https://sms.carm.es/ricsmur/handle/123456789/17165 2026-10-23T12:11:46Z 2026-10-23T12:11:46Z Vázquez-Ruiz, José López-Flor, Vicente Aguado-Pérez, Marta Fernández-Moreno, José Pérez-Folqués, José-Eduardo Mansilla-Molina, Diego https://sms.carm.es/ricsmur/handle/123456789/28746 2026-10-21T07:54:05Z 2015-09-01T00:00:00Z

Pancreatic pseudoaneurysms: forms of presentation and therapeutic options Vázquez-Ruiz, José; López-Flor, Vicente; Aguado-Pérez, Marta; Fernández-Moreno, José; Pérez-Folqués, José-Eduardo; Mansilla-Molina, Diego

2015-09-01T00:00:00Z Vázquez-Ruiz, José López-Flor, Vicente Pérez-Folqués, José-Eduardo Aguado-Pérez, Marta Fernández-Moreno, José Mansilla-Molina, Diego https://sms.carm.es/ricsmur/handle/123456789/28733 2026-10-21T07:54:05Z 2015-01-01T00:00:00Z

Perforated caecum secondary to surgical drainage. A case report Vázquez-Ruiz, José; López-Flor, Vicente; Pérez-Folqués, José-Eduardo; Aguado-Pérez, Marta; Fernández-Moreno, José; Mansilla-Molina, Diego BACKGROUND: The use of surgical drains in abdominal surgery is still today controversial. While accepting their role in certain circumstances, their systematic use advocated by other schools, is not fully accepted. We present a case of secondary blind drilling drainage tube perineum following an abdominoperineal amputation of the rectum that forced a surgical repair in a neoplastic patient CLINICAL CASE: This is a patient who underwent abdomino perineal resection for rectal neoplasia. It was decided to leave a silicone-type drain tube for perineum and in late postoperative he presented cecum perforation due to traumatic introduction thereof into the cecal light, which forced his reoperation and surgical repair. DISCUSSION: There is a tendency to use less and less drains in abdominal surgery, although there are certain occasions when it becomes inevitable. On the other hand it entails morbidity associated with its use that significantly complicates and delays the recovery of the patient. It is accepted that is not useful to prevent the occurrence of fistulas, although it contributes to its early detection. CONCLUSIONS: The cecal perforation due to drain is a rare complication which must always be taken into account, and that perhaps could be avoided by using soft and less rigid drains.

2015-01-01T00:00:00Z Diaz-Redondo, Alicia Giraldez-García, Carolina Carrillo, Lourdes Serrano, Rosario Javier-García-Soidan, Francisco Artola, Sara Franch, Josep Diez, Javier Ezkurra, Patxi Manuel-Millaruelo, José Segui, Mateu Martínez-Candela, Juan Munoz, Pedro Goday, Albert Regidor, Enrique https://sms.carm.es/ricsmur/handle/123456789/28545 2026-10-21T07:54:05Z 2015-12-01T00:00:00Z

Modifiable risk factors associated with prediabetes in men and women: a cross-sectional analysis of the cohort study in primary health care on the evolution of patients with prediabetes (PREDAPS-Study) Diaz-Redondo, Alicia; Giraldez-García, Carolina; Carrillo, Lourdes; Serrano, Rosario; Javier-García-Soidan, Francisco; Artola, Sara; Franch, Josep; Diez, Javier; Ezkurra, Patxi; Manuel-Millaruelo, José; Segui, Mateu; Martínez-Candela, Juan; Munoz, Pedro; Goday, Albert; Regidor, Enrique BACKGROUND: Prediabetes is a high-risk state for diabetes development, but little is known about the factors associated with this state. The aim of the study was to identify modifiable risk factors associated with the presence of prediabetes in men and women. METHODS: Cohort Study in Primary Health Care on the Evolution of Patients with Prediabetes (PREDAPS-Study) is a prospective study on a cohort of 1184 subjects with prediabetes and another cohort of 838 subjects without glucose metabolism disorders. It is being conducted by 125 general practitioners in Spain. Data for this analysis were collected during the baseline stage in 2012. The modifiable risk factors included were: smoking habit, alcohol consumption, low physical activity, inadequate diet, hypertension, dyslipidemia, and obesity. To assess independent association between each factor and prediabetes, odds ratios (ORs) were estimated using logistic regression models. RESULTS: Abdominal obesity, low plasma levels of high-density lipoprotein cholesterol (HDL-cholesterol), and hypertension were independently associated with the presence of prediabetes in both men and women. After adjusting for all factors, the respective ORs (95% Confidence Intervals) were 1.98 (1.41-2.79), 1.88 (1.23-2.88) and 1.86 (1.39-2.51) for men, and 1.89 (1.36-2.62), 1.58 (1.12-2.23) and 1.44 (1.07-1.92) for women. Also, general obesity was a risk factor in both sexes but did not reach statistical significance among men, after adjusting for all factors. Risky alcohol consumption was a risk factor for prediabetes in men, OR 1.49 (1.00-2.24). CONCLUSIONS: Obesity, low HDL-cholesterol levels, and hypertension were modifiable risk factors independently related to the presence of prediabetes in both sexes. The magnitudes of the associations were stronger for men than women. Abdominal obesity in both men and women displayed the strongest association with prediabetes. The findings suggest that there are some differences between men and women, which should be taken into account when implementing specific recommendations to prevent or delay the onset of diabetes in adult population.

2015-12-01T00:00:00Z García-Miralles, Nacho Martínez-García, Irene Marcilla-Toribio, Irene Herreros-Solano, Andrea Fernández-Bravo-Rodrigo, Jaime Patino-Cardona, Silvana Moreno-Charco, Elena Ortega-Arminana, Amparo-María Gregori-Navarro, María Pascual-Morena, Carlos https://sms.carm.es/ricsmur/handle/123456789/28162 2026-09-18T05:52:33Z 2026-07-05T00:00:00Z

Association Between Physical Activity and Mortality in Men with or at Risk of Prostate Cancer: A Systematic Review García-Miralles, Nacho; Martínez-García, Irene; Marcilla-Toribio, Irene; Herreros-Solano, Andrea; Fernández-Bravo-Rodrigo, Jaime; Patino-Cardona, Silvana; Moreno-Charco, Elena; Ortega-Arminana, Amparo-María; Gregori-Navarro, María; Pascual-Morena, Carlos INTRODUCTION: Prostate cancer (PC) is a highly prevalent malignant tumour associated with significant morbidity and mortality. While physical activity has been linked to a lower risk of PC and exercise has been shown to reduce mortality, the evidence for the association between physical activity and mortality is limited. OBJECTIVE: This study aimed to assess the association between physical activity and mortality risk in men with or at risk of PC. METHODS: A systematic search was conducted in Medline, Scopus and Web of Science from inception until April 2026. Observational studies analysing physical activity and all-cause and PC-specific mortality were included. The data were synthesised and interpreted using a synthesis without meta-analysis (SWiM) approach. The quality of the studies was assessed using the NHLBI tool. The certainty of the evidence was assessed using the GRADE framework. RESULTS: Fifteen observational studies were included. The hazard ratio (HR) was the predominant effect measure. Physical activity was associated with a reduction in all-cause mortality (HRs: 0.40-0.88; highest versus lowest categories), and a dose-response gradient was observed within two cohorts. Associations with PC-specific mortality were less consistent, with significant inverse findings concentrated in post-diagnosis assessments. The quality of the studies was generally poor, and the certainty of the evidence was very low for both outcomes. CONCLUSIONS: Physical activity was associated with lower all-cause mortality risk in men with or at risk of PC, and the most consistent inverse estimates were observed in post-diagnostic assessments. These findings are observational and should not be interpreted as a clinical recommendation. A dose-response pattern was noted within individual studies, although the certainty of evidence was very low for this outcome. Additionally, evidence for PC-specific mortality was inconsistent and of very low certainty. Prospective studies with standardised, objective measures of physical activity are required.

2026-07-05T00:00:00Z