize it based on several common assumptions, and evaluate changes on shoreline position caused by sea-level rise, combined with simultaneous wave and high-frequency sea-level forcing. We compare our model against other analytical equilibrium beach profile-based models and with a dynamic model explicitly computing sediment transport. Results indicate that: (i) it is necessary to consider the area of the emerged beach subject to marine forcing rather than focusing only on the submerged part, (ii) the rates of shoreline recession may change for narrow beaches, defined as those for which marine forcings act onto all of their aerial surface, and (iii) Bruun's Rule can describe beach shoreline evolution, but the uncertainty in selecting the landward boundary of the active profile entails a huge uncertainty in the magnitude of shoreline evolution. This problematic uncertainty can be drastically reduced if instantaneous forcing conditions are used instead of the arbitrary emerged/submerged active profile boundaries typically defined by only one statistic parameter of extreme conditions.
Collapse
Affiliation(s)
- Pau Luque
- Mediterranean Institute for Advanced Studies (IMEDEA), Spanish National Research Council - University of the Balearic Islands (CSIC-UIB), Esporles, Spain.
| | - Lluís Gómez-Pujol
- Earth Sciences Research Group, Department of Biology, University of the Balearic Islands (UIB), Palma, Spain
| | - Francesca Ribas
- Department of Physics, Polytechnic University of Catalonia (UPC), Barcelona, Spain
| | - Albert Falqués
- Department of Physics, Polytechnic University of Catalonia (UPC), Barcelona, Spain
| | - Marta Marcos
- Mediterranean Institute for Advanced Studies (IMEDEA), Spanish National Research Council - University of the Balearic Islands (CSIC-UIB), Esporles, Spain
- Department of Physics, University of the Balearic Islands (UIB), Palma, Spain
| | - Alejandro Orfila
- Mediterranean Institute for Advanced Studies (IMEDEA), Spanish National Research Council - University of the Balearic Islands (CSIC-UIB), Esporles, Spain.
| |
Collapse
|
5
|
Marcos M, Chóliz M. Tecnotest: A screening tool for technological addictions and gambling disorder. Adicciones 2023; 35:235-248. [PMID: 34882236 DOI: 10.20882/adicciones.1380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
One of the most pressing social and scientific issues, as reflected in the current priority lines of the National Drugs Plan (PNSD), is the development of screening tools for the early detection of addictions, particularly behavioral addictions, due to the impact that these problems are having on the growth of addictions in recent years, especially in adolescents and young people. GOAL The main goal of this research was to develop a screening tool for technological addictions (video games, mobile and social networks) and gambling for early detection in people suffering this kind of behavioral addiction. PROCEDURE With technologies, in the absence of agreed clinical criteria, those participants who perceived themselves as having problems and, in addition, had received treatment for it, were selected. Regarding gambling, the diagnostic criteria of the DSM-5 were used. The three items that scored the highest Positive Predictive Values (PPV) in each of the four validated tests were selected. These indicators serve to distinguish those who use the technologies and/or gamble in a functional way and do not have any problems from those who already have an addictive problem with video games, mobile, social networks or gambling. RESULTS This paper shows the finished screening tool with its main psychometric properties, which can be used by professionals working with adolescents in order to detect people who could have some addictive problem, in which case the psychologist can refer them to a specialized healthcare resource.
Collapse
Affiliation(s)
- Marta Marcos
- Departamento de Psicología Básica Universidad de Valencia.
| | | |
Collapse
|
6
|
Barrionuevo-Sánchez MI, Viana-Tejedor A, Ariza-Solé A, Del Prado N, Rosillo N, Sánchez-Salado JC, Lorente V, Jorge-Pérez P, Noriega FJ, Ferrera C, Alegre O, Llaó I, Bernal JL, Triguero L, Fernández-Pérez C, González-Costello J, Marcos M, de la Cuerda F, Carmona J, Cequier A, Fernández-Ortiz A, Pérez-Villacastín J, Comin-Colet J, Elola FJ. Impact of annual volume of cases and Intensive Cardiac Care Unit availability on mortality of patients with acute myocardial infarction- related cardiogenic shock treated at revascularization capable centers. Eur Heart J Acute Cardiovasc Care 2023:7192937. [PMID: 37294681 DOI: 10.1093/ehjacc/zuad061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 05/02/2023] [Accepted: 06/07/2023] [Indexed: 06/11/2023]
Abstract
BACKGROUND Cardiogenic shock (CS) is associated with high mortality. The purpose of this study was to assess the impact of Hospital structure-related variables on mortality in patients with CS treated at percutaneous and surgical revascularization capable centers (psRCC) from a large nationwide registry. METHODS Retrospective observational study including consecutive patients with main or secondary diagnosis of CS and ST elevation myocardial infarction (STEMI). Patients discharged from Spanish National Healthcare System psRCC were included (2016-2020). The association between the volume of CS cases attended by each center, availability of Intensive Cardiac Care Unit (ICCU) and heart transplantation (HT) programs and in-hospital mortality was assessed by multilevel logistic regression models. RESULTS The study population consisted of 3,074 CS-STEMI episodes, of whom 1,759 (57.2%) occurred in 26 centers with ICCU. A total of 17/44 hospitals (38.6%) were high-volume centers and 19/44 (43%) centers had HT programs availability. Treatment at HT centers was not associated with a lower mortality (p = 0.121). Both high volume of cases and ICCU showed a trend to an association with lower mortality in the adjusted model (OR: 0.87 and 0.88, respectively). The interaction between both variables was significantly protective (OR 0.72; p = 0.024). After propensity score matching, mortality was lower in high volume hospitals with ICCU [OR = 0.79; p = 0.007]. CONCLUSIONS Most CS-STEMI patients were attended at psRCC with high volume of cases and ICCU available. The combination of high-volume and ICCU availability showed the lowest mortality. These data should be taken into account when designing regional networks for CS management.
Collapse
Affiliation(s)
- M Isabel Barrionuevo-Sánchez
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - Albert Ariza-Solé
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Náyade Del Prado
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
| | - Nicolás Rosillo
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - José Carlos Sánchez-Salado
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Victòria Lorente
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Pablo Jorge-Pérez
- Hospital Universitario de Canarias. La Laguna, Santa Cruz de Tenerife, Spain
| | | | | | - Oriol Alegre
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Isaac Llaó
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - José Luis Bernal
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Laura Triguero
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Cristina Fernández-Pérez
- Fundación Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain
- Servicio de Medicina Preventiva, Área Sanitaria de Santiago y Barbanza, Instituto de Investigaciones Sanitarias de Santiago. Santiago de Compostela (A Coruña), Spain
| | - José González-Costello
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
- Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares CIBER-CV, Instituto de Salud Carlos III, Madrid, Spain
| | - Marta Marcos
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Francisco de la Cuerda
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Jesús Carmona
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
| | - Angel Cequier
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
| | | | | | - Josep Comin-Colet
- Bellvitge University Hospital. L'Hospitalet de Llobregat, Barcelona. Spain
- Bioheart. Grup de Malalties Cardiovasculars. Institut d'Investigació Biomèdica de Bellvitge. IDIBELL. L'Hospitalet de Llobregat, Barcelona, Spain
- Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares CIBER-CV, Instituto de Salud Carlos III, Madrid, Spain
| | | |
Collapse
|
7
|
Villalonga J, Amores À, Monserrat S, Marcos M, Gomis D, Jordà G. Observational study of the heterogeneous global meteotsunami generated after the Hunga Tonga-Hunga Ha'apai Volcano eruption. Sci Rep 2023; 13:8649. [PMID: 37244929 DOI: 10.1038/s41598-023-35800-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 05/24/2023] [Indexed: 05/29/2023] Open
Abstract
The Hunga Tonga-Hunga Ha'apai volcano eruption of January 15th 2022 generated a global atmospheric and oceanic response that was recorded by an unprecedented amount of sensors. The eruption caused an atmospheric perturbation that travelled as a Lamb wave surrounding the Earth at least 3 times, and was recorded by hundreds of barographs worldwide. The atmospheric wave showed complex patterns of amplitude and spectral energy content, although most of the energy was concentrated in the band (2-120 min). Simultaneously to each passage of the atmospheric wave and after, significant Sea Level Oscillations (SLOs) in the tsunami frequency band were recorded by tide gauges located all around the globe, in what it can be referred to as a global meteotsunami. The amplitude and dominant frequency of the recorded SLOs showed a high spatial heterogeneity. Our point is that the geometry of continental shelves and harbours acted as tuners for the surface waves generated by the atmospheric disturbance at open sea, amplifying the signal at the eigenmodes of each shelf and harbour.
Collapse
Affiliation(s)
- Joan Villalonga
- Centre Oceanogràfic de Balears, CN-Instituto Español de Oceanografía (IEO-CSIC), Palma, Spain.
- Departament de Física, Universitat de Les Illes Balears (UIB), Palma, Spain.
| | - Àngel Amores
- Departament de Física, Universitat de Les Illes Balears (UIB), Palma, Spain
- Institut Mediterrani d'Estudis Avançats (UIB-CSIC), Esporles, Spain
| | - Sebastià Monserrat
- Departament de Física, Universitat de Les Illes Balears (UIB), Palma, Spain
| | - Marta Marcos
- Departament de Física, Universitat de Les Illes Balears (UIB), Palma, Spain
- Institut Mediterrani d'Estudis Avançats (UIB-CSIC), Esporles, Spain
| | - Damià Gomis
- Departament de Física, Universitat de Les Illes Balears (UIB), Palma, Spain
- Institut Mediterrani d'Estudis Avançats (UIB-CSIC), Esporles, Spain
| | - Gabriel Jordà
- Centre Oceanogràfic de Balears, CN-Instituto Español de Oceanografía (IEO-CSIC), Palma, Spain.
| |
Collapse
|
8
|
Herrera C, Vernooij RWM, Marcos M, Martinez-Selles M. Blood transfusion in patients with coronary syndromes and anaemia: a systematic review and a meta-analysis of randomized controlled trials. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The estimated prevalence of anaemia on admission in the setting of acute coronary syndromes (ACS) is between 10 to 43% and up to 57% of the patients may develop hospital-acquired anaemia. The best blood transfusion strategy in anemic patients with symptomatic coronary syndromes remains unclear.
Purpose
We aimed to perform a systematic review and meta-analysis of randomized controlled trials (RCT) to assess the effect of different transfusion strategies in anemic patients with coronary syndromes on 30-day mortality, major adverse cardiovascular events (MACE), and non-cardiovascular complications.
Methods
We searched for all randomized trials comparing restrictive to conservativestrategy in patients with coronary syndromes published up to 16 th November 2021 on PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov without language, sample size, publication date or other data restrictions. All studies were assessed for bias using Cochrane risk of bias, and meta-analysed using a random effect model. The quality of evidence was evaluated by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. The pre-specified primary outcome was all-cause death at 30 days. The secondary outcome was the composite of non-fatal recurrent myocardial infarction, non-fatal stroke, emergency revascularization, or cardiovascular death at 30 days (MACE). Safety endpoint was a combination of de novo or worsening congestive heart failure, stent thrombosis, venous thromboembolism, pneumonia, or blood stream infection.
Results
Three RCT (CRIT, MINT and REALITY) were included with 820 patients. The risk of bias was considered low, except for blinding of patients and healthcare professionals. Across the three studies, a total of 55 patients died in the first 30 days. We found no differences between restrictive transfusion strategy compared with liberal transfusion strategy in all-cause death at 30 days (risk ratio [RR]: 1.61, 95% confidence interval [CI] 0.38–6.90, I2=59%, MACE (RR: 1.16, 95% CI 0.49–2.71; I2=62%; figure 1) and incidence of adverse events (RR: 1.52, 95% CI 0.56–4.09; I2=60%; figure 2). The quality of evidence was considered low to moderate due to concerns of imprecision and inconsistency.
Conclusion(s)
Liberal and conservative strategies of blood transfusion show similar results in anaemic patients with symptomatic coronary syndromes. As blood is a scarce resource, our data support the current guideline recommendation of restrictive strategy of transfusion in anaemic patients with acute coronary syndromes.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- C Herrera
- University Hospital Gregorio Maranon , Madrid , Spain
| | - R W M Vernooij
- Julius Health Center - Julius Gezondheidscentra, Department of Nephrology and Hypertension , Utrecht , The Netherlands
| | - M Marcos
- Complejo Asistencial Universitario de Salamanca, Department of Internal Medicine , Salamanca , Spain
| | | |
Collapse
|
9
|
Mañas-García A, González-Valverde I, Camacho-Ramos E, Alberich-Bayarri A, Maldonado JA, Marcos M, Robles M. Radiological Structured Report Integrated with Quantitative Imaging Biomarkers and Qualitative Scoring Systems. J Digit Imaging 2022; 35:396-407. [PMID: 35106674 PMCID: PMC9156634 DOI: 10.1007/s10278-022-00589-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 01/15/2022] [Accepted: 01/18/2022] [Indexed: 12/15/2022] Open
Abstract
The benefits of structured reporting (SR) in radiology are well-known and have been widely described. However, there are limitations that must be overcome. Radiologists may be reluctant to change the conventional way of reporting. Error rates could potentially increase if SR is used improperly. Interruption of the visual search pattern by keeping the eyes focused on the report rather than the images may increase reporting time. Templates that include unnecessary or irrelevant information may undermine the consistency of the report. Last, the lack of support for multiple languages may hamper the adaptation of the report to the target audience. This work aims to mitigate these limitations with a web-based structured reporting system based on templates. By including field validators and logical rules, the system avoids reporting mistakes and allows to automatically calculate values and radiological qualitative scores. The system can manage quantitative information from imaging biomarkers, combining this with qualitative radiological information usually present in the structured report. It manages SR templates as plugins (IHE MRRT compliant and compatible with RSNA's Radreport templates), ensures a seamless integration with PACS/RIS systems, and adapts the report to the target audience by means of natural language extracts generated in multiple languages. We describe a use case of SR template for prostate cancer including PI-RADS 2.1 scoring system and imaging biomarkers. For the time being, the system comprises 24 SR templates and provides service in 37 hospitals and healthcare institutions, endorsing the success of this contribution to mitigate some of the limitations of the SR.
Collapse
Affiliation(s)
- A. Mañas-García
- grid.157927.f0000 0004 1770 5832Dept. Computer and Communication Systems and Health Technology Economics, Universitat Politècnica de València, Valencia, Spain ,Quantitative Imaging Biomarkers in Medicine (Quibim), Valencia, Spain
| | | | - E. Camacho-Ramos
- Quantitative Imaging Biomarkers in Medicine (Quibim), Valencia, Spain
| | | | | | - M. Marcos
- grid.9612.c0000 0001 1957 9153Department of Computer Engineering and Science, Universitat Jaume I, Castellón, Spain
| | - M. Robles
- grid.157927.f0000 0004 1770 5832Dept. Computer and Communication Systems and Health Technology Economics, Universitat Politècnica de València, Valencia, Spain
| |
Collapse
|
10
|
Amores A, Marcos M, Le Cozannet G, Hinkel J. Author Correction: Coastal flooding and mean sea-level rise allowances in atoll island. Sci Rep 2022; 12:2523. [PMID: 35140351 PMCID: PMC8828829 DOI: 10.1038/s41598-022-06548-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Angel Amores
- Instituto Mediterráneo de Estudios Avanzados (UIB-CSIC), Esporles, Spain.
| | - Marta Marcos
- Instituto Mediterráneo de Estudios Avanzados (UIB-CSIC), Esporles, Spain.,Departament de Física (UIB), Palma, Spain
| | | | | |
Collapse
|
11
|
Chóliz M, Marcos M. “That’s No Country for ‘Young’ Men”: A Critical Perspective on Responsible Online Gambling Policies for Gambling Disorder Prevention in Spanish Minors. JGI 2022. [DOI: 10.4309/jgi.2022.49.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Recently, some governments and other stakeholders in countries where online gambling has been legalized have implemented responsible gambling policies. From the theoretical and empirical evidence in this study, we show that these responsible gambling policies are insufficient to prevent the emergence of pathological gambling disorder in society, especially among adolescents. Since online gambling was legalized in Spain in June 2012, online gambling companies have been required by law to implement responsible gambling policies. The implemented policies largely consist of informing customers of the dangers of gambling and how to minimize harm by engaging in behaviour that prevents addiction. However, online gambling addiction has increased exponentially; at present, it is the second most common form of pathological gambling in Spain and the most common form among young children and adolescents (Chóliz, 2016). In our study involving 6,053 underage adolescents, the results showed that more than half of them had gambled and that the prevalence rate of pathological gambling was triple that of the general population. Our main conclusions are that online gambling especially affects male minors, some of whom have developed gambling disorders since the legalization (and broad promotion) of online gambling in Spain. Responsible gambling policies implemented by the conservative government of Spain (2011–2018) and by gambling companies were insufficient to prevent such disorders from becoming an epidemic among Spanish adolescents.
Collapse
|
12
|
Amores A, Marcos M, Le Cozannet G, Hinkel J. Coastal flooding and mean sea-level rise allowances in atoll island. Sci Rep 2022; 12:1281. [PMID: 35075237 PMCID: PMC8786857 DOI: 10.1038/s41598-022-05329-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 12/29/2021] [Indexed: 11/18/2022] Open
Abstract
Atoll islands are among the places most vulnerable to climate change due to their low elevation above mean sea level. Even today, some of these islands suffer from severe flooding generated by wind-waves, that will be exacerbated with mean sea-level rise. Wave-induced flooding is a complex physical process that requires computationally-expensive numerical models to be reliably estimated, thus limiting its application to single island case studies. Here we present a new model-based parameterisation for wave setup and a set of numerical simulations for the wave-induced flooding in coral reef islands as a function of their morphology, the Manning friction coefficient, wave characteristics and projected mean sea level that can be used for rapid, broad scale (e.g. entire atoll island nations) flood risk assessments. We apply this new approach to the Maldives to compute the increase in wave hazard due to mean sea-level rise, as well as the change in island elevation or coastal protection required to keep wave-induced flooding constant. While future flooding in the Maldives is projected to increase drastically due to sea-level rise, we show that similar impacts in nearby islands can occur decades apart depending on the exposure to waves and the topobathymetry of each island. Such assessment can be useful to determine on which islands adaptation is most urgently needed.
Collapse
Affiliation(s)
- Angel Amores
- Instituto Mediterráneo de Estudios Avanzados (UIB-CSIC), Esporles, Spain.
| | - Marta Marcos
- Instituto Mediterráneo de Estudios Avanzados (UIB-CSIC), Esporles, Spain.,Departament de Física (UIB), Palma, Spain
| | | | | |
Collapse
|
13
|
Hinojosa W, Iglesias C, Vera S, Marcos M, Uribarri A, Gómez I, Pastor G. Prognostic impact of high flow nasal cannula compared to noninvasive positive-pressure ventilation in the treatment of acute pulmonary edema. Rev Port Cardiol 2021; 40:703-705. [PMID: 34503714 DOI: 10.1016/j.repce.2021.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 04/14/2021] [Indexed: 11/30/2022] Open
Affiliation(s)
- Williams Hinojosa
- Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain.
| | - Carolina Iglesias
- Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| | - Silvio Vera
- Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| | - Marta Marcos
- Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| | - Aitor Uribarri
- CIBERCV, Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| | - Itziar Gómez
- CIBERCV, Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| | - Gemma Pastor
- CIBERCV, Cardiology Department, Hospital Clínico Universitario, Valladolid, Spain
| |
Collapse
|
14
|
Hinojosa W, Iglesias C, Vera S, Marcos M, Uribarri A, Gómez I, Pastor G. Prognostic impact of high flow nasal cannula compared to noninvasive positive-pressure ventilation in the treatment of acute pulmonary edema. Rev Port Cardiol 2021. [DOI: 10.1016/j.repc.2021.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
15
|
García-Granja PE, Veras C, Aparisi Á, Amat-Santos IJ, Catalá P, Marcos M, Cabezón G, Candela J, Gil JF, Uribarri A, Revilla A, Carrasco M, Gómez I, San Román JA. Atrial fibrillation in patients with SARS-CoV-2 infection. Med Clin (Engl Ed) 2021; 157:58-63. [PMID: 34307884 PMCID: PMC8287852 DOI: 10.1016/j.medcle.2021.01.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 01/13/2021] [Indexed: 01/08/2023]
Abstract
Introduction and objective the SARS-CoV-2 infection ranges from asymptomatic to critical forms and several prognostic factors have been described. Atrial fibrillation (AF) is common in acute situations where it is linked with more complications and mortality. We aimed to evaluate the prognostic information of AF in this population. Methods retrospective analysis of a cohort of 517 patients consecutively admitted in a tertiary hospital due to SARS-CoV-2 infection. We divided the patients in two groups according the development of AF and compared the main features of both groups. An univariable and multivariable analysis of mortality were also performed. Results among 517 patients with SARS-CoV-2 infection admitted in a tertiary center, 54 (10.4%) developed AF. These patients are older (81.6 vs 66.5 years old, p < 0.001) and present more hypertension (74% vs 47%, p < 0.001), cardiomyopathy (9% vs 1%, p = 0.002), previous heart failure admission (9% vs 0.4%, p < 0.001), previous episodes of AF (83% vs 1%, p < 0.001) and bigger left atrium (47.8 vs 39.9 mm, p < 0.001). AF COVID-19 patients present more acute respiratory failure (72% vs 40%, p < 0.001) and higher in-hospital mortality (50% vs 22%, p < 0.001). Predictors of AF development are age and previous AF. AF is not an independent predictor of in-hospital mortality. Predictors are age, creatinine > 1.5 mg/dL at admission, LDH > 250 UI/L at admission and acute respiratory failure. Conclusion Atrial fibrillation appears in 10% of hospitalized patients with SARS-CoV-2 infection. These patients present more comorbidities and two-fold increase in hospital mortality. Atrial fibrillation is not an independent prognostic factor.
Collapse
Affiliation(s)
- Pablo Elpidio García-Granja
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Carlos Veras
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Álvaro Aparisi
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Ignacio J Amat-Santos
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Pablo Catalá
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Marta Marcos
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Gonzalo Cabezón
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Jordi Candela
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - José Francisco Gil
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Aitor Uribarri
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Ana Revilla
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Manuel Carrasco
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Itziar Gómez
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - José Alberto San Román
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| |
Collapse
|
16
|
Hinkel J, Feyen L, Hemer M, Le Cozannet G, Lincke D, Marcos M, Mentaschi L, Merkens JL, de Moel H, Muis S, Nicholls RJ, Vafeidis AT, van de Wal RSW, Vousdoukas MI, Wahl T, Ward PJ, Wolff C. Uncertainty and Bias in Global to Regional Scale Assessments of Current and Future Coastal Flood Risk. Earths Future 2021; 9:e2020EF001882. [PMID: 34435072 PMCID: PMC8365640 DOI: 10.1029/2020ef001882] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 05/12/2021] [Accepted: 06/01/2021] [Indexed: 05/21/2023]
Abstract
This study provides a literature-based comparative assessment of uncertainties and biases in global to world-regional scale assessments of current and future coastal flood risks, considering mean and extreme sea-level hazards, the propagation of these into the floodplain, people and coastal assets exposed, and their vulnerability. Globally, by far the largest bias is introduced by not considering human adaptation, which can lead to an overestimation of coastal flood risk in 2100 by up to factor 1300. But even when considering adaptation, uncertainties in how coastal societies will adapt to sea-level rise dominate with a factor of up to 27 all other uncertainties. Other large uncertainties that have been quantified globally are associated with socio-economic development (factors 2.3-5.8), digital elevation data (factors 1.2-3.8), ice sheet models (factor 1.6-3.8) and greenhouse gas emissions (factors 1.6-2.1). Local uncertainties that stand out but have not been quantified globally, relate to depth-damage functions, defense failure mechanisms, surge and wave heights in areas affected by tropical cyclones (in particular for large return periods), as well as nearshore interactions between mean sea-levels, storm surges, tides and waves. Advancing the state-of-the-art requires analyzing and reporting more comprehensively on underlying uncertainties, including those in data, methods and adaptation scenarios. Epistemic uncertainties in digital elevation, coastal protection levels and depth-damage functions would be best reduced through open community-based efforts, in which many scholars work together in collecting and validating these data.
Collapse
Affiliation(s)
- J. Hinkel
- Global Climate Forum (GCF)BerlinGermany
- Division of Resource EconomicsAlbrecht Daniel Thaer‐Institute and Berlin Workshop in Institutional Analysis of Social‐Ecological Systems (WINS)Humboldt‐UniversityBerlinGermany
| | - L. Feyen
- European CommissionJoint Research Centre (JRC)IspraItaly
| | - M. Hemer
- CSIRO Oceans and AtmosphereHobart TASAustralia
| | | | - D. Lincke
- Global Climate Forum (GCF)BerlinGermany
| | - M. Marcos
- Mediterranean Institute for Advanced Studies (IMEDEA)PalmaSpain
- Department of PhysicsUniversity of the Balearic IslandsPalmaSpain
| | - L. Mentaschi
- European CommissionJoint Research Centre (JRC)IspraItaly
- Department of Physics and Astronomy Augusto RighiUniversity of BolognaBolognaItaly
| | - J. L. Merkens
- Institute of GeographyChristian‐Albrechts University KielKielGermany
| | - H. de Moel
- Institute for Environmental Studies (IVM)Vrije Universiteit AmsterdamAmsterdamNetherlands
| | - S. Muis
- Institute for Environmental Studies (IVM)Vrije Universiteit AmsterdamAmsterdamNetherlands
- DeltaresDelftNetherlands
| | - R. J. Nicholls
- Tyndall Centre for Climate Change ResearchUniversity of East AngliaNorwichUK
| | - A. T. Vafeidis
- Institute of GeographyChristian‐Albrechts University KielKielGermany
| | - R. S. W. van de Wal
- Institute for Marine and Atmospheric Research Utrecht and Department of Physical GeographyUtrecht UniversityUtrechtNetherlands
| | | | - T. Wahl
- Department of Civil, Environmental and Construction EngineeringNational Center for Integrated Coastal ResearchUniversity of Central FloridaOrlandoFLUSA
| | - P. J. Ward
- Institute for Environmental Studies (IVM)Vrije Universiteit AmsterdamAmsterdamNetherlands
| | - C. Wolff
- Institute of GeographyChristian‐Albrechts University KielKielGermany
| |
Collapse
|
17
|
García-Granja PE, Veras C, Aparisi Á, Amat-Santos IJ, Catalá P, Marcos M, Cabezón G, Candela J, Gil JF, Uribarri A, Revilla A, Carrasco M, Gómez I, San Román JA. Atrial fibrillation in patients with SARS-CoV-2 infection. Med Clin (Barc) 2021; 157:58-63. [PMID: 33637334 PMCID: PMC7843022 DOI: 10.1016/j.medcli.2021.01.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 01/12/2021] [Accepted: 01/13/2021] [Indexed: 12/26/2022]
Abstract
INTRODUCTION AND OBJECTIVE the SARS-CoV-2 infection ranges from asymptomatic to critical forms and several prognostic factors have been described. Atrial fibrillation (AF) is common in acute situations where it is linked with more complications and mortality. We aimed to evaluate the prognostic information of AF in this population. METHODS retrospective analysis of a cohort of 517 patients consecutively admitted in a tertiary hospital due to SARS-CoV-2 infection. We divided the patients in two groups according the development of AF and compared the main features of both groups. An univariable and multivariable analysis of mortality were also performed. RESULTS among 517 patients with SARS-CoV-2 infection admitted in a tertiary center, 54 (10.4%) developed AF. These patients are older (81.6 vs 66.5 years old, p<0.001) and present more hypertension (74% vs 47%, p<0.001), cardiomyopathy (9% vs 1%, p=0.002), previous heart failure admission (9% vs 0.4%, p<0.001), previous episodes of AF (83% vs 1%, p<0.001) and bigger left atrium (47.8 vs 39.9mm, p<0.001). AF COVID-19 patients present more acute respiratory failure (72% vs 40%, p<0.001) and higher in-hospital mortality (50% vs 22%, p<0.001). Predictors of AF development are age and previous AF. AF is not an independent predictor of in-hospital mortality. Predictors are age, creatinine>1.5mg/dL at admission, LDH>250UI/L at admission and acute respiratory failure. CONCLUSION Atrial fibrillation appears in 10% of hospitalized patients with SARS-CoV-2 infection. These patients present more comorbidities and two-fold increase in hospital mortality. Atrial fibrillation is not an independent prognostic factor.
Collapse
Affiliation(s)
- Pablo Elpidio García-Granja
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.
| | - Carlos Veras
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Álvaro Aparisi
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Ignacio J Amat-Santos
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Pablo Catalá
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Marta Marcos
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Gonzalo Cabezón
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Jordi Candela
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - José Francisco Gil
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain
| | - Aitor Uribarri
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Ana Revilla
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Manuel Carrasco
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Itziar Gómez
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - José Alberto San Román
- Department of Cardiology. Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario Valladolid, Valladolid, Spain; CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| |
Collapse
|
18
|
Cabezón Villalba G, Amat-Santos IJ, Dueñas C, Lopez Otero D, Catala P, Aparisi A, López-Pais J, Cacho Antonio CE, Candela J, Antúnez Muiños P, Gil JF, Gonzalez Ferrero T, Marcos M, Pérez-Poza M, Rojas G, Otero Garcia O, Veras C, Jiménez Ramos V, Uribarri A, Revilla A, Garcia-Granja PE, Gómez I, González-Juanatey JR, San Román JA. Impact of the presence of heart disease, cardiovascular medications and cardiac events on outcome in COVID-19. Cardiol J 2021; 28:360-368. [PMID: 33843043 PMCID: PMC8169179 DOI: 10.5603/cj.a2021.0034] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 02/23/2021] [Accepted: 02/25/2021] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Cardiovascular risk factors and usage of cardiovascular medication are prevalent among coronavirus disease 2019 (COVID-19) patients. Little is known about the cardiovascular implications of COVID-19. The goal herein, was to evaluate the prognostic impact of having heart disease (HD) and taking cardiovascular medications in a population diagnosed of COVID-19 who required hospitalization. Also, we studied the development of cardiovascular events during hospitalization. METHODS Consecutive patients with definitive diagnosis of COVID-19 made by a positive real time- -polymerase chain reaction of nasopharyngeal swabs who were admitted to the hospital from March 15 to April 14 were included in a retrospective registry. The association of HD with mortality and with mortality or respiratory failure were the primary and secondary objectives, respectively. RESULTS A total of 859 patients were included in the present analysis. Cardiovascular risk factors were related to death, particularly diabetes mellitus (hazard ratio in the multivariate analysis: 1.810 [1.159- -2.827], p = 0.009). A total of 113 (13.1%) patients had HD. The presence of HD identified a group of patients with higher mortality (35.4% vs. 18.2%, p < 0.001) but HD was not independently related to prognosis; renin-angiotensin-aldosterone system inhibitors, calcium channel blockers, diuretics and beta-blockers did not worsen prognosis. Statins were independently associated with decreased mortality (0.551 [0.329-0.921], p = 0.023). Cardiovascular events during hospitalization identified a group of patients with poor outcome (mortality 31.8% vs. 19.3% without cardiovascular events, p = 0.007). CONCLUSIONS The presence of HD is related to higher mortality. Cardiovascular medications taken before admission are not harmful, statins being protective. The development of cardiovascular events during the course of the disease is related to poor outcome.
Collapse
Affiliation(s)
- Gonzalo Cabezón Villalba
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Ignacio J Amat-Santos
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Carlos Dueñas
- Hospital Clínico Universitario de Valladolid, Valladolid, Spain
| | - Diego Lopez Otero
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Pablo Catala
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Alvaro Aparisi
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Javier López-Pais
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Carla Eugenia Cacho Antonio
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Jordi Candela
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Pablo Antúnez Muiños
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Jose Francisco Gil
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Teba Gonzalez Ferrero
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Marta Marcos
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Marta Pérez-Poza
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Gino Rojas
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Oscar Otero Garcia
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Carlos Veras
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Victor Jiménez Ramos
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - Aitor Uribarri
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Ana Revilla
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Pablo Elpidio Garcia-Granja
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - Itziar Gómez
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
| | - José Ramón González-Juanatey
- Complejo Hospitalario Universitario de Santiago de Compostela, Rua da Choupana s/n, 15702 Santiago de Compostela, Spain
| | - J Alberto San Román
- Department of Cardiology, Institute of Heart Sciences (ICICOR), Hospital Clínico Universitario, Valladolid, Spain.
| |
Collapse
|
19
|
Carbonell C, Chamorro AJ, Marcos M, Guillén del Castillo A, Colunga Argüelles D, Rubio-Rivas M, Argibay A, Marí-Alfonso B, Marín Ballvé A, Castro A, Madroñero-Vuelta AB, Callejas-Moraga EL, Fonollosa-Pla V, Simeón-Aznar CP, Autoimmune Diseases Study Group (Geas) OBORI. AB0558 RISK FACTORS FOR THE DEVELOPMENT OF BREAST CANCER IN SYSTEMIC SCLEROSIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.2016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Prior literature shows a global increase of cancer risk among patients with systemic sclerosis (SSc). Although breast cancer (BC) is one of the most frequent malignancies in SSc patients, the characteristics of this neoplasm among SSc patients is not well established and it is uncertain whether SSc significantly increases the risk of this cancer.Objectives:Describe the characteristics and risk factors for BC among Spanish patients with SSc.Methods:Ambispective and multicenter study of patients with a diagnosis of SSc according to ACR/EULAR criteria and/or LeRoy classification included in the Spanish Scleroderma Registry (RESCLE) from 2006 to 2018. Characteristics of patients with BC were described and incidence was compared with that of the general population.Results:Among 1930 patients with SSc, 206 (10.7%) had cancer. BC was the most frequent tumor location (47 patients of 206 with cancer [22.8%]), followed by lung cancer (29, 14.1%). The risk of BC was increased in patients with SSc compared to the general population (standardized incidence ratio [SIR] 1.31; 95% CI 1.10-1.54;P= 0.003).The comparison of patients with BC and those without cancer showed that patients with BC had older age at diagnosis of SSc (50.9 vs 45.9 years, respectively;P=0.004), were more frequently diagnosed of interstitial lung disease (ILD) (30/47 [63.8%] vs 694/1714 [40.5];P= 0.002) and pulmonary hypertension (12/24 [50.0%] vs 262/917 [28.6%];P= 0.037), had higher frequency of puffy hands as the first manifestation of SSc (4/45 [8.9%] vs 38/1664 [2.3 %];P= 0.023) and had more frequently primary biliary colangitis (PBC) (7 /46 [15.2%] vs 72 /1708 [4.2%];P= 0.004). Regarding autoimmunity profile, patients with SSc and BC had a significantly higher presence of anti-Ro (11/44 [25.0%] vs 214/1528 [14.0%];P= 0.049) and anti-mitochondrial antibodies (7/28 [25.0%] vs 96/837 [11.5%];P= 0.039). Multivariable regression analysis showed an independent association between the puffy hands (OR = 6.40; 95% CI 1.73-23.60;P= 0.005), diagnosis of PBC (OR = 5.70; 95% CI 2.16-15.07;P= 0.001), presence of ILD (OR = 3.29, 95% CI 1.69-6.39;P<0.001) and the presence of the anti-Ro antibody (OR 2.14; 95% CI 1.01-4.56;P= 0.048) with the presence of BC.Conclusion:BC risk was increased in patients with SSc. The development of ILD, PBC, the presence of anti Ro and puffy hands as the first clinical manifestation of SSc were identified as independent factors associated with the development of BC in our cohort.References:Colaci M et al. Breast cancer in systemic sclerosis: results of a cross-linkage of an Italian Rheumatologic Center and a population-based Cancer Registry and review of the literaure. Autoimmun Rev. 2014;13(2):132-7.Zhang JQ et al. The risk of cancer development in systemic sclerosis: a meta-analysis. Cancer Epidemiol. 2013;37(5):523-7.Disclosure of Interests:Cristina Carbonell: None declared, Antonio-J Chamorro: None declared, Miguel Marcos: None declared, Alfredo Guillén del Castillo: None declared, Dolores Colunga Argüelles Consultant of: Actelion pharmaceuticals, GSK, MSD., Manuel Rubio-Rivas: None declared, Ana Argibay: None declared, Begoña Marí-Alfonso: None declared, Adela Marín Ballvé: None declared, Antoni Castro Consultant of: Actelion pharmaceuticals, GSK, MSD., Ana Belén Madroñero-Vuelta: None declared, Eduardo L. Callejas-Moraga: None declared, Vicent Fonollosa-Pla Consultant of: Actelion pharmaceuticals, GSK, MSD., Carmen Pilar Simeón-Aznar Consultant of: Actelion pharmaceuticals, GSK, MSD., on behalf of RESCLE Investigators, Autoimmune Diseases Study Group (GEAS): None declared
Collapse
|
20
|
Cruz DS, Malvicini R, Sanmartin C, Marcos M, Robledo O, Bertolotti A, Yannarelli G, Pacienza N. Mesenchymal Stem Cell therapy maximizes lung preservation by preventing ischemic organ injury. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
21
|
Pacienza N, Cruz DS, Malvicini R, Sanmartin C, Marcos M, Robledo O, Bertolotti A, Yannarelli G. Anti-inflammatory exosomes mediate the beneficial effect of mesenchymal stem cell therapy on lung preservation. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.366] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
22
|
Abstract
Extreme sea levels are a significant threat to life, property, and the environment. These threats are managed by coastal planers through the implementation of risk mitigation strategies. Central to such strategies is knowledge of extreme event probabilities. Typically, these probabilities are estimated by fitting a suitable distribution to the observed extreme data. Estimates, however, are often uncertain due to the small number of extreme events in the tide gauge record and are only available at gauged locations. This restricts our ability to implement cost-effective mitigation. A remarkable fact about sea-level extremes is the existence of spatial dependences, yet the vast majority of studies to date have analyzed extremes on a site-by-site basis. Here we demonstrate that spatial dependences can be exploited to address the limitations posed by the spatiotemporal sparseness of the observational record. We achieve this by pooling all of the tide gauge data together through a Bayesian hierarchical model that describes how the distribution of surge extremes varies in time and space. Our approach has two highly desirable advantages: 1) it enables sharing of information across data sites, with a consequent drastic reduction in estimation uncertainty; 2) it permits interpolation of both the extreme values and the extreme distribution parameters at any arbitrary ungauged location. Using our model, we produce an observation-based probabilistic reanalysis of surge extremes covering the entire Atlantic and North Sea coasts of Europe for the period 1960-2013.
Collapse
Affiliation(s)
- Francisco M Calafat
- Department of Marine Physics and Ocean Climate, National Oceanography Centre, Liverpool L3 5DA, United Kingdom;
| | - Marta Marcos
- Department of Oceanography and Global Change, Mediterranean Institute for Advanced Studies, Spanish National Research Council and University of the Balearic Islands (CSIC-UIB), Esporles 07190, Spain
- Department of Physics, University of the Balearic Islands, Palma 07122, Spain
| |
Collapse
|
23
|
|
24
|
Novo-Veleiro I, Cieza-Borrella C, Pastor I, González-Sarmiento R, Laso F, Marcos M. Analysis of the relationship between interleukin polymorphisms within miRNA-binding regions and alcoholic liver disease. Rev Clin Esp 2018. [DOI: 10.1016/j.rceng.2018.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
25
|
Melchor JC, Navas H, Marcos M, Iza A, De Diego M, Rando D, Melchor I, Burgos J. Predictive performance of PAMG-1 vs fFN test for risk of spontaneous preterm birth in symptomatic women attending an emergency obstetric unit: retrospective cohort study. Ultrasound Obstet Gynecol 2018; 51:644-649. [PMID: 28850753 DOI: 10.1002/uog.18892] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 08/09/2017] [Accepted: 08/18/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To compare the performance of the placental alpha microglobulin-1 (PAMG-1) and fetal fibronectin (fFN) tests for the prediction of spontaneous preterm delivery in patients presenting to an emergency obstetric unit with threatened preterm labor, by conducting a retrospective audit of patient medical records from separate 1-year periods during which either fFN or PAMG-1 was used as the standard-of-care biochemical test. METHODS This was a retrospective cohort study based on chart review of electronic medical records of women with threatened preterm labor presenting at a level-III maternity hospital over two different periods: (1) the 'baseline' period (year 2012), during which the qualitative fFN test with a cut-off of 50 ng/mL was used as the standard-of-care biochemical test for the risk assessment of preterm delivery, and (2) the 'comparative' period (year 2016), during which the PAMG-1 test with a cut-off of 1 ng/mL was used as the standard-of-care biomarker test. Patients with a singleton pregnancy between 24 + 0 and 34 + 6 weeks' gestation with symptoms of early preterm labor, clinically intact membranes and cervical dilatation < 3 cm, who did not have a medically indicated preterm delivery within 14 days of testing, were selected for chart review and included in the analysis. Key parameters used for the analysis were biochemical test results, time of testing and time of delivery. Positive predictive value (PPV), negative predictive value (NPV), sensitivity, specificity, and positive and negative likelihood ratios (LR+ and LR-) for the prediction of spontaneous preterm delivery ≤ 7 and ≤ 14 days of presentation were calculated for the PAMG-1 and fFN tests. RESULTS Four hundred and twenty patients were identified as having presented with threatened preterm labor during the baseline period, of whom 378 (90.0%) met the eligibility criteria. Of these, 38 (10.1%) were fFN positive and 10 (2.6%) had spontaneous preterm delivery ≤ 7 days of presentation. PPV, NPV, LR+ and LR- of fFN were 7.9%, 97.9%, 3.2 and 0.8, respectively, for spontaneous preterm delivery ≤ 7 days. Four hundred and ten patients were identified as having presented with threatened preterm labor during the comparative period and 367 (89.5%) subjects met the eligibility criteria. Of these, 17 (4.6%) were PAMG-1 positive and 12 (3.3%) had spontaneous preterm delivery ≤ 7 days of presentation. PAMG-1 PPV and NPV were 35.3% and 98.3%, respectively, and LR+ and LR- were 16.1 and 0.5, respectively, for spontaneous preterm delivery ≤ 7 days. CONCLUSIONS Before switching to PAMG-1, fFN was the standard-of-care test for the risk assessment of spontaneous preterm delivery. This retrospective audit of each test's performance over separate 1-year periods shows that we were more than twice as likely to get a positive fFN test than a positive PAMG-1 test, while the rate of discharging women who ultimately delivered spontaneously within 14 days of testing was not affected. Furthermore, a positive PAMG-1 test was more than four times more reliable than a positive fFN test in predicting imminent spontaneous preterm delivery. The use of a more reliable biomarker that is associated with fewer false-positive results could lead to a reduction in unnecessary admissions, interventions and use of hospital resources. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
Collapse
Affiliation(s)
- J C Melchor
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - H Navas
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - M Marcos
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - A Iza
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - M De Diego
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - D Rando
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - I Melchor
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| | - J Burgos
- Department of Obstetrics and Gynecology, BioCruces Health Research Institute, Cruces University Hospital (UPV/EHU), Vizcaya, Spain
| |
Collapse
|
26
|
Novo-Veleiro I, Cieza-Borrella C, Pastor I, González-Sarmiento R, Laso FJ, Marcos M. Analysis of the relationship between interleukin polymorphisms within miRNA-binding regions and alcoholic liver disease. Rev Clin Esp 2018; 218:170-176. [PMID: 29566963 DOI: 10.1016/j.rce.2018.02.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Revised: 11/01/2017] [Accepted: 02/13/2018] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Alcohol consumption promotes inflammation through the Toll-like receptor 4 (TLR4)/nuclear factor (NF)-?B pathway, leading to organic damage. Some micro-RNA (miRNA) molecules modulate this inflammatory response by downregulating TLR4/NF-?B pathway mediators, like interleukins (ILs). Thus, polymorphisms within IL genes located near miRNA binding sites could modify the risk of ethanol-induced damage. The present study analyzed potential relationships between alcoholism or alcoholic liver disease (ALD) and IL12B 2124 G>T (rs1368439), IL16 5000 C>T (rs1131445), IL1R1 3114 C>T (rs3917328), and NFKB1 3400 A>G (rs4648143) polymorphisms. PATIENTS AND METHODS The study included 301 male alcoholic patients and 156 male healthy volunteers. Polymorphisms were genotyped using TaqMan® PCR assays for allelic discrimination. Allele and genotype frequencies were compared between groups. Logistic regression analysis was performed to analyze the inheritance model. RESULTS Analysis of the IL1R1 (rs3917328) polymorphism showed that the proportion of alleleT carriers (CT and TT genotypes) was higher in healthy controls (9.7%) than in alcoholic patients (6.5%; P=.042). However, multivariable logistic regression analyses did not yield a significant result. No differences between groups were found for other analyzed polymorphisms. CONCLUSIONS Our study describes, for the first time, the expected frequencies of certain polymorphisms within miRNA-binding sites in alcoholic patients with and without ALD. Further studies should be developed to clarify the potential relevance of these polymorphisms in alcoholism and ALD development.
Collapse
Affiliation(s)
- I Novo-Veleiro
- Departamento de Medicina Interna, Hospital Universitario Santiago de Compostela, Santiago de Compostela, La Coruña, España
| | - C Cieza-Borrella
- Unidad de Medicina Molecular, Departamento de Medicina, Universidad de Salamanca. Instituto de Investigación Biomédica de Salamanca-IBSAL, Salamanca, España
| | - I Pastor
- Unidad de Alcoholismo, Departamento de Medicina Interna, Hospital Universitario de Salamanca. Instituto de Investigación Biomédica de Salamanca-IBSAL, Salamanca, España
| | - R González-Sarmiento
- Unidad de Medicina Molecular, Departamento de Medicina, Universidad de Salamanca. Instituto de Investigación Biomédica de Salamanca-IBSAL, Salamanca, España
| | - F-J Laso
- Unidad de Alcoholismo, Departamento de Medicina Interna, Hospital Universitario de Salamanca. Instituto de Investigación Biomédica de Salamanca-IBSAL, Salamanca, España
| | - M Marcos
- Unidad de Alcoholismo, Departamento de Medicina Interna, Hospital Universitario de Salamanca. Instituto de Investigación Biomédica de Salamanca-IBSAL, Salamanca, España.
| |
Collapse
|
27
|
Herrero A, Marcos M, Galindo P, Miralles JM, Corrales JJ. Clinical and biochemical correlates of male hypogonadism in type 2 diabetes. Andrology 2017; 6:58-63. [PMID: 29145714 DOI: 10.1111/andr.12433] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 08/09/2017] [Accepted: 08/29/2017] [Indexed: 01/21/2023]
Abstract
The origin of hypogonadism, a condition including both symptoms and biochemical criteria of androgen deficiency, in type 2 diabetes is poorly known. In a cross-sectional study of 267 unselected patients, we analyzed the potential correlation of several clinical and biochemical variables as well as chronic micro- and macrovascular diabetic complications with hypogonadism. Hypogonadism was present in 46 patients (17.2%) using a cutoff of total testosterone 10.4 nmol/L and in 31 (11.6%) with a cutoff of 8 nmol/L. Among these patients, hypogonadotropic hypogonadism was the most prevalent form (82.6%). Compared to eugonadal subjects, hypogonadal men had significantly lower glomerular filtration rate (67.1 ± 23.4 vs. 78.4 ± 24.6 mL/min/1.73 m2 , p = 0.005) and higher prevalence of chronic kidney disease (43.5% vs. 20.4%, p = 0.002), abnormal liver function tests (26.7% vs. 12%, p = 0.019), and psychiatric treatment (23.9% vs. 10.4%, p = 0.025). Total testosterone levels correlated inversely with age (R = -0.164, p = 0.007), fasting blood glucose (R = -0.127, p = 0.037), and triglycerides (R = -0.134, p = 0.029) and directly with glomerular filtration rate (R = 0.148, p = 0.015). Calculated free testosterone and bioavailable testosterone correlated directly with hemoglobin (R = 0.171, p = 0.015 and R = 0.234, p = 0.001, respectively). Multivariate logistic regression analysis, after adjusting for relevant confounding variables, showed that age >60 years (OR = 3.58, CI 95% = 1.48-8.69, p = 0.005), body mass index >27 kg/m2 (OR = 2.85, CI 95% = 1.14-7.11, p = 0.025), hypertriglyceridemia (OR = 2.16, CI 95% = 1.05-4.41, p = 0.035), glomerular filtration rate <60 mL/min/1.73 m2 (OR = 2.51, CI 95% = 1.19-5.29, p = 0.015), and abnormal liver function tests (OR = 3.57, CI 95% = 1.48-8.60, p = 0.005) were independently associated with male hypogonadism. Although older age, body mass index, and hypertriglyceridemia have been previously related to hypogonadism, our results describe that chronic kidney disease and abnormal liver function tests are independently correlated with hypogonadism in type 2 diabetic men.
Collapse
Affiliation(s)
- A Herrero
- Department of Medicine and Service of Endocrinology and Nutrition, University of Salamanca, University Clinical Hospital of Salamanca, Salamanca, Spain
| | - M Marcos
- Department of Medicine and Service of Internal Medicine, University of Salamanca, University Clinical Hospital of Salamanca, Salamanca, Spain
| | - P Galindo
- Department of Statistics, University of Salamanca, Salamanca, Spain
| | - J M Miralles
- Department of Medicine and Service of Endocrinology and Nutrition, University of Salamanca, University Clinical Hospital of Salamanca, Salamanca, Spain
| | - J J Corrales
- Department of Medicine and Service of Endocrinology and Nutrition, University of Salamanca, University Clinical Hospital of Salamanca, Salamanca, Spain.,Cancer Research Institute (IBMCC-CSIC/USAL) and Institute for Biomedical Research of the University of Salamanca, Salamanca, Spain
| |
Collapse
|
28
|
Pascual M, Montesinos J, Marcos M, Laso F, Guerri C. S15-1SEX DIFFERENCES IN PERIPHERAL AND BRAIN INFLAMMATION IN ADOLESCENTS WITH BINGE DRINKING: PRECLINICAL AND CLINICAL STUDIES. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx075.55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
29
|
Ternavasio-de la Vega HG, Barbosa Ventura A, Castaño-Romero F, Sauchelli FD, Prolo Acosta A, Rodríguez Alcázar FJ, Vicente Sánchez A, Ruiz Antúnez E, Marcos M, Laso J. Corrigendum to "Assessment of a multi-modal intervention for the prevention of catheter-associated urinary tract infections" [J Hosp Infect. 2016 Oct;94(2):175-81]. J Hosp Infect 2017; 97:318. [PMID: 28919318 DOI: 10.1016/j.jhin.2017.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- H G Ternavasio-de la Vega
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain; Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.
| | - A Barbosa Ventura
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain
| | - F Castaño-Romero
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain
| | - F D Sauchelli
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain
| | - A Prolo Acosta
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain
| | | | - A Vicente Sánchez
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain
| | - E Ruiz Antúnez
- Training, Development and Innovation Area, University Hospital of Salamanca, Salamanca, Spain
| | - M Marcos
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain; Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - J Laso
- Internal Medicine Department, University Hospital of Salamanca, Salamanca, Spain; Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| |
Collapse
|
30
|
Pacienza N, Santa-Cruz D, Marcos M, Robledo O, Lemus G, Bertolotti A, Yannarelli G. Anti-Inflammatory Effect of Mesenchymal Stem Cells Facilitates Lung Preservation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.231] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
31
|
Gontard LC, López-Castro JD, González-Rovira L, Vázquez-Martínez JM, Varela-Feria FM, Marcos M, Calvino JJ. Assessment of engineered surfaces roughness by high-resolution 3D SEM photogrammetry. Ultramicroscopy 2017; 177:106-114. [PMID: 28340394 DOI: 10.1016/j.ultramic.2017.03.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Accepted: 03/05/2017] [Indexed: 11/17/2022]
Abstract
We describe a methodology to obtain three-dimensional models of engineered surfaces using scanning electron microscopy and multi-view photogrammetry (3DSEM). For the reconstruction of the 3D models of the surfaces we used freeware available in the cloud. The method was applied to study the surface roughness of metallic samples patterned with parallel grooves by means of laser. The results are compared with measurements obtained using stylus profilometry (PR) and SEM stereo-photogrammetry (SP). The application of 3DSEM is more time demanding than PR or SP, but it provides a more accurate representation of the surfaces. The results obtained with the three techniques are compared by investigating the influence of sampling step on roughness parameters.
Collapse
Affiliation(s)
- L C Gontard
- Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica y Química Inorgánica, Universidad de Cádiz, Puerto Real 11510, Spain.
| | - J D López-Castro
- Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica y Química Inorgánica, Escuela Superior de Ingeniería, Laboratorio de Corrosión, Universidad de Cádiz, Puerto Real 11519, Spain
| | - L González-Rovira
- Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica y Química Inorgánica, Escuela Superior de Ingeniería, Laboratorio de Corrosión, Universidad de Cádiz, Puerto Real 11519, Spain
| | - J M Vázquez-Martínez
- Departamento de Ingeniería Mecánica y Diseño Industrial, Escuela Superior de Ingeniería, Universidad de Cádiz, Puerto Real 11519, Spain
| | - F M Varela-Feria
- Servicio de Microscopía Centro de Investigación, Tecnología e Innovación (CITIUS), Universidad de Sevilla, Av. Reina Mercedes 4b, 41012 Sevilla, Spain
| | - M Marcos
- Departamento de Ingeniería Mecánica y Diseño Industrial, Escuela Superior de Ingeniería, Universidad de Cádiz, Puerto Real 11519, Spain
| | - J J Calvino
- Departamento de Ciencia de los Materiales e Ingeniería Metalúrgica y Química Inorgánica, Universidad de Cádiz, Puerto Real 11510, Spain
| |
Collapse
|
32
|
Valerga A, Batista M, Puyana R, Sambruno A, Wendt C, Marcos M. Preliminary study of PLA wire colour effects on geometric characteristics of parts manufactured by FDM. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.promfg.2017.09.161] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
33
|
Fernández-Miranda SS, Marcos M, Peralta M, Aguayo F. The challenge of integrating Industry 4.0 in the degree of Mechanical Engineering. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.promfg.2017.09.039] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
34
|
González-Ferrer A, Peleg M, Marcos M, Maldonado JA. Analysis of the process of representing clinical statements for decision-support applications: a comparison of openEHR archetypes and HL7 virtual medical record. J Med Syst 2016; 40:163. [DOI: 10.1007/s10916-016-0524-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 05/10/2016] [Indexed: 10/21/2022]
|
35
|
Shapovalyants SG, Michalev AI, Timofeev ME, Polushkin VG, Volkov VV, Oettinger AP, Lorenz R, Koch A, Köckerling F, Burcharth J, Andresen K, Pommergaard HC, Bisgaard T, Rosenberg J, Friis-Andersen H, Li JW, Le F, Zheng MH, Roscio F, Combi F, Frattini P, Clerici F, Scandroglio I, Zhao X, Nie Y, Liu J, Wang M, Kuo L, Tsai CC, Mok KT, Liu SI, Chen IS, Chou NH, Wang BW, Chen YC, Chang BM, Liang TJ, Kang CH, Tsai CY, Dudai M, Zeng YJ, Liu TL, Shi CM, Sun L, Shu R, Kawaguchi M, Takahashi Y, Tochimoto M, Horiguchi Y, Kato H, Tawaraya K, Hosokawa O, Huang C, Sorge A, Masoni L, Maglio R, Di Marzo F, Mosconi C, Gallinella Muzi M, Kato J, Iuamoto L, Meyer A, Almehdi R, Alazri Y, Sahoo B, Ahmed R, Nasser M, Inaba T, Fukuhsima R, Yaguchi Y, Horikawa M, Ogawa E, Kumata Y, Pokorny H, Fischer I, Resinger C, Lorenz V, Podar S, Längue F, Etherson K, Atkinson K, Khan S, Pradeep R, Viswanath Y, Munipalle PC, Chung J, Schuricht A, Magalhães C, Marcos M, Flores A, Sekmen U, Paksoy M, Ceriani F, Cutaia S, Canziani M, Caravati F. Inguinal Hernia: Recurrences, Tailored Surgery & Pubic Inguinal Pain Syndrome (Sportsman Hernia). Hernia 2015; 19 Suppl 1:S167-75. [PMID: 26518795 DOI: 10.1007/bf03355345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S G Shapovalyants
- Department of Hospital Surgery 2, Russian National Research Medical University, Moscow, Russia
| | - A I Michalev
- Department of Hospital Surgery 2, Russian National Research Medical University, Moscow, Russia
| | - M E Timofeev
- Department of Hospital Surgery 2, Russian National Research Medical University, Moscow, Russia
| | - V G Polushkin
- Department of Hospital Surgery 2, Russian National Research Medical University, Moscow, Russia
| | - V V Volkov
- Department of Hospital Surgery 2, Russian National Research Medical University, Moscow, Russia
| | - A P Oettinger
- Institution of Applied Medical Sciences, Russian National Research Medical University, Moscow, Russia
| | - R Lorenz
- Hernia Center 3 Chirurgen, Berlin, Germany
| | - A Koch
- Surgical Practise, Cottbus, Germany
| | - F Köckerling
- Klinik für Allgemein, Viszeral und Gefäβchirurgie, Vivantes Klinikum Spandau, Berlin, Germany
| | - J Burcharth
- Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, Denmark
| | - K Andresen
- Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, Denmark.,Department of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark
| | - H-C Pommergaard
- Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, Denmark
| | - T Bisgaard
- Department of Surgery, Hvidovre Hospital, Hvidovre, Denmark.,The Danish Hernia Database, Copenhagen, Denmark
| | - J Rosenberg
- Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev, Denmark.,The Danish Hernia Database, Copenhagen, Denmark.,Department of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark
| | | | - J W Li
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | | | | | - F Roscio
- Department of Surgery - Division of General Surgery, Galmarini Hospital, Tradate, Italy
| | - F Combi
- Department of Surgery - Division of General Surgery, Galmarini Hospital, Tradate, Italy
| | - P Frattini
- Department of Surgery - Division of General Surgery, Galmarini Hospital, Tradate, Italy
| | - F Clerici
- Department of Surgery - Division of General Surgery, Galmarini Hospital, Tradate, Italy
| | - I Scandroglio
- Department of Surgery - Division of General Surgery, Galmarini Hospital, Tradate, Italy
| | - X Zhao
- Beijing Chao-Yang Hospital, Beijing, China
| | | | | | | | - L Kuo
- Department of General Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
| | | | | | | | | | | | | | | | | | | | | | | | - M Dudai
- Hernia Excellence, Ramat Aviv Medical Center, Tel Aviv, Israel
| | - Y J Zeng
- Department of Gastroenterology and Hernia, The first affiliated hospital of Kunming Medical University, Kunming, China
| | - T L Liu
- Department of Gastroenterology and Hernia, The first affiliated hospital of Kunming Medical University, Kunming, China
| | - C M Shi
- Department of Gastroenterology and Hernia, The first affiliated hospital of Kunming Medical University, Kunming, China
| | - L Sun
- Department of Gastroenterology and Hernia, The first affiliated hospital of Kunming Medical University, Kunming, China
| | - R Shu
- Department of Gastroenterology and Hernia, The first affiliated hospital of Kunming Medical University, Kunming, China
| | - M Kawaguchi
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - Y Takahashi
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - M Tochimoto
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - Y Horiguchi
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - H Kato
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - K Tawaraya
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - O Hosokawa
- Yokohama Sakae Kyosai Hospital, Yokohama, Japan
| | - C Huang
- Cathay medical center, Taipei, Taiwan.,Taipei medical university, Taipei, Taiwan
| | - A Sorge
- Ospedale S. Giovanni Bosco, Napoli, Italy
| | | | - R Maglio
- Ospedale Israelitico, Roma, Italy
| | - F Di Marzo
- Ospedale S. Giovanni Bosco, Napoli, Italy
| | - C Mosconi
- Policlinico Universitario Tor Vergata, Roma, Italy
| | | | - J Kato
- University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - L Iuamoto
- University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - A Meyer
- Abdominal Wall Repair Center, Samaritano Hospital, Sao Paulo, Brazil
| | | | | | | | | | | | - T Inaba
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - R Fukuhsima
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - Y Yaguchi
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - M Horikawa
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - E Ogawa
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - Y Kumata
- Department of Surgery, Teikyo University Hospital, Tokyo, Japan
| | - H Pokorny
- LK Wiener Neustadt, Wiener Neustadt, Austria
| | | | | | | | | | | | - K Etherson
- Department of Surgery, James Cook University Hospital, Middlesbrough, UK
| | - K Atkinson
- Department of Surgery, James Cook University Hospital, Middlesbrough, UK
| | - S Khan
- Department of Surgery, James Cook University Hospital, Middlesbrough, UK
| | - R Pradeep
- Department of Surgery, James Cook University Hospital, Middlesbrough, UK
| | - Y Viswanath
- Department of Surgery, James Cook University Hospital, Middlesbrough, UK
| | | | - J Chung
- University of Pennsylvania Health System, Philadelphia, USA
| | - A Schuricht
- University of Pennsylvania Health System, Philadelphia, USA
| | | | - M Marcos
- Centro Hospitalar Porto, Porto, Portugal.,Institute Cuf, Porto, Portugal
| | - A Flores
- Centro Hospitalar Porto, Porto, Portugal.,Institute Cuf, Porto, Portugal
| | - U Sekmen
- Acibadem Hospital, Istanbul, Turkey
| | - M Paksoy
- Dept. of Gen. Surg., Istanbul Uni. Cerrahpasa Med. School, Istanbul, Turkey
| | - F Ceriani
- Multimedica Santa Maria, Castellanza, Va, Italy
| | | | | | | |
Collapse
|
36
|
Echeverry-Alzate V, Marcos M, Calleja-Conde J, Bühler KM, Costa-Alba P, Bernardo E, Laso FJ, Rodríguez de Fonseca F, Nadal R, Viveros MP, Maldonado R, Giné E, López-Moreno JA. P-34EFFECTS OF ALCOHOL BINGES ON HISTONE DEACETYLASES GENE EXPRESSION IN RATS AND HUMANS. Alcohol Alcohol 2015. [DOI: 10.1093/alcalc/agv080.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
37
|
Abstract
While there is scientific consensus that global and local mean sea level (GMSL and LMSL) has risen since the late nineteenth century, the relative contribution of natural and anthropogenic forcing remains unclear. Here we provide a probabilistic upper range of long-term persistent natural GMSL/LMSL variability (P=0.99), which in turn, determines the minimum/maximum anthropogenic contribution since 1900. To account for different spectral characteristics of various contributing processes, we separate LMSL into two components: a slowly varying volumetric component and a more rapidly changing atmospheric component. We find that the persistence of slow natural volumetric changes is underestimated in records where transient atmospheric processes dominate the spectrum. This leads to a local underestimation of possible natural trends of up to ∼1 mm per year erroneously enhancing the significance of anthropogenic footprints. The GMSL, however, remains unaffected by such biases. On the basis of a model assessment of the separate components, we conclude that it is virtually certain (P=0.99) that at least 45% of the observed increase in GMSL is of anthropogenic origin. The contribution of anthropogenic forcing to rising sea levels during the industrial era remains uncertain. Here, the authors provide a probabilistic evaluation and show that at least 45% of global mean sea level rise is of anthropogenic origin.
Collapse
Affiliation(s)
- Sönke Dangendorf
- Department of Civil Engineering, Research Institute for Water and Environment, University of Siegen, Paul-Bonatz-Strasse 9-11, 57076 Siegen, Germany
| | - Marta Marcos
- IMEDEA (UIB-CSIC), Miquel Marquès, 21, E-07190 Esporles, Spain
| | - Alfred Müller
- Department of Mathematics, University of Siegen, Walter-Flex-Strasse 3, 57072 Siegen, Germany
| | - Eduardo Zorita
- Helmholtz-Centre Geesthacht, Max-Planck-Strasse 1, 21502 Geesthacht, Germany
| | - Riccardo Riva
- Departement of Geoscience and Remote Sensing, Delft University of Technology, Stevinweg 1, 2628 Delft, Netherlands
| | - Kevin Berk
- Department of Mathematics, University of Siegen, Walter-Flex-Strasse 3, 57072 Siegen, Germany
| | - Jürgen Jensen
- Department of Civil Engineering, Research Institute for Water and Environment, University of Siegen, Paul-Bonatz-Strasse 9-11, 57076 Siegen, Germany
| |
Collapse
|
38
|
Bonanad S, De la Rubia J, Gironella M, Pérez Persona E, González B, Fernández Lago C, Arnan M, Zudaire M, Hernández Rivas JA, Soler A, Marrero C, Olivier C, Altés A, Valcárcel D, Hernández MT, Oiartzabal I, Fernández Ordoño R, Arnao M, Esquerra A, Sarrá J, González-Barca E, González J, Calvo X, Nomdedeu M, García Guiñón A, Ramírez Payer A, Casado A, López S, Durán M, Marcos M, Cruz-Jentoft AJ. Development and psychometric validation of a brief comprehensive health status assessment scale in older patients with hematological malignancies: The GAH Scale. J Geriatr Oncol 2015; 6:353-61. [PMID: 26139300 DOI: 10.1016/j.jgo.2015.03.003] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 03/24/2015] [Accepted: 03/31/2015] [Indexed: 12/27/2022]
Abstract
OBJECTIVES The purpose of this study was to develop a new brief, comprehensive geriatric assessment scale for older patients diagnosed with different hematological malignancies, the Geriatric Assessment in Hematology (GAH scale), and to determine its psychometric properties. MATERIALS AND METHODS The 30-item GAH scale was designed through a multi-step process to cover 8 relevant dimensions. This is an observational study conducted in 363 patients aged≥65years, newly diagnosed with different hematological malignancies (myelodysplasic syndrome/acute myeloblastic leukemia, multiple myeloma, or chronic lymphocytic leukemia), and treatment-naïve. The scale psychometric validation process included the analyses of feasibility, floor and ceiling effect, validity and reliability criteria. RESULTS Mean time taken to complete the GAH scale was 11.9±4.7min that improved through a learning-curve effect. Almost 90% of patients completed all items, and no floor or ceiling effects were identified. Criterion validity was supported by reasonable correlations between the GAH scale dimensions and three contrast variables (global health visual analogue scale, ECOG and Karnofsky), except for comorbidities. Factor analysis (supported by the scree plot) revealed nine factors that explained almost 60% of the total variance. Moderate internal consistency reliability was found (Cronbach's α: 0.610), and test-retest was excellent (ICC coefficients, 0.695-0.928). CONCLUSION Our study suggests that the GAH scale is a valid, internally reliable and a consistent tool to assess health status in older patients with different hematological malignancies. Future large studies should confirm whether the GAH scale may be a tool to improve clinical decision-making in older patients with hematological malignancies.
Collapse
Affiliation(s)
- S Bonanad
- Hematology Department, H. U. La Fe, Av. Fernando Abril Martorell, 106, 46026 Valencia, Spain.
| | - J De la Rubia
- Hematology Department, H. U. La Fe, Av. Fernando Abril Martorell, 106, 46026 Valencia, Spain
| | - M Gironella
- Hematology Department, H. U. Vall d'Hebrón, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain
| | - E Pérez Persona
- Hematology Department, H. U. Txagorritxu, c/ Jose Atxotegi, s/n, 01009 Vitoria-Gasteiz, Álava, Spain
| | - B González
- Hematology Department, H. U. de Canarias, Ctra. Ofra, s/n, 38320 San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
| | - C Fernández Lago
- Hematology Department, C.H.U. A Coruña, As Xubias, 84, 15006, A Coruña, Spain
| | - M Arnan
- Hematology Department, Catalan Institute of Oncology, IDIBELL, Hospital Duran i Reynals, Avinguda Granvia de l'Hospitalet, 199-203 08908 l'Hospitalet de Llobregat, Barcelona, Spain
| | - M Zudaire
- Hematology Department, C.H. de Navarra, Av. Pío XII, 36, 31008 Pamplona, Navarra, Spain
| | - J A Hernández Rivas
- Hematology Department, H.U. Infanta Leonor, Avenida Gran Vía del Este, 80, 28031 Madrid, Spain
| | - A Soler
- Hematology Department, C.S. Parc Taulí, Parc Taulí, 1, 08208 Sabadell, Barcelona, Spain
| | - C Marrero
- Hematology Department, H. Ntra. Sra. de La Candelaria, Carretera del Rosario, 145, 38010 Santa Cruz de Tenerife, Spain
| | - C Olivier
- Hematology Department, C.H. de Segovia, c/ de Miguel Servet, s/n, Segovia, Spain
| | - A Altés
- Hematology Department, H. Sant Joan de Déu, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain
| | - D Valcárcel
- Hematology Department, H. U. Vall d'Hebrón, Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain
| | - M T Hernández
- Hematology Department, H. U. de Canarias, Ctra. Ofra, s/n, 38320 San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
| | - I Oiartzabal
- Hematology Department, H. U. Txagorritxu, c/ Jose Atxotegi, s/n, 01009 Vitoria-Gasteiz, Álava, Spain
| | - R Fernández Ordoño
- Hematology Department, H.U. Infanta Leonor, Avenida Gran Vía del Este, 80, 28031 Madrid, Spain
| | - M Arnao
- Hematology Department, H.U. de La Ribera, Carretera Corbera, km 1, 46600 Alzira, Valencia, Spain
| | - A Esquerra
- Hematology Department, C.S. Parc Taulí, Parc Taulí, 1, 08208 Sabadell, Barcelona, Spain
| | - J Sarrá
- Hematology Department, Catalan Institute of Oncology, IDIBELL, Hospital Duran i Reynals, Avinguda Granvia de l'Hospitalet, 199-203 08908 l'Hospitalet de Llobregat, Barcelona, Spain
| | - E González-Barca
- Hematology Department, Catalan Institute of Oncology, IDIBELL, Hospital Duran i Reynals, Avinguda Granvia de l'Hospitalet, 199-203 08908 l'Hospitalet de Llobregat, Barcelona, Spain
| | - J González
- Hematology Department, H.U. Virgen del Rocío, Avenida Manuel Siurot, s/n, 41013 Sevilla, Spain
| | - X Calvo
- Hematology Department, Hospital Clínic de Barcelona, Carrer Villarroel, 170, 08036 Barcelona, Spain
| | - M Nomdedeu
- Hematology Department, Hospital Clínic de Barcelona, Carrer Villarroel, 170, 08036 Barcelona, Spain
| | - A García Guiñón
- Hematology Department, H.U. Arnau de Vilanova, Avenida Alcalde Rovira Roure, 80, 25198 Lleida, Spain
| | - A Ramírez Payer
- Hematology Department, H.U. Central de Asturias, Calle Carretera de Rubín, s/n, 33011 Oviedo, Spain
| | - A Casado
- U. Autónoma de Madrid, Dynamic Science S.L., c/Azcona, 31, 28028 Madrid, Spain
| | - S López
- Celgene S.L.U., Paseo de Recoletos, 37, 28004 Madrid, Spain
| | - M Durán
- Celgene S.L.U., Paseo de Recoletos, 37, 28004 Madrid, Spain
| | - M Marcos
- Celgene S.L.U., Paseo de Recoletos, 37, 28004 Madrid, Spain
| | - A J Cruz-Jentoft
- Geriatric Department, H.U. Ramón y Cajal, Ctra. de Colmenar Viejo, km. 9,100, 28034 Madrid, Spain
| | | |
Collapse
|
39
|
Chamorro AJ, Torres JL, Mirón-Canelo JA, González-Sarmiento R, Laso FJ, Marcos M. Letter: PNPLA3 and alcoholic liver disease--an alert to methodological limitations. Authors' reply. Aliment Pharmacol Ther 2015; 41:594. [PMID: 25659213 DOI: 10.1111/apt.13084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Accepted: 12/30/2014] [Indexed: 12/08/2022]
Affiliation(s)
- A-J Chamorro
- Alcoholism Unit, Department of Internal Medicine, University Hospital of Salamanca, Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | | | | | | | | | | |
Collapse
|
40
|
Peralta M, Marcos M, Aguayo F, Lama J, Córdoba A. Sustainable Fractal Manufacturing: A New Approach to Sustainability in Machining Processes. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.proeng.2015.12.579] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
41
|
Mayuet P, Girot F, Lamíkiz A, Fernández-Vidal S, Salguero J, Marcos M. SOM/SEM based Characterization of Internal Delaminations of CFRP Samples Machined by AWJM. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.proeng.2015.12.549] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
42
|
Armentia A, Gangoiti U, Priego R, Estévez E, Marcos M. A Multi-Agent Based Approach to Support Adaptability in Home Care Applications. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.ifacol.2015.08.098] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
43
|
Wendt C, Batista M, Moreno E, Valerga A, Fernández-Vidal S, Droste O, Marcos M. Preliminary Design and Analysis of Tensile Test Samples Developed by Additive Manufacturing. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.proeng.2015.12.489] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
44
|
Chamorro AJ, Torres JL, Mirón-Canelo JA, González-Sarmiento R, Laso FJ, Marcos M. Systematic review with meta-analysis: the I148M variant of patatin-like phospholipase domain-containing 3 gene (PNPLA3) is significantly associated with alcoholic liver cirrhosis. Aliment Pharmacol Ther 2014; 40:571-81. [PMID: 25060292 DOI: 10.1111/apt.12890] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2014] [Revised: 05/02/2014] [Accepted: 07/07/2014] [Indexed: 12/14/2022]
Abstract
BACKGROUND Several studies have reported an association between alcoholic liver cirrhosis (ALC) or other forms of alcoholic liver disease (ALD) and the genetic variant rs738409 (C>G) in adiponutrin/patatin-like phospholipase domain-containing 3 gene (PNPLA3). AIM To evaluate the influence of this variant on ALC and other forms of ALD. METHODS We performed a systematic review of previous studies on the relationship between rs738409 of PNPLA3 and ALD and meta-analysis was conducted in a random-effects model. Calculations of the odds ratios (ORs) and their confidence intervals (CIs), tests for heterogeneity and sensitivity analyses were performed. RESULTS Database search identified 11 previous studies available for inclusion with a total of 3495 patients with ALD (2087 with ALC) and 5038 controls (4007 healthy subjects and 1031 alcoholics without ALD). Patients with ALC compared to controls had a significantly higher prevalence of the G allele when comparing GG vs. CC (OR 4.30, 95% CI 3.25-5.69; P < 0.00001) or GC vs. CC genotypes (GC vs. CC: OR 1.91, 95% CI 1.67-2.17) or under a recessive or dominant model. Similar results were found when comparing separately patients with ALC vs. alcoholics without ALD or healthy subjects. An association of the G allele with ALD emerged when comparing ALD patients vs. alcoholics without ALD and/or healthy subjects although moderate to large heterogeneity was observed. Our data suggested an additive genetic model for this variant in ALD. CONCLUSION Our meta-analysis shows that the rs738409 variant of PNPLA3 is clearly associated with alcoholic liver cirrhosis.
Collapse
Affiliation(s)
- A-J Chamorro
- Alcoholism Unit, Department of Internal Medicine, University Hospital of Salamanca, Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | | | | | | | | | | |
Collapse
|
45
|
Marcos M, Devic S. Poster - Thur Eve - 53: Novel Technique for the Measurement of Ultra-Superficial Doses Using Gafchromic Film. Med Phys 2014. [DOI: 10.1118/1.4894913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
46
|
Cortes S, Maurício IL, Kuhls K, Nunes M, Lopes C, Marcos M, Cardoso L, Schönian G, Campino L. Genetic diversity evaluation on Portuguese Leishmania infantum strains by multilocus microsatellite typing. Infection, Genetics and Evolution 2014; 26:20-31. [DOI: 10.1016/j.meegid.2014.04.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Revised: 04/23/2014] [Accepted: 04/29/2014] [Indexed: 11/24/2022]
|
47
|
Marcos M, Hernández-García I, Ceballos-Alonso C, Martínez-Iglesias R, Mirón-Canelo JA, Laso FJ. [Reply]. Rev Calid Asist 2014; 29:182-183. [PMID: 24417901 DOI: 10.1016/j.cali.2013.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2013] [Accepted: 11/19/2013] [Indexed: 06/03/2023]
Affiliation(s)
- M Marcos
- Servicio de Medicina Interna, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
| | - I Hernández-García
- Servicio de Medicina Preventiva y Salud Pública, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - C Ceballos-Alonso
- Dirección Médica, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - R Martínez-Iglesias
- Dirección Gerencia, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| | - J A Mirón-Canelo
- Departamento de Medicina Preventiva, Salud Pública y Microbiología, Universidad de Salamanca, Salamanca, España
| | - F J Laso
- Servicio de Medicina Interna, Complejo Asistencial Universitario de Salamanca, Salamanca, España
| |
Collapse
|
48
|
Marcos M, Hernández-García I, Ceballos-Alonso C, Martínez-Iglesias R, Mirón-Canelo JA, Laso FJ. [Impact of short-stay units on the quality of medical care in Spain]. Rev Calid Asist 2013; 28:199-206. [PMID: 23867614 DOI: 10.1016/j.cali.2013.04.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2013] [Revised: 04/25/2013] [Accepted: 04/30/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Short-stay units (SSUs) have been developed as an alternative to conventional hospitalisation. The aim of this study is to analyse the impact of short-stay units on the quality of medical care in Spain. MATERIAL AND METHODS A systematic review was performed by retrieving studies that analysed the results of SSUs in Spain, in terms of clinical effectiveness, efficiency and satisfaction among patients, using an electronic database search (Pubmed/Medline and Spanish Medical Index) and a review of selected references. The data collected included, mortality, length of stay and re-admission rates, as well as other variables. RESULTS Twenty-seven articles were found, with a great heterogeneity in both study design and type of SSU analysed. After analysing results, it was observed that SSUs in Spain provided effective clinical care. Low-quality evidence was also found supporting the hypothesis that SSUs are able to reduce overall length of stay in the whole hospital or department where they were created. There are not enough data to support any other advantages or benefits of SSUs, when compared with other hospitalisation units. CONCLUSIONS SSUs may be able to effectively improve clinical care in selected patients, and may help to shorten overall length of stay. Further research is needed in order to define their exact role and to establish their optimal model.
Collapse
Affiliation(s)
- M Marcos
- Servicio de Medicina Interna, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
| | | | | | | | | | | |
Collapse
|
49
|
Sanchez Sanchez M, Ortega Alvarez C, Amr O, Marcos M, Vazquez G, Andreu F. Metástasis a distancia en carcinoma sebáceo de cuero cabelludo. A propósito de un caso/distant metastases in sebaceous carcinoma of scalp. A case. Rep Pract Oncol Radiother 2013. [DOI: 10.1016/j.rpor.2013.03.570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
|
50
|
Palacios R, Navarro F, Narankiewicz D, Marcos M, Jiménez-Oñate F, de la Torre J, Santos J. Liver involvement in HIV-infected patients with early syphilis. Int J STD AIDS 2013; 24:31-3. [PMID: 23467288 DOI: 10.1177/0956462412472316] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of the paper is to analyse the prevalence of liver involvement and related factors in HIV-infected patients with early syphilis (<2 years). Liver involvement was defined as an elevation above normal ranges of alanine transaminase, aspartate aminotransferase, gamma-glutamyltransferase and/or alkaline phosphatase during early syphilis, or doubling of previous levels in patients with liver enzyme elevation before syphilis. We undertook a multicentre study and of the 147 cases, 86.4% were men who had sex with men, and the diagnoses of syphilis and HIV infection were coincident in 48 (32.7%). Liver involvement was detected in 45 (30.6%) and the only related factor was a rapid plasma reagin (RPR) titre ≥1/64 (odds ratio 3.76; 95% confidence interval 1.3-10.5; P = 0.012). In conclusion, liver involvement occurs in around one-third of HIV-infected patients with early syphilis and is associated with high RPR levels. Syphilis should be included in the differential diagnosis of liver enzyme elevation in HIV-infected patients.
Collapse
Affiliation(s)
- R Palacios
- UGC de Enfermedades Infecciosas, Hospital Virgen de la Victoria
| | | | | | | | | | | | | |
Collapse
|