Anales De Medicina Interna最新文献_第10页

[Pneumonia above 80 years, admitted to the hospital]. [80岁以上肺炎入院]。

Anales De Medicina Interna Pub Date : 2008-03-01 DOI: 10.4321/s0212-71992008000300004

G Zubillaga Garmendia, E Sánchez Haya, J Benavente Claveras, E Ceciaga Elexpuru, I Zamarreño Gómez, E Zubillaga Azpíroz, C Sarasqueta Eizaguirre

{"title":"[Pneumonia above 80 years, admitted to the hospital].","authors":"G Zubillaga Garmendia, E Sánchez Haya, J Benavente Claveras, E Ceciaga Elexpuru, I Zamarreño Gómez, E Zubillaga Azpíroz, C Sarasqueta Eizaguirre","doi":"10.4321/s0212-71992008000300004","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300004","url":null,"abstract":"Objective: To analyze and compare differences in patients older than 80 years with Community acquired Pneumonia admitted in Internal Medicine or Pneumology of a General Hospital from the Emergency Room.Material and methods: Retrospective study of all the 277 patients above 80 years admitted into the Hospital in 2005 with the main diagnosis of Pneumonia.Results: 84% community-acquired, 16% from Institutions. Mean age: 85.8 y (48% men, 52% women). 19% FINE-3, 49% FINE-4, 32% FINE-5. Known etiology: 25% (Pneumococcal 19%, H. Influenzae and other Gram (-) 6%. 75% treated by Internists, 22% treated by Pneumologists. Standard Guidelines followed up by 30,5% a variant 60% (Equal by Internists or Pneumologists). Time door-1st antibiotic dose 6.6 hours. Global Mortality 16.7%. Women died at 87.4 y, men at 84.5 y (p = 0.035). Mortality FINE 3-4-5: 4.5, 12.4, 30% respectively. Mortality treated before 4 hours: 34.6%, after 4 hours: 11.5% (p = 0.01). Many more FINE 5 cases in Int. Medicine than Pneumology. Mortality by Internists 22%. Mortality by Pneumologists 3% (p = 0.001). Mortality similar following strict guidelines or variant.Conclusions: a) Internist receive patients sicker than Pneumologists; b) Important mortality in these very old patients of 16.7%, and progressive according the FINE severity index, in spite of correct therapy; c) Rapid initiation of Antibiotics did not decreased mortality; d) Mortality did not change following strict or variant Guidelines; and e) There are areas of quality improvement in our Hospitals.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"117-21"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27504998","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: 4

[Adrenal failure caused by primary adrenal non-Hodgkin lymphoma: a case report and review of the literature]. 【原发性肾上腺非霍奇金淋巴瘤致肾上腺功能衰竭1例报告及文献复习】。

Anales De Medicina Interna Pub Date : 2008-03-01 DOI: 10.4321/s0212-71992008000300007

B Hernández Marín, V M Díaz Muñoz de la Espada, R Alvarez Alvarez, S Encinas García, P Khosravi Shahi, R Pérez Fernández, G Pérez Manga

引用次数: 2

[Evaluation of the management of inhalers by the nursing personnel in a reference hospital]. [某参考医院护理人员吸入器管理评价]。

Anales De Medicina Interna Pub Date : 2008-03-01 DOI: 10.4321/s0212-71992008000300003

J Díaz-López, M J Cremades-Romero, F Carrión-Valero, M Maya-Martínez, I Fontana-Sanchís, E Cuevas-Cebrián

{"title":"[Evaluation of the management of inhalers by the nursing personnel in a reference hospital].","authors":"J Díaz-López, M J Cremades-Romero, F Carrión-Valero, M Maya-Martínez, I Fontana-Sanchís, E Cuevas-Cebrián","doi":"10.4321/s0212-71992008000300003","DOIUrl":"https://doi.org/10.4321/s0212-71992008000300003","url":null,"abstract":"Objectives: To evaluate the knowledge and skills of nurses on the management of inhaled therapy in different hospitalization wards.Material and methods: We carried out a cross-sectional study, in which nurses were asked to perform a practical demonstration of the management of a pressurized canister with an inhalation chamber, without previous theoretical instruction about the technique. The inhalation technique was evaluated step by step following the recommendations of the Spanish Society of Pneumologists and Chest Surgeons (SEPAR).Results: We could obtain the participation of 144 of the 177 nurses working in different wards (29 males, 115 females, mean age 42.5 + 7 years). Previous knowledge of the management of inhalers was declared by 85.4%. We found that 70.8% of the nurses did not correctly perform all the steps: 24.5% made only one mistake, while the rest had mistakes in two or more steps. The most common mistakes were: not to perform a slow and deep exhalation before using the inhaler (27.3%), not to hold the breath after the inhalation (24.4%), and not to wait 30 seconds between inhalation manoeuvres (21.5%). When evaluating different wards, we found that 44.4% of the nurses in the Short Stay Unit performed the technique correctly in contrast to 31.3% of the nurses in the Pneumology Ward.Conclusions: The percentage of mistakes in the inhalation technique by the nursing personnel was high. The health personnel must have an adequate level of training in order to correctly instruct the patient, because the efficacy of inhaled treatment greatly depends on the adequacy of the technique.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 3","pages":"113-6"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27504997","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: 11

[Systemic mastocytosis: systematic review]. 系统性肥大细胞增多症:系统综述。

Anales De Medicina Interna Pub Date : 2008-03-01 DOI: 10.4321/s0212-71992008000300008

M J Molina-Garrido, A Mora, C Guillén-Ponce, M Guirado-Risueño, M J Molina, M A Molina, A Carrato

引用次数: 27

[The autoimmune hepatitis-primary biliary cirrhosis overlap syndrome: a case report]. 自身免疫性肝炎-原发性胆汁性肝硬化重叠综合征1例

Anales De Medicina Interna Pub Date : 2008-03-01 DOI: 10.4321/s0212-71992008000300005

N Mallo-González, R López-Rodríguez, J Campos-Franco, I Abdulkader, E Otero-Antón, M R Alende-Sixto

引用次数: 4

[Periodic familial fever]. [周期性家族性热]。

Anales De Medicina Interna Pub Date : 2008-02-01 DOI: 10.4321/s0212-71992008000200010

M Estébanez Muñoz, J Gómez Cerezo, M López Rodríguez, B Pagán Muñoz, F J Barbado Hernández

引用次数: 1

[Hemoperitoenum as presentation of hepatocellular carcinoma: experience in three cases with spontaneous tumoral rupture and review of the literature]. [腹膜积血作为肝细胞癌的表现:3例自发性肿瘤破裂的经验及文献复习]。

Anales De Medicina Interna Pub Date : 2008-02-01 DOI: 10.4321/s0212-71992008000200007

M Fernández-Ruiz, J M Guerra-Vales, J Llenas-García, J M Delgado-García, C Gómez-Pellico, A González-Barber

引用次数: 7

[Hemoglobinopathies diagnosed at the University Hospital Ntra. Sra. de Candelaria and its area of reference in Santa Cruz de Tenerife during one year]. 在Ntra大学医院诊断的血红蛋白病。Sra。de Candelaria及其在圣克鲁斯de Tenerife的参考区域[一年]。

Anales De Medicina Interna Pub Date : 2008-02-01

S de las Heras Flórez, L M Pérez Hernández

{"title":"[Hemoglobinopathies diagnosed at the University Hospital Ntra. Sra. de Candelaria and its area of reference in Santa Cruz de Tenerife during one year].","authors":"S de las Heras Flórez, L M Pérez Hernández","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe number and type of hemoglobinopathies diagnosed in our area of reference during one year as well as the origin of these patients, to have a first contact with this pathology not characterized in our province until now.Material and method: All hemoglobinopathies diagnosed in one year were reviewed, either for suspected patients, after analyzing chromatogram to quantify hemoglobin (Hb) A1c or hemogram suspicious of beta-thalassemia. The screening method was high pressure liquid chromatography (HPLC), to identify and quantify HbA2, HbS and HbC. The other variants were diagnosed at reference laboratory.Results: 198 hemoglobinopathies were diagnosed, 105 after measure HbA1c. The more frequent diagnoses were beta-thalassemia trait and heterozygote HbS. 61.1% of patients are from Canary Islands, mainly from Tenerife.Conclusions: The high number of carriers found from Canary Islands, should be the start to design prospective studies on population groups, in order to know the hemoglobinopathies prevalence and to perform control and prevention official programs in the province of Santa Cruz de Tenerife.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 2","pages":"61-6"},"PeriodicalIF":0.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27400010","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

[Coxsackie virus infection associated with myositis and polyarthritis]. [柯萨奇病毒感染与肌炎和多发性关节炎相关]。

Anales De Medicina Interna Pub Date : 2008-02-01 DOI: 10.4321/s0212-71992008000200009

N Gómez Rodríguez, J Ibáñez Ruán, M González Rodríguez

引用次数: 6

[Myelomatous ascites]. [骨髓瘤样腹水]。

Anales De Medicina Interna Pub Date : 2008-02-01 DOI: 10.4321/s0212-71992008000200008

P Young, B B Finn, D Pellegrini, J E Bruetman, C M Shanley, C Tolosa Vilell, H Trimarchi

引用次数: 4