29 results on '"Jose Luis Moya"'
Search Results
2. Endocarditis infecciosa en pacientes diagnosticados de cirrosis hepática. ¿Está indicado el tratamiento quirúrgico?
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Javier Miguelena, Tomasa Centella, José López, Enrique Navas, Miren Martín, Ana Redondo, Laura Varela, Rafael Muñoz, Ignacio Garcia-Andrade, Enrique Oliva, Daniel Celemín, Jose Luis Moya, and Jorge Rodriguez-Roda
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Endocarditis infecciosa ,Cirrosis hepática ,Cirugía valvular ,Medicine ,Surgery ,RD1-811 - Abstract
Introducción y objetivos: La cirrosis hepática condiciona un empeoramiento del pronóstico en pacientes con endocarditis infecciosa (EI) y la indicación quirúrgica en este tipo de pacientes es controvertida. Nuestro objetivo fue el análisis de la morbimortalidad en este grupo de pacientes. Métodos: Se han revisado los casos de EI diagnosticados en nuestro hospital desde el 1 de enero de 1985 hasta el 15 de junio del 2015. Se ha realizado un estudio descriptivo de todos los casos, así como un análisis del subgrupo de pacientes que además presentaba algún grado de cirrosis hepática. Resultados: Se registraron 996 episodios de EI durante el periodo de estudio, de los cuales 54 episodios (5,42%) se diagnosticaron en pacientes con hepatopatía. Veintinueve pacientes (44,4%) se encontraban en estadio A de Child-Pugh, 19 pacientes (35,2%) en estadio B y 11 pacientes (20,37%) en estadio C. La mortalidad global de los pacientes cirróticos fue del 37%. La mortalidad en estos pacientes intervenidos quirúrgicamente aumentó de manera significativa del 20% en estadio A al 83% en estadio C de Child-Pugh, con una incidencia de complicaciones mayores del 77,1%. Conclusiones: La cirrosis hepática empeora claramente el pronóstico de la EI, aumentando la mortalidad global del 19,2% al 37%. Además se asocia a una tasa de complicaciones mayores muy elevada. Aunque los pacientes en estadio A intervenidos quirúrgicamente presentaron una mortalidad inferior a quienes siguieron tratamiento médico exclusivamente, la elevada mortalidad en estadios más avanzados obliga a establecer la indicación quirúrgica de manera individualizada y procurar un cuidadoso manejo perioperatorio en estos pacientes.
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- 2016
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3. Development of critical attitude in fundamentals of professional care discipline: A case study
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Waterkemper, Roberta, Prado, Marta Lenise do, Medina, Jose Luis Moya, and Reibnitz, Kenya Schmidt
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- 2014
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4. Prognostic Value of Diastolic Function Parameters In Significant Aortic Regurgitation. The Role of The Left Atrial Strain
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Ana Garcia-Martin, María Abellás, Ariana González Gómez, Luis Rincon Diaz, Juan Manuel Monteagudo-Ruiz, Rocio Hinojar-Baydes, Jose Luis Moya Mur, Jose Zamorano, and Covadonga Fernandez-Golfin
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Ventricular Dysfunction, Left ,Diastole ,Aortic Valve Insufficiency ,Humans ,Radiology, Nuclear Medicine and imaging ,Stroke Volume ,Prognosis ,Ventricular Function, Left ,Retrospective Studies - Abstract
AimsThe management of patients with asymptomatic significant aortic regurgitation (sAR) is often challenging and appropriate timing of aortic valve surgery remains controversial. Prognostic value of diastolic parameters has been demonstrated in several cardiac diseases. In particular, left atrial (LA) function has been shown to be an important determinant of morbimortality. The purpose of this study was to analyze the prognostic significance of diastolic function in asymptomatic patients with sAR.Methods and resultsA total of 126 patients with asymptomatic sAR were included. Conventional echocardiographic systolic and diastolic function parameters were assessed. LA and left ventricular (LV) auto-strain analysis was performed in a subgroup of 57 patients. During a mean follow up of 33±19 months, 25(19,8%) patients reached the combined end-point. Univariate analysis showed that LV volumes, LV ejection fraction (LVEF), LV-GLS, E wave, E/e’ ratio, LA volume and LA reservoir strain (LASr) were significant predictors of events. Multivariate model-1 that tested all classical echocardiographic variables statistically significant in the univariate model showed that LVEDV [HR=1,02;95% CI:1,01-1,03;(p
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- 2022
5. Prognostic Value of Diastolic Function Parameters In Significant Aortic Regurgitation. The Role of The Left Atrial Strain
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García-Martín, Ana, primary, Sequeiros, María Abellás, additional, Gómez, Ariana González, additional, Díaz, Luis Miguel Rincón, additional, Ruiz, Juan Manuel Monteagudo, additional, Baydés, Rocío Hinojar, additional, Mur, Jose Luis Moya, additional, Gómez, José Luis Zamorano, additional, and Fernández-Golfín, Covadonga, additional
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- 2022
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6. Confinamiento e inseguridad alimentaria durante la pandemia por covid-19 en Chile
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Samuel Durán-Agüero, Jose Luis Moya-Osorio, and Gloria E. Prada
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Prioritization ,Nutrition and Dietetics ,Food security ,Coronavirus disease 2019 (COVID-19) ,digestive, oral, and skin physiology ,Obesidad ,COVID-19 ,Computer-assisted web interviewing ,Shelf life ,law.invention ,Food insecurity ,Confinamiento ,Geography ,Alimentos ,Inseguridad alimentaria ,law ,Environmental health ,Quarantine ,Vulnerable population ,Food Science - Abstract
RESUMEN Introducción: El confinamiento por COVID-19, repercute en la situación socioeconómica, de salud y de seguridad alimentaria especialmente en población vulnerable, debido a la reducción de empleos, ingreso y acceso a los alimentos. Objetivo: Determinar la inseguridad alimentaria y la priorización de la compra de alimentos en hogares en situación de confinamiento, durante la pandemia por COVID-19 en Chile. Material y métodos: Estudio observacional analítico. Se envió cuestionario online a través de redes sociales, que incluía información sociodemográfica, prioridad de compra de algunos alimentos seleccionados, pérdida de alimentos en el hogar y una escala de seguridad alimentaria doméstica. Resultados: Participaron 1.114 personas, de ellos el 87,8% eran mujeres, el 80,9% de los participantes llevaba 4 o más semanas de confinamiento. A medida que aumentan las semanas de confinamiento, se incrementa la inseguridad alimentaria leve 26,9% a 36,1% y moderada, 1,7% a 7,8% y se disminuye la seguridad alimentaria 70,6% a 55,7%. Entre el 49,2% y 55,5% de los participantes, en la quinta semana de confinamiento priorización lácteos, arroz/pasta, harina, legumbres, aceite, papas y un 27,0% el azúcar/miel. No se priorizaron los alimentos frescos como las frutas y verduras (FV). Conclusión: El confinamiento genera un aumento progresivo de la inseguridad alimentaria leve y moderada. La priorización de compra en confinamiento se caracteriza por, alimentos con más tiempo de conservación, de mayor consumo, fáciles de preparar y que son ingredientes básicos de otras preparaciones. Alimentos frescos, como frutas y verduras no fueron priorizados. La priorización se relacionó con el nivel educativo.
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- 2021
7. PROGNOSTIC VALUE OF DIASTOLIC FUNCTION PARAMETERS IN SIGNIFICANT AORTIC REGURGITATION. THE ROLE OF THE LEFT ATRIAL STRAIN.
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Garcia-Martin, Ana, primary, Abellás, María, additional, Gómez, Ariana González, additional, Diaz, Luis Rincon, additional, Monteagudo-Ruiz, Juan Manuel, additional, Hinojar-Baydes, Rocio, additional, Mur, Jose Luis Moya, additional, Zamorano, Jose, additional, and Fernandez-Golfin, Covadonga, additional
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- 2021
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8. Long-term prognosis after surgery for infective endocarditis: Distinction between predictors of early and late survival
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Miren Martín García, Enrique Navas Elorza, Jose López-Menéndez, Ana Redondo Palacios, Laura Varela Barca, Jorge Rodríguez-Roda Stuart, Javier Miguelena Hycka, Jose Luis Moya Mur, Edmundo Ricardo Fajardo, Tomasa Centella Hernéndez, and Rafael Muñoz Pérez
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Microbiology (medical) ,Male ,medicine.medical_specialty ,Embolism ,Logistic regression ,Postoperative Complications ,Risk Factors ,Cause of Death ,medicine ,Endocarditis ,Humans ,Hospital Mortality ,Survivors ,Abscess ,Aged ,Proportional Hazards Models ,Retrospective Studies ,Aged, 80 and over ,Heart Failure ,business.industry ,Mortality rate ,Retrospective cohort study ,Perioperative ,Middle Aged ,medicine.disease ,Prognosis ,Shock, Septic ,Surgery ,Cardiac surgery ,Survival Rate ,Treatment Outcome ,Infective endocarditis ,Heart Valve Prosthesis ,Kidney Failure, Chronic ,Female ,Emergencies ,business ,Follow-Up Studies - Abstract
Objectives Cardiac surgery is a life-saving procedure in patients diagnosed with infective endocarditis (IE). There are several validated risk scores developed to predict early-mortality; nevertheless, long-term survival has been less investigated. The aim of the present study is to analyze the impact of IE-specific risk factors for early and long-term mortality. Methods An observational retrospective study was conducted that included all patients who underwent surgery for IE from 2002 to 2016. Median follow-up time after surgery was 53.2 months (IQI 26.2–106.8 months). In-hospital mortality was analyzed using multiple logistic regression. Long-term survival was analyzed after one, two and five years. Cox proportional hazards regression was employed to identify risk factors related to long-term mortality. Results Of the 180 patients underwent cardiac surgery, 133 were discharged alive (in-hospital mortality was 26.11%). 6 variables were identified as independent factors associated with in-hospital mortality, most of them closely related to the severity of IE: age, multivalvular involvement, critical preoperative status, preoperative mechanical ventilation, abscess and thrombocytopenia. Long-term survival in patients discharged alive was 89.1%, 87.4% and 77.6% after one, two and five years. Long-term mortality was independent of specific IE factors and 86.51% of deaths were not related to cardiovascular or infectious diseases. Conclusion Despite the high perioperative mortality rate after surgical treatment for active IE, long-term survival after hospital discharge was acceptable, regardless of the severity of the endocarditis episode. Although in-hospital survival depended mainly on several IE factors, long-term survival was not related to the severity of endocarditis baseline affection.
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- 2019
9. Valor pronóstico de la trombocitopenia preoperatoria en la cirugía de la endocarditis infecciosa: experiencia de un centro
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Edmundo Fajardo Rodríguez, Rafael Muñoz Pérez, Enrique Navas Elorza, Jose López-Menéndez, Tomasa Centella Hernández, Ana Redondo Palacios, Jose Luis Moya Mur, Jorge Rodríguez-Roda Stuart, Miren Martín García, Laura Varela Barca, and Javier Miguelena Hycka
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Gynecology ,medicine.medical_specialty ,business.industry ,lcsh:R ,lcsh:Surgery ,lcsh:Medicine ,lcsh:RD1-811 ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Surgery ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Resumen: Introducción: La trombocitopenia preoperatoria se ha relacionado con un peor pronóstico en la endocarditis infecciosa. Objetivo: Valorar la influencia de la trombocitopenia en la cirugía de la endocarditis infecciosa en nuestra serie. Métodos: Análisis retrospectivo unicéntrico de los pacientes intervenidos por endocarditis infecciosa entre 2002 y 2016. Análisis de supervivencia a corto y a largo plazo, estratificado en función de la presencia de trombocitopenia (recuento plaquetario
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- 2018
10. Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort
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Laura Herrera-Hidalgo, Patricia Muñoz, Ana Álvarez-Uría, David Alonso-Menchén, Rafael Luque-Marquez, Encarnación Gutiérrez-Carretero, María Del Carmen Fariñas, Jose Maria Miró, Miguel Angel Goenaga, Luis Eduardo López-Cortés, Basilio Angulo-Lara, Lucia Boix-Palop, Arístides de Alarcón, Fernando Fernández Sánchez, José Mª García de Lomas, Gabriel Rosas, Javier de la Torre Lima, Elena Bereciartua, María José Blanco Vidal, Roberto Blanco, María Victoria Boado, Marta Campaña Lázaro, Alejandro Crespo, Laura Guio Carrión, Mikel Del Álamo Martínez de Lagos, Gorane Euba Ugarte, Ane Josune Goikoetxea, Marta Ibarrola Hierro, José Ramón Iruretagoyena, Josu Irurzun Zuazabal, Leire López-Soria, Miguel Montejo, Javier Nieto, David Rodrigo, Regino Rodríguez, Yolanda Vitoria, Roberto Voces, Mª Victoria García López, Radka Ivanova Georgieva, Guillermo Ojeda, Isabel Rodríguez Bailón, Josefa Ruiz Morales, Ignacio Álvarez Rodríguez, Harkaitz Azkune Galparsoro, Elisa Berritu Boronat, Mª Jesús Bustinduy Odriozola, Cristina del Bosque Martín, Tomás Echeverría, Alberto Eizaguirre Yarza, Ana Fuentes, Miguel Ángel Goenaga, Muskilda Goyeneche del Río, Ángela Granda Bauza, José Antonio Iribarren, Xabier Kortajarena Urkola, José Ignacio Pérez-Moreiras López, Ainhoa Rengel Jiménez, Karlos Reviejo, Alberto Sáez Berbejillo, Elou Sánchez Haza, Rosa Sebastián Alda, Itziar Solla Ruiz, Irati Unamuno Ugartemendia, Diego Vicente Anza, Iñaki Villanueva Benito, Mar Zabalo Arrieta, Rafael Carrasco, Vicente Climent, Patricio Llamas, Esperanza Merino, Joaquín Plazas, Sergio Reus, Alberto Bouzas, Brais Castelo, José Cuenca, Laura Gutiérrez, Lucía Ramos, María Rodríguez Mayo, Joaquín Manuel Serrano, Dolores Sousa Regueiro, Francisco Javier Martínez, Mª del Mar Alonso, Beatriz Castro, Teresa Delgado Melian, Javier Fernández Sarabia, Dácil García Rosado, Julia González González, Juan Lacalzada, Lissete Lorenzo de la Peña, Alina Pérez Ramírez, Pablo Prada Arrondo, Fermín Rodríguez Moreno, Antonio Plata Ciezar, José Mª Reguera Iglesias, Víctor Asensi Álvarez, Carlos Costas, Jesús de la Hera, Jonnathan Fernández Suárez, Lisardo Iglesias Fraile, Víctor León Arguero, José López Menéndez, Pilar Mencia Bajo, Carlos Morales, Alfonso Moreno Torrico, Carmen Palomo, Begoña Paya Martínez, Ángeles Rodríguez Esteban, Raquel Rodríguez García, Mauricio Telenti Asensio, Manuel Almela, Juan Ambrosioni, Manuel Azqueta, Mercè Brunet, Marta Bodro, Ramón Cartañá, Guillermo Cuervo, Carlos Falces, Mariana J Fernández-Pittol, Guillermina Fita, David Fuster, Cristina García de la Mària, Delia García-Pares, Marta Hernández-Meneses, Jaume Llopis Pérez, Francesc Marco, José M. Miró, Asunción Moreno, David Nicolás, Salvador Ninot, Eduardo Quintana, Carlos Paré, Daniel Pereda, Juan M. Pericás, José L. Pomar, José Ramírez, Mercè Roque, Irene Rovira, Elena Sandoval, Marta Sitges, Dolors Soy, Adrián Téllez, José M. Tolosana, Bárbara Vidal, Jordi Vila, Iván Adán, David Alonso, Juan Carlos Alonso, Javier Bermejo, Emilio Bouza, Gregorio Cuerpo Caballero, Antonia Delgado Montero, Agustín Estévez, Ramón Fortuny Ribas, Esther Gargallo, Mª Eugenia García Leoni, Ana González Mansilla, Francisco Javier González Moraga, Víctor González Ramallo, Martha Kestler Hernández, Amaia Mari Hualde, Marina Machado, Mercedes Marín, Manuel Martínez-Sellés, Rosa Melero, Diego Monzón, María Olmedo, Álvaro Pedraz, Blanca Pinilla, Ángel Pinto, Cristina Rincón, Hugo Rodríguez-Abella, Marta Rodríguez-Créixems, Eduardo Sánchez-Pérez, Antonio Segado, Neera Toledo, Maricela Valerio, Pilar Vázquez, Eduardo Verde Moreno, Sofía de la Villa, Isabel Antorrena, Belén Loeches, Mar Moreno, Ulises Ramírez, Verónica Rial Bastón, María Romero, Sandra Rosillo, Jesús Agüero Balbín, Cristina Amado Fernández, Carlos Armiñanzas Castillo, Francisco Arnaiz de las Revillas, Manuel Cobo Belaustegui, María Carmen Fariñas, Concepción Fariñas-Álvarez, Marta Fernández Sampedro, Iván García, Claudia González Rico, Laura Gutiérrez-Fernández, Manuel Gutiérrez-Cuadra, José Gutiérrez Díez, Marcos Pajarón, José Antonio Parra, Ramón Teira, Jesús Zarauza, Jorge Calderón Parra, Marta Cobo, Fernando Domínguez, Pablo García Pavía, Ana Fernández Cruz, Antonio Ramos-Martínez, Isabel Sánchez Romero, Tomasa Centella, José Manuel Hermida, José Luis Moya, Pilar Martín-Dávila, Enrique Navas, Enrique Oliva, Alejandro del Río, Jorge Rodríguez-Roda Stuart, Soledad Ruiz, Carmen Hidalgo Tenorio, Sergio Sequera, Manuel Almendro Delia, Omar Araji, José Miguel Barquero, Román Calvo Jambrina, Marina de Cueto, Juan Gálvez Acebal, Irene Méndez, Isabel Morales, José Antonio Lepe, José López-Haldón, Rafael Luque-Márquez, Guillermo Marín, Antonio Ortiz-Carrellán, Eladio Sánchez-Domínguez, Luis Javier Alonso, Pedro Azcárate, José Manuel Azcona Gutiérrez, José Ramón Blanco, Estíbaliz Corral Armas, Lara García-Álvarez, José Antonio Oteo, Antonio Barros Membrilla, Antonino Ginel Iglesias, Sara Grillo, Rubén Leta Petracca, Joaquín López-Contreras, María Alba Rivera Martínez, M. Álvarez, A.L. Fernández, Amparo Martínez, A. Prieto, Benito Regueiro, E. Tijeira, Marino Vega, Amaia Aguirre Quiñonero, Ángela Alonso Miñambres, Juan Carlos Gainzarain Arana, Sara González de Alaiza Ortega, Miguel Ángel Morán Rodríguez, Anai Moreno Rodríguez, Zuriñe Ortiz de Zárate, José Joaquín Portu Zapirain, Ester Sáez de Adana Arroniz, Daisy Carolina Sorto Sánchez, Sánchez-Porto Antonio, Úbeda Iglesias Alejandro, José Mª Arribas Leal, Elisa García Vázquez, Alicia Hernández Torres, Ana Blázquez, Gonzalo de la Morena Valenzuela, Ángel Alonso, Javier Aramburu, Felicitas Elena Calvo, Paola Tarabini-Castellani, Eva Heredero Gálvez, Carolina Maicas Bellido, José Largo Pau, Mª Antonia Sepúlveda, Pilar Toledano Sierra, Sadaf Zafar Iqbal-Mirza, Eva Cascales Alcolea, Ivan Keituqwa Yañez, Julián Navarro Martínez, Ana Peláez Ballesta, Eduardo Moreno Escobar, Alejandro Peña Monje, Valme Sánchez Cabrera, David Vinuesa García, María Arrizabalaga Asenjo, Carmen Cifuentes Luna, Juana Núñez Morcillo, Mª Cruz Pérez Seco, Aroa Villoslada Gelabert, Carmen Aured Guallar, Nuria Fernández Abad, Pilar García Mangas, Marta Matamala Adell, Mª Pilar Palacián Ruiz, Juan Carlos Porres, Begoña Alcaraz Vidal, María Jesús Del Amor Espín, Francisco Buendía, Roberto Jiménez Sánchez, Rosario Mármol, Francisco Martínez, Antonio Meseguer, Beatriz Pérez, Leticia Risco, Zoser Saura, Vanina Silva, Mª Belén Villmarín, Mª Ángels Ribas Blanco, Enrique Ruiz de Gopegui Bordes, Laura Vidal Bonet, Miquel Vives Borràs, Mª Carmen Bellón Munera, Elena Escribano Garaizabal, Antonia Tercero Martínez, Juan Carlos Segura Luque, Cristina Badía, Lucía Boix Palop, Mariona Xercavins, Sónia Ibars, Xerach Bosch, Eloy Gómez Nebreda, Ibalia Horcajada Herrera, Irene Menduiña Gallego, Imanol Pulido, Héctor Marrero Santiago, Isabel de Miguel Martínez, Elena Pisos Álamo, Daniel San Román Sánchez, Jorge Boan Pérez, Eva Mª Aguilar Blanco, Mercedes Catalán González, María Angélica Corres Peiretti, Andrea Eixerés Esteve, Laura Domínguez Pérez, Santiago de Cossío Tejido, Francisco Galván Román, José Antonio García Robles, Francisco López Medrano, Mª Jesús López Gude, Mª Ángeles Orellana Miguel, Patrick Pilkington, Yolanda Revilla Ostalaza, Juan Ruiz Morales, Sebastián Ruiz Solís, Ana Sabín Collado, Marcos Sánchez Fernández, Javier Solera Rallo, Jorge Solís Martín, Francesc Escrihuela-Vidal, Jordi Carratalà, Inmaculada Grau, Carmen Ardanuy, Dámaris Berbel, José Carlos Sánchez Salado, Oriol Alegre, Alejandro Ruiz Majoral, Fabrizio Sbraga, Arnau Blasco, Laura Gracia Sánchez, Iván Sánchez-Rodríguez, Gonzalo Aldamiz, Beatriz Álvarez, Marina Bernal Palacios, Alfonso Cabello Úbeda, Ricardo Fernández Roblas, Rafael Hernández, Victoria Andrea Hortigüela Martín, Andrea Kallmeyer, Cristina Landaeta Kancev, Marta Martín, Miguel Morante Ruiz, Miguel Ángel Navas Lobato, Ana María Pello, Laura Prieto, Marta Tomás Mallebrera, Laura Varela, Mireia de la Peña Triguero, Ruth Esther Figueroa Cerón, Lara Ruiz Gómez, Mireia Ble, Juan Pablo Horcajada Gallego, Antonio José Ginel, Inmaculada López, Alexandra Mas, Antoni Mestres, Lluís Molina, Ramón Serrat, Núria Ribas, Francisca Sánchez, Ana Silverio, Marina Suárez, Luisa Sorlí, Lluís Recasens, Manuel Taurón, María Fernández Regueras, María Ángeles Mantecón Vallejo, José Ángel Pérez Rivera, Nuria Sánchez Mata, Antonia Calvo Cano, Miguel Fajardo Olivares, María Victoria Millán Núñez, and Agustín Muñoz Sanz
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Infective endocarditis ,Methicillin-susceptible Staphylococcus aureus ,Cefazolin ,Antistaphylococcal penicillin ,Infectious and parasitic diseases ,RC109-216 - Abstract
Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P
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- 2023
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11. Metabolic health and its association with lifestyle habits according to nutritional status in Chile: A cross-sectional study from the National Health Survey 2016-2017
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Rodrigo Fernández-Verdejo, Jose E. Galgani, Jose Luis Moya-Osorio, and Eduardo Fuentes-López
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Blood Glucose ,Male ,Cross-sectional study ,Physiology ,Epidemiology ,Social Sciences ,Overweight ,Geographical locations ,Body Mass Index ,Habits ,0302 clinical medicine ,Risk Factors ,Prevalence ,Medicine and Health Sciences ,Psychology ,Public and Occupational Health ,030212 general & internal medicine ,Chile ,Metabolic Syndrome ,education.field_of_study ,Multidisciplinary ,Middle Aged ,Quartile ,Physiological Parameters ,Hypertension ,Educational Status ,Medicine ,Female ,medicine.symptom ,Waist Circumference ,Behavioral and Social Aspects of Health ,Research Article ,Adult ,Waist ,Adolescent ,Science ,Population ,Nutritional Status ,030209 endocrinology & metabolism ,03 medical and health sciences ,Young Adult ,Environmental health ,medicine ,Humans ,Obesity ,education ,Life Style ,Aged ,Nutrition ,Behavior ,Chile (Country) ,business.industry ,Cholesterol, HDL ,Body Weight ,Biology and Life Sciences ,Odds ratio ,Physical Activity ,South America ,medicine.disease ,Health Surveys ,Cross-Sectional Studies ,Medical Risk Factors ,Metabolic syndrome ,People and places ,business - Abstract
BackgroundLifestyle habits associate with metabolic health in overall populations. Whether such association is similar among subjects with a different nutritional status has been less studied. We aimed to (i) determine the prevalence of metabolic phenotypes in Chile, and (ii) determine the association between lifestyle habits and metabolic health according to the nutritional status.MethodsThe National Health Survey of Chile 2016-2017 was analyzed. A metabolically unhealthy phenotype was defined as manifesting ≥3 of the following risk factors: elevated blood pressure, elevated triglycerides, elevated glucose, elevated waist circumference, or reduced high-density lipoprotein cholesterol. Individuals manifesting ResultsThe prevalence of a metabolically unhealthy phenotype was 36% in the overall sample. Such a prevalence was 7%, 33% and 58% among subjects with normal weight, overweight and obesity, respectively. In subjects with normal weight, the highest quartile of fruits/vegetables consumption was associated with reduced odds of having a metabolically unhealthy phenotype (0.09 [0.01-0.48]). In subjects with obesity, the highest quartile of moderate-vigorous physical activity was associated with reduced odds of having a metabolically unhealthy phenotype (0.29 [0.09-0.91]).ConclusionOne third of the Chilean population manifests an unhealthy phenotype. We identified associations between lifestyle habits and metabolic health that are specific to the nutritional status. Thus, emphasizing fruits/vegetables consumption in subjects with normal weight, and physical activity in subjects with obesity, may maximize the benefits of public health interventions.
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- 2020
12. Mortality risk prediction in infective endocarditis surgery: reliability analysis of specific scores†
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Tomasa Centella, R. Muñoz, Jose Luis Moya, Enrique Navas, Jorge Rodríguez-Roda, Javier Miguelena, Miren Martín, Jose López-Menéndez, Laura Varela, Edmundo Ricardo Fajardo, and Ana Redondo
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Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Specific risk ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,medicine ,Humans ,030212 general & internal medicine ,Cardiac Surgical Procedures ,Reliability (statistics) ,Aged ,Retrospective Studies ,Endocarditis ,Receiver operating characteristic ,business.industry ,Mortality rate ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,Confidence interval ,Surgery ,Area Under Curve ,Infective endocarditis ,Female ,Observational study ,Cardiology and Cardiovascular Medicine ,business - Abstract
OBJECTIVES We assessed the prognostic utility of risk scores in surgery for infective endocarditis (IE) to evaluate their reliability in mortality risk prediction. METHODS An observational retrospective study was developed to include all patients who underwent surgery for active IE from 2002 to 2016. Classical and endocarditis-specific risk scores were calculated. RESULTS A total of 180 patients were included in the study. The 30-day mortality rate was 26.82% [95% confidence interval (CI) 20.26-33.20%]. Classical risk scores were confirmed to have a suboptimal prognostic ability. Therefore, 4 IE-specific risk scores were calculated. Discrimination was evaluated using the area under the receiver operating characteristic curve. It was 0.76 (95% CI 0.68-0.82) for the Society of Thoracic Surgeons-IE (STS-IE) score; 0.68 (95% CI 0.58-0.76) for the De Feo-Cotrufo score; 0.73 (95% CI 0.66-0.79) for the PALSUSE score and 0.65 (95% CI 0.57-0.72) for the Costa score. The STS-IE score had higher discrimination when compared with the De Feo-Cotrufo score (P = 0.055) and the Costa score (P = 0.024); however, there was no significant difference when we compared the STS-IE score with the PALSUSE score (P = 0.58). Calibration was assessed using the Hosmer-Lemeshow test; an adequate calibration was confirmed in all 4 scores. CONCLUSIONS Specific risk scores had better prognostic performance than classical risk scores. The STS-IE score had the highest discrimination and was adequately calibrated. The PALSUSE score also showed optimal discrimination and calibration. The De Feo-Cotrufo score had a lower discrimination in our sample; however, the De Feo-Cotrufo score is recommended in the current guidelines. The Costa score had the lowest discrimination.
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- 2017
13. A Serious Game for Cognitive Stimulation of Older People With Mild Cognitive Impairment: Design and Pilot Usability Study
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Juan Francisco Ortega Morán, J Blas Pagador, Vicente Gilete Preciado, José Luis Moyano-Cuevas, Trinidad Rodríguez Domínguez, Marta Santurino Muñoz, and Francisco M Sánchez Margallo
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Geriatrics ,RC952-954.6 - Abstract
Abstract BackgroundCognitive stimulation of older people helps prevent, and even treat, age-related diseases, such as mild cognitive impairment. Playing games reduces the probability of experiencing this pathology, which is related to the loss of the ability to carry out some instrumental activities of daily living. ObjectiveThis work describes the design and development of a serious game for the cognitive stimulation of older people, with exercises related to the daily life task of shopping. A pilot study for its preliminary usability validation is also presented. MethodsThe designed serious game includes 4 exercises consisting of shopping in a hypermarket, ordering products, making payments, and organizing the purchase, thus dealing with the most frequent cognitive problems of older people associated with episodic declarative memory, naming, calculation, and organization, respectively. ResultsA total of 19 older people participated in the pilot study for the usability validation of the serious game. They indicated that they like the aesthetic and interesting topic of the game. They reported that it provides a high level of entertainment and could be useful in daily life for mental stimulation. The participants found the serious game to be intuitive, but the ease of use and readability of the instructions could be improved. ConclusionsThis study suggests that the innovative serious game developed could be accepted by older people for their cognitive stimulation to prevent or treat mild cognitive impairment, although a long-term intervention study should be performed as future work. Its ecological validity design, with everyday tasks, adaptable levels of difficulty, and motivational mechanisms, is a differentiating factor compared to similar serious games.
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- 2024
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14. Correction to: Prognostic factors of mortality after surgery in infective endocarditis: systematic review and meta-analysis
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Laura Varela Barca, Nuria Fernández-Hidalgo, Alfonso Muriel García, Jorge Rodríguez-Roda, Borja M. Fernandez-Felix, Javier Miguelena Hycka, Enrique Navas Elorza, Jose López-Menéndez, and Jose Luis Moya Mur
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Microbiology (medical) ,medicine.medical_specialty ,Infectious Diseases ,business.industry ,Internal medicine ,Meta-analysis ,Infective endocarditis ,Medicine ,General Medicine ,business ,medicine.disease - Abstract
The original version of this article unfortunately contained a mistake.
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- 2019
15. Prognostic factors of mortality after surgery in infective endocarditis: systematic review and meta-analysis
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Borja M. Fernandez-Felix, Jorge Rodríguez-Roda, Laura Varela Barca, Javier Miguelena Hycka, Enrique Navas Elorza, Jose López-Menéndez, Nuria Fernández-Hidalgo, Alfonso Muriel García, and Jose Luis Moya Mur
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0301 basic medicine ,Microbiology (medical) ,Male ,medicine.medical_specialty ,030106 microbiology ,03 medical and health sciences ,0302 clinical medicine ,Emergency surgery ,medicine ,Odds Ratio ,Humans ,030212 general & internal medicine ,Hospital Mortality ,Cardiac Surgical Procedures ,Abscess ,Sex Characteristics ,Endocarditis ,business.industry ,Cardiogenic shock ,Age Factors ,General Medicine ,Odds ratio ,medicine.disease ,Prognosis ,Confidence interval ,Surgery ,Cardiac surgery ,Infectious Diseases ,Infective endocarditis ,Meta-analysis ,Acute Disease ,Female ,business - Abstract
There is a lack of consensus about which endocarditis-specific preoperative characteristics have an actual impact over postoperative mortality. Our objective was the identification and quantification of these factors. We performed a systematic review of all the studies which reported factors related to in-hospital mortality after surgery for acute infective endocarditis, conducted according to PRISMA recommendations. A search string was constructed and applied on three different databases. Two investigators independently reviewed the retrieved references. Quality assessment was performed for identification of potential biases. All the variables that were included in at least two validated risk scores were meta-analyzed independently, and the pooled estimates were expressed as odds ratios (OR) with their confidence intervals (CI). The final sample consisted on 16 studies, comprising a total of 7484 patients. The overall pooled OR were statistically significant (p
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- 2019
16. Reinfección tras tratamiento quirúrgico de la endocarditis infecciosa. Análisis de riesgos competitivos
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Javier Miguelena Hycka, Jorge Rodríguez-Roda Stuart, Tomasa Centella Hernández, Edmundo Fajardo Rodríguez, Laura Varela Barca, Enrique Navas Elorza, Jose López-Menéndez, and Jose Luis Moya Mur
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Gynecology ,medicine.medical_specialty ,business.industry ,medicine ,Surgery ,Cardiology and Cardiovascular Medicine ,business - Published
- 2019
17. Diferencias en la presentación y en el pronóstico de la endocarditis infecciosa tratada quirúrgicamente en función del género: ¿es el sexo femenino un factor de mal pronóstico?
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Javier Miguelena Hycka, Laura Varela Barca, Jorge Rodríguez-Roda Stuart, Enrique Navas Elorza, Jose López-Menéndez, Jose Luis Moya Mur, Tomasa Centella Hernández, and Edmundo Fajardo Rodríguez
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business.industry ,Medicine ,Surgery ,Cardiology and Cardiovascular Medicine ,business ,Humanities - Published
- 2019
18. Analysis of mortality and risk factors associated with native valve endocarditis in drug users: The importance of vegetation size
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Jesús Fortún, Vicente Pintado, Manuel Jiménez-Mena, Santiago Moreno, Enrique Navas, Javier Cobo, Pilar Martín-Dávila, Jose Luis Moya, and Carmen Quereda
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Adult ,Male ,medicine.medical_specialty ,Univariate analysis ,Native Valve Endocarditis ,Endocarditis ,Substance-Related Disorders ,business.industry ,Heart Valve Diseases ,Odds ratio ,medicine.disease ,Surgery ,Cardiac surgery ,Risk Factors ,Internal medicine ,Infective endocarditis ,medicine ,Etiology ,Humans ,Female ,Hospital Mortality ,Risk factor ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background Native valve endocarditis in drug-user patients had a microbiology, a frequency of involvement of different cardiac valves, and a prognosis that differ from those in non–drug users. A retrospective study of native valve endocarditis cases in intravenous drug users diagnosed from 1985 to 1999 in our institution was performed to analyze the inhospital mortality of drug users with native valve endocarditis and to identify factors predictive of mortality. Methods All patients fulfilled the Duke's criteria for definite or probable endocarditis. Analysis of predictors of inhospital mortality was restricted to right-sided infective endocarditis (IE) with definite diagnosis and echocardiographic data. The following variables were analyzed: sex, HIV serostatus, CD4 cell count 3 , time of IE diagnosis (before 1993 or after 1993), previous valvulopathy, polymicrobial IE, fungal etiology (mixed or alone), neurological complication, arterial emboli, pulmonary emboli, congestive heart failure, vegetation size (VS) >2 cm, and inhospital cardiac surgery. Logistic regression was used in a multivariate model to identify factors independently associated with mortality. Adjusted odds ratios (OR) and 95% CIs were examined. Results Four hundred ninety-three cases of IE were diagnosed in this period. Two hundred twenty cases of native valve endocarditis in intravenous drug users were identified. Fourteen cases in this group died (6%). Mean time from diagnosis to death was 18.5 ± 15 days (range, 3-52). Vegetation size was available in 111 cases. Univariate analysis identified the following variables associated with inhospital mortality in right-sided cases: VS >2 cm and fungal etiology. In multivariate analysis, the variables associated with mortality that achieved statistical significance were size of vegetation >2 cm ( P = .014, OR 10.2, 95% CI 1.6-78.0) and fungal etiology ( P = .009, OR 46.2, 95% CI 2.4-1100.9). Conclusions The main prognostic factors of inhospital mortality in right-sided IE in drug users in our series were VS >2 cm and fungal etiology. The role of early surgery in these patients should be reevaluated.
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- 2005
19. Nosocomial Endocarditis in a Tertiary Hospital
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Manuel Jiménez-Mena, Jose Luis Moya, Javier Cobo, Pilar Martín-Dávila, Enrique Navas, Jesús Fortún, and Santiago Moreno
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Native Valve Endocarditis ,education.field_of_study ,business.industry ,Incidence (epidemiology) ,Population ,Retrospective cohort study ,Critical Care and Intensive Care Medicine ,medicine.disease ,Surgery ,Internal medicine ,Bacteremia ,Infective endocarditis ,medicine ,Etiology ,Endocarditis ,Cardiology and Cardiovascular Medicine ,business ,education - Abstract
Introduction Changes in the etiology, epidemiology, and outcome of infective endocarditis (IE) have been observed in recent years. Newer invasive therapeutic interventions have increased the risk of bacteremia and nosocomial endocarditis in the population at risk. A retrospective analysis of hospital-acquired IE cases was performed in a tertiary hospital during 1985 to 1999 Material and methods Cases included were those classified as “probable” or “definite” by the IE diagnostic criteria of Durack. Nosocomial acquisition was considered if diagnosis was made > 72 h after hospital admission and there was no evidence that IE was present at the time of admission. Patients receiving a diagnosis within 60 days of a previous hospital admission were also classified as nosocomial, when a risk procedure for bacteremia was performed, or when any predisposing factor for IE was present during hospitalization. Early prosthetic valve endocarditis (PVE) cases ( Results Of 493 cases of IE diagnosed over 15 years, 38 were considered to be hospital acquired. Twenty-eight cases were native valve endocarditis (NVE) in non-IV drug user patients, and 10 cases were late PVE. Overall, the most frequent microorganisms involved were staphylococci (58%). The main sources of infection were intravascular procedures or catheter-related infections (55%). When nosocomial NVE cases were compared with community-acquired cases, mortality was greater (29% vs 9.7%) in hospital-acquired endocarditis. Analysis of time trends showed an increased rate of nosocomial cases in NVE throughout the years of the study Conclusions In NVE, the number of cases that are hospital acquired has been increasing during the last 15 years. These cases are frequently associated with invasive intravascular procedures or IV catheter-related infections. Most patients have a previous valvulopathy that predisposes to IE. The spectrum of microorganisms involved is different from the community-acquired cases. Also, the outcome of endocarditis is worse in nosocomial NVE patients
- Published
- 2005
20. Increased lipopolysaccharide binding protein in cirrhotic patients with marked immune and hemodynamic derangement
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Jorge Monserrat, Agustín Albillos, Jose‐Luis Calleja, Antonio de la Hera, Mónica González, Melchor Alvarez-Mon, Luis Ruiz-del-Arbol, and Jose-Luis Moya
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Lipopolysaccharides ,Liver Cirrhosis ,Male ,medicine.medical_specialty ,Cirrhosis ,Portal venous pressure ,CD14 ,Lipopolysaccharide Receptors ,Blood Pressure ,Receptors, Tumor Necrosis Factor ,Proinflammatory cytokine ,chemistry.chemical_compound ,Anti-Infective Agents ,Antigens, CD ,Internal medicine ,Ascites ,medicine ,Humans ,Splanchnic Circulation ,Creatinine ,Membrane Glycoproteins ,Hepatology ,biology ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,business.industry ,Middle Aged ,medicine.disease ,nervous system diseases ,Intestines ,medicine.anatomical_structure ,Endocrinology ,Solubility ,chemistry ,Receptors, Tumor Necrosis Factor, Type I ,biology.protein ,Vascular resistance ,Female ,Vascular Resistance ,medicine.symptom ,Carrier Proteins ,business ,Lipopolysaccharide binding protein ,Acute-Phase Proteins ,Norfloxacin - Abstract
Intestinal bacterial overgrowth and translocation, both common in cirrhosis with ascites, may lead to the activation of monocytes and lymphocytes, increased levels of proinflammatory cytokines, and enhanced synthesis of nitric oxide present in cirrhosis. Bacterial endotoxin promotes the synthesis of lipopolysaccharide (LPS)-binding protein (LBP), and forms a LPS-LBP complex that binds to CD14. This study was designed to evaluate LBP levels and their correlation to the immune response and the hemodynamic status in cirrhotic patients. Plasma LBP, endotoxin, soluble CD14 (sCD14), cytokines, renin, nitrites, and systemic vascular resistance were determined before and 4 weeks after norfloxacin or placebo in 102 cirrhotic patients and 30 controls. LBP was elevated in 42% of ascitic cirrhotic patients (15.7 ± 0.7 versus 6.06 ± 0.5 μg/mL, P < .01). In 60% of high LBP patients, endotoxin was within normal range. Among ascitic patients, those with high LBP showed greater (P < .05) levels of sCD14, tumor necrosis factor α (TNF-α), interleukin 6 (IL-6), nitrites + nitrates (NOx)/creatinine, and renin, and lower vascular resistance. In the cirrhotic patients with high LBP, norfloxacin normalized (P < .01) LBP (from 16.6 ± 0.5 to 5.82 ± 0.8 μ g/mL) and sCD14; reduced the level of cytokines, NOx/creatinine, and renin; and increased vascular resistance; but lacked effect in patients with normal LBP. Portal pressure was unchanged after norfloxacin in another group of 18 cirrhotic patients with high and 19 with normal LBP. In conclusion, the subset of ascitic cirrhotic patients with marked immune and hemodynamic derangement is identified by increased LBP levels. Amelioration of these abnormalities by norfloxacin suggests the involvement of enteric bacteria or their products in the triggering of the process. (HEPATOLOGY 2003;37:208-217.)
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- 2003
21. Endocarditis por Corynebacterium pseudodiphtheriticum
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Maria Romina Rivero, Santiago Moreno, Carmen Quereda, Enrique Navas, Pilar Martín-Dávila, and Jose Luis Moya
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Microbiology (medical) ,business.industry ,Medicine ,business - Published
- 2003
22. Nosocomial endocarditis in a tertiary hospital: an increasing trend in native valve cases
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Pilar, Martín-Dávila, Jesús, Fortún, Enrique, Navas, Javier, Cobo, Manuel, Jiménez-Mena, Jose Luis, Moya, and Santiago, Moreno
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Adult ,Aged, 80 and over ,Male ,Cross Infection ,Time Factors ,Adolescent ,Incidence ,Heart Valve Diseases ,Infant ,Endocarditis, Bacterial ,Middle Aged ,Humans ,Female ,Aged ,Retrospective Studies - Abstract
Changes in the etiology, epidemiology, and outcome of infective endocarditis (IE) have been observed in recent years. Newer invasive therapeutic interventions have increased the risk of bacteremia and nosocomial endocarditis in the population at risk. A retrospective analysis of hospital-acquired IE cases was performed in a tertiary hospital during 1985 to 1999.Cases included were those classified as "probable" or "definite" by the IE diagnostic criteria of Durack. Nosocomial acquisition was considered if diagnosis was made72 h after hospital admission and there was no evidence that IE was present at the time of admission. Patients receiving a diagnosis within 60 days of a previous hospital admission were also classified as nosocomial, when a risk procedure for bacteremia was performed, or when any predisposing factor for IE was present during hospitalization. Early prosthetic valve endocarditis (PVE) cases (1 year) were excluded from the analysis. Clinical characteristics, etiology, predisposing cardiac condition, source of infection, and outcome were analyzed. Results were compared with those obtained in community-acquired cases.Of 493 cases of IE diagnosed over 15 years, 38 were considered to be hospital acquired. Twenty-eight cases were native valve endocarditis (NVE) in non-IV drug user patients, and 10 cases were late PVE. Overall, the most frequent microorganisms involved were staphylococci (58%). The main sources of infection were intravascular procedures or catheter-related infections (55%). When nosocomial NVE cases were compared with community-acquired cases, mortality was greater (29% vs 9.7%) in hospital-acquired endocarditis. Analysis of time trends showed an increased rate of nosocomial cases in NVE throughout the years of the study.In NVE, the number of cases that are hospital acquired has been increasing during the last 15 years. These cases are frequently associated with invasive intravascular procedures or IV catheter-related infections. Most patients have a previous valvulopathy that predisposes to IE. The spectrum of microorganisms involved is different from the community-acquired cases. Also, the outcome of endocarditis is worse in nosocomial NVE patients.
- Published
- 2005
23. Role of noninvasive antimyosin imaging in infants and children with clinically suspected myocarditis
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María Eugenia Rioja, Martin, Jose Luis, Moya-Mur, Manuel, Casanova, Angel, Crespo-Diez, Enrique, Asin-Cardiel, Jose Manuel, Castro-Beiras, Luis, Diez-Jimenez, Manel, Ballester, Ignasi, Carrio, and Jagat, Narula
- Subjects
Male ,Adolescent ,Infant ,Reproducibility of Results ,Comorbidity ,Pentetic Acid ,Prognosis ,Sensitivity and Specificity ,Survival Analysis ,Immunoglobulin Fab Fragments ,Myocarditis ,Ventricular Dysfunction, Left ,Spain ,Child, Preschool ,Disease Progression ,Humans ,Female ,Radiopharmaceuticals ,Child ,Radionuclide Imaging - Abstract
Endomyocardial biopsy is an invasive procedure, often performed on children for the diagnosis of myocarditis, and is not without risk. Therefore, a noninvasive test of adequate diagnostic accuracy is highly desirable. We evaluated the role of antimyosin scintigraphy in infants and children with clinically suspected myocarditis.Forty patients (age range, 2 mo to 14 y) with suspected myocarditis underwent (111)In-antimyosin scintigraphy. All patients were clinically followed for 29 +/- 17 mo; 21 patients underwent serial antimyosin scans (3.8 +/- 1.7 per patient). The antimyosin uptake was assessed by heart-to-lung ratio (HLR). The scan results were compared with endomyocardial biopsy results in 22 patients.Thirty-five of the 40 patients showed abnormal antimyosin findings; 17 patients showed intense myocardial antimyosin uptake (HLR2). The HLR was higher in patients presenting within the first 2 mo of illness (2.09 +/- 0.43 vs. 1.74 +/- 0.34, P = 0.01). Of 22 patients with endomyocardial biopsy, 17 demonstrated myocarditis. All 9 patients who had an HLR2 and underwent endomyocardial biopsy had histologic evidence of myocarditis. Of the remaining 13 patients with HLR2, 8 had biopsy-verified myocarditis (62%). The intensity of antimyosin uptake was the major determinant of survival in children, with a relative risk of 18 (confidence interval, 1.34-242; P = 0.027). High antimyosin uptake (HLR2) seen within 2 mo of the onset of symptoms was associated with a higher mortality rate. The survivors with an HLR2 and those with an HLR2 showed a high likelihood of complete functional recovery. Furthermore, the patients with serial antimyosin scans having persistently positive findings showed a poor clinical outcome.Intense myocardial uptake of antimyosin antibody is a reliable indicator of myocarditis in infants and children. Severe myocardial damage detected in the early phase of disease is associated with a higher mortality rate. The persistence of antimyosin uptake is associated with poor clinical outcomes.
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- 2004
24. Selective intestinal decontamination (SID) ameliorates the immune and hemodynamic derangement of cirrhotic patients with high levels of lyposyccharide-binding protein (LBP)
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Antonio de la Hera, Agustín Albillos, Mónica González, Jorge Monserrat, Melchor Alvarez-Mon, Luis Ruiz-del-Arbol, Jose-Luis Moya, Eduardo Ruiz-Del-Albeniz, and J.L. Calleja
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Derangement ,Immune system ,Hepatology ,business.industry ,Binding protein ,Immunology ,Medicine ,Hemodynamics ,business - Published
- 2002
25. Prevalence of Anxiety and Depression in Prostate Cancer Patients and Their Spouses: An Unaddressed Reality
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Ernesto Sánchez Sánchez, Antonio Carlos González Baena, Carlos González Cáliz, Fernando Caballero Paredes, José Luis Moyano Calvo, and Jesús Castiñeiras Fernández
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Diseases of the genitourinary system. Urology ,RC870-923 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Objectives. To estimate the prevalence of unsuspected anxiety or depression in prostate cancer patients and their spouses, as well as factors involved in its onset. Materials and Methods. A prospective study of 184 patients and 137 spouses evaluated in our hospital during 2019 using the Memorial Anxiety Scale for Prostate Cancer (MAX-PC), Hospital Anxiety and Depression Scale (HADS) and Patient Health Questionnaire depression module (PHQ-9). This study provides an internal validity assessment of the scales and their correlation (alpha and rho coefficients; index r). The contributions of age, education level, months after diagnosis, pain, prostate-specific antigen (PSA) level, stage of the disease and treatment performed to the positivity of the questionnaires were studied using the Wilcoxon–Mann–Whitney and chi-square tests. Results. The prevalence of anxiety was 10.9% (MAX-PC) and 28.3% (MAX-PC-PSA). The HADS-A questionnaire indicated pathology in 14.1% of the patients and 16.05% of the spouses. Depression was detected in 7% (HADS-D) and 9.2% (PHQ-9) of patients as well as in 8.8% (HADS-D) and 16.05% (PHQ-9) of their spouses. The greatest concordance between men and women was with the PHQ-9 (Spearman’s rho: 0.78; p=0.01). Education level is significantly related to the presence of anxiety and depression, regardless of the questionnaire applied. The probability of detecting pathology in the MAX-PC varied from 6% in patients with elementary education to 23.5% in university students (p=0.04). The greatest differences were detected when applying the PHQ-9 to patients (4% pathological, elementary education vs. 35.3% pathological, university education). Our study confirms the lack of a relationship between rates of anxiety and depression and factors such as PSA level, age of the patient and number of comorbidities. Conclusion. There is a high prevalence of unsuspected anxiety and depression in patients with prostate cancer and their wives. Education level correlates with such prevalence.
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- 2020
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26. Análisis Retrospectivo de los casos de Endocarditis Infecciosa a lo largo de 31 años (1985-2016) en un Hospital Terciario (Ramón y Cajal)
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Celia Plaza Coya, Santiago Moreno Guillén, Pilar Martín Dávila, Jose Luis Moya Mur, and Enrique Navas Elorza
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Nursery ,medicine.medical_specialty ,Medicina ,Population ,Injection drug use ,Epidemiological changes ,medicine ,Endocarditis ,Mortality ,education ,Fisioterapia ,Cambios epidemiológicos ,Deportes ,Prosthetic valve ,Gynecology ,Endocarditis infecciosa ,education.field_of_study ,business.industry ,High mortality ,Streptococcus viridans ,General Medicine ,Surgical procedures ,medicine.disease ,Infective endocarditis ,Mortalidad ,Medicine ,Enfermería ,business ,Physical therapy ,Sports - Abstract
La Endocarditis Infecciosa (EI) es una enfermedad infrecuente, de alta mortalidad. En las últimas décadas ha habido cambios relevantes tanto en las técnicas de diagnóstico por imagen como en la epidemiología de la población a la que afecta, que son el objeto de nuestro trabajo. Como método de trabajo se ha realizado un estudio observacional retrospectivo. Se han revisado las historias clínicas de los pacientes diagnosticados de Endocarditis Infecciosa en el Hospital Ramón y Cajal en los últimos 31 años (1985-2016), a partir de un registro del Servicio de Enfermedades Infecciosas. Se ha obtenido como resultado, que el número de casos de Endocarditis Infecciosa se ha mantenido estable a lo largo de los 31 años del estudio. La mayor frecuencia en varones (67%) se mantuvo constante, mientras que la edad de los pacientes ha ido aumentando progresivamente. Se ha apreciado cambios en los microorganismos causales, entre los cuales los más frecuentemente aislados han sido Staphylococcus aureus (37,3%), seguido de estafilococos coagulasa-negativo (14,3%) y Streptococcus viridans (13,2%). De modo llamativo, disminuyeron significativamente los casos de EI asociada al uso de drogas inyectadas y aumentaron proporcionalmente los de EI sobre válvula natural (39,5%) y sobre válvula protésica (31.5%). También aumentaron el empleo del ecocardiograma transesofágico en el diagnóstico (43,7%) y los casos que se sometieron a cirugía (28,9%). La cifra de endocarditis nosocomial sigue siendo un problema importante (12,4%). La mortalidad se ha mantenido elevada sin cambios (20%). Como conclusión podemos señalar que se han encontrado cambios significativos en la epidemiología de la enfermedad a lo largo de los 31 años del estudio, en parte asociado a la disminución del uso de drogas inyectadas y al aumento de los procedimientos quirúrgicos sobre el corazón. Pese a los avances en el manejo diagnóstico y terapéutico la enfermedad sigue teniendo una mortalidad elevada., Infective endocarditis is an uncommon disease of high mortality. In recent decades there have been significant changes both in image diagnostic techniques and in the epidemiology of the affected population, which are the subject of our work. Observational retrospective study. We have reviewed the medical records of patients diagnosed with infective endocarditis in the Hospital Ramon y Cajal in the past 31 years (1985-2016), included in a registry of the Service of Infectious Diseases. The number of cases of infective endocarditis has remained stable over the 31 years of the study. A higher frequency in males (67%) has remained constant, while the age of patients has progressively increased. Changes have been observed in the causative organisms, among which Staphylococcus aureus was the most frequently isolated (37.3%), followed by coagulase-negative staphylococci (14.3%) and Streptococcus viridans (13.2%). Strikingly, there was a significant reduction in the number of cases of endocarditis associated with injection drug use and an increase in those on natural valve (39.5%) and prosthetic valve (31.5%). We also found an increase in the use of transesophageal ecocardiogram in the diagnosis (43.7%) and cases who underwent surgery (28.9%). The number of nosocomial endocarditis continues to be a major problem (12.4%). Mortality has remained high without changes (20%). We have found significant changes in the epidemiology of the disease over the 31 years of the study, in part associated to the decrease in the use of injected drugs and the increase of the surgical procedures on the heart. Diagnostic and therapeutic handling also has advanced, but despite this disease continues to have a high mortality.
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- 1970
27. SER A SOMBRA – A CONSCIÊNCIA DE SI DO ACADÊMICO DE ENFERMAGEM: UM ESTUDO DE CASO
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Roberta Waterkemper, Marta Lenise do Prado, José Luis Moya Medina, and Kenya Schmidt Reibnitz
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Medicine ,Nursing ,RT1-120 - Abstract
Se trata de una investigación cualitativa en la forma de un estudio de caso en la educación. Dirigido a entender la conciencia de sí mismo (los estudiantes de enfermería) sobre ser un estudiante en un curso que trabaja con la pedagogía crítica teniendo como apoyo teórico y filosófico la educación liberadora de Freire. Participaron del estudio 14 estudiantes de enfermería. La recogida de los datos ocurrió a través de la observación no participante y un guión de entrevista abierta. Los datos fueron analizados mediante el análisis temático. Se han desarrollado tres unidades de análisis temático: un ser sin conocimiento, un ser que absorbe el conocimiento y un ser evaluado por nota. El estudiante se percibe como un ser sin conocimiento, que es absorbido por él mismo a través de la transmisión de contenidos en el aula por el profesor. Comprender la conciencia de sí mismo y del mundo que presenta el estudiante es una forma de permitir el desarrollo de su conciencia de sí mismo en el mundo.
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- 2015
28. Endocarditis infecciosa en pacientes diagnosticados de cirrosis hepática. ¿Está indicado el tratamiento quirúrgico?
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José A. López, Miren Martín, Enrique Navas, Ana Redondo, Javier Miguelena, Enrique Oliva, Ignacio García-Andrade, R. Muñoz, Jorge Rodríguez-Roda, Jose Luis Moya, Tomasa Centella, Laura Varela, and Daniel Celemín
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Gynecology ,medicine.medical_specialty ,Endocarditis infecciosa ,business.industry ,lcsh:R ,lcsh:Surgery ,lcsh:Medicine ,lcsh:RD1-811 ,Cirrosis hepática ,Valve surgery ,Cirugía valvular ,medicine ,Surgery ,Infective endocarditis ,Cardiology and Cardiovascular Medicine ,business ,Liver disease - Abstract
ResumenIntroducción y objetivosLa cirrosis hepática condiciona un empeoramiento del pronóstico en pacientes con endocarditis infecciosa (EI) y la indicación quirúrgica en este tipo de pacientes es controvertida. Nuestro objetivo fue el análisis de la morbimortalidad en este grupo de pacientes.MétodosSe han revisado los casos de EI diagnosticados en nuestro hospital desde el 1 de enero de 1985 hasta el 15 de junio del 2015. Se ha realizado un estudio descriptivo de todos los casos, así como un análisis del subgrupo de pacientes que además presentaba algún grado de cirrosis hepática.ResultadosSe registraron 996 episodios de EI durante el periodo de estudio, de los cuales 54 episodios (5,42%) se diagnosticaron en pacientes con hepatopatía. Veintinueve pacientes (44,4%) se encontraban en estadio A de Child-Pugh, 19 pacientes (35,2%) en estadio B y 11 pacientes (20,37%) en estadio C. La mortalidad global de los pacientes cirróticos fue del 37%. La mortalidad en estos pacientes intervenidos quirúrgicamente aumentó de manera significativa del 20% en estadio A al 83% en estadio C de Child-Pugh, con una incidencia de complicaciones mayores del 77,1%.ConclusionesLa cirrosis hepática empeora claramente el pronóstico de la EI, aumentando la mortalidad global del 19,2% al 37%. Además se asocia a una tasa de complicaciones mayores muy elevada. Aunque los pacientes en estadio A intervenidos quirúrgicamente presentaron una mortalidad inferior a quienes siguieron tratamiento médico exclusivamente, la elevada mortalidad en estadios más avanzados obliga a establecer la indicación quirúrgica de manera individualizada y procurar un cuidadoso manejo perioperatorio en estos pacientes.AbstractIntroduction and objectivesLiver cirrhosis worsens the prognosis of patients with infective endocarditis (IE), and the indication of surgery in this group of patients remains controversial. The aim of this study was to analyse the mortality of patients with liver cirrhosis and IE.MethodsThe study included all the patients diagnosed with IE in our Hospital, from 1 January 1985 to 15 June 2015. A descriptive analysis was performed on the whole cohort of patients, as well as on the subgroup that also had liver cirrhosis.ResultsA total of 996 patients were diagnosed with IE, 54 (5.42%) of whom also had liver cirrhosis. Of these, 29 (44.4%) patients were in stage A on the Child-Pugh scale, 19 (35.2%) patients were in stage B, and (20.37%) 11 patients were in stage C. The incidence of major complications in cirrhotic patients was 77.1%. The overall mortality was 37%. Postoperative mortality significantly increased from 20% in stage A, to 83% in stage C of Child-Pugh scale.ConclusionsHepatic cirrhosis worsens the prognosis of IE, increasing postoperative mortality from 19.2% to 37%. Moreover, it is associated with a very high rate of major complications (77.1%). The mortality of stage A cirrhotic patients assigned to surgery was lower than the mortality of patients assigned to medical treatment. The high mortality rate in advanced stages of cirrhosis suggests that a more individualized surgical indication needs to be established, as well as a more careful post-operative management.
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29. Evaluación funcional de la revascularización con arteria mamaria sobre la descendente anterior mediante el estudio de la reserva coronaria con ecocardiografía transtorácica
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Gabriela Guzmán, José Luís Moya, Tomasa Centella, Raquel Campuzano, Enrique Oliva, Ignacio García Andrade, and Alberto García Lledó
- Subjects
Revascularización miocárdica ,Arteria descendente anterior ,Arteria mamaria interna ,Ecocardiografía transtorácica ,Reserva coronaria ,Medicine ,Surgery ,RD1-811 - Abstract
La ecocardiografía transtorácica (ETT), al permitir determinar la reserva coronaria (RC) de forma no invasiva, constituye un método de gran utilidad para la valoración funcional de la circulación coronaria. Nuestro objetivo fue analizar los factores que afectan a dicha RC tras revascularización con arteria mamaria interna (AMI) sobre la descendente anterior (DA). Material y métodos: Se estudió la RC mediante ETT a los 3 meses de la cirugía a un grupo de 43 pacientes intervenidos con AMI sobre la DA que no presentaron datos clínicos de isquemia en cara anterior (n = 43). Se estudió igualmente un grupo control de 50 sujetos con factores de riesgo cardiovascular (FRCV) sin cardiopatía isquémica. Resultados: Ambos grupos mostraron una RC baja, siendo la de los sujetos revascularizados menor (2,00 [DE 0,52]) que la de los sujetos control con FRCV (2,93 [DE 0,80], p
- Published
- 2013
- Full Text
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