36 results on '"Rivas‐Ruiz, Francisco"'
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2. El sobrecrecimiento bacteriano de intestino delgado es una entidad frecuente tras gastrectomía, pero con escasa relevancia en el estado nutricional
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Pérez Aisa, Angeles, García Gavilán, Mari Carmen, Alcaide García, Julia, Méndez Sánchez, Isabel María, Rivera Irigoin, Robin, Fernández Cano, Francisco, Pereda Salguero, Teresa, and Rivas Ruiz, Francisco
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- 2019
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3. Proteína C reactiva como predictor de fuga anastomótica en cirugía colorrectal. Comparación entre cirugía abierta y laparoscópica
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Ramos Fernández, María, Rivas Ruiz, Francisco, Fernández López, Alberto, Loinaz Segurola, Carmelo, Fernández Cebrián, José María, and de la Portilla de Juan, Fernando
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- 2017
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4. Análisis de la toma de decisiones compartidas al final de la vida en las historias clínicas
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Sepúlveda-Sánchez, Juana María, Morales-Asencio, José Miguel, Morales-Gil, Isabel María, Canca Sánchez, José Carlos, Timonet-Andreu, Eva María, and Rivas-Ruiz, Francisco
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- 2017
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5. Efectividad del genotipado del virus del papiloma humano frente a la citología anal en la identificación de neoplasia intraepitelial de alto grado
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Padilla-España, Laura, Repiso-Jiménez, Juan Bosco, Fernández-Sánchez, Fernando, Pereda, Teresa, Rivas-Ruiz, Francisco, Fernández-Morano, Teresa, de la Torre-Lima, Javier, Palma, Fermín, Redondo, Maximino, and de Troya-Martín, Magdalena
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- 2016
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6. Efectos de la acupuntura en pacientes con fibromialgia: protocolo de un estudio controlado aleatorizado
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Vas, Jorge, Modesto, Manuela, Aguilar, Inmaculada, Santos-Rey, Koldo, Benítez-Parejo, Nicolás, and Rivas-Ruiz, Francisco
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- 2016
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7. Coste-efectividad del uso de la moxibustión para corregir la presentación no-cefálica
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García-Mochón, Leticia, Martín, José J., Aranda Regules, José Manuel, Rivas Ruiz, Francisco, and Vas, Jorge
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- 2016
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8. Acupuntura auricular como tratamiento en atención primaria para la lumbalgia y dolor pélvico posterior en la embarazada: protocolo de un estudio multicéntrico aleatorizado y controlado con placebo
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Vas, Jorge, Aranda-Regules, José Manuel, Modesto, Manuela, Aguilar, Inmaculada, Barón-Crespo, Mercedes, Ramos-Monserrat, María, Quevedo-Carrasco, Manuel, and Rivas-Ruiz, Francisco
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- 2015
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9. Utilidad de la detección del virus del papiloma humano en el cribado de neoplasia intraepitelial anal en pacientes con conductas de riesgo
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Padilla-España, Laura, Repiso-Jiménez, Bosco, Fernández-Sánchez, Fernando, Frieyro-Elicegui, Marta, Fernández-Morano, Teresa, Pereda, Teresa, Rivas-Ruiz, Francisco, Redondo, Maximino, and de-Troya Martín, Magdalena
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- 2014
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10. Eficacia y seguridad de la auriculopresión en pacientes de atención primaria con raquialgia crónica no específica: estudio multicéntrico controlado aleatorizado
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Vas, Jorge, Modesto, Manuela, Aguilar, Inmaculada, Gonçalo, Camila da Silva, and Rivas-Ruiz, Francisco
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- 2014
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11. Moxibustión en atención primaria para corregir la presentación no cefálica: estudio multicéntrico controlado y aleatorizado
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Vas, Jorge, Aranda-Regules, José Manuel, Modesto, Manuela, Ramos-Monserrat, María, Barón, Mercedes, Aguilar, Inmaculada, Benítez-Parejo, Nicolás, Ramírez-Carmona, Carmen, and Rivas-Ruiz, Francisco
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- 2014
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12. Validación de un cuestionario para evaluar la seguridad del paciente en los laboratorios clínicos
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Giménez Marín, Ángeles and Rivas-Ruiz, Francisco
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- 2012
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13. Aplicación del análisis modal de fallos y sus efectos a la fase preanalítica de un laboratorio clínico
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Giménez Marín, Ángeles, Molina Mendoza, Pedro, Ruiz Arredondo, José Joaquin, Acosta González, Federico, López Pérez, Marisa, Jiménez Cueva, Manolo, Cueto Santamaría, Teresa, Olmedo Sánchez, Rosa, López Somosierras, Mercedes, Rivas Ruiz, Francisco, and Pérez Hidalgo, María del Mar
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- 2010
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14. Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas
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Contreras-Fernández, Eugenio, Barón-López, Francisco Javier, Méndez-Martínez, Camila, Canca-Sánchez, José Carlos, Cabezón Rodríguez, Isabel, and Rivas-Ruiz, Francisco
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Questionnaires ,Adult ,Male ,Health Knowledge, Attitudes, Practice ,Instrucciones previas ,Attitude of Health Personnel ,Reproducibility of Results ,Testamento vital ,Middle Aged ,Living will ,Advance directives ,Estudio de validación ,Planificación anticipada de decisiones ,Living Wills ,Cross-Sectional Studies ,Validation studies ,Derechos del paciente ,Humans ,Female ,Self Report ,Cuestionarios ,Advance care planning ,Patient rights - Abstract
Evaluate the validity and reliability of the knowledge and attitudes of health professionals questionnaire on the Living Will Declaration (LWD) process. Cross-sectional study structured into 3 phases: (i)pilot questionnaire administered with paper to assess losses and adjustment problems; (ii)assessment of the validity and internal reliability, and (iii)assessment of the pre-filtering questionnaire stability (test-retest). Costa del Sol (Malaga) Health Area. January 2014 to April 2015. Healthcare professionals of the Costa del Sol Primary Care District and the Costa del Sol Health Agency. There were 391 (23.6%) responses, and 100 participated in the stability assessment (83 responses). The questionnaire consisted of 2 parts: (i)Knowledge (5 dimensions and 41 items), and (ii)Attitudes (2 dimensions and 17 items). In the pilot study, none of the items lost over 10%. In the evaluation phase of validity and reliability, the questionnaire was reduced to 41 items (29 of knowledge, and 12 of attitudes). In the stability evaluation phase, all items evaluated met the requirement of a kappa higher than 0.2, or had a percentage of absolute agreement exceeding 75%. The questionnaire will identify the status and areas for improvement in the health care setting, and then will allow an improved culture of LWD process in general population.
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- 2016
15. Calidad de los informes de alta hospitalaria respecto a la legislación vigente y las recomendaciones consensuadas por expertos
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Zambrana-García, José Luis and Rivas-Ruiz, Francisco
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Informes de alta ,Discharge reports ,High-resolution hospitals ,Quality ,Hospitales de alta resolución ,Calidad - Abstract
Objetivos: Conocer la calidad de los informes de alta hospitalaria respecto a la legislación vigente y el consenso para la elaboración de informes de alta hospitalaria en especialidades médicas en 11 hospitales de Andalucía. Material y métodos: Estudio transversal de 1708 informes de alta hospitalaria. Analizamos la presencia o no de los diferentes ítems requeridos tanto por la legislación actual como por las recomendaciones del consenso. Resultados: El 97,4% (intervalo de confianza del 95% [IC95%]: 96,5-98,2) de los informes de alta hospitalaria fueron catalogados como adecuados si nos ajustamos a los requisitos que contempla la legislación vigente. Si la evaluación era respecto al consenso, el porcentaje de adecuación descendía al 72,1% (IC95%:70,0-74,3). Destaca la ausencia de la duración del tratamiento tras el alta en el 39,4% de los informes. Conclusiones: Los informes de alta hospitalaria ofrecen un excelente grado de cumplimentación de los datos exigidos por la normativa vigente, pero deben mejorar en su calidad intrínseca. Objective: To determine the quality of hospital discharge reports (HDRs) taking into account current legislation and the conclusions of the consensus on hospital discharge reports in medical specialities in 11 community hospitals in Andalusia (Spain). Material and methods: A cross-sectional study of 1,708 HDRs was carried out. We determined the presence or absence of the various items required by current legislation and by the recommendations of the above-mentioned consensus. Results: A total of 97.4% (95% confidence interval [95% CI]: 96.5-98.2) of the HDRs were classified as satisfactory according to the stipulations of current legislation. However, when the assessment was based on the consensus, the rate of adequacy fell to 72.1% (95% CI: 70.0-74.3). A notable finding was the absence of the duration of treatment after hospital discharge in 39.4% of the HDRs. Conclusions: HDRs show an excellent level of compliance with the data required by current regulations, but their intrinsic quality needs to be improved.
- Published
- 2013
16. Casos autodeclarados de síndrome gripal en trabajadores sanitarios españoles durante la pandemia de gripe A (H1N1) 2009
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Olalla, Julián, de Ory, Fernando, Casas, Inmaculada, García-Alegría, Javier, and Rivas-Ruiz, Francisco
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- 2013
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17. Distribución y tendencia de los fallecimientos en el medio hospitalario en España durante el periodo 1997-2003
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Jiménez-Puente, Alberto, Perea-Milla, Emilio, and Rivas-Ruiz, Francisco
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Mortalidad hospitalaria ,Hospital mortality ,Factores socioeconómicos ,Socioeconomic factors - Abstract
Fundamento: El lugar en que se produce la muerte de una persona depende de circunstancias de naturaleza demográfica, socioeconómica, cultural y asistencial El objetivo del estudio fue describir las variaciones en el porcentaje de muertes en hospitales entre las comunidades autónomas de España, diferenciando las que ocurrieron en urgencias y hospitalización, y explorar su relación con posibles variables explicativas. Métodos: El estudio fue ecológico. Se estudió la tendencia del porcentaje de muertes en hospitales entre 1997 y 2003. Se calcularon los porcentajes de muertes en hospitales de cada comunidad autónoma en los años 2000-2002 a partir del Movimiento Natural de la Población y de la Encuesta de Establecimientos Sanitarios con Régimen de Internado que incluye información de todos los hospitales públicos y privados. Mediante regresión lineal simple se analizó su relación con variables demográficas, socioeconómicas, y asistenciales. Resultados: El 53% de los fallecimientos ocurrieron en hospitales (variando entre 37,3 y 68,4% en las distintas comunidades). El 10,7% de ellos en el área de urgencias (variando entre 6 y 14,5%) y el resto en hospitalización. Conclusiones: El porcentaje de muertes en hospitales fue mayor en las comunidades con menos población anciana y rural, más población extranjera y mayor frecuentación de urgencias. El porcentaje de muertes hospitalarias en urgencias fue mayor en las comunidades con peores indicadores socioeconómicos. La tendencia en los 7 años estudiados fue al aumento del porcentaje de muertes en hospitales. Background: Where a person's death occurs depends upon situations of a demographic, socioeconomic, cultural and healthcare-related nature. The objective of this study was that of describing the variations in the percentages of deaths in hospitals among the Autonomous Communities of Spain, distinguishing between those which occurred in emergency care and during hospitalization and delving into their relation with variables possibly providing an explanation thereto. Methods: The study was an ecological one, the trend in the percentage of deaths in hospitals within the 1997-2003 period having been studied. The percentages of deaths in hospitals from each Autonomous Communities during the 2000-2002 period were calculated based on the Natural Population Movement and the Survey of In-Patient Healthcare Establishments which includes information from all of the public and private hospitals. The relationship thereof to demographic, socioeconomic and healthcare-related variables was analyzed by single linear regression. Results: A total of 53% of the deaths occurred in hospitals (ranging from 37.3% to 68.4% in the different Autonomous Communities). A total of 10.7% of the deaths occurred in emergency care (ranging from 6% to 14.5%) and all others during hospitalization. Conclusions: The percentage of deaths having occurred in hospitals was greater in the Autonomous Communities having a smaller elderly rural population, a larger foreign population and a higher degree of frequenting of emergency care. The percentage of hospital deaths in emergency care was greater in those Autonomous Communities having poorer socioeconomic indicators. The trend over the seven years studied was toward a rise in the percentage of deaths in hospitals.
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- 2006
18. Granulocyte and monocyte adsorptive apheresis (GMA) in patients with inflammatory bowel disease: A useful therapeutic tool not just in ulcerative colitis but also in Crohn's disease.
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Fernández-Pérez FJ, Fernández-Moreno N, Soria-López E, Rodriguez-González FJ, Fernández-Galeote FJ, Lifante-Oliva A, Ruíz-Hernández C, Escalante-Quijaite E, and Rivas-Ruiz F
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Introduction: Granulocyte and monocyte adsorptive apheresis (GMA) removes neutrophils and monocytes from peripheral blood, preventing their incorporation into the inflamed tissue also influencing cytokine balance. Published therapeutic efficacy in ulcerative colitis (UC) is more consistent than in Crohn's disease (CD). We assessed clinical efficacy of GMA in UC and CD 4 weeks after last induction session, at 3 and 12 months, sustained remission and corticosteroid-free remission., Patients and Method: Retrospective observational study of UC and CD patients treated with GMA. Partial Disease Activity Index-DAIp in UC and Harvey-Bradshaw Index-HBI in CD assessed efficacy of Adacolumn® with induction and optional maintenance sessions., Results: We treated 87 patients (CD-25, UC-62), 87.3% corticosteroid-dependent (CSD), 42.5% refractory/intolerant to immunomodulators. In UC, remission and response were 32.2% and 19.3% after induction, 35.5% and 6.5% at 12 weeks and 29% and 6.5% at 52 weeks. In CD, remission rates were 60%, 52% and 40% respectively. In corticosteroid-dependent and refractory or intolerant to INM patients (UC-41, CD-14), 68.3% of UC achieved remission or response after induction, 51.2% at 12 weeks and 46.3% at 52 weeks, and 62.3%, 64.3% and 42.9% in CD. Maintained remission was achieved by 66.6% in CD and 53.1% in UC. Up to 74.5% of patients required corticosteroids at some timepoint. Corticosteroid-free response/remission was 17.7% in UC and 24% in CD., Conclusions: GMA is a good therapeutic tool for both in UC and CD patients. In corticosteroid-dependent and refractory or intolerant to INM patients it avoids biological therapy or surgery in up to 40% of them in one year., (Copyright © 2024 Elsevier España, S.L.U. All rights reserved.)
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- 2024
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19. [Hospital emergencies due to alcohol consumption in times of COVID-19 on the Costa del Sol (Spain)].
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Rivas Ruiz F, Padilla Ruiz M, Pérez Aisa Á, Peláez Cherino J, Lara Blanquer A, and Jiménez Puente A
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- Adult, Humans, Male, Spain epidemiology, Emergencies, Cross-Sectional Studies, Pandemics, Hospitals, Alcohol Drinking adverse effects, Alcohol Drinking epidemiology, COVID-19 epidemiology
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Objective: Alcohol consumption is a Public Health problem that impacts the health, social and economic spheres. The objectives of this study were to describe the characteristics of alcohol-related emergencies (ARI) in an area of high recreational tourism, and the implications of the COVID-19 pandemic on this activity., Methods: A descriptive cross-sectional study of the period of ARI emergency activity in the Costa del Sol Hospital Area during the years 2019-2021 was carried out. A stratified descriptive analysis was performed according to the COVID-19 pandemic period, including the calculation of the incidence of ARI emergencies attended daily. Descriptive analysis was performed evaluating differences between the three periods using the Chi-Square test for qualitative variables, and the Kruskal-Wallis test for quantitative variables., Results: During the study period, 479,204 hospital emergencies were recorded, of which 0.51% were identified as ARI emergencies, with an average of 2.2 per day. This figure ranged from 2.7 emergencies per day during Normality, 1 during Confinement and 2.1 during new normality. The rate of ARI emergencies for the period evaluated was 16.5 per 10,000 inhabitants/year., Conclusions: The patients treated for alcohol consumption in our series have a typical profile in terms of age (adult) and sex (male), although with a high relative weight of foreign patients. Restrictions due to confinement during the COVID-19 pandemic have a positive impact on the emergency care of ARI patients, although correlated with a generalised decrease in non-COVID-19 related care activity.
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- 2024
20. Patient transfers from emergency departments to other in-hospital areas: a failure mode and effects analysis.
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Prieto-Molina A, Aranda-Gallardo M, Moya-Suárez AB, Rivas-Ruiz F, Peláez-Cherino J, and Canca-Sánchez JC
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- Humans, Patient Safety, Hospitals, Emergency Service, Hospital, Patient Transfer, Healthcare Failure Mode and Effect Analysis
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Objectives: To perform an in-depth analysis of the process of transferring patients from an emergency department (ED) to other areas inside a hospital and identify possible points of failure and risk so that strategies for improvement can be developed., Material and Methods: We formed a multidisciplinary group of ED and other personnel working with hospitalized adults. The group applied failure mode and effects analysis (FMEA) to understand the in-hospital transfer processes. A risk priority scoring system was then established to assess the seriousness of each risk and the likelihood it would appear and be detected., Results: We identified 8 transfer subprocesses and 14 critical points at which failures could occur. Processes related to administering medications and identifying patients were the components that received the highest risk priority scores. Improvement strategies were established for all risks. The group created a specific protocol for in-hospital transfers and a checklist to use during handovers., Conclusion: The FMEA method helped the group to identify points when there is risk of failure during patient transfers and to define ways to improve patient safety.
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- 2023
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21. [Prevalence of suicidal ideation during admission to a specialty hospital medical].
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Guerrero-Díaz M, Quiros López R, Jurado Melero AB, and Rivas-Ruiz F
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- Cross-Sectional Studies, Hospitals, Humans, Prevalence, Risk Factors, Depression, Suicidal Ideation
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- 2022
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22. Sun Protection Behaviors and Knowledge in Mountain Marathon Runners and Risk Factors for Sunburn.
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García-Malinis AJ, Gracia-Cazaña T, Zazo M, Aguilera J, Rivas-Ruiz F, de Troya Martín M, and Gilaberte Y
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- Adult, Altitude, Attitude to Health, Avoidance Learning, Cross-Sectional Studies, Female, Humans, Incidence, Male, Prospective Studies, Protective Clothing, Risk Factors, Skin Pigmentation, Socioeconomic Factors, Spain epidemiology, Sunbathing, Sunburn epidemiology, Sunscreening Agents, Health Knowledge, Attitudes, Practice, Marathon Running, Sunburn prevention & control
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Background and Objectives: The incidence of skin cancer in our society is growing at an alarming rate due to overexposure to solar UV radiation in recreational and occupational settings. The aim of this study was to evaluate sun exposure and protection attitudes, behaviors, and knowledge among mountain ultramarathon runners and to assess risk factors for sunburn in this population., Material and Methods: Cross-sectional survey of runners who participated in the «Gran Trail Aneto-Posets» race in Aragon, Spain. Using a validated questionnaire, we collected data on sociodemographic characteristics, running experience, sunburn in the previous summer, and sun exposure and protection behaviors. We calculated descriptive statistics and performed bivariate and multivariate analyses of associations using history of sunburn as the primary outcome. Statistical significance was set at a p level of less than 0.05., Results: We surveyed 657 runners (72.1% men) with a mean age of 39.71 years; 45.1% reported sunburn in the past year. The most common protective measures used were sunglasses (74.7%), sunscreen (sun protection factor ≥ 15) (61.9%), a hat (52.2%), and other protective clothing (7.4%). Risk factors for sunburn were younger age, low Fitzpatrick skin type (I and II), running for three or more hours a day, and staying in the shade as a protective measure. By contrast, protective factors were use of sunscreen and seeking shade rather than sun at midday (p < 0.001)., Conclusions: Sunburn is common among long-distance mountain runners, despite what appears to be adequate sun protection knowledge and behaviors. Targeted strategies are needed to improve sun protection behaviors among mountain runners., (Copyright © 2020 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.)
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- 2021
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23. Implementation of an advanced nursing triage protocol for managing moderate pain in the emergency department.
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Rodríguez-Montalvo JA, Aranda-Gallardo M, Morales-Asencio JM, Rivas-Ruiz F, Jiménez-Cortés Y, and Canca-Sánchez JC
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- Emergency Service, Hospital, Humans, Pain, Emergency Nursing, Pain Management, Triage
- Published
- 2020
24. Small intestinal bacterial overgrowth is common after gastrectomy but with little impact on nutritional status.
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Pérez Aisa A, García Gavilán MC, Alcaide García J, Méndez Sánchez IM, Rivera Irigoin R, Fernández Cano F, Pereda Salguero T, and Rivas Ruiz F
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- Female, Humans, Male, Malnutrition epidemiology, Malnutrition microbiology, Middle Aged, Postoperative Complications epidemiology, Postoperative Complications microbiology, Prospective Studies, Gastrectomy, Intestine, Small microbiology, Nutritional Status
- Abstract
Background: Available evidence assessing the impact of small intestinal bacterial overgrowth (SIBO) following gastrectomy is limited., Objectives: To evaluate the prevalence of SIBO after gastrectomy and its association with malnutrition. To describe the antibiotic treatment required to correct it and if nutritional status improves., Material and Methods: A prospective cohort study was performed at the Agencia Sanitaria Costa del Sol (Costa del Sol Health Agency) from 2012 to 2015. A hydrogen-methane breath test with oral glucose overload was performed. Demographic variables and nutritional parameters were collected at baseline and one month after effective treatment of SIBO. The antibiotic regimens and the number of treatment lines used were assessed., Results: Sixty gastrectomy patients were analysed, 58.3% of which were male. A sub-analysis of the curve was performed at 45min to minimise possible false positives, and SIBO was identified in 61.6% of cases. SIBO patients tended to have a lower BMI, although this trend was not statistically significant. After treatment with rifaximin, 94.6% of patients were still positive for SIBO, which fell to 85.7% after metronidazole. The rate of total antibiotic treatment failure was 67.6%. No statistically significant changes were found in nutritional parameters after treatment., Conclusions: SIBO was identified in 61.6% of patients after gastrectomy. No correlation was found with any malnutrition parameter. Rifaximin and metronidazole were found to be largely ineffective in eradicating SIBO. When treatment was effective, the impact on malnutrition was negligible and may have been associated with other factors., (Copyright © 2018 Elsevier España, S.L.U. All rights reserved.)
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- 2019
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25. Discrepancies between the use of MDRD-4 IDMS and CKD-EPI equations, instead of the Cockcroft-Gault equation, in the determination of the dosage of direct oral anticoagulants in patients with non-valvular atrial fibrillation.
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Pérez Cabeza AI, Chinchurreta Capote PA, González Correa JA, Ruiz Mateas F, Rosas Cervantes G, Rivas Ruiz F, Valle Alberca A, and Bravo Marqués R
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- Administration, Oral, Adult, Age Factors, Aged, Aged, 80 and over, Anticoagulants therapeutic use, Female, Humans, Male, Middle Aged, Retrospective Studies, Anticoagulants administration & dosage, Atrial Fibrillation drug therapy, Drug Dosage Calculations, Glomerular Filtration Rate
- Abstract
Background and Objective: Direct oral anticoagulants (DOACs) require dose adjustment according to estimated clearance creatinine (eClCr) using the Cockcroft-Gault (CG) equation. There are discrepancies with the equations that estimate glomerular filtration rate (eGFR). We analyse how the use of the CKD-EPI and MDRD-4 IDMS equations affect the recommended dosage for ACODs., Patients and Methods: Retrospective study of patients with non-valvular atrial fibrillation seen at a cardiology clinic between November 2012 and August 2014. Patients were reclassified according to the recommended dosage for dabigatran, rivaroxaban, apixaban and edoxaban, based on the eGFR equation used. Other clinical factors are taken into account, according to the product label. We analysed the percentage of discordance., Results: Four hundred and fifty-four patients, 53.3% men, with a mean age of 68.7±13.8 years were studied. The mean intra-individual differences recorded for the CG equation were 3.9ml/min/1.73m
2 with MDRD-4 IDMS (95% CI 1.4-6.4, P=.003) and 11.3ml/min/1.73m2 with CKD-EPI (95% CI 8.9-13.7, P<.001). A gradient is observed in the discordance of the posology (apixaban 1.1%, dabigatran 3.5%, edoxaban 5.7%, rivaroxaban 8.4% with MDRD-4 IDMS). Differences were limited to patients with eClCr<60ml/min and were more evident in≥75 years in which the eGFR equations overestimate renal function., Conclusions: In patients with non-valvular atrial fibrillation, especially with renal failure and in the elderly, eGFR equations tend to overestimate renal function relative to CG and therefore suggest an overdose of DOACs., (Copyright © 2017 Elsevier España, S.L.U. All rights reserved.)- Published
- 2018
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26. Assessing motivation to smoking cessation in hospitalized patients.
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Sepúlveda-Sánchez JM, Canca-Sánchez JC, Rivas-Ruiz F, Martín-García M, Lorente Márquez C, and Timonet-Andreu EM
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- Cross-Sectional Studies, Female, Hospitalization, Humans, Male, Middle Aged, Retrospective Studies, Motivation, Smoking Cessation psychology
- Abstract
Aim: To assess motivation to quit smoking in patients admitted to an acute care hospital, determine predictors of readiness to change, and identify a risk group that requires targeted motivational interviewing., Methods: A cross-sectional descriptive study. A retrospective study was performed on the medical records of 248 patients aged >18 years with smoking habits admitted to the medical and surgery units of a district hospital between May 2014 and April 2015. The data collected included sociodemographic data, data on respiratory function, number of cigarettes smoked per day, motivation to quit smoking, patient-reported readiness to quit, history of respiratory diseases and previous admissions., Results: The Richmond test revealed that 54% of patients (n=134) were poorly motivated to quit smoking vs. 11.74% (n=29) who reported to be highly motivated. The group of patients who reported to be willing to receive support (n=77) was prevailingly composed of men (p=.009) admitted to a medical care unit (p=.026) -mainly the Unit of Cardiology (51%)- who smoked 11/29 cigarettes/day (p=.015). Dyspnoea at admission, a history of respiratory disease and previous admissions for respiratory problems were not predictors of readiness to quit., Conclusions: This study identifies a risk group of patients with respiratory disease, low motivation to quit smoking and poor readiness to receive smoke cessation support, that should be the target of motivational approaches to behavior change., (Copyright © 2016 Elsevier España, S.L.U. All rights reserved.)
- Published
- 2018
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27. C reactive protein as a predictor of anastomotic leakage in colorectal surgery. Comparison between open and laparoscopic surgery.
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Ramos Fernández M, Rivas Ruiz F, Fernández López A, Loinaz Segurola C, Fernández Cebrián JM, and de la Portilla de Juan F
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- Aged, Digestive System Surgical Procedures methods, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Anastomotic Leak blood, Anastomotic Leak diagnosis, C-Reactive Protein analysis, Colonic Diseases surgery, Laparoscopy, Rectal Diseases surgery
- Abstract
Introduction: Anastomotic leak (AL) is a serious complication in colorectal surgery due to its increase in morbidity and mortality. The aim of this prospective non-randomised study is to determine whether C-reactive Protein (CRP) is useful as a predictor of AL in patients undergoing open versus laparoscopic surgery., Methods: A total of 168 patients undergoing elective colorectal surgery were included. CRP was measured daily during the first 5postoperative days. Complications, specially AL, were analysed., Results: Following an open approach 32 patients (45.7%) presented complications, 15 (18.7%) in the laparoscopic group and 12 (29.4%) in the converted group (P=0.153). Following open surgery 9 patients experienced AL, 5 were detected in the laparoscopic group and none in those converted (P=0.153). There were significant differences in CRP values between the 3 groups (P=0.03). ROC Curves showed AUC for the open and laparoscopic approach of 0.731 and 0.760 respectively. On day 4 the AUC was 0.867 for the open group and 0.914 for the laparoscopic group. Cut-off points on day 4 were: Open: 159.2mg/L; sensitivity 75%, specificity 89% and NPP 96% (P<0.001). Following laparoscopic surgery the cut-off point was 67.3%; sensitivity 100%, specificity 89.5% and NPP 100% (P=0.016)., Conclusion: CRP on day 4 is useful to diagnose AL. Different cut-off values should be taken into account depending on the approach used., (Copyright © 2017 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2017
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28. [Validation of the knowledge and attitudes of health professionals in the Living Will Declaration process].
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Contreras-Fernández E, Barón-López FJ, Méndez-Martínez C, Canca-Sánchez JC, Cabezón Rodríguez I, and Rivas-Ruiz F
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Reproducibility of Results, Attitude of Health Personnel, Health Knowledge, Attitudes, Practice, Living Wills, Self Report
- Abstract
Objective: Evaluate the validity and reliability of the knowledge and attitudes of health professionals questionnaire on the Living Will Declaration (LWD) process., Design: Cross-sectional study structured into 3 phases: (i)pilot questionnaire administered with paper to assess losses and adjustment problems; (ii)assessment of the validity and internal reliability, and (iii)assessment of the pre-filtering questionnaire stability (test-retest)., Location: Costa del Sol (Malaga) Health Area. January 2014 to April 2015., Participants: Healthcare professionals of the Costa del Sol Primary Care District and the Costa del Sol Health Agency. There were 391 (23.6%) responses, and 100 participated in the stability assessment (83 responses)., Main Measurements: The questionnaire consisted of 2 parts: (i)Knowledge (5 dimensions and 41 items), and (ii)Attitudes (2 dimensions and 17 items)., Results: In the pilot study, none of the items lost over 10%. In the evaluation phase of validity and reliability, the questionnaire was reduced to 41 items (29 of knowledge, and 12 of attitudes). In the stability evaluation phase, all items evaluated met the requirement of a kappa higher than 0.2, or had a percentage of absolute agreement exceeding 75%., Conclusions: The questionnaire will identify the status and areas for improvement in the health care setting, and then will allow an improved culture of LWD process in general population., (Copyright © 2016 Elsevier España, S.L.U. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
29. [Pain management nursing in hospitalized patients with non-oncological diseases].
- Author
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Sepúlveda-Sánchez JM, Canca-Sánchez JC, Rivas-Ruiz F, Martín-García M, Pérez-González MJ, and Timonet-Andreu EM
- Subjects
- Cross-Sectional Studies, Female, Humans, Inpatients, Male, Pain Management, Pain Measurement
- Abstract
Aim: To assess pain management in patients hospitalized with a non-oncological disease and evaluate factors involved in pain assessment., Methods: A descriptive, cross-sectional study. We reviewed pain episodes documented in the medical records of 105 patients aged>18 years admitted to the medical units of a regional hospital between September and December 2014. Reports of pain episodes were evaluated by assessing 22 variables related to pain management quality criteria., Results: A total of 184 reports were reviewed. Pain was measured using the visual analogue scale (VAS) in 70.1% of patients (n=129); pain was reassessed in 44.3% (n=54) of patients. Pain reassessment was significantly more frequent in patients aged<70 years, as compared to older patients (53.1 vs. 26.8%, respectively; p=0.01). Pain was more frequently considered to be unrelated to the cause of admission in women as compared to men (50 vs. 25.7% p=0.027). Pain was identified in the patient care plan as a collaborative problem by the nurse for 21.1% of the patients., Conclusions: Some aspects of pain management should be improved, especially those regarding pain description and reassessment. The age and sex of patients significantly influence the approach of pain., (Copyright © 2015 Elsevier España, S.L.U. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
30. [Knowledge and attitudes of health professionals to the living will declaration process].
- Author
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Contreras-Fernández E, Rivas-Ruiz F, Castilla-Soto J, and Méndez-Martínez C
- Subjects
- Humans, Surveys and Questionnaires, Health Knowledge, Attitudes, Practice, Health Personnel, Living Wills
- Abstract
Objective: To identify the underlying interests of the Living Will Declaration (LWD) process and to determine the consensus, using a questionnaire, of the knowledge and attitudes of health professionals., Design: A study was performed in two phases using a Delphi technique with a Rand method. 1. Dimensions proposed: generation of ideas and their subsequent prioritizing; 2. Proposal and prioritizing of items grouped into blocks of Knowledge and Attitudes, developed between August 2012 and January 2013., Setting: The work was carried out by initial telephone contact with panellists, and then later by the panellists belonged to the Andalusia Public Health System., Participants: The criteria for selecting the eight components of the panel were knowledge and experience in the field of the freedom of the patient in Andalusia., Results: The Knowledge identified included: 1 A) Legal and general aspects; 2 A) A conceptual definition; 3 A) Standardised LWD documents: 4 A) Practical experience; 5 A) Procedure and registering of the LWDs. The second block included Attitudes: 1 B) Attitudes of the professional in the application of LWDs in clinical practice, and 2 B) Attitudes of the professional in «complex» ethical scenarios The 7 panellists who finally took part proposed 165 items. After applying the prioritizing criteria, scores, and scenario selection, 58 (35.2%) items were identified as suitable scenarios., Conclusions: The proposed questionnaire included wide parcels of concepts and contents that, once validated, will help to measure the training interventions carried out on health professionals in order to improve knowledge and attitudes on the subject of LWDs., (Copyright © 2014 Elsevier España, S.L.U. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
31. [Screening of anal intraepithelial neoplasia in risk groups: descriptive study of sexual habits and other sexual transmitted infections].
- Author
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Padilla-España L, Repiso-Jiménez JB, Frieyro-Elicegui M, Rivas-Ruiz F, Robles L, and de Troya M
- Subjects
- Anus Neoplasms epidemiology, Anus Neoplasms pathology, Carcinoma in Situ epidemiology, Carcinoma in Situ pathology, Carcinoma, Squamous Cell epidemiology, Carcinoma, Squamous Cell pathology, Condoms statistics & numerical data, Female, HIV Infections epidemiology, Humans, Male, Retrospective Studies, Risk Factors, Risk-Taking, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases epidemiology, Unsafe Sex, Uterine Cervical Dysplasia epidemiology, Anus Neoplasms diagnosis, Carcinoma in Situ diagnosis, Carcinoma, Squamous Cell diagnosis, Early Detection of Cancer
- Abstract
Background: Anal intraepithelial neoplasia is considered a precursor lesion of anal squamous carcinoma. The population with increased risk of this conditions are immunocompromised individuals, especially HIV-infected, with anal sex practices. The aim of this study was to describe the sexual habits of patients who were seen in sexually transmitted infections (STIs) consult in our service in whom anal cytology was performed as well as the association of anal dysplasia to other STIs., Material and Methods: We performed a retrospective cohort study that included those patients in whom, according to our protocol, anal cytology was performed between 2008 and 2011. Also we conducted a survey on sexual habits and screening for other STIs. Finally, we conducted a descriptive and analytical study assessing bivariate distribution of cytological alterations and grade of anal dysplasia., Results: A total of 347 anal cytologies were performed, and 48.1% were abnormal. Statistically significant differences were found between the presence of condylomata perianal/endoanal, HIV infection, Chlamydia trachomatis infection and the presence of cytologic alterations., Conclusion: There was a high incidence of anal dysplasia in our group of individuals with risky sexual habits; however, it is probably underdiagnosed due to its subclinical nature and lack of a well-established screening protocol., (Copyright © 2013 Elsevier España, S.L. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
32. [Results of an early intervention program for patients with bacteremia discharged from the Emergency Department].
- Author
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del Arco-Jiménez A, Olalla-Sierra J, de la Torre-Lima J, Prada-Pardal JL, Rivas-Ruiz F, and Fernández-Sánchez F
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents therapeutic use, Bacteremia diagnosis, Bacteremia microbiology, Bacteremia mortality, Candidemia drug therapy, Candidemia mortality, Community-Acquired Infections drug therapy, Community-Acquired Infections microbiology, Community-Acquired Infections mortality, Comorbidity, Cross Infection drug therapy, Cross Infection microbiology, Cross Infection mortality, Female, Humans, Male, Middle Aged, Patient Admission, Patient Discharge, Program Evaluation, Severity of Illness Index, Young Adult, Bacteremia drug therapy, Early Medical Intervention, Emergency Service, Hospital
- Abstract
Background and Objective: Occult bacteremia represents 3% of blood cultures drawn in the Emergency Department. In most cases, the evolution is unknown. The aim of the study is to analyze the results obtained after implementation of an intervention program for these patients., Patients and Methods: We describe the results of an early intervention program for patients with bacteremia in the Emergency Department discharged at home, which was implemented in daily clinical activity in Costa del Sol Hospital in Marbella (Malaga). We analyze the epidemiological, microbiological, Charlson comorbidity index, Pitt bacteremia index and 30-day mortality., Results: During 15 months, 90 patients were located. The median age was 67 years. There was a predominance of males with 54 of cases (60%). The acquisition place was predominantly the community with 51 cases (56.6%), being the most frequent microorganism Escherichia coli with 31 cases (34.4%). The median Charlson index and the bacteremia Pitt index were 1. Thirty-eight of the cases required hospitalization (42.2%). Pitt bacteremia index>1 and exchange antibiotic treatment were the related variables with need for admission. One patient died (1.2%) and 6 patients could not be located (6.6%)., Conclusions: The implementation of programs of early identification and management of patients with bacteremia in Emergency Department discharged al home allows early recovery of patients who require hospital admission and antibiotic treatment optimization. In our series, mortality after early intervention was low (1.2%)., (Copyright © 2013 Elsevier España, S.L. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
33. [Quality of hospital discharge reports in terms of current legislation and expert recommendations].
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Zambrana-García JL and Rivas-Ruiz F
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- Consensus, Cross-Sectional Studies, Guidelines as Topic, Humans, Quality Control, Spain, Medical Records legislation & jurisprudence, Medical Records standards, Patient Discharge
- Abstract
Objective: To determine the quality of hospital discharge reports (HDRs) taking into account current legislation and the conclusions of the consensus on hospital discharge reports in medical specialities in 11 community hospitals in Andalusia (Spain)., Material and Methods: A cross-sectional study of 1,708 HDRs was carried out. We determined the presence or absence of the various items required by current legislation and by the recommendations of the above-mentioned consensus., Results: A total of 97.4% (95% confidence interval [95% CI]: 96.5-98.2) of the HDRs were classified as satisfactory according to the stipulations of current legislation. However, when the assessment was based on the consensus, the rate of adequacy fell to 72.1% (95% CI: 70.0-74.3). A notable finding was the absence of the duration of treatment after hospital discharge in 39.4% of the HDRs., Conclusions: HDRs show an excellent level of compliance with the data required by current regulations, but their intrinsic quality needs to be improved., (Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.)
- Published
- 2013
- Full Text
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34. [Self-reported cases of influenza among Spanish healthcare workers during the 2009 influenza A(H1N1) pandemic].
- Author
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Olalla J, de Ory F, Casas I, García-Alegría J, and Rivas-Ruiz F
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Male, Spain epidemiology, Vaccination, Health Personnel, Influenza A Virus, H1N1 Subtype, Influenza, Human diagnosis, Influenza, Human epidemiology, Pandemics, Self Report
- Abstract
Objectives: To describe the prevalence of influenza-like syndrome in winter 2009 and the factors associated with its occurrence., Methods: A cross-sectional study was carried out in 18 hospitals in Spain. Volunteers completed a health questionnaire in which they reported the occurrence of influenza-like syndrome and vaccination and demographic status., Results: A total of 1,289 healthcare workers participated. Of these, 72 (5.6%) reported influenza in their family, 195 (15.1%) had been vaccinated against the A/California/7/2009/H1N1 virus and 75 (5.8%, 95%CI: 4.5-7.1%) had been diagnosed with influenza like-syndrome. There were differences among regions. In logistic regression analysis, the following factors were associated with a higher prevalence of influenza-like syndrome: working in Madrid (OR=8.31, 95%CI: 1.05-65.39), the occurrence of cases of influenza in the family (OR=2.84, 95%CI: 1.41-5.73) and not having been vaccinated against influenza A (H1N1) (OR=2.68, 95% CI: 1.05-6.82)., Conclusions: Differences in the prevalence of influenza-like syndrome were due to the occurrence of familiar cases and region. Vaccination against influenza A (H1N1) was associated with a lower prevalence of the disease., (Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.)
- Published
- 2013
- Full Text
- View/download PDF
35. [An open study evaluating the efficacy and security of magnesium and vitamin B(6) as a treatment of Tourette syndrome in children].
- Author
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García-López R, Romero-González J, Perea-Milla E, Ruiz-García C, Rivas-Ruiz F, and de Las Mulas Béjar M
- Subjects
- Adolescent, Child, Female, Humans, Male, Pilot Projects, Magnesium therapeutic use, Tourette Syndrome drug therapy, Vitamin B 6 therapeutic use, Vitamin B Complex therapeutic use
- Abstract
Background and Objective: We intended to ascertain the effectiveness and safety of oral solutions of magnesium and vitamin B(6) in alleviating the symptoms emerged during clinical exacerbations in children aged 7-14 years suffering from Tourette syndrome (TS). We also aimed to determine the mean and the standard deviation of such an improvement in order to estimate sample sizes in future assays with a control group., Patients and Method: The treatment under investigation was administered to children diagnosed with TS, in accordance with Diagnostic and Statistical Manual of Mental Disorders, fourth edition -IV, under conditions of clinical exacerbation. The effects were scored on the Yale Global Tics Severity Scale (YGTSS) at 0, 15, 30, 60 and 90 days., Results: The total tics score decreased from 26.7 (t0) to 12.9 (t4) and the total effect on the YGTSS was a reduction from 58.1 to 18.8. Both results were statistically significant. With respect to the application of conventional treatment or otherwise, no significant differences were observed. No side effects were seen., Conclusions: The treatment assayed is safe and effective in reducing the harmful effects of TS in children. Further studies are needed, with a control group, and evaluation of different doses of the drugs.
- Published
- 2008
- Full Text
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36. [Distribution and trend of deaths within the hospital environment in Spain during the 1997-2003 period].
- Author
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Jiménez-Puente A, Perea-Milla E, and Rivas-Ruiz F
- Subjects
- Humans, Spain, Emergency Service, Hospital statistics & numerical data, Hospital Mortality trends, Hospitalization statistics & numerical data
- Abstract
Background: Where a person's death occurs depends upon situations of a demographic, socioeconomic, cultural and healthcare-related nature. The objective of this study was that of describing the variations in the percentages of deaths in hospitals among the Autonomous Communities of Spain, distinguishing between those which occurred in emergency care and during hospitalization and delving into their relation with variables possibly providing an explanation thereto., Methods: The study was an ecological one, the trend in the percentage of deaths in hospitals within the 1997-2003 period having been studied. The percentages of deaths in hospitals from each Autonomous Communities during the 2000-2002 period were calculated based on the Natural Population Movement and the Survey of In-Patient Healthcare Establishments which includes information from all of the public and private hospitals. The relationship thereof to demographic, socioeconomic and healthcare-related variables was analyzed by single linear regression., Results: A total of 53% of the deaths occurred in hospitals (ranging from 37.3% to 68.4% in the different Autonomous Communities). A total of 10.7% of the deaths occurred in emergency care (ranging from 6% to 14.5%) and all others during hospitalization., Conclusions: The percentage of deaths having occurred in hospitals was greater in the Autonomous Communities having a smaller elderly rural population, a larger foreign population and a higher degree of frequenting of emergency care. The percentage of hospital deaths in emergency care was greater in those Autonomous Communities having poorer socioeconomic indicators. The trend over the seven years studied was toward a rise in the percentage of deaths in hospitals.
- Published
- 2006
- Full Text
- View/download PDF
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