145 results on '"Estudio multicéntrico"'
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2. CARACTERÍSTICAS CLÍNICAS Y EVOLUTIVAS DE ADENOMAS HIPOFISARIOS INCIDENTALES: ESTUDIO MULTICÉNTRICO RETROSPECTIVO.
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DAMILANO, ROXANA A., MONTESERIN, NATALIA L., FUX OTTA, CAROLINA, MUKDSI, JORGE H., MERESHIAN, PAULA, and ANDRADA, MARTA
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Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
3. Spinal gunshot wounds: A retrospective, multicenter, cohort study.
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Ricciardi G, Martinez O, Cabrera J, Matta J, Davila V, Jimenez JM, Vilchis H, Tejerina V, Perez J, Cabrera JP, and Yurac R
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Introduction and Objective: To describe the demographic and clinical characteristics and treatment of patients with spinal gunshot wounds across Latin America., Material and Methods: Retrospective, multicenter cohort study of patients treated for gunshot wounds to the spine spanning 12 institutions across Latin America between January 2015 and January 2022. Demographic and clinical data were recorded, including the time of injury, initial assessment, characteristics of the vertebral gunshot injury, and treatment., Results: Data on 423 patients with spinal gunshot injuries were extracted from institutions in Mexico (82%), Argentina, Brazil, Colombia, and Venezuela. Patients were predominantly male civilians in low-risk-of-violence professions, and of lower/middle social status, and a sizeable majority of gunshots were from low-energy firearms. Vertebral injuries mainly affected the thoracic and lumbar spine. Neurological injury was documented in n=320 (76%) patients, with spinal cord injuries in 269 (63%). Treatment was largely conservative, with just 90 (21%) patients treated surgically, principally using posterior open midline approach to the spine (n=79; 87%). Injury features distinguishing surgical from non-surgical cases were neurological compromise (p=0.004), canal compromise (p<0.001), dirty wounds (p<0.001), bullet or bone fragment remains in the spinal canal (p<0.001) and injury pattern (p<0.001). After a multivariate analysis through a binary logistic regression model, the aforementioned variables remained statistically significant except neurological compromise., Conclusions: In this multicenter study of spinal gunshot victims, most were treated non-surgically, despite neurological injury in 76% and spinal injury in 63% of patients., (Copyright © 2023. Publicado por Elsevier España, S.L.U.)
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- 2024
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4. Factores asociados a la satisfacción estudiantil con docentes, infraestructura e investigación en escuelas médicas latinoamericanas
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Christian R. Mejía, Felipe T. Serrano, Paola A. Garcilazo-Silva, Aileen Ferran Sepúlveda, Jefferson Salguero-Sánchez, Mariela Ricse-Mayhuasca, and Mario J. Valladares-Garrido
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américa latina ,docentes ,estudiantes de medicina ,estudio multicéntrico ,infraestructura ,investigación ,satisfacción. ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introducción: La satisfacción estudiantil con los programas académicos es importante en la educación médica, para crear futuros galenos competentes. No hay estudios latinoamericanos multicéntricos que determinen sus factores asociados, pare mejorar el currículo médico. Objetivo: Determinar el porcentaje y factores asociados a la satisfacción estudiantil con docentes, infraestructura e investigación en 9 escuelas médicas latinoamericanas. Métodos: Estudio transversal descriptivo de datos secundarios obtenidos mediante cuestionario administrado a estudiantes de medicina de 9 universidades latinoamericanas; indagó variables socioeducativas y la satisfacción estudiantil respecto a docentes, infraestructura e investigación de las universidades. Para el análisis se usaron modelos lineales generalizados. Resultados: De 2 649 encuestados, 57 % eran mujeres con mediana de 22 años. Menos del 50 % estuvo satisfecho con infraestructura e investigación; solo frente a docencia hubo 66 % de satisfacción; Colombia fue el de mayor satisfacción con los docentes, con 82 % de encuestados satisfechos, mientras que Chile fue el país más satisfecho respecto a la infraestructura e investigación universitaria, con 67 % y 68 %, respectivamente. Estudiar en universidad privada se asoció a satisfacción con docentes (p= 0,002), infraestructura (p= 0,001) e investigación (p= 0,018), esta última mayor en mujeres (p= 0,033), pero menor en quienes sentían que les alcanzaba el dinero del mes (p= 0,001). Conclusiones: La satisfacción médico-estudiantil en universidades latinoamericanas tiende hacia la baja, están más satisfechos los de universidades privadas, tienen mayor satisfacción frente a la investigación las mujeres y menor quienes sienten que les alcanza el dinero hasta fin de mes.
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- 2022
5. Factors associated to student satisfaction with teachers, infrastructure and research in Latin American medical schools
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Christian R. Mejía, Felipe T. Serrano, Paola A. Garcilazo-Silva, Aileen Ferran Sepúlveda, Jefferson Salguero-Sánchez, Mariela Ricse-Mayhuasca, and Mario J. Valladares-Garrido
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américa latina ,docentes ,estudiantes de medicina ,estudio multicéntrico ,infraestructura ,investigación ,satisfacción. ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introduction: Student satisfaction with academic programs is important in medical education to create future competent doctors. There are not multicenter Latin American studies that determine its factors related, to improve medical curricula. Objective: To determine the percentage and factors associated with student satisfaction with teachers, infrastructure, and research in 9 Latin American medical schools. Methods: Descriptive cross-sectional study of secondary data obtained through an administered questionnaire to medical students from 9 Latin American universities between 2016-2017, which inquired about socio-educational variables and student satisfaction regarding teachers, infrastructure, and university research. Generalized Linear Models-GLM was used for the analysis. Results: Of 2 649 surveyed, 57% were women, the median was 22 years. Less than 50% were satisfied with infrastructure and research, only compared to teaching there was 66% satisfaction, Colombia ranking as the one with the highest satisfaction with teachers, with 82% of satisfied respondents, while Chile was the most satisfied country regarding infrastructure and university research with 67% and 68%, respectively. Studying at a private university was associated with teacher satisfaction (p= 0.002), infrastructure (p= 0.001) and research (p= 0.018), the latter was higher in women (p= 0.033), but lower in those who felt that the money of the month was reaching them (p= 0.001). Conclusions: Medical-student satisfaction with Latin American universities is tending downward, with those studying at private universities being more satisfied, women having greater satisfaction with research and less for those who feel that they have enough money until the end of the month.
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- 2022
6. Re-interventions following appendectomy in children: a multicenter study.
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Blanco Verdú, M. D., Peláez Mata, D. J., Gómez Sánchez, A., Costa i Roig, A., Carazo Palacios, E., Proaño, S., Diéguez Hernández-Vaquero, I., Ordóñez Pereira, J., Fanjul Gómez, M., Morante Valverde, R., Cano Novillo, I., Vila Carbó, J. J., and de Agustín Asencio, J. C.
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APPENDECTOMY , *APPENDICITIS , *LAPAROSCOPY , *DISEASE progression , *OPERATIVE surgery - Abstract
Introduction. Acute appendicitis is the most frequent cause of acute abdomen in children. The objective of this study was to analyze the causes, approach, and results of complications requiring surgery following appendectomy. Materials and methods. A retrospective study of the appendectomies conducted in three third-level institutions from 2015 to 2019 was carried out. Complications, causes, and number of re-interventions, time from one surgery to another, surgical technique used, operative findings at baseline appendectomy according to the American Association for the Surgery of Trauma (AAST) classification, and hospital stay were collected. Results. 3,698 appendicitis cases underwent surgery, 76.7% of which laparoscopically, with 37.2% being advanced (grades II-V of the AAST classification). Mean operating time was 50.4 minutes (49.8 ± 20.1 for laparoscopy vs. 49.9 ± 20.1 for open surgery, p > 0.05), and longer in patients requiring re-intervention (68.6 ± 27.2 vs. 49.1 ± 19.3, p < 0.001). 76 re-interventions (2.05%) were carried out. The causes included postoperative infection (n = 46), intestinal obstruction (n = 20), dehiscence (n = 4), and others (n = 6). Re-intervention risk was not impacted by the baseline approach used (open surgery or laparoscopy, OR: 1.044, 95% CI: 0.57-1.9), but it was by appendicitis progression (7.8% advanced vs. 0.7% incipient, OR: 12.52, 95% CI: 6.18-25.3). There was a tendency to use the same approach both at baseline appendectomy and re-intervention. This occurred in 72.2% of laparoscopic appendectomies, and in 67.7% of open appendectomies. The minimally invasive approach (50/76) was more frequent than the open one (27 laparoscopies and 23 ultrasound-guided drainages vs. 26 open surgeries) (p < 0.05). 55% of obstruction patients underwent re-intervention through open surgery (p > 0.05). Conclusion. Re-intervention rate was higher in advanced appendicitis cases. In this series, the minimally invasive approach (laparoscopic or ultrasound-guided drainage) was the technique of choice for re-interventions. [ABSTRACT FROM AUTHOR]
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- 2022
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7. Características laborales y académicas de los recursos humanos del sistema de salud en ocho países de Latinoamérica
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Christian R. Mejía, Jhosselyn Chacón, Felipe T Serrano, Vicente Antón-Montero, Danny Gavilema-Tipantuña, Marian Jorge, Edwin Garay, Andrea Estupiñán, and Jason F Madrigal-Miranda
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américa latina ,capacitación profesional ,estudio multicéntrico ,fuerza laboral en salud ,investigación sobre servicios de salud ,sistemas de salud ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introducción: la mayoría de las investigaciones muestran la situación de los recursos humanos del sistema de salud en países primermundistas, por lo que es necesario caracterizar nuestra realidad latinoamericana en ste aspecto. Objetivo: caracterizar el tipo de trabajo y la formación de posgrado de los recursos humanos del área de salud en ocho países de Latinoamérica. Métodos: se realizó un estudio descriptivo a través de encuestas autoaplicadas sobre las características de los centros de labores y capacitaciones de posgrado que se han tenido. Resultados: de las 1.283 personas que respondieron la encuesta, el 87,1 % laboraba en un hospital (salario promedio mensual: 840 dólares), el 23,3 % también lo hacía en una clínica (salario promedio mensual: 1.200 dólares). Además, solo el 20,5 % trabajaba en un establecimiento del primer nivel de atención (salario promedio mensual: 420 dólares). El 31,2 % había realizado un curso de posgrado, el 23,2 % un diplomado, el 17,8 % una maestría y, el 5,1 %, un doctorado. Conclusiones: los recursos humanos en salud trabajan principalmente en hospitales con sueldos diferentes según el lugar donde laboran. Los médicos son los que tienen mayor remuneración, pero en el sector privado las diferencias son menos marcadas. Menos de la tercera parte han hecho cursos u otras actividades académicas culminadas hace ya varios años. Esto sirve para la mejora de las características laborales y de capacitación.
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- 2021
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8. Vigilancia de la resistencia a antibióticos en enfermedad invasiva por Pseudomonas aeruginosa en Galicia: 2013-2014
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Pseudomonas aeruginosa ,no sensibilidad ,estudio multicéntrico ,Galicia ,Medicine ,Internal medicine ,RC31-1245 - Abstract
Introducción. El objetivo de este estudio es conocer la sensibilidad antibiótica de Pseudomonas aeruginosa productora de enfermedad invasiva en Galicia en 2013/2014, en el marco del Estudio de Vigilancia de las Resistencias Antimicrobianas. Métodos. Se analizaron 357 aislamientos de P. aeruginosa en muestras de sangre o LCR en 9 hospitales de Galicia. Las variables fueron: procedencia, datos demográficos, tipo de muestra y sensibilidad antibiótica. Se usaron puntos de corte de CLSI. Para cada antibiótico se analizaron frecuencias, casos/100.000 habitantes, concordancia de la resistencia y diferencias entre hospitales, sexo y edad. Resultados. El sexo predominante fue el masculino y la no sensibilidad superior en el grupo de 45 a 64 años con diferencias significativas a ciprofloxacino, imipenem, tobramicina y colistina. La no sensibilidad global: piperacilina/tazobactam 18%, ciprofloxacino 28'7%, ceftazidima 17'1%, cefepime 19'7%, imipenem 23'1%, meropenem 22'1%, tobramicina 13'0%; amikacina, 7'3% y colistina 4'4%. Los casos/100.000 habitantes fueron superiores en hombres según aumenta la edad. Sin analizar la colistina, el 57'1% de los aislamientos fueron sensibles a los otros grupos estudiados (piperacilina/tazobactam, quinolonas, ceftazidima, aminoglucósidos, carbapenems), el 19'4% fueron no sensibles a un antibiótico, 12'2% a dos, el 3'7% a tres, el 5'1% a cuatro y el 2'0% a todos los analizados. Conclusiones. De los antibióticos evaluados, los más activos frente a P. aeruginosa fueron amikacina y colistina. Nuestros datos concuerdan con lo observado a nivel nacional, excepto para colistina. Deben evaluarse periódicamente patrones de sensibilidad de P. aeruginosa en cada zona y cada hospital para poder valorar las diferentes pautas terapéuticas. SUMMARY Introduction. The aim of this study is to understand the nature of the Pseudomonas aeruginosa antibiotic sensitivity, producer of invasive infections in Galicia in 2013/2014., within the framework of the Study of Surveillance of Antimicrobial Resistance. Methods. A total of 357 isolates of P. aeruginosa were studied in blood or CSF samples from 9 hospitals in Galicia. The variables were: origin, demographic data, type os sample and antibiotic sensitivity. CLSI sensitivity breakpoints were used. Frecuencies, rates/100.000 inhabitants, concordance of resistance and differences between hospitals, sex and age were calculated for each antibiotic. Results. The majority of patients were male and the not-sensitives was superior in the age group 45 to 64 with significant differences to ciprofloxacin, imipenem, tobramycin and colistin. The overall not-sensitive isolates was: piperacillin/tazobactam 18%, ciprofloxacin 28.7%, ceftazidime 17.1%, cefepime 19.7%, imipenem 23.1%, meropenem 22.1%, tobramycin 13.0%, amikacin 7.3% and colistin 4.4%. Rates per100,000 population are higher in men and with increasing age. Without analyzing colistin, the 57.1% of the isolates were sensitives to other antibiotics studied (piperacillin/tazobactam, quinolone, ceftazidime, aminoglycosides, carbapenems), 19.4% were not-susceptible to only one antibiotic, 12. 2% to two, 3.7% to three, 5.1% to four and 2.0% to all antibiotics tested. Conclusions. Of the antibiotics tested, the most susceptible to P. aeruginosa were amikacin and colistin. Our data are consistent with the observed ones nationwide except colistin. Sensitivity patterns of P. aeruginosa should be evaluated in each area and hospital and also periodically to be able to evaluate the differents treatment regimens.
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- 2018
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9. Analysis of adverse events in general surgery. Multicenter study.
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Ruiz-López PM, Fuente-Bartolomé M, Pérez-Zapata AI, Rodríguez-Cuéllar E, Martín-Arriscado-Arroba C, Nogueras MG, Segurola CL, and Sánchez ÁT
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- Humans, Retrospective Studies, Surgical Wound Infection, Incidence, Hospitalization, Patient Safety
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Introduction: Knowledge of adverse events (AE) in acute care hospitals is a particularly relevant aspect of patient safety. Its incidence ranges from 3% to 17%, and surgery is related to the occurrence of 46%-65% of all AE., Material and Methods: An observational, descriptive, retrospective, multicenter study was conducted with the participation of 31 Spanish acute-care hospitals to determine and analyze AE in general surgery services., Results: The prevalence of AE was 31.53%. The most frequent types of AE were infectious (35%). Higher ASA grades, greater complexity and urgent-type admission are factors associated with the presence of AE. The majority of patients (58.42%) were attributed a category F event (temporary harm to the patient requiring initial or prolonged hospitalization); 14.69% of AE were considered severe, while 34.22% of AE were considered preventable., Conclusions: The prevalence of AE in General and GI Surgery (GGIS) patients is high. Most AE were infectious, and the most frequent AE was surgical site infection. Higher ASA grades, greater complexity and urgent-type admission are factors associated with the presence of AE. Most detected AE resulted in mild or moderate harm to the patients. About one-third of AE were preventable., (Copyright © 2023. Published by Elsevier España, S.L.U.)
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- 2024
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10. Spanish Video-Assisted Thoracic Surgery Group: Method, Auditing, and Initial Results From a National Prospective Cohort of Patients Receiving Anatomical Lung Resections.
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Embun, Raul, Royo-Crespo, Iñigo, Recuero Díaz, José Luis, Bolufer, Sergio, Call, Sergi, Congregado, Miguel, Gómez-de Antonio, David, Jimenez, Marcelo F., Moreno-Mata, Nicolas, Aguinagalde, Borja, Amor-Alonso, Sergio, Arrarás, Miguel Jesús, Blanco Orozco, Ana Isabel, Boada, Marc, Cabañero Sánchez, Alberto, Cal Vázquez, Isabel, Cilleruelo Ramos, Ángel, Crowley Carrasco, Silvana, Fernández-Martín, Elena, and García-Barajas, Santiago
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Copyright of Archivos de Bronconeumología (English Edition) is the property of Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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11. Preparation of sedation–analgesia procedures in Spanish paediatric emergency departments: A descriptive study
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Concepción Míguez Navarro, Niki Oikonomopoulou, Jorge Lorente Romero, and Paula Vázquez López
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Procedimientos de sedoanalgesia ,Urgencias pediátricas ,Estudio multicéntrico ,Monitorización ,Consentimiento informado ,Pediatrics ,RJ1-570 - Abstract
Introduction: The objective of this study was to describe the current practice regarding the preparation of the sedation–analgesia (SA) procedures performed in the paediatric emergency centres in Spain. Material and methods: A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years old in 18 paediatric emergency departments between February 2015 and January 2016. Results: A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months. The type of the procedure was: simple analgesia in 57 (8.6%), sedation in 44 (6.7%), SA for a not very painful procedure in 275 (41.8%), and SA for a very painful procedure in 282 (42.9%). Informed consent was requested in 98.6% of the cases. The written form was more frequently preferred in the group of patients that received SA for a very painful procedure (76.6%) in comparison to a painful procedure or to simple analgesia (62.9% and 54.4%, respectively, p
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- 2018
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12. Implications of nursing performance in coping with COVID-19: emotional exhaustion and strategies used
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Ampos, Larissa Fonseca, Vecchia, Luiza Paloschi Dalla, Tavares, Juliana Petri, Camatta, Marcio Wagner, Magnago, Tânia Solange Bosi de Souza, and Pai, Daiane Dal
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Estudio Multicéntrico ,Salud Laboral ,Multicenter Study ,Mental Health ,Estudo Multicêntrico ,COVID-19 ,Enfermagem ,Saúde Mental ,Enfermería ,Nursing ,Saúde do Trabalhador ,Occupational Health ,Salud Mental - Abstract
Resumo Objetivo analisar as implicações autopercebidas e as estratégias utilizadas por trabalhadores de enfermagem de unidades dedicadas e não dedicadas à COVID-19 acerca da atuação profissional no enfrentamento da pandemia. Método estudo multicêntrico, descritivo-exploratório, com abordagem qualitativa, desenvolvido em quatro hospitais do sul do Brasil, entre janeiro e maio de 2021. Foram entrevistados 19 trabalhadores da equipe de enfermagem, sendo 10 lotados em unidades dedicadas à COVID-19 e 9 em unidades não dedicadas. Fez-se análise de conteúdo do tipo temática. Resultados emergiram duas categorias: (1) Exaustão emocional e seu impacto no trabalho, devido à gravidade dos pacientes e ao elevado número de óbitos nas unidades dedicadas e às mudanças organizacionais e à sobrecarga de trabalho nas não dedicadas; e (2) Estratégias de enfrentamento utilizadas, semelhantes nas unidades quanto ao autocuidado, lazer, atividade física e espiritualidade, mas diferente quanto a realização profissional, presente nas unidades dedicadas à COVID-19. Conclusão e Implicações para a Prática a pandemia incrementou a exaustão dos trabalhadores da enfermagem que utilizaram estratégias atenuantes, com destaque para a diferença na compreensão da origem da exaustão e na realização com o trabalho sentido pelos trabalhadores das unidades dedicadas. Evidencia a necessidade de acompanhamento à saúde dos trabalhadores de enfermagem atuantes na pandemia. Resumen Objetivo analizar las implicancias autopercibidas y las estrategias que utilizan los trabajadores de Enfermería de unidades dedicadas y no dedicadas a COVID-19 en la actuación profesional para enfrentar la pandemia. Método estudio multicéntrico y descriptivo-exploratorio con enfoque cualitativo, desarrollado en cuatro hospitales del sur de Brasil entre enero y mayo de 2021. Se entrevistó a 19 trabajadores del equipo de Enfermería, 10 de los cuales fueron asignados a unidades dedicadas a COVID-19 y 9 a unidades no dedicadas. Se realizó análisis de contenido temático. Resultados surgieron dos categorías: (1) Agotamiento emocional y su impacto en el trabajo, debido a la gravedad de los pacientes y a la alta cantidad de muertes en unidades dedicadas y a los cambios organizacionales y a la sobrecarga de trabajo en unidades no dedicadas; y (2) Estrategias de afrontamiento utilizadas, similares en las unidades en cuanto a autocuidado, ocio, actividad física y espiritualidad, pero diferentes en cuanto a la realización profesional, presentes en las unidades dedicadas a COVID-19. Conclusión e implicancias para la práctica la pandemia aumentó el agotamiento de los trabajadores de Enfermería que utilizaron estrategias para atenuarlo; se destaca la diferencia que hay en la comprensión del origen del agotamiento y en la realización que sienten los trabajadores de las unidades dedicadas con su trabajo. Cabe destacar que es necesario monitorear la salud de los trabajadores de Enfermería que actúan en la pandemia. Abstract Objective to analyze the self-perceived implications and strategies used by Nursing workers from COVID-19 and non-COVID-19 units regarding professional performance in coping with the pandemic. Method a multicenter and descriptive-exploratory study with a qualitative approach, developed at four hospitals in southern Brazil between January and May 2021. 19 workers from the Nursing team were interviewed, 10 of which were assigned to COVID-19 units and 9 to non-COVID-19 units. Thematic content analysis was performed. Results two categories emerged: (1) Emotional exhaustion and its impact on work, due to severity of the patients and high number of deaths in COVID-19 units and organizational changes and work overload in non-COVID units; and (2) Coping strategies used, similar in the units in terms of self-care, leisure, physical activity and spirituality, but different in terms of professional fulfillment, present in the COVID-19 units. Conclusion and implications for the practice The pandemic increased exhaustion in the Nursing workers who used mitigating strategies, highlighting the difference in understanding the cause of exhaustion and in carrying out the work felt by workers in COVID-19 units. The need to monitor the health of Nursing workers that were active during the pandemic is highlighted.
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- 2023
13. Vigilancia de la resistencia a antibióticos en enfermedad invasiva por Pseudomonas aeruginosa en Galicia: 2013-2014.
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Martínez-Lamas, Lucía, Paz, Isabel, Rodríguez-Conde, Irene, José Vasallo, Francisco, Ángeles Pallarés, Maira, García-Garrote, Fernando, Losada, Isabel, and Hervada, Xurxo
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Copyright of Galicia Clínica is the property of Sociedad Gallega de Medicina Interna and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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14. Estrategias formativas para la investigación en un estudio multicéntrico
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Schweickardt, Júlio Cesar, Teixeira , Carla Pacheco, Azevedo, Diana Paola Gutierrez Diaz de, Bessa, Jonatas Reis, Pedrosa, Jose Ivo dos Santos, and Guilam , Maria Cristina Rodrigues
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Estudio Multicéntrico ,Multicenter Study ,Education, Continuing ,COVID-19 ,Primary Health Care ,Estudo Multicêntrico ,Educação Continuada ,Educación Continuada ,Atención Primaria a la Salud ,Atenção Primária à Saúde - Abstract
The COVID-19 pandemic promoted adaptations in several areas in Brazil and around the world. Based on the novelty of the virus, behavioral adjustments were required and information about the prevention/severity of the disease was suggested and disseminated by different sources. Based on this phenomenon, the Professional Master's Degree in Family Health (PROFSAÚDE) developed the research project “Prevention and control of COVID-19: a multicenter study on the perception and daily practices of medical-scientific guidelines by the population in the territories covered by the Care Primary to Health”. Four teaching-learning strategies (two related to collection and quantitative analysis and two related to qualitative analysis) were offered by the national coordination of this multicenter study, aiming to support the learning of PROFSAÚDE's student-researchers in scientific investigation and data analysis. Therefore, the objective of this text is to describe the teaching-learning strategies developed in the network of professional training and multicentric research. The active methodology was adopted, following the pedagogical concept of the program, centered on the subject's learning and, therefore, all the offers had as a method, the flipped classroom. Through an integrated and collective process, the training strategies supported the direction and standardization of the stages of the study nationally, promoted the deepening of the content in mixed methods and the reduction of bias in data collection. Participants positively evaluated the courses, signaling the achievement of learning objectives. The experience showed the aggregating character produced by the research and the potential for the qualification of these health professionals who work in the Unified Health System. La pandemia de la COVID-19 ha promovido adaptaciones en diversas áreas de Brasil y del mundo. En función de la novedad del virus, se requirieron ajustes de comportamiento y difusión de información sobre la prevención/gravedad de la enfermedad a través de diferentes fuentes. Con base en este fenómeno, la Maestría Profesional en Salud de la Familia (PROFSAÚDE) desarrolló la investigación "Prevención y control de la COVID-19: un estudio multicéntrico sobre la percepción y prácticas en el cotidiano de las orientaciones médico-científicas por la población de los territorios que cubre la Atención Primaria de Salud”. Se desarrollaron cuatro estrategias de formación (dos sobre colectas y análisis cuantitativos y dos sobre cualitativos) para apoyar a los estudiantes-investigadores en el aprendizaje y la investigación científica. El objetivo de este texto es describir las estrategias de enseñanza-aprendizaje desarrolladas en la red de formación profesional e investigación multicéntrica. Se adoptó la metodología activa, siguiendo el concepto pedagógico del programa, centrado en el aprendizaje del individuo. Todas las ofertas tuvieron como método la sala de aula invertida. Las estrategias de formación apoyaron la dirección y estandarización de las etapas del estudio a nivel nacional, promovieron la profundización del contenido en métodos mixtos y la reducción de sesgos en la recolección de datos. Los participantes evaluaron positivamente los cursos, señalando el logro de los objetivos de aprendizaje. La experiencia mostró el carácter agregador producido por la investigación y el potencial para la calificación de estos profesionales de la salud que actúan en el Sistema Único de Salud. A pandemia da COVID-19 promoveu adaptações em diversas áreas no Brasil e no mundo. Baseada na novidade do vírus, adequações comportamentais foram requeridas e informações sobre a prevenção/gravidade da doença foram sugeridos e divulgados por distintas fontes. Partindo deste fenômeno, o Mestrado Profissional em Saúde da Família (PROFSAÚDE) elaborou o projeto de pesquisa “Prevenção e controle da COVID-19: estudo multicêntrico sobre a percepção e práticas no cotidiano das orientações médico-científicas pela população dos territórios de abrangência da Atenção Primária à Saúde”. Para dar suporte à pesquisa foram elaboradas quatro estratégias formativas (duas relacionadas a coletas e análises quantitativas e duas ligadas análises qualitativas) pela coordenação nacional, com propósito de apoiar e dar suporte aos pesquisadores-discentes do PROFSAÚDE na aprendizagem e na pesquisa científica. Portanto, o objetivo deste texto é descrever as estratégias de ensino-aprendizagem desenvolvidas na rede de formação profissional e de pesquisa multicêntrica. Foi adotada a metodologia ativa, seguindo a concepção pedagógica do programa, centrada na aprendizagem do sujeito e, portanto, todas as ofertas tiveram como método, a sala de aula invertida. Mediante um processo integrado e coletivo, as estratégias formativas apoiaram o direcionamento e padronização das etapas do estudo nacionalmente, promoveram o aprofundamento do conteúdo em métodos mistos e a redução de vieses na coleta dos dados. Os participantes avaliaram positivamente os cursos, sinalizando o alcance dos objetivos de aprendizagem. A experiência mostrou o caráter agregador produzido pela pesquisa e a potencialidade para a qualificação destes profissionais de saúde que atuam no Sistema Único de Saúde.
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- 2022
15. Mefacilyta terapia ocupacional: proyecto multicéntrico de telerehabilitación para pacientes con ictus
- Abstract
Objective: The aim of this study was to validate the use of the platform in stroke patients with mild-moderate disability, to facilitate the maintenance of functional capacity in the subacute phase of stroke and to assess the degree of user satisfaction. Methods: prospective and descriptive multicenter validation study of the platform Mefacilyta de Fundación Vodafone España platform in patients diagnosed with stroke. Results: 114 patients were included, of which 90 completed the program. 73.3% of the included patients suffered an ischemic stroke and the rest hemorrhagic (26.7%). The mRS scale decreased in both groups and the FIM scale increased in both groups, the difference being more pronounced in the group of patients who had a hemorrhagic stroke. Regarding therapeutic compliance, 90% have completed the guideline sent and 70% scored between 8 and 10 points for the degree of satisfaction. Conclusions: Mefacilyta occupational therapy is feasible and useful in stroke patients. Selecting the activities in activity modules and assigning them every week and with the same frequency to each patient could objectify the final results of the study., Objetivos: validar el uso de la plataforma en pacientes con ictus con discapacidad leve-moderada, facilitar el mantenimiento de la capacidad funcional en la fase subaguda del ictus y valorar el grado de satisfacción de los usuarios. Métodos: estudio prospectivo y descriptivo de validación multicéntrico de la plataforma Mefacilyta de Fundación Vodafone España en pacientes con diagnóstico de ictus. Resultados: se incluyeron 114 pacientes, de los cuales 90 completaron el programa. El 73,3% de los pacientes incluidos sufrieron un ictus isquémico y el resto hemorrágico (26,7%). La escala de mRS disminuyó en ambos grupos y la escala FIM aumentó en ambos grupos, siendo más acusada la diferencia en el grupo de los pacientes que tuvieron un ictus hemorrágico. En cuanto al cumplimento terapéutico, el 90% ha completado la pauta enviada y el 70% puntuó entre 8 y 10 puntos el grado de satisfacción. Conclusiones: Mefacilyta terapia ocupacional es factible y útil en pacientes con ictus. Seleccionar las actividades en módulos de actividades y asignarlas cada semana y con la misma frecuencia a cada paciente podría objetivar los resultados finales del estudio.
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- 2022
16. Consumption of ultra-processed foods and socioeconomic position: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health.
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dos Santos Simões, Bárbara, de Oliveira Cardoso, Letícia, Martins Benseñor, Isabela Judith, Schmidt, Maria Inês, Duncan, Bruce Bartholow, Luft, Vivian Cristine, Bisi Molina, Maria del Carmen, Barreto, Sandhi Maria, Bertazzi Levy, Renata, and Giatti, Luana
- Abstract
Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
- Full Text
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17. Spanish adaptation and validation of the supportive & palliative care indicators tool - SPICT-ES™.
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Fachado, Alfonso Alonso, Martínez, Noemí Sansó, Roselló, Marisa Martín, Rial, José Javier Ventosa, Oliver, Enric Benito, García, Rafael Gómez, and García, José Manuel Fernández
- Abstract
Copyright of Revista de Saúde Pública is the property of Faculdade de Educacao da Universidade de Sao Paulo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
- Full Text
- View/download PDF
18. Developing a cooperative multicenter study in Latin America: Lessons learned from the Latin American Study of Nutrition and Health Project.
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Fisberg, Mauro, Kovalskys, Irina, Gómez Salas, Georgina, Pareja Torres, Rossina Gabriella, Yépez García, Martha Cecilia, Cortés Sanabria, Lilia Yadira, Herrera-Cuenca, Marianella, Rigotti, Attilio, Guajardo, Viviana, Zalcman Zimberg, Ioná, Nogueira Previdelli, Agatha, Moreno, Luis A., Pratt, Michael, Koletzko, Berthold, and Tucker, Katherine L.
- Abstract
This report examines the challenges of conducting a multicenter, cross-sectional study of countries with diverse cultures, and shares the lessons learned. The Latin American Study of Nutrition and Health (ELANS) was used as a feasibility study involving the most populous cities of eight countries in Latin America (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela) in 2014-2015, about 40% of the population of the Americas. The target sample included 9 000 individuals, 15-65 years of age, and was stratified by geographic location (only urban areas), gender, age, and socioeconomic status. Six principal challenges were identified: team structuring and site selections; developing a single protocol; obtaining ethic approvals; completing simultaneous fieldwork; ensuring data quality; and extracting data and maintaining consistency across databases. Lessons learned show that harmonization, pilot study, uniformity of procedures, high data quality control, and communication and collaboration across sites are imperative. Barriers included organizational complexity, recruitment of collaborators and research staff, institutional cooperation, development of infrastructure, and identification of resources. Consensus on uniform measures and outcomes and data collection methodology, as well as a plan for data management and analysis, communication, publication, and dissemination of study results should be in place prior to beginning fieldwork. While challenging, such studies offer great potential for building a scientific base for studies on nutrition, physical activity, and other health topics, while facilitating comparisons among countries. [ABSTRACT FROM AUTHOR]
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- 2017
19. Llamada para participar en el estudio internacional de resultados del traumatismo craneoencefálico (Global Neurotrauma Outcomes Study).
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Panero Pérez, Irene, Castaño León, Ana-María, Gandía González, María Luisa, and Kolias, Angelos
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Resumen El traumatismo craneoencefálico (TCE) representa una cantidad significativa de muertes y discapacidad a nivel mundial, afectando la mayor parte de esta carga a los países con ingresos medios y bajos. El estudio GNOS es un estudio internacional multicéntrico de cohorte prospectiva. Es el primer estudio neuroquirúrgico global que tiene como objetivo proporcionar una imagen completa del manejo y los resultados de los pacientes que han sido tratados mediante cirugía urgente por TCE a nivel mundial. Abstract Traumatic brain injury (TBI) accounts for a significant amount of death and disability worldwide and the majority of this burden affects individuals in low-and-middle income countries. The GNOS is a multi-centre international, prospective cohort study. This study is the first global neurosurgical study that aims to provide a comprehensive picture of the management and outcomes of patients undergoing emergency surgery for TBI worldwide. [ABSTRACT FROM AUTHOR]
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- 2019
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20. Terapias innovadoras para el manejo de la enfermedad de Behçet refractaria
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Atienza Mateo, Belén, Blanco Alonso, Ricardo, González-Gay Mantecón, Miguel Ángel, and Universidad de Cantabria
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Estudio multicéntrico ,Terapia anti-TNF ,Úlceras orales ,Anti-TNF therapy ,Enfermedad de Behçet ,Tocilizumab ,Multicentre study ,Úlceras genitales ,Uveítis ,Uveitis ,Behçet’s disease ,Genital ulcers ,Phenotypes ,Apremilast ,Oral ulcers ,Fenotipos - Abstract
RESUMEN: La enfermedad de Behçet (EB) es una enfermedad autoinmune, inflamatoria crónica, englobada dentro del grupo de las vasculitis sistémicas de vaso de tamaño variable, caracterizada por la presencia de úlceras orales junto con manifestaciones sistémicas, incluyendo afectación ocular, cutánea, gastrointestinal, neurológica, vascular y/o articular. Su prevalencia es mayor en los países mediterráneos que conformaban antiguamente la “Ruta de la seda”. La naturaleza remitente-recurrente de la EB y las diferencias en la afectación de los distintos órganos y sistemas, así como en el curso de la enfermedad según sexo, edad y raza, hacen que el tratamiento deba ser individualizado. Desafortunadamente, existen pacientes que no responden o no toleran las terapias inmunosupresoras convencionales. Los trabajos realizados en esta Tesis concluyen que el empleo de agentes biológicos anti-TNF, tanto infliximab como adalimumab, es efectivo en pacientes con EB y uveítis grave/ refractaria. Por otro lado, apremilast podría ser beneficioso para tratar las úlceras orogenitales que no respondan al tratamiento convencional, incluso en combinación con otros inmunosupresores. Finalmente, tocilizumab constituye una alternativa eficaz y segura en pacientes con fenotipo clínico ocular y neurológico, especialmente en los casos más complicados. ABSTRACT: Behçet's disease (BD) is a chronic inflammatory autoimmune disease, within the group of variable-vessel vasculitis, characterized by the presence of recurrent oral ulcers with systemic manifestations, including ocular, cutaneous, gastrointestinal, neurological, vascular and/or joint involvement. Its prevalence is higher in the Mediterranean countries along the ancient “Silk Road”. The relapsing-remitting nature of BD and the different organ involvement, as well as the differences in the course of the disease by sex, age and race, require individualized treatments. Unfortunately, there are patients who do not respond to or do not tolerate conventional immunosuppressive therapies. The studies carried out in this Thesis conclude that the use of biological anti-TNF agents, both infliximab and adalimumab, is effective in patients with BD and severe/ refractory uveitis. On the other hand, apremilast could be beneficial to treat orogenital ulcers that do not respond to conventional treatment, even in combination with other immunosuppressants. Finally, tocilizumab is an effective and safe alternative in patients with ocular and neurological phenotypes, especially in the most complicated cases.
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- 2022
21. Transtornos mentais e inserção no mercado de trabalho no Brasil: um estudo multicêntrico nacional.
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Assunção, Ada Ávila, de Paula Lima, Eduardo, and Guimarães, Mark Drew Crosland
- Abstract
Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2017
- Full Text
- View/download PDF
22. Competencia clínica de médicos de seguridad social guatemaltecos para manejar hepatitis virales en atención primaria.
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Cabrera-Pivaral, Carlos E., González-Pérez, Guillermo J., Vega-López, María G., Recinos-Girón, Juan J., Valle-Barbosa, Ana M., Torre, Armando Muñoz-de la, and Zavala-González, Marco A.
- Abstract
Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2017
- Full Text
- View/download PDF
23. Safety and efficacy of a new supplementation protocol in patients with cystic fibrosis and vitamin D deficiency.
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Mangas-Sánchez C, Garriga-García M, Serrano-Nieto MJ, Garcia-Romero R, Álvarez Beltrán M, Crehuá-Gaudiza E, Vicente-Santamaría S, Martínez-Costa C, Díaz-Martín JJ, Bousoño-García C, and González-Jiménez D
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- Humans, Vitamin D therapeutic use, Dietary Supplements, Vitamins therapeutic use, Cystic Fibrosis complications, Cystic Fibrosis drug therapy, Vitamin D Deficiency drug therapy
- Abstract
Objectives: Based on the European and American Cystic Fibrosis (CF) consensus recommendations, an increase in vitamin D (VD) supplementation in patients with CF and insufficient or defficient levels was proposed. The objective of our study was to determine the safety and efficacy of this new protocol., Material and Methods: Multicentre nonrandomized uncontrolled experimental study. Patients with insufficient levels (<30 ng/mL) received increasing doses of VD (between 800 and 10 000 IU/day). Patients were followed up for 12 months, during which their vitamin and nutritional status, pulmonary function and calcium and phosphate metabolism were assessed., Statistical Analysis: t test for paired data and multivariate logistic regression analysis., Results: Thirty patients aged 1-39 years (median, 9.1) completed the follow-up. Two patients were dropped from the study on account of 25-OH VD levels greater than 100 ng/mL at 3 months without clinical or laboratory signs of hypercalcaemia. At 12 months, we observed an increase of 7.6 ng/mL (95% CI, 4.6-10 ng/mL) in the mean 25-OH VD level and an improvement in vitamin status: 37% achieved levels of 30 ng/mL or greater, 50% levels between 20 and 30 ng/mL and 13% remained with levels of less than 20 ng/mL. We found no association between improved VD levels and pulmonary function., Conclusions: The proposed protocol achieved an increase in serum VD levels and a decrease in the percentage of patients with VD insufficiency, although it was still far from reaching the percentages of sufficiency recommended for this entity., (Copyright © 2023 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
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- 2023
- Full Text
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24. Cumplimiento de la NBCAL sobre la venta de fórmulas infantiles: una comparación entre Belém y São Paulo
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Silva, Simone Dora Silva da, Sá, Naiza Nayla Bandeira de, Gomes, Daniela Lopes, Boccolini, Cristiano Siqueira, and Toma, Tereza Setsuko
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Multicentric study ,Marketing of Products ,Substitutos do Leite Humano ,Aleitamento materno ,Food promotion ,Estudo multicentrico ,Promoción alimentaria ,Breastfeeding ,Amamantamiento ,Fórmulas Infantis ,Amamentação ,Comercialização de Produtos ,Infant Formulas ,Breast-feeding ,Estudio multicéntrico ,Promoção de alimentos ,Sucedáneos de la leche materna ,Fórmulas para bebés ,Human Milk Substitutes ,Comercialización de productos - Abstract
Objective: Assess the most frequent forms of infringement of the Brazilian Norm for the Marketing of Food for Infants and Early Childhood Children, nipples, pacifiers, baby bottles and nipple protectors - NBCAL, regarding the sale of infant formulas whose commercial promotion is prohibited. Methods: A cross-sectional study was carried out in 2018 in pharmacies and supermarkets in the cities of Belém and São Paulo, which marketed the products covered by NBCAL, the interviewers were trained on the NBCAL and used a structured electronic form to record the infringements found. in these places. Data description was made by absolute and relative frequency and 95%CI. Results: 200 establishments in Belém and 199 in São Paulo were evaluated, of which 11% presented infractions in the city of Belém and 9.5% breached the Standard in São Paulo. The most frequent infractions were: price promotion in Belém (52%) and São Paulo (46.2%), and special exhibition in Belém (10%) and São Paulo (35.9%), it was also possible to verify the simultaneous occurrence of the two offenses in Belém (38%) and São Paulo (17.9%). Conclusions: Although 32 years have passed since the institution of NBCAL, there are still recurrent infringements of the legislation in products whose commercial promotion is prohibited, this study reinforces the need for greater inspection in commercial establishments and companies that sell products that are NBCAL objects. Objetivo: Evaluar las formas más frecuentes de incumplimiento de la Norma Brasileña para la Comercialización de Alimentos para Lactantes y Primera Infancia, tetinas, chupetes, biberones y protectores de tetinas - NBCAL, en relación con la venta de fórmulas infantiles cuya promoción comercial está prohibida. Métodos: Se realizó un estudio transversal en 2018 en farmacias y supermercados de las ciudades de Belém y São Paulo, que comercializan los productos cubiertos por NBCAL, los entrevistadores fueron capacitados en la NBCAL y utilizaron un formulario electrónico estructurado para registrar las infracciones. encontrado en estos lugares. La descripción de los datos se realizó mediante frecuencia absoluta y relativa e IC del 95%. Resultados: se evaluaron 200 establecimientos en Belém y 199 en São Paulo, de los cuales el 11% presentó infracciones en la ciudad de Belém y el 9,5% incumplió la Norma en São Paulo. Las infracciones más frecuentes fueron: promoción de precios en Belém (52%) y São Paulo (46,2%), y exhibición especial en Belém (10%) y São Paulo (35,9%), también se pudo verificar la ocurrencia simultánea de la dos delitos en Belém (38%) y São Paulo (17,9%). Conclusiones: Si bien han transcurrido 32 años desde la institución de NBCAL, aún existen infracciones recurrentes a la legislación en productos cuya promoción comercial está prohibida, este estudio refuerza la necesidad de una mayor fiscalización en establecimientos comerciales y empresas que comercializan productos que son objetos NBCAL. Objetivo: Avaliar as formas mais frequentes de infração à Norma Brasileira de Comercialização de Alimentos para Lactentes e Crianças de Primeira Infância, Bicos, Chupetas, Mamadeiras e Protetores de Mamilos - NBCAL, quanto à venda de fórmulas infantis cuja promoção comercial é proibida. Métodos: Realizou-se um estudo transversal em 2018, em farmácias e supermercados nas cidades de Belém e São Paulo, que comercializavam os produtos abrangidos pela NBCAL, os entrevistadores foram capacitados quanto à NBCAL e utilizaram um formulário eletrônico estruturado para o registro das infrações encontradas nestes locais. A descrição dos dados foi feita pela frequência absoluta, relativa e IC-95%. Resultados: Foram avaliados 200 estabelecimentos em Belém e 199 em São Paulo, dos quais, 11% apresentaram infração na cidade de Belém e 9,5% infringiram a Norma em São Paulo. As infrações mais frequentes foram: promoção de preço em Belém (52%) e São Paulo (46,2%), e exposição especial em Belém (10%) e em São Paulo (35,9%), foi possível verificar ainda a ocorrência simultânea das duas infrações em Belém (38%) e em São Paulo (17,9%). Conclusões: Apesar de ter transcorrido 32 anos desde a instituição da NBCAL, ainda se encontram infrações recorrentes à Legislação em produtos cuja promoção comercial é proibida, o presente estudo reforça a necessidade de maior fiscalização em estabelecimentos comerciais e de empresas que comercializam os produtos que são objetos da NBCAL.
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- 2021
25. Estudio multicéntrico de prevalencia de infección tuberculosa latente en los internados en prisiones españolas Multi-centre study of the prevalance of latent tuberculosis infection amongst inmates in spanish prisons
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J. García-Guerrero, A. Marco Mouriño, P. Sáiz de la Hoya Zamácola, and E.J. Vera-Remartínez
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Infección tuberculosa latente ,Prevalencia ,Prisiones ,Migración internacional ,Prueba de tuberculina ,Estudio multicéntrico ,España ,Latent tuberculosis ,Prevalence ,Prisons ,Emigration and immigration ,Tuberculin test ,Multicenter study ,Spain ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
Objetivo: Estudiar la prevalencia de infección tuberculosa latente (ITL) entre los presos internados en las prisiones españolas. Material y Método: Estudio multicéntrico, observacional y transversal; muestreo por conglomerado bietápico. Se recogieron variables sociodemográficas, penitenciarias y clínico-serológicas. Se realizó análisis univariante, bivariante y multivariante mediante regresión logística con las variables que mostraron significación estadística. Se calculó la odds ratio con intervalo de confianza del 95%. Resultados: 378 pacientes. Se dispuso de intradermorreacción de Mantoux (IDRM) valorable en el 90,2%. 91,2% hombres, 37,8% extranjeros con edad media de 35,9±10,3 años. Mediana de estancia en prisión: 2 años y el 28,7% había estado > 5 años en prisión. El 49,6% ingresó en prisión en 2006 o antes. El 24,5% tenía antecedentes de uso de drogas intravenosas (UDI). El 50,4% presentaba ITL que se asoció a: edad > 40 años (63,2 vs 43,8%; IC: 1,39-3,49; OR: 2,20; p=0,001); haber estado > 5 años en prisión (71,2 vs 41,3%; IC: 2,13-5,75; OR: 3,50; p 40 años (OR:1,76; IC: 1,08-2,87; p=0,024); y b) estancia > 5 años en prisión (OR: 2,50; IC: 1,41-4,43; p=0,002). Conclusiones: La prevalencia de ITL en prisión es muy alta, sobre todo en los mayores de 40 años y los que están más de cinco años en prisión. Para evitar el riesgo de progresión a tuberculosis, se recomienda tratar a los infectados que lo precisen y mantener los programas de control de esta patología.Aims: To study the prevalence of latent tuberculosis infection (LTBI) amongst inmates in Spanish prisons. Materials and Methods: Multi-centre, cross-sectional study; two stage sampling. Socio-demographic, prison and clinical variables were gathered. A univariate, bivariate and multivariate analysis was carried out using logistic regression with the variables that showed statistical significance. The odds ratio was calculated with a confidence interval of 95%. Results: 378 patients. The Mantoux test (PPD) assessable in 90.2% was available. 91.2% men, 37.8% foreigners with average age of 35.9±10.3 years. Average stay in prison: 2 years, 28.7% had been > 5 years in prison. 49.6% entered prison in 2006 or before. 24.5% had a history of intravenous drug use (IDU). 50.4% presented LTBI that was associated with: age > 40 years (63.2 vs 43.8%; CI: 1.39-3.49; OR: 2.20; p=0.001); stay of > 5 years in prison (71.2 vs 41.3%; CI: 2.13-5.75; OR: 3.50; p 40 years (OR: 1.76; CI: 1.08-2.87; p=0.024); and length of prison stay > 5 years (OR: 2.50; CI: 1.41-4.43; p=0.002). Conclusions: The prevalence of LTBI in prison is very high, especially amongst inmates over 40 and those who have been in prison for more than five years. To prevent the risk of progression to tuberculosis, treatment is recommended for those who require it along with the maintenance of control programmes for this pathology.
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- 2010
26. Fundamento e desenho do teste randomizado PAINT Fundamento y diseño del test randomizado PAINT Rationale and design for the PAINT randomized trial
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Pedro A. Lemos, Bruno Moulin, Marco A. Perin, Ludmilla A.R.R. Oliveira, J. Airton Arruda, Valter C. Lima, Antonio A.G. Lima, Paulo R.A. Caramori, Cesar R. Medeiros, Mauricio R. Barbosa, Fabio S. Brito Jr, Expedito E. Ribeiro, and Eulógio E. Martinez
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Reestenosis coronaria ,stents farmacológicos ,paclitaxel ,sirolimus ,estudio multicéntrico ,reestenose coronária ,estudo multicêntrico ,coronary restenosis ,drug-eluting stents ,multicenter study ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
FUNDAMENTO: Descrevemos as bases teóricas e o formato do "Estudo PAINT - Intervenção percutânea com stents com eluição de paclitaxel ou sirolimus em polímero biodegradável comparados com stents sem recobrimento no tratamento de lesões coronárias de novo". OBJETIVO: Avaliar duas novas formulações de stents com eluição de paclitaxel ou sirolimus em comparação com um stent de estrutura metálica idêntica, porém sem recobrimento polimérico ou eluição de droga. MÉTODOS: O PAINT é um estudo randomizado, multicêntrico, de 3 braços, conduzido em centros terciários brasileiros, que incluiu 275 pacientes alocados para tratamento com os stents InfinniumR (paclitaxel), the SupralimusR (sirolimus) ou Milennium MatrixR (sem recobrimento) na proporção 2:2:1 ratio. Os pacientes apresentavam lesões coronarianas de novo em vasos nativos com um diâmetro entre 2,5 e 3,5 mm, passíveis de tratamento com um único stent com comprimento de 29 mm ou menos. O objetivo primário era comparar a perda tardia aos nove meses de ambos stents com paclitaxel- ou sirolimus versus a perda luminal dos stents convencionais de controle. Objetivos secundários importantes incluíam a comparação angiográfica entre os dois tipos de stents farmacológicos, bem como a análise da ocorrência de eventos clínicos adversos. RESULTADOS E CONCLUSÕES: O estudo PAINT apresenta um formato peculiar e único que permitiu a avaliação da segurança e eficácia de duas novas formulações de stents farmacológicos, com carreador polimérico biodegradável, e liberação de paclitaxel ou sirolimus, os quais foram comparados contra um stent metálico convencional (objetivo primário). Uma vez que os stents farmacológicos diferiram entre sí somente pela droga, mas eram idênticos nas suas outras características, os estudo também permitiu a comparação do efeito anti-restenótico entre sirolimus e paclitaxel (objetivo secundário).FUNDAMENTO: Describimos las bases teóricas y el formato del "Estudio PAINT - Intervención percutánea con stents recubiertos de paclitaxel o sirolimus en polímero biodegradable comparados con stents no recubiertos en el tratamiento de lesiones coronarias de novo". OBJETIVO: Evaluar dos nuevas formulaciones de stents con liberación de paclitaxel o sirolimus en comparación con un stent de estructura metálica idéntica, pero sin recubierto polimérico o liberación de droga. MÉTODOS: El PAINT es un estudio randomizado, multicéntrico, de 3 brazos, llevado a cabo en centros terciaros brasileños, que incluyó a 275 pacientes destinados a tratamiento con los stents InfinniumR (paclitaxel), the SupralimusR (sirolimus) o Milennium MatrixR (no recubierto) en la proporción 2:2:1. Los pacientes presentaban lesiones coronarias de novo en vasos nativos con un diámetro entre 2,5 y 3,5 mm, pasibles de tratamiento con un único stent de hasta 29 mm de longitud. El objetivo primario era comparar la pérdida luminal tardía a los nueve meses de ambos stents con paclitaxel- o sirolimus versus la pérdida luminal de los stents convencionales de control. Los objetivos secundarios importantes incluían la comparación angiográfica entre los dos tipos de stents farmacológicos, así como el análisis de la ocurrencia de eventos clínicos adversos. RESULTADOS Y CONCLUSIONES: El estudio PAINT presenta un formato peculiar y único que permitió la evaluación de la seguridad y eficacia de dos nuevas formulaciones de stents farmacológicos, con transportador polimérico biodegradable, y liberación de paclitaxel o sirolimus, los que fueron comparados con un stent metálico convencional (objetivo primario). Dado que los stents farmacológicos diferían entre sí solamente por la droga, pero eran idénticos en sus otras características, el estudio también permitió la comparación del efecto antireestenótico entre sirolimus y paclitaxel (objetivo secundario).BACKGROUND: We describe the rationale and design for the "PercutAneous INTervention with biodegradable-polymer based paclitaxel-eluting or sirolimus-eluting versus bare stents for de novo coronary lesions - PAINT trial". OBJECTIVES: To evaluate two novel formulations of paclitaxel-eluting stent and the sirolimus-eluting stent against a stent with the same metallic structure but without polymer coating or drug elution. METHODS: The PAINT is a multicenter 3-arm randomized trial, conducted in Brazilian tertiary institutions, which included 275 patients allocated for the InfinniumR paclitaxel-eluting stent, the SupralimusR sirolimus-eluting stent or the Milennium MatrixR bare metal stent in a 2:2:1 ratio. Patients had de novo coronary lesions in native vessels with a diameter between 2.5 and 3.5 mm, amenable for treatment with a single stent of 29 mm or less in length. The primary objetive was to compare the in-stent late loss at 9 months of both paclitaxel- and sirolimus-eluting versus the late loss of control bare metal stents. Important secondary objectives included the comparison in outcomes between sirolimus and paclitaxel stents, as well as the analysis of the incidence of major adverse cardiac events. RESULTS AND CONCLUSIONS: The PAINT trial had a unique design that allowed for the evaluation of the safety and efficacy profiles of two novel drug-eluting stent formulations, with a biodegradable-polymer carrier and releasing paclitaxel or sirolimus, which were compared against a bare metal stent (primary objective). As the drug-eluting stents differed by the drug, but were identical otherwise, the trial also allowed the comparison of the anti-restenosis effects of sirolimus versus paclitaxel (secondary objective).
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- 2009
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27. Hemorragia y trauma, avances del estudio CRASH2 en Colombia Hemorrhage and trauma; advances in the CRASH2 study in Colombia
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Jorge Humberto Mejia-Mantilla, Fabian Eduardo Puentes-Manosalva, Juan Diego Ciro, and Carlos Morales
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hemorragia ,traumatismo múltiple ,heridas y traumatismos ,complicaciones ,mortalidad ,ácido tranexámico ,estudio multicéntrico ,hemorrhage ,multiple trauma ,wounds and injuries ,complications ,mortality ,tranexamic acid ,multicenter study ,Surgery ,RD1-811 - Abstract
Introducción. El trauma es una epidemia mundial que afecta más a la población joven y económicamente activa de los países de medio y bajo ingreso per cápita. La hemorragia es responsable de una alta proporción de muertes por trauma, especialmente durante el primer día. Materiales y métodos. CRASH2 es un ensayo clínico, multicéntrico, doble ciego, controlado y aleatorio, sobre un medicamento fibrinolítico para disminuir las transfusiones, las cirugías y la mortalidad en pacientes con trauma y hemorragia significativa. Este trabajo compara aspectos demográficos y clínicos de la población participante en Colombia, con el resto del mundo. Como el estudio está en curso, no se puede levantar el ciego y no se comparan los grupos de tratamiento. Se calcula que se complete la cantidad planeada de pacientes en diciembre del 2009 y se puedan emitir conclusiones definitivas a mediados del 2010. Resultados. La proporción de hombres es mayor en Colombia; hay mayor proporción de trauma penetrante y menor de trauma craneoencefálico; los pacientes son más jóvenes, consultan más temprano, ingresan a la unidad de cuidados intensivos con menor frecuencia y la mortalidad es menor que en el resto del mundo. La mayoría no tiene hipotensión, aunque hay prolongación del llenado capilar; ambas variables se asocian con mortalidad. La mayoría son transfundidos en proporción similar en Colombia y el resto del mundo; la transfusión se asocia con mayor mortalidad. La incidencia de complicaciones trombóticas es similar en ambos grupos geográficos. Discusión. Los participantes del estudio CRASH2 son similares en Colombia y el resto del mundo; el tipo de trauma y la mortalidad son distintos, lo que refleja la violencia que hay en Colombia. Los "megaestudios" clínicos son posibles y necesarios para contestar preguntas médicas relevantes.Introduction. Trauma is a global epidemic that mainly affects the young and economically productive population in countries with middle and low per capita income. Hemorrhage is responsible for a high proportion of trauma deaths, especially in the first day. Materials and methods. CRASH2 is a clinical, multicentric, double blinded, controlled, randomized trial on the use of a fibrinolytic agent, tranexemic acid, for reduction of transfusions, diminishing the number of operations, and lower mortality in patients that have suffered trauma and significant hemorrhage. In this paper we compare demographic and clinical aspects of the Colombian study population with those of the rest of the world. Because the study is still in progress, the blinded component must continue and therefore no comparison can be made in regard to the treatment groups. It is estimated that the number of patients can be completed by December 2009, and definitive conclusions can be made towards the middle of 2010. Results.The proportion of men is higher in Colombia; there is more penetrating trauma and less craneocephalic trauma; patients are younger, they consult earlier, are admitted to the intensive care unit with lesser frequency, and mortality is lower than in the rest of the world. The majority of patients do not exhibit hypotension, although there is prolongation of capillary filling. The majority receive transfusions as frequently as in the rest of the world; transfusion is associated with greater mortality. Incidence of thrombotic complications are similar: Discussion. Participants in the CRASH2 study are similar in Colombia and in the rest of the world; the type of trauma and mortality are different, reflecting the state of violence in Colombia. Clinical «megastudies» are possible and are also necessary in order to answer relevant medical questions.
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- 2009
28. Satisfacción laboral de la enfermería en las prisiones españolas Job satisfaction of nursing staff in spanish prisons
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E.J. Vera-Remartínez, L.M. Mora Parra, J.A. González Gómez, J. García Jiménez, E. Garcés Pina, J.A. Domínguez Zamorano, J.R. Borraz Fernández, A. Blanco Quiroga, and B. Armenteros López
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Enfermería ,Prisiones ,Satisfacción Laboral ,Estudio Multicéntrico ,Trabajo ,Personal de Enfermería ,Nursing ,Prisons ,Job Satisfaction ,Multicenter Study ,Work ,Nursing Staff ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
Fundamento: No existen trabajos que valoren la satisfacción laboral de los profesionales de enfermería en las prisiones españolas. Pretendemos averiguar el nivel de satisfacción global y de cada uno de sus componentes. Método: Estudio descriptivo transversal y multicéntrico realizado en las prisiones españolas. Se utiliza el cuestionario de satisfacción Font Roja, adaptado por J. Arranz, que mide la satisfacción laboral con una escala de Likert. Utilizamos pruebas paramétricas y se construye un modelo de regresión con fines predictivos. Resultados: Respondieron al cuestionario 376 enfermeras (Tasa de Participación 62,7%; Tasa de Respuesta del 76,7%). Participaron 67 centros (91,8%). La puntuación media de la satisfacción es de 2,84 (IC 95%: 2,81-2,87). Las dimensiones menos valoradas han sido variedad de la tarea 1,66 (I.C. 95%: 1,58-1,74); presión en el trabajo 2,15 (I.C. 95%: 2,08-2,23) y control sobre el trabajo 2,77 (I.C. 95%: 2,73-2,82). La puntuación más alta fue para la satisfacción en el trabajo 3,52 (I.C. 95%: 3,44-3,58). Conclusiones: El índice medio de satisfacción laboral fue menor que en otros colectivos extra-penitenciarios. Se necesitan medidas correctoras.Background: There are no available studies assessing job satisfaction amongst nursing staff in Spanish prisons. The aim of this study is to establish overall levels of job satisfaction and determine each of the components. Method: Cross-sectional and multi-centre descriptive study conducted in Spanish prisons. A Font Roja satisfaction questionnaire adapted by J. Arranz for the study was used to measure degrees of job satisfaction using a Likert's scale. A parametric test was used and a regression model was constructed for predictive ends. Results: 376 nurses answered the questionnaire (Participation Rate 62.7%; Response Rate 76.7%) 67 centres took part (91.8%). The average satisfaction mark was 2.84 (CL 95%: 2.81-2.87). The lowest ranked components were job variety 1.66 (CL 95%: 1.58-1.74), job-related stress 2.15 (CL 95%: 2.08-2.23) and control over job 2.77 (CL 95%: 2.73-2.82). The highest ranked aspect was job satisfaction, averaging 3.52 (CL 95%: 3.44-3.58). Conclusions: The average satisfaction mark for prison nursing staff was low when compared to other groups of health care professionals, which implies the need for corrective measures.
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- 2009
29. Illicit drug use in seven Latin American countries: critical perspectives of families and familiars El uso de drogas ilícitas en siete países latinoamericanos: una perspectiva crítica de familiares y personas cercanas Uso de drogas ilícitas em sete países da América Latina: perspectivas críticas de familiares e pessoas próximas
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Jaqueline da Silva, Carla Aparecida Arena Ventura, Octavio Muniz da Costa Vargens, Cristina Maria Douat Loyola, Daniel Gonzalo Eslava Albarracín, Jorge Diaz, Gladys Magdalena Rodríguez Funes, Mabell Granados Hernández, Ruth Magdalena Gallegos Torres, and Ruth Jakeline Oviedo Rodriguez
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drogas ilícitas ,trastornos relacionados con sustancias ,factores de riesgo ,protección ,familia ,amigos ,accesibilidad a los servicios de salud ,América Latina ,estudio multicéntrico ,transtornos relacionados ao uso de substâncias ,fatores de risco ,proteção ,família ,acesso aos serviços de saúde ,estudo multicêntrico ,street drugs ,substance-related disorders ,risk factors ,protection ,family ,friends ,health services accessibility ,Latin America ,multicenter study ,Nursing ,RT1-120 - Abstract
This cross-sectional multi-centre study explored how family members and friends of illicit drug users perceived protective and risk factors, treatment facilities and policies and laws regarding illicit drug use. Family members and friends of illicit drug users were recruited in 10 urban health care outpatient units in 7 Latin American countries (Brazil, Colombia, Costa Rica, Ecuador, Guatemala, Honduras and Mexico) to complete a questionnaire. The majority of the respondents chose psycho-social factors over genetic or biological explanations as causes of drug problems. Respondents felt that families and governments were responsible for preventing drug problems. Church/religious institutions were most often mentioned in the context of accessible treatment. When asked about access to treatment facilities, the majority said that there were not enough. Shame about drug use, cost, and limited treatment options were most often cited as barriers to treatment.Este estudio transversal multicéntrico exploró como los familiares y personas cercanas de usuarios de drogas ilícitas perciben los factores de protección y los de riesgo, las facilidades de tratamiento, las iniciativas de prevención y la legislación relativa a las drogas ilícitas. Los familiares y personas cercanas de los usuarios de drogas ilícitas fueron reclutados en 10 unidades urbanas de atención de salud en ambulatorios, en 7 países de América Latina (Brasil, Colombia, Costa Rica, Ecuador, Guatemala, Honduras y México) para responder a una encuesta. Con respecto a las causas de los problemas de las drogas, la mayoría de los encuestados destacó los factores psicosociales como siendo más importantes que los factores genéticos o biológicos. Los encuestados consideraron que las familias y los gobiernos son quienes tienen más responsabilidad en la prevención de los problemas de drogas. La iglesia y las instituciones religiosas fueron mencionadas con mayor frecuencia en el contexto del acceso al tratamiento. Cuando se les preguntó sobre el acceso a las facilidades de tratamiento, la mayoría manifestó que éstas no eran suficientes. Como barreras para el tratamiento, citaron entre las más frecuentes, la vergüenza por el uso de las drogas, la falta de opciones para su tratamiento y el costo del mismo.Este estudo multicêntrico corte temporal explorou a perspectiva de familiares e pessoas próximas a usuários de drogas ilícitas sobre fatores de risco e proteção, serviços de tratamento, políticas e leis relacionadas ao uso de drogas ilícitas. Os familiares e pessoas próximas a usuários de drogas ilícitas foram recrutados em dez unidades de saúde, localizadas em grandes centros urbanos de sete países da América Latina (Brasil, Colômbia, Costa Rica, Equador, Guatemala, Honduras e México), para responderem um questionário. A maioria dos participantes escolheu fatores psicossociais e não fatores genéticos ou biológicos para explicar a causa dos problemas do uso de drogas. Responderam que familiares e governantes são os principais responsáveis pela prevenção dos problemas das drogas. As igrejas e outras instituições religiosas foram mencionadas com frequência dentro do contexto de acesso ao tratamento. A maioria dos entrevistados apontou que o acesso aos serviços que oferecem tratamentos aos usuários de drogas não é suficiente. Vergonha sobre o uso de drogas, custo e opções insuficientes de tratamento foram citados com mais frequência como as principais barreiras para o tratamento.
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- 2009
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30. Human Papillomavirus infection in men residing in Brazil, Mexico, and the USA Infección por Virus de Papiloma Humano en hombres de Brasil, México y EUA
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VPH ,hombres ,estudio multicéntrico ,conducta sexual ,HPV ,males ,multicenter study ,sexual behavior ,Public aspects of medicine ,RA1-1270 - Abstract
OBJECTIVE: To assess Human Papillomavirus (HPV) type distribution among men ages 18 years and older recruited from three different countries utilizing a common protocol for sampling HPV detection, and to evaluate whether HPV detection differs by age and country. MATERIAL AD METHODS: The study protocol includes a pre-enrollment run-in visit, a baseline (enrollment) visit, and nine additional visits after enrollment scheduled six months apart. For this analysis, the first 1160 men who completed both the run-in and baseline visit were included. To maximize sampling and prevent fraying of applicators, three different applicators were utilized to sample the external genitalia of participants among different anatomic sites. These samples were later combined to form a single sample for the detection of HPV using polymerase chain reaction (PCR) for amplification of a fragment of the HPV L1 gene. RESULTS: Among 1160 men from Brazil, Mexico, and the United States (U.S.), overall HPV prevalence was 65.2%; with 12.0% oncogenic types only, 20.7% non-oncogenic types only, 17.8% both oncogenic and non-oncogenic, and 14.7% unclassified infections. Multiple HPV types were detected in 25.7% of study participants. HPV prevalence was higher in Brazil (72.3%) than in the U.S. (61.3%) and Mexico (61.9%). HPV 16 (6.5%), 51 (6.5%), and 59 (5.3%) were the most commonly detected oncogenic infections, and HPV 84 (7.7%), 62 (7.3%), and 6 (6.6%) were the most commonly detected non-oncogenic infections. Overall HPV prevalence was not associated with age. However, significant associations with age were observed when specific categories of oncogenic, non-oncogenic, and unclassified HPV infections were considered. CONCLUSIONS: Studies of HPV type distribution among a broad age range of men from multiple countries is needed to fill the information gap internationally with respect to our knowledge of HPV infection in men.OBJETIVO: Evaluar la distribución tipo específica de infección por Virus del Papiloma Humano (VPH) entre hombres de 18 años o más de tres países con un protocolo común para el muestreo de la detección de VPH, y evaluar si la detección de VPH varía de acuerdo con la edad y el país. MATERIAL Y MÉTODOS: El estudio incluye diversas etapas que inician con la identificación de hombres susceptibles, una medición basal (visita de enrolamiento) y nueve visitas adicionales programadas cada seis meses. En este artículo, se presenta el análisis de los primeros 1160 hombres que fueron incluídos en el estudio. Para maximizar la posibilidad de detección de VPH se utilizó un cepillo de dacrón que muestreó en forma combinada diferentes sitios anatómicos. Para la determinación de ADN de VPH se utilizó ión en cadena de polimerasa (PCR) por amplificación de un fragmento del gen de VPH L1. RESULTADOS: Entre 1160 hombres de Brasil, México y EUA, la prevalencia global de VPH fue de 65.2%, con solamente 12% de tipos oncogénicos, 20.7% de tipos de VPH no oncogénicos, 17.8% de muestras positivas a tipos oncogénicos y no oncogénicos; y finalmente 14.7% de infecciones no clasificadas. Múltiples tipos de VPH fueron detectados en 25.7% de los participantes en el estudio. La prevalencia de VPH fue más alta en Brasil (72.3%), comparada con la observada en EUA (61.3%) y México (61.9%). Los tipos de VPH 16 (6.5%), 51 (6.5%) y 59 (5.3%) fueron los más comúnmente observados con poder oncogénico. El VPH 84 (7.7%), 62 (7.3%) y 6 (6.6%) fueron las infecciones no oncogénicas más comunes. CONCLUSIONES: Son necesarios estudios de la distribución de VPH en un amplio margen de edad entre hombres de múltiples países, para establecer con mayor precisión, el conocimiento de la historia natural de la infección por VPH en hombres.
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- 2008
31. Vigilancia de la resistencia a los antibióticos en Staphylococcus aureus en Galicia: 2007-2012.
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Treviño, Mercedes, Losada, Isabel, Angeles Pallarés, María, José Vasallo, Francisco, Coira, Amparo, Fernández-Pérez, Begoña, Paz, Isabel, Peña, Fernanda, Alejandra Romero, Patricia, Martínez-Lamas, Lucía, Naveira, Gael, and Hervada, Xurxo
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Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2015
32. Burnout among nurses: a multicentric comparative study
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Margarida Abreu, Patricia Campos Pavan Baptista, Cristina Queirós, Vanda Elisa Andres Felli, Maria Pilar Mosteiro-Diaz, Miriam Cristina dos Santos Almeida, María Baldonedo-Mosteiro, Elisabete Borges, Silmar Maria da Silva, and Faculdade de Psicologia e de Ciências da Educação
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medicine.medical_specialty ,Multivariate analysis ,Cross-sectional study ,España ,RT1-120 ,Nurses ,Nursing ,Burnout ,Job Satisfaction ,Shift work ,Surveys and Questionnaires ,Depersonalization ,medicine ,Humans ,Burnout, Professional ,Estudio Multicéntrico ,Portugal ,Brasil ,Esgotamento Profissional ,Stressor ,Enfermagem ,Espanha ,language.human_language ,Multicenter Study ,Cross-Sectional Studies ,Spain ,Family medicine ,Professional Burnout ,Estudo Multicêntrico ,language ,Agotamiento Profesional ,Job satisfaction ,Original Article ,Enfermería ,Portuguese ,medicine.symptom ,Psychology ,Brazil - Abstract
Objetivo: to identify and compare burnout levels between Portuguese, Spanish and Brazilian nurses. Method: quantitative, descriptive, correlational, comparative and cross-sectional study conducted using a sample of 1,052 nurses working in hospitals and primary care centers. A sociodemographic questionnaire and the Maslach Burnout Inventory were applied to nurses in Porto, Portugal (n=306), Oviedo, Spain (n=269) and S. Paulo, Brazil (n=477). Data analysis was performed using descriptive, inferential and multivariate analysis. Results: approximately 42% of the nurses showed moderate/high levels of burnout, with no differences found between countries (Portugal and Brazil 42%, Spain 43%). Only depersonalization showed differences between countries, presenting Spain the highest level and Portugal the lowest one. Comparative analysis showed higher burnout levels in young nurses and those working by shifts. Considering job schedules, burnout was associated to shift work in Portugal, while in Spain and Brazil it was associated with fixed schedules. Conclusion: these results suggest that this syndrome among nurses is a global phenomenon. The daily stressors and higher demands of the nursing profession are crucial in the preparation of nurses to deal with complex situations, to avoid burnout, and to reduce the negative impact on nurses’ health and on the quality of care they provide. Objetivo: identificar e comparar os níveis de burnout entre enfermeiros portugueses, espanhóis e brasileiros. Método: estudo quantitativo, descritivo, correlacional, comparativo e transversal, realizado com 1.052 enfermeiros em hospitais e unidades básicas de saúde. Um questionário sociodemográfico e o Maslach Burnout Inventory foram aplicados com enfermeiros de Porto-Portugal (n=306), Oviedo-Espanha (n=269) e São Paulo-Brasil (n=477). Os dados foram analisados por meio de estatística descritiva, inferencial e multivariada. Resultados: aproximadamente 42% dos enfermeiros apresentaram níveis moderados/altos de burnout, não sendo encontradas diferenças entre os países (Portugal e Brasil com 42%, Espanha com 43%). Apenas a dimensão despersonalização apresentou diferenças entre os países, com um nível mais elevado na Espanha e mais baixo em Portugal. A análise comparativa mostrou níveis mais elevados de burnout em enfermeiros jovens e naqueles que trabalhavam em turnos. Em relação às escalas de trabalho, burnout foi associada ao trabalho por turnos em Portugal e aos horários fixos na Espanha e no Brasil. Conclusão: esses resultados sugerem que essa síndrome em enfermeiros é um fenômeno global. Estressores diários e maiores demandas da profissão de enfermagem são elementos cruciais para preparar os enfermeiros para lidar com situações complexas, evitar burnout e reduzir o impacto negativo na sua saúde e na qualidade dos cuidados que prestam. Objetivo: identificar y comparar los niveles de burnout entre enfermeros portugueses, españoles y brasileños. Método: estudio cuantitativo, descriptivo, correlacional, comparativo y transversal, realizado con 1.052 enfermeros de hospitales y unidades básicas de salud. Se aplicó un cuestionario sociodemográfico y el Maslach Burnout Inventory a enfermeras de Porto, Portugal (n=306), Oviedo, España (n=269) y São Paulo, Brasil (n=477). Los datos se analizaron mediante estadística descriptiva, inferencial y multivariada. Resultados: aproximadamente el 42% de los enfermeros presentaban niveles moderados/altos de burnout y no se encontraron diferencias entre países (Portugal y Brasil 42%, España 43%). Solo la dimensión de despersonalización mostró diferencias entre países, con un nivel mayor en España y menor en Portugal. El análisis comparativo mostró mayores niveles de burnout en enfermeros jóvenes y en los que trabajaban por turnos. En cuanto a los horarios de trabajo, el burnout se asoció con el trabajo por turnos en Portugal y con horario fijo en España y Brasil. Conclusión: estos resultados sugieren que el síndrome de burnout en enfermeros es un fenómeno global. Los estresores cotidianos y las mayores exigencias de la profesión de Enfermería son elementos cruciales para preparar a los enfermeros para enfrentar situaciones complejas, evitar el burnout y reducir el impacto negativo en la salud de los enfermeros y la calidad de la atención que brindan. info:eu-repo/semantics/publishedVersion
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- 2021
33. Epidemiological and clinical characteristics of Streptococcus tigurinus endocarditis
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Immaculada Grau, Cristina Garcia-de-la-Maria, José Antonio Lepe Jiménez, Lara García-Álvarez, Mercedes Marín, Carmen Ardanuy, José M. Miró, Patricia Muñoz, José María Marimón, Arístides de Alarcón, Manuel Almela, Miguel Ángel Goenaga, Beatriz Orden, Javier de la Torre, Enrique Navas, F. Fernandez, María Ercibengoa, Carlos Ruiz de Alegría, María Carmen Fariñas, José A. Oteo, Universidad de Cantabria, Institut d'Investigacions Biomèdiques August Pi i Sunyer, [Ercibengoa,M, Ardanuy,C, Grau,I, Marín,M, Muñoz,P, Marimón,JM] CIBER Enfermedades Respiratorias-CIBERES, Madrid, Spain. [Goenaga,MA] Servicio de Enfermedades Infecciosas, Hospital Universitario, Donostia, Spain. [Ardanuy,C] Servicio de Microbiologia, Hospital Universitari de Bellvitge. Institut d’Investigació Biomèdica de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain. [Grau,I] Servicio de Enfermedades Infecciosas, Hospital Universitari de Bellvitge. Institut d’ Investigació Biomèdica de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain. [García-de-la-Maria,C, Miro,JM] Servicio de Enfermedades Infecciosas, Hospital Clínic de Barcelona, Institut d’ Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain. [Almela,M] Servicio de Microbiología, Hospital Clínic de Barcelona, Institut d’ Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. [Navas,E] Servicio de Enfermedades Infecciosas, Hospital Universitario Ramón y Cajal, Madrid, Spain. [Fariñas,MC] Servicio de Enfermedades Infecciosas, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain. [Ruiz de Alegría,C] Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain. [de la Torre,J] Grupo de Enfermedades Infecciosas de la Unidad de Medicina Interna, Hospital Costa del Sol, Marbella, Málaga, Spain. [Fernández,F] Servicio de Microbiología, Hospital Costa del Sol, Marbella, Málaga, Spain. [Marín,M, Muñoz,P] Departamento de Medicina, Servicio de Microbiología y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Gregorio, Marañón, Madrid, Spain. [Orden,B] Departamento de Microbiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. [Oteo,JA, García-Álvarez,L] Departamento de Enfermedades Infecciosas, Hospital Universitario San Pedro, Logroño, La Rioja, Spain. [de Alarcón,A, and Lepe Jiménez,JA] Clinical Unit of Infectious Diseases, Microbiology and Preventive Medicine. Infectious Diseases Research Group, Institute of Biomedicine of Seville (IBIS), University of Seville/CSIC/University Virgen del Rocío and Virgen Macarena, Sevilla, Spain. [Marimón,JM] Servicio de Microbiología, Hospital Universitario Donostia-IIS Biodonostia, San Sebastián, Spain.
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0301 basic medicine ,Male ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies [Medical Subject Headings] ,Epidemiology ,Antibiotic resistance ,Antibiotics ,Bacteremia ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings] ,Estreptococos viridans ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,0302 clinical medicine ,Medical microbiology ,Diagnòstic ,Risk Factors ,Monitoreo epidemiológico ,Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Streptococcal Infections [Medical Subject Headings] ,Diagnosis ,030212 general & internal medicine ,Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings] ,Aged, 80 and over ,Endocarditis ,Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Bacteremia [Medical Subject Headings] ,Streptococcus Viridans ,Middle Aged ,Prognosis ,Viridans Streptococci ,Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Endocarditis, Bacterial [Medical Subject Headings] ,Multicenter study ,Infeccions ,Infectious Diseases ,Epidemiologic surveillance ,Infective endocarditis ,Epidemiological Monitoring ,Female ,Persons::Persons::Age Groups::Adult::Young Adult [Medical Subject Headings] ,Research Article ,Adult ,medicine.medical_specialty ,Multicentre studies ,medicine.drug_class ,030106 microbiology ,Check Tags::Male [Medical Subject Headings] ,Infections ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,Young Adult ,Internal medicine ,Streptococcal Infections ,Streptococcus tigurinus ,medicine ,Humans ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiological Monitoring [Medical Subject Headings] ,lcsh:RC109-216 ,Persons::Persons::Age Groups::Adult [Medical Subject Headings] ,Epidemiologia ,Aged ,Retrospective Studies ,Estudio multicéntrico ,Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] ,Organisms::Bacteria::Gram-Positive Bacteria::Gram-Positive Cocci::Streptococcaceae::Streptococcus::Viridans Streptococci [Medical Subject Headings] ,business.industry ,Antibiotic ,Persons::Persons::Age Groups::Adult::Middle Aged [Medical Subject Headings] ,Endocarditis, Bacterial ,medicine.disease ,Parasitology ,Check Tags::Female [Medical Subject Headings] ,Persons::Persons::Age Groups::Adult::Aged::Aged, 80 and over [Medical Subject Headings] ,Spain ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis [Medical Subject Headings] ,business - Abstract
[Background] Streptococcus tigurinus was recently described as a new streptococcal species within the viridans group streptococci (VGS). The objectives of the present work were to analyse the clinical and microbiological characteristics of S. tigurinus isolated from patients with bacteraemias, to determine the prevalence of S. tigurinus among VGS endocarditis in Spain, and to compare the clinical characteristics and outcomes of endocarditis caused by S. tigurinus and other VGS., [Methods] Retrospective nationwide study, performed between 2008 and 2016 in 9 Spanish hospitals from 7 different provinces comprising 237 cases of infective endocarditis. Streptococcal isolates were identified by sequencing fragments of their 16S rRNA, sodA and groEL genes. Clinical data of patients with streptococcal endocarditis were prospectively collected according to a pre-established protocol., [Results] Patients with endocarditis represented 7/9 (77.8%) and 26/86 (30.2%) of the bacteraemias caused by S. tigurinus and other VGS, respectively (p, [Conclusions] In this multicenter study performed in Spain, S. tigurinus showed a higher predilection for the endocardial endothelium as compared to other VGS. However, clinical characteristics and outcomes of endocarditis caused by S. tigurinus did not significantly differ from endocarditis caused by other oral streptococci., JMM received a personal 80:20 research grant from the Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain during 2017–19.
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- 2019
34. Frailty, Complexity, and Priorities in the Use of Advanced Palliative Care Resources in Nursing Homes
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María P. García-Ruiz, Emilio Mota-Romero, María Paz García-Caro, Daniel Puente-Fernández, Rafael Montoya-Juárez, Beatriz Tallón-Martín, [Mota-Romero,E] Primary Care Center Dr. Salvador Caballero García Andalusian, Health Service, Government of Andalusia. Granada, Andalusia, Spain. [Tallón-Martín,B] Geroinnova Nursing-Home, Fuente Vaqueros, Granada, Andalusia, Spain. [García-Ruiz,MP] Caridad y Consolación Nursing-Home, Jaén, Andalusia, Spain. [Puente-Fernandez,D] Doctoral Program in Clinical Medicine and Public Health, University of Granada, Granada, Andalusia, Spain. [García-Caro,MP, Montoya-Juarez,R] Department of Nursing, Mind, Brain and Behaviour Research Institute, University of Granada, Granada, Andalusia, Spain., and This study has been fully funded by Consejería de Salud, Junta de Andalucía (Fundación Pública Andaluza Progreso y Salud, Proyecto AP-0105-2016)
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Palliative care ,Persons::Persons::Age Groups::Adult::Aged::Frail Elderly [Medical Subject Headings] ,nursing homes ,Complexity index ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,0302 clinical medicine ,030212 general & internal medicine ,Patient transfer ,Cognitive impairment ,Casas de salud ,lcsh:R5-920 ,palliative care ,Frailty ,Atención dirigida al paciente ,Pronóstico ,frailty ,complexity ,prognosis ,palliative care complexity ,patient transfer ,General Medicine ,Prognosis ,Cuidados paliativos ,Fragilidad ,medicine.symptom ,0305 other medical science ,lcsh:Medicine (General) ,Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Asthenia [Medical Subject Headings] ,Poor prognosis ,medicine.medical_specialty ,Barthel index ,Nursing homes ,Article ,03 medical and health sciences ,030502 gerontology ,medicine ,Humans ,Palliative care complexity ,Estudio multicéntrico ,Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] ,business.industry ,Diagnostic instrument ,Disciplines and Occupations::Health Occupations::Nursing::Specialties, Nursing::Hospice and Palliative Care Nursing [Medical Subject Headings] ,Andalucía ,Complexity ,Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Palliative Care [Medical Subject Headings] ,Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Residential Facilities::Nursing Homes [Medical Subject Headings] ,Cross-Sectional Studies ,Spain ,Family medicine ,Immunology ,Delirium ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Prognosis [Medical Subject Headings] ,business - Abstract
Background and objectives: This study aimed to determine the frailty, prognosis, complexity, and palliative care complexity of nursing home residents with palliative care needs and define the characteristics of the cases eligible for receiving advanced palliative care according to the resources available at each nursing home. Materials and Methods: In this multi-centre, descriptive, and cross-sectional study, trained nurses from eight nursing homes in southern Spain selected 149 residents with palliative care needs. The following instruments were used: the Frail-VIG index, the case complexity index (CCI), the Diagnostic Instrument of Complexity in Palliative Care (IDC-Pal), the palliative prognosis index, the Barthel index (dependency), Pfeiffer&rsquo, s test (cognitive impairment), and the Charlson comorbidity index. A consensus was reached on the complexity criteria of the Diagnostic Instrument of Complexity in Palliative Care that could be addressed in the nursing home (no priority) and those that required a one-off (priority 2) or full (priority 1) intervention of advanced palliative care resources. Non-parametric tests were used to compare non-priority patients and patients with some kind of priority. Results: A high percentage of residents presented frailty (80.6%), clinical complexity (80.5%), and palliative care complexity (65.8%). A lower percentage of residents had a poor prognosis (10.1%) and an extremely poor prognosis (2%). Twelve priority 1 and 14 priority 2 elements were identified as not matching the palliative care complexity elements that had been previously identified. Of the studied cases, 20.1% had priority 1 status and 38.3% had priority 2 status. Residents with some kind of priority had greater levels of dependency (p <, 0.001), cognitive impairment (p <, 0.001), and poorer prognoses (p <, 0.001). Priority 1 patients exhibited higher rates of refractory delirium (p = 0.003), skin ulcers (p = 0.041), and dyspnoea (p = 0.020). Conclusions: The results indicate that there are high levels of frailty, clinical complexity, and palliative care complexity in nursing homes. The resources available at each nursing home must be considered to determine when advanced palliative care resources are required.
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- 2021
35. Avaliação de egressos de cursos de graduação em enfermagem: estudo brasileiro multicêntrico
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Edvane Birelo Lopes De Domenico, Maria Aparecida Vieira, and Katiuscia Larsen de Abreu Aguiar
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Adult ,Undergraduate nursing ,RT1-120 ,Nursing assessment ,Sample (statistics) ,Nursing ,Educação em Enfermagem ,Humans ,Avaliação em Enfermagem ,Education, Nursing ,Nursing Assessment ,General Nursing ,Estudio Multicéntrico ,Medical education ,Descriptive statistics ,Graduate education ,Evaluación en Enfermería ,Professional development ,Reproducibility of Results ,Public institution ,Education, Nursing, Baccalaureate ,Multicenter Study ,Cross-Sectional Studies ,Multicenter study ,Estudo Multicêntrico ,Educación en Enfermería ,Female ,Students, Nursing ,Psychology ,Brazil - Abstract
Objective: To compare evaluations performed by undergraduate nursing alumni in three dimensions: sociodemographic characterization, identification and insertion into the job market, and professional training evaluation. Methods: Cross-sectional, quantitative, and multicenter study with alumni of three Brazilian public institutions. Data analysis was carried out according to the internal reliability of the used instrument and by applying descriptive statistics. Results: The participants were 446 alumni who obtained their degrees from 2013 to 2016. Most were women, white (44%) or brown (38%), and were between 25 and 30 years old. Most had a specialization degree or were studying to obtain one (54%), had a paid occupation (89%), and were employed by a single institution (60%), with the care area prevailing (57%) in the sample. High levels of satisfaction were found among alumni of two institutions in the evaluation of content learning and essential experiences for training, whereas the other institution obtained better evaluations regarding professional practice. Conclusion: The profile of academic experiences, graduate education, and entry into the job market varied according to the evaluated institution. The findings favored critical-reflective analysis of the institutions’ pedagogical projects. RESUMEN Objetivos: Comparar evaluaciones de alumnos egresados de carreras de grado en enfermería en tres dimensiones: caracterización sociodemográfica, identificación e inserción en el mercado laboral y evaluación de la formación profesional. Método: Estudio transversal, cuantitativo, multicéntrico, con alumnos avanzados de tres universidades públicas brasileñas. Datos analizados por confiabilidad interna del instrumento utilizado y por estadística descriptiva. Resultados: Participaron 446 egresados recibidos entre 2013 y 2016. La mayoría, de sexo femenino, etnia blanca (44%) y mulata (38%), franja etaria entre 25 y 30 años. La mayor parte contaba con posgrados lato sensu concluida o en curso (54%); el 89% eran asalariados, 60% empleados en una única institución, prevaleciendo el área asistencial (57%). Se verificaron elevados niveles de satisfacción entre egresados de dos instituciones en la evaluación de aprendizaje de contenidos y experiencias esenciales para la formación, y mejores evaluaciones sobre la práctica profesional en otra. Conclusión: El perfil de experiencias universitarias, posgrado y de ingreso al mercado laboral fue diverso entre las instituciones evaluadas. Los hallazgos favorecen el análisis crítico-reflexivo de los proyectos pedagógicos. RESUMO Objetivos: Comparar avaliações obtidas de egressos de cursos de graduação em enfermagem em três dimensões: caracterização sociodemográfica, identificação e inserção no mercado de trabalho e avaliação da formação profissional. Método: Estudo transversal, quantitativo, multicêntrico, com egressos de três universidades públicas brasileiras. A análise de dados foi feita segundo a confiabilidade interna do instrumento utilizado e por estatística descritiva. Resultados: Participaram do estudo 446 egressos concluintes entre 2013 e 2016. A maioria era do sexo feminino, da etnia branca (44%) e parda (38%) e tinha entre 25 e 30 anos. A maior parte apresentou titulação lato sensu concluída ou em curso (54%), 89% eram assalariados, e 60% eram empregados em única instituição, sendo prevalente a área assistencial (57%). Verificaram-se elevados níveis de satisfação entre egressos de duas instituições na avaliação de aprendizado dos conteúdos e experiências essenciais para a formação e melhores avaliações sobre a prática profissional em outra. Conclusão: O perfil de experiências acadêmicas, pós-graduação e de ingresso no mercado de trabalho foi diversificado entre as instituições avaliadas. Os achados favorecem a análise crítico-reflexiva dos projetos pedagógicos.
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- 2021
36. Burnout em médicos e enfermeiros: estudo quantitativo e multicêntrico em unidades de cuidados paliativos em Portugal.
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Martins Pereira, Sandra, Teixeira, Carla Margarida, Ribeiro, Orquídea, Hernández-Marrero, Pablo, Fonseca, António M., and Carvalho, Ana Sofia
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DEATH & psychology , *PALLIATIVE treatment , *HOSPITAL wards , *PSYCHOLOGICAL burnout , *MEDICAL cooperation , *PSYCHOLOGY of nurses , *PSYCHOLOGY of physicians , *QUESTIONNAIRES , *RESEARCH , *QUANTITATIVE research , *PSYCHOLOGY - Abstract
Theoretical Framework: Systematic contact with death is considered a risk factor for burnout in health, particularly for doctors and nurses who develop their professional activity in palliative care. Objectives: To study the syndrome of burnout in these professionals in Portugal. Methodology: A multicenter quantitative survey study. Results: Out of 142 professionals, 88 returned the completed questionnaire; of these, only 3% were in burnout and 13% at high risk of developing this syndrome. Professing a religion (p=.005) and having post-graduate education/training in palliative care (p=.011) were significantly and inversely associated with burnout. Conflicts with other professionals (p=.012) were significantly associated with developing this syndrome. Conclusion: Although the percentage of professionals with high levels of burnout in palliative care is low, there are risk factors that can be optimized to promote a higher well-being state among professionals. [ABSTRACT FROM AUTHOR]
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- 2014
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37. The use of mechanical restraint in critical care units: Characterisation, application standards and related factors. Results of a multicentre study.
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Acevedo-Nuevo M, Martín-Arribas MC, González-Gil MT, Solís-Muñoz M, Arias-Rivera S, and Royuela-Vicente A
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- Humans, Prevalence, Critical Care, Pain, Intensive Care Units, Restraint, Physical
- Abstract
Objectives: To describe and characterise the use of mechanical restraint (MR) in critical care units (CCU) in terms of frequency and quality of application and to study its relationship with pain/agitation-sedation/delirium, nurse:patient ratio and institutional involvement., Method: Multicentre observational study conducted in 17 CCUs between February and May 2016. The observation time per CCU was 96 h. The main variables were the prevalence of restraint, the degree of adherence to MR recommendations, pain/agitation-sedation/delirium monitoring and institutional involvement (protocols and training of professionals)., Results: A total of 1070 patients were included. The overall prevalence of restraint was 19.11%, in patients with endotracheal tube (ETT) 42.10% and in patients without ETT or artificial airway it was 13.92%. Adherence rates between 0% and 40% were obtained for recommendations related to non-pharmacological management and between 0% and 100% for those related to monitoring of ethical-legal aspects. The lower prevalence of restraint was correlated with adequate pain monitoring in non-communicative patients (P < .001) and with the provision of training for professionals (P = .020). An inverse correlation was found between the quality of the use of MR and its prevalence, both in the general group of patients admitted to CCU (r = -.431) and in the subgroup of patients with ETT (r = -.521)., Conclusions: Restraint is especially frequently used in patients with ETT/artificial airway, but is also used in other patients who may not meet the use profile. There is wide room for improvement in non-pharmacological alternatives to the use of MC, ethical and legal vigilance, and institutional involvement. Better interpretation of patient behaviour with validated tools may help limit use of MR., (Copyright © 2022 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España, S.L.U. All rights reserved.)
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- 2022
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38. El proyecto EMECAM: discusión de los resultados en las ciudades participantes
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Ballester Díez Ferran, Sáez Zafra Marc, Pérez-Hoyos Santiago, Daponte Codina Antonio, Bellido Blasco Juan, Cañada Martínez Álvaro, Abad Díez José Mª, Pérez Boíllos Mª José, Alonso Fustel Mª Eva, Taracido Trunk Margarita, Aguinaga Ontoso Inés, Jesús Guillén Pérez José, Ordóñez Iriarte José Mª, Saurina Canals Carme, and Tenías Burillo José Mª
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Contaminación atmosférica ,Mortalidad ,Estudio multicéntrico ,Series temporales ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
En este artículo se comparan y discuten los resultados obtenidos en los análisis locales de las 14 ciudades participantes en el proyecto EMECAM. Se analizan las series temporales de mortalidad, contaminantes (partículas en suspensión, SO2, NO2, O3 y CO), temperatura y otros factores, obtenidos de registros de instituciones públicas. Utilizando regresión autorregresiva de Poisson, se ha estimado la relación a corto plazo entre la mortalidad y los indicadores de contaminación atmosférica en cada una de las siguientes ciudades: Barcelona, Gran Bilbao, Cartagena, Castellón, Gijón, Huelva, Madrid, Pamplona, Sevilla, Oviedo, Valencia, Vigo, Vitoria y Zaragoza. Los resultados indican que los valores de contaminación atmosférica en nuestro país son similares a los de otras ciudades europeas. Los niveles de los distintos contaminantes apuntan hacia el tráfico rodado como la fuente principal en la mayoría de ellas. Se encuentra una asociación entre la mortalidad y diferentes contaminantes en la mayoría de ciudades, aunque los resultados no son homogéneos entre las ciudades y presentan variabilidad en las distintas causas a estudio. En algunas ciudades, especialmente en aquellas de menor población, no se encuentran unos resultados que aporten evidencias de asociación, o bien los mismos son poco consistentes. El meta-análisis proporcionará estimaciones para el conjunto de las ciudades y permitirá una evaluación más clara del efecto retardado de la contaminación sobre la mortalidad. Es de destacar la participación como investigadores activos en este proyecto de técnicos de servicios de salud pública.
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- 1999
39. El proyecto EMECAM: estudio multicéntrico español sobre la relación entre la contaminación atmosférica y la mortalidad. Antecedentes, participantes, objetivos y métodología
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Ballester Díez Ferran, Sáez Zafra Marc, Alonso Fustel Mª Eva, Taracido Trunk Margarita, Ordóñez Iriarte José Mª, Aguinaga Ontoso Inés, Daponte Codina Antonio, Bellido Blasco Juan, Guillén Pérez José Jesús, Pérez Boíllos Mª José, Cañada Martínez Álvaro, Arribas Monzón Federico, and Pérez-Hoyos Santiago
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Contaminación atmosférica ,Mortalidad ,Estudio multicéntrico ,Series temporales ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
En los últimos años, un número creciente de estudios sugiere que los incrementos en los niveles de contaminación atmosférica pueden causar efectos a corto plazo sobre la salud, incluso con niveles de contaminación cercanos o inferiores a los considerados hasta ahora como seguros. Los distintos enfoques metodológicos y la diversidad de técnicas de análisis utilizadas han dificultado la comparabilidad directa entre los resultados obtenidos, impidiendo llegar a conclusiones claras. Ello ha estimulado la puesta en marcha de proyectos multicéntricos, como el proyecto APHEA (short-term effects of Air Pollution on Health: a European Approach), dentro del ámbito europeo. El proyecto EMECAM se enmarca en el contexto de los estudios multicéntricos citados y tiene una proyección amplia en el ámbito nacional español. En él se incluyen 14 ciudades españolas (Barcelona, Gran Bilbao, Cartagena, Castellón, Gijón, Huelva, Madrid, Pamplona, Sevilla, Oviedo, Valencia, Vigo, Vitoria y Zaragoza) que representan diferentes situaciones sociodemográficas, climáticas y ambientales, sumando un total cercano a nueve millones de habitantes. El objetivo del proyecto EMECAM es evaluar el impacto a corto plazo de la contaminación atmosférica, en el conjunto de las ciudades participantes, sobre la mortalidad por todas las causas, en toda la población y en personas de 70 y más años, y por causas respiratorias y del aparato circulatorio. Para ello, con un diseño ecológico, se analizan los datos de las series temporales tomando como unidad los datos diarios de mortalidad, contaminantes, temperatura y otros factores, obtenidos de registros de instituciones públicas. El periodo de estudio, aunque no es exactamente el mismo para todas las ciudades, está comprendido en todos los casos entre los años 1990 y 1996. El cálculo de las medidas de asociación se realiza mediante regresión autorregresiva de Poisson. En una fase posterior los resultados de cada ciudad se combinarán mediante la realización de un meta-análisis.
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- 1999
40. Efectos a corto plazo de la contaminación atmosférica sobre la mortalidad: resultados del proyecto EMECAM en Huelva, 1993-96
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Daponte Codina Antonio, Gutiérrez-Cuadra Pilar, Ocaña Riola Ricardo, Gurucelain Raposo José Luis, Maldonado Pérez José Antonio, Garrido de la Sierra Rosario, Serrano Aguilar Javier, and Mayoral Cortes José María
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Contaminación atmosférica ,Mortalidad ,Series temporales ,Estudio multicéntrico ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
FUNDAMENTO: El objetivo del estudio fue estimar la asociación entre los niveles de contaminación atmosférica y la mortalidad diaria en la ciudad de Huelva para el período 1993-1996 utilizando la metodología EMECAM. MÉTODOS: Se utilizaron como indicadores de mortalidad el número de muertos diarios por todas las causas menos externas, la mortalidad en sujetos mayores de 69 años, la mortalidad por enfermedades del aparato circulatorio y la mortalidad por enfermedades respiratorias. Se analizaron cuatro contaminantes, SO2, PM10, NO2, y CO, cuyos niveles diarios se obtuvieron de la red de vigilancia de la contaminación atmosférica en Huelva. Se construyeron modelos de regresión autoregresiva de Poisson controlando por tendencia, estacionalidad, temperatura, humedad, gripe, y eventos inusuales. RESULTADOS: Para la mortalidad por todas las causas se halló un efecto significativo del NO2 para todo el período (RR10m gr/m³: 1,0414; IC95%: 1,0047-1,0794) y de las partículas (PM10) para el semestre frío (RR10 m gr/m³: 1,0358;IC95%:1,0007 -1,0722). Para la mortalidad en mayores de 69 años se obtuvo una asociación significativa con el SO2 para todo el período (RR10 m gr/m³: 1,0606; IC95%:1,0020-1,1227). Se halló una asociación significativa para la mortalidad por enfermedades respiratorias con las partículas (PM10) en el semestre frío (RR10 m gr/m³: 1,1412; IC95%:1,0300 -1,2644). No se obtuvieron asociaciones significativas para la mortalidad por enfermedades del aparato circulatorio con ningún contaminantes, ni tampoco se observó ningún efecto significativo de los niveles de CO en los indicadores de mortalidad. CONCLUSIONES: En Huelva se han encontrado asociaciones significativas entre los niveles actuales de contaminación atmosférica por partículas, SO2, y NO2, y la mortalidad diaria. El efecto de estos contaminantes sobre la mortalidad es coherente con la literatura científica, aunque en el caso de Huelva, el escaso número de defunciones diarias debido a su pequeña población y otros factores limitan su consistencia.
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- 1999
41. Prognostic Value of Body Mass Index and Waist Circumference in Patients With Chronic Heart Failure (Spanish REDINSCOR Registry).
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Puig, Teresa, Ferrero-Gregori, Andreu, Roig, Eulalia, Vazquez, Rafael, Gonzalez-Juanatey, Jose R., Pascual-Figal, Domingo, Delgado, Juan, Alonso-Pulpon, Luis, Borras, Xavier, Mendez, Ana, and Cinca, Juan
- Abstract
Copyright of Revista Española de Cardiología (18855857) is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2014
- Full Text
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42. Factores condicionantes en la conformación y desempeño de las redes de investigación promovidas por el Ministerio de Salud con enfoque en salud colectiva
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Guilherme Arantes Mello, Marge Tenorio, Liza Yurie Teruya Uchimura, and MCTI/CNPq/CT–Saúde/MS/SCTIE/DECIT Nº 41/2013
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sistemas de financiamento de pesquisa ,Saúde coletiva ,Projetos de pesquisa ,Regionalização ,Sistemas de financiamento de pesquisa ,Estudo multicêntrico ,saúde coletiva ,Regional health planning ,Salud colectiva ,Regionalización ,Multicenter study ,Collective health field ,Research design ,Research financing systems ,Proyectos de investigación ,Communication. Mass media ,P87-96 ,Sistemas de fianciación para proyetos de investigación ,Estudio multicéntrico ,projetos de pesquisa ,Public aspects of medicine ,RA1-1270 ,estudo multicêntrico ,regionalização - Abstract
This article presents an integrated analysis of three case studies on the promotion of research networks by the Brazilian Decit - Departamento de Ciência e Tecnologia do Ministério da Saúde (Department of Science and Technology of the Ministry of Health), involving three major areas of national strategic interest: clinical research, neglected diseases and collective health. With the focus on the collective health field, the study seeks to justify the conditions that hinder or promote the consolidation of research networks, and it was stimulated by the failure on the promotion by the RNPPS - Rede Nacional de Pesquisas sobre Política de Saúde (National health policy research network). The capacity for the construction of tjhe formal requests related to the degree of maturity of the study fild, the complex network management model, and the leadership profie are among the main conditions observed. With knowledge of common challenges in the consolidation of research networks, the collective health may learn to balance more appropriately the political and scientifi weights in the scale of its study field. Este artículo presenta un análisis integrado de tres estudios de casos sobre el fomento de redes de investigación instituidas por el Decit – Departamento de Ciência e Tecnologia do Ministério da Saúde (Departamento de Ciencia y Tecnología del Ministerio de Salud brasileño), abarcando tres grandes áreas de interés estratégico nacional: investigación clínica, enfermedades olvidadas y salud colectiva. En el caso de la salud colectiva, el estudio fue impulsado por el fracaso del fomento de la RNPPS – Rede Nacional de Pesquisas sobre Política de Saúde (Red nacional de investigaciones sobre políticas de salud) y busca fundamentar los condicionantes que difiultan o promueven la consolidación de redes de investigación. La capacidad de construcción de las convocatorias relacionada al grado de madurez del campo de estudio, modelo de gestión de redes complejas y perfi de liderazgo están entre los principales condicionantes observados. Con el conocimiento de desafíos comunes en la consolidación de redes de investigación, la salud colectiva debe aprender a equilibrar con mayor propiedad los pesos político y científio en la balanza de su campo de estudio. Este artigo apresenta uma análise integrada de três estudos de caso sobre fomentos de redes de pesquisa instituídas pelo Departamento de Ciência e Tecnologia do Ministério da Saúde (Decit), envolvendo três grandes áreas de interesse estratégico nacional: pesquisa clínica, doenças negligenciadas e saúde coletiva. Com foco na saúde coletiva, o estudo desenvolvido, estimulado pelo insucesso do fomento da Rede Nacional de Pesquisas sobre Política de Saúde (RNPPS), busca fundamentar condicionantes que difiultam ou promovem a consolidação de redes de pesquisa nessa área. A capacidade de construção das chamadas, relacionada ao grau de maturidade do campo disciplinar, o modelo de gestão de redes complexas, e o perfi de liderança estão entre os principais condicionantes observados. A par de desafis comuns na consolidação de redes de pesquisa, a saúde coletiva deve aprender a equilibrar com maior propriedade os pesos político e científio na balança do seu campo disciplinar.
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- 2020
43. Adherence to antihypertensive drug treatment in Argentina: a multicenter study.Adherence to antihypertensive drugs in Argentina
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Espeche, Walter, Salazar, Martin, Sabio, Rodrigo, Diaz, Alberto Alejandro, Leiva Sisnieguez, Carlos Enrique, Olano, Daniel, Balbin, Eduardo, Renna, Nicolas Federico, Grosse, Pedro, Flores, Roberto A., Lagos, Ana C., Ferrero, Pablo, Poppe, Silvia, Risso Patron, Facundo, Sotnieczuk Stasiuk, Victor D., Valentini, Elina, Cardozo, Jose Ricardo, Romano, Jose R., Parodi, Roberto, and Carbajal, Horacio
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CIENCIAS MÉDICAS Y DE LA SALUD ,Sistemas Cardíaco y Cardiovascular ,TRATAMIENTO ANTIHIPERTENSIVO ,ADHERENCIA ,Medicina Clínica ,ESTUDIO MULTICENTRICO ,HIPERTENSION ARTERIAL - Abstract
Adherence to antihypertensive medication is an important challenge that doctors often face in the treatment of hypertension. Good adherence is crucial to prevent cardiovascular complications. In consequence, the present study aimed at determining the prevalence of adherence to antihypertensive treatment and identifying associated clinical variables. A multicenter cross-sectional study was conducted in 12 cities of Argentina. A systematic sampling was performed in order to select patients with hypertension and under pharmacological treatment for at least 6 months. Physicians took three BP measurements, and the level of adherence was assessed using the self-administered Morisky questionnaire (MMAS-8). Participants were classified into three levels of adherence: high adherence—MMAS score of 8; medium adherence—MMAS scores of 6 to
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- 2020
44. Actualización del análisis clínico y vehiculación para estudio molecular de adenomas hipofisarios de Canarias (base REMAH)
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Cañizares Mena, Tania, Moreno Martín, Paula, López Fernández, Judith, Oliva García, José Gregorio, and Grado En Medicina
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Estudio multicéntrico ,Tumor ,Adenoma hipofisario - Abstract
El REMAH es un estudio multicéntrico que tiene como objetivo la elaboración de una base de datos nacional de adenomas de hipófisis (AH). En 2014 se inicia la inclusión de pacientes canarios en este estudio. Objetivos: 1) Análisis de las variables clínicas de los pacientes intervenidos de adenoma hipofisario en Tenerife (antes y después de la cirugía). 2) Recogida de muestras del tumor y vehiculación de las mismas hasta el nodo de Córdoba para realización del estudio molecular. Resultados: N=77 pacientes (intervenidos entre 2014 y 2020). Edad media: 53,3±14 años; con predominio de varones (55,8%). La mayoría de muestras procedían del HUNSC (93,5%). Tipos de tumores más frecuentes: macroadenomas (89,6%) y no funcionantes (58,4%). La hiperproducción hormonal más frecuente fue la de GH – acromegalia- (23,4%). Los déficits hormonales más frecuentes en el pre y postoperatorio fueron el hipogonadismo (41,6%) y el hipocortisolismo (41,3%), respectivamente. Los AH >2cm se asociaron a mayores tasas de afectación campimétrica, más déficits hormonales prequirúrgicos y menores tasas de remisión radiológica (48,6% vs. 16,7%, p=0,003; 74,3% vs. 50%, p=0,030; 40,7% vs. 75,9%, p=0,008, respectivamente). La extensión paraselar se asoció a menores tasas de remisión radiológica (37,5% vs. 80,8%, p=0,001). Solo se realizó estudio inmunohistoquímico para Ki67 en el 37% de los tumores, presentando solo el 14,3% un índice proliferativo alto (>3%). La vehiculación de las muestras fue adecuada en el 100% de los pacientes. Conclusiones: 1) Los factores clínicos predictores de recurrencia tumoral en nuestra muestra fueron el tamaño >2cm y la extensión paraselar. 2) El proyecto REMAH permitirá disponer de un gran registro a nivel nacional de una patología muy infrecuente, lo cual tendrá importantes implicaciones diagnósticas y terapéuticas y nos va a permitir la práctica de una medicina personalizada gracias al análisis molecular de los tumores. The REMAH is a multicenter study whose objective is to create a national database of pituitary adenomas (AH). In 2014, it started en Canary Islands. Objectives: 1) Analysis of the clinical variables of patients operated on for pituitary adenoma in Tenerife (before and after surgery). 2) Collection of tumor samples and their transportation to the Cordoba node for the molecular study. Results: N=77 patients (operated between 2014 and 2020). Average age: 53.3 ± 14 years; with a predominance of males (55.8%). Most of the samples came from the HUNSC (93.5%). Most frequent types of tumors: macroadenomas (89.6%) and nonfunctioning (58.4%). The most frequent hormonal hyperproduction was that of GH – acromegaly- (23.4%). The most frequent hormonal deficits in the pre and postoperative period were hypogonadism (41.6%) and hypocortisolism (41.3%), respectively. AH> 2cm were associated with higher rates of field involvement, more presurgical hormonal deficits and lower rates of radiological remission (48.6% vs. 16.7%, p = 0.003; 74.3% vs. 50%, p = 0.030; 40.7% vs. 75.9%, p = 0.008, respectively). Parasellar extension was associated with lower radiological remission rates (37.5% vs. 80.8%, p = 0.001). An immunohistochemical study for Ki67 was only performed in 37% of the tumors, with only 14.3% presenting a high proliferative index (> 3%). The transport of the samples was adequate in 100% of the patients. Conclusions: 1) The predictive clinical factors of tumor recurrence in our sample were: size> 2cm and parasellar extension. 2) The REMAH project will allow us to have a large national registry of a very rare pathology, which will have important diagnostic and therapeutic implications and will allow us to practice personalized medicine thanks to the molecular analysis of tumors.
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- 2020
45. Risk factors and outcome of COVID-19 in patients with hematological malignancies
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Carmen Eva Perez, Maria Trabazo, Diana Martínez, Irene Garcia-Garcia, Carola Diaz, Rocío Parody, Rosa Coll, José Luis Piñana, Rebeca Bailén, Ignacio De La Fuente, Marta Valero, María-José Jiménez, Irene García-Cadenas, Teresa Zudaire, I Espigado, Agustin Nieto, Ana Serrano, Angel Cedillo, Noemí Fernández, Guiomar Bautista, Adolfo Saez, María Dolores Morales, Luisa Sisinni, Beatriz Merchán, Lourdes Vázquez, Anna Sureda, Laura Fox, Josep-Maria Ribera, Rodrigo Martino, Alejandro Luna, Ana I. Pimentel, Juan Carlos Vallejo, Gonzalo Benzo, Jose Lopez, Carme Talarn, Raquel Saldaña, María Calbacho, Anabelle Chinea, Dunia de Miguel, Maria Carmen Montoya, Manuel Jurado, Irene Gómez-Catalan, Carlos Solano, Marta González-Vicent, Pascual Fernández, Piñana, José Luis, Piñana, José Luis [0000-0001-8533-2562], Infectious Complications Subcommittee of the Spanish Hematopoietic Stem Cell Transplantation and Cell Therapy Group (GETH), [Piñana,JL] Hematology División, Hospital Universitario y Politécnico La Fe, Instituto de Investigación Sanitaria La Fe, Valencia, Spain. [Piñana,JL] CIBERONC, Instituto Carlos III, Madrid, Spain. [Martino,R, Garcia‑Cadenas,I] Hematology División, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [García-García,I, Luna,A, Chinea,A, Saez,AJ] Hematology División, Hospital Ramon y Cajal, Madrid, Spain. [Parody,R, Sureda,A] Hematology División, Institut Català Oncologia-Hospital Duran i Reynals, Barcelona, Spain. [Morales,MD, Merchán,B, de Miguel,D] Hematology División, Hospital de Guadalajara, Guadalajara, Spain. [Benzo,G] Hematology División, Hospital La Princesa, Madrid, Spain. [Gómez-Catalan,I, Serrano,A, Montoya,MC] Hematology División, Hospital de Albacete, Albacete, Spain. [Coll,R] Hematology División, Institut Català Oncologia-Hospital Josep Trueta, Girona, Spain. [De La Fuente,I, Pérez,C] Hematology División, Hospital Clínico de Valladolid, Valladolid, Spain. [Diaz,C] Hematology División, Hospital Carlos Haya, Malaga, Spain. [Lopez, JL] Hematology División, Hospital Fundación Jiménez Díaz, Madrid, Spain. [Bailen,R] Hematology División, Hospital Gregorio Marañon, Madrid, Spain. [Zudaire,T] Hematology División, Hospital de Navarra, Navarra, Spain. [Martínez,D] Hematology División, Hospital a Coruña, Coruña, Spain. [Jurado,M] Hematology División, Hospital Virgen de la Nieves, Granada, Spain. [Calbacho,M] Hematology División, Hospital 12 de Octubre, Madrid, Spain. [Vázquez,L] Hematology División, Hospital Universitario de Salamanca, Salamanca, Spain. [Fox,L] Hematology División, Hospital Vall d`Hebron, Barcelona, Spain. [Pimentel,AI] Hematology División, Hospital Clínico Universitario Lozano Blesa, IIS Aragon, Zaragoza, Spain. [Bautista,G] Hematology División, Hospital Puerta de Hierro, Madrid, Spain. [Nieto,A] Hematology División, Hospital de Vigo, Vigo, Spain. [Fernandez,P] Hematology División, Hospital General de Alicante, Alicante, Spain. [Vallejo,JC] Hematology División, Hospital de Donostia, Donostia, Spain. [Solano,C] Hematology División, Hospital Clínico Universitario de Valencia, Valencia, Spain. [Valero,M] Hematology División, Hospital Arnau de Vilanova, Valencia, Spain.[Espigado,I] Department of Hematology, University Hospital Virgen del Rocío/ University of Sevilla, CSIC/ Institute of Biomedicine of Sevilla, Sevilla, Spain. [Saldaña,R] Hematology División, Hospital de Jerez, Jerez, Spain. [Sisinni,L] Pediatric Hematology-Oncology División, Hospital la Paz, Madrid, Spain. [Ribera,JM, Jimenez,MJ] Hematology División, ICO-Hospital Germans Trias i Pujol, Josep Carreras Research Institute, Badalona, Spain. [Trabazo,M] Pediatric División, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [Gonzalez-Vicent,M] Pediatric División, Hospital niño Jesús, Madrid, Spain. [Fernández,N] Hematology División, Hospital Marqués de Valdecilla, Santander, Spain. [Talarn,C] Hematology División, Hospital Joan XXIII, Tarragona, Spain. [Cedillo,A] Hematopoietic Stem Cell Transplantation and Cell Therapy Group (GETH), Madrid, Spain. [Piñana,JL] Division of Clinical Hematology, Hospital Universitario la Fe de Valencia, Valencia, Spain., Institut Català de la Salut, [Piñana JL] Hematology División, Hospital Universitario y Politécnico La Fe, Instituto de Investigación Sanitaria La Fe, Valencia, Spain. CIBERONC, Instituto Carlos III, Madrid, Spain. Division of Clinical Hematology, Hospital Universitario la Fe de Valencia, Avda Fernando Abril Martorell, 106 CP 46026 Valencia, Spain. [Martino R] Hematology División, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [García-García I] Hematology División, Hospital Ramon y Cajal, Madrid, Spain. [Parody R] Hematology División, Institut Català Oncologia-Hospital Duran i Reynals, Barcelona, Spain. [Morales MD] Hematology División, Hospital de Guadalajara, Guadalajara, Spain. [Benzo G] Hematology División, Hospital La Princesa, Madrid, Spain. [Fox L] Servei d’Hematologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus
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0301 basic medicine ,Cancer Research ,Diseases::Neoplasms::Neoplasms by Site::Hematologic Neoplasms [Medical Subject Headings] ,COVID-19 (Malaltia) - Mortalitat ,Coronavirus infections ,Azithromycin ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,0302 clinical medicine ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Retrospective Studies [Medical Subject Headings] ,Reacción en cadena de la polimerasa ,virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES] ,Hematologic neoplasms ,Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings] ,Hematology ,Factors de risc en les malalties ,Stem cell transplantation ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Transplantation::Cell Transplantation::Stem Cell Transplantation::Hematopoietic Stem Cell Transplantation [Medical Subject Headings] ,Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES] ,lcsh:Diseases of the blood and blood-forming organs ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Prognosis ,Multicenter study ,Polymerase chain reaction ,Oncology ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Transplantation::Cell Transplantation::Stem Cell Transplantation [Medical Subject Headings] ,030220 oncology & carcinogenesis ,Malalties hematològiques ,Factores de riesgo ,medicine.drug ,medicine.medical_specialty ,Pronòstic mèdic ,Risk factors in diseases ,Infecciones por coronavirus ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance::Multivariate Analysis [Medical Subject Headings] ,Chemicals and Drugs::Amino Acids, Peptides, and Proteins::Proteins::Blood Proteins::Immunoproteins::C-Reactive Protein [Medical Subject Headings] ,Neutropenia ,Hematologia oncològica ,lcsh:RC254-282 ,Trasplante de células madre ,03 medical and health sciences ,Other subheadings::Other subheadings::Other subheadings::/mortality [Other subheadings] ,Internal medicine ,medicine ,Persons::Persons::Age Groups::Child [Medical Subject Headings] ,Mortality ,neoplasias::neoplasias por localización::neoplasias hematológicas [ENFERMEDADES] ,Persons::Persons::Age Groups::Adult [Medical Subject Headings] ,Estudio multicéntrico ,Estudio restrospectivo ,Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] ,Otros calificadores::Otros calificadores::Otros calificadores::/mortalidad [Otros calificadores] ,Performance status ,lcsh:RC633-647.5 ,business.industry ,SARS-CoV-2 ,Research ,Neoplasias hemtaológicas ,Hematologic diseases ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Mortality [Medical Subject Headings] ,COVID-19 ,Retrospective cohort study ,Odds ratio ,Neoplasms::Neoplasms by Site::Hematologic Neoplasms [DISEASES] ,medicine.disease ,Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [Medical Subject Headings] ,Confidence interval ,Retrospective studies ,Transplantation ,030104 developmental biology ,Sang - Malalties ,Mortalidad ,Risk factor ,business - Abstract
Background Prognostic factors of poor outcome in patients with hematological malignancies and COVID-19 are poorly defined. Patients and methods This was a Spanish transplant group and cell therapy (GETH) multicenter retrospective observational study, which included a large cohort of blood cancer patients with laboratory-confirmed SARS-CoV-2 infection through PCR assays from March 1st 2020 to May 15th 2020. Results We included 367 pediatric and adult patients with hematological malignancies, including recipients of autologous (ASCT) (n = 58) or allogeneic stem cell transplantation (allo-SCT) (n = 65) from 41 hospitals in Spain. Median age of patients was 64 years (range 1–93.8). Recipients of ASCT and allo-SCT showed lower mortality rates (17% and 18%, respectively) compared to non-SCT patients (31%) (p = 0.02). Prognostic factors identified for day 45 overall mortality (OM) by logistic regression multivariate analysis included age > 70 years [odds ratio (OR) 2.1, 95% confidence interval (CI) 1.2–3.8, p = 0.011]; uncontrolled hematological malignancy (OR 2.9, 95% CI 1.6–5.2, p 20 mg/dL (OR 3.3, 95% CI 1.7–6.4, p
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- 2020
46. Respiratory Biosecurity practiced in work environments of fourteen Peruvian cities: Pilot study
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Mejia,Christian R, Jimenez-Meza,Yanina, Chacon,Jhosselyn I, Meza-Santivañez,Josselyn, Charri,Julio C, Saenz,Juan J, Viera-Pachas,Rodrigo, Quispe-Colquepisco,Sarita, Verastegui-Diaz,Araseli, and Cabrera-Bardales,William
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Perú ,estudio multicéntrico ,trabajadores ,Seguridad laboral ,Gripe ,Bioseguridad respiratoria - Abstract
RESUMEN Objetivo: caracterizar la bioseguridad respiratoria que practican los trabajadores en catorce ciudades del Perú. Metodología: trabajo transversal descriptivo de tipo multicéntrico, a través de una encuesta auto-aplicada, donde se consultó temas relacionados con la bioseguridad respiratoria y de las prácticas de higiene que tenían. Estos se describieron con frecuencias y porcentajes. Resultados: de los 4287 encuestados, el 68% (2913) fueron hombres, la mediana de edades fue de 31 años (rango intercuartílico: 24-40 años). El 91% y el 53% sabían para que se usan las mascarillas respiratorias y la forma de trasmisión de las enfermedades respiratorias, respectivamente. El 46% se auto-medica cuando está resfriado; se han vacunado contra la gripe estacional entre 31-41% para los trabajadores, familiares o compañeros de trabajos, estos porcentajes suben cuando se les preguntó si se vacunarían el año en curso y la mayoría de los que no se vacunarían es porque no saben dónde (rango: 35-40%); el brazo y la mano son los más usados para cubrirse cuando estornudan. Conclusión: estas características muestran a una población que puede ser susceptible a contraer y trasmitir enfermedades respiratorias, por lo que se deben tomar medidas de educación e intervenciones para la mejora del conocimiento/actitudes y la generación de prácticas adecuadas.
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- 2019
47. Bioseguridad respiratoria practicada en ambientes laborales de catorce ciudades peruanas: Estudio piloto
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Mejia, Christian R, Jimenez-Meza, Yanina, Chacon, Jhosselyn I, Meza-Santivañez, Josselyn, Charri, Julio C, Saenz, Juan J, Viera-Pachas, Rodrigo, Quispe-Colquepisco, Sarita, Verastegui-Diaz, Araseli, and Cabrera-Bardales, William
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Perú ,multicenter study ,estudio multicéntrico ,trabajadores ,workers ,Peru ,Biosecurity of respiratory diseases ,Bioseguridad respiratoria - Abstract
RESUMEN Objetivo: caracterizar la bioseguridad respiratoria que practican los trabajadores en catorce ciudades del Perú. Metodología: trabajo transversal descriptivo de tipo multicéntrico, a través de una encuesta auto-aplicada, donde se consultó temas relacionados con la bioseguridad respiratoria y de las prácticas de higiene que tenían. Estos se describieron con frecuencias y porcentajes. Resultados: de los 4287 encuestados, el 68% (2913) fueron hombres, la mediana de edades fue de 31 años (rango intercuartílico: 24-40 años). El 91% y el 53% sabían para que se usan las mascarillas respiratorias y la forma de trasmisión de las enfermedades respiratorias, respectivamente. El 46% se auto-medica cuando está resfriado; se han vacunado contra la gripe estacional entre 31-41% para los trabajadores, familiares o compañeros de trabajos, estos porcentajes suben cuando se les preguntó si se vacunarían el año en curso y la mayoría de los que no se vacunarían es porque no saben dónde (rango: 35-40%); el brazo y la mano son los más usados para cubrirse cuando estornudan. Conclusión: estas características muestran a una población que puede ser susceptible a contraer y trasmitir enfermedades respiratorias, por lo que se deben tomar medidas de educación e intervenciones para la mejora del conocimiento/actitudes y la generación de prácticas adecuadas. ABSTRACT Objective: to describe biosecurity of respiratory diseases practiced by workers in fourteen cities of Peru. Methodology: a descriptive multicenter cross-sectional study was carried out in February through a self-administered questionnaire, where some concepts related to biosecurity of respiratory diseases and hygiene practices were asked. These were described in frequencies and percentages. Results: Of 4287 respondents, 68% (2913) were men; the average age was 31 years (interquartile range: 24-40 years). 91% and 53% knew what respiratory masks are used for and how respiratory diseases are transmitted, respectively. 46% self-medicate when they have the cold; 31-41% of workers, relatives or co-workers have been vaccinated against seasonal flu, these percentages go up when they were asked if they would be vaccinated in current year and most would not be vaccinated because they do not know where (Range: 35-40%); the arm and the hand are the most used to cover when sneezing. Conclusion: These characteristics show a population that may be susceptible to get and transmit respiratory diseases, so educational measures and interventions should be taken to improve knowledge/attitudes and to create good practices.
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- 2019
48. Natural History and Clinical Outcome of “Uncorrected” Scimitar Syndrome Patients: a Multicenter Study of the Italian Society of Pediatric Cardiology.
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Vida, Vladimiro L., Padrini, Maddalena, Boccuzzo, Giovanna, Agnoletti, Gabriella, Bondanza, Sara, Butera, Gianfranco, Chiappa, Enrico, Marasini, Maurizio, Pilati, Mara, Pongiglione, Giacomo, Prandstraller, Daniela, Russo, Maria Giovanna, Castaldi, Biagio, Santoro, Giuseppe, Spadoni, Isabella, Stellin, Giovanni, and Milanesi, Ornella
- Abstract
Copyright of Revista Española de Cardiología (18855857) is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2013
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49. Staphylococcus aureus resistente a meticilina: sensibilidad a la daptomicina a lo largo de un periodo de 10 años (2001-2010).
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Picazo, Juan J., Betriu, Carmen, Culebras, Esther, Rodríguez-Avial, Iciar, Gómez, María, López-Fabal, Fátima, and VIRA, Grupo
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METHICILLIN-resistant staphylococcus aureus ,ANTIBIOTICS ,DRUG resistance in microorganisms ,MICROBIAL sensitivity tests ,BACTERICIDES ,QUINUPRISTIN ,ANTI-infective agents - Abstract
Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2011
50. ILLICIT DRUG USE IN SEVEN LATIN AMERICAN COUNTRIES: CRITICAL PERSPECTIVES OF FAMILIES AND FAMILIARS.
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da Silva, Jaqueline, Ventura, Carla Aparecida Arena, da Costa Vargens, Octavio Muniz, Loyola, Cristina Maria Douat, Albarracín, Daniel Gonzalo Eslava, Diaz, Jorge, Funes, Gladys Magdalena Rodríguez, Hernández, Mabell Granados, Torres, Ruth Magdalena Gallegos, and Rodriguez, Ruth Jakeline Oviedo
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DRUGS of abuse , *DRUG addiction risk factors , *SUBSTANCE abuse prevention , *FAMILIES , *HEALTH services accessibility - Abstract
This cross-sectional multi-centre study explored how family members and friends of illicit drug users perceived protective and risk factors, treatment facilities and policies and laws regarding illicit drug use. Family members and friends of illicit drug users were recruited in 10 urban health care outpatient units in 7 Latin American countries (Brazil, Colombia, Costa Rica, Ecuador, Guatemala, Honduras and Mexico) to complete a questionnaire. The majority of the respondents chose psycho-social factors over genetic or biological explanations as causes of drug problems. Respondents felt that families and governments were responsible for preventing drug problems. Church/religious institutions were most often mentioned in the context of accessible treatment. When asked about access to treatment facilities, the majority said that there were not enough. Shame about drug use, cost, and limited treatment options were most often cited as barriers to treatment. [ABSTRACT FROM AUTHOR]
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- 2009
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