Actualidad medica最新文献

The desire to hasten death, do we internists know how to act? 加速死亡的欲望，我们内科医生知道如何应对吗?

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.ami01

M.C. Vargas Tirado

引用次数: 0

COVID-19 infection and digestive symptoms. Analysis of an outpatient geriatric population COVID-19感染和消化系统症状。门诊老年人口分析

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.or02

Delgado Zamorano, Martín Piedra, Ibarra Rodríguez, Sánchez Claros, Guzmán Quesada, Fuensanta Micaela, Flores Olmo, Ángel Delgado

{"title":"COVID-19 infection and digestive symptoms. Analysis of an outpatient geriatric population","authors":"Delgado Zamorano, Martín Piedra, Ibarra Rodríguez, Sánchez Claros, Guzmán Quesada, Fuensanta Micaela, Flores Olmo, Ángel Delgado","doi":"10.15568/am.2022.816.or02","DOIUrl":"https://doi.org/10.15568/am.2022.816.or02","url":null,"abstract":"Introduction: Although the main symptomatology of COVID19 is respiratory, many patients present digestive symptoms, which can be used to guide earlier diagnosis, anticipating isolation measures and the establishment of treatment. Given that older subjects present more severe forms of COVID 19, even compromising their lives, these measures are more relevant among the elderly population. Methods: In the present study, 147 cases with SarsCov-2 infection identified in a nursing home during March and April 2020 were analyzed. Aims: To analyze cases with SarsCov-2 infection identified in a nursing home, as well as to describe the clinical presentation of symptoms and the evolution of the condition in these patients. The secondary objective is to demonstrate the importance of digestive symptoms in COVID-19. Results: In 71 patients (48.3%) data of COVID-19 infection were detected by PCR and/or rapid test for specific antibodies. 39.4% were asymptomatic. Of the positive patients, 72.1% were women and the mean age was 80.8 years (SD=16.7). The most frequent symptom was diarrhea (48.8%), followed by cough (41.9%) and fever (39.5%). Diarrhea was detected on the first day of illness in 90.4%. In 33.3% it was associated with other symptoms and in 16.6% it was isolated. The mean duration of the symptoms was 11.7 days. Hospital admission was required in 30.2% of patients. 16.2% died due to respiratory complications or sepsis. Conclusions: Gastrointestinal symptoms may be frequent in COVID-19 infection and may even be the first manifestation of the disease. This group of patients had a lower proportion of complications and case fatality than usual. However, the role of digestive symptoms in COVID-19 infection needs to be verified with larger studies.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","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":"67208367","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

The objetive structured clinical examination from the student perspective 从学生的角度进行客观结构化的临床检查

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.or03

C. Rubio-Segura, L. Jiménez-Reina, M. J. Luesma-Bartolomé, J. Fernando-Trebollé, I. Cantarero-Carmona

{"title":"The objetive structured clinical examination from the student perspective","authors":"C. Rubio-Segura, L. Jiménez-Reina, M. J. Luesma-Bartolomé, J. Fernando-Trebollé, I. Cantarero-Carmona","doi":"10.15568/am.2022.816.or03","DOIUrl":"https://doi.org/10.15568/am.2022.816.or03","url":null,"abstract":"Objective: To analyze the perception of students in the 6th year of Medicine and 4th year of Physiotherapy of the Faculty of Medicine and Nursing of the University of Cordoba about the information received and different aspects related to the development of the OSCE test. Methodology: Observational, descriptive and cross-sectional study based on a questionnaire applied, after the OSCE test, to students in their last year of Medicine and Physiotherapy degrees at the University of Cordoba. Results: 95 Medicine degree students and 31 Physiotherapy degree students participated. Medicine students highlight the assessment of the previous information, the organization of the test and the time they had to complete the different stations. On the other hand, Physiotherapy students are more satisfied with the fact that they have seen or performed the clinical skills demanded in the OSCE to a greater extent. The overall assessment given to the test by Medicine and Physiotherapy students was 7.53/10 and 6.13/10, respectively. Conclusion: The perception of students in the 6th year of Medicine and 4th year of Physiotherapy of the Faculty of Medicine and Nursing of the University of Cordoba on different aspects of the OSCE test is different. The opinion of the students, although quite redeemable in general, reveals to be a key piece to generate improvement plans in future editions of this, by working with the teaching and care managers so that the students increase their clinical training during the degree.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","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":"67208433","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

Long-term survival after adrenalectomy due to colorectal cancer metastasis 结直肠癌癌症转移致肾上腺切除术后的长期存活率

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.cd01

J. Gómez-Sánchez, P. de Castro-Monedero, P. Daban-López, J. Gutierrez Sainz

引用次数: 0

The right to health in Spain. Special reference to the management of COVID-19 西班牙的健康权。特别提及COVID-19的管理

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.rev02

S. Torró Barrios, R. Cernada Badía

{"title":"The right to health in Spain. Special reference to the management of COVID-19","authors":"S. Torró Barrios, R. Cernada Badía","doi":"10.15568/am.2022.815.rev02","DOIUrl":"https://doi.org/10.15568/am.2022.815.rev02","url":null,"abstract":"This study has been carried out with the purpose of analyzing the right to health in Spain focused on times of COVID-19, that is, analyzing how it has been affected by the health crisis and how it has had to adapt to be able to face it and study the union that exists between law and health, the management of COVID-19 that has been carried out in our country and the possible mistakes that may have arisen from it. After the study carried out with scientific resources, it has been verified that despite having in our legal system regulations for situations of pandemics and situations of urgent and extraordinary need, the regulations have not been sufficient and new regulations have had to be approved in order to mitigate the effects of this virus through the creation of royal decree-laws that would allow a fast response to the situations that were created by this situation. In addition, it can be affirmed that law and health are closely linked despite the fact that the right to health is not recognized as a fundamental right I our Spanish constitution. Finally, mention that COVID-19 has been an event that has overwhelmed the entire world and that all the governments of the world have tried to stop the contagion within their borders, but nevertheless, since it is an unknown and unprecedented virus, in the countries, managing it has been complicated and, focusing on Spain, the government has tried to deal with it in the best possible way, but in the face of such a situation with such heartbreaking and worrying data and with such a rapid response from the leaders, they have committed errors during management that should be taken into account for future pandemics.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","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":"67207725","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

Influence of sex, age and body mass index on healthy colon anatomy 性别、年龄和体重指数对健康结肠解剖的影响

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.or02

J. Fernando, J. Escolar, F. M. Sánchez, V.E. García, E. Rubio, M. A. Sánchez, M. J. Luesma, I. Cantarero, J. Usón

{"title":"Influence of sex, age and body mass index on healthy colon anatomy","authors":"J. Fernando, J. Escolar, F. M. Sánchez, V.E. García, E. Rubio, M. A. Sánchez, M. J. Luesma, I. Cantarero, J. Usón","doi":"10.15568/am.2022.815.or02","DOIUrl":"https://doi.org/10.15568/am.2022.815.or02","url":null,"abstract":"Objective: This study analyzes the influence of sex, age and body mass index on the anatomy of the colon as determined by three-dimensional reconstructions from computed tomography scans. Methods: 130 patients were included, each of whom underwent a three-dimensional reconstruction of the colon from abdominal CT scans without obvious signs of pathology. Information corresponding to sex, age and body mass index was obtained from each patient, and morphometric data obtained from measurements taken at the pubic symphysis, superior and inferior mesenteric artery, hepatic angle, splenic angle, ileocecal junction and sigmoid-descending colon junction were considered. Results: Morphological analysis showed an important anatomical variability of the reconstructed colon. Statistical analysis showed significant differences in the measurements obtained when grouping subjects by sex, age (under 65 years vs over 65 years) and body mass index (normopese, overweight and obese). Conclusions: Colon anatomical variations can be studied with three-dimensional reconstructions from CT scans, indicating that sex, age and body mass index have a significant influence on such variability.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","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":"67208077","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

Sun exposure and knowledge about skin care of physical educators 体育教师的日晒与皮肤护理知识

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.or01

L.T. Barajas Pineda, J. Moncada Jiménez, P.J. Flores Moreno, C.M. Salazar C, C.A. Chávez López

引用次数: 0

Does ischemic cardiomyopathy behave differently in women? A holistic approach 女性缺血性心肌病的表现是否不同？整体方法

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.rev01

F. Revueltas-Jiménez, A. Pleguezuelos-Ventura, F.J. Martínez-Montoya, C. Delgado-Barrios, P. Redruello-Guerrero

引用次数: 0

Learning to publish, a duty of any health professional 学习出版，是任何卫生专业人员的职责

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.ed01

P. Redruello-Guerrero