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Pinés Corrales PJ, Sastre Marcos J, López Gallardo G, Moreno Fernández J, Herranz Antolín S, Quiroga López I, Del Val Zaballos F, González López J, Alfaro Martínez JJ. All-cause mortality and risk factors in patients with type 1 diabetes in Castilla-La Mancha, Spain. DIACAM1 2010-2020 study. Prim Care Diabetes 2024; 18:59-64. [PMID: 37977987 DOI: 10.1016/j.pcd.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 11/01/2023] [Accepted: 11/05/2023] [Indexed: 11/19/2023]
Abstract
INTRODUCTION Despite better treatments and care for patients with type 1 diabetes (T1DM), all-cause and cardiovascular mortality still remains higher compared to the general population. We evaluated mortality and risk factors for mortality in a representative cohort of patients with T1DM. METHODS DIACAM1 was a cross-sectional, multicenter study on adult patients (≥ 16 years old) and diabetes with at least 5 years since diabetes diagnosis conducted between 2009 and 2010. DIACAM1 2010-2020 study was a follow-up study, extension of DIACAM1, where vital status of patients was evaluated between June 2019 and June 2020. RESULTS 4.03% [CI95%, 2.53-5.62) of the 1465 patients with T1DM included in the cohort of the DIACAM1 in 2010 had died. Survival was lower than in the sex- and age-matched general population in the same region. 40.7% of deaths were due to cardiovascular disease. HbA1c levels < 7% and triglyceride levels < 150 mg/dL were associated with lower mortality, whereas retinopathy and plasma creatinine were associated with increased mortality. CONCLUSIONS We confirmed a lower survival in people with T1DM, with cardiovascular disease being the main cause of mortality. High HbA1c, high triglycerides, retinopathy, and high creatinine are factors associated with mortality.
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Calderón Vicente DMª, Marco Martínez A, Gómez García I, Quílez Toboso R, Quiroga López I, Delgado Rey M, Gargallo Vaamonde J, Olmos Alemán M, Miralles Moragrega R, Gonzalvo Díaz C, González López J. Effects of the COVID-19 pandemic on gestational diabetes in Castilla-La Mancha (Spain). ENDOCRINOL DIAB NUTR 2024; 71:53-60. [PMID: 38493008 DOI: 10.1016/j.endien.2024.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 12/02/2023] [Indexed: 03/18/2024]
Abstract
SUBJECT-MATTER To assess the effect of the 2019 coronavirus (COVID-19) pandemic on gestational diabetes (GDM). MATERIAL AND METHODS In this retrospective, multicentre, non-interventional study carried out in Castilla-La Mancha, Spain, we compared 663 women with GDM exposed to the pandemic (pandemic group), with 622 women with GDM seen one year earlier (pre-pandemic group). The primary endpoint was a Large for Gestational Age (LGA) newborn as an indicator of poor GDM control. Secondary endpoints included obstetric and neonatal complications. RESULTS During the pandemic, the gestational week at diagnosis (24.2 ± 7.4 vs 22.9 ± 7.7, p = 0.0016) and first visit to Endocrinology (26.6 ± 7.2 vs 25.3 ± 7.6, p = 0.0014) were earlier. Face-to-face consultations were maintained in most cases (80.3%). The new diagnostic criteria for GDM were used in only 3% of cases. However, in the pandemic group, the final HbA1c was higher (5.2 ± 0.48 vs 5.29 ± 0.44%, p = 0.047) and there were more LGA newborns (8.5% vs 12.8%, p = 0.015). There were no differences in perinatal complications. CONCLUSIONS Care for GDM in our Public Health System did not significantly deteriorate during the COVID-19 pandemic. However, this did not prevent a higher number of LGA newborns.
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Affiliation(s)
| | | | - Inés Gómez García
- Servicio de Endocrinología y Nutritición, Hospital La Mancha Centro, Ciudad Real, Spain; Hospital General de Tomelloso, Ciudad Real, Spain
| | - Rosa Quílez Toboso
- Servicio de Endocrinología y Nutrición, Hospital Universitario de Albacete, Albacete, Spain
| | - Iván Quiroga López
- Servicio de Endocrinología y Nutrición, Hospital Nuestra Señora del Prado, Toledo, Spain
| | - Manolo Delgado Rey
- Servicio de Endocrinología y Nutrición, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
| | | | - María Olmos Alemán
- Servicio de Endocrinología y Nutrición, Hospital General de Villarrobledo, Albacete, Spain
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González López J, Martín Niño I, Arana Molina C. Subacute thyroiditis after SARS-CoV-2 vaccination: report of two clinical cases. Medicina Clínica (English Edition) 2022; 158:e13-e14. [PMID: 35693917 PMCID: PMC9170079 DOI: 10.1016/j.medcle.2022.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Carlos Arana Molina
- Servicio de Endocrinología y Nutrición, Hospital Virgen de la Luz, Cuenca, Spain
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González López J, Escorcio Faria D, Riestra Fernández M. Insuficiencia suprarrenal aguda en paciente con panhipopituitarismo posterior a la vacunación contra la COVID-19 (BNT162b2 Pfizer-BioNTech). ENDOCRINOL DIAB NUTR 2021; 69:762-763. [PMID: 34957378 PMCID: PMC8683264 DOI: 10.1016/j.endinu.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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González-García M, Álvarez JC, Pérez EZ, Fernandez-Carriba S, López JG. Feasibility of a Brief Online Mindfulness and Compassion-Based Intervention to Promote Mental Health Among University Students During the COVID-19 Pandemic. Mindfulness (N Y) 2021; 12:1685-1695. [PMID: 34025814 PMCID: PMC8127469 DOI: 10.1007/s12671-021-01632-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/10/2021] [Indexed: 12/12/2022]
Abstract
Objectives The COVID-19 pandemic constitutes a global mental health challenge that has disrupted the lives of millions of people, with a considerable effect on university students. The aim of this study was to assess the feasibility of a brief online Mindfulness and Compassion-based Intervention to promote mental health among first year university students during COVID-19 home confinement. Methods Participants (n=66) were first-year psychology students from a university in Spain with no prior meditation experience. Intervention lasted for 16 days and was designed ad-hoc. Using a pre–post within-subjects design, feasibility was assessed in five domains (acceptability, satisfaction, implementation, practicality, and limited efficacy testing). Participants completed both baseline and post-intervention assessments of perceived stress, anxiety, and self-compassion. Results The intervention showed to be feasible in all domains evaluated. It was implemented as planned with constrained resources, and limited efficacy testing showed promising results. After the intervention, stress and anxiety levels decreased significantly (p<0.001, Hedges’s g=0.5146; p<0.001, Hedges’s g=0.6068, respectively) whereas self-compassion levels were augmented significantly (p<0.001, Hedges’s g=0.6968). Conclusions Our findings suggest that a brief online mindfulness and compassion intervention may be a feasible way of promoting mental health among university students during COVID-19 lockdown. Further studies are required to address the limitations of the present study. We conclude that online interventions may constitute a promising pathway to buffer the mental health burden derived from the COVID-19 pandemic.
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Affiliation(s)
- Marian González-García
- Faculty of Health Sciences, Universidad Europea del Atlántico (UEA), Calle Isabel Torres, 21, 39011 Santander, Cantabria Spain
| | - Jorge Crespo Álvarez
- Faculty of Health Sciences, Universidad Europea del Atlántico (UEA), Calle Isabel Torres, 21, 39011 Santander, Cantabria Spain
| | - Elena Zubeldia Pérez
- Faculty of Health Sciences, Universidad Europea del Atlántico (UEA), Calle Isabel Torres, 21, 39011 Santander, Cantabria Spain
| | | | - Javier González López
- Faculty of Health Sciences, Universidad Europea del Atlántico (UEA), Calle Isabel Torres, 21, 39011 Santander, Cantabria Spain
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Negreira-Caamaño M, Abellán-Huerta J, Lozano-Ruiz-Poveda F, Sánchez-Pérez I, López-Lluva MT, Pérez-Díaz P, López JG, Jurado-Román A. Percutaneous Intervention in Diffuse Coronary Disease: Overlapping Versus Single Very Long Stent Technique. Results From the OVERLONG Registry. Angiology 2021; 72:979-985. [PMID: 33966474 DOI: 10.1177/00033197211014686] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Both stent length and stent overlap are associated with worse outcomes in the percutaneous treatment of diffuse coronary artery disease (dCAD). However, evidence comparing these issues is scarce. We aimed to compare the results between the use of single very long stent (VLS) and ≥2 overlapping stents (OS) in the treatment of dCAD. METHODS Seven hundred twenty-four consecutive lesions were included: 275 treated with a single VLS (≥40 mm) and 449 with ≥2 OS. Procedural characteristics were assessed, and survival analysis was performed to compare the incidence of major adverse cardiovascular events (MACE; composite of cardiovascular death, nonfatal myocardial infarction, target lesion revascularization [TLR], or stent thrombosis) during a median follow-up of 31 months. RESULTS Procedures with VLS required less contrast volume (268 ± 122 vs 302 ± 113 cm3; P < .01), fluoroscopy time (16 ± 8 vs 21 ± 16 minutes; P < .01), and procedure duration (37 ± 18 vs 47 ± 27 minutes; P < .01) than the OS procedures. The VLS group showed lower incidence of MACE (4.4% vs 10.7%; P < .01), driven mainly by lower TLR rate (1.1% vs 4.7%; P < .01). The use of OS was an independent predictor of MACE. CONCLUSIONS In this study, the use of VLS for the treatment of dCAD was associated with better outcomes compared to OS.
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Affiliation(s)
| | - José Abellán-Huerta
- Interventional Cardiology Unit, Cardiology Department, University General Hospital of Ciudad Real, Spain
| | | | - Ignacio Sánchez-Pérez
- Interventional Cardiology Unit, Cardiology Department, University General Hospital of Ciudad Real, Spain
| | | | - Pedro Pérez-Díaz
- Cardiology Department, University General Hospital of Ciudad Real, Spain
| | | | - Alfonso Jurado-Román
- Interventional Cardiology Unit, Cardiology Department, La Paz University Hospital, Madrid, Spain
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Marcazzó J, Camargo L, Martínez N, Caselli E, Acosta MA, López JG, Roldan AM, Khaidukov NM, Santiago M. Thermo- radio- and optically stimulated luminescence of Ce-doped KYF 4 single crystals. Appl Radiat Isot 2019; 152:1-5. [PMID: 31203094 DOI: 10.1016/j.apradiso.2019.06.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 05/21/2019] [Accepted: 06/07/2019] [Indexed: 10/26/2022]
Abstract
The goals of this work are to determine the luminescence properties of KYF4 single crystals doped with different concentrations of Ce3+ ions and to evaluate their possible application as a detector of beta radiation. In particular, thermoluminiscence, radioluminiscence and optically stimulated luminescence properties of KYF4: Ce3+ exposed to beta radiation have been studied and very good dosimetric properties have been obtained within the dose range 0.02-20 Gy.
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Affiliation(s)
- J Marcazzó
- Instituto de Física Arroyo Seco (UNCPBA) and CIFICEN (UNCPBA - CICPBA - CONICET), Pinto 399, 7000, Tandil, Argentina.
| | - L Camargo
- Instituto de Física Arroyo Seco (UNCPBA) and CIFICEN (UNCPBA - CICPBA - CONICET), Pinto 399, 7000, Tandil, Argentina
| | - N Martínez
- Instituto de Física Arroyo Seco (UNCPBA) and CIFICEN (UNCPBA - CICPBA - CONICET), Pinto 399, 7000, Tandil, Argentina
| | - E Caselli
- Instituto de Física Arroyo Seco (UNCPBA) and CIFICEN (UNCPBA - CICPBA - CONICET), Pinto 399, 7000, Tandil, Argentina
| | - M A Acosta
- Facultad de Ciencias Exactas (UNCPBA), Pinto 399, 7000, Tandil, Argentina
| | - J G López
- Facultad de Ciencias Exactas (UNCPBA), Pinto 399, 7000, Tandil, Argentina
| | - A Martínez Roldan
- Facultad de Ciencias Exactas (UNCPBA), Pinto 399, 7000, Tandil, Argentina
| | - N M Khaidukov
- Kurnakov Institute of General and Inorganic Chemistry, RAS, Leninskii Prospekt 31, 119991, Moscow, Russia
| | - M Santiago
- Instituto de Física Arroyo Seco (UNCPBA) and CIFICEN (UNCPBA - CICPBA - CONICET), Pinto 399, 7000, Tandil, Argentina
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Rosebrugh LE, Ahmed TS, Marx VM, Hartung J, Liu P, López JG, Houk KN, Grubbs RH. Probing Stereoselectivity in Ring-Opening Metathesis Polymerization Mediated by Cyclometalated Ruthenium-Based Catalysts: A Combined Experimental and Computational Study. J Am Chem Soc 2016; 138:1394-405. [PMID: 26726835 DOI: 10.1021/jacs.5b12277] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The microstructures of polymers produced by ring-opening metathesis polymerization (ROMP) with cyclometalated Ru-carbene metathesis catalysts were investigated. A strong bias for a cis,syndiotactic microstructure with minimal head-to-tail bias was observed. In instances where trans errors were introduced, it was determined that these regions were also syndiotactic. Furthermore, hypothetical reaction intermediates and transition structures were analyzed computationally. Combined experimental and computational data support a reaction mechanism in which cis,syndio-selectivity is a result of stereogenic metal control, while microstructural errors are predominantly due to alkylidene isomerization via rotation about the Ru═C double bond.
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Affiliation(s)
- L E Rosebrugh
- Arnold and Mabel Beckman Laboratory of Chemical Synthesis, Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California 91125, United States
| | - T S Ahmed
- Arnold and Mabel Beckman Laboratory of Chemical Synthesis, Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California 91125, United States
| | - V M Marx
- Arnold and Mabel Beckman Laboratory of Chemical Synthesis, Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California 91125, United States
| | - J Hartung
- Arnold and Mabel Beckman Laboratory of Chemical Synthesis, Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California 91125, United States
| | - P Liu
- Department of Chemistry and Biochemistry, University of California , Los Angeles, California 90095, United States
| | - J G López
- Department of Chemistry and Biochemistry, University of California , Los Angeles, California 90095, United States
| | - K N Houk
- Department of Chemistry and Biochemistry, University of California , Los Angeles, California 90095, United States
| | - R H Grubbs
- Arnold and Mabel Beckman Laboratory of Chemical Synthesis, Division of Chemistry and Chemical Engineering, California Institute of Technology , Pasadena, California 91125, United States
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