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[Fatigue, quality of life, and use of healthcare resources in children with complex chronic diseases]. [儿童复杂慢性病患者的疲劳、生活质量和医疗资源利用]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-18 DOI: 10.23938/ASSN.1008
B Pérez-Ardanaz, J M Morales-Asencio, M J Peláez-Cantero, S García-Mayor, J C Canca-Sánchez, C Martí-García
{"title":"[Fatigue, quality of life, and use of healthcare resources in children with complex chronic diseases].","authors":"B Pérez-Ardanaz,&nbsp;J M Morales-Asencio,&nbsp;M J Peláez-Cantero,&nbsp;S García-Mayor,&nbsp;J C Canca-Sánchez,&nbsp;C Martí-García","doi":"10.23938/ASSN.1008","DOIUrl":"https://doi.org/10.23938/ASSN.1008","url":null,"abstract":"<p><strong>Background: </strong>The objective was to assess fatigue in children with complex chronic diseases (CCCDs) and analyze its relationship with clinical and sociodemographic characteristics, use of healthcare services, and quality of life (QoL).</p><p><strong>Methods: </strong>Cross-sectional study carried out in CCCDs attended in a tertiary hospital during 2016. Fatigue (PedsFacit-F questionnaire) and quality of life (PedsQL) were determined, and the following variables were registered: use of health resources, disease group, time with disease, and educational level and type of employment of the parents. A multiple regression model was developed to predict the use of healthcare resources.</p><p><strong>Results: </strong>Seventy children were included in this study; mean age 10.5 years (range: 8-17), 41.4% girls, and cancer was the most frequent group disease (28.6%). Annual use of healthcare resources (38.86; SD: 30.73) increased with fatigue (r=-0.292; p=0.015). Higher levels of fatigue were determined for children with cancer (24.9; SD: 10.7) in comparison to other pathologies, while lower levels were found for heart diseases (44.5; SD: 7.9). The QoL perceived by CCCDs (20.6; SD: 16.5) directly correlated (p<0.001) with that of their parents (22.8; SD: 16.8); a correlation with fatigue was seen in both cases (r=0.528 and r= 0.441; p<0.0001). The adjusted effect of higher levels of fatigue (lower scores), lower length of disease duration, and higher level of education of the mother, predicted greater use of healthcare resources.</p><p><strong>Conclusion: </strong>CCCDs with higher fatigue levels use healthcare resources more often and perceive a worse QoL. This should be considered when providing care to this population.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/d9/assn-45-02-e1008.PMC10130790.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying barriers and enablers for benzodiazepine (de)prescription: a qualitative study with patients and healthcare professionals. 确定苯二氮卓类药物(de)处方的障碍和促进因素:对患者和医疗保健专业人员的定性研究。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-17 DOI: 10.23938/ASSN.1005
A Marquina-Márquez, A Olry-de-Labry-Lima, C Bermúdez-Tamayo, I Ferrer López, J Marcos-Marcos
{"title":"Identifying barriers and enablers for benzodiazepine (de)prescription: a qualitative study with patients and healthcare professionals.","authors":"A Marquina-Márquez,&nbsp;A Olry-de-Labry-Lima,&nbsp;C Bermúdez-Tamayo,&nbsp;I Ferrer López,&nbsp;J Marcos-Marcos","doi":"10.23938/ASSN.1005","DOIUrl":"https://doi.org/10.23938/ASSN.1005","url":null,"abstract":"<p><strong>Background: </strong>There has been a steadily growing trend in prescribing benzodiazepines over last decade. Spain is one of the countries where this class of drugs is most extensively prescribed by primary healthcare physicians. The aim of this study is to identify factors that might be acting as barriers and enablers for benzodiazepine (de)prescription from patient and professional perspectives.</p><p><strong>Methods: </strong>Qualitative study through semi-structured interviews with medical practitioners (n=17) and patients (n=27), and a nominal group with medical practitioners (n=19). Interviews were audio-recorded, transcribed and analyzed using thematic analysis.</p><p><strong>Results: </strong>The analysis revealed key themes and was organized around barriers and enablers connected to three interrelated dimen-sions: the social and community context of prescription; the structure, organization and/or management of the health system, and the doctor-patient relationship. The excessive workload of professionals was widely cited as influencing over-prescription. (De)prescription of benzodiazepine was facilitated by encouraging the social prescription of health assets or developing strategies to therapeutic alliance processes and better doctor-patient communication.</p><p><strong>Conclusion: </strong>Our findings suggest that there is a role for the salutogenic approach and the health asset model in the development of a more person-centred clinical care. This study considers the importance of encouraging the use of non-pharmacological methods and techniques in the health system and promoting the creation of multidisciplinary teams, therapeutic alliance processes and better doctor-patient communication by giving professionals training in psychosocial skills.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/1b/assn-45-02-e1005.PMC10130797.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9359321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnostic clues in atypical hemolytic uremic syndrome: a case report]. [非典型溶血性尿毒症综合征的诊断线索:1例报告]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-17 DOI: 10.23938/ASSN.1006
M Luquin Irigoyen, C Armendariz Brugos, M Vallejo Ruiz
{"title":"[Diagnostic clues in atypical hemolytic uremic syndrome: a case report].","authors":"M Luquin Irigoyen,&nbsp;C Armendariz Brugos,&nbsp;M Vallejo Ruiz","doi":"10.23938/ASSN.1006","DOIUrl":"https://doi.org/10.23938/ASSN.1006","url":null,"abstract":"<p><p>Atypical hemolytic uremic syndrome (aHUS) is a clinical entity characterized by non-immune hemolytic anemia, thrombocytopenia and renal failure, in which lesions are mediated by a systemic thrombotic microangiopathy. It is a rare pathology whose origin is a complement system deregulation due to mutations in its genes that lead to uncontrolled activation of C5 and the formation of the membrane attack complex.- Its correct diagnosis allows us to prescribe the treatment based on Eculizumab, a C5 inhibitor. We report the case of a pregnant patient with aHUS, with the aim of highlighting the importance of early differential diagnosis to establish an early and effective treatment of this pathology. The pathophysiology, diagnosis and genetic study are updated, as well as the therapeutic management of aHUS.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/5d/assn-45-02-e1006.PMC10130794.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Rapidly progressive dementia as the initial presentation of human immunodeficiency virus infection]. [以人类免疫缺陷病毒感染为首发表现的快速进行性痴呆]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI: 10.23938/ASSN.1002
S Ballesta-Martínez, J Espinosa-Rueda, L Tarí-Ferrer, M J Crusells-Canales, A Lambea-Gil
{"title":"[Rapidly progressive dementia as the initial presentation of human immunodeficiency virus infection].","authors":"S Ballesta-Martínez,&nbsp;J Espinosa-Rueda,&nbsp;L Tarí-Ferrer,&nbsp;M J Crusells-Canales,&nbsp;A Lambea-Gil","doi":"10.23938/ASSN.1002","DOIUrl":"https://doi.org/10.23938/ASSN.1002","url":null,"abstract":"<p><p>Dementia associated with human immunodeficiency virus (HIV) is currently a rare cause of rapidly progressive dementia. Its appearance is not only limited to the late phases of the disease, but can sometimes be the presenting symptom. We present the case of a patient who debuted with anxious-depressive symptoms and rapid cognitive deteri-oration with early repercussions on his daily functionality. HIV was detected in the study, with a higher viral load in cerebrospinal fluid than in plasma. Despite a torpid course at the beginning, antiretroviral therapy brought about a progressive improvement in the cognitive sphere, consistent with the decrease in the viral load. Although rare, HIV continues to be a cause of dementia that primary care and hospital care professionals should not forget. The relevance of its early diagnosis lies in its potentially reversible nature.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/af/assn-45-02-e1002.PMC10130791.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9353550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Effectiveness of mirror therapy and action observation therapy in infantile cerebral palsy: a systematic review]. [镜像疗法与动作观察疗法治疗小儿脑瘫疗效的系统评价]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI: 10.23938/ASSN.1003
M Oliva-Sierra, M Ríos-León, V Abuín-Porras, P Martín-Casas
{"title":"[Effectiveness of mirror therapy and action observation therapy in infantile cerebral palsy: a systematic review].","authors":"M Oliva-Sierra,&nbsp;M Ríos-León,&nbsp;V Abuín-Porras,&nbsp;P Martín-Casas","doi":"10.23938/ASSN.1003","DOIUrl":"https://doi.org/10.23938/ASSN.1003","url":null,"abstract":"<p><p>The aim of this review was to assess the effectiveness of mirror therapy (MT) and action observation therapy (AOT) on upper limb-related body structures, body functions, activity, and involvement in patients with infantile cerebral palsy (ICP). We carried out a systematic review of randomized controlled trials published over the past 10 years, in which MT or AOT was compared to other ICP-directed interventions. Nine studies met the inclusion criteria and we measured their methodological quality using the PEDro scale. MT or AOT seem to significantly improve upper limb-related body structures, body function, activity, and participation in comparison to other interventions for ICP. Both seem to improve overall quality of life, reduce their disability, and promote its functioning. Further studies with higher methodological quality need to be developed to confirm the long-term effectiveness of MT and AOT.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/ca/assn-45-02-e1003.PMC10130800.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9353548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
[Exogenous lipoid pneumonia and anorexia nervosa: a case report]. 外源性类脂性肺炎合并神经性厌食症1例。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI: 10.23938/ASSN.1007
J Rodríguez Sanz, A Arellano Alvarez, L Ferrando Lamana, T Martín Carpi
{"title":"[Exogenous lipoid pneumonia and anorexia nervosa: a case report].","authors":"J Rodríguez Sanz,&nbsp;A Arellano Alvarez,&nbsp;L Ferrando Lamana,&nbsp;T Martín Carpi","doi":"10.23938/ASSN.1007","DOIUrl":"https://doi.org/10.23938/ASSN.1007","url":null,"abstract":"<p><p>Exogenous lipoid pneumonia is a rare entity with non-specific clinical presentation. Early diagnosis is key to prevent pulmonary fibrosis in cases of chronic exogenous lipoid pneumonia . Here, we present the diagnostic process in a 51-year-old female with chronic cough and yellow sputum, no fever nor signs of infection. The computerized axial tomography scan showed alveolar infiltrates in both lungs. We performed a bronchoalveolar lavage and collected a yellowish material, but no clear result were obtained from its analysis. Cryobiopsy of lung tissue was key for the diagnosis of exogenous lipoid pneumonia . This may be related to the chronic anorexia nervosa that the patient suffers, associated with purgative habits. After identifying the cause of the symptoms, the patient is recovering, changing her habits, and has no cough nor sputum.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/43/assn-45-02-e1007.PMC10130793.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9353551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Effectiveness on adherence to biological drugs and experience of a pharmaceutical intervention based on CMO model in patients with rheumatic disease (AdhER-2 study)]. [风湿病患者生物药物依从性的有效性及基于CMO模式的药物干预经验(adhar -2研究)]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI: 10.23938/ASSN.1004
A Caso-González, J Núñez-Rodríguez, Y González-Pérez, C Leralta-González, V Sanz-Alonso, C Obaldia-Alaña
{"title":"[Effectiveness on adherence to biological drugs and experience of a pharmaceutical intervention based on CMO model in patients with rheumatic disease (AdhER-2 study)].","authors":"A Caso-González,&nbsp;J Núñez-Rodríguez,&nbsp;Y González-Pérez,&nbsp;C Leralta-González,&nbsp;V Sanz-Alonso,&nbsp;C Obaldia-Alaña","doi":"10.23938/ASSN.1004","DOIUrl":"https://doi.org/10.23938/ASSN.1004","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess the effectiveness on adherence to treatment with biologic disease modifying anti-rheumatic drugs (b-DMARD) and experience with providers of healthcare of a CMO pharmaceutical intervention care model in subjects with rheu-matoid arthritis, psoriatic arthritis, and ankylosing spondylitis stratified according to their needs.</p><p><strong>Method: </strong>Prospective, single-centre randomized controlled study. The study period was eleven months. Non-compliant patients with rheumatoid arthritis, psoriatic arthritis, and ankylosing spondy-litis treated with b-DMARD were included. Patients were randomized to a control (CG) or intervention group (IG) who received regular or the CMO pharmaceutical intervention model treatment, respec-tively. Baseline and final adherence were determined using medication possession ratio, the Compliance Questionnaire on Rheu-matology, and Morisky Medication Adherence Scale. To assess baseline and final patient experience with providers of healthcare we applied the Chronic Patient Experience Assessment Instrument (IEXPAC).</p><p><strong>Results: </strong>For the IG, one patient (5.6%) was categorized as priority 1, nine (50.0%) as priority 2, and eight (44.4%) as priority 3. Ninety pharmaceutical interventions were carried out (5.1±1.8 interventions / patient). At the end of the study, the IG showed higher fre-quency of patients who adhered to the pharmaceutical intervention (77.8 vs 18.8%; p=0.002) and higher mean IEXPAC score (7.6±1.3 vs 5.8±1.1; p <0.001) in comparison to the CG. Conclusion The CMO pharmaceutical intervention model significantly improves patient adherence to b-DMARD and their experience with the providers of healthcare.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/6c/assn-45-02-e1004.PMC10130795.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9359317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
[Impact of social network use on anorexia and bulimia in female adolescents: a systematic review]. [社交网络的使用对女性青少年厌食症和暴食症的影响：系统性综述]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI: 10.23938/ASSN.1009
N Lozano-Muñoz, Á Borrallo-Riego, M D Guerra-Martín
{"title":"[Impact of social network use on anorexia and bulimia in female adolescents: a systematic review].","authors":"N Lozano-Muñoz, Á Borrallo-Riego, M D Guerra-Martín","doi":"10.23938/ASSN.1009","DOIUrl":"10.23938/ASSN.1009","url":null,"abstract":"<p><p>Systematic review of published studies on the impact of social networks (SN) use on anorexia and bulimia in female adolescents. We selected articles published over the past 10 years, written in English, Spanish or Portu-guese found in The Cochrane Library Plus, PubMed, WOS, PsycINFO, and Scopus databases and with enough methodological quality. Nine studies were included in this review with a sample of 2,069 adolescents; 75.3% were female, mean age was 18 years, and mostly used Facebook and Instagram. Despite some positive aspects, SNs promote beauty standards in terms of thinness, allow comparisons between peers increasing concerns about weight, and create spaces that encourage anorexia and bulimia. Therefore, SN use plays a role in the development of eating disorders. The promotion of extreme thinness in girls makes this population more vulnerable.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/a5/assn-45-02-e1009.PMC10130796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9359318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Dyadic self-care interventions in chronic heart failure in hospital settings: a systematic review]. [双重自我护理干预慢性心力衰竭在医院设置:系统回顾]。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-07-01 DOI: 10.23938/ASSN.1001
A I Villero-Jiménez, N Martínez-Torregrosa, M Olano Lizarraga, J Garai-López, M Vázquez-Calatayud
{"title":"[Dyadic self-care interventions in chronic heart failure in hospital settings: a systematic review].","authors":"A I Villero-Jiménez,&nbsp;N Martínez-Torregrosa,&nbsp;M Olano Lizarraga,&nbsp;J Garai-López,&nbsp;M Vázquez-Calatayud","doi":"10.23938/ASSN.1001","DOIUrl":"https://doi.org/10.23938/ASSN.1001","url":null,"abstract":"<p><p>Dyadic self-care in chronic heart failure (CHF) is key to ensure treatment continuity, reduce complications and readmissions, and minimise caregiver burden, but it requires specific strategies. The aim of the study was to identify dyadic self-management interventions in CHF in hospital settings by means of a systematic literature review conducted in the Pubmed, CINAHL and PsycInfo databases. Methodological quality was assessed according to CASPe and Joanna Briggs Institute tools. The main components of the interventions were identified: delivery format; dimensions and strategies used (cognitive-attitudinal, affective-emotional and behavioural); providers and recipients; measurement instruments used; and effectiveness. Most of the studies demonstrated improved outcomes, especially in depression and/or anxiety symptoms, adherence to treatment, diet and weight control. Innovative interventions that include components of the three dimensions identified and the use of valid, reliable and specific scales to measure outcomes are recommended.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/09/assn-45-02-e1001.PMC10123527.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9401860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refeeding syndrome: a challenging entity. 再进食综合症:一个具有挑战性的实体。
IF 1 4区 医学
Anales Del Sistema Sanitario De Navarra Pub Date : 2022-07-01 DOI: 10.23938/ASSN.0995
V M Dos Santos, L A M Dos Santos, T A M Sugai
{"title":"Refeeding syndrome: a challenging entity.","authors":"V M Dos Santos,&nbsp;L A M Dos Santos,&nbsp;T A M Sugai","doi":"10.23938/ASSN.0995","DOIUrl":"https://doi.org/10.23938/ASSN.0995","url":null,"abstract":"","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/e1/assn-45-02-e0995.PMC10123452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9401858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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