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Cystic Fibrosis: Dietary Adherence And Quality Of Life. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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2
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Exploring the role of S-Adenosyl Methionine Decarboxylase (AMD1) in the growth, migration, metabolism and drug-combination profile of non-small cell lung cancer cells. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)00959-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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3
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Economic evaluations of radioembolization with Itrium-90 microspheres in hepatocellular carcinoma: a systematic review. BMC Gastroenterol 2022; 22:326. [PMID: 35780112 PMCID: PMC9250253 DOI: 10.1186/s12876-022-02396-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 06/20/2022] [Indexed: 11/20/2022] Open
Abstract
Background Transarterial radioembolization (TARE) with yttrium-90 microspheres is a clinically effective therapy for hepatocellular carcinoma (HCC) treatment. This study aimed to perform a systematic review of the available economic evaluations of TARE for the treatment of HCC. Methods The Preferred Reported Items for Systematic reviews and Meta-Analyses guidelines was followed by applying a search strategy across six databases. All studies identified as economic evaluations with TARE for HCC treatment in English or Spanish language were considered. Costs were adjusted using the 2020 US dollars based on purchasing-power-parity ($US PPP). Results Among 423 records screened, 20 studies (6 cost-analyses, 3 budget-impact-analyses, 2 cost-effectiveness-analyses, 8 cost-utility-analyses, and 1 cost-minimization analysis) met the pre-defined criteria for inclusion. Thirteen studies were published from the European perspective, six from the United States, and one from the Canadian perspectives. The assessed populations included early- (n = 4), and intermediate-advanced-stages patients (n = 15). Included studies were evaluated from a payer perspective (n = 20) and included both payer and social perspective (n = 2). TARE was compared with transarterial chemoembolization (TACE) in nine studies or sorafenib (n = 11). The life-years gained (LYG) differed by comparator: TARE versus TACE (range: 1.3 to 3.1), and TARE versus sorafenib (range: 1.1 to 2.53). Of the 20 studies, TARE was associated with lower treatment costs in ten studies. The cost of TARE treatment varied widely according to Barcelona Clinic Liver Cancer (BCLC) staging system and ranged from 1311 $US PPP/month (BCLC-A) to 71,890 $US PPP/5-years time horizon (BCLC-C). The incremental cost-utility ratio for TARE versus TACE resulted in a 17,397 $US PPP/Quality-adjusted-Life-Years (QALY), and for TARE versus sorafenib ranged from dominant (more effectiveness and lower cost) to 3363 $US PPP/QALY. Conclusions Economic evaluations of TARE for HCC treatment are heterogeneous. Overall, TARE is a cost-effective short- and long-term therapy for the treatment of intermediate-advanced HCC. Supplementary Information The online version contains supplementary material available at 10.1186/s12876-022-02396-6.
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Case Report: Differential Genomics and Evolution of a Meningeal Melanoma Treated With Ipilimumab and Nivolumab. Front Oncol 2022; 11:691017. [PMID: 35070950 PMCID: PMC8766339 DOI: 10.3389/fonc.2021.691017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 11/29/2021] [Indexed: 11/16/2022] Open
Abstract
Primary melanocytic tumors of the CNS are extremely rare conditions, encompassing different disease processes including meningeal melanoma and meningeal melanocytosis. Its incidence range between 3-5%, with approximately 0.005 cases per 100,000 people. Tumor biological behavior is commonly aggressive, with poor prognosis and very low survivability, and a high recurrence rate, even after disease remission with multimodal treatments. Specific genetic alterations involving gene transcription, alternative splicing, RNA translation, and cell proliferation are usually seen, affecting genes like BRAF, TERT, GNAQ, SF3B1, and EIF1AX. Here we present an interesting case of a 59-year-old male presenting with neurologic symptoms and a further confirmed diagnosis of primary meningeal melanoma. Multiple therapy lines were used, including radiosurgery, immunotherapy, and chemotherapy. The patient developed two relapses and an evolving genetic makeup that confirmed the disease’s clonal origin. We also provide a review of the literature on the genetic basis of primary melanocytic tumors of the CNS.
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"Cut and push" technique for a first gastrostomy tube replacement, a really safe alternative? Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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6
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1858P Role of depression and quality of life (QOL) status as predictors of hospital length of stay (HLOS) and overall survival (OS) in hospitalized oncologic patients (pts). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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7
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SUN-PO146: ALS, Gastrostomyand Survival: Trying to Clarify Obstacles to Optimize Objectives. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32779-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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8
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SUN-PO176: Do Fat-Soluble Vitamin Requirements in Adult Cystic Fibrosis Patients Change Following Bipulmonary Transplantation? Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32808-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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PT06.5: The Loss of Fat-Free Mass: An Early Event in Patients with Morbid Obesity Undergoing Bariatric Surgery. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32575-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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464 A Community Outreach Effort: Making a Big Difference with Small Burn Injuries. J Burn Care Res 2018. [DOI: 10.1093/jbcr/iry006.386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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MON-P165: Malnutrition Prevalence in Patients Admitted in a General Psychiatry Ward of an Acute Care Hospital. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30922-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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MON-P048: Hydration on Patients in a Home Care Program (HCP) with Orofaringea Dysphagia. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)31035-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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MON-P166: Disease-Related Malnutrition at Admission in a Third Level Hospital: Beyond 10000 Screened Patients. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30921-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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SUN-P024: Early Parenteral Nutrition in Critically Ill Adult Patients: an Observational Study. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30602-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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OR39: Changes in Resting Energy Expenditure in Patients with Extreme Obesity After Bariatric Surgery. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30748-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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16
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SUN-P106: Fat-Soluble Vitamins and Lung Function in Adult Patients with Cystic Fibrosis (CF). Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30449-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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PT07.5: Nutritional Assessment, Vitamin D and Bone Mineral Density in Lung Transplant Program Patients. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30324-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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MON-P240: Enhanced Recovery after Surgery Protocol (ERAS) for Advanced Gynecological Cancer. Preliminary Results. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30874-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Accuracy of Different Mini Nutritional Assessment Reduced Forms to Evaluate the Nutritional Status of Elderly Hospitalised Diabetic Patients. J Nutr Health Aging 2016; 20:370-5. [PMID: 26999235 DOI: 10.1007/s12603-015-0618-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Disease-associated malnutrition (DAM) is a health problem involving all sanitary levels, especially hospitalised elderly patients. Different MNA (Mini Nutritional Assessment)-based forms have been validated in different settings, but it remains unclear if they are appropriate to evaluate the nutritional status of geriatric hospitalised patients with diabetes. OBJECTIVE The aim of this work was to analyse the accuracy of several MNA reduced forms to detect malnutrition in hospitalised elderly diabetic patients. METHODS A multicentre observational study was carried out in diabetic patients, who were over the age of 65, from 35 Spanish hospitals. Principal component analysis (PCA) selected the minimal components to elaborate the newly-proposed reduced new version of the MNA (r-MNA). Cohen's Kappa index (KI), with its 95% confidence interval (CI), was used to measure the agreement between the different reduced forms (r-MNA, MNA-SF-BMI, MNA-SF-CC, m-MNA) with the original MNA. RESULTS Five hundred and ninety-one elderly diabetic patients were included in the study. ROC analysis determined the following cut-off points for the newly proposed r MNA: 0-<10 "malnourished", 10-12 "at risk" and >12-15 "well-nourished". The upper cut-off point demonstrated a sensitivity of 87.7%, a specificity of 78.3% and an area under the curve of 0.93. The lower cut-off point showed a sensitivity of 95.9%, a specificity of 78.3% and an area under the curve of 0.95. The best agreement with the original MNA was observed for the MNA-SF-BMI (Κ index 80.7; 95% CI: 77.4-84) and the worst for the r-MNA (Κ index 72; 95% CI: 68.2-75.4). CONCLUSIONS This study found that MNA-SF-BMI is the most accurate screening tool for determining the nutritional status of hospitalised diabetic elderly patients. This is an easy-to-use, fast screening tool with a low risk of misclassification.
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SUN-PP051: Gastroparesis in Cystic Fibrosis Patients after Double Lung Transplant. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30202-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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MON-PP020: Usefulness of Indirect Calorimetry to Assess Adequacy of Home Parenteral Nutrition (HPN). Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30452-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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MON-PP105: Home Parenteral Nutrition - National Record 2014. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30537-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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The acute phase response induced by Escherichia coli
lipopolysaccharide modifies the pharmacokinetics and metabolism of florfenicol in rabbits. J Vet Pharmacol Ther 2015; 39:183-90. [DOI: 10.1111/jvp.12244] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Accepted: 05/04/2015] [Indexed: 11/30/2022]
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A 20-year assessment of diversity by sex, race and Hispanic ethnicity of the United States vascular and interventional radiology (VIR) academic physician workforce. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Impact of prompt catheter withdrawal and adequate antimicrobial therapy on the prognosis of hospital-acquired parenteral nutrition catheter-related bacteraemia. Clin Microbiol Infect 2014; 20:1205-10. [DOI: 10.1111/1469-0691.12703] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2014] [Revised: 05/28/2014] [Accepted: 05/30/2014] [Indexed: 11/30/2022]
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PP123-MON: Can we Improve Compliance with Vitamin Supplementation in Adult Patients Suffering from Cystic Fibrosis (CF)? Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50458-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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PP091-MON: Home Parenteral Nutrition in Palliative Care Cancer Patients from the Nadya-Senpe Registry 2010–2012. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50426-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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PP145-SUN: High Protein Specific Diet in Hospitalized Elderly Patients. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50187-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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PP242-SUN: Impact of the Implementation of a Multidisciplinary Prevention Strategy in the Incidence of Catheter-Related Bacteremia due to Parenteral Nutrition (BRC-NP) in the HOSPITAL. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50283-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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PP205-SUN: Outstanding abstract: Nutritional Parameters Evolution and Relationship with Outcomes in Patients with Parenteral Nutrition after Elective Gastrointestinal Surgery. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50247-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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[Home parenteral nutrition in Spain 2011 and 2012; a report of the home and ambulatory artificial nutrition group NADYA]. NUTR HOSP 2014; 29:1360-5. [PMID: 24972475 DOI: 10.3305/nh.2014.29.6.7372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To report the data of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group for the years 2011 and 2012. METHODOLOGY We compiled the data from the on-line registry introduced by reviewers of NADYA group responsible for monitoring of NPD introduced by since January 1, 2011 to december 31, 2012. Included fields were: age, sex, diagnosis and reason for HPN, access path, complications, beginning and end dates, complementary oral or enteral nutrition, activity level, autonomy degree, product and fungible material supply, withdrawal reason and intestinal transplant indication. RESULTS Year 2010: 184 patients from 29 hospitals , representing a rate of 3.98 patients/million inhabitants/ year 2011, with 186 episodes were recorded NPD . During 2012, 203 patients from 29 hospitals , representing a rate of 4.39 patients/million inhabitants/year 2012 , a total of 211 episodes were recorded NPD . CONCLUSIONS We observe an increase in registered patients with respect to previous years.Neoplasia remains as the main pathology since 2003. Although NADYA is consolidated registry and has been indispensable source of information relevant to the understanding of the progress of Home Artificial Nutrition in our country, there is ample room for improvement. Especially that refers to the registration of pediatric patients and the registration of complications.
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[Translation and validation of the Spanish version of the EAT-10 (Eating Assessment Tool-10) for the screening of dysphagia]. NUTR HOSP 2013; 27:2048-54. [PMID: 23588456 DOI: 10.3305/nh.2012.27.6.6100] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2012] [Accepted: 09/11/2012] [Indexed: 12/01/2022] Open
Abstract
RATIONALE The Eating Assessment Tool-10 (EAT-10) is a self-administered, analogical, direct-scoring screening tool for dysphagia. OBJECTIVE To translate and adapt the EAT-10 into Spanish, and to evaluate its psychometric properties. METHODS After the translation and back-translation process of the EAT-10 ES, a prospective study was performed in adult patients with preserved cognitive and functional abilities. Patients in 3 clinical situations, diagnosed with dysphagia (DD), patients at risk of dysphagia (RD), and patients not at risk of dysphagia (SRD) were recruited from 3 settings: a hospital Nutritional Support Unit (USN), a nursing home (RG) and primary care centre (CAP). Patients completed the EAT-10 ES during a single visit. Both patients and researchers completed a specific questionnaire regarding EAT-10 ES' comprehension. RESULTS 65 patients were included (age 75 ± 9.1 y), 52.3% women. Mean time of administration was 3.8 ± 1.7 minutes. 95.4% of patients considered that all tool items were comprehensible and 72.3% found it easy to assign scores. EAT-10 ES' internal consistency, Cronbach's Alpha coefficient was 0.87. A high correlation was observed between all tool items and global scores (p < 0.001). Mean score for patients in group DD was 15 ± 8.9 points, 6.7 ± 7.7 points in group RD, and 2 ± 3.1 points in group SRD. Male patients, previously diagnosed of dysphagia or patients from the NSU showed significantly higher scores on the EAT-10 ES (p < 0.001). CONCLUSION EAT-10 ES has proven to be reliable, valid and to have internal consistency. Is it an easy-to-understand tool that can be completed quickly, making it useful for the screening of dysphagia in routine clinical practice.
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Progression of the attended morbidity in the Spanish radiomedical advice centre from 2009 to 2012. ARCH MAL PROF ENVIRO 2013. [DOI: 10.1016/j.admp.2013.07.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Interventions of hospital ships in humanitarian acts. ARCH MAL PROF ENVIRO 2013. [DOI: 10.1016/j.admp.2013.07.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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History of the pharmacist and the medical chest in Spanish ships. ARCH MAL PROF ENVIRO 2013. [DOI: 10.1016/j.admp.2013.07.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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PP133-MON EMERGING CARDIOVASCULAR RISK FACTORS IN HOME PARENTERAL NUTRITION PATIENTS. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60444-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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PP005-SUN PREVALENCE AND PREDICTORS OF HYPOGLYCEMIA DURING TOTAL PARENTERAL NUTRITION IN NONCRITICALLY ILL INPATIENTS. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60051-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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38
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PP181-MON PARENTERAL NUTRITION IN SURGICAL PATIENTS: EFFECTS WHEN RENAL IMPAIRMENT. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60492-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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39
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S07.4 Identification of Determinants Triggering Antigenic Variation in Mycoplasma Genitalium. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.0041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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P-218 Allogeneic stem cell transplantation in Argentina: Comparison between related and unrelated donors in adults with myelodysplastic syndrome. Leuk Res 2013. [DOI: 10.1016/s0145-2126(13)70265-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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41
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[Translation and validation of the Spanish version of the EAT-10 (Eating Assessment Tool-10) for the screening of dysphagia]. NUTR HOSP 2013. [PMID: 23588456 DOI: 10.3305/nh.2012.27.6.6100.] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
RATIONALE The Eating Assessment Tool-10 (EAT-10) is a self-administered, analogical, direct-scoring screening tool for dysphagia. OBJECTIVE To translate and adapt the EAT-10 into Spanish, and to evaluate its psychometric properties. METHODS After the translation and back-translation process of the EAT-10 ES, a prospective study was performed in adult patients with preserved cognitive and functional abilities. Patients in 3 clinical situations, diagnosed with dysphagia (DD), patients at risk of dysphagia (RD), and patients not at risk of dysphagia (SRD) were recruited from 3 settings: a hospital Nutritional Support Unit (USN), a nursing home (RG) and primary care centre (CAP). Patients completed the EAT-10 ES during a single visit. Both patients and researchers completed a specific questionnaire regarding EAT-10 ES' comprehension. RESULTS 65 patients were included (age 75 ± 9.1 y), 52.3% women. Mean time of administration was 3.8 ± 1.7 minutes. 95.4% of patients considered that all tool items were comprehensible and 72.3% found it easy to assign scores. EAT-10 ES' internal consistency, Cronbach's Alpha coefficient was 0.87. A high correlation was observed between all tool items and global scores (p < 0.001). Mean score for patients in group DD was 15 ± 8.9 points, 6.7 ± 7.7 points in group RD, and 2 ± 3.1 points in group SRD. Male patients, previously diagnosed of dysphagia or patients from the NSU showed significantly higher scores on the EAT-10 ES (p < 0.001). CONCLUSION EAT-10 ES has proven to be reliable, valid and to have internal consistency. Is it an easy-to-understand tool that can be completed quickly, making it useful for the screening of dysphagia in routine clinical practice.
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[The registry of home artificial nutrition and ambulatory of the Spanish Society of Parenteral and Enteral Nutrition; SWOT analysis]. NUTR HOSP 2012; 27:1357-60. [PMID: 23165586 DOI: 10.3305/nh.2012.27.4.5912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2012] [Accepted: 04/23/2012] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To evidence by means of a SWOT-R analysis performed by an expert consensus the most worrying characteristics of the register on Home-based and Outpatient Artificial Nutrition. MATERIAL AND METHODS SWOT-R analysis with expert consensus. We requested the participation of the active members of the NADYA group within the last 5 years with the premise of structuring the SWOT-R based on the characteristics of the NADYA registry from its beginning. RESULTS 18 experts from hospitals all over Spain have participated. The internal analysis seems to be positive, presenting the registry as having important resources. The external analysis did not show a great number of threats, there are very potent factors, "the voluntariness" of the registry and the "dependence on external financing". The opportunities identified are important. The recommendations are aimed at stabilizing the system by decreasing the threats as one of the main focus of the strategies to develop as well as promoting the items identified as opportunities and strengths. CONCLUSIONS The analysis shows that the NADYA register shows a big potentiality for improvement. The proposed recommendations should be structured in order to stay on the track of development and quality improvement that has characterized the NADYA register from the beginning.
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Prevalence of malnutrition and its etiological factors in hospitals. NUTR HOSP 2012; 27:469-76. [PMID: 22732970 DOI: 10.1590/s0212-16112012000200018] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2011] [Accepted: 09/28/2011] [Indexed: 04/09/2023] Open
Abstract
BACKGROUND Malnutrition among inpatients is highly prevalent, and has a negative impact on their clinical outcome. The Working Group for the Study of Malnutrition in Hospitals in Catalonia was created to generate consensus guidelines for the prevention and/or treatment of malnutrition in hospitals in Catalonia, Spain. AIMS The objectives of the study were to determine the prevalence of malnutrition on admission to hospital in Catalonia and to assess relationships between malnutrition, social and demographic data, overall costs, and mortality. METHODS Prospective and multicenter study conducted with 796 patients from 11 hospitals representative of the hospitalized population in Catalonia. Nutritional status was evaluated using the Nutritional Risk Screening 2002 method. RESULTS Overall, 28.9% of the patients are malnourished or at nutritional risk. Elderly patients, non-manual workers, those admitted to hospital as emergencies and with higher co-morbidities had higher risk of malnutrition. The type of hospital (second level vs. tertiary or University referral) to which they were admitted was also a factor predisposing to malnutrition. Length of hospital stay was longer in malnourished patients (10.5 vs. 7.7 days, p < 0.0001). The need for a convalescent home on leaving hospital was higher as well as the risk of mortality (8.6% malnourished vs. 1.3% nonmalnourished, p < 0.0001). CONCLUSIONS The prevalence of malnutrition is high in patients on admission to hospital in our community, resulting in elevated overall costs and higher risk of mortality. Age, social class and characteristics of the Unit and the Hospital are the main factors involved in hospital malnutrition.
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Multidisciplinary consensus on the approach to hospital malnutrition in Spain. NUTR HOSP 2012; 26:701-10. [PMID: 22470013 DOI: 10.1590/s0212-16112011000400006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2011] [Accepted: 05/17/2011] [Indexed: 11/21/2022] Open
Abstract
RATIONALE Disease-related malnutrition constitutes a highly prevalent healthcare problem with high costs associated. In Spain, the prevalence of malnutrition in hospitalized patients has been reported from 30% to 50%. OBJECTIVES Main purposes of this consensus document were to establish recommendations that facilitate decision-making and action to prevent and early-diagnose disease-related hospital malnutrition, on the management of nutritional support methods and actions to evaluate nutritional treatment compliance and efficacy. METHODS A systematic bibliographical search of authors was performed, complemented by updated bibliography by author references up to 2010. From this review, some recommendations were defined, modified and critically evaluated by the representatives of scientific societies in a consensus conference (Dec 2010) following a structured brainstorming technique: the Metaplan(®) technique. A double validation process was undertaken until final recommendations were obtained. RESULTS 30 consensus recommendations for the prevention and management of hospital malnutrition are presented in this document. Recommendations cover all clinical care settings as well as prevention, screening, diagnosis, treatment and follow-up of disease-related malnutrition. CONCLUSIONS Nutritional screening is strongly recommended at all clinical settings when nutritional risk factors are identified or there is clinical suspicion of malnutrition. Nutritional assessment should be designed and performed according to centers' resources, but clearly identified protocols should be available.
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[Meta-analysis on the role of lycopene in type 2 diabetes mellitus]. NUTR HOSP 2012; 26:1236-41. [PMID: 22411366 DOI: 10.1590/s0212-16112011000600007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2011] [Accepted: 07/19/2011] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION lycopene is a carotene with a potent antioxidant effect found in tomato and its derivatives. Given that diabetic patients present an increased oxidative stress, lycopene could be beneficial. The aim of this scientific review has been to analyze the scientific evidence of the role of lycopene as an anti-oxidant agent in diabetes, its prevention and the metabolic control and development of complications. MATERIALS AND METHODS We carried out a systematic review and meta-analysis. A literature search was done in Medline and the Cochrane Library, using the MeSH terms "carotenoids" OR "lycopene" AND "type 2 diabetes mellitus". The search was manually completed from the references of the papers found. The quality of the studies was assessed by using the JADAD and STROBE scales. We included a total of 10 articles. RESULTS After adjusting for other risk factors, the OR for developing DM2 as similar among the different levels of lycopene intake. The plasma levels of lycopene increase in the intervention groups. Lycopene decreases the malonyldialdehyde and lipid peroxidation. The non-provitamin A/provitamin A carotenoids ratio is negatively associated with the risk for suffering from diabetic retinopathy. CONCLUSION Tomato or lycopene intake increases the plasma levels of this compound. However, there is no evidence for the association between lycopene intake and the risk for having diabetes. This compound and other tomato derivatives may have a beneficial effect on the oxidative stress in diabetic patients. The non-provitamin A/provitamin A carotenoids ratio is negatively associated with the risk for suffering from diabetic retinopathy, although there are no data available on the relationship between lycopene and other diabetic complications.
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302. Precondicionamiento con levosimendán en pacientes con disfunción ventricular sometidos a cirugía cardíaca: Estrategia y resultados. CIRUGIA CARDIOVASCULAR 2012. [DOI: 10.1016/s1134-0096(12)70531-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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303. Reemplazo valvular aórtico por miniesternotomía: optimización de la estrategia quirúrgica y resultados. CIRUGIA CARDIOVASCULAR 2012. [DOI: 10.1016/s1134-0096(12)70544-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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304. Programa de asistencia ventricular en pacientes con insuficiencia cardíaca avanzada. CIRUGIA CARDIOVASCULAR 2012. [DOI: 10.1016/s1134-0096(12)70543-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Abstract
BACKGROUND Malnutrition among inpatients is highly prevalent, and has a negative impact on their clinical outcome. The Working Group for the Study of Malnutrition in Hospitals in Catalonia was created to generate consensus guidelines for the prevention and/or treatment of malnutrition in hospitals in Catalonia, Spain. AIMS The objectives of the study were to determine the prevalence of malnutrition on admission to hospital in Catalonia and to assess relationships between malnutrition, social and demographic data, overall costs, and mortality. METHODS Prospective and multicenter study conducted with 796 patients from 11 hospitals representative of the hospitalized population in Catalonia. Nutritional status was evaluated using the Nutritional Risk Screening 2002 method. RESULTS Overall, 28.9% of the patients are malnourished or at nutritional risk. Elderly patients, non-manual workers, those admitted to hospital as emergencies and with higher co-morbidities had higher risk of malnutrition. The type of hospital (second level vs. tertiary or University referral) to which they were admitted was also a factor predisposing to malnutrition. Length of hospital stay was longer in malnourished patients (10.5 vs. 7.7 days, p < 0.0001). The need for a convalescent home on leaving hospital was higher as well as the risk of mortality (8.6% malnourished vs. 1.3% nonmalnourished, p < 0.0001). CONCLUSIONS The prevalence of malnutrition is high in patients on admission to hospital in our community, resulting in elevated overall costs and higher risk of mortality. Age, social class and characteristics of the Unit and the Hospital are the main factors involved in hospital malnutrition.
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Aspergillus endocarditis in lung transplant recipients: case report and literature review. Transpl Infect Dis 2011; 13:186-91. [DOI: 10.1111/j.1399-3062.2010.00589.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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