9 research outputs found

    ICO-ICS Praxis para el tratamiento de la leucemia linfática crónica

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    Tractament mèdic; Tractament amb irradiació; Leucèmia limfàtica crònicaMedical treatment; Irradiation treatment; Chronic lymphocytic leukemiaTratamiento médico; Tratamiento con irradiación; Leucemia linfática crónicaLa leucèmia limfàtica crònica (LLC) és una alteració hematopoètica monoclonal caracteritzada per una expansió progressiva de limfòcits de la línia B. Aquests limfòcits, madurs des del punt de vista morfològic, però menys madurs des del punt de vista immunològic, s’acumulen a la sang, la medul·la òssia, els nòduls limfàtics i la melsa. Els principals objectius d’aquesta ICO-ICSPraxi són: - Desenvolupar, difondre, implementar i avaluar resultats de la ICO-ICSPraxi de la leucèmia limfàticacrònica (LLC). - Disminuir la variabilitat terapèutica entre els pacients tractats als diferents centres d'aquesta xarxa. - Implementar els resultats de la terapèutica en els pacients amb LLC tractats d'acord amb lesrecomanacions d'aquesta guia

    Doñana. Acta vetebrata. vol 6(2)

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    Nuevos datos sobre el jarabugo, Phoxinellus hispanicus (Steindachner, 1866) (Pisces,Cyprinidae)Aplicación de técnicas multivariantes al estudio de dos poblaciones de bogas (Chondrostoma polylepis willkomi Stein.) (Pisces: Cyprinidae) en el sur de EspañaCrecimiento de Mauremys caspica leprosa (Schweigger, 1812) (Reptilia, Testudines) en la Reserva Biológica de DoñanaContribución al estudio de la alimentación de Asio otus en el sur de EspañaPrimeros datos sobre la dieta de la nutria Lutra lutra (L.), en aguas continentales de GaliciAnálisis cromosómico, carga de DNA y electroforesis de las liebres españolasEl cariotipo de la lagartija de Valverde (Algyroides marchi)Estudios cariológicos de las especies Algyroides marchi Valverde y Lacerta hispanica vaucheri Boulenger (Reptilia, lacertidae)Sobre la reproducción del eslizón canario (Chalcides viridanus) en la isla de Gran CanariaNididicación invernal de Asio otusCenso de limícolos en las salinas de Bonanza (Cádiz) en agosto de 1978.Observaciones de pito negro (Drycopus martius) en la provincia de SantandeNueva localidad para mirlo collarizo (Turdus torquatus)Observaciones deñ escribano nival (Plectrophenax nivalis) en la provincia de SantanderNidificación de Sturnus vulgaris en la provincia de Santander y anillamiento de pollosObservación de espátulas anilladas en la marisma de Santoña (Santander).Datos de ardeidas y gruiformes para Santander.Intento de cría de Oxyura leucocephala en la laguna de Medina (Cádiz)Presencia de Bufo bufo spinosus Daudin en la dieta de falconiformes y strigiformes en sierra Morena occidentalMartes foina (Erxleben, 1777) y no Martes martes (Linnaeus, 1758) en la isla de Ibiza (Pitiusas, Baleares)Notes on a collection of small mammals from San Vicente de la Barquera in northern SpainObservaciones sobre la reproducción del capibara (Hydrochoerus hydrochaeris) en los llanos de VenezuelaNuevos datos sobre Eumops dabbenei Thomas, 1914 (Chiroptera, molossidaePeer reviewe

    More Adult Women than Men at High Cardiometabolic Risk Reported Worse Lifestyles and Self-Reported Health Status in the COVID-19 Lockdown

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    Background: The COVID-19 lockdown represented an immense impact on human health, which was characterized by lifestyle and dietary changes, social distancing and isolation at home. Some evidence suggests that these consequences mainly affected women and altered relevant ongoing clinical trials. The aim of this study was to evaluate the status and changes in diet, physical activity (PA), sleep and self-reported health status (SRH) as perceived by older adult men and women with metabolic syndrome during the COVID-19 lockdown. Methods: We analyzed data from 4681 Spanish adults with metabolic syndrome. We carried out a telephone survey during May and June 2020 to collect information on demographics, dietary habits, PA, sleep, SRH and anthropometric data. Results: The mean age of participants was 64.9 years at recruitment, and 52% of participants were men. Most participants (64.1%) perceived a decrease in their PA during confinement. Regarding gender-specific differences, a higher proportion of women than men perceived a decrease in their PA (67.5% vs. 61.1%), Mediterranean diet adherence (20.9% vs. 16.8%), sleep hours (30.3% vs. 19.1%), sleep quality (31.6% vs. 18.2%) and SRH (25.9% vs. 11.9%) (all p < 0.001). Conclusions: The COVID-19 lockdown affected women more negatively, particularly their self-reported diet, PA, sleep and health status.This research was funded by Fisiopatología de la Obesidad y Nutrición (CIBEROBN) and Instituto de Salud Carlos III (ISCIII), through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund [six coordinated FIS projects leaded by J.S.-S. and J.V. (Jesús Vioque), including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728, PI13/01090, PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14/00696, PI14/01206, PI14/01919, PI14/00853, PI14/01374, PI14/00972, PI14/00728, PI14/01471, PI16/00473, PI16/00662, PI16/01873, PI16/01094, PI16/00501, PI16/00533, PI16/00381, PI16/00366, PI16/01522, PI16/01120, PI17/00764, PI17/01183, PI17/00855, PI17/01347, PI17/00525, PI17/01827, PI17/00532, PI17/00215, PI17/01441, PI17/00508, PI17/01732, PI17/00926, PI19/00957, PI19/00386, PI19/00309, PI19/01032, PI19/00576, PI19/00017, PI19/01226, PI19/00781, PI19/01560, PI19/01332, PI20/01802, PI20/00138, PI20/01532, PI20/00456, PI20/00339, PI20/00557, PI20/00886, PI20/01158]; the Especial Action Project entitled: Implementación y evaluación de una intervención intensiva sobre la actividad física Cohorte PREDIMED-Plus grant to J.S.-S.; the Recercaixa [number 2013ACUP00194] grant to J.S.-S.; grants from the Consejería de Salud de la Junta de Andalucía [PI0458/2013, PS0358/2016, PI0137/2018]; the PROMETEO/2017/017 and PROMETEO 2021/021 grants from the Generalitat Valenciana; the SEMERGEN grant. None of the funding sources took part in the design, collection, analysis, interpretation of the data, writing the report or in the decision to submit the manuscript for publication. J.S.-S. is partially supported by ICREA under the ICREA Academia programme. This research was funded by the Community of Madrid and the European Union through the European Regional Development Fund (ERDF)-REACT-EU resources of the Madrid Operational Program 2014–2020, in the action line of R+D+i projects in response to COVID-19, “FACINGLCOVID-CM”

    Pseudomonas aeruginosa antibiotic susceptibility profiles, genomic epidemiology and resistance mechanisms: a nation-wide five-year time lapse analysisResearch in context

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    Summary: Background: Pseudomonas aeruginosa healthcare-associated infections are one of the top antimicrobial resistance threats world-wide. In order to analyze the current trends, we performed a Spanish nation-wide high-resolution analysis of the susceptibility profiles, the genomic epidemiology and the resistome of P. aeruginosa over a five-year time lapse. Methods: A total of 3.180 nonduplicated P. aeruginosa clinical isolates from two Spanish nation-wide surveys performed in October 2017 and 2022 were analyzed. MICs of 13 antipseudomonals were determined by ISO-EUCAST. Multidrug resistance (MDR)/extensively drug resistance (XDR)/difficult to treat resistance (DTR)/pandrug resistance (PDR) profiles were defined following established criteria. All XDR/DTR isolates were subjected to whole genome sequencing (WGS). Findings: A decrease in resistance to all tested antibiotics, including older and newer antimicrobials, was observed in 2022 vs 2017. Likewise, a major reduction of XDR (15.2% vs 5.9%) and DTR (4.2 vs 2.1%) profiles was evidenced, and even more patent among ICU isolates [XDR (26.0% vs 6.0%) and DTR (8.9% vs 2.6%)] (p < 0.001). The prevalence of Extended-spectrum β-lactamase/carbapenemase production was slightly lower in 2022 (2.1%. vs 3.1%, p = 0.064). However, there was a significant increase in the proportion of carbapenemase production among carbapenem-resistant strains (29.4% vs 18.1%, p = 0.0246). While ST175 was still the most frequent clone among XDR, a slight reduction in its prevalence was noted (35.9% vs 45.5%, p = 0.106) as opposed to ST235 which increased significantly (24.3% vs 12.3%, p = 0.0062). Interpretation: While the generalized decrease in P. aeruginosa resistance, linked to a major reduction in the prevalence of XDR strains, is encouraging, the negative counterpart is the increase in the proportion of XDR strains producing carbapenemases, associated to the significant advance of the concerning world-wide disseminated hypervirulent high-risk clone ST235. Continued high-resolution surveillance, integrating phenotypic and genomic data, is necessary for understanding resistance trends and analyzing the impact of national plans on antimicrobial resistance. Funding: MSD and the Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación and Unión Europea—NextGenerationEU

    Estudio multicéntrico nacional sobre pancreatectomías totales

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