Mecanismo de acción de la anticoncepción de urgencia con levonorgestrel: ¿cuál es la evidencia?

Carta al director de la profesora de la EASP, María del Mar García Calvente sobre los efectos del levonorgestrel en la anticoncepción de emergencia Sr. Director: Agradecemos el interés mostrado por Alegre del Rey et al. por nuestro editorial Anticoncepción de urgencia y objeción de conciencia: un debate sin cerrar1. Afirman estos autores que existe…

Mediating effect of soluble B-cell activation immune markers on the association between anthropometric and lifestyle factors and lymphoma development

Sustained B-cell activation is an important mechanism contributing to B-cell lymphoma (BCL). We aimed to validate four previously reported B-cell activation markers predictive of BCL risk (sCD23, sCD27, sCD30, and CXCL13) and to examine their possible mediating effects on the association between anthropometric and lifestyle factors and major BCL subtypes. Pre-diagnostic serum levels were measured…

Mediation analysis of the alcohol‐postmenopausal breast cancer relationship by sex hormones in the EPIC Cohort

Alcohol consumption is associated with higher risk of breast cancer (BC); however, the biological mechanisms underlying this association are not fully elucidated, particularly the extent to which this relationship is mediated by sex hormone levels. Circulating concentrations of estradiol, testosterone, their free fractions and sex‐hormone binding globulin (SHBG), were examined in 430 incident BC cases…

Mediational Occupational Risk Factors Pertaining to Work Ability According to Age, Gender and Professional Job Type

The predictive value of work ability for several health and occupational outcomes is well known. Maintaining the ability to work of all employees has become an important topic in research although some evidence suggests that some groups of workers need greater attention than others. Healthcare workers (x¯ = 54.46 ± 5.64 years) attending routine occupational…

Medicina basada en las «existencias» o soporte ético para las decisiones difíciles

La pandemia por coronavirus está provocando una crisis de salud pública mundial sobre la que aún desconocemos gran parte de sus manifestaciones clínicas, comportamiento epidemiológico y abordaje terapéutico. También sus consecuencias de tipo social y económico son impredecibles a medio y largo plazo. España está siendo uno de los países más afectados, tanto en incidencia…

Medios de comunicación y trasplante de órganos

En este libro de 1997 se hablaba de los trasplantes de órganos como una terapéutica bien consolidada de elección para pacientes con insuficiencia renal, cardíaca, hepática, pulmonar, etc. Los trasplantes tienen una característica singular: precisan del concurso indispensable de la población con sus donaciones de órganos. Los trasplantes plantean un triángulo cuidadano-donante, aparato sanitario, enfermo receptor. Además la comunicación…

Mediterranean diet and risk of pancreatic cancer in the European Prospective Investigation into Cancer and Nutrition cohort

Background: The Mediterranean diet (MD) has been proposed as a means for cancer prevention, but little evidence has been accrued regarding its potential to prevent pancreatic cancer. We investigated the association between the adherence to the MD and pancreatic cancer risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Methods: Over half…

Menstrual factors, reproductive history, hormone use, and Urothelial carcinoma risk: A prospective study in the EPIC cohort

Background: Urothelial carcinoma (UC) is the predominant (95%) bladder cancer subtype in industrialised nations. Animal and epidemiological human studies suggest that hormonal factors may influence UC risk. Methods: We used an analytic cohort of 333 919 women from the European Prospective Investigation into Cancer and Nutrition Cohort (EPIC). Associations between hormonal factors and incident UC…