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Alberto Cárceles-Alvarez

Alberto Cárceles-Alvarez
Hospital Clinico Universitario Virgen de la Arrixaca-IMIB, Murcia, Spain · Pediatric Environmental Health Speciality Unit

MD, MPH PhD

About

34
Publications
2,846
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152
Citations
Citations since 2016
28 Research Items
147 Citations
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Publications

Publications (34)
Article
Full-text available
There are few well-established risk factors for childhood leukemias. While the frequency of childhood leukemias might be partially attributable to some diseases (accounting for a small fraction of cases) or ionizing radiation, the role of heavy metals has not been assessed. The objective of our study was to assess the potential association between...
Article
Full-text available
Introduction Urban air pollution (UAP) is a major threat to child and adolescent health. Children are more vulnerable to its effects, being associated with higher morbidity and mortality due to acute and chronic diseases, especially respiratory ones. A study is performed on the relationship between UAP and the rate of hospital admissions due to acu...
Article
Background Childhood cancer is a chronic disease with high survival rates. Childhood cancer survivors (CCS) can still face health effects later in their lives. Health-related quality of life (HRQoL) and the factors that modify it allow CCS and their families to improve care in the long-term follow-up. This study aims to: (1) examine the differences...
Article
The impact of COVID-19 outbreak has been unequal across Spanish regions. The epidemic wave has been smoother in the Region of Murcia (RM) (6 deaths/100,000 residents). Physical distance from health centers from day 0 is an additional social distancing measure that confers an advantageous starting position in the fight against COVID-19. Late healthc...
Article
Full-text available
Resumen Introducción La contaminación atmosférica urbana es una amenaza principal para la salud infantojuvenil. Los niños son más vulnerables a sus efectos asociando mayor morbimortalidad de enfermedades agudas y crónicas, especialmente respiratorias. Pretendemos estudiar los efectos de la contaminación atmosférica urbana en la tasa de ingresos ho...
Article
Full-text available
Background: The 5-year overall survival (OS) in childhood acute lymphoblastic leukemia (ALL) has reached 90% in high-income countries, levels that can no be longer overcome with strategies based on intensification of treatment. Other approaches in the search for new and modifiable prognostic factors are necessary to continue to improve these rates...
Article
Full-text available
In a world that is increasingly technological and interconnected, but also more violent, overexploited and polluted, Paediatric Environmental Health (PEH) is one of the best contributions to improve global health. Few areas of the planet have a high affinity with common values and interests, such as the European Union (EU), Latin America and the Ca...
Article
Full-text available
En un mundo cada vez más tecnológico e interconectado, pero también más violento, esquilmado y contaminado, la salud medioambiental pediátrica (SMAP) constituye una de las mejores contribuciones para mejorar la salud global. Pocas zonas del planeta tienen una afinidad tan alta en valores e intereses como la Unión Europea (UE), América Latina y el C...
Article
Full-text available
Background: Obesity is a major public health crisis among both children and adults and contributes to significant physical, psychological, and economic burden. We aim to investigate the effect of duration of breastfeeding on excessive weight and obesity at 6 years of age. Subjects/methods: Data on breastfeeding and child anthropometric measureme...
Poster
Introduction It is estimated that 70% of childhood cancer survivors (CCS) will present a late effect derived from the treatments used during the acute phase of cancer throughout their life, some of them potentially serious as cardiac dysfunctions or subsequent neoplasms. Smoking may increase the frequency and severity of these late effects. AIM: T...
Poster
Introduction Health beings long before birth. Exposure to tobacco smoke (active or passive) is one of the leading causes of pregnancy complications and a risk factor for developing multiple pediatric diseases. The objective of this work is to explain how the consultation for smoking cessation of the Pediatric Environmental Health Unit works. This...
Poster
Introduction Survival rates of childhood cancer have increased in recent decades to reach 80% in high-income countries. At the same time, the appearance of late effects derived from the treatments has been increasing, estimating that up to 70% of childhood cancer survivors (CCS) will experience some late effect throughout their life. Exposure to en...
Poster
Introduction Environmental consulting Nursing (Reproductive) is a clinical consultation detection, intervention and prevention of exposures to environmental hazards at critical periods of pregnancy (gametogenesis and pregnancy) with special attention to tobacco. The working tool is the “hoja verde” Objective: The objective of this work is to iden...
Poster
Introduction Carbohydrate-deficient transferrin (CDT) is a known biomarker for chronic alcoholism detection. The clinical use of CDT is varied: alcohol detoxification programs monitoring abstinence of the alcohol-dependent patients, assessing of pre-natal exposure and evaluating alcohol misuse in subjects applying for the re-granting of driving lic...
Article
Full-text available
Aim: Pediatric cancer has been associated with exposure to certain environmental carcinogens. The purpose of this work is to analyse the relationship between environmental pollution and pediatric cancer risk. Method: We analysed all incidences of pediatric cancer (<15) diagnosed in a Spanish region during the period 1998-2015. The place of resid...
Article
Background: Leukaemia remains the most common type of paediatric cancer and its aetiology remains unknown, but considered to be multifactorial. It is suggested that the initiation in utero by relevant exposures and/or inherited genetic variants and, other promotional postnatal exposures are probably required to develop leukaemia. This study aimed...
Conference Paper
Full-text available
Objeto del trabajo: Desarrollar la historia clínica medioambiental pediátrica (HCMAP) para detectar factores ambientales en niñas con trastornos relacionados con el adelanto de la pubertad (TdAP) y pilotarla en una muestra de pacientes. Material y métodos: Estudio observacional transversal. Muestra de 30 niñas reclutadas por captación en un hospita...
Poster
Full-text available
Background: A decrease of the age of menarche and thelarche has been observed during the last decades. The cause of most of the cases of precocious puberty in girls remains unknown. Some environmental factors such as obesity and adoption have been related to early puberty. Our objective is to explore environmental factors within a sample of girls w...
Conference Paper
Background: The Environmental Reproductive Nursing consultation involves a clinical consultation focused on detection, intervention and prevention of exposures to environmental hazards during the critical periods of fetus development (spermatogenesis and pregnancy) that pays special attention to legal and illegal drugs. Methods: The consultation is...
Poster
Full-text available
Background: Prenatal exposure to alcohol causes a variety of clinical manifestations known as fetal alcohol spectrum disorder (FASD), with neurodevelopmental effects, among others. Alcoholism is common among mothers of children adopted from Spanish institutions, especially from Eastern Europe. Methods: A 17-year old boy, born in Ukraine and adopted...
Poster
Full-text available
Introduction: This integrated study examines the prevention and detection/follow-up of children at risk of neurobehavioral disorders associated with prenatal and/or postnatal exposure to alcohol and illegal drugs. We utilized the Elijo Mas Sano (Choose Healthier) registry of children at environmental risk from drugs and alcohol. Methods: For this d...
Conference Paper
Full-text available
Background: Born without OH is a comprehensive program of prevention, reduction of harm and management of neurobehavioral disorders associated with prenatal exposure to alcohol and other drugs through the pediatric environmental health from the beginning of pregnancy until the end of adolescence. Our objective is to prevent and reduce damage from e...
Poster
Full-text available
1. Introducción: Según la última Encuesta sobre Alcohol y Drogas en España, cerca del 15% de las mujeres en edad fértil reconoce consumo en atracones (“binge drinking”) en los últimos 30 días. Aunque muchas de las embarazadas cesan o disminuyen el consumo al enterarse del embarazo, los hábitos de consumo hacen probable exposiciones a alcohol durant...
Poster
Full-text available
INTRODUCCIÓN Y OBJETIVOS: Nacer sin OH es un proyecto de prevención, detección y seguimiento de niños con trastornos neurocomportamentales asociados a la exposición prenatal y postnatal a alcohol y/o otras drogas ilegales. Incluye la realización del registro ELIJO MAS SANO (EMS) de niños en riesgo medioambiental por estas drogas. MATERIAL Y MÉTODOS...
Poster
Full-text available
INTRODUCCIÓN Y OBJETIVOS El humo ambiental de tabaco se asocia con enfermedades y muerte prematura en la infancia. Con resultados variables se ha asociado con mayor riesgo de diversos tumores pediátricos, entre ellos, las leucemias agudas. Existen ciertas características clínicas y biológicas que tienen importancia pronóstica en las leucemias aguda...
Conference Paper
Full-text available
Introducción: “Bosques para la Salud” (BpS) es un proyecto de salud medioambiental que pretende que cada recién nacido (RN) nazca y crezca vinculado a un árbol. Incorporar un bosque a las maternidades y a la cartera de servicios, puede ayudar a mejorar la calidad de vida de niños/as afectados de enfermedades crónicas o por la exposición prenatal a...
Article
Full-text available
This study evaluates the impact over time of a telephone-based intervention in tobacco cessation and prevention targeting patients with cystic fibrosis (CF) in the Mediterranean region of Murcia, Spain. We conducted an experimental prospective study with a cohort of CF patients using an integrative smoking cessation programme, between 2008 and 2013...
Article
Objective: To assess attitudes, beliefs and knowledge of primary medical care professionals as regards the follow-up of Childhood Cancer Survivors (CCS) and the introduction of a Long-Term Follow-Up Program for Childhood Cancer Survivors in the Region of Murcia (PLASESCAP-MUR). Material and methods: Descriptive cross-sectional study using a stru...
Article
Occasionally, primary care pediatricians notice the presence of small clusters of pediatric cancer (PC), but are often frustrated by the findings after statistical analysis. The study of small areas in spatial epidemiology has led to advances in identifying clusters and the environmental risk factors involved. The purpose of this study was to descr...
Article
Full-text available
Objective: To study the risk and protective factors related for the length of breastfeeding and full breastfeeding (FB) in the Region of Murcia, Spain. Methods: Follow-up study from birth until the first year of 327 newborns and their families between 2009 and 2010. We present the descriptive study, survival analysis of breastfeeding and Cox regres...
Article
To assess attitudes, beliefs and knowledge of primary medical care professionals as regards the follow-up of Childhood Cancer Survivors (CCS) and the introduction of a Long-Term Follow-Up Program for Childhood Cancer Survivors in the Region of Murcia (PLASESCAP-MUR).
Article
Full-text available
Background: Gastroschisis, a birth defect characterized by herniated fetal abdominal wall, occurs more commonly in infants born to teenage and young mothers. Ischemia of the vascular vitelline vessels is the likely mechanism of pathogenesis. Given that chronic stress and violence against women are risk factors for cardiovascular disease we explore...

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Projects

Projects (4)
Project
To improve the environmental health and the survivorship care of child cancer survivors (CCSs), through structured knowledge exchange, capacity building and a global multidisciplinary collaborative approach.
Project
Develop Pediatric Environmental History in patients with cancer. Improve environmental and quality of life of the survivors.