Medicina Paliativa最新文献_第3页

Recognition of the variant type of spinal dural arteriovenous fistula: a rare but important consideration. 识别脊髓硬膜动静脉瘘的变异类型：罕见但重要的考虑因素。

IF 2.8

Medicina Paliativa Pub Date : 2022-05-06 Print Date: 2022-10-01 DOI: 10.3171/2022.3.SPINE22225

Sean T O'Reilly, Eef Jacobus Hendriks, Marie-Christine Brunet, Ze'ev Itsekson, Rabab Al Shahrani, Ronit Agid, Patrick Nicholson, Karel terBrugge, Ivan Radovanovic, Timo Krings

{"title":"Recognition of the variant type of spinal dural arteriovenous fistula: a rare but important consideration.","authors":"Sean T O'Reilly, Eef Jacobus Hendriks, Marie-Christine Brunet, Ze'ev Itsekson, Rabab Al Shahrani, Ronit Agid, Patrick Nicholson, Karel terBrugge, Ivan Radovanovic, Timo Krings","doi":"10.3171/2022.3.SPINE22225","DOIUrl":"10.3171/2022.3.SPINE22225","url":null,"abstract":"Objective: Spinal dural arteriovenous fistulas (SDAVFs) typically represent abnormal shunts between a radiculomeningeal artery and radicular vein, with the point of fistulization classically directly underneath the pedicle of the vertebral body, at the dural sleeve of the nerve root. However, SDAVFs can also develop in atypical locations or have more than one arterial feeder, which is a variant of SDAVF. The aim of this study was to describe the incidence and multidisciplinary treatment of variant SDAVFs in a single-center case series.Methods: Following institutional review board approval, the authors retrospectively analyzed their prospectively maintained database of patients with SDAVFs who presented between 2008 and 2020. For all patients, spinal digital subtraction angiograms were reviewed and variant SDAVFs were identified. Variant types of SDAVFs were defined as cases in which the fistulous point was not located underneath the pedicle. Patient demographics, angiographic features, clinical outcomes, and treatment modalities were assessed.Results: Of 59 patients with SDAVFs treated at the authors' institution, 4 patients (6.8%) were identified as having a variant location of the shunt zone, pinpointed on the dura mater at the intervertebral level, further posteriorly within the spinal canal. In 3 cases (75%), a so-called bimetameric arterial supply was demonstrated.Conclusions: Recognition of the variant type of SDAVF is crucial for management, as correct localization of the fistulous point and bimetameric supply are critical for successful surgical disconnection, preventing delay in achieving definitive treatment.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":"624-628"},"PeriodicalIF":2.8,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90081894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacto en el consumo de recursos de un Programa Integrado de Cuidados Paliativos en Colombia. 哥伦比亚综合姑息治疗方案对资源消耗的影响。

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1335/2021

Zacarías Rodriguez Álvarez-Ossorio, Susana Orrego Villegas, Miguel Ángel Lúcas Díaz, Karine María Posada España, María Jesús Pérez-Solano Vázquez, Silvia Librada Flores

引用次数: 0

Estudio descriptivo del impacto de la pandemia por COVID-19 sobre las condiciones de trabajo, el cuidado de los pacientes y la calidad de vida profesional de una muestra de profesionales de cuidados paliativos españoles. 对西班牙姑息治疗专业人员样本的COVID-19大流行对工作条件、患者护理和职业生活质量影响的描述性研究。

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1316/2022

Cristina Lluch-Sanz, L. Galiana, Gabriel Vidal-Blanco, Juan Pablo Leiva, Noemí Sansó

引用次数: 0

Nuevas estrategias de atención y cuidado en el contexto de una pandemia: Desarrollo de un sistema de monitorización de síntomas telemático en pacientes con enfermedades avanzadas (AvanzaT). 大流行背景下的新护理战略:为晚期疾病患者开发远程症状监测系统(AvanzaT)。

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1319/2022

Manuel Ramón Castillo Padrós, Marcelino Mosquera Peña, Miguel Angel Benitez Rosario, M� Carmen Riveira Fraga, Belen Garrido Bernet, Rosa M� García García

引用次数: 1

Indicadores de un programa de gestión en cuidado paliativo en Colombia: seguimiento retrospectivo 哥伦比亚姑息治疗管理计划的指标:回顾性监测

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1285/2021

Liney Sequeda Ferro, Lady Layton, Jorge Edgar Guevara Muñoz, L. Quintero, S. Carreño-Moreno

引用次数: 0

Interpretación de las puntuaciones obtenidas con la Escala Breve de Calidad de Vida Profesional 工作生活质量简表得分的解释

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1304/2021

L. Galiana, Gabriel Vidal-Blanco, A. Oliver, Noemí Sansó

{"title":"Interpretación de las puntuaciones obtenidas con la Escala Breve de Calidad de Vida Profesional","authors":"L. Galiana, Gabriel Vidal-Blanco, A. Oliver, Noemí Sansó","doi":"10.20986/medpal.2022.1304/2021","DOIUrl":"https://doi.org/10.20986/medpal.2022.1304/2021","url":null,"abstract":"Background: The Professional Quality of Life Scale, known by its acronym in English, ProQOL, is one of the most used in the context of health professionals to assess professional quality of life. Recently, a short version of this scale has been presented, the Short Professional Life Quality Scale. The aim of this work is to offer brief guides for the interpretation of the scores obtained with this scale. Materials and methods: A cross-sectional study was carried out in Spanish palliative care professionals. Professional quality of life, mindfulness, self-compassion and personal wellbeing were evaluated. Descriptive statistics were calculated, including percentiles for the interpretation of the Brief Professional Quality of Life Scale, and analysis of variance, to study the goodness of the established cut-off points. Results: Satisfaction with compassion can be considered low with scores of 10 or lower, medium with scores between 11 and 13, and high with scores of 14 or higher. Burnout can be considered low with scores of 6 or lower, medium with scores between 7 and 8, and high with scores of 9 or higher. Compassion fatigue can be considered low with scores of 4 or lower, medium with scores of 5, and high with scores of 6 or higher. The established cut-off point for the scores were related in the expected direction with mindfulness, selfcompassion and personal well-being. Discussion: The cut-off points identified for the Short Professional Quality of Life Scale scores are useful and adequate for the scale use.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68138539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Miedo a la muerte en una muestra de estudiantes de Enfermería 护理学生样本中的死亡恐惧

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1345/2022

D. Parra-Giordano, Ignacio Bustos-Donoso, María Albayay-Gatica, Catalina Cepeda-Órdenes, Tatiana Coliboro-Navarro

{"title":"Miedo a la muerte en una muestra de estudiantes de Enfermería","authors":"D. Parra-Giordano, Ignacio Bustos-Donoso, María Albayay-Gatica, Catalina Cepeda-Órdenes, Tatiana Coliboro-Navarro","doi":"10.20986/medpal.2022.1345/2022","DOIUrl":"https://doi.org/10.20986/medpal.2022.1345/2022","url":null,"abstract":"Objective: To evaluate the fear of death and its relationship with various sociodemographic variables in Nursing students. Method: The study design was descriptive, observational, and cross-sectional, based on a quantitative approach with a positivist paradigm. The participants were 443 students from the first to the fifth year of Nursing at the University of Chile, selected by random sampling stratified by cluster. The Collett-Lester Fear of Death Scale validated in Chile was applied to each participant through a form sent through mass messages, using descriptive statistics. The Ethics Committee approved the research. Results: Average fear of death was moderate to high (3.16 ░ ± ░ 1.43). The highest score was obtained in fear of the death of others (3.64 ░ ± ░ 1.36). The perceived fear decreases as the curriculum progresses, and the female gender has a higher score. Conclusion: The fear of death is inversely related to the years of Nursing training. It is essential to have curricular modifications that favor teaching about the end of life in undergraduate students. That can be implemented within the framework of the current legal norm in Chile.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68140827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Búsqueda y evaluación de la literatura científica: juego de escape 科学文献搜索与评价:逃生游戏

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1339/2022

María Luisa Maquedano Martínez, Manuel Molina Arias

{"title":"Búsqueda y evaluación de la literatura científica: juego de escape","authors":"María Luisa Maquedano Martínez, Manuel Molina Arias","doi":"10.20986/medpal.2022.1339/2022","DOIUrl":"https://doi.org/10.20986/medpal.2022.1339/2022","url":null,"abstract":"Es de recursos para seleccionar los más apropiados en cada caso, así como los operadores, vocabularios, filtros y otras opciones de la interfaz implementados en cada una de ellos. En este artículo, con un ejercicio práctico a modo de juego, se han descrito los elementos correspondientes a la lista de verificación PRISMA-S para la presentación de una revisión rápida: criterios de elegibilidad de los estudios en formato PICO, fuentes de información obligatorias, estrategias de búsqueda en PubMed y el formulario peer review para describir la metodología de todo el proceso. ABSTRACT Developing a search strategy in health sciences databases to obtain a balanced evidence result between sensitivity and specificity is a real challenge. It is essential to have a good understanding of the different types of resources in order to select the most appropriate in each case, as well as the operators, vocabularies, filters and other interface options implemented in each of them. In this article, with a practical exercise as a game, the elements corresponding to the PRISMA-S checklist for the presentation of a rapid review have been described: eligibility criteria for studies in PICO format, mandatory information sources, search strategies in PubMed and the peer review form to describe the methodology of the entire process.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68139816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implicaciones clínicas de la retirada de alimentación e hidratación artificial en pacientes pediátricos en el final de vida 儿科患者在生命结束时停止喂养和人工水合作用的临床意义

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1334/2022

C. Solito, Laura Plaza Luna, Lucía Navarro Marchena, Sergi Navarro Villarubi

{"title":"Implicaciones clínicas de la retirada de alimentación e hidratación artificial \u0000en pacientes pediátricos en el final de vida","authors":"C. Solito, Laura Plaza Luna, Lucía Navarro Marchena, Sergi Navarro Villarubi","doi":"10.20986/medpal.2022.1334/2022","DOIUrl":"https://doi.org/10.20986/medpal.2022.1334/2022","url":null,"abstract":"Introduction: In the literature on adult patients, there is evidence that continuing artificial nutrition and hydration (ANH) during end of life is associated with numerous adverse effects. The withdrawal of ANH could lead to a reduction in these negative effects, without resulting in a reduced survival time. In pediatrics, evidence regarding this subject is sorely lacking. The objective of this study is to describe the use of ANH in pediatric patients at end of life, along with the clinical implications of continuing or withdrawing it. Methodology: Observational (prospective and retrospective) study in a tertiary pediatric hospital. Patients older than 24 hours who died at our center or at home between 07/15/2019 and 07/15/2020 were included. The information was collected via interviews with the healthcare team and by reviewing clinical records. Results: Of the patients who received ANH, in half of them this support was reduced or withdrawn prior to death. ANH was withdrawn/reduced in a higher percentage in patients who died in the hospital versus at home. A greater incidence of clinical signs of dehydration was seen in the groups that did not receive ANH. When compared with the groups that did receive ANH, a slight increase in these signs was observed for the group in which ANH was withdrawn versus that in which it was continued, without this difference being statistically significant. The median time elapsed between withdrawing ANH and death was one day. Conclusions: The reduction or withdrawal of ANH in pediatric patients does not appear to increase the signs of dehydration.","PeriodicalId":49831,"journal":{"name":"Medicina Paliativa","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68139904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efectos de los cuidados paliativos tempranos en adultos con enfermedades crónicas: una revisión sistemática 成人慢性疾病早期姑息治疗的效果:系统综述

Medicina Paliativa Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1322/2022

Raquel Toca Martínez

引用次数: 0