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Internal Medicina

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https://www.readbyqxmd.com/read/27816186/-transition-process-from-paediatric-to-adult-care-in-patients-with-inborn-errors-of-metabolism-consensus-statement
#1
Jordi Pérez-López, Leticia Ceberio-Hualde, José Salvador García Morillo, Josep M Grau-Junyent, Álvaro Hermida Ameijeiras, Mónica López-Rodríguez, Montserrat Morales-Conejo, Juan José Nava Mateos, Luis José Aldámiz Echevarri Azuara, Jaume Campistol, M Luz Couce, María Teresa García-Silva, Luis González Gutiérrez-Solana, Mireia Del Toro
BACKGROUND AND OBJECTIVE: The transition process from paediatric to adult care is a subject of great interest in recent years, especially in chronic diseases with childhood onset, such as inborn errors of metabolism (IEM). Advances in diagnosis and treatment of these diseases have improved their prognosis, with a high number of patients with IEM who currently reach adult age and need to be attended to by non-paediatric professionals. The objective of this work is to establish action guidelines so that the specialists involved can guarantee a successful transition of these patients' healthcare...
December 2, 2016: Medicina Clínica
https://www.readbyqxmd.com/read/27798797/many-miles-to-go-a-systematic-review-of-the-state-of-cost-utility-analyses-in-brazil
#2
REVIEW
Alessandro G Campolina, Luciana M Rozman, Tassia C Decimoni, Roseli Leandro, Hillegonda M D Novaes, Patrícia Coelho De Soárez
BACKGROUND: Little is known about the quality and quantity of cost-utility analyses (CUAs) in Brazil. OBJECTIVE: The objective of this study was to provide a systematic review of published CUAs of healthcare technologies in Brazil. METHODS: We performed a systematic review of economic evaluations studies published in MEDLINE, EMBASE, LILACS (Latin American and Caribbean Health Sciences Literature), SciELO (Scientific Electronic Library Online), NHS EED (National Health Service Economic Evaluation Database), HTA (Health Technology Assessment) Database, Web of Science, Scopus, Bireme (Biblioteca Regional de Medicina), BVS ECOS (Health Economics database of the Brazilian Virtual Library of Health), and SISREBRATS (Sistema de Informação da Rede Brasileira de Avaliação de Tecnologias em Saúde [Brazilian Network for the Evaluation of Health Technologies]) from 1980 to 2013...
October 31, 2016: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27641777/association-between-zika-virus-infection-and-microcephaly-in-brazil-january-to-may-2016-preliminary-report-of-a-case-control-study
#3
Thalia Velho Barreto de Araújo, Laura Cunha Rodrigues, Ricardo Arraes de Alencar Ximenes, Demócrito de Barros Miranda-Filho, Ulisses Ramos Montarroyos, Ana Paula Lopes de Melo, Sandra Valongueiro, Maria de Fátima Pessoa Militão de Albuquerque, Wayner Vieira Souza, Cynthia Braga, Sinval Pinto Brandão Filho, Marli Tenório Cordeiro, Enrique Vazquez, Danielle Di Cavalcanti Souza Cruz, Cláudio Maierovitch Pessanha Henriques, Luciana Caroline Albuquerque Bezerra, Priscila Mayrelle da Silva Castanha, Rafael Dhalia, Ernesto Torres Azevedo Marques-Júnior, Celina Maria Turchi Martelli
BACKGROUND: The microcephaly epidemic, which started in Brazil in 2015, was declared a Public Health Emergency of International Concern by WHO in 2016. We report the preliminary results of a case-control study investigating the association between microcephaly and Zika virus infection during pregnancy. METHODS: We did this case-control study in eight public hospitals in Recife, Brazil. Cases were neonates with microcephaly. Two controls (neonates without microcephaly), matched by expected date of delivery and area of residence, were selected for each case...
September 15, 2016: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/27556967/self-perception-of-oral-health-in-older-adults-from-an-urban-population-in-lisbon-portugal
#4
Catarina Carvalho, Ana Cristina Manso, Ana Escoval, Francisco Salvado, Carla Nunes
OBJECTIVE: To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. METHODS: Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte - Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics...
August 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27412577/-health-campaigns-against-malaria-in-spain-through-the-specialized-journalism-in-spain-1929-1954
#5
Natalia Barón Cano, Miguel Armando Mosquera Gordillo, Rosa Ballester Añón
BACKGROUND: Malaria was one of the most important public health problems of the Colonial Medicine and, for this reason, the subject was reflected in the Spanish medical journalism. The aim of the paper was to reconstruct the Spanish contributions to international health during the first half of the twentieth century. METHODS: The primary sources of information on malaria were the medical journals Medicina de los Países Cálidos and Medicina Colonial, between 1929 and 1954...
2016: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/27318510/effect-of-an-intervention-on-quality-indicators-for-improving-the-treatment-of-hyperglycemia-in-patients-hospitalized-in-noncritical-areas
#6
J Ena, R Gómez-Huelgas, A Zapatero-Gaviria, P Vázquez-Rodriguez, C González-Becerra, M Romero-Sánchez, M J Igúzquiza-Pellejero, A Artero-Mora, J M Varela-Aguilar
OBJECTIVES: We evaluated the effect of an intervention on certain quality indicators employed for improving the treatment of hospital hyperglycemia. MATERIAL AND METHODS: A multicenter cross-sectional study was conducted on patients with hyperglycemia hospitalized in the internal medicine departments of 44 hospitals evaluated in 2 time periods: 2014 (baseline period) and 2015 (postintervention period). The intervention consisted of the dissemination of the indicators obtained in 2014 and the objectives for improvement...
October 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/27129628/-medical-expert-consensus-in-ah-on-the-clinical-use-of-triple-fixed-dose-antihypertensive-therapy-in-spain
#7
P Mazón, E Galve, J Gómez, M Gorostidi, J L Górriz, J D Mediavilla
INTRODUCTION: The opinion of experts (different specialties) on the triple fixed-dose antihypertensive therapy in clinical practice may differ. MATERIALS AND METHODS: Online questionnaire with controversial aspects of the triple therapy answered by panel of experts in hypertension (HT) using two-round modified Delphi method. RESULTS: The questionnaire was completed by 158 experts: Internal Medicine (49), Nephrology (26), Cardiology (83). Consensus was reached (agreement) on 27/45 items (60%); 7 items showed differences statistically significant...
April 26, 2016: Hipertensión y Riesgo Vascular
https://www.readbyqxmd.com/read/27104544/a-comparative-study-of-the-applied-methods-for-estimating-deflection-of-the-vertical-in-terrestrial-geodetic-measurements
#8
Luca Vittuari, Maria Alessandra Tini, Pierguido Sarti, Eugenio Serantoni, Alessandra Borghi, Monia Negusini, Sébastien Guillaume
This paper compares three different methods capable of estimating the deflection of the vertical (DoV): one is based on the joint use of high precision spirit leveling and Global Navigation Satellite Systems (GNSS), a second uses astro-geodetic measurements and the third gravimetric geoid models. The working data sets refer to the geodetic International Terrestrial Reference Frame (ITRF) co-location sites of Medicina (Northern, Italy) and Noto (Sicily), these latter being excellent test beds for our investigations...
2016: Sensors
https://www.readbyqxmd.com/read/26906287/consensus-document-for-the-diagnosis-and-treatment-of-idiopathic-pulmonary-fibrosis-joint-consensus-of-sociedade-portuguesa-de-pneumologia-sociedade-portuguesa-de-radiologia-e-medicina-nuclear-e-sociedade-portuguesa-de-anatomia-patol%C3%A3-gica
#9
C Robalo Cordeiro, P Campos, L Carvalho, S Campainha, S Clemente, L Figueiredo, J M Jesus, A Marques, C Souto-Moura, R Pinto Basto, A Ribeiro, M Serrado, A Morais
Idiopathic pulmonary fibrosis is a rare interstitial lung disease included in the Idiopathic Interstitial Pneumonias group. Although several potential risk factors have been described, it is a progressive fibrosing disease of unknown cause affecting mainly adults over 50 years and associated with a poor prognosis, reflected in a median survival of 2-3 years after diagnosis. The concept of a multidisciplinary working group for the diagnosis of idiopathic pulmonary fibrosis is based on the need to have experienced pulmonologists, radiologists and pathologists in the evaluation and correct treatment of the disease, and requires the use of all available data about individual patients, standardized (largely through High Resolution Computed Tomography and pathology when needed) as well as non-standardized data (laboratory, serology and biomarkers)...
March 2016: Revista Portuguesa de Pneumologia
https://www.readbyqxmd.com/read/26844440/-impact-of-the-flipped-classroom-strategy-in-the-learning-environment-in-surgery-a-comparison-with-the-lectures
#10
Luis Carlos Domínguez, Neil Valentín Vega, Erik Leonardo Espitia, Álvaro Enrique Sanabria, Claudia Corso, Adriana Margarita Serna, Camilo Osorio
INTRODUCTION: The Facultad de Medicina of the Universidad de La Sabana routinely uses lectures as the major educational strategy in clinical areas. Since 2012, a curriculum in context and a flipped classroom were introduced in the surgery course. OBJECTIVE: To compare the impact of lectures versus the flipped classroom model in the learning environment in surgery. MATERIALS AND METHODS: The Dundee Ready Education Environment Measure (DREEM) questionnaire was administered to four cohorts of students...
December 2015: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/26245180/a-comprehensive-protocol-to-evaluate-the-use-of-blood-and-its-components-in-latin-america-and-the-caribbean
#11
Ana E del Pozo, Maria D Pérez-Rosales, Cesar de Almeida-Neto, Mirta C Remesar, Armando D Cortes, Raquel Baumgratz Delgado, Alfredo Mendrone, Ester Sabino
Blood transfusion safety is a critical part of appropriate health care. Considering the limited information available on the use of blood and its components in Latin America and the Caribbean, the Grupo Cooperativo iberoamericano de Medicina Transfusional (Ibero-American Cooperative Group for Transfusion Medicine; GCIAMT), through its Research and International Affairs committees, carried out a project to develop a protocol that would facilitate the evaluation of blood usage at the country, jurisdiction, and institutional levels in varied country contexts...
June 2015: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/26188900/validation-of-the-brazilian-version-of-the-burn-specific-health-scale-brief-bshs-b-br
#12
Monica Sarto Piccolo, Alfredo Gragnani, Ricardo Piccolo Daher, Marco de Tubino Scanavino, Maria José de Brito, Lydia Masako Ferreira
INTRODUCTION: Progressive increases in survival rates from burn trauma have shifted attention to patient rehabilitation and posttraumatic quality of life. The assessment of quality of life is strongly dependent on reliable instruments for its measurement. A literature review has revealed that the Burn Specific Health Scale-Brief (BSHS-B) questionnaire is the most commonly used instrument worldwide. OBJECTIVES: The aim of this study was to translate the BSHS-B into the Portuguese language, adapt it culturally to the Brazilian population, and test its psychometric properties...
November 2015: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/26165165/general-principles-of-medical-interconsultation-for-hospitalised-patients
#13
R Monte-Secades, E Montero-Ruiz, A Gil-Díaz, J Castiella-Herrero
Medical interconsultation for hospitalised patients is a regular activity among internal medicine specialists. However, despite its growing impact and importance, a model that defines its characteristics, objectives and information has not been established. This study, conducted by the Shared Care and Interconsultations Group of the Spanish Society of Internal Medicine, proposes a number of general recommendations concerning the method for requesting and responding to hospital medical interconsultations, as well as a format for these interconsultations...
January 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/26163733/shared-care-comanagement
#14
E Montero Ruiz
Surgical departments have increasing difficulties in caring for their hospitalised patients due to the patients' advanced age and comorbidity, the growing specialisation in medical training and the strong political-healthcare pressure that a healthcare organisation places on them, where surgical acts take precedence over other activities. The pressure exerted by these departments on the medical area and the deficient response by the interconsultation system have led to the development of a different healthcare organisation model: Shared care, which includes perioperative medicine...
January 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/26102113/-letters-to-the-editor-published-in-peruvian-biomedical-journals-indexed-in-scielo-peru-2006-2013
#15
Juan José Montenegro-Idrogo, Jhon William Mejía-Dolores, Joel L Chalco-Huamán
This bibliometric study describes the characteristics of letters to the editor published between 2006-2013 in biomedical journals indexed in SciELO-Peru.253 letters (10.3% of total publications) were collected. Most letters (139) were in the Peruvian Journal of Experimental Medicine and Public Health, with marked increase throughout those years. 25% of letters submitted included medical student participation. 14% of authors presented with international affiliations and 27% with endogenous affiliation - common in university journals (Anales de la Facultad de Medicina, Revista Médica Herediana)...
January 2015: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/26082688/santiago-ram%C3%A3-n-y-cajal-and-ivan-petrovic-pavlov-their-parallel-scientific-lives-schools-and-nobel-prizes
#16
REVIEW
Jairo A Rozo, Antonio Rodríguez-Moreno
Santiago Ramón y Cajal was not only a great scientist but he was also a dedicated teacher who managed to create his own School in Spain. Cajal was active at the end of the XIX and the beginning of the XX century, a period in which Ivan Petrovich Pavlov, another great contemporary scientist, also established a strong School in Russia. While these two acclaimed scientists shared a similar vision on science, a view they also conveyed to their disciples, they applied quite distinct criteria in the way they dealt with their followers...
2015: Frontiers in Neuroanatomy
https://www.readbyqxmd.com/read/25938844/health-related-quality-of-life-in-leukemia-survivors-of-allogeneic-hematopoietic-stem-cell-transplantation-employing-the-mexican-reduced-intensity-conditioning
#17
Mónica P González-Ramírez, Karla Miravete-Lagunes, Andrés Gómez-de-León, Sergio Ponce-de-León, Andrea P Tenorio-Rojo, Nora A Martagón-Herrera, Jesús A Hernández-Reyes, Arturo García-Villasenor, Esteban Burguette, María Fernanda Vallejo-Villalobos, Guillermo J Ruiz-Delgado, David Gómez-Almaguer, Guillermo J Ruiz-Argüelles
BACKGROUND: Quality of life (QOL) is an important consideration in the counseling, implementation, and post-treatment management of arduous treatments for life-threatening conditions such as allogeneic hematopoietic cell transplantation (allo-HCT). OBJECTIVE: To analyze the QOL of leukemia patients allografted with the Mexican reduced-intensity conditioning regimen in two Mexican academic medical centers. MATERIAL AND METHODS: By means of the quality metric short form 36 version 2 to measure generic health concepts, relevant QOL was analyzed in leukemia patients who underwent allo-HCT using reduced-intensity conditioning on an outpatient basis at either the Centro de Hematología y Medicina Interna de Puebla of the Clínica Ruiz or the Hematology Service of the Internal Medicine Department of the Hospital "Dr...
March 2015: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/25884825/the-effect-of-pre-service-training-on-post-graduation-skill-and-knowledge-retention-among-mid-level-healthcare-providers-in-mozambique
#18
COMPARATIVE STUDY
Caryl Feldacker, Sergio Chicumbe, Martinho Dgedge, Freide Cesar, Gerito Augusto, Molly Robertson, Francisco Mbofana, Gabrielle O'Malley
BACKGROUND: Mozambique suffers from critical shortages of healthcare workers including non-physician clinicians, Tecnicos de Medicina Geral (TMGs), who are often senior clinicians in rural health centres. The Mozambique Ministry of Health and the International Training and Education Center for Health, University of Washington, Seattle, revised the national curriculum to improve TMG clinical knowledge and skills. To evaluate the effort, data was collected at graduation and 10 months later from pre-revision (initial) and revised curriculum TMGs to determine the following: (1) Did cohorts trained in the revised curriculum score higher on measurements of clinical knowledge, physical exam procedures, and solving clinical case scenarios than those trained in the initial curriculum; (2) Did TMGs in both curricula retain their knowledge over time (from baseline to follow-up); and (3) Did skills and knowledge retention differ over time by curricula? Post-graduation and over time results are presented...
2015: Human Resources for Health
https://www.readbyqxmd.com/read/25758393/a-framework-for-revising-preservice-curriculum-for-nonphysician-clinicians-the-mozambique-experience
#19
Fernanda Freistadt, Erin Branigan, Chris Pupp, Marzio Stefanutto, Carlos Bambo, Maria Alexandre, Sandro O Pinheiro, Ruth Ballweg, Martinho Dgedge, Gabrielle O'Malley, Justine Strand de Oliveira
Mozambique, with approximately 0.4 physicians and 4.1 nurses per 10,000 people, has one of the lowest ratios of health care providers to population in the world. To rapidly scale up health care coverage, the Mozambique Ministry of Health has pushed for greater investment in training nonphysician clinicians, Tιcnicos de Medicina (TM). Based on identified gaps in TM clinical performance, the Ministry of Health requested technical assistance from the International Training and Education Center for Health (I-TECH) to revise the two-and-a-half-year preservice curriculum...
September 2014: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/25744315/-bernardino-ramazzini-three-hundred-years-after-his-death-padua-italy-october-18th-2014
#20
Michele Augusto Riva, Fabio Zampieri
The year 2014 has marked the tercentenary from the death of Bernardino Ramazzini (1633-1714), universally credited as the founder of Occupational Health (5, 9, 10, 11). Indeed, the renowned physician died on November 5th 1714 in Padua, where he had been appointed as Professor of Practical Medicine at the local prestigious University from the year 1700. To commemorate this anniversary, the professors of Occupational Health of the University of Padua, the Italian Society of Occupational Health and Industrial Hygiene (Società Italiana di Medicina del Lavoro eIgiene Industriale, SIMLII), the International Commission on Occupational Health (ICOH) and the University of Padua organized a conference in the wonderful location of Palazzo Bo (Main Hall) under the patronage of the Padua Municipality, the Workers' Compensation Authority (INAIL), the Venetian Region and the Societas Internationalis Historiae Medicinae...
March 2015: La Medicina del Lavoro
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