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Objectives: We aimed to describe and compare the complications associated with different percutaneous radiologic gastrostomy (PRG) techniques. Methods: A retrospective and prospective observational study was conducted. Patients who underwent a PRG between 1995–2020 were included. Techniques: A pigtail catheter was used until 2003, a balloon catheter without pexy was used between 2003–2009 and a balloon catheter with gastropexy was used between 2015–2021. For the comparison of proportions, X2 tests or Fisher’s test were used when necessary. Univariate analysis was performed to study the risk factors for PRG-associated complications. Results: n = 330 (pigtail = 114, balloon-type without pexy = 28, balloon-type with pexy = 188). The most frequent indication was head and neck cancer. The number of patients with complications was 44 (38.5%), 11 (39.2%) and 54 (28,7%), respectively. There were seven (25%) cases of peritonitis in the balloon-type without-pexy group and 1 (0.5%) in the balloon-type with-pexy group, the latter being the only patient who died in the total number of patients (0.3%). Two (1%) patients of the balloon-type with-pexy group presented with gastrocolic fistula. The rest of the complications were minor. Conclusions: The most frequent complications associated with the administration of enteral nutrition through PRG were minor and the implementation of the balloon-type technique with pexy has led to a decrease in them.

[Background] Despite major medical advances, Type 1 Diabetes (T1D) patients still have greater morbimortality than the general population. Our aim was to describe our cohort of T1D patients and identify potential risk factors susceptible to prevention strategies., [Methods] Cross-sectional, observational study, including T1D patients treated at our center, from 1 March 2017 to 31 March 2020. Inclusion criteria: T1D, age > 14 years and signed informed consent. Exclusion criteria: diabetes other than T1D, age < 14 years and/or refusal to participate., [Results] Study population n = 2181 (49.8% females, median age at enrollment 41 years, median HbA1c 7.7%; 38.24% had at least one comorbidity). Roughly 7.45% had severe hypoglycemia (SH) within the prior year. Macro/microvascular complications were present in 42.09% (5.83% and 41.14%, respectively). The most frequent microvascular complication was diabetic retinopathy (38.02%), and coronary disease (3.21%) was the most frequent macrovascular complication. The risk of complications was higher in males than in females, mainly macrovascular. Patients with SH had a higher risk of complications (OR 1.42; 1.43 in males versus 1.42 in females)., [Conclusions] Our T1D population is similar to other T1D populations. We should minimize the risk of SH, and male patients should perhaps be treated more aggressively regarding cardiovascular risk factors.

El retrato pictórico es un género de gran importancia en la representación de la identidad a través de la imagen. Permite al hombre realizar una de las vías según las cuales afirma Hegel en su Estética que tomamos consciencia de nosotros mismos, que consiste en gozar de nosotros mismos como de una realidad exterior, algo así como la llamada fase del espejo de Lacan, que hace al ego dependiente de imágenes externas a él, de otros como reflejo de sí mismo. En el retrato nos proyectamos, penetramos en él con nuestros sentimientos y vivencias propias, lo conformamos. Así adquirimos conciencia de nosotros mismos y afirmamos nuestra identidad. Esto sucede con el concepto tradicional de retrato. Pero cabría preguntarse cuál es la identidad actual, la del hombre posmoderno, y cómo se reflejaría esa identidad en el retrato. La identidad como un centro unificado y coherente ha desaparecido y ha sido sustituida por la multiplicación de la identidad, la idea de que la identidad se construye a partir de fragmentos. El objetivo será plasmar este concepto en una serie de dibujos propios, que no será ya un espejo en el que se refleje una identidad homogénea, sino que será la expresión del contenido íntimo de esta crisis de identidad. Será una estética de la recomposición imaginaria, del nuevo cuerpo fragmentado de la posmodernidad, una especie de retrato colectivo en el que podremos proyectarnos en rasgos de cada uno de los rostros individuales y percibir esa fragmentación., Portrait is a genre of great importance in the representation of identity through the image. It allows us to perform one of the ways in which Hegel, in his Aesthetics, says that we become aware of ourselves by enjoying ourselves as an external reality, something similar to the very well known Lacan's mirror stage, which makes ego dependent to external objects, to others as a self-reflection. We project ourselves in portraiture, we enter in it with our own feelings and experiences, which build it. This way we become aware of ourselves and we assert our identity. And this is what occurs in the traditional concept of portraiture. But we should consider what is the current identity of the postmodern man, and how it could be shown in portraiture. Identity as an unified and coherent center has disappeared and has been replaced by the multiplication of identity, by the idea that identity is constructed from fragments. My goal in this work is translating this concept into a series of drawings which will not be a mirror that reflects a homogenous identity, but will be the expression of the intimate content of this identity crisis. It will be an aesthetic of imaginary recomposition, the new fragmented body of postmodernity, a kind of group portrait in which we can project ourselves int o features of each individual face and perceive this fragmentation., 3ª Edición del Máster Universitario en Dibujo: "Creación, producción y difusión"