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  1. Article ; Online: Human Omental Mesothelial Cells Impart an Immunomodulatory Landscape Impeding B- and T-Cell Activation.

    Gauthier, Benoit R / Rubio-Contreras, Diana / Gómez-Rosado, Juan Carlos / Capitán-Morales, Luis Cristobal / Hmadcha, Abdelkrim / Soria, Bernat / Lachaud, Christian Claude

    International journal of molecular sciences

    2022  Volume 23, Issue 11

    Abstract: Mesothelial cells form the mesothelium, a simple epithelium lining the walls of serous cavities and the surface of visceral organs. Although mesothelial cells are phenotypically well characterized, their immunoregulatory properties remain largely unknown, ...

    Abstract Mesothelial cells form the mesothelium, a simple epithelium lining the walls of serous cavities and the surface of visceral organs. Although mesothelial cells are phenotypically well characterized, their immunoregulatory properties remain largely unknown, with only two studies reporting their capacity to inhibit T cells through TGF-β and their consumption of L-arginine by arginase-1. Whether human mesothelial cells can suppress other immune cells and possess additional leukosuppressive mechanisms, remain to be addressed to better delineate their therapeutic potential for cell therapy. Herein, we generated secretomes from omental mesothelial cells (OMC) and assess their capacity to inhibit lymphocytes proliferation, suppress activated T and B cells, as well as to modify macrophage activation markers. The secretome from mesenchymal stromal cells (MSC) served as a control of immuno-suppression. Although OMC and MSC were phenotypically divergent, their cytokine secretion patterns as well as expression of inflammatory and immunomodulary genes were similar. As such, OMC- and MSC-derived secretomes (OMC-S and MSC-S) both polarized RAW 264.7 macrophages towards a M2-like anti-inflammatory phenotype and suppressed mouse and human lymphocytes proliferation. OMC-S displayed a strong ability to suppress mouse- and human-activated CD19
    MeSH term(s) Animals ; Humans ; Immunomodulation ; Lymphocyte Activation ; Macrophage Activation ; Mesenchymal Stem Cells/metabolism ; Mice ; T-Lymphocytes
    Language English
    Publishing date 2022-05-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23115924
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Transanal minimally invasive surgery after incomplete resection of a rectal polyp using a full-thickness resection device.

    Valdés-Hernández, Javier / Cano, Auxiliadora / Rodriguez-Tellez, Manuel / Gómez-Rosado, Juan Carlos / Mompean, Fernando Oliva

    Endoscopy

    2020  Volume 53, Issue 2, Page(s) E46–E47

    MeSH term(s) Anal Canal ; Humans ; Minimally Invasive Surgical Procedures ; Rectal Neoplasms/surgery ; Transanal Endoscopic Surgery
    Language English
    Publishing date 2020-06-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-1174-6018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Impact of the patient-nurse ratio on health outcomes in public hospitals of the Andalusian Health Service. Ecological Study.

    Ayuso-Fernandez, Maria Antonia / Gomez-Rosado, Juan Carlos / Barrientos-Trigo, Sergio / Rodríguez-Gómez, Susana / Porcel-Gálvez, Ana Maria

    Enfermeria clinica (English Edition)

    2021  

    Abstract: Aim: To analyse the patient-nurse ratio and its association with health outcomes in public hospitals of the Andalusian Health Service (SAS).: Method: Cross-sectional ecological study carried out in adult units of 26 Andalusian public hospitals. Data ... ...

    Title translation Impacto de la ratio paciente-enfermera en los resultados de salud en los hospitales públicos del Servicio Andaluz de Salud. Estudio ecológico.
    Abstract Aim: To analyse the patient-nurse ratio and its association with health outcomes in public hospitals of the Andalusian Health Service (SAS).
    Method: Cross-sectional ecological study carried out in adult units of 26 Andalusian public hospitals. Data on structure (beds, type of unit, nursing control), management (average stay, index of use of stays, complexity index) and nursing staff were collected. They were extracted from official sources: CMBDA, SAS/Health Council (CS) publications and specific respondents to Nursing Directorates. The patient-nurse ratio was calculated and related to 19 indicators of hospital quality, safety, and mortality. Measures of central tendency and Spearman's correlation coefficient were used for statistical analysis.
    Results: A response was obtained from 100% of the Andalusian hospitals. The average patient-nurse ratio in the three shifts was lower in hospitals with a broader portfolio of services-regional scope (11.6), followed by those with a medium portfolio-specialties (12.7) and hospitals with a basic portfolio- county (13.5). By type of unit, the medical units were 11.8 (SD=1.8) lower than the surgical ones 13.5 (SD=2.7). Significant differences were only found in medical units of regional hospitals 10.5 (SD=1.4) and district hospitals 13.03 (SD=1.46) (p=.001). In critical care, the ratio was greater than 2 patients per nurse in the three groups. When relating the ratio to health outcomes, 5 significant associations were found: pressure ulcers (p=.005), prevalence of nosocomial infections (p=.036), postoperative sepsis (p=.022), zero bacteraemia verification (p=.045) and mortality from heart failure (p=.004).
    Conclusions: The results indicate a high patient-nurse ratio in adult hospitalization units and that there is a positive association between the patient-nurse ratio and worse results related to nursing care.
    Language Spanish
    Publishing date 2021-01-11
    Publishing country Spain
    Document type Journal Article
    ISSN 2445-1479
    ISSN (online) 2445-1479
    DOI 10.1016/j.enfcli.2020.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Impact of the patient-nurse ratio on health outcomes in public hospitals of the Andalusian Health Service. Ecological study.

    Ayuso-Fernandez, Maria Antonia / Gomez-Rosado, Juan Carlos / Barrientos-Trigo, Sergio / Rodríguez-Gómez, Susana / Porcel-Gálvez, Ana Maria

    Enfermeria clinica (English Edition)

    2021  Volume 31, Issue 6, Page(s) 344–354

    Abstract: Objective: To analyse the patient-nurse ratio and its association with health outcomes in public hospitals of the Andalusian Health Service (SAS).: Method: Cross-sectional ecological study carried out in adult units of 26 Andalusian public hospitals. ...

    Abstract Objective: To analyse the patient-nurse ratio and its association with health outcomes in public hospitals of the Andalusian Health Service (SAS).
    Method: Cross-sectional ecological study carried out in adult units of 26 Andalusian public hospitals. Data on structure (beds, type of unit, nursing control), management (average stay, index of use of stays, complexity index) and nursing staff were collected. They were extracted from official sources: CMBDA, SAS/Health Council (CS) publications and specific respondents to Nursing Directorates. The patient-nurse ratio was calculated and related to 19 indicators of hospital quality, safety, and mortality. Measures of central tendency and Spearman's correlation coefficient were used for statistical analysis.
    Results: A response was obtained from 100% of the Andalusian hospitals. The average patient-nurse ratio in the three shifts was lower in hospitals with a broader portfolio of services-regional scope (11.6), followed by those with a medium portfolio-specialties (12.7) and hospitals with a basic portfolio-county (13.5). By type of unit, the medical units were 11.8 (SD = 1.8) lower than the surgical ones 13.5 (SD = 2.7). Significant differences were only found in medical units of regional hospitals 10.5 (SD = 1.4) and district hospitals 13.03 (SD = 1.46) (p = .001). In critical care, the ratio was greater than 2 patients per nurse in the three groups. When relating the ratio to health outcomes, 5 significant associations were found: pressure ulcers (p = .005), prevalence of nosocomial infections (p = .036), postoperative sepsis (p = .022), zero bacteraemia verification (p = .045) and mortality from heart failure (p = .004).
    Conclusions: The results indicate a high patient-nurse ratio in adult hospitalization units and that there is a positive association between the patient-nurse ratio and worse results related to nursing care.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Health Services ; Hospitals, Public ; Humans ; Nursing Staff, Hospital ; Outcome Assessment, Health Care
    Language English
    Publishing date 2021-03-26
    Publishing country Spain
    Document type Journal Article
    ISSN 2445-1479
    ISSN (online) 2445-1479
    DOI 10.1016/j.enfcle.2020.11.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reply to the letter «Discrepancies in analysis of frequency, type of complications and economic costs of outlying patients in general and digestive surgery».

    Gomez-Rosado, Juan-Carlos / Li, Yun-Hao / Valdés-Hernández, Javier / Capitán-Morales, Luis-Cristobal

    Cirugia espanola

    2019  Volume 97, Issue 7, Page(s) 422–423

    Title translation Réplica a la carta al director «Discrepancias en el análisis de la frecuencia, tipos de complicación y costes económicos en los pacientes ectópicos de cirugía general y digestiva».
    MeSH term(s) Costs and Cost Analysis ; Digestive System Surgical Procedures ; Humans
    Language Spanish
    Publishing date 2019-06-11
    Publishing country Spain
    Document type Letter ; Comment
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2019.05.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Full endoscopic minimally invasive extraperitoneal modified Sugarbaker approach for para-colostomy hernia repair: Technical aspects and 2-year follow-up results of a prospective cohort.

    Bellido-Luque, Juan / Bellido-Luque, Araceli / Gomez-Rosado, Juan Carlos / Gomez-Menchero, Julio / Suarez-Grau, Juan Manuel / Licardie, Eugenio / Tejada-Gomez, Antonio / Navarro-Morales, Laura / Moreno-Suero, Francisco / Sanchez-Matamoros, Inmaculada / Capitán-Morales, Luis / Nogales Muñoz, Angel / Morales-Conde, Salvador

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 10, Page(s) 2033–2042

    Abstract: Aim: This study aimed to assess technical aspects and clinical results of a new minimally invasive technique in parastomal hernia (PSH) repair, full endoscopic retromuscular access, after 2 years of follow-up.: Methods: Data from consecutive patients ...

    Abstract Aim: This study aimed to assess technical aspects and clinical results of a new minimally invasive technique in parastomal hernia (PSH) repair, full endoscopic retromuscular access, after 2 years of follow-up.
    Methods: Data from consecutive patients requiring minimally invasive ventral PSH repair were collected from 2019 to 2022. The inclusion criteria were patients aged between 18 and 80 years old with symptomatic PSH. Demographics and perioperative and postoperative data were collected. Postoperative pain and functional recovery were compared with preoperative data.
    Results: Twelve patients with symptomatic PSH were included. The mean PSH defect area was 16.2 cm
    Conclusion: This paper shows low rate of intra- and postoperative complications with significant improvement in terms of pain activities restriction compared to preoperatory. After 29 months follow-up, no recurrence was identified, confirming that this approach offers good mid-term results.
    MeSH term(s) Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Colostomy/adverse effects ; Colostomy/methods ; Follow-Up Studies ; Hernia, Ventral/surgery ; Prospective Studies ; Herniorrhaphy/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Laparoscopy/methods ; Pain, Postoperative ; Surgical Mesh/adverse effects ; Incisional Hernia/etiology ; Incisional Hernia/surgery
    Language English
    Publishing date 2023-09-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16734
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  7. Article ; Online: Economic Cost Analysis Related to Complications in General and Digestive Surgery.

    Gomez-Rosado, Juan-Carlos / Salas-Turrens, Jose / Olry-de-Labry-Lima, Antonio

    Cirugia espanola

    2018  Volume 96, Issue 5, Page(s) 292–299

    Abstract: Introduction: The aim was to assess the impact on economic costs and length of stay (LOS) of postoperative complications.: Methods: 5,822 records from BMDS (2014-2015) are included. A descriptive, univariate and multivariate study evaluated the ... ...

    Title translation Análisis de los costes económicos asociados a las complicaciones en cirugía general y digestiva.
    Abstract Introduction: The aim was to assess the impact on economic costs and length of stay (LOS) of postoperative complications.
    Methods: 5,822 records from BMDS (2014-2015) are included. A descriptive, univariate and multivariate study evaluated the correlation between complications, Clavien-Dindo grade and vacation periods with LOS and economic costs, based on a full-cost model, aggregated by DRG.
    Results and conclusions: Mean cost per stay was €676.71, and €4,309.02 per episode. Complications appeared in 639 patients (11%). Admission to ICU was required in 203 patients, re-operation in 134 and re-admission in 243, while 66 patients died (1.1%). Complications caused significantly longer LOS (20.08 vs 5.48 days) and higher economic cost (€11,670.31 vs €3,354.12); infectious complications were the most frequent and respiratory the most expensive (€20,428.53), together with ICU admission (€20,242.66). Clavien-Dindo grade correlated with greater LOS and costs (except gradev). During vacation periods, complications and LOS are increased, but costs of these complications and LOS did not differ significantly from complications detected in non-vacation periods.
    MeSH term(s) Case-Control Studies ; Costs and Cost Analysis ; Digestive System Surgical Procedures/economics ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/economics ; Retrospective Studies ; Surgical Procedures, Operative/economics
    Language Spanish
    Publishing date 2018-04-22
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2018.02.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Transanal minimally invasive surgery after incomplete resection of a rectal polyp using a full-thickness resection device

    Valdés-Hernández, Javier / Cano, Auxiliadora / Rodriguez-Tellez, Manuel / Gómez-Rosado, Juan Carlos / Mompean, Fernando Oliva

    Endoscopy

    2020  Volume 53, Issue 02, Page(s) E46–E47

    Language English
    Publishing date 2020-06-05
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-1174-6018
    Database Thieme publisher's database

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  9. Article ; Online: Feasibility of quantitative analysis of colonic perfusion using indocyanine green to prevent anastomotic leak in colorectal surgery.

    Gomez-Rosado, Juan-Carlos / Valdes-Hernandez, Javier / Cintas-Catena, Juan / Cano-Matias, Auxiliadora / Perez-Sanchez, Asuncion / Del Rio-Lafuente, Francisco-Javier / Torres-Arcos, Cristina / Lara-Fernandez, Yaiza / Capitan-Morales, Luis-Cristobal / Oliva-Mompean, Fernando

    Surgical endoscopy

    2022  Volume 36, Issue 2, Page(s) 1688–1695

    Abstract: Background: The aim of this study was to quantify Fluorescence angiography with indocyanine green (ICG) in colorectal cancer anastomosis, determine influential factors in its temporary intensity and pattern, assessing the ability to predict the AL, and ... ...

    Abstract Background: The aim of this study was to quantify Fluorescence angiography with indocyanine green (ICG) in colorectal cancer anastomosis, determine influential factors in its temporary intensity and pattern, assessing the ability to predict the AL, and setting the cut-off levels to establish high- or low-risk groups.
    Methods: Retrospective analysis of prospectively managed database, including 70 patients who underwent elective surgery for colorectal cancer in which performing a primary anastomosis was in primary plan. In all of them, ICG fluorescence angiography was performed as usual clinical practice with VisionSense™ VS Iridium (Medtronic, Mansfield, MA, USA), in Elevision™ IR Platform (Medtronic, Mansfield, MA, USA). Parameters measured at real time or calculated were T
    Results: 70 patients were included, 69 anastomosis were performed and one end colostomy. Arterial hypertension demonstrated higher F
    Conclusion: Quantitative analysis of ICG fluorescence in colorectal surgery is safe and feasible to stratify risk of AL. Hypertension and location of anastomosis influence the intensity of fluorescence at the point of section. A change of division place should be considered to avoid AL related to vascular reasons when intensities of fluorescence at the point of section is lower than 169 U or slopes lower than 14.4 U/s.
    MeSH term(s) Anastomosis, Surgical/adverse effects ; Anastomotic Leak/etiology ; Anastomotic Leak/prevention & control ; Colorectal Neoplasms/surgery ; Colorectal Surgery ; Feasibility Studies ; Fluorescein Angiography ; Humans ; Indocyanine Green ; Perfusion ; Retrospective Studies
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2022-01-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-021-08918-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Correction: Feasibility of quantitative analysis of colonic perfusion using indocyanine green to prevent anastomotic leak in colorectal surgery.

    Gomez-Rosado, Juan-Carlos / Valdes-Hernandez, Javier / Cintas-Catena, Juan / Cano-Matias, Auxiliadora / Perez-Sanchez, Asuncion / Del Rio-Lafuente, Francisco-Javier / Torres-Arcos, Cristina / Lara-Fernandez, Yaiza / Capitan-Morales, Luis-Cristobal / Oliva-Mompean, Fernando

    Surgical endoscopy

    2022  Volume 36, Issue 4, Page(s) 2722

    Language English
    Publishing date 2022-01-30
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-022-09085-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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