6 results
Search Results
2. Detection of critical congenital heart disease among newborns in Argentina through the national surveillance system of congenital heart disease (RENAC).
- Author
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Groisman B, Barbero P, Liascovich R, Brun P, and Bidondo MP
- Subjects
- Argentina epidemiology, Female, Humans, Infant, Newborn, Oximetry, Pregnancy, Prevalence, Registries, United States, Heart Defects, Congenital diagnosis, Heart Defects, Congenital epidemiology
- Abstract
Introduction: Critical congenital heart disease (CCHD) is a term that refers to ductus-dependent structural anomalies of the heart that may be fatal or require invasive management in the first month of life., Objective: To know the prevalence and distribution of CCHD among newborns in Argentina, compared to other countries, and the proportion of prenatal detection and perinatal mortality., Material and Methods: Data provided by the National Network of Congenital Anomalies (Red Nacional de Anomalías Congénitas de Argentina, RENAC) for the 2009-2018 period and by other surveillance systems in the United States, Europe, and Colombia were used. For Argentina, the proportion of prenatal detection, perinatal mortality, and CCHD prevalence in newborns by jurisdiction and health system subsector were analyzed., Results: The prevalence of CCHD was 11.46 (95% confidence interval: 11.02-11.92) every 10 000 births. Prenatal detection was possible in 43.93% of cases, and perinatal mortality was 25%. Tetralogy of Fallot was the most frequent specific defect. The prevalence of CCHD and percentage of prenatal detection was significantly lower in the public subsector, whereas perinatal mortality was higher in this subsector. The prevalence of CCHD was lower than in the United States (NBDPN) and European (EUROCAT) registries. The Bogotá Registry showed different specific prevalence values., Conclusion: The prevalence of CCHD is lower than what has been observed in other countries, and even lower in the public sector of Argentina. The need to improve prenatal detection and implement pulse oximetry among newborns as a mandatory and universal screening is emphasized.
- Published
- 2022
- Full Text
- View/download PDF
3. Incidence, treatment, and factors associated with survival of out-of-hospital cardiac arrest attended by Spanish emergency services: report from the Out-of-Hospital Spanish Cardiac Arrest Registry for 2022.
- Author
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Ruiz Azpiazu JI, Fernández Del Valle P, Carmen Escriche M, Royo Embid S, Fernández Barreras C, Azeli Y, Juanes García M, Batres Gómez S, Valenciano Rodríguez J, Luque Hernández MJ, Navalpotro Pascual JMª, Iglesias Vázquez JA, Echarri Sucunza A, García-Ochoa Blanco MªJ, Del Pozo Pérez C, Cortés Ramas JA, Ceniceros Rozalén MªI, López Pérez C, Guerra García CM, Sola Muñoz S, Redondo Revilla F, Mateo-Rodríguez I, Rosell Ortiz F, and Daponte Codina A
- Subjects
- Humans, United States, Incidence, Pandemics, Registries, Hospitals, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest epidemiology, Out-of-Hospital Cardiac Arrest therapy
- Abstract
Summary: Out-of-hospital cardiac arrest is a serious public health problem worldwide. The annual incidence is estimated at around 400 000 cases in Europe and the United States, and survival rates scarcely reach 10%. However, there is considerable variation between countries and even between regions that share a similar health care system within a single country. Information recorded by the Out-of-Hospital Spanish Cardiac Arrest Registry (OHSCAR) provides information on care provided by emergency ambulance services, final health outcomes after cardiac arrest cases (including variations), the possibility of organ donation, and the impact of the COVID-19 pandemic. This paper presents the OHSCAR report for Spanish emergency services for the year 2022.
- Published
- 2024
- Full Text
- View/download PDF
4. Focus and trends in nurse advocacy in the Pan American Health Region: a bibliometric analysis.
- Author
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Benton DC and Brenton AS
- Subjects
- Authorship, Humans, United States, Bibliometrics, Publications
- Abstract
Objective: this study examined scholarly output relating to nursing advocacy contributions toward influencing policy by authors in countries of the Pan American Health Organization., Method: the study utilizes a bibliographic analysis of papers indexed in Scopus authored by PAHO member state scholars. VOSviewer conducted coauthor and cooccurrence analysis to generate visualizations of the relationships between authors, countries of origin and keywords., Results: 7,773 papers with 21,523 authors met the inclusion criteria. An increase of publications on policy starting in 1962 was found. Co-authorship identified a fragile relationships structure with few authors bridging networks of collaboration. By country of origin, 22 of 35 member states contributed to policy literature; 17 in a connected network and 5 contributing but neither connected to peers nor other member states. Keyword analysis identified 20 specific data clusters., Conclusion: our findings are aligned with the Nursing Now Campaign. This bibliographic analysis provides an important benchmark into current policy advocacy activity in PAHO against which future progress in the region can be assessed. There is scope for greater collaboration amongst authors and this could be targeted toward engagement of nurses in member states not-yet or only partially active in this space.
- Published
- 2020
- Full Text
- View/download PDF
5. A civilian tactical survival chain for incidents involving multiple intentionalinjury victims: the Victory I Consensus Report.
- Author
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Martín-Ibáñez L, Pérez-Martínez J, Zamora-Mínguez D, Alcón-Rubio F, González-Alonso V, Aroca García-Rubio S, Hernández-Hernández JM, Díaz F, and Román-López P
- Subjects
- Emergency Medical Services methods, Humans, Military Medicine methods, Primary Prevention organization & administration, Reference Standards, Secondary Prevention organization & administration, Spain, Transportation of Patients organization & administration, United States, Civil Defense organization & administration, Consensus, Emergency Medical Services organization & administration, Mass Casualty Incidents mortality, Mass Casualty Incidents prevention & control, Military Medicine organization & administration
- Abstract
En: International guidelines recommend adapting military health care protocols to emergencies involving multiple intentional-injury victims in civilian environments. Adaptations can reflect similarities in types of injuries or issues of provider safety and that arise in military and some civilian emergencies. Because more experience with such incidents has been gained in the United States, most of the literature on this topic discusses emergency medical systems that differ from the ones operating in the autonomous communities of Spain, where varying resources and procedures are mandated by local authorities charged with preparing for emergencies. However, common elements are present, offering a framework and principles to apply when drafting evidence-based plans for effective, efficient response to multiple-victim emergencies. We think that participants at each point in the chain of survival must have clear missions and understand the roles they play in the various zones that comprise the scene of an emergency. Therefore this consensus paper attempts to define the relevant principles and roles for participants at all levels, from occasional first responders up to staff at trauma referral centers.
- Published
- 2019
6. Syphilis and human experimentation from the first appearance of the disease to World War II: a historical perspective and reflections on ethics.
- Author
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Cuerda-Galindo E, Sierra-Valentí X, González-López E, and López-Muñoz F
- Subjects
- Germany, History, 15th Century, History, 18th Century, History, 19th Century, History, 20th Century, Humans, Japan, National Socialism history, United States, World War II, Bioethical Issues history, Human Experimentation history, Syphilis history
- Abstract
Physicians have conducted research on syphilis for centuries, seeking to understand its etiology and the means of transmission as well as find ways to prevent and cure the disease. Their research practices often strayed from today's ethical standards. In this paper we review ethical aspects of the long history of research on syphilis with emphasis on the experiments performed in the 20th century. The description of research around the time of World War II covers medical experiments carried out in US prisons and in the experimentation centers established by Japanese doctors in occupied territory, as well as experiments in Nazi Germany and the treatment of syphilitics there., (Copyright © 2013 Elsevier España, S.L.U. and AEDV. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
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