Actualidad medica最新文献_第2页

CordioPrev Study CordioPrev研究

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.ami01

B. Cortés Rodríguez

引用次数: 17

Changes in the Pattern of Use of the Emergency Departments in an Spanish Oversaturated Tertiary Hospital Complex During COVID-19 Pandemic COVID-19大流行期间西班牙一家过饱和三级医院急诊使用模式的变化

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.or03

J. Lacorzana, M. Gonzalez-Andrades, S. Ortiz-Pérez

{"title":"Changes in the Pattern of Use of the Emergency Departments in an Spanish Oversaturated Tertiary Hospital Complex During COVID-19 Pandemic","authors":"J. Lacorzana, M. Gonzalez-Andrades, S. Ortiz-Pérez","doi":"10.15568/am.2022.815.or03","DOIUrl":"https://doi.org/10.15568/am.2022.815.or03","url":null,"abstract":"Background and objectives: To analyze the effects of COVID-19 in the pattern of use (number of admissions, hospitalizations, hospitalization ratio, and classification by priorities) of Emergency Departments (EDs) of one tertiary referral hospital. Methods: Retrospective, observational and single-center study, carried on in the EDs of Virgen de las Nieves Hospital Complex (Granada, Spain). The information was collected from the three hospitals which belong to the Virgen de las Nieves Hospital complex (i.e. the General Hospital, GH; the Children’s Hospital, CH; and the Neuro-Trauma Hospital, NTH) from February 1st to July 31st, 2019, and 2020. Results: In the period under analysis, there were 71236 admissions compared with 118382 in the same period in 2019, which means an overall reduction of 38.83%. Considering the hospitalizations, there were 6841 compared with 7648 (2020 and 2019, respectively) which gives an overall reduction of 10.55%. The distribution of the priorities did not show a defined pattern; while CH and NTH’s EDs showed clear changes in their distribution, no notable changes were observed in GH’s ED. Conclusion: The Covid-19 Pandemic changed dramatically the pattern of ED referral in our tertiary referral hospital. A noticeable reduction of admissions and hospitalizations were reported, together with a pronounced increase in the hospitalization ratio that in some cases reached almost 50%. This could be explaining for many reasons, such as the fear of contagion and the lockdown that presumably caused a decrease in the less-severe cases attended. Possibly, the effects of COVID-19 may have been indirectly influenced by the health care system of each country. The COVID-19 pandemic constitutes one of the greatest challenges in modern medicine, understanding better these changes and the impact that COVID-19 has caused on pattern of use of EDs will probably lead us to manage and use better our public health systems in the future.","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":"67208087","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

COVID-19 update, treatment and prevention COVID-19最新情况、治疗和预防

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.rev01

F. Casas-Maldonado

{"title":"COVID-19 update, treatment and prevention","authors":"F. Casas-Maldonado","doi":"10.15568/am.2022.815.rev01","DOIUrl":"https://doi.org/10.15568/am.2022.815.rev01","url":null,"abstract":"The pandemic caused by the SARS-CoV-2 virus has put all public health systems worldwide in check, due to a failure of the detection, alert and control mechanisms of the disease, aggravated by the lack of diagnostic tests. All of this led to community transmission of the virus in most countries, forcing exceptional public health measures to be taken, such as the forced confinement of most of the population to cut the chains of transmission of SARS-CoV-2, unleashing a unprecedented economic and health crisis. Although the diagnosis is microbiological, imaging techniques play an important role in supporting the diagnosis, grading the severity of the disease, guiding treatment, detecting possible complications, and assessing the therapeutic response. Pulmonary function tests are important to evaluate lung sequelae in patients who have suffered from COVID-19. If pulmonary tuberculosis made possible the appearance and development of pneumology based on physiology, the new COVID-19 pandemic has generated radical changes in the way of approaching respiratory pathology, making it necessary to incorporate new tools such as the telemedicine, simplifying the healthcare process and optimizing healthcare resources. COVID-19 has given us a bath of reality and has changed our lives, as doctors and as a society. Respiratory support measures, high-flow systems and devices that combine different modalities of oxygen and Positive End-Expiratory Pressure have been key to avoiding the death of a large number of patients, avoiding many admissions to the Intensive Care Units and helping to decongest these units in a way much faster. This would not have been possible without the creation of the Respiratory Intermediate Care Units that should be promoted in all Pulmonology Services.","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":"67208146","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

Otosclerosis surgery: results of the last 5 years of the University Hospital of Jaén Jaén大学医院最近5年的结果

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.or01

M.A. Jurado-Anillo

{"title":"Otosclerosis surgery: results of the last 5 years of the University Hospital of Jaén","authors":"M.A. Jurado-Anillo","doi":"10.15568/am.2021.814.or01","DOIUrl":"https://doi.org/10.15568/am.2021.814.or01","url":null,"abstract":"Objectives: The main aim of our study is to know the percentage of success of otosclerosis surgery in our center. We have assessed it by calculating the post surgical air-bone gap from pure tone audiometries which were realised one year after the surgery. In addition, we have also estimated if there are differences between stapedectomy and stapedotomy procedures as well as possible complications such as new hearing loss at high frequencies or percentage of hearing aid needed after surgery.\u0000Methods: A retrospective cohort study was carried out with a total of 45 ears. All of them were diagnosed with otosclerosis and treated at the ENT department of Hospital Universitario de Jaén from 2015 to 2019. In our study, we have considered two cohorts depending on the procedure used, either stapedotomy or stapedectomy. Afterwards, a pure tone audiometry was performed one year after the surgery and the post- surgical air-bone gap was calculated, estimating the pure tone average from both air and bone postsurgical conduction.\u0000Results: Surgery success (air-bone gap <20dB) was achieved in 90.3% of the cases using stapedectomy technique while a 85.7% with stapedotomy technique. Altogether, considering both groups, the success of the surgery was 88.9%. There were no statistically significant differences between both techniques.\u0000Conclusions: After the results of our study, we can affirm that stapedotomy and stapedectomy have similar success rates in terms of decreasing the post-surgical air-bone gap and achieving clinical improvement of hearing, showing no statistically significant differences between them.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44562189","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

Buerguer´s Disease or Obliterative Thromboangiitis. A case report 布尔格氏病或闭塞性血栓脉管炎。病例报告

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.cc03

B. Sánchez Galindo

引用次数: 0

Assaults 攻击

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.ed01

G. Garrote Cuevas

引用次数: 0

Early detection of the profile with suicidal tendencies in university students of the medical school of the Universidad Popular Autónoma del Estado de Puebla associated to risk factors. 早期发现普埃布拉州人民大学(Autónoma del Estado de Puebla)医学院大学生的自杀倾向与风险因素的关系。

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.815.or01

A. Sánchez Jiménez, J.A. Alonso Avelino, C. L. López García

{"title":"Early detection of the profile with suicidal tendencies in university students of the medical school of the Universidad Popular Autónoma del Estado de Puebla associated to risk factors.","authors":"A. Sánchez Jiménez, J.A. Alonso Avelino, C. L. López García","doi":"10.15568/am.2022.815.or01","DOIUrl":"https://doi.org/10.15568/am.2022.815.or01","url":null,"abstract":"Introduction: Suicide is a multicausal phenomenon and constitutes a worldwide public health problem. In the medical students´ population, it constitutes the second most common cause of death followed by accidents and is due to great loads of stress, depressión, etc. Objective: To determine the prevalence of suicidal behavior in medical students between 18 and 24 years of the Universidad Popular Autónoma del Estado de Puebla linked to risk factors. Material and Methodology: An observational, descriptive, cross-sectional study with a quantitative approach was conducted in a non-probabilistic sample obtained by a quota of medical students. The questionnaire was self-administered, answered voluntarily and confidentially via email by the students. It included the following psychometric instruments: family Apgar, CAGE scale, Beck questionnaire (BDI-II). and Plutchik. Descriptive statistics, Pearson’s correlation, and t-test (p <0,05) were applied. The instruments were interpreted according to the scores of the questionnaires, in addition to the demographic variables. Results: From a total of 350 students, 72,3% (n = 253) were women and 27,7% (n = 97) men. The mean age was 20,137 years (SD 1,60355) and the suicide prevalence was 22,9%. The students´ t-test showed that suicide risk, and depression have a higher incidence in women. Pearson’s correlation (p<0,05) between Plutchik-BDI-II scores was, r=0,802; between Plutchik- Apgar, r=-0,558 and finally between Beck (BDI-II)-Apgar, r=0,573. According to the Plutchik questionnaire, 24,57% of the sample have thought about committing suicide and 5,14% have tried it. Conclusions: Suicidal behavior is frequent in medical students.","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":"67208032","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

Clinical epidemiology and internal medicine: a symbiotic association 临床流行病学与内科学：共生关系

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.ami01

I. Martín-Garrido, A. Vallejo-Vaz, F. Pérez-Jiménez, F. J. Medrano-Ortega

引用次数: 0

The investigator job: an early need 调查员的工作:早期需要

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2022.816.ed01

A. E. D'Ottavio Cattani

引用次数: 0

Choroidal thickness analysis in keratoconus patients 圆锥角膜患者脉络膜厚度分析

Actualidad medica Pub Date : 2022-01-01 DOI: 10.15568/am.2021.814.or02

A. López-Jiménez, A. Caravaca-Alegría, A. M. Gómez-Ramírez, M. D. Romero-Caballero, C. Gómez- Sánchez, J. Lacorzana

{"title":"Choroidal thickness analysis in keratoconus patients","authors":"A. López-Jiménez, A. Caravaca-Alegría, A. M. Gómez-Ramírez, M. D. Romero-Caballero, C. Gómez- Sánchez, J. Lacorzana","doi":"10.15568/am.2021.814.or02","DOIUrl":"https://doi.org/10.15568/am.2021.814.or02","url":null,"abstract":"Objective. To determine and compare choroidal thickness (CT) in keratoconus (KC) patients using Enhanced Depth Imaging (EDI) OCT.\u0000Methods. A comparative cross-sectional study including 26 patients with KC and 26 healthy controls assessed with Pentacam and EDI-OCT. CT was measured manually with the Caliper function at thirteen locations at 500 µm regular intervals.\u0000Results. The average CT in T6 was 253.96 ± 88.95 μm in the KC group, and of 309.39 ± 94.11 μm in the control group (p <0.041). No significant differences in mean CT were observed in the rest of the points, including the subfoveal CT (M), 351.48 ± 106.3 vs 365.35 ± 114.6 μm, (p = 0.66). No correlation was observed between the mean subfoveal CT (M), the mean CT in the KC group, and the values of K1 (p = 0.977 and p = 0.498 respectively), K2 (p = 0.450 and p = 0.656), corneal asphericity (Q ) (p = 0.986 and p = 0.902), minimal pachymetry (Pachy) (p = 0.408 and p = 0.688), keratoconus index (KI) (p = 0.601 and p = 0.217), vertical asymmetry index (VAT) (p = 0.296 and p = 0.523), staging of KC (TKC) (p = 0.549 and p = 0.08) and corneal apex morphology.\u0000Conclusion. Significant lower CT was found in the KC group in T6 (3000 μm temporal to the fovea). No significant difference of CT values in KC patients and healthy subjects was found in the other twelve measurement locations.We found no association between the refractive and keratometric indexes obtained by corneal topography and subfoveal CT.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43266344","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