Person: Romero Gómez, Bárbara
Loading...
First Name
Bárbara
Last Name
Romero Gómez
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Óptica y Optometría
Department
Inmunología, Oftalmología y ORL
Area
Otorrinolaringología
Identifiers
13 results
Search Results
Now showing 1 - 10 of 13
- Project number: 285
Item Creación y utilización de atlas de prácticas digitales de anatomía y fisiología de los órganos de la audición para los Grados de Logopedia y Óptica y Optometría(2018) Carricondo Orejana, Francisco Javier; Romero Gómez, Bárbara; Muñoz Ferrero, Encarnación; Rodríguez Aramendia, Marta; Rodríguez Gómez, Fernando LuisSe propone la creación de atlas de prácticas de anatomía y fisiología auditiva para ambos Grados basado en ilustraciones científicas, con software profesional para ello, preparaciones histológicas, etc., que el alumno podrá rellenar. Item Estudios de la sensibilidad a la neurotoxicidad en el receptor auditivo durante el envejecimiento(2018) Romero Gómez, Bárbara; Carricondo Orejana, Francisco Javier; Poch Broto, JoaquínLa presbiacusia o sordera debida al envejecimiento es una de las patologías más prevalentes en las personas mayores y que tiene graves consecuencias en la comunicación. Su etiología es variada, produciendo alteraciones en diferentes elementos del órgano de Corti. En ciertas condiciones patológicas,como el trauma acústico o la hipoxia o isquemia en la cóclea, se observan edemas dendríticos de las fibras aferentes de tipo-I del ganglio espiral y la consecuente pérdida de elementos activos en el VIII par debido la acumulación excesiva del neurotransmisor glutamato en la sinapsis. Este tipo de patología neural, podría estar relacionada con el inicio de la presbiacusia por lo que se propone el análisis de la sensibilidad neuronal a la neurotoxicidad debida al glutamato a lo largo de la edad, de las diferencias sexuales y de la influencia de la fase del ciclo estral en esta sensibilidad a la neurotoxicidad debida alglutamato, en un modelo animal experimental, el ratón C57BL6J, utilizado de manera habitual como modelo de envejecimiento. Se llevaron a cabo estudios electrofisiológicos de registro de potenciales evocados auditivos de tronco cerebral y estudios morfológicos con tinciones simples e identificación,mediante técnicas de inmunohistoquímica, de diferentes marcadores que pueden caracterizar el proceso de neurotoxicidad en los diferentes grupos experimentales, como la cascada de apoptosis, etc. Los resultados obtenidos no son concluyentes sino que abre la posibilidad de desarrollo de nuevas aproximaciones experimentales para continuar con el estudio de este modelo de envejecimiento.Item Comparison between two surgical techniques for increasing vocal pitch by endoscopic shortening of the vocal folds(Journal of voice, 2022) Casado Morente, Juan Carlos; Benjumea Flores, Felipe Luis; Romero Gómez, Bárbara; Angulo Serrano, María Soledad; O'Connor Reina, Carlos; Casado Alba, Carlos; Galeas López, Antonio José; Carricondo Orejana, Francisco JavierObjective: To compare two surgical techniques, the Wendler glottoplasty (GP) and its modification, the vocal fold shortening, and retrodisplacement of the anterior commissure (VFSRAC) associated with laser assisted voice adjustment (LAVA) cordotomy, used to feminize the voice of transgender women by increasing the fundamental frequency (F0). Methods: A retrospective study of 22 trans-women (20-62 years-old) was carried out. 12 of them were treated with GP and 10 with the VFSRAC+LAVA technique. They were evaluated before surgery and 6 months after surgery and the postoperative speech therapy. Laryngostroboscopy examination, F0 measurements, Transgender Woman Voice Questionnaire (TWVQ) assessment and the perceptual assessment using a visual analog scale (PA-VAS) were obtained from all patients. Results: Laryngostroboscopic findings showed normal vocal folds before surgery and a shortening of the vocal folds, due to the anterior glottic synechia, after surgery. Significant increases of F0 were found in both groups but they were higher in the VFSRAC+LAVA group (47.75Hz in GP group vs 69.70Hz in VFSRAC+LAVA group). TWVQ scores showed a significant decrease in both groups although the difference was greater in the VFSRAC+LAVA group. Similarly, PA-VAS scores lowered significantly in both groups but VFSRAC+LAVA group presented the biggest decreases. Conclusion: Both surgical techniques produce the shortening of the vocal folds through an endoscopic approach and result in voices with higher vocal pitch. Of the two techniques presented, the VFSRAC+LAVA produces better results although when compared with previous studies it seems that the LAVA technique may not significantly contribute to the postoperative results. So, the VFSRAC technique followed by postoperative speech therapy could be recommended for trans-women who wish to feminize their voice.Item Asthma Is Associated with Back Pain and Migraine-Results of Population-Based Case-Control Study(Journal of clinical medicine, 2023) Gutiérrez Albaladejo, Natalia; López De Andrés, Ana Isabel; Cuadrado Corrales, María Natividad; Albaladejo Vicente, Romana; Villanueva Orbaiz, M. Rosa Rita; Carricondo Orejana, Francisco Javier; Romero Gómez, Bárbara; Jiménez García, Rodrigo; Perez Farinos, NapoleónBackground: Worldwide, asthma, back pain, and migraine are major public health problems due to their high prevalence, effect on the quality of life, and huge economic costs. The association of asthma with an increased risk of these types of pain has been suggested; however, no conclusive results have been obtained to date. The aims of our study were (1) to describe and compare the prevalence of three types of pain localization, namely migraine or frequent headaches (MFH), chronic neck pain (CNP), and chronic low back pain (CLBP), in adults with and without asthma in Spain during the years 2014 and 2020 and (2) to identify which variables were associated with the presence of these types of pain in adults with asthma. (2) Methods: A cross-sectional study and a case-control study were conducted. The 2014 and 2020 European Health Interview Surveys for Spain were used as the data source. (3) Results: A total of 2463 individuals were interviewed and had self-reported asthma. In this group, the prevalence of pain was high, with CLBP (30.9%) being the most common, followed by CNP (26.7%) and MFH (13.3%). All types of pain remained stable from 2014 to 2020. In both surveys, the women with asthma reported a remarkably higher prevalence of all the types of pain analyzed than the men with asthma. After matching by age and sex, the prevalence of all pain types was significantly higher in the patients with asthma than in the matched individuals without asthma. Multivariable adjustment showed that asthma increased the likelihood of CNP by 1.45 times (OR 1.45; 95% CI 1.19-1.76), that of CLBP by 1.37 times (OR 1.37; 95% CI 1.11-1.64), and that of MFH by 1.19 times (OR 1.19; 95% CI 1.02-1.51). The three types of pain analyzed were associated with the female sex and worse self-rated health. (4) Conclusions: Among the men and women with asthma, the prevalence of all the pain types was high and remained stable over time. The prevalence was higher and the severity was greater among the women with asthma than among the men with asthma. The prevalence of any pain was significantly higher in people with asthma than in the sex-age-matched individuals without asthma. Multivariable analysis showed that the variables associated with the reporting of the three types of pain in people with asthma were female sex, worse self-reported health, and self-reported mental illness.Item Observational Study of the Association between Atrial Fibrillation and In-Hospital Mortality during Hospitalization for Solid Organ Transplants in Spain from 2004 to 2021(Journal of clinical medicine, 2023) Miguel Yanes, José María De; López De Andrés, Ana Isabel; Jiménez García, Rodrigo; Zamorano León, José Javier; Carabantes Alarcón, David; Hernández-Barrera, Valentín; Miguel Díez, Javier De; Carricondo Orejana, Francisco Javier; Romero Gómez, Bárbara; Cuadrado Corrales, María NatividadBackground: We analyzed the association between atrial fibrillation or atrial flutter (AF) and in-hospital mortality (IHM) among patients who underwent solid organ transplants in Spain from 2004 to 2021. (2) Methods: We gathered information from all hospital admissions for lung, liver, kidney, and heart transplants. (3) Results: A total of 71,827 transplants were analyzed (4598 lung transplants; 18,127 liver transplants; 45,262 kidney transplants; and 4734 heart transplants). One third of these were for women. Overall, the prevalence of AF was 6.8% and increased from 5.3% in 2004-2009 to 8.6% in 2016-2021. The highest prevalence of AF was found for heart transplants (24.0%), followed by lung transplants (14.7%). The rates for kidney and liver transplants were 5.3% and 4.1%, respectively. The AF code increased over time for all of the transplants analyzed (p < 0.001). The patients' IHM decreased significantly from 2004-2009 to 2016-2021 for all types of transplants. AF was associated with a higher IHM for all of the types of transplants analyzed, except for heart transplants. (4) Conclusions: The prevalence of AF among patients admitted for solid organ transplants was highest for those who underwent heart transplants. The mortality rate during the patients' admission for lung, liver, kidney, or heart transplants decreased over time. AF was independently associated with a higher risk of dying in the hospital for those who underwent lung, liver, or kidney transplants.Item The Cochlear Spiral Ganglion Neurons: The Auditory Portion of the VIII Nerve(The anatomical record : advances in integrative anatomy and evolutionary biology, 2019) Carricondo Orejana, Francisco Javier; Romero Gómez, BárbaraThe VIII nerve is formed by sensory neurons that innervate the inner ear, i.e., the vestibular and the auditory receptors. Neurons of the auditory portion, the cochlear afferent fibers that innervate the sensory hair cells of the organ of Corti, have their somas in the cochlear spiral ganglion where two types of neurons can be distinguished. Afferent Type-I neurons are the 95% of the total population. Bipolar and myelinated fibers, each one innervates only one cochlear inner hair cell (IHC). In contrast, afferent Type-II neurons are only the 5% of the spiral ganglion population. They are pseudounipolar and unmyelinated fibers and innervate the cochlear outer hair cells (OHC) so that one afferent Type-II fiber contacts with multiple OHCs, but each OHC only receives one contact from one Type-II neuron. Both types of VIII nerve fibers are glutamatergic, but these asymmetric innervations of the cochlear sensory cells could suggest that the IHC codifies the truly auditory message but the OHC only informs about mechanical aspects of the state of the organ of Corti. In fact, the central nervous system (CNS) has control over the information transmitted by the Type-I neuron by means of axons from the superior olivary complex that innervate them to modulate, filter and/or inhibit the entry of auditory message to CNS. The aim of this paper is to review the current knowledge about the anatomy and physiology of the auditory portion of the VIII nerve. Anat Rec, 302:463-471, 2019. © 2018 Wiley Periodicals, Inc.Item Comparison Between two Surgical Techniques for Increasing Vocal Pitch by Endoscopic Shortening of the Vocal Folds(Journal of Voice, 2022) Casado Morente, Juan Carlos; Benjumea Flores, Felipe Luís; Romero Gómez, Bárbara; Angulo Serrano, María Soledad; O'Connor Reina, Carlos; Casado Alba, Carlos; Galeas López, Antonio José; Carricondo Orejana, Francisco JavierObjective: To compare two surgical techniques, the Wendler glottoplasty (GP) and its modification, the vocal fold shortening, and retrodisplacement of the anterior commissure (VFSRAC) associated with laser assisted voice adjustment (LAVA) cordotomy, used to feminize the voice of transgender women by increasing the fundamental frequency (F0). Methods: A retrospective study of 22 trans-women (20-62 years-old) was carried out. 12 of them were treated with GP and 10 with the VFSRAC+LAVA technique. They were evaluated before surgery and 6 months after surgery and the postoperative speech therapy. Laryngostroboscopy examination, F0 measurements, Transgender Woman Voice Questionnaire (TWVQ) assessment and the perceptual assessment using a visual analog scale (PA-VAS) were obtained from all patients. Results: Laryngostroboscopic findings showed normal vocal folds before surgery and a shortening of the vocal folds, due to the anterior glottic synechia, after surgery. Significant increases of F0 were found in both groups but they were higher in the VFSRAC+LAVA group (47.75Hz in GP group vs 69.70Hz in VFSRAC+LAVA group). TWVQ scores showed a significant decrease in both groups although the difference was greater in the VFSRAC+LAVA group. Similarly, PA-VAS scores lowered significantly in both groups but VFSRAC+LAVA group presented the biggest decreases. Conclusion: Both surgical techniques produce the shortening of the vocal folds through an endoscopic approach and result in voices with higher vocal pitch. Of the two techniques presented, the VFSRAC+LAVA produces better results although when compared with previous studies it seems that the LAVA technique may not significantly contribute to the postoperative results. So, the VFSRAC technique followed by postoperative speech therapy could be recommended for trans-women who wish to feminize their voice.Item Association between Asthma and Lower Levels of Physical Activity: Results of a Population-Based Case–Control Study in Spain(Journal of Clinical Medicine, 2024) Llamas Saez, Carlos; Saez Vaquero, Teresa; Miguel Díez, Javier De; Jiménez García, Rodrigo; Carricondo Orejana, Francisco Javier; López De Andrés, Ana Isabel; Romero Gómez, Bárbara; Carabantes Alarcón, David; Pérez Farinós, José Napoleón(1) Background: Our aim was to determine changes in the prevalence of physical activity (PA) in adults with asthma between 2014 and 2020 in Spain, investigate sex differences and the effect of other variables on adherence to PA, and compare the prevalence of PA between individuals with and without asthma. (2) Methods: This study was a cross-sectional, population-based, matched, case–control study using European Health Interview Surveys for Spain (EHISS) for 2014 and 2020. (3) Results: We identified 1262 and 1103 patients with asthma in the 2014 and 2020 EHISS, respectively. The prevalence of PA remained stable (57.2% vs. 55.7%, respectively), while the percentage of persons who reported walking continuously for at least 2 days a week increased from 73.9% to 82.2% (p < 0.001). Male sex, younger age, better self-rated health, and lower body mass index (BMI) were significantly associated with greater PA. From 2014 to 2020, the number of walking days ≥2 increased by 64% (OR1.64 95%CI 1.34–2.00). Asthma was associated with less PA (OR0.87 95%CI 0.47–0.72) and a lower number of walking days ≥2 (OR0.84 95%0.72–0.97). (4) Conclusions: Walking frequency improved over time among people with asthma. Differences in PA were detected by age, sex, self-rated health status, and BMI. Asthma was associated with less LTPA and a lower number of walking days ≥2. © 2024 by the authors.- Project number: 341
Item Valoración del aprendizaje mediante quiz interactivos de asignaturas de anatomía y fisiología de la audición y el lenguaje(2022) Romero Gómez, Bárbara; Polo Roldán, Ignacio; Carricondo Orejana, Francisco Javier; Rodríguez Gómez, FernandoLas asignaturas con contenidos sobre anatomía humana de grados de naturaleza biomédica especializados en la voz y la audición, como “Anatomía y fisiología de los órganos del lenguaje” o "Fisiología de los Órganos de la Audición. Bases de Audiología", ambas del primer curso del Grado de Logopedia de la UCM, o “Bases de audiología y audiometría” y “Neurobiología de la audición”, asignaturas optativas del Grado en Óptica y Optometría, también de la UCM, requieren de gran cantidad de material didáctico, tanto en formato de papel como en formato virtual, para que el alumno se familiarice con la tridimensionalidad de dichas estructuras anatómicas y se facilite su aprendizaje. Los contenidos básicos de estas asignaturas presentan características comunes a pesar de que sean de diferentes grados, como por ejemplo los contenidos de audición y la voz. Así, conceptos básicos como por ejemplo, la anatomía funcional del receptor auditivo del ser humano, o el estudio de las estructuras que permiten articular el habla, son básicos en la formación de los graduados de estas carreras de ciencias biomédicas. Los alumnos de estas asignaturas disponen ya de materiales creados gracias a otros Proyectos Innova solicitados en años anteriores y que constan de esquemas mudos, dibujos anatómicos, imágenes de preparaciones histológicas, tinciones de estructuras, etc. Todos ellos aportan gran calidad a la enseñanza de estas materias y están englobados en un documento que se pone a disposición de los alumnos a modo de cuaderno de prácticas. Este cuaderno ha dado muy buenos resultados didácticos, sin embargo, dadas las circunstancias actuales, con parte de la enseñanza en modalidad virtual estos dos últimos años, se hace imprescindible la virtualización de todo este material para que sea posible un mejor aprovechamiento por parte del estudiante para su acceso en modo interactivo a través del campus virtual. De este modo, el objetivo de este proyecto es realizar con todo este material una serie de “quiz” interactivos que el alumno podrá completar online, a modo de práctica virtual, y que junto con los conocimientos teóricos adquiridos en clase servirán para mejorar su formación académica durante el proceso de aprendizaje en cada asignatura. Item Trends in Anaphylaxis Hospitalizations among Adults in Spain and Their Relationship with Asthma-Analysis of Hospital Discharge data from 2016 to 2021(Healthcare, 2023) Caballero-Segura, Francisco J,; Zamorano-Leon, José J.; Miguel-Díez, Javier de; Cuadrado Corrales, María Natividad; Jiménez García, Rodrigo; López De Andrés, Ana Isabel; Carabantes Alarcón, David; Carricondo Orejana, Francisco Javier; Romero Gómez, Bárbara; Miguel Díez, Javier De; MDPI(1) Background: Anaphylaxis is a rapid-onset, life-threatening hypersensitivity reaction. This study explores the epidemiological trends and clinical outcomes of adult patients with and without asthma hospitalized for anaphylaxis in Spain from 2016 to 2021. (2) Methods: Data from the Spanish National Hospital Discharge Database (RAE-CMBD) were analyzed. We stratified patients with anaphylaxis based on their asthma diagnosis and evaluated various comorbidities and clinical outcomes. Propensity score matching was used to match confounders. (3) Results: The total number of hospitalizations for anaphylaxis remained stable, with a decrease in 2020 probably due to the COVID-19 pandemic. Drug-induced anaphylaxis increased, in addition to being the main triggering factor. Asthma prevalence among those admitted for anaphylaxis emerged from 7.63% to 10.69%, with a higher frequency of respiratory failure and need for mechanical ventilation in this group; despite this, ICU admissions and in-hospital mortality did not differ significantly between asthmatics and non-asthmatics. Asthma was also not a risk factor for severe anaphylaxis. Multivariable analysis identified advanced age, ischemic heart disease, acute respiratory failure, and invasive mechanical ventilation as factors associated with severe anaphylaxis. (4) Conclusions: This study provides valuable information on the complexity of anaphylaxis, its relationship with asthma, and factors influencing its severity. Overall, clinical outcomes did not differ significantly in asthmatic patients compared to non-asthmatic patients, although asthmatic patients had more respiratory complications. Further research is necessary to delve deeper into the multifactorial nature of anaphylaxis and its implications in clinical practice.