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Eduardo Espinet Coll, Gontrand López-Nava Breviere, Javier Nebreda Durán, Carlos Marra-López Valenciano, Román Turró Arau, José Miguel Esteban López-Jamar, Miguel Muñoz-Navas
Obesity is a chronic multifactorial, incurable, recurrent, and progressive disease associated with significant physical and psychological complications, and considerable morbidity and mortality. For this reason, the assessment, management, and follow-up of obese patients should take place in the setting of a multidisciplinary unit equipped with adequate human and structural resources. Medical treatment using hygienic-dietary measures, while indispensable, may be insufficient, and surgery, which is reserved for severe or morbid obesity, is not exempt from complications neither is to the liking of many patients...
May 16, 2018: Revista Española de Enfermedades Digestivas
José Luis Bernal, José A Barrabés, Andrés Íñiguez, Antonio Fernández-Ortiz, Cristina Fernández-Pérez, Alfredo Bardají, Francisco Javier Elola
INTRODUCTION AND OBJECTIVES: Health outcomes research is done from clinical registries or administrative databases. The aim of this work was to evaluate the concordance of the Minimum Basic Data Set (MBDS) with the DIOCLES (Descripción de la Cardiopatía Isquémica en el Territorio Español) registry and to analyze the implications of use of the MBDS in the study of acute coronary syndrome in Spain. METHODS: Through indirect identifiers, DIOCLES was linked with MBDS and unique matches were selected...
May 7, 2018: Revista Española de Cardiología
LaÍs V Ramalho, Carlos M LÓpez-fÉ, JosÉ Luis Rueda
Diapirs and mud volcanoes (MVs) are formed by the migration and extrusion of fluids and mud to the seafloor, respectively. In the Gulf of Cádiz there are ca. 60 MVs and several diapirs with different environmental conditions and seepage activity. Previous studies, mainly on MVs, have demonstrated that the invertebrate fauna associated with these seafloor structures can be very diverse, including chemosymbiotic species, mostly mollusks and frenulate polychaetes, as well as vulnerable suspension feeders, such as cold-water corals and sponges, among others...
January 23, 2018: Zootaxa
Blanca Figuerola, Dennis P Gordon, Javier Cristobo
The present paper reports on 22 bryozoan species collected from 25 localities on the Southwestern Atlantic continental shelf and slope by the Instituto Español de Oceanografía vessel RV Miguel Oliver (2008-2010). Two new genera, Amynaskolia n. gen. and Biconcavus n. gen., and twenty new cheilostome species are described: Amastigia zigzag n. sp., Membranicellaria balanyai n. sp., Figularia dimorpha n. sp., Biconcavus batmani n. sp., Smittina acicularis n. sp., Smittoidea granulosa n. sp., Amynaskolia foramina n...
January 24, 2018: Zootaxa
Olga Rubio, Anna Arnau, Sílvia Cano, Carles Subirà, Begoña Balerdi, María Eugenía Perea, Miguel Fernández-Vivas, María Barber, Noemí Llamas, Susana Altaba, Ana Prieto, Vicente Gómez, Mar Martin, Marta Paz, Belen Quesada, Valentí Español, Juan Carlos Montejo, José Manuel Gomez, Gloria Miro, Judith Xirgú, Ana Ortega, Pedro Rascado, Juan María Sánchez, Alfredo Marcos, Ana Tizon, Pablo Monedero, Elisabeth Zabala, Cristina Murcia, Ines Torrejon, Kenneth Planas, José Manuel Añon, Gonzalo Hernandez, María-Del-Mar Fernandez, Consuelo Guía, Vanesa Arauzo, José Miguel Perez, Rosa Catalan, Javier Gonzalez, Rosa Poyo, Roser Tomas, Iñaki Saralegui, Jordi Mancebo, Charles Sprung, Rafael Fernández
Purpose: To determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission. Methods: This prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011. We recorded hospitals' characteristics (availability of intermediate care units, usual availability of ICU beds, and financial model) and patients' characteristics (demographics, reason for admission, functional status, risk of death, and LLST on ICU admission (withholding/withdrawing; specific techniques affected))...
2018: Journal of Intensive Care
G Anaya, M E Fernández, M Valera, A Molina, F Azcona, P Azor, M Solé, M Moreno-Millán, S Demyda-Peyrás
Twin foaling is associated with chimaerism in several domestic species and is recognised in horses. In this study, 21,097 purebred Spanish (Pura Raza Español) horse births from the 2015 to 2016 breeding season were investigated for chimaerism. Twin foaled and chimaeric individuals were assessed on the basis of foaling records, short-tandem repeat (STR) parentage test results and a sex-linked STR-based technique. Fourteen twin pregnancies with 23 twin foals born alive were identified (0.066% twin foaling prevalence), including five blood chimaeric cases (21...
April 2018: Veterinary Journal
(no author information available yet)
No abstract text is available yet for this article.
May 2018: American Journal on Intellectual and Developmental Disabilities
María José Lavilla Martín de Valmaseda, Laura Cavalle Garrido, Alicia Huarte Irujo, Faustino Núñez Batalla, Manuel Manrique Rodriguez, Ángel Ramos Macías, Carlos de Paula Vernetta, Elisa Gil-Carcedo Sañudo, Luis Lassaleta, Isabel Sánchez-Cuadrado, Juan Manuel Espinosa Sánchez, Ángel Batuecas Caletrio, Carlos Cenjor Español
INTRODUCTION AND GOALS: During the last decade there have been multiple and relevant advances in conduction and mixed hearing loss treatment. These advances and the appearance of new devices have extended the indications for bone-conduction implants. The Scientific Committee of Audiology of the Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello SEORL-CCC (Spanish Society of Otolaryngology and Head and Neck Surgery), together with the Otology and Otoneurology Committees, have undertaken a review of the current state of bone-conduction devices with updated information, to provide a clinical guideline on bone-conduction implants for otorhinolaryngology specialists, health professionals, health authorities and society in general...
April 13, 2018: Acta Otorrinolaringológica Española
D Moreno-Ramírez, A Boada, L Ferrándiz, E Samaniego, G Carretero, E Nagore, P Redondo, P Ortiz-Romero, J Malvehy, R Botella-Estrada
Recent publication of the results of clinical trials in which lymph node dissection was not associated with any survival benefit in patients with sentinel node metastasis makes it necessary to reconsider the treatment of patients with melanoma. This article provides an update on the available evidence on the diverse factors (routes of metastatic spread, predictors, adjuvant therapy, etc.) that must be considered when treating patients with sentinel node-positive melanoma. The authors propose a decision-making algorithm for use in this clinical setting...
April 9, 2018: Actas Dermo-sifiliográficas
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Intellectual and Developmental Disabilities
Marta González-Vicent, Jaime Sanz, José Luis Fuster, Joan Cid, Cristina Díaz de Heredia, Daniel Morillo, José María Fernández, Antonia Pascual, Isabel Badell, David Serrano, Laura Fox, Javier de la Serna, Ana Benito, José Miguel Couselo, Blanca Molina, Miguel Ángel Díaz, Miguel Ángel Sanz
Autoimmune hemolytic anemia (AIHA) is a complication of allogeneic hematopoietic stem cell transplantation (HSCT) associated with poor outcome. However, an optimal therapeutic approach is lacking. Between 2000 and 2015, 4099 allogeneic HSCT were performed in eight pediatric centers of the Grupo Español De Trasplante de Medula Osea en Niños (GETMON) and six adult centers of the Grupo Español de Trasplante Hematopoyetico (GETH). Sixty cases of AIHA were registered with a cumulative incidence of 1.5% occurring at a median of 6 months after HSCT...
March 3, 2018: Transfusion Medicine Reviews
Peter Vorwald, Marcos Bruna Esteban, Sonia Ortega Lucea, Jose Manuel Ramírez Rodríguez
ERAS is a multimodal perioperative care program which replaces traditional practices concerning analgesia, intravenous fluids, nutrition, mobilization as well as a number of other perioperative items, whose implementation is supported by evidence-based best practices. According to the RICA guidelines published in 2015, a review of the literature and the consensus established at a multidisciplinary meeting in 2015, we present a protocol that contains the basic procedures of an ERAS pathway for resective esophageal surgery...
March 21, 2018: Cirugía Española
María Sanz-Lorente, Carmina Wanden-Berghe, Ramón Castejón-Bolea, Javier Sanz-Valero
BACKGROUND: The internet is now the primary source of information that young people use to get information on issues related to sex, contraception, and sexually transmitted infections. OBJECTIVE: The goal of the research was to review the scientific literature related to the use of Web 2.0 tools as opposed to other strategies in the prevention of curable sexually transmitted diseases (STDs). METHODS: A scoping review was performed on the documentation indexed in the bibliographic databases MEDLINE, Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Literatura Latinoamericana y del Caribe en Ciencias de la Salud, PsycINFO, Educational Resources Information Center, the databases of Centro Superior de Investigaciones Científicas in Spain, and the Índice Bibliográfico Español de Ciencias de la Salud from the first available date according to the characteristics of each database until April 2017...
March 22, 2018: Journal of Medical Internet Research
Jaime Ruiz-Tovar, José Luis Muñoz, Pablo Royo, Manuel Duran, Elisabeth Redondo, Jose Manuel Ramirez
INTRODUCTION: The essence of Enhanced Recovery After Surgery (ERAS) programs is the multimodal approach, and many authors have demonstrated safety and feasibility in fast track bariatric surgery. According to this concept, a multidisciplinary ERAS program for bariatric surgery has been developed by the Spanish Fast Track Group (ERAS Spain). The aim of this study was to analyze the initial implementation of this Spanish National ERAS protocol in bariatric surgery, comparing it with a historical cohort receiving standard care...
March 8, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
Eugeni Domènech, Julián Panés, Joaquín Hinojosa, Vito Annese, Fernando Magro, Giacomo Carlo Sturniolo, Fabrizio Bossa, Francisco Fernández, Benito González-Conde, Valle García-Sánchez, Axel Dignass, José Manuel Herrera, José Luis Cabriada, Jordi Guardiola, Maurizio Vecchi, Francisco Portela, Daniel Ginard
Background and Aims: Steroid-dependency occurs in up to 30% of patients with ulcerative colitis (UC). In this setting, few drugs have demonstrated efficacy in inducing steroid-free remission. The aim was to evaluate the efficacy and safety of adding granulocyte/monocyte apheresis (GMA) to oral prednisone in patients with steroid-dependent UC. Methods: Randomized, multicentre, open trial comparing 7 weekly sessions of GMA plus oral prednisone (40mg/day and tapering) to prednisone alone in patients with active, steroid-dependent UC (Mayo score 4-10 and inability to withdraw corticosteroids in 3 months or relapse within the first 3 months after discontinuation)...
February 27, 2018: Journal of Crohn's & Colitis
(no author information available yet)
No abstract text is available yet for this article.
March 2018: American Journal on Intellectual and Developmental Disabilities
Eduardo Albéniz, María Pellisé, Antonio Z Gimeno García, Alfredo José Lucendo, Pedro A Alonso Aguirre, Alberto Herreros de Tejada, Marco Antonio Álvarez, María Fraile, Maite Herráiz Bayod, Leopoldo López Rosés, David Martínez Ares, Akiko Ono, Adolfo Parra Blanco, Eduardo Redondo, Andrés Sánchez Yagüe, Santiago Soto, José Díaz Tasende, Marta Montes Díaz, Manuel Rodríguez Téllez, Orlando García, Alba Zuñiga Ripa, Marta Hernández Conde, Fernando Alberca de Las Parras, Carla Gargallo, Esteban Saperas, Miguel Muñoz Navas, Javier Gordillo, Felipe Ramos Zabala, José Manuel Echevarría, Marco Bustamante, Mariano González Haba, Ferrán González Huix, Begoña González Suárez, Juan José Vila Costas, Carlos Guarner Argente, Fernando Múgica, Julyssa Cobián, Joaquín Rodríguez Sánchez, Bartolomé López Viedma, Noel Pin, José Carlos Marín Gabriel, Óscar Nogales, Joaquín de la Peña, Francisco Javier Navajas León, Helena León Brito, David Remedios, José Miguel Esteban, David Barquero, Juan Gabriel Martínez Cara, Felipe Martínez Alcalá, Ignacio Fernández Urién, Eduardo Valdivielso
This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.
March 2018: Gastroenterología y Hepatología
Diego Camargo, J A de la Torre, D Duque-Zumajo, Pep Español, Rafael Delgado-Buscalioni, Farid Chejne
Density Functional Theory (DFT) is a successful and well-established theory for the study of the structure of simple and complex fluids at equilibrium. The theory has been generalized to dynamical situations when the underlying dynamics is diffusive as in, for example, colloidal systems. However, there is no such a clear foundation for Dynamic DFT (DDFT) for the case of simple fluids in contact with solid walls. In this work, we derive DDFT for simple fluids by including not only the mass density field but also the momentum density field of the fluid...
February 14, 2018: Journal of Chemical Physics
Malena I Español, Dmitry Golovaty, J Patrick Wilber
In this paper, we derive a continuum variational model for a two-dimensional deformable lattice of atoms interacting with a two-dimensional rigid lattice. The starting point is a discrete atomistic model for the two lattices which are assumed to have slightly different lattice parameters and, possibly, a small relative rotation. This is a prototypical example of a three-dimensional system consisting of a graphene sheet suspended over a substrate. We use a discrete-to-continuum procedure to obtain the continuum model which recovers both qualitatively and quantitatively the behaviour observed in the corresponding discrete model...
January 2018: Proceedings. Mathematical, Physical, and Engineering Sciences
Águeda Prior-Español, Yaiza García-Mira, Sonia Mínguez, Melania Martínez-Morillo, Laia Gifre, Lourdes Mateo
OBJECTIVE: Septic arthritis is a medical emergency and crystal-induced arthritis is a risk factor for its development. If both occur simultaneously, crystal-induced arthritis may mask the diagnosis of infection and delay antibiotic therapy. METHOD: Retrospective analysis of patients with coexistence of septic and crystal-induced arthritis. We included only patients with isolation of crystals in synovial fluid analysis and positive culture of synovial fluid and/or blood culture...
February 1, 2018: Reumatología Clinica
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