keyword
https://read.qxmd.com/read/37924020/safety-of-inter-facility-transport-strategies-for-patients-referred-for-severe-acute-respiratory-distress-syndrome
#21
JOURNAL ARTICLE
Malik Haoutar, David Pinero, Hodane Yonis, Eric Cesareo, Mehdi Mezidi, Olivier Peguet, Karim Tazarourte, Matteo Pozzi, Pierre-Yves Dubien, Jean-Christophe Richard, Laurent Bitker
BACKGROUND: Inter-facility transport of patients with acute respiratory distress syndrome (ARDS) in the prone position (PP) is a high-risk situation, compared to other strategies. We aimed to quantify the prevalence of complications during transport in PP, compared to transports with veno-venous extracorporeal membrane oxygenation (VV-ECMO) or in the supine position (SP). METHODS: We performed a retrospective, single center cohort study in Lyon university hospital, France...
November 4, 2023: BMC Emergency Medicine
https://read.qxmd.com/read/37921381/-impacto-de-la-dependencia-funcional-de-los-pacientes-mayores-atendidos-en-los-servicios-de-urgencias-espa%C3%A3-oles-durante-la-primera-ola-pand%C3%A3-mica-de-la-covid-19-sobre-la-mortalidad-a-30-180-y-365-d%C3%A3-as-en-funci%C3%A3-n-del-diagn%C3%A3-stico-covid-versus-no-covid
#22
JOURNAL ARTICLE
Cesáreo Fernández Alonso, Manuel E Fuentes Ferrer, Eric Jorge García-Lamberechts, Sira Aguiló Mir, Sònia Jiménez, Javier Jacob Rodriguez, Pascual Piñera Salmerón, Adriana Gil-Rodrigo, Pere Llorens, Guillermo Burillo-Putze, Francisco Javier Montero Pérez, Aitor Alquezar-Arbé, Rafaela Ríos Gallardo, María Amparo Berenguer Diez, Marina Truyol Más, Nieves López-Laguna, Alejandro Cortés Soler, Emma González Nespereira, Ángel García García, Patxi Ezponda, Andrea Martínez Lorenzo, Juan Vicente Ortega Liarte, José María Santos Martín, Pablo Herrero Puente, Alejandro Melcon Villalibre, Juan González Del Castillo, Òscar Miró
OBJECTIVE: Functional assessment is part of geriatric assessment. How it is performed in hospital Emergency Departments (ED) is poorly understood, let alone its prognostic value. The aim of this paper was to investigate whether baseline disability to perform basic activities of daily living (BADL) was an independent prognostic factor for death after the index visit to the ED during the first wave of the COVID-19 pandemic and whether it had a different impact on patients with and without diagnosis of COVID-19...
October 17, 2023: Revista Española de Salud Pública
https://read.qxmd.com/read/37915125/ebei-a-new-index-of-eye-bank-efficiency
#23
JOURNAL ARTICLE
Francesco Aiello, Gabriele Gallo Afflitto, Francesca Ceccarelli, Massimo Cesareo, Carlo Griffoni, Diego Ponzin, Carlo Nucci
PURPOSE: To describe a new proxy of the Eye Bank (EB) activity named "Eye Bank Efficiency Index" (EBEI), calculated as the ratio between the number of corneal tissues distributed by an EB within a certain time period, and the difference between the number of procured and discarded tissues. METHODS: To demonstrate the effectiveness of the new metric as compared to traditional statistics, an analysis was conducted using data from the largest Italian Eye Bank (Fondazione Banca degli Occhi del Veneto Venice, Italy)...
November 1, 2023: European Journal of Ophthalmology
https://read.qxmd.com/read/37886027/gema-5-3-spanish-guideline-on-the-management-of-asthma
#24
JOURNAL ARTICLE
Vicente Plaza Moral, Isam Alobid, Cesáreo Álvarez Rodríguez, Marina Blanco Aparicio, Jorge Ferreira, Gabriel García, Antonio Gómez-Outes, Noé Garín Escrivá, Fernando Gómez Ruiz, Antonio Hidalgo Requena, Javier Korta Murua, Jesús Molina París, Francisco Javier Pellegrini Belinchón, Javier Plaza Zamora, Manuel Praena Crespo, Santiago Quirce Gancedo, José Sanz Ortega, José Gregorio Soto Campos
The Spanish Guideline on the Management of Asthma, better known by its acronym in Spanish GEMA, has been available for more than 20 years. Twenty-one scientific societies or related groups both from Spain and internationally have participated in the preparation and development of the updated edition of GEMA, which in fact has been currently positioned as the reference guide on asthma in the Spanish language worldwide. Its objective is to prevent and improve the clinical situation of people with asthma by increasing the knowledge of healthcare professionals involved in their care...
2023: Open Respir Arch
https://read.qxmd.com/read/37865623/hyperactive-delirium-during-emergency-department-stay-analysis-of-risk-factors-and-association-with-short-term-outcomes
#25
JOURNAL ARTICLE
Òscar Miró, Gina Osorio, Aitor Alquézar-Arbé, Sira Aguiló, Cesáreo Fernández, Guillermo Burillo, Javier Jacob, Pere Llorens, Lluís Llauger, Ángel Peláez González, Edmundo Ramón Figuera Castro, Ricardo Juarez González, María José Blanco Hoffman, Fátima Fernandez Salgado, Teresa Pablos Pizarro, María Amparo Berenguer Díez, Marina Truyol Más, Nieves López-Laguna, Jacinto Garcia Acosta, Carmen Fernandez Domato, Francisco Javier Diego Robledo, Patxi Ezponda, Andrea Martinez Lorenzo, Juan Vicente Ortega Liarte, Inmaculada García Rupérez, Setefilla Borne Jerez, Claudia Corugedo Ovies, Blanca Andrea Gallardo Sánchez, Juan González Del Castillo
To investigate factors related to the development of hyperactive delirium in patients during emergency department (ED) stay and the association with short-term outcomes. A secondary analysis of the EDEN (Emergency Department and Elderly Needs) multipurpose multicenter cohort was performed. Patients older than 65 years arriving to the ED in a calm state and who developed confusion and/or psychomotor agitation requiring intravenous/intramuscular treatment during their stay in ED were assigned to delirium group...
October 21, 2023: Internal and Emergency Medicine
https://read.qxmd.com/read/37852679/prokaryotic-communities-inhabiting-a-high-radon-subterranean-ecosystem-casta%C3%A3-ar-cave-spain-environmental-and-substrate-driven-controls
#26
JOURNAL ARTICLE
Tamara Martin-Pozas, Soledad Cuezva, Angel Fernandez-Cortes, David Benavente, Cesareo Saiz-Jimenez, Sergio Sanchez-Moral
Castañar Cave (Caceres, Spain) is a unique show cave known for its high natural radiation levels. This study presents a comprehensive analysis of its prokaryotic diversity, specifically focusing on investigating the influence of environmental conditions and substrate characteristics on the prokaryotic community structure in the cave sediments. Additionally, the research aims to evaluate the potential impact of human activities on the cave ecosystem. The identification of distinct bioclimatic zones within the cave was made possible through a combination of environmental and microbial monitoring (ATP assays)...
December 2023: Microbiological Research
https://read.qxmd.com/read/37852671/relationship-between-retinal-microvascular-impairment-and-subclinical-atherosclerosis-in-sle
#27
JOURNAL ARTICLE
Sara Ferrigno, Paola Conigliaro, Stefano Rizza, Susanna Longo, Carolina Nesi, Federico Carlucci, Alberto Bergamini, Raffaele Mancino, Carlo Nucci, Massimo Federici, Maria Sole Chimenti, Massimo Cesareo
OBJECTIVES: Patients with SLE have higher cardiovascular (CV) risk compared with healthy controls (HC) and are characterised by accelerated atherosclerosis; intima media thickness (IMT), marker of subclinical atherosclerosis, is higher in patients with SLE than in HCs. Retinal microvascular impairment detected through optical coherence tomography angiography (OCTA) was investigated as a marker of systemic vascular involvement in SLE.The aim of the study was to evaluate the relationship between retinal vascular impairment and IMT in SLE...
October 2023: Lupus Science & Medicine
https://read.qxmd.com/read/37813267/outdoor-climate-drives-diversity-patterns-of-dominant-microbial-taxa-in-caves-worldwide
#28
JOURNAL ARTICLE
Federico Biagioli, Claudia Coleine, Manuel Delgado-Baquerizo, Youzhi Feng, Cesareo Saiz-Jimenez, Laura Selbmann
The cave microbiota is assumed to be shaped by indoor microclimate, biotic and abiotic factors, which are largely dependent from outside environmental conditions; however, this knowledge is available at local or regional scales only. To address this knowledge gap, we reanalyzed over 1050 bacterial and fungal communities of caves worldwide, and found that outdoor temperature and rainfall play a critical role in explaining differences in microbial diversity patterns of global caves, selecting specific dominant taxa across gradients of growing aridity conditions with arid climate leading to a reduction in total cave microbial diversity...
October 7, 2023: Science of the Total Environment
https://read.qxmd.com/read/37792526/sex-and-age-related-patterns-in-the-use-of-analgesics-in-older-patients-in-the-emergency-department
#29
JOURNAL ARTICLE
Òscar Miró, Gina I Osorio, Aitor Alquézar-Arbé, Sira Aguiló, Cesáreo Fernández, Guillermo Burillo, Javier Jacob, F Javier Montero-Pérez, E Jorge García-Lamberechts, Pascual Piñera, Celia Rodríguez Valles, Elena Carrasco Fernández, Laura Molina, Esther Ruescas, Fátima Fernández Salgado, Amparo Fernández-Simón Almela, María Ángeles de Juan Gómez, Sandra Guiu Martí, Nieves López-Laguna, Jacinto García Acosta, María Teresa Maza Vera, Ángel García García, Patxi Ezponda, Andrea Martínez Lorenzo, Juan Vicente Ortega Liarte, Susana Sánchez Ramón, Jesús Ruiz Ramos, Juan González Del Castillo
BACKGROUND: Treatment of acute pain in older patients is a common challenge faced in emergency departments (EDs). Despite many studies that have investigated chronic analgesic use in the elderly, data on patterns of acute use, especially in EDs, of analgesics according to patient characteristics is scarce. OBJECTIVE: To investigate sex- and age-related patterns of analgesic use in the Spanish EDs and determine differences in age-related patterns according to patient sex...
October 4, 2023: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://read.qxmd.com/read/37778611/canopy-forming-macroalgae-can-adapt-to-marine-heatwaves
#30
JOURNAL ARTICLE
Erika Fabbrizzi, Marco Munari, Simonetta Fraschetti, Carmen Arena, Antonia Chiarore, Antonio Cannavacciuolo, Alberto Colletti, Giulia Costanzo, Ana Soler-Fajardo, Matteo Nannini, Beatrice Savinelli, Chiara Silvestrini, Ermenegilda Vitale, Laura Tamburello
Seawater warming and marine heatwaves (MHWs) have a major role on the fragmentation and loss of coastal marine habitats. Understanding the resilience and potential for adaptation of marine habitat forming species to ocean warming becomes pivotal for predicting future changes, improving present conservation and restoration strategies. In this study, a thermo-tolerance experiment was conducted to investigate the physiological effects of short vs long MHWs occurring at different timing on recruits of Gongolaria barbata, a canopy-forming species widespread in the Mediterranean Sea...
September 29, 2023: Environmental Research
https://read.qxmd.com/read/37774596/influence-of-type-of-household-on-prognosis-at-one-year-in-patients-%C3%A2-65%C3%A2-years-attending-hospital-emergency-departments-in-spain-the-eden-6-study
#31
JOURNAL ARTICLE
Aitor Alquézar-Arbé, Gina I Osorio, Javier Jacob, Eric Jorge García-Lamberechts, Pascual Piñera Salmerón, Pere Llorens, Guillermo Burillo-Putze, Angela Cobos Requena, Adriana Gil, Cesáreo Fernández, Sira Aguiló, Sònia Jiménez, Beatriz Escudero Blázquez, Diana Rosendo Mesino, Enrique Martín Mojarro, Aarati Vaswani-Bulchand, Montserrat Rodríguez-Cabrera, Pedro Alarcón Martínez, Gema Dominguez Gioya, Francesc Xavier Alemany González, Matilde González Tejera, María Bóveda García, Begoña Espinosa Fernández, Ferran Llopis, Coral Suero Méndez, Juan González Del Castillo, Òscar Miró
OBJECTIVE: To investigate whether the type of household is associated with prognosis at one year in patients ≥65 years of age discharged after medical consultation requiring emergency department care. METHODS: Data from the Emergency Department and Elder Needs (EDEN) cohort were used. This retrospective cohort included all patients ≥65 years of age seen in 52 Spanish emergency departments over one week (April 1-7, 2019) in whom the type of household was recorded and categorized as living at home alone, with relatives, with professional caregivers, or in a nursing home...
September 22, 2023: Maturitas
https://read.qxmd.com/read/37632188/evaluation-of-short-term-face-rejuvenation-effects-of-non-ablative-bipolar-radiofrequency-treatment-performed-by-med-rf-%C3%A2-device
#32
JOURNAL ARTICLE
Beniamino Palmieri, Maria Vadala, Valentina Rottigni, Anna Aspiro, Maria Stella Di Carmine, Antonio Scarano
OBJECTIVE: Skin laxity and wrinkling are common signs of the aging process. This physiological condition of the skin is often accompanied by psychological and social concerns, especially for females, entailing considerable expenses for cosmetics and pharmaceuticals to cease or slow down its advancement. The objective of this study was to evaluate the short-term impact of a new non-ablative radiofrequency device available in the skin face cosmetic field. METHODS: A randomized study was run on 62 healthy subjects with normal-age related-grade skin laxity, subdivided into two groups...
August 2023: Skin Research and Technology
https://read.qxmd.com/read/37606140/bioelectrical-impedance-analysis-in-patients-with-posterior-vitreous-detachment
#33
JOURNAL ARTICLE
E Di Marco, M Di Marino, M Lombardo, G Capria, G Aloe, R Mancino, F Aiello, C Nucci, A De Lorenzo, M Cesareo
OBJECTIVE: The purpose of the study is to assess body hydration in patients with posterior vitreous detachment (PVD) by bioelectrical impedance analysis (BIA). PVD, one of the most common eye diseases, is associated in both research and the collective image with reduced daily water intake, but this finding is not supported by strong evidence in the literature. PATIENTS AND METHODS: Based on Spectral Domain Optical Coherence Tomography (SD-OCT) evaluation, different PVD stages are identified: absent posterior vitreous detachment, partial posterior vitreous detachment (P-PVD), or complete posterior vitreous detachment (C-PVD)...
August 2023: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/37583762/different-ways%C3%A2-same-message-road-safety-targeted-communication-strategies-in-spain-over-62-years-1960-2021
#34
JOURNAL ARTICLE
Mireia Faus, Cesáreo Fernández, Francisco Alonso, Sergio A Useche
Among the most generalised preventive measures against traffic crashes, advertisements and broadcast campaigns in the media have stood out over the last six decades. The core aim of this paper is to describe the evolution of the subject matter and typology of road safety-related advertisements used in Spain during 62 years (1960-2021). Thus, this paper assesses their role in reducing road fatalities, while keeping in mind the potential effect of the many other road safety-related preventive measures carried out in the country during this period...
August 2023: Heliyon
https://read.qxmd.com/read/37510568/community-forums-as-amplifiers-of-communities-voices-isolated-communities-in-puerto-rico
#35
JOURNAL ARTICLE
Yashira M Sánchez Colón, Edna Acosta Pérez, Mayra L Roubert Rivera, Marizaida Sánchez Cesáreo, Christine Miranda Diaz, Glenda L Ortiz, Jean C Meléndez González, Valeria M Schleier Albino, Laura Mora Lemus
Social determinants of health contribute to health disparities and inequities. We conducted a community forum on the topic of isolation with the objectives of (1) identifying and prioritizing key health-related issues needing attention in isolated communities in Puerto Rico; (2) developing strategies in terms of Policies, Programs, and Practices to address the community priorities we identified. We used the triangulation method for qualitative data, integrating the Colorado State University's Tri-ethnic Center Model and the Delphi Technique for a better understanding of community health needs and priorities...
July 10, 2023: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/37439421/plasma-sodium-concentration-in-older-patients-as-an-indicator-of-severity-in-emergencies-results-from-the-emergency-department-and-elder-needs-16-study
#36
JOURNAL ARTICLE
F Javier Montero-Pérez, Ángela María Cobos Requena, Juan González Del Castillo, Javier Jacob, Eric Jorge García-Lamberechts, Pascual Piñera Salmerón, Aitor Alquézar-Arbé, Sira Aguiló, Cesáreo Fernández Alonso, Guillermo Burillo-Putze, María Calderón Caro, Ángel Iván Díaz Salado, Enrique Martín Mojarro, Patricia Eiroa-Hernández, Patricia Parra-Esquivel, Juan José López Pérez, Martín Ruiz Grinspan, Ivet Gina Osorio Quispe, Matilde González Tejera, Leticia Serrano Lázaro, Begoña Espinosa Fernández, Lidia Fuentes, Coral Suero Méndez, María Del Valle Toro-Gallardo, Fahd Beddar Chaib, Paula Pedraza Ramírez, Òscar Miró
OBJECTIVES: To study baseline factors associated with hypo- and hypernatremia in older patients attended in emergency departments (EDs) and explore the association between these dysnatremias and indicators of severity in an emergency. MATERIAL AND METHODS: We included patients attended in 52 Spanish hospital EDs aged 65 years or older during a designated week. All included patients had to have a plasma sodium concentration on record. Patients were distributed in 3 groups according to sodium levels: normal, 135-145 mmol/L; hyponatremia, 135 mmol/L; or hypernatremia > 145 mmol/L...
August 2023: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/37439420/impact-of-the-covid-19-pandemic-on-demand-for-emergency-department-care-for-older-patients-the-eden-7-covid-cohort-study
#37
JOURNAL ARTICLE
F Javier Montero-Pérez, Ángela María Cobos Requena, Juan González Del Castillo, Javier Jacob, Eric Jorge García-Lamberechts, Pascual Piñera Salmerón, Aitor Alquézar-Arbé, Sira Aguiló, Cesáreo Fernández Alonso, Guillermo Burillo-Putze, María Calderón Caro, Ángel Iván Díaz Salado, Enrique Martín Mojarro, Patricia Eiroa-Hernández, Patricia Parra-Esquivel, Juan José López Pérez, Martín Ruiz Grinspan, Ivet Gina Osorio Quispe, Matilde González Tejera, Leticia Serrano Lázaro, Begoña Espinosa Fernández, Lidia Fuentes, Coral Suero Méndez, María Del Valle Toro-Gallardo, Fahd Beddar Chaib, Paula Pedraza Ramírez, Òscar Miró
OBJECTIVES: To analyze the impact of the COVID-19 pandemic on Spanish emergency department (ED) care for patients aged 65 years or older during the first wave vs. a pre-pandemic period. MATERIAL AND METHODS: Retrospective cross-sectional study of a COVID-19 portion of the EDEN project (Emergency Department and Elder Needs). The EDEN-COVID cohort included all patients aged 65 years or more who were treated in 52 EDs on 7 consecutive days early in the pandemic. We analyzed care variables, discharge diagnoses, use of diagnostic and therapeutic resources, use of observation units, need for hospitalization, rehospitalization, and mortality...
August 2023: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/37430363/subclinical-microvascular-changes-in-anca-vasculitides-the-role-of-optical-coherence-tomography-angiography-and-nailfold-capillaroscopy-in-the-detection-of-disease-related-damage
#38
JOURNAL ARTICLE
P Triggianese, A D'Antonio, C Nesi, B Kroegler, M Di Marino, P Conigliaro, S Modica, E Greco, C Nucci, A Bergamini, M S Chimenti, M Cesareo
BACKGROUND: Both cardiovascular and complement-mediated disorders might lead to microvascular damages in anti-neutrophil cytoplasm autoantibodies (ANCA)-associated vasculitides (AAV). We aimed at investigating, for the first time, subclinical microvascular abnormalities with non-invasive techniques in AAV patients by analyzing both retinal and nailfold capillary changes. Retinal plexi were investigated using optical coherence tomography angiography (OCT-A), while nailfold capillary changes by video-capillaroscopy (NVC)...
July 10, 2023: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/37419360/new-insights-into-the-structure-microbial-diversity-and-ecology-of-yellow-biofilms-in-a-paleolithic-rock-art-cave-pindal-cave-asturias-spain
#39
JOURNAL ARTICLE
Tamara Martin-Pozas, Angel Fernandez-Cortes, Soledad Cuezva, Juan Carlos Cañaveras, David Benavente, Elsa Duarte, Cesareo Saiz-Jimenez, Sergio Sanchez-Moral
In the absence of sunlight, caves harbor a great diversity of microbial colonies to extensive biofilms with different sizes and colors visible to the naked eye. One of the most widespread and visible types of biofilm are those with yellow hues that can constitute a serious problem for the conservation of cultural heritage in many caves, such as Pindal Cave (Asturias, Spain). This cave, declared a World Heritage Site by UNESCO for its Paleolithic parietal art, shows a high degree of development of yellow biofilms that represents a real threat to the conservation of painted and engraved figures...
July 5, 2023: Science of the Total Environment
https://read.qxmd.com/read/37391317/study-eden-12-analysis-of-access-to-intensive-care-units-of-patients-older-than-65-years-requiring-emergency-hospitalization
#40
JOURNAL ARTICLE
Guillermo Burillo-Putze, Patricia Parra-Esquivel, Sira Aguiló, Sònia Jiménez, Javier Jacob, Pascual Piñera Salmerón, Pere Llorens, Eric Jorge García-Lamberechts, Francisco Javier Montero-Pérez, Esperanza Muñoz-Triano, Adriana Gil-Rodrigo, Cesáreo Fernández-Alonso, Aitor Alquezar-Arbé, Manuel Salido Mota, Rodrigo Javier Gil Hernández, Jorge Pedraza García, Angela Cobos Requena, Esther Gargallo Garcia, Monica de Diego Arnaiz, Marta Iglesias Vela, Rafael Antonio Pérez-Costa, Sara Del Mar Pérez Peñalva, Beatriz Valle Borrego, Eva Quero Motto, Belén Morales Franco, Maria Adroher Muñoz, Juan González Del Castillo, Òscar Miró
OBJECTIVE: To investigate the relationship between the age of an urgently hospitalized patient and his or her probability of admission to an intensive care unit (ICU). DESIGN: Observational, retrospective, multicenter study. SETTING: 42 Emergency Departments from Spain. TIME-PERIOD: April 1-7, 2019. PATIENTS: Patients aged ≥65 years hospitalized from Spanish emergency departments. INTERVENTIONS: None...
June 28, 2023: Medicina intensiva
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