(Arán Ediciones, 2014) Navas Cuéllar, José Aurelio; Álamo Martínez, José María; Bernal Bellido, Carmen; Martín Pérez, Beatriz; Marín Gómez, Luis Miguel; Suárez Artacho, Gonzalo; Serrano Díez-Canedo, Juan; Gómez Bravo, Miguel Ángel; Padillo Ruiz, Francisco Javier; Cirugía; CTS664: Cirugía Avanzada y Trasplantes. Terapia Celular y Bioingeniería Aplicada a la Cirugía
A 37-year-old female patient was admitted to the Emergen- cy department complaining of itching, vomits, diarrhea, and abdominal discomfort for months. On examination the patient presented good general condition, with slight muco-cutaneous pallor, no jaundice, and mild discomfort in lower abdomen. Blood tests revealed an elevation of liver enzymes (GOT 118 UI/l, GPT 215 UI/l, GGT 187 UI/l, and alkaline phosphatase 214 UI/l) without any other alteration in biochemical param- eters.
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(Arán ediciones, 2014) Gros Herguido, Noelia; Pereira Cunill, José Luis; Barranco Moreno, Antonio; Socas Macías, María; Morales Conde, Salvador; García Luna, Pedro Pablo; Cirugía; Medicina
La pérdida de la movilidad, como consecuencia de una lesión medular, es un factor de riesgo para el aumento de peso. A pesar de los resultados bien documentados de la cirugía bariátrica en pacientes ambulatorios, hay poca información disponible acerca de la cirugía en pacientes parapléjicos. Presentamos dos casos clínicos de pacientes con obesidad mórbida y lesión medular. Tras varios intentos para perder peso de forma conservadora, fueron valorados por el equipo multidisciplinar de nuestro hospital y finalmente se intervinieron mediante bypass gástrico por vía laparoscópica. El caso 1, tras dos años de seguimiento, presenta un peso de 84 kg (IMC 25,08 kg/m2). El caso 2, tras un mes de la cirugía ha reducido de peso y ha dejado de tomar tratamiento hipotensor. En ellos, destaca la disposición de la cirugía bariátrica como una opción a tener en cuenta si todas las intervenciones no quirúrgicas fracasan.
(MDPI, 2025-06-13) Campos-Marín, Álvaro; García-Muñoz, Cristina; Matías-Soto, Javier; Martínez Calderón, Javier; Fisioterapia; CTS1110: Understanding Movement & Self in Health from Science
Objectives: The objective of this overview of systematic reviews with meta-analysis was to summarize the evidence on the possible effectiveness of interventions focused on physical activity in improving and preventing postpartum depression symptoms. Methods: CINAHL (via EBSCOhost), Embase, Epistemonikos, PsycINFO, PubMed, Scopus, SPORTDiscus (via EBSCOhost), and the Cochrane library were searched from inception to 19 February 2025. The methodological quality of the included reviews was assessed with AMSTAR 2. The degree of overlap between meta-analyses was calculated.
Results: A total of eight systematic reviews were included. Overall, the included meta-analyses showed favorable results regarding the effects of physical activity on postpartum depression symptoms. Considering specific physical activity modalities, the largest number of meta-analyses focused on aerobic exercise, yoga, or multimodal exercise. In all three cases, most meta-analyses found that aerobic exercise, yoga, and multimodal exercise could be beneficial in reducing postpartum depression symptoms. Furthermore, several meta-analyses explored the effectiveness of walking, finding positive results in favor of this intervention in reducing postpartum depression symptoms. Finally, movement in water was only explored in one meta-analysis, and no differences were found between these interventions and control groups.
Conclusions: Aerobic exercise, walking, yoga, and multimodal exercise programs may improve postpartum depression symptoms. Movement in water was not more effective than control groups for reducing this outcome. However, the results of our overview should be considered with caution, since important methodological and clinical implications have been discussed (e.g., lack of subgroups by prevention and treatment) and should guide the development of future systematic reviews on this topic.
